Assessing the Pelvic Alignment

[SagarNaik]

CLINICAL PREDICTION RULE FOR MANIPULATION IN BACK PAIN

■ Duration of symptom < 16 Days
■ Fear-Avoidance Beliefs Questionnaire (FABQ) work subscale score < 19
■ At least one hip with > 35 degrees of internal rotation ROM
■ Hypomobility in the lumbar region
■ No Symptoms distal to the knee

The presence of more variables of five in the prediction rule increases the likelihood of success with manipulation.

Reference: Flynn, T., Fritz, J., Whitman, J., Wainner, R., Magel, J., Rendeiro, D., Butler, B., Garber, M., Allison, S. A Clinical prediction rule for classifying patients with low back pain who demostrate short-term improvement with spinal manipulation. Spine; 27 (24), 2835-2843.

YouTube Video:


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YouTube - SI Region Manipulation for Low Back Pain