Evidence map›Paper›PMID 22466247›Full record

GuidelineThe Journal of orthopaedic and sports physical therapy2012

Low back pain.

Anthony Delitto, Steven Z George, Linda Van Dillen, Julie M Whitman, Gwendolyn Sowa, Paul Shekelle, Thomas R Denninger, Joseph J Godges, Orthopaedic Section of the American Physical Therapy Association

15 registry-linked trialsAbstract readPractice Guideline
In one paragraph

Guideline in The Journal of orthopaedic and sports physical therapy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 15 registered trials, which are not on this map. Cited by 284 papers, 17 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
284citing papers in PubMed, 17 pooled it
27.9field-weighted citation impact, top 1% 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.

NCT01801553 naterminatednot on this mapstarted 2013, after this paper: background citation

A Randomized Controlled Double Blind Study on the Pragmatic Application of a Clinical Prediction Rule in Primary Care to Treat Low Back Pain Patients With a Brief Spinal Manipulation Intervention: a Validation Study

TypeinterventionalSponsorUniversité Catholique de LouvainRan2013 to 2014Enrolled100ConditionsLow Back PainArmsSpinal manipulation, sham spinal manipulation, Usual medical care
NCT02111278 nacompletednot on this map

Lumbar Manipulation and Exercise for the Treatment of Acute Low Back Pain in Adolescents: a Randomized Controlled Trial

TypeinterventionalSponsorNationwide Children's HospitalRan2012 to 2014Enrolled35ConditionsLow Back PainArmsLumbar Manipulation, Sham Manipulation, Physical Therapy
NCT02853357 nacompletednot on this mapstarted 2016, after this paper: background citation

Short-term Effects of Thoracic Spine Thrust Manipulation for Individuals With Low Back Pain: A Randomized Control Trial

TypeinterventionalSponsorUniversity of MichiganRan2016 to 2018Enrolled101ConditionsLow Back PainArmsManipulation, Sham Manipulation, Core Strengthening Exercises
NCT03420196 nacompletednot on this mapstarted 2018, after this paper: background citation

Efficacy of a Supervised Physical Therapy Rehabilitation Program vs Nonsupervised on Pain, Disability, Quality of Life and Kinesiophobia in Patients With Non-specific Low Back Pain

TypeinterventionalSponsorUniversidad de AlmeriaRan2018 to 2019Enrolled64ConditionsLow Back Pain, Physical ActivityArmsSupervised exercise program, Non supervised exercise program
NCT03449810 nacompletednot on this mapstarted 2019, after this paper: background citation

Effectiveness of Muscles Energy Technique on Quality of Life and Trunk Muscles Functions in Patients With Chronic Non-specific Low Back Pain

TypeinterventionalSponsorUniversity of KwaZuluRan2019 to 2019Enrolled125ConditionsChronic Non-specific Low Back PainArmsDSE plus MET group A, DSE alone group B, Standard Physiotherapy treatment group C
NCT03879031 completednot on this mapstarted 2019, after this paper: background citation

Evaluation of the Responsiveness of the Bridge Tests in Subjects With Non-specific Subacute or Chronic Low Back Pain

TypeobservationalSponsorUniversity of BolognaRan2019 to 2019Enrolled139ConditionsLow Back PainArmsCluster of Clinical tests to measure lumbar stability
NCT03933189 nacompletednot on this mapstarted 2019, after this paper: background citation

Physical Therapy for Individuals With Chronic Pain Due to Physical and/or Emotional Trauma: A Comparison of Physical Therapy Interventions

TypeinterventionalSponsorUniversity of VermontRan2019 to 2021Enrolled98ConditionsChronic Pain, Disability PhysicalArmsPhysical Therapy
NCT04230850 nacompletednot on this mapstarted 2020, after this paper: background citation

The Effects of Stretching Versus Static and Dynamic Cupping on Lumbar Range of Motion

TypeinterventionalSponsorUniversity of South CarolinaRan2020 to 2020Enrolled45ConditionsStiffness, SpineArmsStatic Cupping, Dynamic Cupping, Stretching
NCT04576611 nacompletednot on this mapstarted 2019, after this paper: background citation

Behavioral Activation and Exercise Protocol for Chronic Pain Patients Based on the Use of New Technologies (Smartphone)

TypeinterventionalSponsorUniversity of the Balearic IslandsRan2019 to 2020Enrolled59ConditionsLow Back PainArmsface-to-face protocol, self-managed protocol
NCT04975568 nacompletednot on this mapstarted 2021, after this paper: background citation

Effectiveness of Therapeutic Exercise Controlled Through App Adding Face-to-face Supervision Executed by Physical Therapist in the Subacute and Chronic Low Back Pain

TypeinterventionalSponsorUniversidad Complutense de MadridRan2021 to 2022Enrolled90ConditionsLow Back PainArmsApp and face-to-face physical therapy, App physical therapy
NCT05860426 completednot on this mapstarted 2022, after this paper: background citation

Assessment of Confidence in the Ability to Perform Movements in Patients With Low Back Pain and Its Relationship With the Characteristics and Evolution of Pain

TypeobservationalSponsorUniversidad de LeónRan2022 to 2024Enrolled141ConditionsLow Back Pain
NCT06138158 nacompletednot on this mapstarted 2023, after this paper: background citation

Improvement of Fear-avoidance Beliefs in Patients With Chronic Non-specific Low Back Pain Treated at the Non-specific Low Back Pain Treated in the Back School

TypeinterventionalSponsorUniversity of Las Palmas de Gran CanariaRan2023 to 2024Enrolled39ConditionsNon Specific Low Back PainArmsExercise and Education Group
NCT06196385 nacompletednot on this mapstarted 2023, after this paper: background citation

Efficacy Of Intensive Cervical Traction On Depression, Insomnia, Quality of Life In Patients With Cervical Radiculopathy

TypeinterventionalSponsorCairo UniversityRan2023 to 2024Enrolled40ConditionsCervical RadiculopathyArmsintensive Cervical Traction
NCT07334782 naactive not recruitingnot on this mapstarted 2026, after this paper: background citation

Investigation of the Effects of Vertebral Axial Loading Walking Training Added to Core Stabilization Exercises on Pain, Trunk Sensory Function, Muscle Strength and Endurance, Balance, and Proprioception in Patients With Chronic Low Back Pain

TypeinterventionalSponsorHacettepe UniversityRan2026 to 2026Enrolled20ConditionsChronic Low-back Pain (cLBP)ArmsExercise - Core Stabilization Exercise Program, Core Stabilization Exercises Plus Vertebral Axial Loading Walking Training
NCT07713082 nanot yet recruitingnot on this mapstarted 2027, after this paper: background citation

Therapeutic Exercise and Education for Patients With Non-Specific Low Back Pain in Primary Health Care: A Multicenter Clinical Trial

TypeinterventionalSponsorUniversity of ValladolidRan2027 to 2028Enrolled132ConditionsLow Back PainArmsTherapeutic Exercise, Education on the self-management of low back pain, Usual Care
3 · Its place in the literature

Who cites it

284 citing papers in PubMed, 17 syntheses or guidelines pooled it, 899 citations in OpenAlex.

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  11. Quality of complementary and alternative medicine recommendations in low back pain guidelines: a systematic review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2020
    Pooled it
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  14. A critical appraisal of the quality of low back pain practice guidelines using the AGREE II tool and comparison with previous evaluations: a EuroAIM initiative.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2018
    Pooled it
  15. The Global Spine Care Initiative: a systematic review for the assessment of spine-related complaints in populations with limited resources and in low- and middle-income communities.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2018
    Pooled it
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  17. Manipulation and mobilization for treating chronic low back pain: a systematic review and meta-analysis.The spine journal : official journal of the North American Spine Society · 2018
    Pooled it
  18. Effects of combined trunk stretching and lumbar stabilization exercises for chronic non-specific low back pain: a randomized clinical trial.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas · 2026
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224 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Anthony DelittoSchool of Health & Rehabilitation Sciences, University of Pittsburgh, Pennsylvania, USA. delitto@pitt.edu
Steven Z George
Linda Van Dillen
Julie M Whitman
Gwendolyn Sowa
Paul Shekelle
Thomas R Denninger
Joseph J Godges
Orthopaedic Section of the American Physical Therapy Association
University of Pittsburgh · US

Funding

VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JENNIFER S BRACH · 2004 to 2026
$28.6M
Spinal Control during Functional Activities to Improve Low Back Pain OutcomesR01HD047709 · NICHD · WASHINGTON UNIVERSITY · PI VANDILLEN, LINDA R · 2006 to 2017
$3.7M
NIA NIH HHS P30 AG024827NICHD NIH HHS R01 HD047709
6 · The paper itself

Abstract

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). The purpose of these low back pain clinical practice guidelines, in particular, is to describe the peer-reviewed literature and make recommendations related to (1) treatment matched to low back pain subgroup responder categories, (2) treatments that have evidence to prevent recurrence of low back pain, and (3) treatments that have evidence to influence the progression from acute to chronic low back pain and disability.

Indexed as

Orthopedic ProceduresPhysical Therapy ModalitiesHumansLow Back PainSecondary Prevention

Identifiers

PMID22466247
PMCPMC4893951
OpenAlexW4211013383

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

and 9 more above

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.