{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T10:40:15Z","timestamp":1758883215160,"version":"3.44.0"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,8,16]],"date-time":"2025-08-16T00:00:00Z","timestamp":1755302400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Guideline\u2010recommended management of low back pain (LBP) is associated with improved patient outcomes and costs. This study aimed to assess Italian physiotherapists' attitudes towards and adherence to LBP clinical practice guidelines (CPGs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted an online cross\u2010sectional survey of Italian physiotherapists. Participants' demographics, attitudes towards, and familiarity with CPGs were collected. Six vignettes of patients with LBP were presented. For each, participants selected management options from a pre\u2010specified list. Management options were categorised as <jats:italic>recommended<\/jats:italic>, <jats:italic>not recommended<\/jats:italic>, and <jats:italic>no recommendation<\/jats:italic> based on CPG recommendations and systematic reviews. Ordinal logistic regression assessed associations between participant characteristics and the number of vignettes for which <jats:italic>recommended<\/jats:italic> and <jats:italic>not recommended<\/jats:italic> care options were selected (stratified by non\u2010specific LBP and red flag vignettes).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 272 participants completing the demographic section of the survey, 142 completed all vignettes. Care that was <jats:italic>r<\/jats:italic><jats:italic>ecommended<\/jats:italic>, <jats:italic>not recommended<\/jats:italic>, and had <jats:italic>no recommendation<\/jats:italic> was selected by 87%, 32%, and 93% of participants on average in the six vignettes, respectively. Working in a hospital setting was associated with a reduced likelihood of selecting <jats:italic>recommended<\/jats:italic> care for non\u2010specific LBP (coefficient: \u22121.28; 95% CI: \u22122.20, \u22120.36). Stronger self\u2010reported familiarity with three published CPGs was associated with decreased likelihood of selecting <jats:italic>not recommended<\/jats:italic> care but was not associated with selecting <jats:italic>recommended<\/jats:italic> care for non\u2010specific LBP. All other variables were not associated with selecting <jats:italic>recommended<\/jats:italic> and <jats:italic>not recommended<\/jats:italic> care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Physiotherapists commonly selected <jats:italic>recommended<\/jats:italic> care options for patients with LBP, yet there remains considerable scope to reduce selection of care which is <jats:italic>not recommended<\/jats:italic>.<\/jats:p><\/jats:sec>","DOI":"10.1002\/msc.70164","type":"journal-article","created":{"date-parts":[[2025,8,16]],"date-time":"2025-08-16T12:06:41Z","timestamp":1755346001000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Do Italian Physiotherapists Follow Evidence\u2010Based Guidelines When Managing Patients With Low Back Pain? A Cross\u2010Sectional Survey"],"prefix":"10.1002","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-0339-9700","authenticated-orcid":false,"given":"Ryan D.","family":"Muller","sequence":"first","affiliation":[{"name":"Pain Research, Informatics, Multimorbidities, Education (PRIME) Center VA Connecticut Healthcare System  West Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel M.","family":"Schut","sequence":"additional","affiliation":[{"name":"Cleveland Clinic  Cleveland Ohio USA"},{"name":"Cleveland Clinic Lerner College of Medicine of Case Western Reserve University School of Medicine  Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paolo","family":"Perna","sequence":"additional","affiliation":[{"name":"School of Health and Sports Sciences University of Suffolk  Ipswich 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Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,8,16]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010015\u20100830\u20103"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/sja.SJA_543_18"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.math.2014.10.009"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000002190"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(24)00757\u20108"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2021.0304"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2020.04.005"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD009790.pub2"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD009365.pub2"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.33393\/aop.2024.3056"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2018.7562"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2019.1645888"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmpt.2023.11.002"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2017.05.001"},{"volume-title":"Overview, 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