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Balanced on a tight rope between low back pain and evidence-based practice

Journal: Journal of Osteopathic Medicine Date: 2001/04, 4(1):Pages: 36. doi: Subito , type of study: article

Full text    (https://www.sciencedirect.com/science/article/pii/S1443846101800630)

Keywords:

article [2076]
evidence-based medicine [96]
low back pain [413]
physiotherapy [48]
abstract [165]

Abstract:

Evidence-based practice has emerged as a powerful force in modifying the treatment of low back pain and has been a huge stimulus for physiotherapists to feel threatened by its presence. The idea that professional autonomy is being eroded is a significant issue that exists partly because physiotherapists have tended to treat low back pain without much regard to its multidimensional biopsychosocial causes. This paper is designed to present the notion that, rather than evidence-based practice posing a threat to physiotherapy and its territory, it is, in many respects, a good move for our profession and our patients. Evidence-based practice provides new options for physiotherapists through an interdisciplinary approach that takes on back pain as a biopsychosocial phenomenon, a link that physiotherapy has completely missed over the last generation of developments. Factors that have contributed to physiotherapy comering itself are discussed, along with the prospect of integrating some evidence-based strategies into clinical management of back pain in a positive and balanced way.


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