Department of Neurosciences, Research Institute for Health Sciences and Technology, University of Mons, 7000 Mons, Belgium.
Faculty of Medicine and Health Sciences, Rehabilitation Sciences and Physiotherapy (MOVANT), University of Antwerp, 2610 Antwerpen, Belgium.
Int J Environ Res Public Health. 2023 Apr 23;20(9):5611. doi: 10.3390/ijerph20095611.
Clinical practice guidelines promote bio-psychosocial management of patients suffering from low back pain (LBP). The objective of this study was to examine the current knowledge, attitudes and beliefs of physiotherapists about a guideline-adherent approach to LBP and to assess the ability of physiotherapists to recognise signs of a specific LBP in a clinical vignette.
Physiotherapists were recruited to participate in an online study. They were asked to indicate whether they were familiar with evidence-based guidelines and then to fill in the Health Care Providers' Pain and Impairment Relationship Scale (HC-PAIRS), Back Pain Attitudes Questionnaire (Back-PAQ), Neurophysiology of Pain Questionnaire (NPQ), as well as questions related to two clinical vignettes.
In total, 527 physiotherapists participated in this study. Only 38% reported being familiar with guidelines for the management of LBP. Sixty-three percent of the physiotherapists gave guideline-inconsistent recommendations regarding work. Only half of the physiotherapists recognised the signs of a specific LBP.
The high proportion of physiotherapists unfamiliar with guidelines and demonstrating attitudes and beliefs not in line with evidence-based management of LBP is concerning. It is crucial to develop efficient strategies to enhance knowledge of guidelines among physiotherapists and increase their implementation in clinical practice.
临床实践指南提倡对患有下背痛（LBP）的患者进行生物-心理-社会管理。本研究的目的是调查物理治疗师对 LBP 遵循指南的方法的现有知识、态度和信念，并评估物理治疗师在临床病例中识别特定 LBP 迹象的能力。
招募物理治疗师参与在线研究。他们被要求表明是否熟悉循证指南，然后填写健康照护提供者的疼痛与功能障碍关系量表（HC-PAIRS）、下背痛态度问卷（Back-PAQ）、神经生理学疼痛问卷（NPQ），以及与两个临床病例相关的问题。
共有 527 名物理治疗师参与了这项研究。只有 38%的人表示熟悉 LBP 管理的指南。63%的物理治疗师针对工作提出了与指南不一致的建议。只有一半的物理治疗师能够识别特定的 LBP 迹象。
相当大比例的物理治疗师不熟悉指南，表现出与 LBP 循证管理不一致的态度和信念，这令人担忧。开发有效的策略来提高物理治疗师对指南的了解，并增加其在临床实践中的应用至关重要。
