Low Back Pain Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association
Anthony Delitto,Steven Z. George,Linda R. Van Dillen,Julie M. Whitman,Gwendolyn Sowa,Paul G. Shekelle,Thomas R. Denninger,Joseph J. Godges +7 more
TLDR
The Orthopaedic Section of the American Physical Therapy Association (APTA) has created evidence-based practice guidelines for OPT management of patients with musculoskeletal impairments described in the World Health Organization's International Classification of Functioning, Disability, and Health (ICF).Abstract:
AIM OF THE GUIDELINE
The Orthopaedic Section of the American Physical Therapy Association (APTA) has an ongoing effort to create evidence-based practice guidelines for orthopaedic physical therapy management of patients with musculoskeletal impairments described in the World Health Organization’s International Classification of Functioning, Disability, and Health (ICF).320
The purposes of these clinical guidelines are to:
Describe evidence-based physical therapy practice including diagnosis, prognosis, intervention, and assessment of outcome for musculoskeletal disorders commonly managed by orthopaedic physical therapists
Classify and define common musculoskeletal conditions using the World Health Organization’s terminology related to impairments of body function and body structure, activity limitations, and participation restrictions
Identify interventions supported by current best evidence to address impairments of body function and structure, activity limitations, and participation restrictions associated with common musculoskeletal conditions
Identify appropriate outcome measures to assess changes resulting from physical therapy interventions in body function and structure as well as in activity and participation of the individual
Provide a description to policy makers, using internationally accepted terminology, of the practice of orthopaedic physical therapists
Provide information for payers and claims reviewers regarding the practice of orthopaedic physical therapy for common musculoskeletal conditions
Create a reference publication for orthopaedic physical therapy clinicians, academic instructors, clinical instructors, students, interns, residents, and fellows regarding the best current practice of orthopaedic physical therapy
STATEMENT OF INTENT
This guideline is not intended to be construed or to serve as a standard of medical care. Standards of care are determined on the basis of all clinical data available for an individual patient and are subject to change as scientific knowledge and technology advance and patterns of care evolve. These parameters of practice should be considered guidelines only. Adherence to them will not ensure a successful outcome in every patient, nor should they be construed as including all proper methods of care or excluding other acceptable methods of care aimed at the same results. The ultimate judgment regarding a particular clinical procedure or treatment plan must be made in light of the clinical data presented by the patient, the diagnostic and treatment options available, and the patient’s values, expectations, and preferences. However, we suggest that significant departures from accepted guidelines should be documented in the patient’s medical records at the time the relevant clinical decision is made.read more
Citations
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Journal ArticleDOI
What does best practice care for musculoskeletal pain look like? Eleven consistent recommendations from high-quality clinical practice guidelines: systematic review
Ivan Lin,Louise Wiles,Robert Waller,Roger Goucke,Yusuf Nagree,Michael Gibberd,Leon Straker,Christopher G. Maher,Peter O'Sullivan +8 more
TL;DR: 11 recommendations for MSK pain care are identified to ensure care is patient centred, screen for red flag conditions, assess psychosocial factors, use imaging selectively, undertake a physical examination, monitor patient progress, and provide education/information to improve the quality of care.
Journal ArticleDOI
Neck Pain: Revision 2017
Peter Blanpied,Anita Gross,James M. Elliott,Laurie Lee Devaney,Derek Clewley,David M. Walton,Cheryl Sparks,Eric K. Robertson +7 more
TL;DR: The Orthopaedic Section of the American Physical Therapy Association (APTA) has an ongoing effort to create evidence-based practice guidelines for orthopedic physical therapy management of patients with musculoskeletal impairments described in the International Classification of Functioning, Disability, and Health (ICF) as mentioned in this paper.
Journal ArticleDOI
The Patient-Specific Functional Scale: Psychometrics, Clinimetrics, and Application as a Clinical Outcome Measure
Katyana Kowalchuk Horn,Sophie Jennings,Gillian Richardson,Ditte van Vliet,Cheryl Hefford,J. Haxby Abbott +5 more
TL;DR: Although the use of the Patient-Specific Functional Scale as an outcome measure is increasing in physiotherapy practice, there are gaps in the research literature regarding its validity, reliability, and responsiveness in many health conditions.
Journal ArticleDOI
Clinical practice guidelines for the noninvasive management of low back pain: A systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration
Jessica J. Wong,Pierre Côté,Deborah Sutton,Deborah Sutton,Kristi Randhawa,Kristi Randhawa,Hainan Yu,Hainan Yu,Sharanya Varatharajan,Sharanya Varatharajan,Rachel Goldgrub,Margareta Nordin,Douglas P. Gross,Heather M. Shearer,Heather M. Shearer,Linda J. Carroll,Paula Stern,Arthur Ameis,Danielle Southerst,Danielle Southerst,Silvano Mior,Maja Stupar,T. Varatharajan,T. Varatharajan,Anne Taylor-Vaisey +24 more
TL;DR: Overall, most guidelines target nonspecific LBP and recommend education, staying active/exercise, manual therapy, and paracetamol or NSAIDs as first‐line treatments.
Journal ArticleDOI
Mechanisms of low back pain: a guide for diagnosis and therapy
Massimo Allegri,Silvana Montella,Fabiana Salici,Adriana Valente,Maurizio Marchesini,Christian Compagnone,Marco Baciarello,Maria Elena Manferdini,Guido Fanelli +8 more
TL;DR: This article aims to offer to the clinicians a simple guidance to identify pain generators in a safer and faster way, relying a correct diagnosis and further therapeutical approach.
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