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11 Jun2018

11 June 2018.

Written by José Pedro Correia
Posted in Lumbar

11-06-2018 08:39:30
Harvard Health
Image by: Harvard Health

Physiotherapists’ self-reported competence to manage CLBP

<div class="ap_article_introduction"><p>This study shows that physiotherapists may have underdeveloped skills when it comes to performing risk stratification and identifying psychological factors related to chronic low back pain (CLBP).</p>
<p>Although this was a single-center study involving only 49 patients with CLBP, risk allocation was done correctly only in less than half the patients.</p>
<p>Additionally, correlations between therapist perceptions and patient-filled questionnaires regarding distress, depression, anxiety and kinesiophobia went from moderate to nonexistent.</p>
<p></p></div>
<div class="ap_article_information"><p>The multifactorial nature of CLBP and its socioeconomic burden are well established. Psychological factors play a role in LBP chronicity and mental illness comorbidities are common in this population. Therefore, physiotherapists should be able to identify these factors and determine which patients are at a greater risk. However, the existing literature shows inconsistent results regarding this matter.</p>
<p>49 CLBP patients between 18-65 years old and 20 physiotherapists participated in the study. The therapists’ perceptions of a patient’s levels of distress, depression, anxiety and kinesiophobia were measured and correlated with patient-reported outcomes. Therapists also rated their competence in managing patients on a 0 to 10 scale.</p></div>
<div class="ap_article_conclusion"><p>Physiotherapists showed unsatisfactory (41%) accuracy in allocating patients into risk stratification groups or identifying psychological factors.</p>
<p>Patient-reported distress was found to be a negative predictor of therapist self-reported competence in managing CLBP.</p>
<p>These results show better therapist training is needed to deal with this population.</p></div>
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<div class="source">
<p><em> > From: Brenner et al., Phys Ther 98 (2018) 471-479 (Epub ahead of print). All rights reserved to Oxford University Press. <a href="/https://www.ncbi.nlm.nih.gov/pubmed/29385524" target="_blank">Click here for the online summary</a>.</em></p>
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Harvard Health
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About the Author
José Pedro Correia
José Pedro Correia
José Pedro graduated from Porto Polytechnic Institute's Higher School of Health Technologies (BSc Physiotherapy) in 2010 and obtained an MSc in ...

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  • Articles
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        • Rib cage
        • Cervical
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