An Australian and New Zealand clinical practice guideline for the physiotherapy management of people with spinal cord injuries

IF 2.2 4区医学 Q3 CLINICAL NEUROLOGY

Spinal cord Pub Date : 2025-08-12 DOI:10.1038/s41393-025-01088-8

Joanne V. Glinsky, Lisa A. Harvey, Keira E. Tranter, Leanne Rees, Mark McDonald, Brooke Wadsworth, Emilie Gollan, Verna Stavric, Jo Nunnerley, Jennifer Dunn, Deanne Wilson, Australian and New Zealand Clinical Practice Guidelines Consortium

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引用次数: 0

Abstract

Development of a Clinical Practice Guideline (CPG). To develop a CPG for the physiotherapy management of people with Spinal Cord Injuries (SCI). Australia and New Zealand. Systematic reviews of randomised controlled trials (RCTs) of physiotherapy interventions for adults with SCI were conducted to address over 100 clinical questions. Questions were decided a priori and written in PICO format (Participant, Intervention, Comparison and Outcome). Meta-analyses were conducted across trials that made similar comparisons. A Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was used to assess evidence certainty and formulate recommendations. A Guideline panel made evidence recommendations and consensus-based opinion statements based on a standardised process that included voting. Seventy-six RCTs met the inclusion criteria for the systematic reviews. These RCTs informed 20 meta-analyses that were used in the development of the CPG. More than one hundred evidence recommendations and consensus-based opinion statements across 13 categories of physiotherapy interventions were made by the panel. The Australian and New Zealand CPG for the Physiotherapy Management of people with SCI provide clear and readily accessible guidance to physiotherapists based on evidence and consensus of clinical experts. The Guideline is available at www.sciptguide.com .

查看原文本刊更多论文

澳大利亚和新西兰脊髓损伤患者物理治疗管理临床实践指南。

研究设计：制定临床实践指南（CPG）。目的：为脊髓损伤（SCI）患者的物理治疗管理建立CPG。地理位置：澳大利亚和新西兰。方法：对成人脊髓损伤物理治疗干预的随机对照试验（rct）进行系统评价，以解决100多个临床问题。问题是先验决定的，并以PICO格式（参与者、干预、比较和结果）书写。在进行类似比较的试验中进行了荟萃分析。采用建议分级评估、发展和评价（GRADE）方法评估证据确定性并制定建议。指南小组根据包括投票在内的标准化程序提出证据建议和基于共识的意见声明。结果：76项rct符合系统评价的纳入标准。这些随机对照试验为20项用于CPG发展的荟萃分析提供了信息。该小组提出了超过100项证据建议和基于共识的意见声明，涉及13类物理治疗干预措施。结论：澳大利亚和新西兰《脊髓损伤患者物理治疗管理CPG》基于证据和临床专家的共识，为物理治疗师提供了清晰易懂的指导。该指南可在www.sciptguide.com上获得。

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来源期刊

Spinal cord 医学-临床神经学

CiteScore

4.50

自引率

9.10%

发文量

142

审稿时长

2 months

期刊介绍： Spinal Cord is a specialised, international journal that has been publishing spinal cord related manuscripts since 1963. It appears monthly, online and in print, and accepts contributions on spinal cord anatomy, physiology, management of injury and disease, and the quality of life and life circumstances of people with a spinal cord injury. Spinal Cord is multi-disciplinary and publishes contributions across the entire spectrum of research ranging from basic science to applied clinical research. It focuses on high quality original research, systematic reviews and narrative reviews. Spinal Cord''s sister journal Spinal Cord Series and Cases: Clinical Management in Spinal Cord Disorders publishes high quality case reports, small case series, pilot and retrospective studies perspectives, Pulse survey articles, Point-couterpoint articles, correspondences and book reviews. It specialises in material that addresses all aspects of life for persons with spinal cord injuries or disorders. For more information, please see the aims and scope of Spinal Cord Series and Cases.