Glinsky Joanne V, Harvey Lisa A, Tranter Keira E, Rees Leanne, McDonald Mark, Wadsworth Brooke, Gollan Emilie, Stavric Verna, Nunnerley Jo, Dunn Jennifer, Wilson Deanne
John Walsh Centre for Rehabilitation Research, Kolling Institute, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.
Discipline of Physiotherapy, University of Sydney, Sydney, NSW, Australia.
Spinal Cord. 2025 Aug 12. doi: 10.1038/s41393-025-01088-8.
Development of a Clinical Practice Guideline (CPG).
To develop a CPG for the physiotherapy management of people with Spinal Cord Injuries (SCI).
Australia and New Zealand.
Systematic reviews of randomised controlled trials (RCTs) of physiotherapy interventions for adults with SCI were conducted to address over 100 clinical questions. Questions were decided a priori and written in PICO format (Participant, Intervention, Comparison and Outcome). Meta-analyses were conducted across trials that made similar comparisons. A Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was used to assess evidence certainty and formulate recommendations. A Guideline panel made evidence recommendations and consensus-based opinion statements based on a standardised process that included voting.
Seventy-six RCTs met the inclusion criteria for the systematic reviews. These RCTs informed 20 meta-analyses that were used in the development of the CPG. More than one hundred evidence recommendations and consensus-based opinion statements across 13 categories of physiotherapy interventions were made by the panel.
The Australian and New Zealand CPG for the Physiotherapy Management of people with SCI provide clear and readily accessible guidance to physiotherapists based on evidence and consensus of clinical experts. The Guideline is available at www.sciptguide.com .
制定临床实践指南（CPG）。
为脊髓损伤（SCI）患者的物理治疗管理制定CPG。
澳大利亚和新西兰。
对成年SCI患者物理治疗干预的随机对照试验（RCT）进行系统评价，以解决100多个临床问题。问题事先确定，并采用PICO格式（参与者、干预措施、对照和结果）编写。对进行类似比较的试验进行荟萃分析。采用推荐分级评估、制定和评价（GRADE）方法评估证据确定性并制定建议。一个指南小组根据包括投票在内的标准化流程提出证据建议和基于共识的意见声明。
76项RCT符合系统评价的纳入标准。这些RCT为CPG制定过程中使用的20项荟萃分析提供了依据。该小组针对13类物理治疗干预措施提出了100多项证据建议和基于共识的意见声明。
澳大利亚和新西兰关于SCI患者物理治疗管理的CPG，基于临床专家的证据和共识，为物理治疗师提供了清晰且易于获取的指导。该指南可在www.sciptguide.com上获取。
