The Italian Association of Physiotherapists (AIFI) contacted all regional offices and Special Interest Groups (GIS), asking for contributions from all its representatives and members to identify the less effective physiotherapy practices which are still being widely used. A working group was established to evaluate the proposals received, extensively analyze the literature in order to verify the reliability of proposals, and select the top five treatments in clinical physical therapy practice associated with high costs and/or possible side effects. The results have been shared among the members of AIFI Executive Board and National Direction and the latest proposed changes have been collected prior to final approval by the working group.