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Clinical Prediction Rules: A Physical Therapy Reference Manual

Author(s): Paul E. Glynn, PT, DPT, OCS, FAAOMPT, Supervisor of Staff Development & Clinical Research, Rehabilitation Department, Newton-Wellesley Hospital, Newton, Massachusetts
P. Cody Weisbach, PT, DPT, Staff Physical Therapist, Rehabilitation Department, Newton-Wellesley Hospital, Newton, Massachusetts
  • ISBN-13: 9780763775186
  • Paperback    250 pages      © 2011
Price: $129.95 US List
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Another selection of the Jones and Bartlett Series:
Contemporary Issues in Physical Therapy and Rehabilitation Medicine


The First and Only Text Focused on CPRs for PT Practice!

Doody's Book Review Score: 100 - 5 Stars!


Also available: Mobile Applications for iPhone, Android, and BlackBerry

Clinical Prediction Rules: A Physical Therapy Reference Manual is constructed in such a manner that it is intended to be used for multiple musculoskeletal courses. It includes musculoskeletal clinical prediction rules organized by region thus allowing for its repeated use during the upper quarter, lower quarter as well as the students’ spine coursework. Additionally, the manual includes multiple medical screening prediction rules so that it is appropriate to introduce in differential diagnosis coursework as well as a diagnostic imaging class. Perfect for entry-level physical therapy programs, this text is also suitable for post-professional physical therapy programs especially those that include an orthopedic residency or manual therapy fellowship program, and also as a reference manual for students going out on their clinical affiliations.

This book offers the first comprehensive look at CPRs as they relate to PT practice.  It’s format is arranged so that the pertinent information is readily available to influence clinical decision making while also providing sufficient depth.  CPR development level is provided, a quality assessment score is listed as well as a clinical bottom line paragraph to provide the reader with a summative statement.  The predictor variables are well described and include multiple color pictures for clarity of explanation and ease of reproduction.  To further assist the reader in their utilization of clinical prediction rules the authors have provided a decision making algorithm as well as multiple case studies demonstrating the inclusion of such rules into an evidence-based clinical scenario.  CPRs are becoming more frequent in the PT literature and this book provides students and clinicians with a strong working knowledge of the rules most pertinent to PT practice.


With over 100 full-color photos, illustrations, and tables to demonstrate key exercises and concepts, this user-friendly text is an essential reference for students and clinicians alike! An Image Bank is available for instructors.


Read the Foreword by Joshua A. Cleland, PT, PhD, Professor at Franklin Pierce University.


Clinical prediction rules (CPRs) are algorithmic decision tools designed to aid clinicians in determining a diagnosis, prognosis, or likely response to an intervention.  They use a parsimonious set of clinical findings from the history, physical examination and diagnostic test results that have been analyzed and found to be statistically meaningful predictors of a condition or outcome of interest.  Through the use of CPR’s the clinician may be able to more effectively and efficiently treat patients, reduce practice variation and achieve optimal outcome measures.

Features & Benefits

  • Features detailed descriptions, full-color illustrations and photos, and case studies for increased comprehension.
  • Offers patient characteristics and screening tools to help make accurate diagnosis and treatment plan.
  • Provides a valuable reference tool to effectively apply CPRs to day-to-day practice. 
  • This textbook offers a reference source for the large majority of rules existing to date.

Applicable Courses

Multiple Musculoskeletal Courses
Entry-level Physical Therapy Programs
Post-professional Physical Therapy Programs
Orthopaedic Residency
Manual Therapy Fellowship Program

  Chapter  1  Introduction
  Chapter  2  How to Use This Book
  Chapter  3  Statistics
  Chapter  4  Screening
  Chapter  5  Cervicothoracic Region and Temporomandibular Joint
  Chapter  6  Upper Extremities
  Chapter  7  Lumbopelvic Region
  Chapter  8  Lower Extremities
  Chapter  9  Case Studies
  Appendix  A  CPR Quality Scores of Level IV Prognostic Studies
  Appendix  B  CPR Quality Scores of Level IV Intervention Studies
  Appendix  C  Quality Assessment of Diagnostic CPRs
  Appendix  D  CPR Quality Scores of Interventional Validation Studies
  Appendix  E  CPR Decision-Making Algorithm

Paul E. Glynn, PT, DPT, OCS, FAAOMPT-Supervisor of Staff Development & Clinical Research, Rehabilitation Department, Newton-Wellesley Hospital, Newton, Massachusetts

Dr. Glynn has been a practicing outpatient orthopedic physical therapist since 1997. He is board certified in orthopedics and fellowship trained in manual therapy. Dr. Glynn currently works as the Supervisor of Staff Development and Clinical Research at a large hospital organization in Massachusetts where he is also a member of the organizations institutional review board. He serves as affiliate faculty at 3 universities as well as for Evidence in Motion Inc. Dr. Glynn has published research in numerous peer-reviewed journals to include Physical Therapy, the Journal of Manual and Manipulative Therapy, the Journal of Sports Rehabilitation and the Journal of Shoulder and Elbow Surgery. He is the recipient of the 2006 Excellence in Research Award, the JMMT Therapeutic Exercise Award as well as the 2008 Jack Walker Award. He is an active researcher and national presenter in the field, a manuscript reviewer for the Journal of Manual and Manipulative Therapy, an item writer for the NPTE and SACE, an associate member of the FSBPTS and has recently served on the FSBPTS standards setting task force for the National Physical Therapy exam.
Additional Titles by this Author

P. Cody Weisbach, PT, DPT-Staff Physical Therapist, Rehabilitation Department, Newton-Wellesley Hospital, Newton, Massachusetts

Dr. Weisbach graduated with his DPT from Simmons College in 2007 and has since worked with an orthopedic population in a hospital based outpatient setting at Newton-Wellesley Hospital in Newton, MA. In addition to his clinical duties, he has acted as a clinical investigator, clinical instructor, co-authored papers in Physical Therapy and the Journal of Sports Rehabilitation and is pursuing a fellowship in manual therapy at Regis University. He is a member of the American Physical Therapy Association, the Orthopedics Section of the APTA, and the American Academy of Orthopedic Manual Physical Therapists.
  • "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. 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."

    ~ Gordon Riddle, PT, DPT, ATC, CSCS, North Hills Orthopedic and Sports Physical Therapy
    (for Doody's Book Review, April 2010. Weighted Numerical Score: 100 - 5 Stars)

  • “This is the only resource I am aware of in which clinicians have all the current clinical prediction rules in one location, nicely explained, with the interventions provided. The large sized photos of the interventions are in color, as are the tests used for diagnosis.

    The book is an important additional to a personal library and would also be a useful resource of educators and students of physical therapy.  In addition, it is the only one of its kind thus the market for this book should be very strong.”

    ~ Chad Cook PT, PhD, MBA, OCS, FAAOMPT (Journal of Manual and Manipulative Therapy, 2010 Vol. 18 No. 2)

The following instructor resources are available to qualified instructors for download

ISBN-13: 9780763775186

Image Bank
Sample Image Bank