Numerous clinical trials have investigated the effectiveness of interventions for low back pain (LBP). Despite the magnitude of research in this area, the evidence remains somewhat inconclusive for many of the common interventions. All patients with LBP are unique; thus, it is not reasonable to expect that all patients will benefit from identical interventions. Matching patients with interventions from which they are likely to benefit has been advocated as a method to improve the power of investigation. This module reviews the evolutionary history of clinical prediction rules (CPRs), the methodological standards for developing CPRs, and the hierarchy of evidence for applying CPRs in clinical practice. The CPRs currently in use for the management of patients with LBP are discussed.
The goal of this educational program is to provide physical therapy professionals with an understanding of how to use clinical prediction rules for patients with LBP.
Numerous clinical trials have investigated the effectiveness of interventions for low back pain (LBP). Despite the magnitude of research in this area, the evidence remains somewhat inconclusive for many of the common interventions. All patients with LBP are unique; thus, it is not reasonable to expect that all patients will benefit from identical interventions. Matching patients with interventions from which they are likely to benefit has been advocated as a method to improve the power of investigation. This module reviews the evolutionary history of clinical prediction rules (CPRs), the methodological standards for developing CPRs, and the hierarchy of evidence for applying CPRs in clinical practice. The CPRs currently in use for the management of patients with LBP are discussed. The goal of this educational program is to provide physical therapy professionals with an understanding of how to use clinical prediction rules for patients with LBP.
Arizona State Board of Physical Therapy (CEBroker Provider #50-290)
The Idaho Physical Therapy Licensure Board accepts Continuing Education courses sponsored by any section or chapter of the American Physical Therapy Association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.
The Indiana Physical Therapy Committee accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.
The Kentucky Board of Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX.
The Michigan Board of Physical Therapy accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.
The Missouri State Board of Registration for the Healing Arts accepts Continuing Education courses sponsored/approved by any state chapter of the American Physical Therapy Association (APTA). Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.
The Mississippi State Board of Physical Therapy accepts Continuing Education hours accrued through participation in educational activities approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This course meets approval under the Mississippi Regulation Part 3103 Rule 5.4 (1) (b).
The Montana Board of Physical Therapy Examiners accepts Continuing Education courses approved by any state physical therapy association as Category A activities. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.
The North Carolina Board of Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.
The North Dakota Board of Physical Therapy accepts Continuing Education courses sponsored by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.
The New Mexico Physical Therapy Licensing Board accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.
Pennsylvania State Board of Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2202008TX. This activity is approved for 1.00 contact hours.
The Georgia State Board of Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX.
The Rhode Island Board of Physical Therapy accepts Continuing Education courses approved by any state physical therapy association. This activity is approved for 1.00 contact hours.
The South Carolina Board of Physical Therapy accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX.
South Dakota State Board of Medical and Osteopathic Examiners accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.
The Tennessee Board of Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #2202008TX.
The Virginia Board of Physical Therapy accepts Continuing Education courses approved by any state physical therapy association as Type 1 courses. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.
The Vermont Office of Professional Regulation - Physical Therapy accepts Continuing Education courses approved by the American Physical Therapy Association and its affiliate components. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.
The Wisconsin Physical Therapy Examining Board accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.
The Wyoming Board of Physical Therapy accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.
The Delaware Examining Board of Physical Therapists and Athletic Trainers accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.
The Alaska State Physical Therapy and Occupational Therapy Board accepts Continuing Education courses approved by any state physical therapy association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX.. This activity is approved for 1.00 contact hours.
The Alabama Board of Physical Therapy recognizes the completion of distance learning courses as maintenance of continuing competence. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.00 contact hours.
The Florida Board of Physical Therapy accepts courses approved by any state chapter of the American Physical Therapy Association. Relias Learning is a Texas CCAP Accredited Provider by the Texas Physical Therapy Association, approval #1902008TX. This activity is approved for 1.00 contact hours.
Relias LLC is an Illinois Physical Therapy Continuing Education Sponsor, number 216.000290. This activity is approved for 1.00 contact hours.
This activity is provided by The Texas Board of Physical Therapy Examiners Accredited Provider #1902008TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas.
This course is not approved as meeting the ethics and professional requirements for Texas physical therapists or physical therapist assistants.
The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. This activity is approved for 1.00 contact hours.
The New York State Education Department's State Board for Physical Therapy has recognized Relias Learning, LLC as an approved provider of physical therapy and physical therapy assistant continuing education. This activity is approved for 1.00 contact hours.
The Iowa Bureau of Professional Licensure accepts Continuing Education hours obtained by completing online training courses related to the practice of physical therapy. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.00 contact hours.
Disclaimer: It is the learner's responsibility to determine whether or not this course meets the specific renewal requirements established by your licensing board.
This activity is approved for 1.00 contact hours.
The Colorado State Physical Therapy Board accepts Continuing Education courses as relevant to the licensee’s practice as a physical therapist and pertinent to his/her Learning Plan and goals. This course meets the requirements for Category I credit. This activity is approved for 1.00 contact hours.
The Connecticut State Board of Examiners for Physical Therapists accepts internet-based and distance learning opportunities provided such coursework is related to the practice of physical therapy. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.00 contact hours.
This activity is approved for 1.00 contact hours.
The Nebraska State Board of Physical Therapy accepts Continuing Education courses relating to the theory or clinical application of theory pertaining to the practice of physical therapy. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.00 contact hours.
Disclaimer: It is the learner's responsibility to determine whether or not this course meets the specific renewal requirements established by your licensing board.
The New Hampshire Physical Therapy Governing Board recognizes the completion of distance learning courses as maintenance of continuing competence. This activity is approved for 1.00 contact hours.
The Oregon Physical Therapist Licensing Board accepts Continuing Education courses approved by any state physical therapy licensing board. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.00 contact hours.
Disclaimer: It is the learner's responsibility to determine whether or not this course meets the specific renewal requirements established by your licensing board.
The Utah Division of Occupational and Professional Licensing accepts Continuing Education courses conducted by commercial continuing education providers. This activity is approved for 1.00 contact hours.
The Washington Board of Physical Therapy accepts Continuing Education courses that are specifically related to the practice of physical therapy, with specified goals and objectives. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.00 contact hours. Disclaimer: It is the learner's responsibility to determine whether or not this course meets the specific renewal requirements established by your licensing board.
Relias Learning, LLC is recognized as an approved provider of continuing competency courses by the Physical Therapy Board of California. This course is approved for 1.00 contact hours.
This activity meets Kansas State Board of Healing Arts criteria for continuing education and is offered to PTs and PTAs for CEUs. This activity is approved for 1.00 contact hours.
This course is approved by the Arkansas State Board of Physical Therapy and offered to PTs and PTAs for 1.00 contact hours.
The Hawaii Board of Physical Therapy accepts courses approved by another state or jurisdiction’s physical therapy board. This course is approved by the Physical Therapy Board of California and offered to PTs and PTAs for CEUs. This activity is approved for 1.00 contact hours.
This course is approved by the Ohio Physical Therapy Association, approval number 21S1411. This activity is approved for 1.0000 contact hours.
This course is approved by the Louisiana Physical Therapy Board for 1.0000 Clinical hours.
This course has been approved by the West Virginia Board of Physical Therapy, approval code REL-22-026. Approval of this course does not necessarily imply that the WV Board of Physical Therapy supports the views of the presenter or sponsor. This activity is approved for 1.00 contact hours.
Oklahoma Physical Therapy Advisory Committee has approved this course under Category B. Approval # . This activity is approved for 1.0000 contact hours.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Clinical Prediction Rules
Interventions for Low Back Pain
Clinical Prediction Rules
Development of CPRs
Hierarchies of Evidence
Interpreting the Results of CPR Investigations
Interventions for the Lumbar Spine
Clinical Diagnostic Rules
Benefits and Limitations of CPRs
Section 3: Clinical Vignette
Applying the CPRs
Section 4: Conclusion
Summary
Course Contributor
References
Chaitali Patel completed her Bachelor in Physiotherapy in 1999 and earned her Transitional Doctor of Physical Therapy degree in 2012 from A.T. Still University in Arizona. After completion of extensive research and case studies in area of physical therapy treatment after total joint replacement, she successfully became a Master Clinician in Total Joint Rehabilitation in 2016. Chaitali is an Otago Certified Therapist for fall prevention and a Certified Expert in Applied Geriatric Neurology (CEAGN). In 2018 Chaitali became a Board-Certified Geriatrics Clinical Specialist through the American Board of Physical Therapy Specialties (ABPTS). A lifelong learner, Chaitali’s professional areas of interest include working with older adults to on fall risk, strength and conditioning, orthopedic and neurologic disorders, total shoulder, hip and knee arthroplasty/replacements, and rehabilitation of active and medically complex older adults.
Disclosure: Chaitali Patel, PT, DPT, GCS has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
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