Assessing the knowledge of low back pain among physiotherapists in Spain: A cohort study with pre- and post-educational course evaluation

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice Pub Date : 2024-10-02 DOI:10.1016/j.msksp.2024.103201

Julia Blasco-Abadía , Pablo Bellosta-López , Thorvaldur Skuli Palsson , Steffan Wittrup McPhee Christensen , Morten Hoegh , Francesco Langella , Pedro Berjano , Priscila De Brito Silva , Palle Schlott Jensen , Víctor Doménech-García

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引用次数: 0

Abstract

Background

Low back pain (LBP) is the most prevalent musculoskeletal disorder worldwide and physiotherapists are among the primary healthcare professionals assessing and treating the condition. However, scientific knowledge regarding the management of LBP amongst physiotherapists is largely unknown.

Objectives

To evaluate the level of evidence-based knowledge among Spanish physiotherapists in LBP management and assess knowledge enhancement following the completion of an e-learning course.

Design

Single-arm cohort study with pre-post evaluation.

Methods

This single-arm pre-post study involved 1350 physiotherapists practicing in Spain. Initially, participants underwent a 22-question test on evidence-based LBP knowledge, covering socio-economic impact, characteristics of LBP, rehabilitation goals, psychosocial factors, and high- and low-value interventions. After completing the course, participants took a final test with the same 22 questions in randomized order.

Results

Out of the 1350 physiotherapists enrolled, 857 completed the course. The initial responses demonstrated that almost half of the participants considered medical imaging essential before starting physiotherapy treatment, perceived glucocorticoids as recommended for chronic low back pain, and considered ergonomic adjustments crucial for managing the condition. Individuals who completed their education more than 10 years ago showed a minor improvement in evidence-based knowledge compared to those who recently finished their university degree. Following the course, participants displayed improved knowledge, narrowing prior disparities in error percentages across questions.

Conclusion

Due to existing gaps in physiotherapists’ evidence-based knowledge of LBP, particularly among those who have worked longer time as physiotherapists, e-learning initiatives may be a feasible approach to support continuous training of physiotherapists.

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评估西班牙物理治疗师对腰背痛的认识：教育课程前后评估的队列研究。

背景：腰背痛（LBP）是全球最常见的肌肉骨骼疾病，物理治疗师是评估和治疗该疾病的主要医疗专业人员之一。然而，物理治疗师对腰背痛管理的科学知识却知之甚少：评估西班牙物理治疗师在枸杞多糖症管理方面的循证知识水平，并评估完成电子学习课程后的知识提升情况：设计：单臂队列研究，事后评估：这项单臂事后评估研究涉及西班牙的 1350 名物理治疗师。首先，参与者接受了一项由 22 个问题组成的循证枸杞多糖症知识测试，测试内容包括社会经济影响、枸杞多糖症的特征、康复目标、社会心理因素以及高价值和低价值干预措施。课程结束后，学员们还参加了最后一次测试，测试中的 22 个问题均按随机顺序排列：结果：在报名的 1350 名物理治疗师中，有 857 人完成了课程。初步调查结果显示，近一半的参与者认为在开始物理治疗前必须进行医学影像检查，认为糖皮质激素是治疗慢性腰背痛的推荐药物，并认为人体工程学调整对控制病情至关重要。与刚刚完成大学学业的学员相比，10 多年前完成学业的学员在循证知识方面略有提高。课程结束后，参与者的知识水平有所提高，缩小了之前在不同问题上错误率的差距：由于物理治疗师在腰椎间盘突出症的循证知识方面存在差距，尤其是在工作时间较长的物理治疗师中，电子学习计划可能是支持物理治疗师持续培训的可行方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Musculoskeletal Science and Practice Health Professions-Physical Therapy, Sports Therapy and Rehabilitation

CiteScore

4.10

自引率

8.70%

发文量

152

审稿时长

48 days

期刊介绍： Musculoskeletal Science & Practice, international journal of musculoskeletal physiotherapy, is a peer-reviewed international journal (previously Manual Therapy), publishing high quality original research, review and Masterclass articles that contribute to improving the clinical understanding of appropriate care processes for musculoskeletal disorders. The journal publishes articles that influence or add to the body of evidence on diagnostic and therapeutic processes, patient centered care, guidelines for musculoskeletal therapeutics and theoretical models that support developments in assessment, diagnosis, clinical reasoning and interventions.