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Invited Commentary

CP DeRosa, PhD, PT, is Professor and Chairman, Physical Therapy Program, Northern Arizona University, Box 15105, Flagstaff, AZ 86011

This excerpt was created in the absence of an abstract.

For physical therapists to continue to play a major role in the management of patients with low back pain, cost-effective analysis (reviewing total costs for a given syndrome) and the assessment of patient perception (Did the intervention succeed in improving the quality of the patient's life?) are clinical realities. In this regard, this article by Delitto and colleagues is timely for the profession, and thuey are to be congratulated for these initial efforts in suggesting a system to determine a "working classification" for patients with low back pain and an algorithm-based treatment approach to ensure consistent care based on predetermined rules rather than care influenced by examiner bias or emotion.

The authors present working classifications, which can ultimately allow for meaningful cost analysis....

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A Treatment-Based Classification Approach to Low Back Syndrome: Identifying and Staging Patients for Conservative Treatment

Anthony Delitto, Richard E Erhard, and Richard W Bowling
Physical Therapy 1995 75: 470-485. [Abstract] [PDF]