Background: Low back pain is a common problem with evidence sug- gesting that a reduction in lumbar spine endurance (LSE) may contribute to its onset. A number of performance based measures assessing LSE are described in the literature and may be valuable to inform clinical evalua- tion. Clinicians should carefully consider the measurement properties of ameasure before using in practice. Purpose: To systematically review the measurement properties of LSE outcome measures in participants with and without low back pain Methods: A systematic review was conducted according to a pre-defined protocol and is reported in line with PRISMA. Two independent reviewers searched the Cochrane Library, EBSCO (CINAHL plus, AMED, Medline, SPORTDiscus) from inception to 30 th January 2015 screening all articles by title and abstract, and then potentially relevant articles by full text. A manual search of articles reference lists was also conducted. Contact was made with recognised and already published authors in this area to identify unpublished work. Studies that evaluated measurement proper- ties of at least one field based LSE outcome measure in a population of adults over 18 years of age were included. Population disease status did not affect eligibility. Studies published in languages other than English were excluded. Data were extracted and methodological quality evaluated using COSMIN (COnsensus-based Standards for the selection of health Mea- surement INstruments) independently by two reviewers. At each stage, a third reviewer mediated any disagreement. GRADE (Grading of Recom- mendations Assessment, Development and Evaluation) was adapted to enable a qualitative synthesis of results across studies and measures Results: Twenty five studies evaluating 22 outcome measures were included following an initial retrieval of 568 citations. Measures were catagorised into 14 groups according to common terminology. Five mea- surement properties were evaluated (test-retest, inter and intratester reliability; criterion and content validity).Reliability - Static and dynamic, flexion based measures demonstrated strong/very strong reliability. Static and dynamic, extension based measures revealed the Ito extensor test had consistently stronger magnitudes of reliability than the Biering Sorensen (BS) and prone double straight leg raise test although methodological quality ranged from poor to fair. The side bridge and flexion rotation trunk test explored reliability and reported very strong magnitudes. Criterion Validity -Electromyography and isokinetic dynamometry were used as gold standards for a number of the measures. Changes were found in physiological markers of fatigue across all the studies with further detail on the exact muscle groups tested also documented for example, median frequency slope decrease in lumbar paraspinal muscles was more than in glute max or bicep femoris muscle groups for biering sorensen test or physiological markers of fatigue, most significantly in the ipsilateral external oblique and contralateral erector spinae for the lateral hold on roman chair. Content Validity - The ITFT, abdominal static endurance test, BS and Ito extensor test found correlation between performance and measures of psychosocial components; both of which were rated excellent. Conclusion: A number of measures require further research to evaluate the essential measurement properties more comprehensively. Measures that assess the lateral flexors statically and rotators dynamically should evaluate the criterion and content validity, measurement error and responsiveness. Implications: The ITFT is recommended in practice however this measure requires criterion validation. The Ito extensor and BS test were the most comprehensively evaluated measures in relation to the essential mea- surement properties with the Ito extensor test the recommended test when wanting to assess the extensors statically, with regards to LSE. Funding acknowledgements: Nil Ethics approval: Nil Disclosure of interest: None Declared Keywords: Lumbar spine rehabilitation, Performance based outcomes, Systematic review Intergrating Research into practice PO2-LB-045 AN AUDIT OF THE ADHERENCE TO THE NICE GUIDELINES FOR LOW BACK PAIN IN WESTERN SUSSEX HOSPITALS NHS TRUST OUTPATIENT DEPARTMENT A. Kemp Background: Back pain costs the UK National Health Service an estimated £481 million (Office of National statistics, 2013). The NICE guidelines for the early management of persistent non-specific low back pain (NSLBP) (2009) were developed as UK national guidance by a panel of experts including doctors, physiotherapist, chiropractors, nurses and psycholo- gists. The guidelines recommended that all patients with NSLBP should be offered one of the following treatment options; advice and reassurance; an exercise programme (either group or individual); manual therapy or a course of acupuncture. Previous audits in the same department had shown that physiotherapists were not always recording all treatments that had been offered, especially advice and exercise. Previous audits had shown that staff were not offering therapies that were not recommended in the guidelines such as electrotherapy or traction. Purpose: As a result of previous audits, new notes were designed to facilitate recording of treatment interventions set against NICE guidance. This audit was undertaken to measure the effect of introducing the new paperwork on compliance with NICE guidelines. Standards were set, with the expectation that 100% of patients would have been offered treatment in line with the guidelines and that this would have been recorded in 100% of the patients notes. Secondary objectives included using this audit as part of the wider hospital Trust's audit profile, and part of the body of evidence of governance and quality within the physiotherapy service. Methods: A total of 60 sets of notes with a diagnosis code of LBP were randomly selected for auditing. After completing previous audits a simple audit sheet had been developed using a tick list of the audit categories which was placed on the reverse of the front sheet in the notes to make the auditing process easier. Results: 100% of patients were offered at least one of the recommended treatments. 68% of patients audited were offered more than one of the recommended treatments. Conclusion: One hundred percent of the patients audited had been offered at least one of the treatment options recommended in the 2009 NICE guidelines. This showed a vast improvement on the previous audit figures, supporting the decision to change the physiotherapy notes. The 2009 guidelines are currently being updated and are due to be pub- lished in September 2016. After reviewing the new guidelines it will be determined if our departmental standards will need to change and whether the focus of future audits will need to be adapted after any changes in practice have had a reasonable time frame to become embedded in practice. The focus of the physiotherapy department on audit related to the national guidelines has helped raise the profile of the department within the trust in terms of quality and governance and has helped to establish a leading role for staff in audit within the organisation. Funding acknowledgements: Unfunded. Ethics approval: Not required. Disclosure of interest: None Declared Keywords: None Intergrating Research into practice PO2-LB-046 TO INVESTIGATE PATIENT BELIEFS REGARDING LOW BACK PAIN (LBP) FOLLOWING CONSERVATIVE PHYSICAL REHABILITATION: A SYSTEMATIC REVIEW J. Hurley 1, * , M. O'Keeffe 1 , A. Synnott 1 , S. Bunzli 2 , W. Dankaerts 3 , P. O'Sullivan 2 , K. O'Sullivan 1 . 1 Clinical Therapies, University of Limerick, Limerick, Ireland; 2 Physiotherapy and Exercise Science, Curtin University, Perth, Australia; 3 Rehabilitation Sciences, KU Leuven, Leuven, Belgium * Corresponding author. Background: Several studies have demonstrated that negative patient beliefs are closely related to current and future LBP disability. Therefore, it has been proposed that a key component of rehabilitation should be tar- geting inaccurate beliefs about LBP. This would include challenging beliefs such as; exercise and activity are dangerous; advanced radiological im- aging is useful for LBP; the prognosis for LBP is bleak. Studies have discovered that healthcare professionals sometimes struggle with the Abstracts / Manual Therapy 25 (2016) e57ee169 e139