The impact of physical therapist attitudes and beliefs on the outcomes of patients with low back pain.

Autor: Rufa A; SUNY Upstate Medical University, Syracuse, NY, USA; Nova Southeastern University, Fort Lauderdale, FL, USA. Electronic address: rufaa@upstate.edu., Kolber MJ; Nova Southeastern University, Fort Lauderdale, FL, USA. Electronic address: kolber@nova.edu., Rodeghero J; Tufts University, Boston, MA, USA. Electronic address: jrodeghero@gmail.com., Cleland J; Tufts University, Boston, MA, USA. Electronic address: joshcleland@comcast.net.
Jazyk: angličtina
Zdroj: Musculoskeletal science & practice [Musculoskelet Sci Pract] 2021 Oct; Vol. 55, pp. 102425. Date of Electronic Publication: 2021 Jul 07.
DOI: 10.1016/j.msksp.2021.102425
Abstrakt: Background: Low back pain (LBP) is a common problem that places a major burden on individuals and society. It has been proposed that patients treated by biomedically oriented clinicians will have worse outcomes than those treated by biopsychosocially oriented clinicians.
Objective: To investigate the impact of physical therapist LBP related attitudes and beliefs on the outcomes of patients with LBP.
Design: Retrospective cohort design.
Method: United States based physical therapists utilizing the Focus on Therapeutic Outcomes, Inc. (FOTO) database were surveyed using the Health Care Providers' Pain and Impairment Relationship Scale (HC-PAIRS) and the Pain Attitudes and Beliefs Scale for Physiotherapists (PABS-PT). Outcomes were measured using average Computerized Lumbar Functional Scale change scores (CLFS) and CLFS residual scores.
Results: Analysis was performed on outcome data from 78 physical therapist and included 2345 patients. HC-PAIRS was a univariate predictor of average CLFS change scores and average CLFS residual scores. PABS-PT Biomedical subscale was a univariate predictor of average CLFS change scores. After adjusting for confounding variables, higher HC-PAIRS scores and PABS-BM scores were associated with a greater change in average CLFS score, and higher PABS-BM scores were associated with higher CLFS residual scores.
Conclusion: Physical therapists who believed in a stronger relationship between pain and disability had improved patient outcomes.
(Copyright © 2021 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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