Evidence map›Paper›PMID 20190991›Full record

ArticlePhysiotherapy Canada. Physiotherapie Canada2009

Physiotherapy and low back pain in the injured worker: an examination of current practice during the subacute phase of healing.

Katherine Harman, Anne Fenety, Alison Hoens, James Crouse, Bev Padfield

Open access · greenAbstract read
In one paragraph

Article in Physiotherapy Canada. Physiotherapie Canada, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.4field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 27 citations in OpenAlex.

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  5. Clinician's Commentary on Cutforth et al.(1).Physiotherapy Canada. Physiotherapie Canada · 2011
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Katherine HarmanSchool of Physiotherapy, Dalhousie University, Halifax, Nova Scotia.
Anne Fenety
Alison Hoens
James Crouse
Bev Padfield
Dalhousie University · CAProvidence Health Care · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo describe current physiotherapy practice for injured workers with subacute low back pain (SA-LBP).

methodA chart audit of discharged workers was conducted over three episodes of care: 4-6 weeks (T1), 6-8 weeks (T2), and 8-10 weeks (T3) post-injury. The prevalence and reproducibility of parameters for common interventions were calculated as the percentage of active charts over time. Focus groups were used to validate audit results and deepen our understanding of practice.

resultsIn all, 164 charts were audited. The most prevalent interventions were (1) for manual therapy, joint mobilization and traction; (2) for electrophysical agents (EPAs), heat, ultrasound, and interferential therapy; and (3) for exercise, core stabilization exercises. Transcript analyses revealed that participants viewed injured workers with SA-LBP in a positive light, emphasized the importance of physiotherapy, and discussed SA-LBP in five themes: time frame, non-specific diagnosis, mixed client outlook, change in pain presentation, and the transition from a passive to a more active treatment approach.

conclusionsThe pattern of decreasing passive and increasing active interventions is consistent with the focus-group participants' description of how they approach treatment of clients with SA-LBP. Also noted was a higher prevalence of interventions poorly supported by evidence and lower prevalence of interventions well supported by evidence.

Indexed as

chart auditelectrophysical agentsexercisefocus groupsmanual therapysubacute low back pain

Identifiers

PMID20190991
PMCPMC2792240
OpenAlexW2095211457

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.