Do patients with fibromyalgia syndrome receive updated management strategies? A web-based survey among Italian physiotherapists

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice Pub Date : 2025-02-01 DOI:10.1016/j.msksp.2024.103240

Massimo Esposto , Gabriele Anella , Leonardo Pellicciari , Mattia Bisconti , Giuseppe Giovannico , Andrea Polli , Matteo Cioeta

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引用次数: 0

Abstract

Introduction

Fibromyalgia syndrome (FMS) causes significant pain, disability, and costs among patients. It is paramount that healthcare professionals have an updated knowledge of its characteristics and Clinical Practice Guidelines (CPGs).

Objectives

To determine the knowledge, adherence to CPGs, and confidence of Italian physiotherapists in managing patients with FMS, explore barriers to the implementation of CPG' recommendations, compare groups' adherence to CPGs, and determine which variables explained most of the participants' knowledge.

Methods

The survey was administered via social media and newsletter (i.e., Italian Association of Physiotherapists, AIFI) to Italian practicing physiotherapists. The protocol of this work was prospectively registered in the Open Science Framework.

Results

Total replies were 398. Italian physiotherapists showed a good knowledge of FMS and adherence to CPGs. Ninety-one percent reported a medium or lower confidence in managing patients with FMS. Sixty-seven percent judged their knowledge of CPGs as poor or very poor. The remaining 33% mentioned patients' psychosocial aspects, multidisciplinary relationships, and lack of training on communication strategies as the main barriers to the implementation of CPGs. Being an Orthopaedic Manipulative Physical Therapist (OMPT) resulted in a better adherence to CPGs on 11/14 items. Knowledge scores were correlated (r = 0.244) with being an OMPT (Stand β = 0.123) and years of professional activity (Stand β = −0.126).

Conclusions

Although Italian physiotherapists demonstrated a good knowledge of FMS and reported a good adherence to CPGs' recommendations, they may still experience barriers to the implementation of evidence-based management strategies.

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纤维肌痛综合征患者是否接受了最新的治疗策略？意大利物理治疗师的网络调查。

简介：纤维肌痛综合征（FMS）在患者中引起显著的疼痛、残疾和费用。医疗保健专业人员对其特征和临床实践指南（CPGs）有最新的了解是至关重要的。目的：确定意大利物理治疗师在管理FMS患者方面的知识、对CPG的依从性和信心，探讨实施CPG建议的障碍，比较各组对CPG的依从性，并确定哪些变量解释了大多数参与者的知识。方法：通过社交媒体和通讯（即意大利物理治疗师协会，AIFI）对意大利执业物理治疗师进行调查。这项工作的方案已前瞻性地在开放科学框架中注册。结果：总回复398份。意大利物理治疗师表现出对FMS的良好了解和对CPGs的坚持。91%的人对管理FMS患者有中等或更低的信心。67%的人认为他们对cpg的了解很差或很差。其余33%的人提到患者的心理社会方面、多学科关系以及缺乏沟通策略培训是实施CPGs的主要障碍。作为一名骨科操作物理治疗师（OMPT），可以更好地遵守11/14项的CPGs。知识得分与OMPT （Stand β = 0.123）和专业活动年数（Stand β = -0.126）相关（r = 0.244）。结论：尽管意大利物理治疗师表现出对FMS的良好了解，并报告了对CPGs建议的良好遵守，但他们在实施循证管理策略方面仍可能遇到障碍。

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.