Research Article
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The attitudes and beliefs of physiotherapists, family physicians and physiatrists concerning chronic low back pain

Year 2022, , 393 - 398, 15.03.2022
https://doi.org/10.32322/jhsm.1015826

Abstract

Objective: To examine the chronic low back pain (CLBP)-related attitudes and beliefs of primary and secondary healthcare professionals responsible for the treatment of this condition.
Material and Method: The study was conducted with 40 family physicians, 30 physiatrists, and 40 physiotherapists. The beliefs and attitudes of the participants concerning CLBP were evaluated using the Back Belief Questionnaire (BBQ), Health Care Providers’ Pain and Impairment Relationship Scale (HC-PAIRS), and Pain Attitudes and Beliefs Scale for Physiotherapists (PABS-PT).
Results: Among all the participants, the rate of those with predominantly biomedical beliefs was 80.9%, while the rate of those with predominantly biopsychosocial beliefs was 15.5%. In addition, it was observed that the BBQ, HC-PAIRS and PABS-PT scores were not affected by educational status, number of patients with CLBP treated or examined in a week, and years of experience (p>0.05). The BBQ and HC-PAIRS scores of the family physicians were statistically significantly lower compared to the physiotherapists and those of the physiotherapists were statistically significantly lower compared to the physiatrists (p<0.05). However, the PABS-PT scores were similar among different healthcare professionals (p>0.05).
Conclusion: This study revealed that family physicians, physiotherapists, and physiatrists in Turkey might have negative attitudes and beliefs concerning CLBP and the biopsychosocial approach should be further adopted among healthcare professionals.

References

  • Allegri M, Montella S, Salici F, et al. Mechanisms of low back pain: a guide for diagnosis and therapy. F1000Res 2016; 5: F1000 Faculty Rev-1530.
  • Glombiewski JA, Hartwich-Tersek J, Rief W. Two psychological interventions are effective in severely disabled, chronic back pain patients: a randomised controlled trial. Int J Behav Med 2010; 17: 97-107.
  • Manchikanti L, Singh V, Falco FJ, Benyamin RM, Hirsch JA. Epidemiology of low back pain in adults. Neuromodulation 2014; 17: 3-10.
  • Trinderup JS, Fisker A, Juhl CB, Petersen T. Fear avoidance beliefs as a predictor for long-term sick leave, disability and pain in patients with chronic low back pain. BMC Musculoskelet Disord 2018; 19: 1-8.
  • Turk DC, Wilson HD. Fear of pain as a prognostic factor in chronic pain: conceptual models, assessment, and treatment implications. Curr Pain Headache Rep 2010; 14: 88-95.
  • Lundberg M, Larsson M, Ostlund H, Styf J. Kinesiophobia among patients with musculoskeletal pain in primary healthcare. J Rehabil Med 2006; 38: 37-43.
  • van der Hulst M, Vollenbroek-Hutten MM, Rietman JS, Hermens HJ. Lumbar and abdominal muscle activity during walking in subjects with chronic low back pain: support of the "guarding" hypothesis?. J Electromyogr Kinesiol 2010; 20: 31-38.
  • Bishop A, Foster NE, Thomas E, Hay EM. How does the self-reported clinical management of patients with low back pain relate to the attitudes and beliefs of health care practitioners? A survey of UK general practitioners and physiotherapists. Pain 2008; 135: 187-95.
  • Bishop A, Thomas E, Foster NE. Health care practitioners' attitudes and beliefs about low back pain: a systematic search and critical review of available measurement tools. Pain 2007; 132: 91-101.
  • Fullen BM, Baxter GD, Doody C, Daly LE, Hurley DA. General practitioners' attitudes and beliefs regarding the management of chronic low back pain in Ireland: a cross-sectional national survey. Clin J Pain 2011; 27: 542-9.
  • Macdonald M, Vaucher P, Esteves JE. The beliefs and attitudes of UK registered osteopaths towards chronic pain and the management of chronic pain sufferers: a cross-sectional questionnaire based survey. Int J Osteopath Med 2018; 30: 3-11.
  • Daykin AR, Richardson B. Physiotherapists' pain beliefs and their influence on the management of patients with chronic low back pain. Spine 2004; 29: 783-95.
  • Houben RM, Vlaeyen JW, Peters M, Ostelo RW, Wolters PM, Stomp-van den Berg SG. Health care providers' attitudes and beliefs towards common low back pain: factor structure and psychometric properties of the HC-PAIRS. Clin J Pain 2004; 20: 37-44.
  • Ostelo RW, Stomp-van den Berg SG, Vlaeyen JW, Wolters PM, de Vet HC. Health care provider's attitudes and beliefs towards chronic low back pain: the development of a questionnaire. Man Ther 2003; 8: 214-22.
  • Overmeer T, Boersma K, Main CJ, Linton SJ. Do physical therapists change their beliefs, attitudes, knowledge, skills and behaviour after a biopsychosocially orientated university course?. J Eval Clin Pract 2009; 15: 724-32.
  • Liddle SD, Baxter GD, Gracey JH. Chronic low back pain: patients' experiences, opinions and expectations for clinical management. Disabil Rehabil 2007; 29: 1899-909.
  • Coudeyre E, Tubach F, Rannou F, et al. Fear-avoidance beliefs about back pain in patients with acute LBP. Clin J Pain 2007; 23: 720-5.
  • Buchbinder R, Jolley D. Effects of a media campaign on back beliefs is sustained 3 years after its cessation. Spine 2005; 30: 1323-30.
  • Arifoğlu Karaman Ç, Küçükakkaş O. Cross-cultural adaptation and validation of the Back Beliefs Questionnaire to the Turkish language. Disabil Rehabil 2021; 43: 1917-23.
  • Caner Aksoy C, Saracoglu I, Akkurt L. Turkish version of health care providers' pain and impairment relationship scale: Reliability and validity. Musculoskelet Sci Pract 2021; 53: 102367.
  • Dalkilinc M, Cirak Y, Yilmaz GD, Parlak Demir Y. Validity and reliability of Turkish version of the Pain Attitudes and Beliefs Scale for Physiotherapists. Physiother Theory Pract 2015; 31: 186-93.
  • Alshehri MA, Alzahrani H, Alotaibi M, Alhowimel A, Khoja O. Physiotherapists' pain attitudes and beliefs towards chronic low back pain and their association with treatment selection: a cross-sectional study. BMJ Open 2020; 10: e037159.
  • Innes SI, Werth PD, Tuchin PJ, Graham PL. Attitudes and beliefs of Australian chiropractors' about managing back pain: a cross-sectional study. Chiropr Man Therap 2015; 23: 17.
  • Magalhães MO, Costa LO, Cabral CM, Machado LA. Attitudes and beliefs of Brazilian physical therapists about chronic low back pain: a cross-sectional study. Rev Bras Fisioter 2012; 16: 248-53.
  • Sit RW, Yip BH, Chan DC, Wong SY. Primary care physicians' attitudes and beliefs towards chronic low back pain: an Asian study. PLoS One 2015; 10: e0117521.
  • Rainville J, Bagnall D, Phalen L. Health care providers' attitudes and beliefs about functional impairments and chronic back pain. Clin J Pain 1995; 11: 287-95.
  • Kennedy N, Healy J, O'Sullivan K. The Beliefs of third-level healthcare students towards low-back pain. Pain Res Treat 2014; 2014: 675915.
  • Lewis KL, Battaglia PJ. Knowledge of psychosocial factors associated with low back pain amongst health science students: a scoping review. Chiropr Man Therap 2019; 27: 1-15.
Year 2022, , 393 - 398, 15.03.2022
https://doi.org/10.32322/jhsm.1015826

Abstract

References

  • Allegri M, Montella S, Salici F, et al. Mechanisms of low back pain: a guide for diagnosis and therapy. F1000Res 2016; 5: F1000 Faculty Rev-1530.
  • Glombiewski JA, Hartwich-Tersek J, Rief W. Two psychological interventions are effective in severely disabled, chronic back pain patients: a randomised controlled trial. Int J Behav Med 2010; 17: 97-107.
  • Manchikanti L, Singh V, Falco FJ, Benyamin RM, Hirsch JA. Epidemiology of low back pain in adults. Neuromodulation 2014; 17: 3-10.
  • Trinderup JS, Fisker A, Juhl CB, Petersen T. Fear avoidance beliefs as a predictor for long-term sick leave, disability and pain in patients with chronic low back pain. BMC Musculoskelet Disord 2018; 19: 1-8.
  • Turk DC, Wilson HD. Fear of pain as a prognostic factor in chronic pain: conceptual models, assessment, and treatment implications. Curr Pain Headache Rep 2010; 14: 88-95.
  • Lundberg M, Larsson M, Ostlund H, Styf J. Kinesiophobia among patients with musculoskeletal pain in primary healthcare. J Rehabil Med 2006; 38: 37-43.
  • van der Hulst M, Vollenbroek-Hutten MM, Rietman JS, Hermens HJ. Lumbar and abdominal muscle activity during walking in subjects with chronic low back pain: support of the "guarding" hypothesis?. J Electromyogr Kinesiol 2010; 20: 31-38.
  • Bishop A, Foster NE, Thomas E, Hay EM. How does the self-reported clinical management of patients with low back pain relate to the attitudes and beliefs of health care practitioners? A survey of UK general practitioners and physiotherapists. Pain 2008; 135: 187-95.
  • Bishop A, Thomas E, Foster NE. Health care practitioners' attitudes and beliefs about low back pain: a systematic search and critical review of available measurement tools. Pain 2007; 132: 91-101.
  • Fullen BM, Baxter GD, Doody C, Daly LE, Hurley DA. General practitioners' attitudes and beliefs regarding the management of chronic low back pain in Ireland: a cross-sectional national survey. Clin J Pain 2011; 27: 542-9.
  • Macdonald M, Vaucher P, Esteves JE. The beliefs and attitudes of UK registered osteopaths towards chronic pain and the management of chronic pain sufferers: a cross-sectional questionnaire based survey. Int J Osteopath Med 2018; 30: 3-11.
  • Daykin AR, Richardson B. Physiotherapists' pain beliefs and their influence on the management of patients with chronic low back pain. Spine 2004; 29: 783-95.
  • Houben RM, Vlaeyen JW, Peters M, Ostelo RW, Wolters PM, Stomp-van den Berg SG. Health care providers' attitudes and beliefs towards common low back pain: factor structure and psychometric properties of the HC-PAIRS. Clin J Pain 2004; 20: 37-44.
  • Ostelo RW, Stomp-van den Berg SG, Vlaeyen JW, Wolters PM, de Vet HC. Health care provider's attitudes and beliefs towards chronic low back pain: the development of a questionnaire. Man Ther 2003; 8: 214-22.
  • Overmeer T, Boersma K, Main CJ, Linton SJ. Do physical therapists change their beliefs, attitudes, knowledge, skills and behaviour after a biopsychosocially orientated university course?. J Eval Clin Pract 2009; 15: 724-32.
  • Liddle SD, Baxter GD, Gracey JH. Chronic low back pain: patients' experiences, opinions and expectations for clinical management. Disabil Rehabil 2007; 29: 1899-909.
  • Coudeyre E, Tubach F, Rannou F, et al. Fear-avoidance beliefs about back pain in patients with acute LBP. Clin J Pain 2007; 23: 720-5.
  • Buchbinder R, Jolley D. Effects of a media campaign on back beliefs is sustained 3 years after its cessation. Spine 2005; 30: 1323-30.
  • Arifoğlu Karaman Ç, Küçükakkaş O. Cross-cultural adaptation and validation of the Back Beliefs Questionnaire to the Turkish language. Disabil Rehabil 2021; 43: 1917-23.
  • Caner Aksoy C, Saracoglu I, Akkurt L. Turkish version of health care providers' pain and impairment relationship scale: Reliability and validity. Musculoskelet Sci Pract 2021; 53: 102367.
  • Dalkilinc M, Cirak Y, Yilmaz GD, Parlak Demir Y. Validity and reliability of Turkish version of the Pain Attitudes and Beliefs Scale for Physiotherapists. Physiother Theory Pract 2015; 31: 186-93.
  • Alshehri MA, Alzahrani H, Alotaibi M, Alhowimel A, Khoja O. Physiotherapists' pain attitudes and beliefs towards chronic low back pain and their association with treatment selection: a cross-sectional study. BMJ Open 2020; 10: e037159.
  • Innes SI, Werth PD, Tuchin PJ, Graham PL. Attitudes and beliefs of Australian chiropractors' about managing back pain: a cross-sectional study. Chiropr Man Therap 2015; 23: 17.
  • Magalhães MO, Costa LO, Cabral CM, Machado LA. Attitudes and beliefs of Brazilian physical therapists about chronic low back pain: a cross-sectional study. Rev Bras Fisioter 2012; 16: 248-53.
  • Sit RW, Yip BH, Chan DC, Wong SY. Primary care physicians' attitudes and beliefs towards chronic low back pain: an Asian study. PLoS One 2015; 10: e0117521.
  • Rainville J, Bagnall D, Phalen L. Health care providers' attitudes and beliefs about functional impairments and chronic back pain. Clin J Pain 1995; 11: 287-95.
  • Kennedy N, Healy J, O'Sullivan K. The Beliefs of third-level healthcare students towards low-back pain. Pain Res Treat 2014; 2014: 675915.
  • Lewis KL, Battaglia PJ. Knowledge of psychosocial factors associated with low back pain amongst health science students: a scoping review. Chiropr Man Therap 2019; 27: 1-15.
There are 28 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Article
Authors

Merve Yerlikaya 0000-0001-8138-7996

İsmail Saracoglu 0000-0002-2621-2357

Publication Date March 15, 2022
Published in Issue Year 2022

Cite

AMA Yerlikaya M, Saracoglu İ. The attitudes and beliefs of physiotherapists, family physicians and physiatrists concerning chronic low back pain. J Health Sci Med /JHSM /jhsm. March 2022;5(2):393-398. doi:10.32322/jhsm.1015826

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