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Clinical Practice Guidelines

where to find clinical guidelines

Clinical Practice Guidelines - Orthopaedic Conditions

The clinical practice guidelines below have been peer-reviewed by the Allied Health Orthopaedic Clinical Leadership Group using the Evidence-alert Traffic-light Grading system developed by (Novak 2012) to classify recommendations from clinical practice guidelines relevant to Cabrini orthopaedic patients. 

These guidelines have been appraised using either the AGREE II or iCAHE checklists.

To discuss these guidelines or if you are aware of updated revisions of these guidelines please contact Dr Jason Waliis  jwallis@cabrini.com.au

Further Reading

Novak, I. (2012). Evidence to practice commentary: the evidence alert traffic light grading system. Physical & occupational therapy in pediatrics, 32(3), 256-259.  Click here for full text

AGREE II Reporting Checklist.  

iCAHE Reporting Checklist

Population
Clinical Practice Guidelines
Quality Score* Agree II % or iCAHE score /14
Country of Origin Year (Updated)
Total Knee Replacement Surgical management of osteoarthritis of the knee evidence-based clinical practice guideline - Adopted by the American Academy of Orthopaedic Surgeons (AAOS) Board of Directors.  n/a USA 2022
Total Knee Replacement Jette, D. U., Hunter, S. J., Burkett, L., Langham, B., Logerstedt, D. S., Piuzzi, N. S., Poirier, N. M., Radach, L., Ritter, J. E., Scalzitti, D. A., Stevens-Lapsley, J. E., Tompkins, J., Zeni, J., Jr, & American Physical Therapy Association (2020). Physical Therapist Management of Total Knee Arthroplasty. Physical therapy, 100(9), 1603–1631. 

Refer to following study for evaluation

Michener, Lori, A PT, ATC, PhD, FAPTA, Heitzman, Jill, PT, DPT, Abbruzzese, Laurel, et al. (2023). Physical Therapist Management of Glenohumeral Joint Osteoarthritis: A Clinical Practice Guideline from the American Physical Therapy Association. Physical Therapy, 103, https://doi.org/10.1093/ptj/pzad041
USA 2020
Total Hip and Knee Replacement

Mak JCS, Fransen M, Jennings M, March L, Mittal R, and Harris IA.
Evidence-based review for patients undergoing elective hip and knee replacement. ANZ Journal of Surgery.

Reference for supporting Mak study as a recommended guideline

Krysa, J. A., Ho, C., O’Connell, P., & Pohar Manhas, K. (2022). Clinical practice recommendations for prehabilitation and post‐operative rehabilitation for arthroplasty: A scoping review. Musculoskeletal care, 20(3), 503-515.

 68% Australia 2014
Total Hip,  Knee & Shoulder Replacement National Institute for Health and Clinical Excellence (NICE). Joint replacement (primary) : hip, knee and shoulder Published 4 June 2020 N/A UK 2020
Hip Fracture National Institute for Health and Clinical Excellence (NICE). Hip Fracture: management. Published 22 June 2011. Updated 2017. 89% UK 2017
Hip Fracture

American Physical Therapy Association (APTA) Physical Therapy Management of  Older Adults With Hip Fracture. Journal of Orthopaedic & Sports Physical Therapy, 2021;51 : CPG1-CPG81

 

See the following study for evaluation

Zadro, J. R. (2022). Appraisal of Clinical Practice Guideline: Physical Therapy Management of Older Adults With Hip Fracture. Journal of Physiotherapy, S1836-9553.

 USA 2021
Hip and Knee Osteoarthritis Guideline for the management of knee and hip osteoarthritis. RACGP  14/14 Australia 2018
Low Back Pain

National Institute for Health and Clinical Excellence (NICE). Low back pain and sciatica in over 16s: assessment and management (NG59. London: National Institute for Health and Clinical Excellence, 2020.

Reference for supporting NICE study as a recommended guideline

Meroni, R., Piscitelli, D., Ravasio, C., Vanti, C., Bertozzi, L., De Vito, G., ... & Pillastrini, P. (2021). Evidence for managing chronic low back pain in primary care: a review of recommendations from high-quality clinical practice guidelines. Disability and rehabilitation, 43(7), 1029-1043.

 89% UK 2020
Neck Pain Côté P, Wong JJ, Sutton D, et al. Management of neck pain and associated disorders: A clinical practice guideline from the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. Eur Spine J 2016;25:2000–22. 67% Canada 2016
Shoulder Pain Hopman K, Krahe L, Lukersmith S, et al. Clinical practice guidelines for the management of rotator cuff syndrome in the workplace. Port Macquarie (Australia): University of New South Wales, 2013:80. 67% Australia 2013
Knee (PFj) Pain Willy, R. W., Hoglund, L. T., Barton, C. J., Bolgla, L. A., Scalzitti, D. A., Logerstedt, D. S., ... & Beattie, P. (2019). Patellofemoral Pain: Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability and Health From the Academy of Orthopaedic Physical Therapy of the American Physical Therapy Association. Journal of Orthopaedic & Sports Physical Therapy, 49(9), CPG1-CPG95. 76% USA 2019
COPD Lung Foundation Australia . The COPD-X Plan: Australian and New Zealand Guidelines for the management of Chronic Obstructive Pulmonary Disease 2022

See the following study for evaluation of previous ed.

Hancock, M. (2018). Appraisal of Clinical Practice Guideline: COPD-X Australian and New Zealand guidelines for the diagnosis and management of chronic obstructive pulmonary disease: 2017 update. Journal of physiotherapy, 64(4), 271.

 Australia 2022
Stroke Stroke Foundation of Australia. Living Stroke guidelines Peer-Reviewed Australia [Continual Update]
Arthritis Australia & New Zealand Musculoskeletal Trails Network (ANZMUSC) An Australian Living Guideline for the Pharmacological Management of Inflammatory Arthritis Peer-Reviewed

Australia [Continual Update]

*iCAHE - International Centre for Allied Health Evidence

*Agree II – Appraisal of Guidelines for Research and Evaluation II