Locus of control in active physical therapy treatment for non-specific chronic low back pain

Batista, Alexandre Apolinário de Souza; Diniz, Leandro Silva Rezende; Oliveira, Vinícius Cunha; Venturini, Claudia

doi:10.1590/0103-5150.028.003.ao08

Cited by 3 publications

(2 citation statements)

References 20 publications

(22 reference statements)

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“…The analyzed variables showed a non-significant p value, suggesting sample homogeneity, reducing sampling error biases, providing the identification of the associations between the type of health control locus and the NCLBP. Some studies correlate most patients with NCLBP with internal locus of control 13,10,14 . Study 15 found an important difference between the type of health locus of control in groups of patients with NCLBP who underwent treatment or not, i.e., treated patients had a higher external health locus of control.…”

Section: Discussionmentioning

confidence: 99%

Influence of the type of locus of health control on the levels of disability and kinesiophobia in chronic low back pain

Lunkes¹,

Vieira²,

Santos³

et al. 2021

Brazilian Journal of Pain

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BACKGROUND AND OBJECTIVES:The aim of this study was to identify the existence of a relationship between the type of locus of health control and the variables associated with the occurrence of non-specific chronic low back pain (NCLBP), in addition to assessing the relationship between the level of disability in the development of functional activities and the level of kinesiophobia with the type of locus found in patients. METHODS: 40 individuals with a mean age of 54.1±7.1 years were evaluated. On a single occasion, the questionnaires Multidimensional Scale of Locus of Health Control (MSLHC), Tampa (kinesiophobia), and Roland-Morris (disability) were applied for the acquisition of qualitative variables, analyzed to identify possible relationships between these and the type of locus of health control. RESULTS:The present results showed no correlation between the type of locus and the specific individual variables genders (p<0.722), health insurance (p<0.449), education (p<0.968), monthly income (p<0.655), smoking (p<0.877), physical activity (p<0.077), and marital status (p<0.346), demonstrating homogeneity of the sample. There was no relationship between the type of locus and the degree of kinesiophobia (p<0.745). A significant relationship has been demonstrated between the locus of internal control and the level of disability (p<0.031). CONCLUSION: The type of locus of health control presented by most patients with NCLBP was the internal, related to higher levels of disability, and not associated with levels of kinesiophobia or individual variables.

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Section: Discussionmentioning

confidence: 99%

Influence of the type of locus of health control on the levels of disability and kinesiophobia in chronic low back pain

Lunkes¹,

Vieira²,

Santos³

et al. 2021

Brazilian Journal of Pain

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“…For example, one cognitive factor, locus of control, has been found to be important. A stronger internal locus of control has been shown to be associated with having a positive attitude towards adopting self-management and active management approach among patients with CLBP and diabetic patients (Batista et al 2015;Besen et al 2016). …”

Section: Factors That May Help or Prevent Adopting Self-managementmentioning

confidence: 99%

Exploring self-management of chronic low back pain in Saudi Arabia

Mohammed¹

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Aim: The main purpose of this research project is to explore both patients' and physiotherapists' perceptions and understanding of self-management for chronic low back pain (CLBP) in the Kingdom of Saudi Arabia (KSA) and moreover, to explore current physiotherapy practice for managing CLBP in KSA. Methods:This research project used a mixed methods approach with sequential designs. The first section contains a quantitative study and the second section includes two qualitative studies. The quantitative section allowed exploration of current physiotherapy practices for CLBP management using a large population. The qualitative section has provided a more in-depth understanding of both patients' and physiotherapists' perceptions in regards to self-management and physiotherapy management for CLBP.Results: In the current study, physiotherapists acknowledged the importance of exercise and advice. Moreover, these represented the most common treatment methods used in daily practice. However, patients' preferences for passive approaches, such as rest, massage and modalities were frequently reported. This shows conflict between physiotherapists and patients with CLBP in terms of the preferred approach for managing the disorder.Physiotherapists' extensive use of modalities where evidence of effectiveness was lacking or insufficient was a common practice for physiotherapy management in patients with CLBP in the current research project. Moreover, physiotherapists and patients showed limited understanding of self-management as a concept. Conclusion:Promoting self-management in daily physiotherapy practice appears to be a complex issue. It involves various factors, such as promoting an evidencebased practice culture among physiotherapists; a patient-centred approach; access to guidelines and evidence; and organisational support through developing policy, local guidelines and CPD training. This research presents a platform of recommendations for future researchers, professionals, educators and policymakers to enhance the quality of care for patients with CLBP in the KSA in general and may increase the adoption of self-management.iii DECLARATION

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The Influence of the Locus of Control Construct on the Efficacy of Physiotherapy Treatments in Patients with Chronic Pain: A Systematic Review

Álvarez-Rodríguez

Leirós‐Rodríguez

Morera-Balaguer

et al. 2022

JPM

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The biopsychosocial paradigm contemplates the patient’s personality traits in physiotherapy treatments for chronic pain. Among these traits, the locus of control has a direct relationship with the person’s coping strategies in the face of their health problems. The objective of this systematic review was to assess the influence of locus of control on the efficacy of physiotherapy treatments in patients with chronic pain. A systematic review of the publications of the last ten years in Pubmed, Scopus, Science Direct and Web of Science databases was conducting with the terms physical therapy modalities, chronic pain, internal-external control, self-management, physical therapy and physiotherapy. The inclusion criteria were participants with chronic pain lasting at least three months who have received at least one session of physical therapy; the studies should have collected the patient’s locus of control as a prognostic factor at the beginning of physiotherapy treatment; the variables studied should include the pain intensity or clinical variables related to pain. A total of 13 articles were found, of which three were experimental studies and ten were observational studies. The included samples had chronic knee pain, nonspecific back pain, low back pain or neck pain; were people over 65 years of age or patients who had undergone hand surgery. In patients with chronic pain for more than three months, the locus of control construct participates as a predictor of the results of physiotherapy treatment. The presence of an internal locus of control favors better results. The personality traits of the subjects represent an important factor to take into account when planning physiotherapy treatments.

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Locus of control in active physical therapy treatment for non-specific chronic low back pain

Cited by 3 publications

References 20 publications

Influence of the type of locus of health control on the levels of disability and kinesiophobia in chronic low back pain

Influence of the type of locus of health control on the levels of disability and kinesiophobia in chronic low back pain

Exploring self-management of chronic low back pain in Saudi Arabia

The Influence of the Locus of Control Construct on the Efficacy of Physiotherapy Treatments in Patients with Chronic Pain: A Systematic Review

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