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Physiotherapists may stigmatise or feel unprepared to treat people with low back pain and psychosocial factors that influence recovery: a systematic review

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dc.contributor.author Synnott, Aoife
dc.contributor.author O'Keeffe, Mary
dc.contributor.author Bunzli, Samantha
dc.contributor.author Dankaerts, Wim
dc.contributor.author O'Sullivan, Peter B.
dc.contributor.author O'Sullivan, Kieran
dc.date.accessioned 2015-10-28T15:40:04Z
dc.date.available 2015-10-28T15:40:04Z
dc.date.issued 2015
dc.identifier.uri http://hdl.handle.net/10344/4693
dc.description peer-reviewed en_US
dc.description Open Access funded by Australian Physiotherapy Association
dc.description.abstract Question: What are physiotherapists’ perceptions about identifying and managing the cognitive, psychological and social factors that may act as barriers to recovery for people with low back pain (LBP)? Design: Systematic review and qualitative metasynthesis of qualitative studies in which physiotherapists were questioned, using focus groups or semi-structured interviews, about identifying and managing cognitive, psychological and social factors in people with LBP. Participants: Qualified physiotherapists with experience in treating patients with LBP. Outcome measures: Studies were synthesised in narrative format and thematic analysis was used to provide a collective insight into the physiotherapists’ perceptions. Results: Three main themes emerged: physiotherapists only partially recognised cognitive, psychological and social factors in LBP, with most discussion around factors such as family, work and unhelpful patient expectations; some physiotherapists stigmatised patients with LBP as demanding, attention-seeking and poorly motivated when they presented with behaviours suggestive of these factors; and physiotherapists questioned the relevance of screening for these factors because they were perceived to extend beyond their scope of practice, with many feeling under-skilled in addressing them. Conclusion: Physiotherapists partially recognised cognitive, psychological and social factors in people with LBP. Physiotherapists expressed a preference for dealing with the more mechanical aspects of LBP, and some stigmatised the behaviours suggestive of cognitive, psychological and social contributions to LBP. Physiotherapists perceived that neither their initial training, nor currently available professional development training, instilled them with the requisite skills and confidence to successfully address and treat the multidimensional pain presentations seen in LBP. en_US
dc.language.iso eng en_US
dc.publisher Elsevier en_US
dc.relation.ispartofseries Journal of Physiotherapy;61, pp. 68-76
dc.relation.uri http://dx.doi.org/10.1016/j.jphys.2015.02.016
dc.rights Open Access funded by Australian Physiotherapy Association en_US
dc.subject physiotherapy en_US
dc.subject low back pain en_US
dc.subject psychosocial factors en_US
dc.title Physiotherapists may stigmatise or feel unprepared to treat people with low back pain and psychosocial factors that influence recovery: a systematic review en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.1016/j.jphys.2015.02.016
dc.contributor.sponsor HRB en_US
dc.contributor.sponsor IRC en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US
dc.internal.rssid 1589196


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