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Related Experiment Video

Updated: Jun 19, 2026

Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
06:28

Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation

Published on: December 13, 2024

Using consensus methods in developing clinical guidelines for exercise in managing persistent low back pain.

Anne Jackson1, Dries M Hettinga, Judy Mead

  • 1Chartered Society of Physiotherapy, 14 Bedford Row, London WC1R 4ED, UK. jacksona@csp.org.uk

Physiotherapy
|November 7, 2009
PubMed
Summary
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Expert consensus was generated for persistent low back pain guidelines using a modified Nominal Group Technique (NGT). This process provided evidence-based recommendations to supplement incomplete research for effective patient care.

Area of Science:

  • Physiotherapy
  • Evidence-based practice
  • Clinical guidelines

Background:

  • Persistent low back pain management is challenged by gaps in current research evidence.
  • Existing research evidence is insufficient to develop comprehensive practice recommendations.
  • A scientific process is needed to generate supplementary consensus evidence.

Purpose of the Study:

  • To generate expert consensus evidence for developing more complete guidelines for persistent low back pain.
  • To supplement existing research evidence with consensus to inform additional recommendations.
  • To address limitations in current practice recommendations due to research gaps.

Main Methods:

  • A modified Nominal Group Technique (NGT) was employed following a systematic review.

Related Experiment Videos

Last Updated: Jun 19, 2026

Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
06:28

Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation

Published on: December 13, 2024

  • The study involved 23 experts (clinicians, researchers, managers, patients) across the UK.
  • A three-stage electronic process included questionnaires and a conference.

    • Main Results:

    • Consensus evidence was generated for 14 out of 17 clinical questions unanswered by the systematic review.
    • The generated consensus evidence formed the basis for 14 practice recommendations.
    • Consensus was not achieved for the remaining three clinical questions.

    Conclusions:

    • The modified NGT proved to be a practical and cost-effective method for generating UK-wide expert consensus.
    • The consensus evidence supports appropriately graded recommendations for effective care of persistent low back pain.
    • Consensus methods, though underutilized in physiotherapy, offer significant value for developing clinically useful, evidence-based tools.