Table II.
GLC According to EBG Recommendation [Blank fields indicate no data]
| Recommendation topic | Study | Chiropractors | Physiotherapists | Medical Practitioners | |||
|---|---|---|---|---|---|---|---|
| Fraction | Percent | Fraction | Percent | Fraction | Percent | ||
| Self-management and appropriate advice | Briggs et al | 41.7/46 | 91% | 105.2/171 | 80% | 80.3/176 | 52% |
| Li and Bombardier | 255.6/274 | ||||||
| Linton et al | 54.0/71 | 34.2/60 | |||||
| Little et al | 94.5/163 | ||||||
| Bed rest | Briggs et al | 39.0/46 | 97% | 127.4/171 | 87% | 114.6/176 | 86% |
| Buchbinder and Jolley | 413.9/511 | ||||||
| Coudeyre et al | 785.9/845 | ||||||
| Li and Bombardier | 259.1/274 | ||||||
| Walker et al | 270.4/274 | ||||||
| Physical Activity (including work) | Bishop and Wing | 55% | 87% | 30.6/139 | 71% | ||
| Briggs et al | 35.5/46 | 117.4/171 | 91.7/176 | ||||
| Buchbinder and Jolley | 467.6/511 | ||||||
| Li and Bombardier | 267.7/274 | ||||||
| Walker et al | 139.7/274 | ||||||
| Spinal manipulation | Bishop and Wing | 76% | 18% | 70.2/139 | 34% | ||
| Buchbinder and Jolley | 143.1/511 | ||||||
| Li and Bombardier | 48.6/274 | ||||||
| Little et al | 33.2/66 | ||||||
| Walker et al | 208/274 | ||||||
| Acupuncture | Buchbinder and Jolley | 93% | 82% | 107.3/511 | 38% | ||
| Li and Bombardier | 223.8/274 | ||||||
| Little et al | 149.5/159 | ||||||
| Walker et al | 254.1/274 | ||||||
| Traction and short-wave diathermy | Buchbinder and Jolley | 95% | 54% | 281.1/511 | 55% | ||
| Harte et al | 644.3/1239 | ||||||
| Li and Bombardier | 175.4/274 | ||||||
| Walker et al | 260.2/274 | ||||||
| Recommends or uses physiotherapy | Bishop and Wing | 23% | 50% | 77.8/139 | 41% | ||
| Briggs et al | 10.6/46 | 85.3/171 | 40.3/176 | ||||
| Buchbinder and Jolley | 219.7/511 | ||||||
| Recommends or uses chiropractic | Briggs et al | 45.0/46 | 99% | 17.4/171 | 10% | 12.7/176 | 7% |
| Pollentier and Langworthy | 247.8/249 | ||||||
| Appropriate use of diagnostic imaging | Bishop and Wing | 32% | 88% | 132.1/139 | 81% | ||
| Bishop et al | 507.5/580 | 402.2/442 | |||||
| Buchbinder and Jolley | 393.5/511 | ||||||
| Walker et al | 87.7/274 | ||||||
| Medication | Bishop and Wing | N/A | N/A | 95.2/139 | 46% | ||
| Briggs et al | 50.9/176 | ||||||
| Buchbinder and Jolley | 224.8/511 | ||||||
| Trigger point injection therapy | N/A | N/A | |||||
| Lumbar support | Li and Bombardier | 91% | 258.6/274 | 94% | |||
| Walker et al | 250.7/274 | ||||||
| Heat | Li and Bombardier | 42% | 139.9/274 | 51% | |||
| Walker et al | 116.3/274 | ||||||
| Spinal mobilisation | Li and Bombardier | 69% | 90.3/274 | 33% | |||
| Walker et al | 189.2/274 | ||||||
| Red flags” and neural compression syndromes | Bishop and Wing | 60% | 7.0/139 | 5% | |||
| Li and Bombardier | 164.4/274 | ||||||
| Back-specific exercises | Li and Bombardier | 209.3/274 | 76% | ||||
| TENS | Buchbinder and Jolley | 47% | 132.9/511 | 49% | |||
| Li and Bombardier | 128.8/274 | ||||||
| LASER | Li and Bombardier | 267.2/274 | 98% | ||||
| Ultrasound | Li and Bombardier | 155.4/274 | 57% | ||||
| Massage | Walker et al | 134.8/274 | 49% | ||||
| Reassurance | |||||||
| Fear avoidance and psychosomatic issues | |||||||
| Total: Average for recommendations where all professions had data | 73.44% | 61.78% | 51.67% | ||||
| Total: Overall for recommendations common to all three professions | 70.15% | 63.06% | 47.08% | ||||
Fraction = concordance to a particular recommendation where the denominator represents the total number of practitioners studied and the numerator represents the number of practitioners who followed the recommendation.