Journal of Occupational and Environmental Medicine: March 2020 – Volume 62 – Issue 3 – p e111-e138

doi: 10.1097/JOM.0000000000001812

Abstract
Objective:
This abbreviated version of the American College of Occupational and Environmental Medicine’s (ACOEM) Low Back Disorders Guideline reviews the evidence and recommendations developed for non-invasive and minimally invasive management of low back disorders.

Methods:
Systematic literature reviews were accomplished with article abstraction, critiquing, grading, evidence table compilation, and guideline finalization by a multidisciplinary expert panel and extensive peer-review to develop evidence-based guidance. Consensus recommendations were formulated when evidence was lacking. A total of 70 high-quality and 564 moderate-quality trials were identified for non-invasive low back disorders. Detailed algorithms were developed.

Results:
Guidance has been developed for the management of acute, subacute, and chronic low back disorders and rehabilitation. This includes 121 specific recommendations.

Conclusion:
Quality evidence should guide treatment for all phases of managing low back disorders.