Consideration of Psychosocial Factors in Acute Low Back Pain by Physical Therapists

Clinical guidelines consistently recommend screening psychosocial (PS) factors in patients with low back pain (LBP), regardless of its mechanical nature, as recognized contributors to pain chronicity. However, the ability of physiotherapists (PTs) in identifying these factors remains controversial....

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Detalles Bibliográficos
Autores: Otero Ketterer, Emilia, Peñacoba Puente, Cecilia, Ortega Santiago, Ricardo, Galán del Río, Fernando, Valera Calero, Juan Antonio
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/103527
Acceso en línea:https://hdl.handle.net/20.500.14352/103527
Access Level:acceso abierto
Palabra clave:615.8
biopsychosocial models
low back pain
physiotherapy
psychosocial factors
survey
Fisioterapia (Enfermería, Fisioterapia y Podología)
3299 Otras Especialidades Médicas
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spelling Consideration of Psychosocial Factors in Acute Low Back Pain by Physical TherapistsOtero Ketterer, EmiliaPeñacoba Puente, CeciliaOrtega Santiago, RicardoGalán del Río, FernandoValera Calero, Juan Antonio615.8biopsychosocial modelslow back painphysiotherapypsychosocial factorssurveyFisioterapia (Enfermería, Fisioterapia y Podología)3299 Otras Especialidades MédicasClinical guidelines consistently recommend screening psychosocial (PS) factors in patients with low back pain (LBP), regardless of its mechanical nature, as recognized contributors to pain chronicity. However, the ability of physiotherapists (PTs) in identifying these factors remains controversial. This study aimed to assess the current identification of psychosocial risk factors by physical therapists (PTs) and which characteristics of PTs are associated with the identification of the main risk for chronicity (physical or psychosocial). A cross-sectional descriptive study surveying Spanish PTs in public and private health services was conducted, including questions on PT characteristics and three low back pain (LBP) patient vignettes with different biopsychosocial (BPS) clinical presentations. From 484 respondents, the majority of PTs agreed regarding the main risk for chronicity for each vignette (PS 95.7% for vignette A, PS and physical 83.5% for vignette B and PS 66% for vignette C). Female PTs were more likely to rate psychosocial compared with males (p < 0.05). PTs with higher levels of social and emotional intelligence (both, p < 0.05) were more likely to identify the main risk for chronicity. However, only gender and social information processing for vignette A (p = 0.024) and emotional clarity for vignette B (p = 0.006) were able to predict the identification of psychosocial and physical risk, respectively. The main risk for chronicity was correctly identified by a large majority of PTs through patient vignettes. Gender, social and emotional intelligence played a relevant role in the recognition of psychosocial risk and biopsychosocial factors.MDPIUniversidad Complutense de Madrid20232023-06-0520232023-06-05journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.14352/103527reponame:Docta Complutenseinstname:Universidad Complutense de Madrid (UCM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:docta.ucm.es:20.500.14352/1035272026-06-02T12:44:21Z
dc.title.none.fl_str_mv Consideration of Psychosocial Factors in Acute Low Back Pain by Physical Therapists
title Consideration of Psychosocial Factors in Acute Low Back Pain by Physical Therapists
spellingShingle Consideration of Psychosocial Factors in Acute Low Back Pain by Physical Therapists
Otero Ketterer, Emilia
615.8
biopsychosocial models
low back pain
physiotherapy
psychosocial factors
survey
Fisioterapia (Enfermería, Fisioterapia y Podología)
3299 Otras Especialidades Médicas
title_short Consideration of Psychosocial Factors in Acute Low Back Pain by Physical Therapists
title_full Consideration of Psychosocial Factors in Acute Low Back Pain by Physical Therapists
title_fullStr Consideration of Psychosocial Factors in Acute Low Back Pain by Physical Therapists
title_full_unstemmed Consideration of Psychosocial Factors in Acute Low Back Pain by Physical Therapists
title_sort Consideration of Psychosocial Factors in Acute Low Back Pain by Physical Therapists
dc.creator.none.fl_str_mv Otero Ketterer, Emilia
Peñacoba Puente, Cecilia
Ortega Santiago, Ricardo
Galán del Río, Fernando
Valera Calero, Juan Antonio
author Otero Ketterer, Emilia
author_facet Otero Ketterer, Emilia
Peñacoba Puente, Cecilia
Ortega Santiago, Ricardo
Galán del Río, Fernando
Valera Calero, Juan Antonio
author_role author
author2 Peñacoba Puente, Cecilia
Ortega Santiago, Ricardo
Galán del Río, Fernando
Valera Calero, Juan Antonio
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Universidad Complutense de Madrid
dc.subject.none.fl_str_mv 615.8
biopsychosocial models
low back pain
physiotherapy
psychosocial factors
survey
Fisioterapia (Enfermería, Fisioterapia y Podología)
3299 Otras Especialidades Médicas
topic 615.8
biopsychosocial models
low back pain
physiotherapy
psychosocial factors
survey
Fisioterapia (Enfermería, Fisioterapia y Podología)
3299 Otras Especialidades Médicas
description Clinical guidelines consistently recommend screening psychosocial (PS) factors in patients with low back pain (LBP), regardless of its mechanical nature, as recognized contributors to pain chronicity. However, the ability of physiotherapists (PTs) in identifying these factors remains controversial. This study aimed to assess the current identification of psychosocial risk factors by physical therapists (PTs) and which characteristics of PTs are associated with the identification of the main risk for chronicity (physical or psychosocial). A cross-sectional descriptive study surveying Spanish PTs in public and private health services was conducted, including questions on PT characteristics and three low back pain (LBP) patient vignettes with different biopsychosocial (BPS) clinical presentations. From 484 respondents, the majority of PTs agreed regarding the main risk for chronicity for each vignette (PS 95.7% for vignette A, PS and physical 83.5% for vignette B and PS 66% for vignette C). Female PTs were more likely to rate psychosocial compared with males (p < 0.05). PTs with higher levels of social and emotional intelligence (both, p < 0.05) were more likely to identify the main risk for chronicity. However, only gender and social information processing for vignette A (p = 0.024) and emotional clarity for vignette B (p = 0.006) were able to predict the identification of psychosocial and physical risk, respectively. The main risk for chronicity was correctly identified by a large majority of PTs through patient vignettes. Gender, social and emotional intelligence played a relevant role in the recognition of psychosocial risk and biopsychosocial factors.
publishDate 2023
dc.date.none.fl_str_mv 2023
2023-06-05
2023
2023-06-05
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.14352/103527
url https://hdl.handle.net/20.500.14352/103527
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:Docta Complutense
instname:Universidad Complutense de Madrid (UCM)
instname_str Universidad Complutense de Madrid (UCM)
reponame_str Docta Complutense
collection Docta Complutense
repository.name.fl_str_mv
repository.mail.fl_str_mv
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