Randomised controlled trials

There have been few randomised controlled trials demonstrating clinically meaningful effect sizes in favour of physical therapy. Unfortunately the number of recent trials investigating the effectiveness of classification based physical therapy have also yielded disappointing results. Our own STOPS trials have bucked this trend with moderate to large effect sizes shown supporting specific physical therapy compared to evidence-based advice. Another recent trial is also worth reading evaluating the STaRT Back method of screening for patients with a low, medium and high risk of poor recovery this trial showed moderate effect sizes on activity limitation when a well-trained physical therapist provided exercise, advice and cognitive behavioural type intervention. For more information on this study click here.