Clinical Practice Guidelines (CPG)

Browse our list of CPGs (published and in development) or nominate a CPG topic for the CPG Steering Committee’s consideration.

The IOM (2011) defined Clinical Practice Guidelines (CPG) as “statements that include recommendations intended to optimize patient care that are informed by a systematic review of evidence and an assessment of the benefits and harms of alternative care options.”  The foundation of the CPG is a systematic review of the evidence of a condition. The process has a major focus on the strength of the evidence by which clinical decision-making for that condition is based.  The Guideline also includes a set of recommendations, based on the evidence and value judgments regarding benefits and harms of alternative care options to address patient management.

CPG Steering Committee Chair
Tracy M. Spitznagle, PT, DPT
Board-Certified Women’s Health Clinical Specialist
cpgsteering@aptapelvichealth.org

Committee Members

  • Karen Abraham
  • Danielle Long
  • Shayne Tarrance
  • Darryl Young
  • Board Liaison: Kim Parker-Guerrero, Director of Practice
  • Staff Liaison: Aika Barzhaxynova, Executive Director

CPGs Open for Public Comment

Draft: Physical Therapy Management of Functional Constipation: A 2021 Evidence-Based
Clinical Practice Guideline From the American Physical Therapy Association’s Academy
of Pelvic Health Physical Therapy

Jenny LaCross PT, DPT, PhD(c), ATC, CLT-LANA, Board Certification in Women’s Health Physical Therapy, Diane Borello-France PT, PhD, Gregory F. Marchetti PT, MS, PhD, Rose Turner MLIS, Susan George PT, DPT, Board Certification in Women’s Health Physical Therapy, Board Certification in Orthopedic Physical Therapy

The Physical Therapy Management of Functional Constipation: A 2021 Evidence-Based Clinical Practice Guideline From the American Physical Therapy Association’s Academy of Pelvic Health Physical Therapy is ready for review! Download the Guideline document and complete the survey to provide feedback on the recommendations. After reviewing the guideline, the survey should take 5-10 minutes. All Academy of pelvic health members (including PTs, PTAs, SPTs, and other health and medical professionals) are welcome to take this survey.

The Academy of Pelvic Health Physical Therapy (APHPT) of the American Physical Therapy Association (APTA) is committed to creating evidence-based practice guidelines for pelvic health physical therapy management of patients with musculoskeletal impairments. The purposes of this clinical guideline are to describe evidence-based physical therapy intervention for individuals with functional constipation and provide action statements to guide clinical practice.

The survey closes at 11:59pm EST on December 2, 2021 

Published CPGs

Pelvic Girdle Pain in the Antepartum Population
Susan C. Clinton , PT, DScPT, OCS, Board-Certified Women's Health Clinical Specialist, FAAOMPT, Alaina Newell , PT, DPT, Board-Certified Women's Health Clinical Specialist, CLT-LANA, Patricia A. Downey , PT, PhD, DPT, Kimberly Ferreira , PT, PhD, MSPT
Published May/August 2017

The creations of clinical practice guidelines (CPGs) is a crucial process for examining and maintaining the validity of recommendations, as well as provide classification and definition using the International Classifi cation of Functioning, Disability, and Health (ICF) terminology related to impairment of body function, structure, activity limitations, and participation restrictions.

CPGs In Development 
If you wish to pitch a CPG topic, please contact our CPG steering committee at cpgsteering@aptapelvichealth.org.

Functional Lower Gastrointestinal Disorders: Constipation
Jennifer Ann LaCross, PT, DPT, ATC (Lead), Diane Borello-France, PT, PhD, Susan E. George, PT, DPT, MS, Gregory Francis Marchetti, PT, PhD

Pelvic Pain
Meryl J. Alappattu, PT, DPT, PhD (Lead), Mark Donald Bishop, PT, PhD, FAPTA, Jane Chalmers, Sandra Hilton, PT, DPT, MS, Dean Tripp, Frank Tu, Carolyn Vandyken, PT

Pelvic Girdle Pain in the Postpartum Population
Adrienne H. Simonds, PT, PhD (Lead), Karen Elizabeth Abraham, PT, PhD, Darla Bowen Cathcart, PhD, PT, DPT, Alaina Marie Newell, PT, DPT, Theresa Monaco Spitznagle, PT, DPT

Physical Therapy Intervention for Adult Women with Urinary Incontinence
J. Adrienne McAuley, PT, DPT (Lead), Jennifer Gunderman-King, Amanda Thompson Mahoney, PT, DPT, Mary McVearry Austin, PT, DPT, Katherine Miles, PT, DPT, Amy Leigh O’Boyle

Clinical Practice Guideline vs Systematic Evidence Review

In 2011, the Institute of Medicine (IOM) defined a systematic evidence review as “a scientific investigation that focuses on a specific question and uses explicit, prespecified scientific methods to identify, select, assess, and summarize the findings of similar but separate studies. It may include a quantitative synthesis (meta-analysis), depending on the available data.” Systematic evidence reviews of comparative effectiveness research to learn what is known and not known about the potential benefits and harms of alternative drugs, devices, and other healthcare services provides the best evidence to inform clinical decisions.

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