OBJECTIVES: This project aimed to promote running as the best treatment for lower back pain (LBP) in an outpatient setting. INTRODUCTION: LBP is one of the most prevalent conditions worldwide. Sixty-two percent of all Germans experience episodes of non-specific back pain at least once a year, with one-fifth developing chronic conditions. Intervertebral disc (IVD) degeneration is a natural process, contributing to periods of acute LBP. However, the scientific literature and guidelines partially overlook the significance of water management in IVD. This implementation project sought to address this gap by educating patients about this process. Running and/or walking were chosen as general approaches for treatment rather than specific disease-related approaches. METHODS: This implementation project was conducted in an outpatient physiotherapy clinic in Brandenburg, Germany, utilizing the JBI Evidence Implementation Framework. An evidence-informed clinical audit and feedback strategy was used to measure compliance with ten audit criteria. Five physiotherapists and 20 patients took part in the audits. RESULTS: At baseline, only 20% of participating physiotherapists screened for yellow flags regarding psychological issues. However, after project implementation, this criterion scored 100% compliance. Some patients performed exercises independently, but confusion persisted regarding the choice of beneficial exercises. Patients continued running, but those who took a break due to pain expressed uncertainty about resuming. CONCLUSIONS: The project highlighted the effectiveness of collaborative efforts between patients and therapists to address the issue. The project team's conviction in action and solution strategies serves as the foundation for this collaboration. This implementation strategy provided "running" patients with the confidence to either resume or reintegrate running after an extended break. SPANISH ABSTRACT: http://links.lww.com/IJEBH/A222.

Center of Orthopaedics and Traumatology University Hospital Brandenburg Havel Brandenburg Medical School Theodor Fontane Brandenburg a d H Germany

Chair of Epidemiology and Preventive Medicine Department of Hygiene and Dietetics Jagiellonian University Medical College Kraków Poland

Cochrane Czech Republic Czech Republic A JBI Centre of Excellence Czech GRADE Network Institute of Health Information and Statistics of the Czech Republic Prague Czech Republic

Department of Prosthodontics Study of Dental Medicine University of Split School of Medicine Split Croatia

Ergonomics and Biomedical Monitoring Laboratory Department of Physiotherapy Faculty of Health Sciences Wrocław Medical University Wrocław Poland

Evidence Based Practice in Brandenburg A JBI Affiliated Group Brandenburg Medical School Theodor Fontane Brandenburg a d H Germany

Faculty of Health Sciences Brandenburg Brandenburg Medical School Theodor Fontane Brandenburg a d H Germany

Institute of Special Education Studies Palacký University Olomouc Olomouc Czech Republic

Citace poskytuje Crossref.org