Physiotherapy management of low back pain -  a review of surveys

Basson, Annalie

doi:10.4102/sajp.v67i1.246

Cited by 6 publications

(1 citation statement)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although many studies report several benefits of direct access physiotherapy, it must be argued that the safety and the quality of care provided by physiotherapists or family physicians do remain context-dependent and rely on adequate training. if physiotherapists do not have adequate training and experience with all clientele presenting in direct access, the safety and efficiency of care could be compromised [46][47][48][49]. Adequate curricula for the training of physiotherapists must be reinforced to deliver evidence-based assessment and clinical reasoning, appropriate identification of red flags, efficient treatments, and suitable referral to other health professionals and physicians.…”

Section: Direct Access Physiotherapy: a Primary Care Model With Physi...mentioning

confidence: 99%

New models of care integrating more autonomous roles for physiotherapists: a narrative review

Demont¹,

Kechichian²,

Davergne³

et al. 2022

Physiother Quart.

View full text Add to dashboard Cite

With the increased prevalence of non-communicable diseases and chronic disorders, including musculoskeletal disorders, access to care is limited in many health care systems and new multidisciplinary collaborative models of care have now been implemented in several countries in an effort to improve access to care. The paper aimed to describe the characteristics and present relevant evidence supporting different models of care that integrate physiotherapists as primary or secondary care practitioners for the management of patients with non-communicable diseases or chronic disorders. on the basis of a literature review up to August 2020 in 4 major bibliographical databases, we searched for studies of any design, including systematic reviews with or without meta-analysis and position statements, that were related to direct access physiotherapy and advanced practice physiotherapy models of care. The impact of direct access physiotherapy and advanced practice physiotherapy models of care is presented in terms of clinical outcomes, patient satisfaction, health care resource use and costs. These models appear to provide equal or better outcomes in terms of access to care, quality of care, and patients' satisfaction. The strength of the evidence is variable, and outcomes vary depending on clinical settings, roles of physiotherapists, and characteristics of patients. This review highlights that these enhanced roles for physiotherapists, such as diagnosing, ordering diagnostic tests, or referring patients to physicians, in both primary and secondary care settings, are beneficial and may help optimize patients' journey by providing earlier access to effective and efficient services compared with physician-led usual care models.

show abstract

Section: Direct Access Physiotherapy: a Primary Care Model With Physi...mentioning

confidence: 99%

New models of care integrating more autonomous roles for physiotherapists: a narrative review

Demont¹,

Kechichian²,

Davergne³

et al. 2022

Physiother Quart.

View full text Add to dashboard Cite

show abstract

Effects of specific muscle activation for low back pain on activity limitation, pain, work participation, or recurrence: A systematic review

Ford

Bower²,

Ford³

et al. 2020

Musculoskeletal Science and Practice

View full text Add to dashboard Cite

Physical therapy for patients with low back pain in Germany: a survey of current practice

Bahns

Happe

Thiel

et al. 2021

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background Low back pain (LBP) is one of the most common musculoskeletal disorders worldwide. The National Disease Management Guideline (NVL) “Non-specific LBP” is a practical decision-making aid for both physicians and non-medical professionals in Germany to improve quality of health care. Although LBP is the most frequent diagnosis resulting in physical therapy treatment, information on the current management of patients with LBP and guideline adherence is limited. The objective of this study was to evaluate the current physical therapy management of patients with LBP in Germany, and to explore guideline adherence to the NVL “Non-specific LBP” recommendations. Methods An online survey among physical therapists working in Germany was conducted based on the recommendations given in the NVL “Non-specific LBP”. Participants were recruited using a snowball sampling approach and invited to complete the questionnaire. Guideline adherence was evaluated by comparing the survey findings with the recommendations of the NVL. Results In total, 1361 physical therapists (41 years of age (SD 11); 839 female, 514 male; 16 years of clinical experience (SD 10)) completed the survey. Fifty percent (n = 675) of our respondents adhered to the recommendations of the NVL on the therapeutic diagnostic process, and 72% (n = 973) to the recommendations concerning treatment. The guideline adherence across the entire management process (i.e., both diagnosis and treatment) of LBP was 38% (n = 513). German physical therapists predominantly provide active interventions, e.g., exercise therapy, but also use interventions with low or conflicting evidence, respectively. Massage and Kinesio Taping were frequently used despite being not recommended. Less than one third of study participants (n = 400, 29%) answered to know the NVL or had dealt with its recommendations. Conclusions In the management of LBP, overall guideline adherence among German physical therapists was 38% with higher adherence in the treatment section than in the physical therapeutic diagnostic process. Widespread employment of implementation strategies and removal of existing barriers against the application of evidence-based guidelines could facilitate the transfer of scientific evidence into clinical practice and contribute to optimize the quality of health care. Trial registration German Clinical Trials Register (DRKS00012607). Registered 04 October 2017.

show abstract

Physiotherapy management of low back pain - a review of surveys

Cited by 6 publications

References 28 publications

New models of care integrating more autonomous roles for physiotherapists: a narrative review

New models of care integrating more autonomous roles for physiotherapists: a narrative review

Effects of specific muscle activation for low back pain on activity limitation, pain, work participation, or recurrence: A systematic review

Physical therapy for patients with low back pain in Germany: a survey of current practice

Contact Info

Product

Resources

About