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The goal of this observational study is to understand how physiotherapists and physiotherapy students in Türkiye manage low back pain and how closely they follow clinical practice guidelines and use research evidence.
The main questions it aims to answer are:
Participants will:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Licenced Physiotherapists | This group includes licenced physical therapists currently practicing in Turkey in various settings, such as hospitals, private clinics rehabilitation centers or universities. |
| |
| Intern Physiotherapists | This group includes physiotherapy students in their clinical internship period from accredited universities in Turkey. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Online Survey | Other | Participants will complete a structured online survey designed to assess their knowledge, attitudes, and application of evidence-based guidelines (clinical practice guidelines - CPGs) in managing low back pain (LBP). |
| Measure | Description | Time Frame |
|---|---|---|
| Level of Adherence to Clinical Practice Guidelines (CPGs) for Low Back Pain (LBP) Rehabilitation | Assessment of the level of adherence to evidence-based LBP rehabilitation guidelines among licensed physical therapists and 4th-year internship students. This is measured by responses to a structured questionnaire evaluating compliance with specific clinical practice recommendations. | At the time of survey completion (Baseline) |
| Comparison of Guideline Adherence Between Licensed Physical Therapists and Internship Students | Analysis of differences in adherence scores between licensed physical therapists and internship students to identify any significant variation in the implementation of guideline practices. | At the time of survey completion (baseline) |
| Measure | Description | Time Frame |
|---|---|---|
| Perceived Barriers to Implementing Evidence-Based Practice (EBP) | Evaluation of the challenges and barriers reported by physical therapists and internship students in applying evidence-based low back pain rehabilitation guidelines and advanced techniques, as gathered through the survey. | At the time of survey completion (Baseline) |
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Inclusion Criteria:
Exclusion Criteria:
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Participants will be recruited from hospitals, rehabilitation centers, private clinics, and university physiotherapy programs across Türkiye. The population includes licensed physiotherapists and final-year physiotherapy students involved in low back pain rehabilitation.
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| Name | Affiliation | Role |
|---|---|---|
| Gizem Ergezen Åžahin, Dr. Assistant Professor | Department of Physiotherapy and Rehabilitation/Istanbul Medipol University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Istanbul Medipol University | Beykoz | Istanbul | 34810 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39812096 | Background | Schuster S, Loncaric Kelecic I, Bilic M, Begic M, Pate JW. Conceptualization of pain in Croatian adults: a cross-sectional and psychometric study. Croat Med J. 2024 Dec 30;65(6):473-482. doi: 10.3325/cmj.2024.65.472. | |
| Result | Aytar, A., Çağlar, A., Tekindal, M. A., Ümit Yemişçi, O., et al. (2023). EFFECTIVENESS OF DIFFERENT PHYSICAL THERAPY EXERCISE TECHNIQUES IN CHRONIC LOW BACK PAIN: A RANDOMIZED CONTROLLED STUDY. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, 34(1), 141-147. https://doi.org/10.21653/tjpr.1034741 | ||
| 27821923 |
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| Result |
| Anar SO. The effectiveness of home-based exercise programs for low back pain patients. J Phys Ther Sci. 2016 Oct;28(10):2727-2730. doi: 10.1589/jpts.28.2727. Epub 2016 Oct 28. |
| 21165374 | Result | Scott NA, Moga C, Harstall C. Managing low back pain in the primary care setting: the know-do gap. Pain Res Manag. 2010 Nov-Dec;15(6):392-400. doi: 10.1155/2010/252695. |
| 20488978 | Result | Rutten GM, Degen S, Hendriks EJ, Braspenning JC, Harting J, Oostendorp RA. Adherence to clinical practice guidelines for low back pain in physical therapy: do patients benefit? Phys Ther. 2010 Aug;90(8):1111-22. doi: 10.2522/ptj.20090173. Epub 2010 May 20. |
| 39337874 | Result | Custers P, Van de Kelft E, Eeckhaut B, Sabbe W, Hofman A, Debuysscher A, Van Acker G, Maes G. Clinical Examination, Diagnosis, and Conservative Treatment of Chronic Low Back Pain: A Narrative Review. Life (Basel). 2024 Aug 29;14(9):1090. doi: 10.3390/life14091090. |
| 28192789 | Result | Qaseem A, Wilt TJ, McLean RM, Forciea MA; Clinical Guidelines Committee of the American College of Physicians; Denberg TD, Barry MJ, Boyd C, Chow RD, Fitterman N, Harris RP, Humphrey LL, Vijan S. Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians. Ann Intern Med. 2017 Apr 4;166(7):514-530. doi: 10.7326/M16-2367. Epub 2017 Feb 14. |
| 11420271 | Result | Guzman J, Esmail R, Karjalainen K, Malmivaara A, Irvin E, Bombardier C. Multidisciplinary rehabilitation for chronic low back pain: systematic review. BMJ. 2001 Jun 23;322(7301):1511-6. doi: 10.1136/bmj.322.7301.1511. |
| 25180773 | Result | Kamper SJ, Apeldoorn AT, Chiarotto A, Smeets RJ, Ostelo RW, Guzman J, van Tulder MW. Multidisciplinary biopsychosocial rehabilitation for chronic low back pain. Cochrane Database Syst Rev. 2014 Sep 2;2014(9):CD000963. doi: 10.1002/14651858.CD000963.pub3. |
| 27745712 | Result | Maher C, Underwood M, Buchbinder R. Non-specific low back pain. Lancet. 2017 Feb 18;389(10070):736-747. doi: 10.1016/S0140-6736(16)30970-9. Epub 2016 Oct 11. |
| 23970112 | Result | Pincus T, Kent P, Bronfort G, Loisel P, Pransky G, Hartvigsen J. Twenty-five years with the biopsychosocial model of low back pain-is it time to celebrate? A report from the twelfth international forum for primary care research on low back pain. Spine (Phila Pa 1976). 2013 Nov 15;38(24):2118-23. doi: 10.1097/BRS.0b013e3182a8c5d6. |
| 20102998 | Result | Shiri R, Karppinen J, Leino-Arjas P, Solovieva S, Viikari-Juntura E. The association between smoking and low back pain: a meta-analysis. Am J Med. 2010 Jan;123(1):87.e7-35. doi: 10.1016/j.amjmed.2009.05.028. |
| 19222649 | Result | Karahan A, Kav S, Abbasoglu A, Dogan N. Low back pain: prevalence and associated risk factors among hospital staff. J Adv Nurs. 2009 Mar;65(3):516-24. doi: 10.1111/j.1365-2648.2008.04905.x. |
| 28972599 | Result | Celik S, Celik K, Dirimese E, Tasdemir N, Arik T, Buyukkara I. Determination of pain in musculoskeletal system reported by office workers and the pain risk factors. Int J Occup Med Environ Health. 2018 Jan 1;31(1):91-111. doi: 10.13075/ijomeh.1896.00901. Epub 2017 Oct 2. |
| 25736952 | Result | Capkin E, Karkucak M, Cakirbay H, Topbas M, Karaca A, Kose MM, Gokmen F. The prevalence and risk factors of low back pain in the eastern Black Sea region of Turkey. J Back Musculoskelet Rehabil. 2015;28(4):783-7. doi: 10.3233/BMR-150584. |
| 21665125 | Result | Hoy D, Brooks P, Blyth F, Buchbinder R. The Epidemiology of low back pain. Best Pract Res Clin Rheumatol. 2010 Dec;24(6):769-81. doi: 10.1016/j.berh.2010.10.002. |
| 10470716 | Result | Andersson GB. Epidemiological features of chronic low-back pain. Lancet. 1999 Aug 14;354(9178):581-5. doi: 10.1016/S0140-6736(99)01312-4. |
| 32355743 | Result | Wu A, March L, Zheng X, Huang J, Wang X, Zhao J, Blyth FM, Smith E, Buchbinder R, Hoy D. Global low back pain prevalence and years lived with disability from 1990 to 2017: estimates from the Global Burden of Disease Study 2017. Ann Transl Med. 2020 Mar;8(6):299. doi: 10.21037/atm.2020.02.175. |
| 20602122 | Result | Koes BW, van Tulder M, Lin CW, Macedo LG, McAuley J, Maher C. An updated overview of clinical guidelines for the management of non-specific low back pain in primary care. Eur Spine J. 2010 Dec;19(12):2075-94. doi: 10.1007/s00586-010-1502-y. Epub 2010 Jul 3. |
| 18165754 | Result | Dionne CE, Dunn KM, Croft PR, Nachemson AL, Buchbinder R, Walker BF, Wyatt M, Cassidy JD, Rossignol M, Leboeuf-Yde C, Hartvigsen J, Leino-Arjas P, Latza U, Reis S, Gil Del Real MT, Kovacs FM, Oberg B, Cedraschi C, Bouter LM, Koes BW, Picavet HS, van Tulder MW, Burton K, Foster NE, Macfarlane GJ, Thomas E, Underwood M, Waddell G, Shekelle P, Volinn E, Von Korff M. A consensus approach toward the standardization of back pain definitions for use in prevalence studies. Spine (Phila Pa 1976). 2008 Jan 1;33(1):95-103. doi: 10.1097/BRS.0b013e31815e7f94. |
| ID | Term |
|---|---|
| D017116 | Low Back Pain |
| ID | Term |
|---|---|
| D001416 | Back Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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