The diversity and complexity of the evidence base for
the effectiveness of massage therapy for the treatment of
nonspecific low back pain underscores the importance of
a collaborative, patient-centered decision making process
between the patient and the health professional, which is
informed by best available evidence. In addition to this,
sound clinical reasoning, expertise of individual health professionals,
and health outcome data, collected using rigorous
outcome measures, should underpin the integration of the
findings from this umbrella review into clinical practice.
These processes build on the philosophy of evidence-based
practice in health care.