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Evidence based practice guidelines for management of low back pain: physical therapy implications
1Physical Therapy Program, College of Allied Health and Sciences, Nova Southeastern University, Ft. Lauderdale, FL 33328, USA. cladeira@nova.edu
Evidence-based practice guidelines offer recommendations for low back pain (LBP) management. Physical therapy guidelines need more specific details for professional relevance in treating LBP.
Area of Science:
- Physical Therapy
- Evidence-Based Practice
- Clinical Guidelines
Background:
- Low back pain (LBP) is a prevalent condition in physical therapy.
- Numerous clinical trials exist for LBP management.
- Evidence-Based Practice (EBP) guidelines summarize LBP research.
Purpose of the Study:
- To review EBP guidelines for conservative low back pain management since 2002.
- To assess the implications of these guidelines for physical therapy practice.
Main Methods:
- Searched databases including Google, Medline, Cochrane Library, and Guideline Clearing House.
- Included guidelines in English addressing conservative LBP management.
Main Results:
- Thirteen multidisciplinary and three mono-disciplinary guidelines met criteria.
- LBP was categorized into red flags, radiculopathy, or non-specific.
- Patient education, spine manipulation (acute/sub-acute non-specific LBP), and exercises (all LBP types) were recommended.
- Guidelines lacked specific advice for manipulation and exercise techniques.
Conclusions:
- Multidisciplinary guidelines lack physical therapy-specific details.
- Mono-disciplinary physical therapy guidelines are needed for better evidence-practice integration.
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