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Non-Invasive and Minimally Invasive Management of Low Back Disorders
Kurt T Hegmann1, Russell Travis, Gunnar B J Andersson
1American College of Occupational and Environmental Medicine, Elk Grove Village, Illinois.
Objective:
This abbreviated version of the American College of Occupational and Environmental Medicine's (ACOEM) Low Back Disorders Guideline reviews the evidence and recommendations developed for non-invasive and minimally invasive management of low back disorders.
Methods:
Systematic literature reviews were accomplished with article abstraction, critiquing, grading, evidence table compilation, and guideline finalization by a multidisciplinary expert panel and extensive peer-review to develop evidence-based guidance. Consensus recommendations were formulated when evidence was lacking. A total of 70 high-quality and 564 moderate-quality trials were identified for non-invasive low back disorders. Detailed algorithms were developed.
Results:
Guidance has been developed for the management of acute, subacute, and chronic low back disorders and rehabilitation. This includes 121 specific recommendations.
Conclusion:
Quality evidence should guide treatment for all phases of managing low back disorders.
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