Parameters:
(1) duration of current episode of low back pain
(2) extent of distal symptoms
(3) work subscale score to the Fear-Avoidance Beliefs Questionnaire (FABQ)
(4) mobility of the lumbar spine segments
(5) range of internal rotation for both hips
|
Parameter
|
Finding
|
Points
|
|
duration of current episode
|
< 16 days
|
1
|
|
|
>= 16 days
|
0
|
|
extent of distal symptoms
|
no symptoms distal to the knee
|
1
|
|
|
symptoms distal to the knee
|
0
|
|
work subscale score FABQ
|
< 19 points
|
1
|
|
|
>= 19 points
|
0
|
|
mobility of lumbar spine
|
no hypomobile segments
|
0
|
|
|
1 or more hypomobile segments
|
1
|
|
hip internal rotation
|
neither hip has an internal range of motion > 35 degrees
|
0
|
|
|
one or both hips have an internal range of motion > 35 degrees
|
1
|
where:
• The score for the work subscale of the FABQ ranges from 0 to 42.
• The specific criteria for evaluating each parameter are given in Appendix 1, page W-165.
total score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 0
• maximum score: 5
• A score >= 4 was associated with possible benefit from spinal manipulation.
• A score <= 3 was not associated with benefit from spinal manipulation.
Performance:
• A patient who met the criteria and had manipulation had a 92% chance of a successful outcome.
