Postgraduate Program in Rehabilitation Sciences, Centro Universitário Augusto Motta, UNISUAM, Rio de Janeiro, Brazil.
Clinical Medicine Department, Instituto Federal do Rio de Janeiro, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Spine (Phila Pa 1976). 2020 Oct 1;45(19):1354-1359. doi: 10.1097/BRS.0000000000003487.
Observational cross-sectional study.
To analyze the association between low back pain and biomedical beliefs in physiotherapy students of the first and last year.
There is a hypothesis that the presence of low back pain may be a risk factor for biomedical beliefs in physiotherapy academics.
Three hundred sixty-five students of first and last year of the physiotherapy course from three universities in city of Fortaleza completed a questionnaire with sociodemographic factors and a Pain Attitude and Beliefs Scale used to determine the orientation (biopsychosocial or biomedical approach) of practitioners to the management of people with low back pain.
The mean age of participants was 23.57 ± 4.77 years, with a predominance of females (80.27%, n = 239). Approximately 23.84% reported low back pain, 18.9% had undergone imaging tests at the site, and 36.71% reported that family members with low back pain also underwent these examinations. The means of the biopsychosocial subscale of the Pain Attitude and Belief Scale corresponded to 20.19 and 20.63 in the first and last year academics, respectively, whereas the biomedical subscale corresponded to 32.10 and 32.73 in the first and last year academics, respectively. There was no statistical difference between the scores of the first and last year students. Linear regression analyses showed that low back pain was associated with lower levels of biomedical beliefs in the students of the last year (beta coefficient = -2.17, 95% confidence interval = -3.95 to -0.3, P = 0.02). We did not find association between low back pain and levels of biomedical beliefs in academics of both years and with academics of the first year. Also, we did not find association between low back pain and levels of biopsychosocial beliefs.
First and last year physical therapy students did not present a difference between biomedical and biopsychosocial beliefs. Although biomedical beliefs were prevalent in both groups, the academics of the last year who had low back pain presented lower levels of biomedical beliefs than the academics of the last year without low back symptoms.
观察性横截面研究。
分析第一年和最后一年物理治疗专业学生的腰痛与生物医学信仰之间的关联。
有一种假设认为，腰痛的存在可能是物理治疗专业学生生物医学信仰的一个风险因素。
来自福塔莱萨市三所大学的 365 名第一年和最后一年的物理治疗专业学生完成了一份问卷，其中包括社会人口因素和疼痛态度和信念量表，用于确定从业者对管理腰痛患者的方向（生物心理社会或生物医学方法）。
参与者的平均年龄为 23.57±4.77 岁，女性居多（80.27%，n=239）。约 23.84%的人报告腰痛，18.9%的人在该部位进行了影像学检查，36.71%的人报告称腰痛患者的家庭成员也进行了这些检查。疼痛态度和信念量表的生物心理社会分量表的平均值分别为第一年和最后一年学生的 20.19 和 20.63，而生物医学分量表的平均值分别为第一年和最后一年学生的 32.10 和 32.73。第一年和最后一年学生的分数之间没有统计学差异。线性回归分析表明，最后一年学生的腰痛与较低的生物医学信仰水平相关（β系数=-2.17，95%置信区间=-3.95 至-0.3，P=0.02）。我们没有发现腰痛与两年制学生以及第一年学生的生物医学信仰水平之间的关联，也没有发现腰痛与生物心理社会信仰水平之间的关联。
第一年级和最后年级的物理治疗学生在生物医学和生物心理社会信仰之间没有差异。尽管两组学生都普遍存在生物医学信仰，但患有腰痛的最后年级学生的生物医学信仰水平低于没有腰痛症状的最后年级学生。
4 级。
