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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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Autores principales: Otero-Ketterer, Emilia, Peñacoba-Puente, Cecilia, Ortega-Santiago, Ricardo, Galán-del-Río, Fernando, Valera-Calero, Juan Antonio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10253485/
https://www.ncbi.nlm.nih.gov/pubmed/37298060
http://dx.doi.org/10.3390/jcm12113865
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author Otero-Ketterer, Emilia
Peñacoba-Puente, Cecilia
Ortega-Santiago, Ricardo
Galán-del-Río, Fernando
Valera-Calero, Juan Antonio
author_facet Otero-Ketterer, Emilia
Peñacoba-Puente, Cecilia
Ortega-Santiago, Ricardo
Galán-del-Río, Fernando
Valera-Calero, Juan Antonio
author_sort Otero-Ketterer, Emilia
collection PubMed
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.
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spelling pubmed-102534852023-06-10 Consideration of Psychosocial Factors in Acute Low Back Pain by Physical Therapists Otero-Ketterer, Emilia Peñacoba-Puente, Cecilia Ortega-Santiago, Ricardo Galán-del-Río, Fernando Valera-Calero, Juan Antonio J Clin Med Article 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. MDPI 2023-06-05 /pmc/articles/PMC10253485/ /pubmed/37298060 http://dx.doi.org/10.3390/jcm12113865 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Otero-Ketterer, Emilia
Peñacoba-Puente, Cecilia
Ortega-Santiago, Ricardo
Galán-del-Río, Fernando
Valera-Calero, Juan Antonio
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
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_short 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
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10253485/
https://www.ncbi.nlm.nih.gov/pubmed/37298060
http://dx.doi.org/10.3390/jcm12113865
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