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Back Pain Treatment: An Exploration of Risk Stratified and Stepped Care Models


21 October 2021


08:00 AM09:30 AM

2021 Global Year Webinar

IASP is offering a webinar series as part of its 2021 Global Year About Back Pain. Webinars will be scheduled and added to this list on a regular basis. Check back often to see when new information is added. All webinars are free for IASP members. Some webinars indicated with an asterisk (*) have a fee for non-members.

Please view the recording below


This webinar will explore the evidence for risk-stratified and stepped care models for back pain, challenges to their implementation, and future directions.


Alice Kongsted, PhD, University of Southern Denmark

Models of care for back pain– What and why?

Alice Kongsted is a Professor in Musculoskeletal Research in Primary Care at the Department of Sports Science and Clinical Biomechanics at the University of Southern Denmark, and a senior researcher at the Chiropractic Knowledge Hub.
Her research interests concern spinal pain with a focus on primary care. This includes investigating how evidence-based care for spinal pain is implemented in practice, and why people with spinal pain conditions have very different outcomes. She has led the development of “GLA:D Back”, a program for implementation of patient education and exercises to support self-management in people with persistent back pain. Until 2009 she worked partly as a chiropractor, and her research combines a clinical background with a strong interest in methodology.
She has been member of working groups for The Danish Health Authority’s development of three national clinical guidelines for treatment of back and neck conditions. In 2018, she was part of the Lancet Low Back Pain Series Working Group that published three papers to call for worldwide attention to the growing burden of back pain.

Jonathan Hill, PhD, School of Medicine, Keele University, United Kingdom

Risk stratification for back pain: What’s the evidence?

Jonathan Hill qualified as a Physiotherapist in 1994 at Manchester Royal Infirmary in the UK, where he stayed on to also complete an MSc in Physiotherapy. He then worked clinically as an MSK physiotherapist in the UK, India and Australia, and then returned to begin a research career in 1999, in the Musculoskeletal research group at Keele University (UK). He completed his PhD in 2007, to develop and validate the well-known STarT Back risk stratification Tool and then went on as a post-doc researcher to conduct the STarT Back trial published in The Lancet in 2011.

Since then, Jonathan has continued as a researcher at Keele where he is now a Reader in Physiotherapy and Director of Research for the School of Allied Health Professionals. He has continued to focus on risk stratification research and has been involved in the SCOPiC trial testing stratified care in sciatica, the STarT MSK trial testing stratified care in a broad range of MSK conditions in General Practice, and most recently the EU Horizon 2020 project – called Back-UP – which has been focussed on implementing a stratified care approach using individualised prediction models for back and neck pain within a cloud-based IT platform for use across Europe.

Lucíola da Cunha Menezes Costa, PhD, Universidade Cidade de São Paulo – UNICID, Brazil

Are risk-stratified and stepped care models universal? An example in Brazil

Lucíola Menezes Costa is a Brazilian physiotherapist with a PhD from the University of Sydney – Australia. She is an Associate Professor of the Masters and Doctoral Programs in Physical Therapy at Universidade Cidade de São Paulo – Brazil. She is also a former associate editor of Journal of Orthopaedic and Sports Physical Therapy and an associate editor of the Brazilian Journal of Physical Therapy. Most of Lucíola’s research is conducted in primary care. She has completed clinical trials, prognostic studies and systematic reviews in the low back pain field. Lucíola has 75 articles published in international peer-reviewed journals, including publications in the Lancet, BMJ and Cochrane reviews. She has received research funding from the main Brazilian Funding Agencies and she holds as honorary CNPq (National Council for Scientific and Technological Development) Fellowship. Her research interests involve studies on the prognosis of low back pain, studies related to non-pharmacological interventions for patients with back pain and research methodology in general. Lucíola has extensive experience in running evidence-based practice courses and workshops in Brazil.


Gabrielle Pagé, PhD, Université de Montréal, Canada

Dr. Pagé is a clinical psychologist and pain researcher in the Department of Anesthesiology and Pain Medicine at the Université de Montréal. She is also a scientist at the Research Center of the Centre hospitalier du Université de Montréal. She is a Junior 1 research scholar from the Fonds de recherche du Québec en santé. She is a member of the scientific committee of the strategic initiative on low back pain and co-leads the strategic initiative on the judicious use of opioids of the Quebec Pain Research Network.

Her line of research examines the bidirectional associations between stress and pain, the trajectories from acute to chronic pain, and the impact of mental and physical comorbidities on chronic pain treatment response.

To learn more about the Global Year About Back Pain, please visit: iasp-pain.org/GlobalYear

Be sure to follow #GlobalYear2021 and #IASPGlobalYear and IASP on LinkedInFacebook, Instagram, and Twitter!

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