Table 1.

Comparison of draft and current Choosing Wisely recommendations from the Australian Physiotherapy Association

Draft recommendations	Current recommendations	Modification
Don’t use imaging where validated decision rules indicate imaging is not necessary.	Don’t request imaging for patients with non-specific low back pain and no indicators of a serious cause for low back pain.	Split into three recommendations each specifying a different clinical scenario
	Don’t request imaging of the cervical spine in trauma patients, unless indicated by a validated decision rule.
	Don’t request imaging for acute ankle trauma unless indicated by the Ottawa Ankle Rules (localised bone tenderness or inability to weight-bear as defined in the rules).
Don’t use incentive spirometry after upper abdominal and cardiac surgery.	Don’t routinely use incentive spirometry after upper abdominal and cardiac surgery.	‘Don’t’ was replaced by ‘Don’t routinely’
Don’t use electrotherapy modalities in the management of patients with low back pain.	Avoid using electrotherapy modalities in the management of patients with low back pain.	‘Don’t use’ was replaced by ‘Avoid using’
Don’t use ongoing manual therapy for patients following acute adhesive capsulitis of the shoulder.	Don’t provide ongoing manual therapy for patients with adhesive capsulitis of the shoulder.	‘Don’t use’ was replaced by ‘Don’t provide’ The population was broadened from patients ‘following acute adhesive capsulitis’ to all patients with adhesive capsulitis
Don’t use ongoing physiotherapy in cases where there isn’t improvement in measurable patient outcomes.	No recommendation	This recommendation was not included in the current list