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For the total management of your spinal condition

“... No localized joint abnormality, soft tissue change, vascular or  neural abnormality can exist without ultimately affecting the whole spine, in subtle or manifest ways ...”

Gregory Grieve, 1988


Where is BSI?

441 Bay Street, Brighton 3186
(03) 9596 7211
F: (03) 9596 7871

Systematic assessment and investigation is the cornerstone of “intelligent” musculoskeletal management.

Research into spinal pain has been occurring for many years. It has varied from simple incidence studies to the more complex and robust randomized controlled studies (RCTs). With the establishment of PEDro (a Physiotherapy Evidence Database) which provides rapid access to randomized controlled trials, systematic reviews and evidence-based clinical practice guidelines in physiotherapy ( as well as the the Cochrane Collaboration, evidence based medicine is now a reality.

The Cochrane Collaboration ( is an international non-profit and independent organization dedicated to making up-to-date, accurate information about the effects of healthcare readily available worldwide. It produces and disseminates systematic reviews of healthcare interventions and promotes the search for evidence in the form of clinical trials and other studies of interventions. The Cochrane Collaboration was founded in 1993 and named for the British epidemiologist, Archie Cochrane.

Recently, we have also seen the development of the Physiotherapy Choices website, ( in which the Centre for Evidence-Based Physiotherapy (CEBP) database provides a catalogue of the best research evidence of the effectiveness of physiotherapy interventions.

The aim of the Brighton
SpineInstitute’s research facility it to provide the health community with some meaningful clinical research results, that will allow the clinician to make clinical decisions based on the evidence from robust research papers. The following are a list of research projects that are being contemplated and hopefully undertaken in the not too distant future:

The effect on strengthening the lumbar extensors on persistent low back pain.

For a number of years, the emphasis of rehabilitation in the management of persistent lower back pain was that of the transversus abdominis and multifidus muscles. Research has shown retraining of these muscles, in the correct sequence, is all important in lower back rehabilitation. What has been de-emphasized is the role of the “antigravity” muscles, namely the erector spinae, gluteals and hamstrings muscles, which play a major role in upright function. This research aims to provide the clinician with an additional avenue by which to manage persistent lower back pain.

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