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Titre : | Current management of pregnancy-related low back pain: a national cross-sectional survey of UK physiotherapists (2016) |
Auteurs : | A. Bishop ; M.A. Holden ; R.O. Ogollah |
Type de document : | Article |
Dans : | Physiotherapy (2016/1, 2016) |
Article en page(s) : | pp. 78-85 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Acupuncture ; Grossesse ; Kinésithérapie (spécialité) ; Lombalgie |
Mots-clés: | Pregnancy ; Low back pain ; Physical Therapy Specialty ; Surveys and Questionnaires ; Enquêtes et questionnaires |
Résumé : |
Background Pregnancy-related low back pain (LBP) is very common. Evidence from a systematic review supports the use of exercise and acupuncture, although little is known about the care received by women with pregnancy-related back pain in the UK. Objective To describe current acupuncture and standard care management of pregnancy-related LBP by UK physiotherapists. Design Cross-sectional survey of physiotherapists with experience of treating women with pregnancy-related LBP from three professional networks of the Chartered Society of Physiotherapy. Methods In total, 1093 physiotherapists were mailed a questionnaire. The questionnaire captured respondents demographic and practice setting information, and experience of managing women with pregnancy-related back pain, and investigated the reported management of pregnancy-related LBP using a patient case vignette of a specific, typical case. Results The overall response rate was 58% (629/1093). Four hundred and ninety-nine physiotherapists had experience of treating women with pregnancy-related LBP and were included in the analysis. Most respondents worked wholly or partly in the UK National Health Service (78%). Most respondents reported that they treat patients with pregnancy-related LBP in three to four one-to-one treatment sessions over 3 to 6 weeks. The results show that a range of management strategies are employed for pregnancy-related LBP, and multimodal management is common. The most common reported treatment was home exercises (94%), and 24% of physiotherapists reported that they would use acupuncture with the patient described in the vignette. Conclusions This study provides the first robust data on the management of pregnancy-related LBP by UK physiotherapists. Multimodal management is common, although exercise is the most frequently used treatment for pregnancy-related LBP. Acupuncture is used less often for this patient group. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0031940615037712 |