Physiotherapists' knowledge,attitudes and practices regarding clinical prediction rules for low back pain |
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| Affiliation: | 1. Department Physical Therapy, Research Group Diagnostics, University of Applied Sciences, Breda, The Netherlands;2. Department of General Practice, Erasmus MC, University Medical Center, Rotterdam, The Netherlands;3. Orthopedic Surgeon and Handsurgeon, Upper Limb Unit Department of Orthopedic surgery, Amphia Hospital, Breda, The Netherlands;1. Department of Radiology, Logan University, 1851 Schoettler Road, Chesterfield, MO 63006, United States;2. Einstein College of Medicine of Yeshiva University, United States;1. Institute of Human Movement studies, Faculty of Health Care, University of Applied Sciences Utrecht, The Netherlands;2. Research Group Lifestyle and Health, Research Centre for Innovations in Healthcare, University of Applied Sciences Utrecht, Bolognalaan 101, 3584 CJ Utrecht, The Netherlands;1. Graduate Department of Rehabilitation Sciences, University of Toronto, Canada;2. The Wilson Centre for Research in Education, University Health Network, Toronto, Canada;3. Division of Emergency Medicine, Memorial University of Newfoundland, St John''s, Canada;4. Faculty of Medicine, University of Toronto, Canada;5. Vice-President Education, University Health Network, Canada;6. Wilson Centre for Research in Education Richard and Elizabeth Currie Chair in Health Professions Education Research, Toronto, Canada;7. School of Human Kinetics and Recreation, Memorial University of Newfoundland, St John''s, Canada;1. Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Thailand;2. Back, Neck and Other Joint Pain Research Group, Khon Kaen University, Thailand;3. Division of Physiotherapy, NHMRC Centre for Clinical Research Excellence in Spinal Pain, Injury and Health (CCRE Spine), School of Health and Rehabilitation Sciences, The University of Queensland, Australia |
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| Abstract: | Clinical Prediction Rules (CPRs) have been developed to assist in the physiotherapy management of low back pain (LBP) although little is known about the factors that may influence their implementation in clinical practice. This study used qualitative research methodology to explore the knowledge, attitudes and practices/behaviours of physiotherapists in relation to these tools. Four semi-structured focus groups involving 26 musculoskeletal physiotherapists were conducted across three Australian geographic regions. A fictitious LBP case scenario was developed and used to facilitate group discussion. Participant knowledge of CPRs was found to be mixed, with some clinicians never having previously encountered the term or concept. LBP CPRs were often conceptualised as a formalisation of pattern recognition. Attitudes towards CPRs expressed by study participants were wide-ranging with several facilitating and inhibiting views identified. It was felt that more experienced clinicians had limited need of such tools. Only a small number of participants expressed that they had ever used LBP CPRs in clinical practice. To optimise the successful adoption of an LBP CPR, researchers should consider avoiding the use of the term ‘rule’ and ensure that the tool and its interface are uncomplicated and easy to use. Understanding potential barriers, the needs of clinicians and the context in which CPRs will be implemented will help facilitate the development of tools with the highest potential to positively influence physiotherapy practice. |
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| Keywords: | Low back pain Clinical prediction rules Physiotherapy |
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