Combining Treatment Based Classification and the Ortho Section’s Clinical Practice Guidelines
Neck pain cannot be managed as a single entity. Classification of patients with neck pain into distinct subgroups helps to direct treatment. However, many different classification systems exist and lead to some confusion as to the best approach. This course looks at 2 commonly used classification systems, Treatment Based Classification and the Orthopaedic Section’s Clinical Practice Guidelines, and combines them into a useful, clinical approach. The course also reviews determining the suitability of physical therapy treatments, including recognizing medical concerns and nonorganic pain.
Duration: one hour
Instructor: Scott A. Biely, PT, DPT, PhD
Course Objectives:
- Recognize the necessity of classification in treating neck pain.
- Identify different classification systems.
- Describe the Treatment Based Classification System.
- Recognize medical conditions that would take precedence over physical therapy treatment.
- Understand how to determine the nonorganic component of a patient’s pain
- Apply appropriate interventions for a patient with a high nonorganic component to their pain .
- Describe the Ortho Section’s Clinical Practice Guidelines.
- Understand the strengths and weaknesses of both classification systems and describe how the 2 can be used clinically.
- Blanpied PR, Gross AR, Elliott JM, Devaney LL, Clewley D, Walton DM, Sparks C, Robertson EK, Neck pain: revision 2017: clinical practice guidelines linked to the International Classfiication of Functioning, Disabilikty, and Health from the Orthopaedic Section of the American Physical Therapy Association. J Orthop Sports Phys Ther. 2017;47(7):A1-A83.
- Childs JD, Fritz JM, Piva SR, Whitman JM. Proposal of a classification system for patients with neck pain. J Orthop Sports Phys Ther. 2004;34(11):686-700.
- Childs JD, Cleland JA, Elliott JM, Teyhen DS, Wainner RS, Whitman JM, Sopky BJ, Godges JJ, Flynn TW. Neck pain: clinical practice guidelines linked to the International Classfiication of Functioning, Disabilikty, and Health from the Orthopaedic Section of the American Physical Therapy Association. J Orthop Sports Phys Ther. 2008;38(9):A1-A34.
- Goodman CC, Boissonnault WG, Fuller KS. Pathology: Implications for the Physical Therapist. Philadelphia: Saunders, 2003.
- Riddle DL. Classification and Low Back Pain: A Review of the Literature and Critical Analysis of Selected Systems. Phys Ther. 1998; 78(7):708-737
