evidence base musculoskeletal

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EVIDENCE BASED PRACTICE

SITI KHOTIMAH, M.Fis


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Praktik Berbasis Bukti(Evidence-Based Practice/EBP) Fisioterapi

Sebagai Dasar Pengambilan Keputusan Klinis


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Transisi (Gibson & Martin 2003)

3

Rujukan Dokter

EBP digunakan sebagaimodel praktik FT

FTs (tanpa dikritisi, dasar

pengalaman dan intuisi)untuk pengambilan

keputusan


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Apa yg kita lakukan ada dasarnya

Siapkan diri kita utk menyambut hal yg besar

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Profesionalisme FTCore Values

Akuntabilitas (accountability)tanggungjawab & tanggung gugat

Mendahulukan kepentingan orang lain(altruism).

Kepedulian (compassion/caring).

APTA 20115


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Unggul (excellent).

Integritas (integrity).

Kewajiban profesional (professional duty). Tanggungjawab sosial (social responsibility)

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WCPT(2003)

Kewajiban & tanggungjawab FTs menggunakanevidenceterbaik terhadap penangananpasien/klien.

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Evidenceharus terintegrasi denganpengalaman klinis dengan pertimbangankepercayaan, nilai & kultur lokal.

Di negara lain berhasil belum tentu cocok dgnegara kita

Jangan sekedar mengcopi suatu metode tapiharus disesuaikan dg kultur lokal dg tidakmeninggalkann kaidah utama metode tsb

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FTs mempunyai kewajiban & tanggungjawabtidak menggunakan teknik & teknologi yangtidak efektif & tidak aman.

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Evidence terbaik yg ada, meliputi riset klinisberkualitas tinggi. Jika tidak tersedia dapat

menggunakan riset klinis berkualitas rendah,konsensus dan pengalaman klinis (Bury & Mead 1998, Sackett etal 2000). Level 1,1a at 1b

Evidence-basedFT adalah informasi yang

didapatkan FTs melalui riset klinis yang relevandan berkualitas tinggi (Rob Herbert et.al, 2005)

Evidence-Based FT

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Komponen EBP FT

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patients preferences

informed by relevant,high quality clinical

research

PTs practice(professional)

knowledge

EBP FT

Rob Herbert, Gro Jamtvedt, Judy Mead and Kre Birger Hagen, 2005


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Riset klinisriset pada pasien, settingklinis,lebih menekankan RCT

Pengetahuan baru melalui eksperimen.

Hasil dapat dipercaya, bias rendah.

Relevan terhadap pertanyaan-pertanyaanstudi.

Riset Klinis Berkualitas Tinggi

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Langkah-Langkah EBP (Sacket et al 2000) Tahap 1: konversi informasi yang dibutuhkan ke

dalam pertanyaan-pertanyaan yang dapat

terjawab. PICO(T) model:

patient.

intervention. comparison.

outcome.

time.

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Langkah-Langkah EBP (Sacket et al 2000)

Tahap 2: Gunakan referensi (evidence) terbaik

untuk menjawab pertanyaan-pertanyaantersebut.

Tahap 3: Kritisi evidenceterkait validitas,pengaruh dan kemampuan aplikatif.

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Langkah-Langkah EBP (Sacket et al 2000)

Tahap 4: Integrasikan evidencedengankeahlian klinis dan keunikan pasien secara

biologis, nilai-nilai dan keadaan lain yangmempengaruhi.

Tahap 5: Evaluasi efektifitas dan efisiensi

aplikasi tahap 1-4 dan mencari jalan keluaruntuk peningkatan di masa yang akan datang.

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Proses pembuatan keputusan klinis.

Informasi riset klinis yang berkualitas, pasiententang preferensi mereka dan FTs dalamkonteks eko-pol-sos-bud.

Butuh alasan klinis untuk analisis, sintesis,interpretasi dan mengkomunikasikan informasi

relevan dari dan ke pasien secara dinamis daninteraktif.

Terintegrasi denganprofessional judgement.

Inti EBP FT

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Pasieninformasi intervensi paling efektif danteraman, clinical outcomes terbaik.

FTsdan profesidasar melakukan intervensisecara profesional.

Pihak ketiga (asuransi, pengelola, dll ) jaminan kualitas yang baik.

Mengapa EBP FT?

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Mengapa EBP FT?

Perkembangan ilmu FT berkembang sangatpesat.

Kebutuhan informasi yang relevan.

Disesuaikan dengan pengalaman dankemampuan klinis FTs.

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Tujuan EBP FT Membantu proses pengambilan keputusan klinis

(promotif, preventif, kuratif dan rehabilitatif)yang didasarkan pada bukti-bukti ilmiah terkini

yang terpercaya dan dapatdipertanggungjawabkan.

Memilih bentuk terapi agar mendapatkan tingkat

efektivitas, efisiensi, serta tingkat keamananyang baik.

Menghindari trial and error19


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PubMedhttp://www.pubmed.gov

Cohrane library:

Cochrane database of systematic reviews.

the database of abstracts of reviews of effects (DARE).

Cochrane central register of controlled trials

(CENTRAL)spesifik indeks randomized trials.http://www.mrw.interscience.wiley.com/cochrane/

Akses Database

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Akses Database

http://www.sciencedirect.com

www.elsevier.com

http://ptjournal.apta.org

scholar.google.com

www.bmj.com

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CLINICAL GUIDELINES SOP FISIOTERAPI PADA REGIO

CERVICO & THORACIC

Clinical Guidelines for the Physiotherapy Management of Whiplash AssociatedDisorder.Moore A, Jackson A, Jordan J, Hammersley S, Hill J, Mercer C, Smith C,Thompson J, Woby S, Hudson A (2005). Chartered Society of Physiotherapy, UK.

Neck Pain - Clinical Practice Guidelines Linked to the International Classificationof Functioning, Disability, and Health. Childs JD, Cleland JA, Elliott JM, Teyhen DS,Wainner RS, Whitman JM, Sopky BJ, Godges JJ, Flynn TW. J Orthop Sports PhysTher, 2008; 38(9): A1-A34.

International Framework for Examination of the Cervical Region for potential ofCervical Arterial Dysfunction prior to Orthopaedic Manual Therapy Intervention.Rushton A, Rivett D, Carlesso L, Flynn T, Hing W, Kerry R (2012). InternationalFederation of Orthopaedic Manipulative Physical Therapists (

Clinical Guidelines for Assessing Vertebrobasilar Insufficiency in the Managementof Cervical Spine Disorders.Rivett D, Shirley D, Magarey M, Refshauge K (2006).

Australian Physiotherapy Association. Manual Therapy and Exercise for Neck Pain: Clinical Treatment Tool-Kit.Miller J,

Gross A, Rogers T, Willemse J (2012). McMaster University.
http://www.csp.org.uk/uploads/documents/csp_whiplash_guideline.pdfhttp://www.csp.org.uk/uploads/documents/csp_whiplash_guideline.pdfhttp://www.guidelines.gov/content.aspx?id=14703http://www.guidelines.gov/content.aspx?id=14703http://nvmt.fysionet.nl/ifompt/ifompt-examination-cervical-spine-doc-september-2012-definitive.pdfhttp://nvmt.fysionet.nl/ifompt/ifompt-examination-cervical-spine-doc-september-2012-definitive.pdfhttp://almacen-gpc.dynalias.org/publico/Valoracion%20Insuficiencia%20vertebrobasilar%20APA%202006.pdfhttp://almacen-gpc.dynalias.org/publico/Valoracion%20Insuficiencia%20vertebrobasilar%20APA%202006.pdfhttp://www.physio-pedia.com/Manual_Therapy_and_Exercise_for_Neck_Pain:_Clinical_Treatment_Tool-kithttp://www.physio-pedia.com/Manual_Therapy_and_Exercise_for_Neck_Pain:_Clinical_Treatment_Tool-kithttp://www.physio-pedia.com/Manual_Therapy_and_Exercise_for_Neck_Pain:_Clinical_Treatment_Tool-kithttp://www.physio-pedia.com/Manual_Therapy_and_Exercise_for_Neck_Pain:_Clinical_Treatment_Tool-kithttp://almacen-gpc.dynalias.org/publico/Valoracion%20Insuficiencia%20vertebrobasilar%20APA%202006.pdfhttp://almacen-gpc.dynalias.org/publico/Valoracion%20Insuficiencia%20vertebrobasilar%20APA%202006.pdfhttp://almacen-gpc.dynalias.org/publico/Valoracion%20Insuficiencia%20vertebrobasilar%20APA%202006.pdfhttp://almacen-gpc.dynalias.org/publico/Valoracion%20Insuficiencia%20vertebrobasilar%20APA%202006.pdfhttp://almacen-gpc.dynalias.org/publico/Valoracion%20Insuficiencia%20vertebrobasilar%20APA%202006.pdfhttp://nvmt.fysionet.nl/ifompt/ifompt-examination-cervical-spine-doc-september-2012-definitive.pdfhttp://nvmt.fysionet.nl/ifompt/ifompt-examination-cervical-spine-doc-september-2012-definitive.pdfhttp://nvmt.fysionet.nl/ifompt/ifompt-examination-cervical-spine-doc-september-2012-definitive.pdfhttp://nvmt.fysionet.nl/ifompt/ifompt-examination-cervical-spine-doc-september-2012-definitive.pdfhttp://nvmt.fysionet.nl/ifompt/ifompt-examination-cervical-spine-doc-september-2012-definitive.pdfhttp://www.guidelines.gov/content.aspx?id=14703http://www.guidelines.gov/content.aspx?id=14703http://www.guidelines.gov/content.aspx?id=14703http://www.guidelines.gov/content.aspx?id=14703http://www.guidelines.gov/content.aspx?id=14703http://www.csp.org.uk/uploads/documents/csp_whiplash_guideline.pdfhttp://www.csp.org.uk/uploads/documents/csp_whiplash_guideline.pdf


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BAHU

Diagnosis and Management of Soft Tissue Shoulder Injuries and RelatedDisorders: Best Practice Evidence-Based GuidelineNew Zealand GuidelineGroup (2004).

Evidence-based clinical guidelines for the diagnosis, assessment andphysiotherapy management of shoulder impingement syndrome.Cummins J, Jefferies C, Hanchard N (2005). Chartered Society of

Physiotherapy, UK. Evidence-based clinical guidelines for the diagnosis, assessment and

physiotherapy management of contracted (frozen) shoulder.Hanchard N,Goodchild L, Thompson J, OBrien T, Davison D, Richardson C, Watson H,Mtopo S, Wragg M, Scott M (2011). Chartered Society of Physiotherapy,UK.

Shoulder Pain and Mobility Deficits: Adhesive Capsulitis - Clinical PracticeGuidelines Linked to the International Classification of Functioning,Disability, and HealthKelley MJ, Shaffer MA, Kuhn JE, Michener LA, SeitzAL, Uhl TL, Godges JJ, McClure PW. J Orthop Sports Phys Ther, 2013; 43(5):A1-A31.
http://www.acc.co.nz/PRD_EXT_CSMP/groups/external_communications/documents/guide/wcm001684.pdfhttp://www.acc.co.nz/PRD_EXT_CSMP/groups/external_communications/documents/guide/wcm001684.pdfhttp://www.csp.org.uk/publications/evidence-based-clinical-guidelines-diagnosis-assessment-physiotherapy-management-shouldhttp://www.csp.org.uk/publications/evidence-based-clinical-guidelines-diagnosis-assessment-physiotherapy-management-shouldhttp://tees.openrepository.com/tees/bitstream/10149/119765/11/119765.pdfhttp://tees.openrepository.com/tees/bitstream/10149/119765/11/119765.pdfhttps://www.orthopt.org/uploads/content_files/ICF/Updated_Guidelines/Shoulder_Guidelines_AdhesiveCapsulitis_JOSPT_May_2013.pdfhttps://www.orthopt.org/uploads/content_files/ICF/Updated_Guidelines/Shoulder_Guidelines_AdhesiveCapsulitis_JOSPT_May_2013.pdfhttps://www.orthopt.org/uploads/content_files/ICF/Updated_Guidelines/Shoulder_Guidelines_AdhesiveCapsulitis_JOSPT_May_2013.pdfhttps://www.orthopt.org/uploads/content_files/ICF/Updated_Guidelines/Shoulder_Guidelines_AdhesiveCapsulitis_JOSPT_May_2013.pdfhttps://www.orthopt.org/uploads/content_files/ICF/Updated_Guidelines/Shoulder_Guidelines_AdhesiveCapsulitis_JOSPT_May_2013.pdfhttps://www.orthopt.org/uploads/content_files/ICF/Updated_Guidelines/Shoulder_Guidelines_AdhesiveCapsulitis_JOSPT_May_2013.pdfhttps://www.orthopt.org/uploads/content_files/ICF/Updated_Guidelines/Shoulder_Guidelines_AdhesiveCapsulitis_JOSPT_May_2013.pdfhttps://www.orthopt.org/uploads/content_files/ICF/Updated_Guidelines/Shoulder_Guidelines_AdhesiveCapsulitis_JOSPT_May_2013.pdfhttps://www.orthopt.org/uploads/content_files/ICF/Updated_Guidelines/Shoulder_Guidelines_AdhesiveCapsulitis_JOSPT_May_2013.pdfhttps://www.orthopt.org/uploads/content_files/ICF/Updated_Guidelines/Shoulder_Guidelines_AdhesiveCapsulitis_JOSPT_May_2013.pdfhttps://www.orthopt.org/uploads/content_files/ICF/Updated_Guidelines/Shoulder_Guidelines_AdhesiveCapsulitis_JOSPT_May_2013.pdfhttp://tees.openrepository.com/tees/bitstream/10149/119765/11/119765.pdfhttp://tees.openrepository.com/tees/bitstream/10149/119765/11/119765.pdfhttp://tees.openrepository.com/tees/bitstream/10149/119765/11/119765.pdfhttp://tees.openrepository.com/tees/bitstream/10149/119765/11/119765.pdfhttp://www.csp.org.uk/publications/evidence-based-clinical-guidelines-diagnosis-assessment-physiotherapy-management-shouldhttp://www.csp.org.uk/publications/evidence-based-clinical-guidelines-diagnosis-assessment-physiotherapy-management-shouldhttp://www.csp.org.uk/publications/evidence-based-clinical-guidelines-diagnosis-assessment-physiotherapy-management-shouldhttp://www.csp.org.uk/publications/evidence-based-clinical-guidelines-diagnosis-assessment-physiotherapy-management-shouldhttp://www.acc.co.nz/PRD_EXT_CSMP/groups/external_communications/documents/guide/wcm001684.pdfhttp://www.acc.co.nz/PRD_EXT_CSMP/groups/external_communications/documents/guide/wcm001684.pdfhttp://www.acc.co.nz/PRD_EXT_CSMP/groups/external_communications/documents/guide/wcm001684.pdfhttp://www.acc.co.nz/PRD_EXT_CSMP/groups/external_communications/documents/guide/wcm001684.pdf


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CLINICAL GUIDELINES SOP FISIOTERAPI PADA REGIO SIKU Lateral Epicondyle (LET) Tendinopathy Toolkit. Anthony J,

Fearon A, Hughes D, Kennedy C, Scott A, Yates M, Hoens A(2013). The BC Physical Therapy Tendinopathy Task Force.

CLINICAL GUIDELINES SOP FISIOTERAPI PADA REGIO WRIST &HAND

Distal Upper Limb: Guidelines for Management of SomeCommon Musculoskeletal Disorders. Grimmer-Somers K,

Lekkas P, Jeffries L, Kumar S, ODwyerL, Massey-WestroppN, Legg S, Olsen K (2009). Accident CompensationCorporation (ACC), NZ.
http://physicaltherapy.med.ubc.ca/physical-therapy-knowledge-broker/lateral-epicondyle-tendinopathy-let-toolkit/http://www.acc.co.nz/PRD_EXT_CSMP/groups/external_communications/documents/guide/prd_ctrb112931.pdfhttp://www.acc.co.nz/PRD_EXT_CSMP/groups/external_communications/documents/guide/prd_ctrb112931.pdfhttp://www.acc.co.nz/PRD_EXT_CSMP/groups/external_communications/documents/guide/prd_ctrb112931.pdfhttp://www.acc.co.nz/PRD_EXT_CSMP/groups/external_communications/documents/guide/prd_ctrb112931.pdfhttp://physicaltherapy.med.ubc.ca/physical-therapy-knowledge-broker/lateral-epicondyle-tendinopathy-let-toolkit/http://physicaltherapy.med.ubc.ca/physical-therapy-knowledge-broker/lateral-epicondyle-tendinopathy-let-toolkit/http://physicaltherapy.med.ubc.ca/physical-therapy-knowledge-broker/lateral-epicondyle-tendinopathy-let-toolkit/http://physicaltherapy.med.ubc.ca/physical-therapy-knowledge-broker/lateral-epicondyle-tendinopathy-let-toolkit/http://physicaltherapy.med.ubc.ca/physical-therapy-knowledge-broker/lateral-epicondyle-tendinopathy-let-toolkit/http://physicaltherapy.med.ubc.ca/physical-therapy-knowledge-broker/lateral-epicondyle-tendinopathy-let-toolkit/http://physicaltherapy.med.ubc.ca/physical-therapy-knowledge-broker/lateral-epicondyle-tendinopathy-let-toolkit/


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CLINICAL GUIDELINES SOP FISIOTERAPI PADA

REGIO LUMBO PELVIC

Low Back Pain: Clinical Practice Guidelines Linked to the International Classification ofFunctioning, Disability, and Health.Delitto A, George SZ, Van Dillen L, Whitman JM, Sowa G,Shekelle P, Denninger TR, Godges JJ. J Orthop Sports Phys Ther, 2012; 42(4): A1-A57.

Adult Acute and Subacute Low Back Pain. Goertz M, Thorson D, Bonsell J, Bonte B, Campbell R,Haake B, Johnson K, Kramer C, Mueller B, Peterson S, Setterlund L, Timming R. Institute for ClinicalSystems Improvement (2012).

Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline from the AmericanCollege of Physicians and the American Pain Society.Chou R, Qaseem A, Snow V, Casey D, Cross JT

Jr, Shekelle P, Owens DK. Ann Intern Med, 2007; 147(7): 478-491. Clinical Guidelines for the Physiotherapy Management of Persistent Low Back Pain, Part 1: Exercise.

Mercer C, Jackson A, Hettinga D, Barlas P, Ferguson S, Greenhalgh S, Harding V, Hurley Osing D,Klaber Moffett J, Martin D, May S, Monteath J, Roberts L, Taylor N, Woby S. Chartered Society ofPhysiotherapy (2006).

Clinical Guidelines for the Physiotherapy Management of Persistent Low Back Pain, Part 2:Manual Therapy.Mercer C, Jackson A, Hettinga D, Barlas P, Ferguson S, Greenhalgh S, Harding V,Hurley Osing D, Klaber Moffett J, Martin D, May S, Monteath J, Roberts L, Taylor N, Woby S.

Chartered Society of Physiotherapy (2006). National Practice Guidelines for Physical Therapy in Patients with Low Back Pain.Bekkering GE,

Hendriks HJM, Koes BW, Oostendorp RAB, Ostelo RWJG, Thomassen JMC, van Tulder MW. The RoyalDutch Society for Physical Therapy, KNGF (2003).
http://www.guideline.gov/content.aspx?id=36828http://www.guideline.gov/content.aspx?id=36828https://www.icsi.org/_asset/bjvqrj/LBP.pdfhttp://www.aafp.org/dam/AAFP/documents/patient_care/clinical_recommendation/Rec022111lowbackpain.pdfhttp://www.aafp.org/dam/AAFP/documents/patient_care/clinical_recommendation/Rec022111lowbackpain.pdfhttp://www.csp.org.uk/sites/files/csp/secure/clinical-guidelines-lower-back-pain-pt1-exercise_0.pdfhttp://www.csp.org.uk/sites/files/csp/secure/clinical-guidelines-lower-back-pain-pt2-manual-therapy_0.pdfhttp://www.csp.org.uk/sites/files/csp/secure/clinical-guidelines-lower-back-pain-pt2-manual-therapy_0.pdfhttp://www.ifompt.com/site/ifompt/files/pdf/LowBackPainGln.pdfhttp://www.ifompt.com/site/ifompt/files/pdf/LowBackPainGln.pdfhttp://www.csp.org.uk/sites/files/csp/secure/clinical-guidelines-lower-back-pain-pt2-manual-therapy_0.pdfhttp://www.csp.org.uk/sites/files/csp/secure/clinical-guidelines-lower-back-pain-pt2-manual-therapy_0.pdfhttp://www.csp.org.uk/sites/files/csp/secure/clinical-guidelines-lower-back-pain-pt2-manual-therapy_0.pdfhttp://www.csp.org.uk/sites/files/csp/secure/clinical-guidelines-lower-back-pain-pt2-manual-therapy_0.pdfhttp://www.csp.org.uk/sites/files/csp/secure/clinical-guidelines-lower-back-pain-pt1-exercise_0.pdfhttp://www.csp.org.uk/sites/files/csp/secure/clinical-guidelines-lower-back-pain-pt1-exercise_0.pdfhttp://www.csp.org.uk/sites/files/csp/secure/clinical-guidelines-lower-back-pain-pt1-exercise_0.pdfhttp://www.aafp.org/dam/AAFP/documents/patient_care/clinical_recommendation/Rec022111lowbackpain.pdfhttp://www.aafp.org/dam/AAFP/documents/patient_care/clinical_recommendation/Rec022111lowbackpain.pdfhttps://www.icsi.org/_asset/bjvqrj/LBP.pdfhttps://www.icsi.org/_asset/bjvqrj/LBP.pdfhttps://www.icsi.org/_asset/bjvqrj/LBP.pdfhttps://www.icsi.org/_asset/bjvqrj/LBP.pdfhttp://www.guideline.gov/content.aspx?id=36828http://www.guideline.gov/content.aspx?id=36828


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LUMBO PELVIC

European guidelines for prevention in low back pain.AK Burton, F Balagu, G Cardon, HR Eriksen,Y Henrotin, A Lahad, A Leclerc, G Mller, AJ van der Beek On behalf of the COST B13 Working Groupon Guidelines for Prevention in Low Back Pain (2004).

European guidelines for the management of acute nonspecific low back pain in primary care .Maurits van Tulder, Annette Becker, Trudy Bekkering, Alan Breen, Maria Teresa Gil del Real, AllenHutchinson, Bart Koes, Even Laerum, Antti Malmivaara, on behalf of the COST B13 Working Groupon Guidelines for the Management of Acute Low Back Pain in Primary Care (2004).

European guidelines for the management of chronic non-specific low back pain.O Airaksinen, JI

Brox, C Cedraschi, J Hildebrandt, J Klaber-Moffett, F Kovacs, AF Mannion, S Reis, JB Staal, H Ursin, GZanoli On behalf of the COST B13 Working Group on Guidelines for Chronic Low BackPain (2004).

New Zealand Acute Low Back Pain Guidelinesthe best practice evidence based guideline fromNew Zealand Guideline Group

Consensus Guidelines for the Management of Chronic Pelvic Pain: Part 1.Jarrell JF, Vilos GA,Chronic Pelvic Pain Committee. J Obstet Gynaecol Can, 2005; 27(8): 781801.

Consensus Guidelines for the Management of Chronic Pelvic Pain: Part 2. Jarrell JF, Vilos GA,Chronic Pelvic Pain Committee. J Obstet Gynaecol Can, 2005; 27(9): 869887.

European guidelines on the diagnosis and treatment of pelvic girdle pain. Andry Vleeming, HanneB Albert, Hans Christian stgaard, Britt Stuge, Bengt Sturesson On behalf of the COST B13 WorkingGroup on Guidelines for Chronic Low Back Pain (2004).
http://www.backpaineurope.org/web/files/WG3_Guidelines.pdfhttp://www.backpaineurope.org/web/files/WG1_Guidelines.pdfhttp://www.backpaineurope.org/web/files/WG2_Guidelines.pdfhttp://www.acc.co.nz/acc-publications/pdfs/ip/acc1038-col.pdfhttp://sogc.org/wp-content/uploads/2013/01/164E-CPG1-August2005.pdfhttp://sogc.org/wp-content/uploads/2013/01/164E-CPG2-September2005.pdfhttp://www.backpaineurope.org/web/files/WG4_Guidelines.pdfhttp://www.backpaineurope.org/web/files/WG4_Guidelines.pdfhttp://sogc.org/wp-content/uploads/2013/01/164E-CPG2-September2005.pdfhttp://sogc.org/wp-content/uploads/2013/01/164E-CPG1-August2005.pdfhttp://www.acc.co.nz/acc-publications/pdfs/ip/acc1038-col.pdfhttp://www.backpaineurope.org/web/files/WG2_Guidelines.pdfhttp://www.backpaineurope.org/web/files/WG2_Guidelines.pdfhttp://www.backpaineurope.org/web/files/WG2_Guidelines.pdfhttp://www.backpaineurope.org/web/files/WG1_Guidelines.pdfhttp://www.backpaineurope.org/web/files/WG3_Guidelines.pdf


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CLINICAL GUIDELINES SOP FISIOTERAPI PADA REGIO HIP Hip Pain and Mobility Deficits - Hip Osteoarthritis: Clinical Practice

Guidelines Linked to the International Classification of Functioning,

Disability, and Health. Cibulka MT, White DM, Woehrle J, Harris-Hayes M,Enseki K, Fagerson TL, Slover J, Godges JJ. J Orthop Sports Phys Ther,2009;39(4): A1-25.

Management of Hip Fracture in Older People. Scottish IntercollegiateGuidelines Network (2009).

CLINICAL GUIDELINES SOP FISIOTERAPI PADA REGIO LUTUT Diagnosis and Management of Soft Tissue Knee Injuries: Internal

Derangementsthe best practice evidence based guideline from NewZealand Guideline Group

Knee pain and mobility impairments: meniscal and articular cartilagelesions.Logerstedt DS, Snyder-Mackler L, Ritter RC, Axe MJ. J Orthop

Sports Phys Ther. 2010: 40(6): A1-A35. Knee stability and movement coordination impairments: knee ligament

sprain.Logerstedt DS, Snyder-Mackler L, Ritter RC, Axe MJ, Godges JJ. JOrthop Sports Phys Ther. 2010; 40(4): A1-A37.
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