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From The CriticsReviewer: Gordon Riddle, PT, DPT, ATC, CSCS (North Hills Orthopedic and Sports Physical Therapy)
Description: This reference manual of clinical prediction rules includes information about their appropriate review and utilization. The background and development of clinical prediction rules are discussed, touching on strengths, weaknesses, review of the literature, and application to clinical practice.
Purpose: This book provides musculoskeletal clinicians with a guide to understanding the research process, a critical analysis of the literature, and the use of clinical prediction rules in physical therapy diagnosis, prognosis, and intervention. By integrating the best current evidence with clinical experience and patient preference, the authors believe that clinical prediction rules help to provide the most appropriate patient care. The authors provide a timely publication that is applicable to orthopedic clinicians.
Audience: This is best used as a reference for entry-level physical therapists and experienced practicing orthopedic clinicians or as an instructional text in post-professional physical therapy programs. The authors are involved in continued professional development, have written numerous publications, earned multiple professional and research awards, and are active at state and national levels in the profession.
Features: The book begins with the history of clinical prediction rules, how to critically review the literature, and apply research statistics to everyday clinical practice. This is followed by a discussion of rules used in screening patients who need referral. Rules are then organized by body region, with side bars of information noting the highest level and most current evidence. Highlights of the book include user-friendly tables and full-color figures to clarify examination techniques, special tests, and interventions. Chapter 9 integrates clinical prediction rules into case studies, thereby promoting clinical decision-making rationales. Five appendixes provide a simplified analysis and evaluation of the clinical prediction rules according to individual studies.
Assessment: This is the first book of its kind dedicated to clinical prediction rules. It is well written and very timely with the current shift of evidence-based practice and the recent abundance of published clinical prediction rules. It serves as a great reference for orthopedic physical therapists, although it will require frequent updating as additional clinical prediction rules are validated and developed. The book is best used as one of many tools that can assist in providing the most current, evidence-based information leading to enhanced patient-centered care.