PT Elevated: CPGs narrow the width of the goalpost | Derek Clewley on Neck Pain CPG • Posts by EIM | Evidence In Motion Skip To Content

PT Elevated: CPGs narrow the width of the goalpost | Derek Clewley on Neck Pain CPG

August 25, 2021 • Clinical Management • Paul Mintken, Kory Zimney

Derek Clewley, DPT, PhD, FAAOMPT, is an assistant professor at Duke Doctor of Physical Therapy program. He is on the team that worked on the 2017 revision of the Neck Pain Clinical Practice Guideline (CPG) as well as the upcoming revision. His research has spanned across orthopaedic physical therapy, including pain science, dry needling and manual therapy.

Clewley joins our hosts Kory Zimney and Paul Mintken to talk through the 2017 revision of the Neck Pain CPG – how the articles were selected to inform the CPG and the process used to create it.

Here are some of the highlights:

The research that is chosen to inform the recommendations in the CPG goes through a rigorous process to be selected and used.

The wealth of research allowed the 2017 Neck Pain CPG to be more definitive and confident in its recommendations, but going forward there will not be these earth-shattering changes to the CPG.

Finding clinical decision dilemmas and solving them with the CPG as well as a clinical decision aid is one of the focuses to help clinicians implement the CPG into actual clinical practice.

As an entry-level clinician, use the CPG as a foundation to build on for your clinical practice and clinical reasoning.

Derek Clewley’s Clinical Pearl: Be curious as a clinician. You can feel confident with your skills and the research, but strike the balance of being open and critical to new research and ideas. Be willing to be somebody different five years from now than you thought you would be.

Ad Info: Continue your learning past what you hear today, EIM offers certifications that elevate your clinical decision making and help get you to the next level of patient care and expertise. Get 5% off by letting your program advisor know you’re a PT Elevated Podcast listener. Check out your program options here.

The last episode of the season will feature questions and comments from you the listener. Send your questions, whether they be episode-specific, clinical or research-related to podcast@eimpt.com. Your question may be featured in the last episode, so include some info about you and your practice. We look forward to hearing your questions!

More Links:

2017 Neck Pain Clinical Practice Guideline

@djclewpt

@ZimneyKJ

@PMintkenDPT

@EIMTeam

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,...

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 a Ph.D. in Physical Therapy from Nova Southeastern University in 2020. His dissertation focused on the construct of trust as part of the therapeutic alliance and its relation...

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