Evidence map›Paper›PMID 42032142›Full record

ArticleScientific reports2026

Implementation status and barriers to multimodal management of low back pain among physical therapists: A cross-sectional study.

Ryo Miyachi, Takaaki Nishimura, Masahiro Noguchi, Akio Goda, Yuji Kanazawa, Koshi Shimizu, Hisashi Narimiya, Sachiko Madokoro, Kentaro Mori, Takashi Kitagawa and 1 more

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Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Ryo MiyachiFaculty of Health and Medical Sciences, Hokuriku University, 1-1 Taiyogaoka, Kanazawa, 920-1180, Ishikawa, Japan. ry_miyachi@hokuriku-u.ac.jp.
Takaaki NishimuraFaculty of Health and Medical Sciences, Hokuriku University, 1-1 Taiyogaoka, Kanazawa, 920-1180, Ishikawa, Japan.
Masahiro NoguchiFaculty of Health and Medical Sciences, Hokuriku University, 1-1 Taiyogaoka, Kanazawa, 920-1180, Ishikawa, Japan.
Akio GodaFaculty of Health and Medical Sciences, Hokuriku University, 1-1 Taiyogaoka, Kanazawa, 920-1180, Ishikawa, Japan.
Yuji KanazawaFaculty of Health and Medical Sciences, Hokuriku University, 1-1 Taiyogaoka, Kanazawa, 920-1180, Ishikawa, Japan.
Koshi ShimizuKeyaki Orthopedic Clinic, Kanazawa, Japan.
Hisashi NarimiyaKeyaki Orthopedic Clinic, Kanazawa, Japan.
Sachiko MadokoroFaculty of Health Sciences, Institute of Medical, Pharmaceutical, and Health Sciences, Kanazawa University, Kanazawa, Japan.
Kentaro MoriDepartment of Rehabilitation, Ishikawaken Saiseikai Kanazawa Hospital, Kanazawa, Japan.
Takashi KitagawaDepartment of Physical Therapy, School of Health Sciences, Shinshu University, Matsumoto, Japan.
Yayoi KojimaFaculty of International Communication, Hokuriku University, Kanazawa, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to investigate the implementation of multimodal assessments and interventions for low back pain (LBP) among physical therapists and identify the reasons and participants’ background characteristics associated with non-implementation. A cross-sectional online survey was conducted among members of the Ishikawa Physical Therapy Association in Japan with clinical experience in managing patients with LBP. A total of 140 valid responses were analyzed. The questionnaire included multiple-choice items on respondent and patient characteristics, awareness of LBP-related factors (five domains: biomechanical, psychological, social, lifestyle, and metabolic; 18 sub-items), implementation and reasons for non-implementation of assessments and interventions, and types of interventions provided. Comparisons among the five domains showed that awareness and implementation were significantly higher for biomechanical factors than for the other domains, whereas for psychological and metabolic factors, they were significantly lower. The main reasons for non-implementation were a lack of knowledge or skills, limited time, and delegation to other professionals. Discriminant analysis showed that these reasons varied depending on work setting and patient characteristics. These findings suggest that physical therapy for LBP tends to focus on biomechanical factors, whereas psychological, lifestyle, and metabolic perspectives are less frequently integrated into practice. The results also indicate that educational and organizational factors, along with role boundaries and interprofessional considerations, may influence how these domains are addressed in clinical settings.

Indexed as

Low Back PainPhysical TherapistsPhysical Therapy ModalitiesAdultCombined Modality TherapyCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHumansJapanMaleMiddle AgedSurveys and QuestionnairesImplementation barriersLow back painMultimodal managementPhysical therapistsQuestionnaire survey

Identifiers

PMID42032142
PMCPMC13280009

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.