Louw Adriaan, Puentedura Emilio J, Zimney Kory
a International Spine and Pain Institute , Story City , IA , USA .
b Department of Physical Therapy , School of Allied Health Sciences, University of Nevada, Las Vegas , Las Vegas , NV , USA , and.
Physiother Theory Pract. 2015;31(8):562-7. doi: 10.3109/09593985.2015.1062944. Epub 2015 Oct 9.
Patients with low back pain (LBP) often display faulty beliefs and cognitions regarding their pain experience. Pain neuroscience education (PNE) aims to alter the pain experience by targeting these faulty beliefs and cognitions. One PNE strategy aims specifically to reframe commonly held beliefs about tissues by patients with LBP as the single source of pain. In line with this reasoning, it is hypothesized that physical therapists (PT) treating patients with LBP may indeed experience similar, if not worse, pain experiences while treating a patient with LBP. To date, this assumption has never been studied. A PT LBP questionnaire was developed, validated and distributed to a convenience sample of attendees of an international PT conference. One-hundred and ten PTs completed the questionnaire for a 71% response rate. Ninety percent of the PTs reported having experienced LBP, with 27% at the conference experiencing LBP at the time. Of the PTs that have experienced LBP 75% reported not having received any imaging; 81% no formal diagnoses, 58% no treatment and 86% not having missed work due to LBP. Eighty-six percent of therapists reported having experienced LBP while treating a patient with LBP, with 50% convinced their LBP was higher than the LBP experienced by the patient they were treating. The results from this study indicate PTs often treat patients with LBP while suffering LBP. It is suggested that this knowledge may potentially help patients with LBP reconceptualize their LBP experience leading to expedited recovery.
下背痛（LBP）患者在疼痛体验方面常常表现出错误的信念和认知。疼痛神经科学教育（PNE）旨在通过针对这些错误的信念和认知来改变疼痛体验。一种PNE策略专门旨在将LBP患者关于组织是疼痛唯一来源的普遍信念进行重新构建。基于这一推理，据推测，治疗LBP患者的物理治疗师（PT）在治疗LBP患者时可能确实会经历相似甚至更糟的疼痛体验。迄今为止，这一假设从未被研究过。一份PT下背痛问卷被开发、验证并分发给了一个国际PT会议参会者的便利样本。110名PT完成了问卷，回复率为71%。90%的PT报告曾经历过下背痛，其中27%在会议期间正经历下背痛。在曾经历过下背痛的PT中，75%报告未接受过任何影像学检查；81%未得到过正式诊断，58%未接受过治疗，86%未因下背痛而缺勤。86%的治疗师报告在治疗LBP患者时曾经历过下背痛，其中50%确信他们的下背痛程度高于他们正在治疗的患者所经历的下背痛程度。这项研究的结果表明，PT在自身遭受下背痛时常常治疗LBP患者。有人认为，这一认知可能有助于LBP患者重新认识他们的下背痛体验，从而加快康复。
