Non-specific Chronic Low Back Pain Patients' Expectations Toward Physiotherapy and Physiotherapists: An Interpretive Socio-anthropological Study on Ill Persons' Experience
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- Expectations at baseline
研究概览
简要总结
Non-specific chronic low back pain guidelines recommend rehabilitation along with a biopsychosocial approach. However, though psychological and social issues address important needs of professionals and patients, they have been scarcely developed in this area so far. Noteworthy, little is known about patients' expectations relative to physiotherapy for chronic low back pain (CLBP), while professional recommendations advocate taking them into consideration.
A study about patients' experience will provide knowledge about the ill person's perspective and how the physiotherapists are perceived as well as the role attributed to them. The aim of this study is, thus, to explore the experience of the patients suffering from CLBP in order to highlight their expectations toward physiotherapy services and physiotherapists.
The investigators will apply a critically interpretive socio-anthropological approach based on patients' interviews and observations in an intensive CLBP rehabilitation program. The results will help improve the care patients receive by facilitating the integration of biopsychosocial issues related to patient's expectations into the treatment.
详细描述
INTRODUCTION
Chronic low back pain (CLBP) is defined as "pain and discomfort, localised below the costal margin and above the inferior gluteal folds, with or without referred leg pain" persisting for at least 12 weeks. It is classified as non-specific when "not attributable to a recognisable, known specific pathology, disorder, radicular syndrome or cauda equina syndrome". It is a very frequent condition, one year prevalence being around 25% for men and 35% for women. It can greatly alter functional capacity and quality of life. Including care, sick leave and work loss, it accounts for most of the back pain related costs.
Recommended management of CLBP is multidisciplinary due to the biopsychosocial impact of this condition. Most guidelines include the patient's education, advice to stay active, anti-inflammatory and analgesic medication, exercise therapy, and spinal manipulation. Multidisciplinary rehabilitation, adjunctive analgesics, and cognitive behavioural therapy are recommended if the initial approach is not efficient. Self-management strategies, self-monitoring of status, and decision-making are also promoted.
Physiotherapy plays a role in CLBP management, in collaboration with other health and social professions. As defined by the World Confederation for Physical Therapy, "Physiotherapy provides services to individuals and populations to develop, maintain and restore maximum movement and functional ability throughout the lifespan. (...) Functional movement is central to what it means to be healthy (...).This encompasses physical, psychological, emotional, and social wellbeing
Local and international standards of physiotherapy practice advocate taking patients' expectations into consideration. Physiotherapists are also advised to take patients preferences into account, when applying evidence-based practice (EBP) guidelines. However, knowledge about the expectations of patients toward physiotherapy is limited.
研究设计
- 研究类型
- Observational
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •working age group (18 to 65 years old)
- •have a medically confirmed non-specific chronic low-back pain
排除标准
- •severe mental illness
- •concurrent illness or co-morbidity interfering with the course of treatment.
结局指标
主要结局
Expectations at baseline
时间窗: 2 weeks before a rehabilitation program
Qualitative data on patient's expectations toward physiotherapy and physiotherapists issued from interviews and observations
次要结局
- Factors influencing expectations at T2(2 weeks after a rehabilitation program)
- Expectations at T2(2 weeks after a rehabilitation program)
- Factors influencing expectations at baseline(2 weeks before a rehabilitation program)