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Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
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Common Clinical Practice for Low Back Pain Treatment: A Modified Delphi Study.

Giustino Varrassi1, Biagio Moretti2, Maria Caterina Pace3

  • 1Paolo Procacci Foundation, Rome, Italy. giuvarr@gmail.com.

Pain and Therapy
|March 13, 2021
PubMed
Summary

Consensus was reached on 19 statements for diagnosing and managing low back pain (LBP). Experts favored multidisciplinary care but noted ambiguity in implementation, imaging use, and LBP classification for effective treatment.

Keywords:
Chronic painDelphi studyLow back painPain managementRehabilitation

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Area of Science:

  • Medical Research
  • Clinical Practice Guidelines
  • Pain Management

Background:

  • Low back pain (LBP) is a prevalent condition causing significant functional limitations and patient burden.
  • Lack of standardized management for LBP hinders effective prevention and treatment due to varied causes and presentations.

Purpose of the Study:

  • To generate consensus statements for the diagnosis, management, and prognosis of low back pain (LBP).
  • To establish standardized clinical practices for LBP through expert and physician agreement.

Main Methods:

  • A modified Delphi study involving a panel of five experts.
  • Evaluation of 19 proposed statements by physicians treating LBP in clinical practice via a web survey.
  • Assessment of physician agreement using a five-point Likert-like scale.

Main Results:

  • Consensus (≥70% agreement) achieved for all 19 statements.
  • Physicians emphasized pain management, functional improvement, and future LBP prevention.
  • Preference for multidisciplinary and multimodal LBP management, with noted ambiguity in practical application, diagnostic imaging use, and LBP classification.

Conclusions:

  • The study summarizes favored clinical practices for chronic LBP management.
  • Consensus statements were generally accepted, but areas like multidisciplinary strategy feasibility, diagnostic imaging protocols, and LBP classification require further clarification.