You are here: Home / Musculoskeletal / Inconsistent Grading of Evidence Across Countries: A Review of Low Back Pain Guidelines

Inconsistent Grading of Evidence Across Countries: A Review of Low Back Pain Guidelines

Posted by on September 29, 2006 · Leave a Comment 

Audrey Y.M.T. Murphy, Edwin R. van Teijlingen and Mary O. Gobbi

The aim of this study was to report clinical treatment recommendations for low back pain (LBP) based on 5 international guidelines and best evidence from the Cochrane database of systematic reviews.  Five LBP guidelines available in English language were appraised, including 4 studies published since the seminal work by Koes et al (Spine 2001;26:2504-5213). According to best evidence from review of the Cochrane database of systematic reviews, there remains a lack of consensus regarding reported efficacy of spinal manipulative therapy for the treatment of nonspecific LBP. Furthermore, the guidelines reviewed in the present study have not changed significantly with respect to treatment recommendations for nonspecific LBP since the original review, and there is inconsistency between the guidelines regarding optimal time to introduce spinal manipulation to treat nonspecific LBP.The authors concluded that treatment recommendations for nonspecific LBP, particularly spinal manipulation, remain inconclusive.

Journal of Manipulative and Physiological Therapeutics, Volume 29, Issue 7, September 2006, Page 576

View Abstract

Full article with Athens login

Related posts:

  1. Nonpharmacologic therapies for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline.
  2. Using consensus methods in developing clinical guidelines for exercise in managing persistent low back pain
  3. A systematic review and synthesis of higher quality evidence of the effectiveness of exercise interventions for non-specific low back pain of at least 6 weeks’ duration
  4. A systematic review and synthesis of higher quality evidence of the effectiveness of exercise interventions for non-specific low back pain of at least 6 weeks’ duration
  5. Interventional Therapies, Surgery, and Interdisciplinary Rehabilitation for Low Back Pain: An Evidence-Based Clinical Practice Guideline From the American Pain Society

Filed under Musculoskeletal · Tagged with

Speak Your Mind

Tell us what you're thinking...
and oh, if you want a pic to show with your comment, go get a gravatar!