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

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: Clinical Practice Guidelines for Pelvic Girdle Pain in the Postpartum Population
Adrienne H. Simonds, PT, PhD; Karen Abraham, PT, PhD; Theresa Spitznagle, PT,
DPT, Board-Certified Women's Health Clinical Specialist

The Clinical Practice Guidelines for Pelvic Girdle Pain in the Postpartum Population are ready for review!  Download the Guidelines document and complete the survey to provide feedback on the recommendations.  After reviewing the Guideline, the survey should take 5-10 minutes.

The Academy of Pelvic Health Physical Therapy (APHPT) of the American Physical Therapy Association (APTA) is committed to creating evidence-based practice guidelines for women’s health physical therapy management of patients with musculoskeletal impairments. The purposes of this clinical guideline are to describe evidence-based physical therapy practice including screening, diagnosis, prognosis, intervention, and assessment of outcome for women with postpartum pelvic girdle pain (PP-PGP).

The survey closes at 11:59pm ET, October 22, 2021.


View/Download CPG Draft


Take Survey Now

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

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

Adult Inflammatory Bowel Disease, Physical Therapy, & Exercise CPG Referral, Evaluation, and Interventions
Jessica Rappich Elia, PT, DPT (Lead), Eileen V. Johnson, PT, DPT, Danielle N. Long, PT, DPT, Amanda Ann Olson, PT, DPT, Roberto Sandoval, PT, PhD, Tiara Nicole Stingley, 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.