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What does it take to facilitate the integration of clinical practice guidelines for the management of low back pain into practice? Part 1: A synthesis of recommendation.

Publication ,  Journal Article
Longtin, C; Décary, S; Cook, CE; Tousignant-Laflamme, Y
Published in: Pain Pract
November 2021

BACKGROUND: Despite the emergence of multiple clinical practice guidelines (CPGs) for the rehabilitation of low back pain (LBP) over the last decade, self-reported levels of disability in this population have not improved. This may be explained by the numerous implementation barriers, such as the complexity of information and sheer volumes of CPGs. OBJECTIVES: The purpose of this study was to summarize the evidence and recommendations from the most recent and high-quality CPGs on the rehabilitation management of LBP by developing an infographic summarizing the recommendations to facilitate dissemination into clinical practice. METHODS: We performed a systematic review of high-quality CPGs with an emphasis on rehabilitation approaches. We searched major health-related research databases (e.g., PubMed, CINAHL, and PEDro). We performed quality assessment via the AGREE-II instrument. Contents of the CPGs were synthesized by extracting recommendations, which were then compared to one another to identify consistencies based on an iterative evaluation process. RESULTS: We identified and assessed 5 recent high-quality CPGs. We synthesized 13 recommendations on the rehabilitation management of LBP (2 for screening procedures, 3 for assessment procedures, and 8 involving treatment approaches) and 2 underlying principles were highlighted. These results were then synthetized and illustrated in a concise infographic that serves as a conceptual roadmap that identifies the specific behavior changes (i.e., adoption of CPGs' recommendations) rehabilitation professionals should adopt in order to integrate an evidenced-based approach for the management of LBP. CONCLUSIONS: We systematically reviewed the literature for CPGs' recommendations for the physical rehabilitation management of LBP and synthesized the information through an infographic.

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Published In

Pain Pract

DOI

EISSN

1533-2500

Publication Date

November 2021

Volume

21

Issue

8

Start / End Page

943 / 954

Location

United States

Related Subject Headings

  • Low Back Pain
  • Humans
  • Databases, Factual
  • Anesthesiology
  • 4201 Allied health and rehabilitation science
  • 3209 Neurosciences
  • 3202 Clinical sciences
  • 1116 Medical Physiology
  • 1109 Neurosciences
  • 1103 Clinical Sciences
 

Citation

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ICMJE
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Longtin, C., Décary, S., Cook, C. E., & Tousignant-Laflamme, Y. (2021). What does it take to facilitate the integration of clinical practice guidelines for the management of low back pain into practice? Part 1: A synthesis of recommendation. Pain Pract, 21(8), 943–954. https://doi.org/10.1111/papr.13033
Longtin, Christian, Simon Décary, Chad E. Cook, and Yannick Tousignant-Laflamme. “What does it take to facilitate the integration of clinical practice guidelines for the management of low back pain into practice? Part 1: A synthesis of recommendation.Pain Pract 21, no. 8 (November 2021): 943–54. https://doi.org/10.1111/papr.13033.
Longtin, Christian, et al. “What does it take to facilitate the integration of clinical practice guidelines for the management of low back pain into practice? Part 1: A synthesis of recommendation.Pain Pract, vol. 21, no. 8, Nov. 2021, pp. 943–54. Pubmed, doi:10.1111/papr.13033.
Journal cover image

Published In

Pain Pract

DOI

EISSN

1533-2500

Publication Date

November 2021

Volume

21

Issue

8

Start / End Page

943 / 954

Location

United States

Related Subject Headings

  • Low Back Pain
  • Humans
  • Databases, Factual
  • Anesthesiology
  • 4201 Allied health and rehabilitation science
  • 3209 Neurosciences
  • 3202 Clinical sciences
  • 1116 Medical Physiology
  • 1109 Neurosciences
  • 1103 Clinical Sciences