Leadership and History of the CPGs
RobRoy Martin, PT, PhD, Editor
Barbara J. Hoogenboom, EdD, PT, SCS, AT-Ret
Chris Carcia, PT, PhD
The History of CPGs
In 2006, the Academy of Orthopaedic Physical Therapy began a project to use the International Classification of Functioning and Disability (ICF) to develop evidence-based practice guidelines that will enhance diagnosis, intervention, prognosis, and assessment of outcomes for a variety of musculoskeletal conditions commonly managed by physical therapists. In the April issue of JOSPT, the first of an ongoing series of evidence-based practice guidelines will be published. These guidelines were developed using the International Classification of Functioning, Disability and Health (ICF) as the basis for describing and classifying care provided by physical therapists to patients with a variety of musculoskeletal conditions.
The Academy of Orthopaedic Physical Therapy began the process to develop these practice guidelines in 2006. The ICF is a new model of disablement that was developed by the World Health Organization in 2001. In the ICF model, functioning and disability are classified in terms of body structure and function as well as in terms of activity and participation of the individual. The ICF model will be used to classify common musculoskeletal conditions, such as adhesive capsulitis, acute low back pain, patellofemoral pain and ankle sprains, in terms of impairment of body structure and function, activity limitations, and participation restrictions. These ICF classifications will be used to develop evidence-based guidelines for diagnosis, intervention, prognosis, and assessment of outcome. It is believed that these guidelines will advance orthopaedic physical therapist practice and could be used to guide professional and postprofessional education and to establish an agenda for future clinical research.