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Table 3.

The usefulness of each patient characteristic in predicting whether a clinical scenario containing that characteristic was rated inappropriate or appropriate for each therapy (i.e., the percent of scenarios each characteristic helps classify)

Patient characteristics*Predicting a rating of
inappropriate**
Predicting a rating of
appropriate**
MobilizationManipulationMobilizationManipulation
Presence of red flags100.0%↑100.0%↑ 65.3%↓35.0%↓

Prior unfavorable experience with spinal manual therapy86.3%↑86.3%↑ 51.6%↓ 61.0%↓

Major neurologic findings18.7%↑86.3%↑41.5%↓27.1%↓

Previous non-manual conservative care failed13.0%↓24.5%↓------

Additional (e.g., advanced imaging) testing show cervical disc herniation, stenosis, or foraminal osteophytosis6.5%↑2.9%***↓100.0%↓ 100.0%↓

Clinically substantial traumatic etiology---21.9%↑30.7%↓23.5%↓

No signs of painful/limited active range of motion---4.7%↑------

Radiographs showing advanced spinal degeneration------26.0%↓65.3%↓

No cervical nerve root radiculopathy------7.6%↓---

Joint dysfunction in upper cervical spine---------14.8%↓

No local pathology---------11.9%↑

Continued psychosocial stress------------

*The patient characteristics are all fully defined in the Appendix.

**Predictions of a rating of inappropriate were versus ratings of equivocal or appropriate. Predictions of appropriate were versus ratings of equivocal or inappropriate.

***Tests negative for serious pathology included here with other test results.

↑= This patient characteristic predicts this rating.

↓= This patient characteristic predicts against this rating.