Journal of manipulative and physiological therapeutics
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J Manipulative Physiol Ther · Sep 2006
ReviewInconsistent grading of evidence across countries: a review of low back pain guidelines.
The aim of this study was to report clinical treatment recommendations for low back pain (LBP) based on 5 international guidelines and best evidence from the Cochrane database of systematic reviews. ⋯ Treatment recommendations for nonspecific LBP, particularly spinal manipulation, remain inconclusive. Guideline developers need to consider guidelines in neighboring countries and reach consensus on how evidence is graded and incorporated into guidelines. Guidelines should continue to be regularly updated to incorporate new evidence and methods of grading the evidence.