2019
DOI: 10.1136/bmjopen-2019-032329
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Abstract: ObjectivesPhysicians often refer patients with musculoskeletal conditions to physical therapy. However, it is unclear to what extent physical therapists’ treatment choices align with the evidence. The aim of this systematic review was to determine what percentage of physical therapy treatment choices for musculoskeletal conditions agree with management recommendations in evidence-based guidelines and systematic reviews.DesignSystematic review.SettingWe performed searches in Medline, Embase, Cumulative Index to… Show more

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Cited by 158 publications
(116 citation statements)
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“…Potentially, the provision of inadequate education or awareness on the importance of active approaches in favour of passive treatment modalities may exacerbate the lack of belief in active treatment approaches. A recent systematic review [38] investigated this topic by exploring if physical therapists follow evidence-based guidelines when managing MSK conditions. Worryingly, the review indicated that many physical therapists do not follow evidence-based guidelines when managing MSK conditions, and this may explain some of the findings in the current study.…”
Section: Exercise and Tendinopathy: Room For Improvement?mentioning
confidence: 99%
“…Potentially, the provision of inadequate education or awareness on the importance of active approaches in favour of passive treatment modalities may exacerbate the lack of belief in active treatment approaches. A recent systematic review [38] investigated this topic by exploring if physical therapists follow evidence-based guidelines when managing MSK conditions. Worryingly, the review indicated that many physical therapists do not follow evidence-based guidelines when managing MSK conditions, and this may explain some of the findings in the current study.…”
Section: Exercise and Tendinopathy: Room For Improvement?mentioning
confidence: 99%
“…The intention of clinical guidelines is to implement evidence-based treatment approaches and to ensure that all patients with a given health problem or diagnosis are offered the best suitable and effective treatment alternatives available at any time [ 14 ]. However, BMJ Open recently published a systematic review where the aim was to determine what percentage of physical therapy treatment choices for musculoskeletal conditions agreed with management recommendations in existing guidelines [ 15 ]. The authors found that many physiotherapists seem not to follow evidence-based guidelines.…”
Section: Introductionmentioning
confidence: 99%
“…The authors found that many physiotherapists seem not to follow evidence-based guidelines. They encourage physiotherapists to increase the frequency with which they provide evidence-based treatment choices and to reduce the use of undocumented modalities [ 15 ]. The implementation of new guidelines is essential to change existing practice and improve treatment quality, but the translation of such treatment recommendations into routine practice is a complicated process with many barriers, such as an insufficient knowledge of current guidelines, and finding it hard to break old habits and too complicated to employ new routines [ 14 ].…”
Section: Introductionmentioning
confidence: 99%
“…The issue traverses the lack of action to do and finance what has proven to be more cost-effective. Much of what is done does not follow scientific evidence 43 . There is no scientific basis for using ultrasound or shock waves to treat low back pain.…”
Section: How To Avoid Rehabilitative Overuse?mentioning
confidence: 99%