Objective & Subjective Signs & Symptoms of ‘Clinical Lumbar Spine Instability‘ by Cook

A complete list of the subjective and objective signs & symptoms that different specialists in the field have reached consensus upon can be found in the article below

 

Positive Outcome: There is no cut-off value, but the more items are present, the more likely your patient is experiencing ‘cervical spine instability’

 

N.B. The term ‘instability’ is a potentially harmful nocebo in our patients and should rather be termed ‘motor control impairment’!

Study Reliability Sn Sp LR+ LR-
Cook et al. (2006) NA NA NA NA NA