Ballengee Lindsay A, Zullig Leah L, George Steven Z
Department of Orthopaedic Surgery, Duke University, Durham, NC, USA.
Division of Physical Therapy, Duke University, Durham, NC, USA.
J Pain Res. 2021 Dec 7;14:3747-3757. doi: 10.2147/JPR.S311973. eCollection 2021.
Low back pain continues to be a leading cause of disability and cost throughout the world. Evidence-based guidelines recommend use of non-pharmacological interventions to address decreases in physical function due to low back pain. Psychologically informed physical therapy (PIPT) is one way to effectively and efficiently address the need for non-pharmacological approaches. However, adoption of psychologically informed practice (PiP) by physical therapists has shown mixed results due to implementation challenges. In this perspective, we discuss the current state of PIPT training and implementation. We also propose a conceptual roadmap for future implementation needs related to increasing delivery of PIPT-informed approaches.
腰痛仍然是全球致残和成本的主要原因。循证指南建议使用非药物干预措施来解决因腰痛导致的身体功能下降问题。心理导向物理治疗(PIPT)是有效且高效满足非药物治疗方法需求的一种方式。然而,由于实施方面的挑战,物理治疗师采用心理导向实践(PiP)的效果参差不齐。在这篇观点文章中,我们讨论了PIPT培训和实施的现状。我们还提出了一个概念路线图,以满足未来与增加提供基于PIPT的方法相关的实施需求。