While relatively new to the field of Physical Therapy, Clinical Prediction Rules have been used in medicine for a very long time (for example the Deep Vein Thrombosis CPR). These rules have been designed to improve clinical decision making and assist the practitioner in diagnosis, prognosis, and intervention planning. Childs and Cleland point out that "CPRs provide practitioners with powerful diagnostic information from the history and physical examination that may serve as an accurate decision-making surrogate for more expensive diagnostic tests." Not only can CPR's help curb the rising costs of healthcare, using this high level of evidence is especially important in the direct access setting where more extensive diagnostic testing has not been performed. In addition to diagnosis, other CPRs can aide in the classification and subgrouping of patients to guide you in intervention planning.
Now that you know CPRs are important, what are these clinical prediction rules and where can you access them? Fortunately John Synder at the Orthopedic Manual Therapist recently compiled a list of them. Check them out HERE!
Childs J and Cleland J. (2006). Development and Application of Clinical Prediction Rules to improve decision making in Physical Therapist Practice. PHYS THER. 2006. Jan;86(1):122-131. Web. 13 Aug 2013.
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