PT Elevated 2: "What's wrong with a cookbook approach?" with Anthony Delitto, PhD, PT • Posts by EIM | Evidence In Motion Skip To Content

PT Elevated 2: “What’s wrong with a cookbook approach?” with Anthony Delitto, PhD, PT

June 30, 2021 • Clinical Management • Kory Zimney, Paul Mintken

Welcome to PT Elevated! Our first guest is the esteemed Anthony (Tony) Delitto, PhD, PT PhD, the Dean of School of Health and Rehabilitation Science and Professor of Physical Therapy at University of Pittsburgh. Our hosts Kory Zimney, PT, DPT, PhD and Paul Mintken, PT, DPT, OCS, FAAOMPT talk with Tony about all things low back pain. He talks his foundational research for Treatment-Based Classification, the Low Back Pain Clinical Practice Guideline and his new research on implementation.

Tony Delitto has been practicing and researching for over 40 years, and his expertise and wisdom combine for an episode packed with tips and takeaways for your clinic.

Here are some highlights from the episode:

What are Delitto’s key takeaways from LBP research?

  1. There is A LOT of it that you can work from.
  2. Active approaches are the way to go.
  3. Pay attention to the behavioral component and use psychologically-informed care in your practice.
  4. Avoid passive approaches.

Here’s his original CPG: Low Back Pain Clinical Practice Guideline

Delitto’s research on Treatment-Based Classification came from organically joining up with other physical therapists. Listen in to see how the basis for Treatment-Based Classification came about with his colleagues Richard (Dick) Erhard and Richard (Rick) Bowling as well as Steve Rose.

Find the Treatment-Based Classification paper here: A Treatment-Based Classification Approach to Low Back Syndrome: Identifying and Staging Patients for Conservative Treatment

Delitto’s research focus is now on implementing the research that has been done over the last 40 years, and he believes that will be the great challenge of the next generation. Hear him discuss two of his most recent papers that work to close the gap between research and creating processes to access low back pain patients.

Here are the two papers on implementation:

Lastly, Tony Delitto’s clinical pearl for all new clinicians: “The time you spend talking with your patients is more valuable than the time with your instruments.”

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Kory Zimney

Kory received a Masters in Physical Therapy from the University of North Dakota in 1994.  He completed his transitional DPT from Des Moines University in 2010 and is currently enrolled and in the candidacy phase of the PhD PT program with Nova Southeastern University. His dissertation is focusing on the construct of trust as part...

Paul Mintken

Paul has taught musculoskeletal content for the past 15 years. His active research agenda focuses on conservative care for musculoskeletal disorders as well as spinal and extremity manipulation and dry needling. Current Roles: Evidence In Motion, Faculty Wardenburg Health Center at the University of Colorado Boulder, Lead Clinician Regis University Fellowship in Orthopaedic Manual Therapy,...

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