SynthesisEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2021
Advanced practice physiotherapy for adults with spinal pain: a systematic review with meta-analysis.
Synthesis in 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, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Patient satisfaction with advanced practice physiotherapy internationally: A systematic mixed studies review.PloS one · 2026Pooled it
- Economic evaluation of advanced practice physiotherapy models of care: a systematic review with meta-analyses.BMC health services research · 2021Pooled it
- Physiotherapists as first-contact practitioners for patients with low back pain in French primary care: a pragmatic cluster randomised controlled trial.BMC health services research · 2024Trial
- Value propositions of chiropractic specialties: a national survey of regulators and specialists, informed by practicing chiropractors in Ontario and Quebec.The Journal of the Canadian Chiropractic Association · 2026Article
- Chiropractic specialties in Canada: realizing the full potential of advanced practice: a commentary.The Journal of the Canadian Chiropractic Association · 2026Article
- Economic evaluation of advanced practice physiotherapy models of care for upper extremity musculoskeletal disorders In Denmark: a registry-based cohort study.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Article
- Patients and Advanced Practice Physiotherapists' Experiences and Perceptions in a Specialized Spine Model of Care: A Qualitative Study.Physiotherapy Canada. Physiotherapie Canada · 2026Article
- The Impact of a Physiotherapy-Led Virtual Clinic in a South Australian Hospital: A Quantitative and Qualitative Investigation.Healthcare (Basel, Switzerland) · 2025Article
- What is the global perspective on advanced practice physiotherapy: A qualitative study across five countries.PloS one · 2025Article
- How can educational institutes in Switzerland prepare physiotherapy students to implement advanced practice roles - a view point paper.BMC medical education · 2024Article
- Patient satisfaction with advanced physiotherapy practice internationally: Protocol for a systematic mixed studies review.PloS one · 2023Article
- Was the impact of COVID-19 on a spinal triage service as significant as expected? A retrospective service evaluation: Results and evaluation.Musculoskeletal care · 2022Article
- Article
- Wait times for degenerative lumbar spine consultation and surgery: a repeated cross-sectional analysis of the Canadian Spine Outcomes and Research Network.Canadian journal of surgery. Journal canadien de chirurgieObservational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectiveTo appraise the available evidence on advanced practice physiotherapy (APP) models of care (MoC) in specialized secondary care such as orthopaedic, rheumatology or neurosurgery outpatients' clinics for adults with spinal pain.
methodsSystematic review with meta-analysis. Electronic searches were conducted up to July 2020 in Medline, Embase, Cochrane CENTRAL and CINAHL. Studies on APP MoC in specialized secondary care for adults with spinal pain were included.
resultsEighteen studies (n = 9405), including two randomized controlled trials and sixteen observational studies were included. One study was considered at high quality, fourteen studies were considered of moderate quality and three were considered of low quality. Pooled results for change in disability for patients with spinal pain reported no significant difference between APP and usual medical care (UMC). Mean wait time for initial consultation was lower with APP (1-9.4 weeks) than with UMC MoC (23-65 weeks). Following the implementation of APP MoC, wait time for a consultation with a medical specialist was reduced (6-16 weeks). Physiotherapists in APP MoC managed independently 89.2% of the patients referred (n = 8393). Stakeholders and patients reported high satisfaction with APP care.
conclusionsAPP MoC and UMC likely result in comparable pain, disability and quality of life improvement for adults with spinal pain. However, APP MoC have the potential to improve health care access by reducing wait time for consultation in specialized care and maintaining a high level of satisfaction among stakeholders and patients.
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Registered trials
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.