{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T13:28:17Z","timestamp":1778938097458,"version":"3.51.4"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,3,13]],"date-time":"2021-03-13T00:00:00Z","timestamp":1615593600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To summarise the combination of treatments private UK\u2010based physiotherapists use with patients who have low back pain (LBP) and the extent to which the treatments used are consistent with clinical guideline recommendations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Cross\u2010sectional observational survey.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data were collected from physiotherapists within private UK\u2010based clinics using an online standardised data collection system to record the treatment they provided for patients who had LBP with\/without leg pain. Treatment data were classified into those that are \u2018recommended\u2019, \u2018not recommended\u2019 and had \u2018no recommendation\u2019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results\/Findings<\/jats:title><jats:p>Treatment provided to 8003 patients were included in the analyses. Most patients (95.0%) were provided with a \u2018recommended\u2019 treatment. Approximately half of the patients who received \u2018recommended\u2019 treatment were also provided with other treatments that were either \u2018not recommended\u2019 (16.7%), had \u2018no recommendation\u2019 (16.6%) or a combination of both (13.0%). Few patients were provided with only treatments that were \u2018not recommended\u2019 and\/or treatment with \u2018no recommendation\u2019 (4.6%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study provides insight into the self\u2010reported practice of participating physiotherapists and highlights how they generally adopted a multimodal treatment model for patients with LBP. Consistent with the National Institute for Health and Care Excellence guidelines, most patients received information and advice often in conjunction with exercise and manual therapy. Only a small proportion of patients were provided with treatments that are \u2018not recommended\u2019 and\/or treatment that had \u2018no recommendation\u2019. These findings are useful in documenting the implementation of clinical guidelines given the need for practitioners to balance the best available evidence with patient expectation and preference and to facilitate the therapeutic alliance.<\/jats:p><\/jats:sec>","DOI":"10.1002\/msc.1553","type":"journal-article","created":{"date-parts":[[2021,3,13]],"date-time":"2021-03-13T18:37:03Z","timestamp":1615660623000},"page":"540-549","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Management of low back pain: Treatment provision within private practice in the UK in the context of clinical guidelines"],"prefix":"10.1002","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8119-5425","authenticated-orcid":false,"given":"Shemane","family":"Murtagh","sequence":"first","affiliation":[{"name":"School of Health Sciences University of Brighton  Eastbourne 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