Physiotherapy Department, Faculty of Applied Medical Sciences, Umm Al-Qura University, Mecca, Saudi Arabia
NHMRC Centre of Clinical Research Excellence in Spinal Pain, Injury and Health, School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Queensland, Australia.
BMJ Open. 2020 Jun 22;10(6):e037159. doi: 10.1136/bmjopen-2020-037159.
The main aim of this study was to investigate physiotherapists' pain attitudes and beliefs towardss non-specific chronic low back pain (NSCLBP) and identify whether they are associated with treatment selection.
Cross-sectional study.
Saudi Arabia (SA).
An online survey was distributed to physiotherapists from April 2018 to January 2019. PRIMARY AND SECONDARY OUTCOME MEASURES: (1) Biomedical and biopsychosocial treatment orientations were assessed using the Pain Attitudes and Beliefs Scale for Physiotherapists. (2) Frequent potential treatments used by physiotherapists for individuals with NSCLBP were identified through a 20-item survey. (3) The association between physiotherapists' pain attitudes and beliefs and treatment selection was investigated. Descriptive analysis, Pearson's correlation and multinomial logistic regression were used to analyse the data using SPSS (V.26).
A total of 304 responses were included in the analysis. The biomedical (34.45±7.84) and biopsychosocial (31.74±5.67) treatment orientations were relatively low. The most frequent treatments used by physiotherapists were home exercises (87.1%), patient education (82.0%), specific back exercises (80.6%), electrotherapy (61.9%), soft tissue release (58.8%) and spinal mobilisation or manipulation (57.8%). Physiotherapists with a stronger biomedical treatment orientation were more likely to use treatments (p<0.05) such as specific back exercises, electrotherapy, soft tissue release, hydrotherapy, massage, lumbar supports and acupuncture. However, physiotherapists with a stronger biopsychosocial treatment orientation were more likely to use cognitive functional therapy (p<0.01).
Biomedical and biopsychosocial treatment orientations were relatively low among physiotherapists in SA. Although treatments such as home exercises and patient education were frequently used, some passive and traditional treatments not recommended by clinical practice guidelines continue to be commonly used by physiotherapists in SA. This study has confirmed that physiotherapists' pain attitudes and beliefs are significantly associated with treatment selection when managing individuals with NSCLBP.
Researchregistry3944.
本研究的主要目的是调查物理治疗师对非特异性慢性下腰痛（NSCLBP）的疼痛态度和信念，并确定这些态度和信念是否与治疗选择有关。
横断面研究。
沙特阿拉伯（SA）。
2018 年 4 月至 2019 年 1 月期间，向物理治疗师在线分发了一份调查问卷。
（1）使用物理治疗师疼痛态度和信念量表评估生物医学和生物心理社会治疗方向。（2）通过 20 项调查确定物理治疗师对 NSCLBP 患者常用的常见潜在治疗方法。（3）研究物理治疗师的疼痛态度和信念与治疗选择之间的关系。使用 SPSS（V.26）进行描述性分析、皮尔逊相关分析和多项逻辑回归分析。
共纳入 304 份有效回复。生物医学（34.45±7.84）和生物心理社会（31.74±5.67）治疗方向相对较低。物理治疗师最常使用的治疗方法是家庭锻炼（87.1%）、患者教育（82.0%）、特定背部锻炼（80.6%）、电疗（61.9%）、软组织松解（58.8%）和脊柱松动或推拿（57.8%）。具有较强生物医学治疗方向的物理治疗师更倾向于使用特定的背部锻炼、电疗、软组织松解、水疗、按摩、腰部支撑和针灸等治疗方法（p<0.05）。然而，具有较强生物心理社会治疗方向的物理治疗师更倾向于使用认知功能治疗（p<0.01）。
沙特阿拉伯的物理治疗师中，生物医学和生物心理社会治疗方向相对较低。尽管经常使用家庭锻炼和患者教育等治疗方法，但一些不被临床实践指南推荐的被动和传统治疗方法仍被沙特阿拉伯的物理治疗师广泛使用。本研究证实，物理治疗师对疼痛的态度和信念与管理非特异性慢性下腰痛患者的治疗选择显著相关。
Researchregistry3944。
