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TableĀ 6 Format for the summary of recommendations with sample statements

From: Updating contextualized clinical practice guidelines on stroke rehabilitation and low back pain management using a novel assessment framework that standardizes decisions

2011 (old) recommendation statement

2011 (old) evidence grade

2011 (old) source guidelines

2014 (new) evidence grade

2014 (new) source guidelines

Adapte level

2014 (new) recommendation statement

PARM suggests the use of cold therapy in the treatment of sub-acute non-specific low back pain

There is Insufficient Evidence

CLIPa

TOPb

There is insufficient evidence

ICSIc

I

PARM suggests the use of cold therapy in the treatment of sub-acute non-specific low back pain

PARM suggests that patients undergoing active rehabilitation should be provided with as much therapy as possible; a minimum of 1Ā hour active practice per day, at least five days a week for both physical and occupation therapy

There is Insufficient evidence

NSFd

There is evidence

NICEe

NZGGf

AHA Stroke and TIAg

II

PARM endorses that rehabilitation should be given for a minimum of 45Ā min of active practice per day, 5Ā days a week, for both physical therapy and occupational therapy. However, the duration and intensity of the program should be adjusted based on the patientā€™s needs and their ability to participate in an exercise program

  1. aTOP: Guideline for the evidence-informed primary care management of low back pain. Edmonton (AB): Toward Optimized Practice
  2. URL: bCLIP: Agency for Health & Social Services. Montreal, Canada: Clinic on Low-Back Pain in Interdisciplinary Practice Guidelines
  3. cAdult low back pain. Bloomington (MN): Institute for Clinical Systems Improvement
  4. dNSF: National Stroke Foundation. Clinical Guidelines for Stroke Management 2010. Melbourne Australia
  5. URL: eNICE 2013: [32]
  6. fNZGG 2010: [33]
  7. gAHA Stroke and TIA 2014: Kernan et al. [35]