ArticlePhysiotherapy research international : the journal for researchers and clinicians in physical therapy2020
Adherence to key domains in low back pain guidelines: A cross-sectional study of Danish physiotherapists.
Article in Physiotherapy research international : the journal for researchers and clinicians in physical therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Diagnostic approach and management of patients with headache in Danish chiropractic practice.Chiropractic & manual therapies · 2026Article
- Can a tailored implementation programme enhance the adoption of guideline-adherent behaviour in physiotherapists and chiropractors managing patients with low back pain? An implementation study.Implementation science communications · 2025Article
- Measuring guideline adherence in physiotherapy: A scoping review of methodological approaches.Journal of evaluation in clinical practice · 2025Article
- Physician referrals of patients with neck and low back pain for physical therapy in outpatient clinics: a cross-sectional study.Israel journal of health policy research · 2025Article
- Article
- Electronic health record data extraction: Physical therapists' documentation of physical activity assessments and prescriptions for patients with chronic low back pain.Physiotherapy theory and practice · 2024Article
- Implementation of a Virtual Reality Intervention in Outpatient Physiotherapy for Chronic Pain: Protocol for a Pilot Implementation Study.JMIR research protocols · 2024Article
- Appropriateness of exercise therapy delivery in chronic low back pain management: cross-sectional online survey of physiotherapy practice in Germany.BMC musculoskeletal disorders · 2024Article
- Developing a low back pain guideline implementation programme in collaboration with physiotherapists and chiropractors using the Behaviour Change Wheel: a theory-driven design study.Implementation science communications · 2024Article
- Scientific approach and attitudes among clinically working physiotherapists in Sweden -a cross sectional survey.Archives of physiotherapy · 2023Article
- Observational
- Physiotherapy for patients with hip and knee osteoarthritis in Germany: a survey of current practice.BMC musculoskeletal disorders · 2023Article
- Impact of an Enhanced Transtheoretical Model Intervention (ETMI) Workshop on the Attitudes and Beliefs Regarding Low Back Pain of Primary Care Physicians in the Israeli Navy.International journal of environmental research and public health · 2023Article
- Research designs and instruments to detect physiotherapy overuse of low-value care services in low back pain management: a scoping review.BMC health services research · 2023Article
- Guideline adherence of physiotherapists in the treatment of patients with low back pain: A qualitative study.Journal of evaluation in clinical practice · 2022Article
- Ways to improve guideline adherence in the emergency department: an interview study on the management of traumatic brain injuries.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Physical therapy for patients with low back pain in Germany: a survey of current practice.BMC musculoskeletal disorders · 2021Article
- Adherence to key domains in low back pain guidelines: A cross-sectional study of Danish physiotherapists.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2020Article
- Factors contributing to non-compliance with active physiotherapy guidelines among chronic low back pain patients in India.Archives of physiotherapyArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveThe aim of the study was threefold: Firstly, to investigate the adherence to clinical practice guidelines for low back pain (LBP) among Danish physiotherapists with regard to three key domains: (a) activity, (b) work and (c) psychosocial risk factors. Secondly, to investigate whether adherence differed between physiotherapists working in private clinics (private physiotherapists) and physiotherapists working at public healthcare centres (public physiotherapists). Thirdly, to describe the physiotherapists' treatment modalities for patients with LBP.
methodsA cross-sectional online survey was conducted with 817 physiotherapists working in the Central Denmark Region. Adherence to the guideline domains was assessed using two vignettes. The difference in adherence between the groups was assessed using the Chi-squared test. Treatment modalities were reported using descriptive statistics.
resultsA total of 234 physiotherapists responded, hereof 163 private physiotherapists and 71 public physiotherapists (response rate 29%). The proportions of physiotherapists managing the patients strictly in line with the guideline domains were 32% (activity), 16% (work) and 82% (psychosocial risk factors) for Vignette 1 and 6% (activity), 53% (work) and 60% (psychosocial risk factors) for Vignette 2. Public physiotherapists were more likely to manage patients strictly in line with guidelines for assessing the psychosocial risk factors compared to private physiotherapist (Vignette 1: 92% vs. 77% p = .030; Vignette 2:70% vs. 55% p = .035). Regarding the other two domains, there was no significant difference between the two groups in terms of adherence (p > .05). Concerning treatment modalities, the majority of physiotherapists instructed the patients in adopting an exercise program or informed the patients about the benign nature and prognosis of LBP.
conclusionOverall, the participating Danish physiotherapists strictly adhered to only one out of three key domains. This underlines the importance of bringing focus on implementing the current guidelines' recommendations in clinical practice.
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