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Titre : | The impact of physical therapist attitudes and beliefs on the outcomes of patients with low back pain (2021) |
Auteurs : | Adam Rufa ; Morey J. Kolber ; Jason Rodeghero ; Joshua A. Cleland |
Type de document : | Article |
Dans : | Musculoskeletal Science and Practice (Vol. 55, October 2021) |
Article en page(s) : | p. 1-7 |
Note générale : | doi:10.1016/j.msksp.2021.102425 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Attitude ; Croyance ; Kinésithérapeutes ; Lombalgie |
Résumé : |
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. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2468781221001090 |