Clinical Prediction Rule Of Flynn | Lumbar Manipulation Success

Following items from patient history indicate a positive finding:

1. No symptoms distal to the knee
2. Recent onset of symptoms (<16 days)
3. Low FABQW score (<19)
4. Hypomobility of lumbar spine
5. Hip internal rotation ROM>35° of at least 1 hip

 

Positive Outcome: 3 or more positive items to increase the chance of success with a lumbar manipulation (see detailed positive likelihood ratios below)

Study	Reliability	Sn	Sp	LR+	LR-
Flynn et al. (2002): 3+/5 positive signs	NA	94	64	2.61	0.09
Flynn et al. (2002): 4+/5 positive signs	NA	63	97	24.38	0.38
Flynn et al. (2002): 5/5 positive signs	NA	19	100	∞	0.81