{"doi":"10.1136/bmjopen-2017-019742","title":"Effect of differentiating exercise guidance based on a patient’s level of low back pain in primary care: a mixed-methods systematic review protocol","abstract":"<jats:sec>\n                    <jats:title>Introduction</jats:title>\n                    <jats:p>Low back pain (LBP) is one of the health conditions that lead to the most disability worldwide. Guidelines aimed at management of LBP recommend non-invasive and non-pharmacological management, including patient education, advice to stay active and exercise therapy; however, the guidelines offer no recommendation as to the allowable level of pain during exercise or how specific levels of pain should be reflected in the stage and progression of exercises or activities. The purpose of this review is to study the effect of differentiation of exercise guidance based on the level of LBP in patients in primary care.</jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis</jats:title>\n                    <jats:p>A systematic search will be performed on PubMed, EMBASE, The Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, Physiotherapy Evidence Database (PEDRO), Cochrane and PROSPERO from their inception until September 2017. Published peer-reviewed human experimental and observational studies with quantitative or qualitative designs will be included. Two independent reviewers will identify papers by reviewing titles and abstracts. Papers passing the initial selection will be appraised by two reviewers, based on their full texts. Furthermore, the reference lists of included studies will be snowballed for identification of other relevant studies. Data will be extracted using a standard extraction sheet by two independent reviewers. Disagreements will be resolved by discussion and consensus with a third reviewer. The methodological quality of studies will be assessed using the Grading of Recommendations, Assessment, Development and Evaluation risk of bias tool, or the Critical Appraisal Skills Programme. Results will be reported narratively. Search histories will be documented on EndNote X8 (Clarivate Analytics).</jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination</jats:title>\n                    <jats:p>Ethical approval for this review was not required as primary data will not be collected. The results will be disseminated through a peer-reviewed international journal and conference presentations.</jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>PROSPERO registration number</jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http://www.w3.org/1999/xlink\" xlink:href=\"CRD42017074880\">CRD42017074880</jats:ext-link>\n                      .\n                    </jats:p>\n                  </jats:sec>","journal":"BMJ Open","year":2018,"id":620501,"datarank":0.4493598410330987,"base_score":2.995732273553991,"endowment":2.995732273553991,"self_citation_contribution":0.4493598410330987,"citation_network_contribution":0.0,"self_endowment_contribution":0.4493598410330987,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":19,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1601878,"name":"Tamana Afzali","orcid":null,"position":1,"is_corresponding":false},{"id":1601879,"name":"Allan Riis","orcid":null,"position":2,"is_corresponding":false},{"id":1601876,"name":"Jens Erik Jorgensen","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Effect of differentiating exercise guidance based on a patient’s level of low back pain in primary care: a mixed-methods systematic review protocol","abstract":"<jats:sec>\n                    <jats:title>Introduction</jats:title>\n                    <jats:p>Low back pain (LBP) is one of the health conditions that lead to the most disability worldwide. Guidelines aimed at management of LBP recommend non-invasive and non-pharmacological management, including patient education, advice to stay active and exercise therapy; however, the guidelines offer no recommendation as to the allowable level of pain during exercise or how specific levels of pain should be reflected in the stage and progression of exercises or activities. The purpose of this review is to study the effect of differentiation of exercise guidance based on the level of LBP in patients in primary care.</jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis</jats:title>\n                    <jats:p>A systematic search will be performed on PubMed, EMBASE, The Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, Physiotherapy Evidence Database (PEDRO), Cochrane and PROSPERO from their inception until September 2017. 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Search histories will be documented on EndNote X8 (Clarivate Analytics).</jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination</jats:title>\n                    <jats:p>Ethical approval for this review was not required as primary data will not be collected. The results will be disseminated through a peer-reviewed international journal and conference presentations.</jats:p>\n                  </jats:sec>\n                  <jats:sec>\n                    <jats:title>PROSPERO registration number</jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http://www.w3.org/1999/xlink\" xlink:href=\"CRD42017074880\">CRD42017074880</jats:ext-link>\n                      .\n                    </jats:p>\n                  </jats:sec>","is_dataset_classified":null,"base_score":2.995732273553991,"endowment":2.995732273553991,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"29362274","pmcid":"PMC5988063","openalex_id":"https://openalex.org/W2787428546","authors":[],"funders":[{"funder_name":"Novo Nordisk Fonden","grant_id":"NNF17OC0024422","title":null},{"funder_name":"Novo Nordisk Foundation","grant_id":"unidentified","title":"unidentified"},{"funder_name":"Novo Nordisk Foundation","grant_id":"","title":null}],"total_grants":3,"fwci":0.4797,"citation_percentile":0.53786408,"influential_citations":0,"citation_trend":[{"year":2018,"count":2},{"year":2019,"count":1},{"year":2020,"count":1},{"year":2021,"count":6},{"year":2023,"count":1},{"year":2024,"count":6},{"year":2025,"count":1},{"year":2026,"count":1}],"oa_status":"gold","license":"cc-by-nc","oa_locations":[{"url":"https://bmjopen.bmj.com/content/bmjopen/8/1/e019742.full.pdf","host_type":"journal"},{"url":"https://bmjopen.bmj.com/content/bmjopen/8/1/e019742.full.pdf","host_type":"publisher"},{"url":"https://syndication.highwire.org/content/doi/10.1136/bmjopen-2017-019742","host_type":"publisher"},{"url":"https://doi.org/10.1136/bmjopen-2017-019742","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/29362274","host_type":"repository"},{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/5988063","host_type":"repository"},{"url":"https://vbn.aau.dk/da/publications/b0c8cdb5-1149-434f-a260-adb12eb5b52b","host_type":"repository"},{"url":"https://europepmc.org/articles/PMC5988063","host_type":"Europe_PMC"},{"url":"https://europepmc.org/articles/PMC5988063?pdf=render","host_type":"Europe_PMC"},{"url":"http://dx.doi.org/10.1136/bmjopen-2017-019742","host_type":""},{"url":"https://www.scopus.com/pages/publications/85052181229","host_type":""},{"url":"https://vbn.aau.dk/ws/files/283435578/e019742.full.pdf","host_type":""},{"url":"https://dx.doi.org/10.1136/bmjopen-2017-019742","host_type":""}],"fields_of_study":["Musculoskeletal pain and rehabilitation","Opioid Use Disorder Treatment","Spinal Cord Injury Research","03 medical and health sciences","0302 clinical medicine"],"mesh_terms":["Systematic Reviews as Topic","Exercise Therapy","Humans","Primary Health Care","Research Design","Exercise","Low Back Pain"],"keywords":["Medicine","CINAHL","Critical appraisal","Data extraction","PsycINFO","Observational study","MEDLINE","Grading (engineering)","Protocol (science)","Physical therapy","Low back pain","Systematic review","Strengthening the reporting of observational studies in epidemiology","Sports medicine","Alternative medicine","Family medicine","Nursing","Psychological intervention","Pathology","Exercise Therapy","Pain Management","Primary Care","Primary Health Care","Research Design","Humans","General practice / Family practice","Exercise","Systematic Reviews as Topic"],"sdg_mappings":[{"sdg_number":3,"sdg_label":"3. 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