Wolff M S, Michel T H, Krebs D E, Watts N T
Advanced Master of Science Program in Physical Therapy, MGH-Institute of Health Professions, Boston, MA 02108.
Phys Ther. 1991 Mar;71(3):207-14. doi: 10.1093/ptj/71.3.207.
Orthopedic physical therapists' knowledge of pain mechanisms and methods of pain management and their attitudes toward working with patients with benign chronic pain were studied. A random sample of 500 members of the American Physical Therapy Association's Section on Orthopaedics received by mail a 36-item questionnaire. Statistical analysis of scores, using frequencies, means, and correlations was performed on the 119 (23.8%) usable returns. All but 4% of the respondents preferred to work with patients who are not likely to have chronic pain. Seventy-two percent believed their entry-level education in pain management and theory was very inadequate or less than adequate to deal with an orthopedic patient population. Pain knowledge scores were low (35.8 out of 46 points), and the scores on positive attitudes toward treating patients with benign chronic pain were lower (20.5 out of 36 points). The study suggests specific deficiencies in orthopedic physical therapists' knowledge of clinical pain mechanisms and management and potentially undesirable attitudes toward treating patients with chronic pain.
对骨科物理治疗师关于疼痛机制和疼痛管理方法的知识，以及他们对与良性慢性疼痛患者合作的态度进行了研究。通过邮件向美国物理治疗协会骨科分会的500名成员随机抽样发放了一份包含36个条目的问卷。对119份（23.8%）有效回复进行了得分的统计分析，采用了频率、均值和相关性分析。除4%的受访者外，所有受访者都更愿意与不太可能患有慢性疼痛的患者合作。72%的受访者认为他们在疼痛管理和理论方面的入门级教育非常不足或不足以应对骨科患者群体。疼痛知识得分较低（46分中得35.8分），对治疗良性慢性疼痛患者的积极态度得分更低（36分中得20.5分）。该研究表明，骨科物理治疗师在临床疼痛机制和管理知识方面存在特定缺陷，并且对治疗慢性疼痛患者可能持有不理想的态度。
