Which of the following is a criterion for considering a clinical practice guideline for stabilization?

• A. Recurrent episodes
• B. Age over 40 years
• C. Neurological symptoms
• D. Positive straight leg raise at 60 degrees

Answer: (A)

Recurrent episodes are a critical criterion for considering a clinical practice guideline for stabilization, particularly in conditions such as low back pain or other musculoskeletal disorders. When a patient experiences recurrent episodes of pain or instability, it often indicates that there is an underlying issue that may benefit from stabilization strategies. This recurrent nature suggests that the patient's condition is not adequately managed with conservative treatments or that there is a risk of further injury, making stabilization a compelling option.

In contrast, factors like age over 40 years or the presence of neurological symptoms may influence treatment decisions but do not specifically address the need for stabilization in the same direct manner. The positive straight leg raise at 60 degrees is considered a specific test for neural tension or lumbar radiculopathy rather than a criterion for stabilization guidelines. Therefore, recurrent episodes align directly with the rationale for implementing stabilization techniques as part of a comprehensive management plan.