Adherence to Clinical Practice Guidelines for Low Back Pain in Physical Therapy: Do Patients Benefit?

Rutten, Geert M.; Degen, Saskia; Hendriks, Erik; Braspenning, Jozé; Harting, Janneke; Oostendorp, Rob A.B.

doi:10.2522/ptj.20090173

Cited by 137 publications

(131 citation statements)

References 37 publications

Supporting

Mentioning

116

Contrasting

Unclassified

Order By: Relevance

“…A recent study by Rutten et al found that increased adherence by physiotherapists to the Dutch physical therapy and manual therapy guidelines lead to greater improvements in physical functioning and lower utilization of care. 37 Despite this emerging evidence supporting the use of CPG's in the management of LBP, a recent paper by Harman et al documented the prevalence of interventions poorly supported by evidence in the management of subacute LBP by physiotherapists working with injured workers. 38 Using CPGs or the best available evidence in clinical decision making is not compulsory, but the onus is on health care providers to integrate evidence into their clinical decisions whenever possible.…”

Section: Discussionmentioning

confidence: 99%

The Alberta Health Technology Assessment (HTA) Ambassador Program: The Development of a Contextually Relevant, Multidisciplinary Clinical Practice Guideline for Non-specific Low Back Pain: A Review

Cutforth

Peter²,

Taenzer³

2011

Physiotherapy Canada

View full text Add to dashboard Cite

Purpose: To describe the development of a contextually relevant multidisciplinary clinical practice guideline (CPG) for non-specific low back pain (LBP) and to discuss its value to the management of LBP and the practice of physiotherapy. Method: To mitigate an identified knowledge gap for Alberta primary-care practitioners in the management of non-specific LBP, a collaborative process was developed to engage multidisciplinary health care providers in designing a primary-care CPG for non-specific LBP. A comprehensive review of published LBP guidelines identified the seven highest-quality CPGs; these were used to inform a multidisciplinary guideline development group (GDG) as they developed the CPG. Results: The GDG constructed a CPG for non-specific LBP along with point-of-care decision-support and patient-education tools. Conclusions: The Ambassador Program on Low Back Pain worked with front-line clinicians from across Alberta to review the best available evidence in developing a CPG responsive to the Alberta context. This CPG is intervention specific and provides a wide range of primary-care practitioners with the best available evidence to inform their clinical decisions in managing non-specific LBP. RÉ SUMÉObjectif : Dé crire l'é laboration d'une ligne directrice multidisciplinaire de pratique clinique pertinente au contexte pour la lombalgie non spé cifique et discuter de sa valeur pour la gestion de la lombalgie et la pratique de la physiothé rapie. Mé thode : Dans le but d'atté nuer les lacunes dans les connaissances des praticiens en soins primaires de l'Alberta dans la gestion de la lombalgie non spé cifique, un mode de collaboration a é té mis sur pied pour que les fournisseurs de soins de santé de multiples disciplines participent à l'é laboration d'une ligne directrice clinique en soins primaires pour la lombalgie non spé cifique. Une analyse approfondie des lignes directrices pour la lombalgie a permis de ré pertorier sept lignes directrices de la plus grande qualité ; elles ont é té utilisé es pour inspirer le groupe multidisciplinaire dans la cré ation d'une ligne directrice. Ré sultats : Le groupe multidisciplinaire a é laboré une ligne directrice pour la lombalgie non spé cifique de mê me qu'une aide à la dé cision sur les lieux de soins et des outils é ducatifs pour le patient. Conclusions : L'é quipe de l'Ambassador Program on Low Back Pain a travaillé avec des cliniciens de premiè re ligne de partout en Alberta pour analyser les meilleures preuves scientifiques disponibles pour l'é laboration d'une ligne directrice clinique convenant au contexte de l'Alberta. Cette ligne directrice est une intervention pré cise et offre à un large é ventail de praticiens en soins primaires les meilleures preuves scientifiques disponibles pour les aider dans leurs dé cisions cliniques pour la gestion de la lombalgie non spé cifique.Mots clé s : communication multidisciplinaire, lignes directrices de pratique, lombalgie, pratique fondé e sur l'expé rience clinique, ré adaptation 278

show abstract

Section: Discussionmentioning

confidence: 99%

The Alberta Health Technology Assessment (HTA) Ambassador Program: The Development of a Contextually Relevant, Multidisciplinary Clinical Practice Guideline for Non-specific Low Back Pain: A Review

Cutforth

Peter²,

Taenzer³

2011

Physiotherapy Canada

View full text Add to dashboard Cite

show abstract

“…The use of CPGs in physiotherapy has been shown to contribute to EBP and improve both quality of care and patient outcomes [36,108,109]. This stresses the need to promote and increase guideline use, and to evaluate implementation efforts aiming to do so.…”

Section: Previous Research On Guideline Implementation In Physiotherapymentioning

confidence: 99%

Advancing evidence-based practice in primary care physiotherapy : Guideline implementation, clinical practice, and patient preferences

Bernhardsson¹

2015

Linköping University Medical Dissertations

View full text Add to dashboard Cite

“…Increasing expansion of technology, changes in lifestyle, sedentary life, awkward positions in sitting and standing, etc. weaken body muscles, in particular muscles that support spinal cord leading to various implications for physical and mental health [1].…”

Section: Introductionmentioning

confidence: 99%

Comparing Pain Intensity after Surgery for Patients with Spinal Stenosis using with and without Instrumentation

Rahimi¹,

Mohsen²,

Papi³

et al. 2018

Eurasian J Anal Chem

View full text Add to dashboard Cite

Spinal stenosis has been diagnosed as a factor leading to low back pain; medicinal and surgical actions play a vital role in reducing spinal stenosis and low back pain. The purpose of this study was to compare pain intensity after surgery for patients with spinal stenosis with and without instrumentation. This was a descriptive-analytical study. Considering the sample size formula, 144 patients who had spinal stenosis surgery through target-based method were entered in this research. Patients with spinal stenosis divided to two groups of group 1 consisting of 72 patients who had non-instrumented spinal stenosis surgery (Laminectomy) and group 2 consisting of 72 patients who had instrumented spinal stenosis surgery (Pedicular Screw Fixation). Demographic data questionnaire of Numeric Pain Rating Scale was used as data collection tool in this study. In this research, patient expressed and recorded his/her pain intensity in checklist using vas scale under the supervision of researcher. Data were analyzed using statistical tests of paired t test, independent t test, and Chi-square through SPSS22 Software. Findings indicated no significant statistical difference (P>0.05) between studied group in terms of age, sex, education, marital status, and job. In case of pain intensity considering the value of p=0.0001, mean difference in pain intensity of the group with instrumentation was significant before and after intervention and considering the obtained p=1.000, this mean difference was not significant before and after intervention in the group without instrumentation. Moreover, mean of changes in pain intensity scores of two groups indicted no significant difference (P<0.0001). This means that pain intensity among group members with instrument was lower than group without instrument (P<0.098). Pedicular Screw Fixation can be named as one of effective methods in treating lumbar disc that not only reduces pain after surgery but also enables patient to do daily activities.

show abstract

Adherence to Clinical Practice Guidelines for Low Back Pain in Physical Therapy: Do Patients Benefit?

Cited by 137 publications

References 37 publications

The Alberta Health Technology Assessment (HTA) Ambassador Program: The Development of a Contextually Relevant, Multidisciplinary Clinical Practice Guideline for Non-specific Low Back Pain: A Review

The Alberta Health Technology Assessment (HTA) Ambassador Program: The Development of a Contextually Relevant, Multidisciplinary Clinical Practice Guideline for Non-specific Low Back Pain: A Review

Advancing evidence-based practice in primary care physiotherapy : Guideline implementation, clinical practice, and patient preferences

Comparing Pain Intensity after Surgery for Patients with Spinal Stenosis using with and without Instrumentation

Contact Info

Product

Resources

About