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Study design <p>Development of a Clinical Practice Guideline (CPG).</p> Objective <p>To develop a CPG for&#xa0;the physiotherapy management of people with Spinal Cord Injuries (SCI).</p> Setting <p>Australia and New Zealand.</p> Methods <p>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.</p> Results <p>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.</p> Conclusion <p>The Australian and New Zealand CPG for&#xa0;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 <a href="http://www.sciptguide.com">www.sciptguide.com</a>.</p>

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

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年8月12日

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  • 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,
  • Jacqui Agostinello,
  • Marsha Ben,
  • David J. Berlowitz,
  • Lynn Blecher,
  • Adrian Byak,
  • Elizabeth Bye,
  • Sara Calthorpe,
  • Jackie Chu,
  • Lydia W. Chen,
  • Leisl Davis,
  • Sophia Denis,
  • Camila Quel De Oliveira,
  • Mario D’Cruz,
  • Fernanda Di Natal,
  • Sheelagh Donohoe,
  • Ché Fornusek,
  • Amanda Haber,
  • Annie Illman,
  • Mel Kotze,
  • Lucy Maugham,
  • Joanna Mather,
  • Jennie McCorkell,
  • Janet McCarthy,
  • Tony McDonald,
  • Anthony Nakhle,
  • Helen Patterson,
  • Jai Peach,
  • Donna Rainey,
  • Jason Redhead,
  • Jacqueline Ross,
  • Jonathan Tang,
  • Maree Walters,
  • Jacqui White

摘要

Study design

Development of a Clinical Practice Guideline (CPG).

Objective

To develop a CPG for the physiotherapy management of people with Spinal Cord Injuries (SCI).

Setting

Australia and New Zealand.

Methods

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.

Results

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.

Conclusion

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.