Clinical prediction rule validity to identify individuals with recurrent low back pain

Q3 Health Professions

Physiotherapy Quarterly Pub Date : 2022-01-01 DOI:10.5114/pq.2020.102163

Peemongkon Wattananon, Sasithorn Kong-oun, Pimchanok Chuenpimonchankit, Piyawat Pattanu, Gunjanaporn Suksawanwit, Pattamaporn Sonjit, Wallika Prasertkul

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引用次数: 0

Abstract

Introduction. one set of clinical prediction rules (CPR) can be used clinically to identify patients with low back pain who are likely to benefit from motor control exercise. individuals with a history of recurrent low back pain during remission (rLBP) still have persisting impaired trunk neuromuscular control. Accordingly, CPR should detect these individuals with rLBP. This study aimed to determine the predictive validity of CPR to identify individuals with rLBP. Methods. overall, 30 subjects aged less than 40 years (22 subjects with rLBP and 8 subjects without a history of low back pain) were recruited. We used the following criteria as CPR: (1) presence of aberrant movement during active forward bend and (2) passive straight leg raising result greater than 91°. Kappa statistics and the chi-square test were used to determine predictive validity. diagnostic accuracy was also calculated. Results. Kappa demonstrated substantial agreement (kappa = 0.73), while the chi-square test showed significant association ( 2 = 16.28; p < 0.001) between positive CPR and rLBP. diagnostic accuracy demonstrated positive likelihood ratio of 3.82, while accuracy equalled 90%. Conclusions. our findings indicated the predictive validity of CPR to identify individuals with rLBP. The result from this study would help identify those predisposed to recurrent episodes of low back pain who would likely have a positive response to motor control exercise. passive straight leg raising

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临床预测规则识别复发性腰痛个体的有效性

介绍。一套临床预测规则(CPR)可以在临床上用于识别可能从运动控制运动中获益的腰痛患者。个体复发性腰痛缓解期间(rLBP)仍有持续受损的躯干神经肌肉控制。因此，心肺复苏术应该检测出这些患有rLBP的个体。本研究旨在确定心肺复苏术对rLBP患者的预测有效性。方法。总共招募了30名年龄小于40岁的受试者(22名患有rLBP的受试者和8名没有腰痛史的受试者)。我们使用以下标准作为心肺复苏术:(1)主动前屈时出现异常运动;(2)被动直腿抬高结果大于91°。采用Kappa统计量和卡方检验确定预测效度。同时计算诊断准确率。结果。Kappa检验显示有显著的一致性(Kappa = 0.73)，卡方检验显示有显著的相关性(2 = 16.28;p < 0.001)。诊断正确率为3.82，准确率为90%。结论。我们的研究结果表明，心肺复苏术对识别rLBP患者的预测有效性。这项研究的结果将有助于识别那些易患复发性腰痛的人，他们可能对运动控制运动有积极的反应。被动直腿抬高

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来源期刊

Physiotherapy Quarterly Health Professions-Physical Therapy, Sports Therapy and Rehabilitation

CiteScore

0.80

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： Physiotherapy Quarterly ISSN 2544-4395 (formerly Fizjoterapia ISSN 1230-8323) is an international scientific peer-reviewed journal, published in both paper and electronic format by the University School of Physical Education in Wroclaw, Poland. The original version of the journal is its paper issue. The Editorial Office accepts original papers on various aspects of physiotherapy and rehabilitation for publication. Manuscripts in basic science and clinical physiotherapy science are published at the highest priority. Letters to the Editor, reports from scientific meetings and book reviews are also considered. Physiotherapy Quarterly publishes papers that show depth, rigor, originality and high-quality presentation. The scope of the journal: evidence-based rehabilitation; the mechanisms of function or dysfunction; modern therapy methods; best clinical practice; clinical reasoning and decision-making processes; assessment and clinical management of disorders; exploration of relevant clinical interventions; multi-modal approaches; psychosocial issues; expectations, experiences, and perspectives of physiotherapists. Quantitative, qualitative and mixed methods research articles are welcomed, together with systematic and high-quality narrative reviews.