التفاصيل البيبلوغرافية
| العنوان: |
How Do Physiotherapists Explain Influencing Factors to Chronic Low Back Pain? A Qualitative Study Using a Fictive Case of Chronic Non-Specific Low Back Pain |
| المؤلفون: |
Rob Vanderstraeten, Antoine Fourré, Isaline Demeure, Christophe Demoulin, Jozef Michielsen, Sibyl Anthierens, Hilde Bastiaens, Nathalie Roussel |
| المصدر: |
International Journal of Environmental Research and Public Health; Volume 20; Issue 10; Pages: 5828 |
| بيانات النشر: |
Multidisciplinary Digital Publishing Institute |
| سنة النشر: |
2023 |
| المجموعة: |
MDPI Open Access Publishing |
| مصطلحات موضوعية: |
biopsychosocial, belief, chronic, behaviour, physiotherapy |
| جغرافية الموضوع: |
agris |
| الوصف: |
Background: While pain is influenced by multiple factors including psychosocial factors, previous research has shown that physiotherapists still favour a biomedical approach. Purpose: To evaluate: (1) how physiotherapists explain the patient’s chronic non-specific low back pain (LBP); (2) whether physiotherapists use one or multiple influencing factors, and (3) whether these factors are framed in a biopsychosocial or biomedical approach. Materials and methods: This exploratory qualitative study uses a vignette depicting chronic non-specific LBP and employs a flexible framework analysis. Physiotherapists were asked to mention contributing factors to the pain based on this vignette. Five themes were predefined (“Beliefs”, “Previous experiences”, “Emotions”, “Patients behaviour”, “Contextual factors”) and explored. Results: Physiotherapists use very brief explanations when reporting contributing factors to chronic pain (median 13 words). Out of 670 physiotherapists, only 40% mentioned more than two different themes and 2/3rds did not see any link between the patients’ misbeliefs and pain. Only a quarter of the participants mentioned the patient’s worries about pain and movement, which is considered to be an important influencing factor. Conclusion: The lack of a multifactorial approach and the persistent biomedical beliefs suggest that it remains a challenge for physiotherapists to fully integrate the biopsychosocial framework into their management of chronic LBP. |
| نوع الوثيقة: |
text |
| وصف الملف: |
application/pdf |
| اللغة: |
English |
| العلاقة: |
Health Behavior, Chronic Disease and Health Promotion; https://dx.doi.org/10.3390/ijerph20105828Test |
| DOI: |
10.3390/ijerph20105828 |
| الإتاحة: |
https://doi.org/10.3390/ijerph20105828Test |
| حقوق: |
https://creativecommons.org/licenses/by/4.0Test/ |
| رقم الانضمام: |
edsbas.935A1A1A |
| قاعدة البيانات: |
BASE |
