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Developing Evidence-Based Physical Therapy Clinical Practice Guidelines.

Division of Biokinesiology & Physical Therapy and Department of Pediatrics (Dr Fetters), Keck School of Medicine, University of Southern California, Los Angeles, California.
Pediatric physical therapy: the official publication of the Section on Pediatrics of the American Physical Therapy Association (Impact Factor: 1.29). 06/2013; DOI: 10.1097/PEP.0b013e31829491c5
Source: PubMed

ABSTRACT PURPOSE:: Recommended strategies for developing evidence-based clinical practice guidelines (CPGs) are provided. KEY POINTS:: The intent is that future CPGs developed with the support of the Section on Pediatrics of the American Physical Therapy Association would consistently follow similar developmental processes to yield consistent quality and presentation. Steps in the process of developing CPGs are outlined and resources are provided to assist CPG developers in carrying out their task. These recommended processes may also be useful to CPG developers representing organizations with similar structures, objectives, and resources.

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    ABSTRACT: Congenital muscular torticollis (CMT) is an idiopathic postural deformity evident shortly after birth, typically characterized by lateral flexion of the head to one side and cervical rotation to the opposite side due to unilateral shortening of the sternocleidomastoid muscle. CMT may be accompanied by other neurological or musculoskeletal conditions. Infants with CMT are frequently referred to physical therapists (PTs) to treat their asymmetries. This evidence-based clinical practice guideline (CPG) provides guidance on which infants should be monitored, treated, and/or referred, and when and what PTs should treat. Based upon critical appraisal of literature and expert opinion, 16 action statements for screening, examination, intervention, and follow-up are linked with explicit levels of evidence. The CPG addresses referral, screening, examination and evaluation, prognosis, first-choice and supplemental interventions, consultation, discharge, follow-up, suggestions for implementation and compliance audits, flow sheets for referral paths and classification of CMT severity, and research recommendations.
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