Unhelpful Information About Low Back and Neck Pain on Physiotherapist's Websites

IF 3.5 2区医学 Q1 ANESTHESIOLOGY

European Journal of Pain Pub Date : 2025-01-10 DOI:10.1002/ejp.4782

Robert van der Noord, Roland R. Reezigt, Davy Paap, Henrica R. Schiphorst Preuper, Michiel F. Reneman

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引用次数: 0

Abstract

Background

The internet is increasingly used as a primary source of information for patients with musculoskeletal pain. Private physiotherapy practices provide informative content on low back pain (LBP) and neck pain (NP) on their websites, but the extent to which this information is biopsychosocial, guidelines-consistent, and fear-inducing is unknown. The aim of this study was to analyse the information on websites of private physiotherapy practices in the Netherlands about LBP and NP regarding consistency with the guidelines and the biopsychosocial model and to explore the use of fear-inducing language.

Methods

The content of all existing Dutch private physiotherapy practice websites was examined in a cross sectional study design. Content analysis was based on predetermined criteria of the biopsychosocial model and evidence-based guidelines. Descriptive statistics were applied.

Results

After removing duplicates and sites without information, 834 (10%) of 8707 websites remained. Information about LBP was found on 449 (54%) websites and 295 (35%) websites informed about NP. A majority of websites (LBP: n = 287, 64%; NP: n = 174, 59%) were biomedically oriented. Treatment advice was given 1855 times on n = 560 (67%) websites. Most of the recommended interventions were inconsistent with or not mentioned in the guidelines. Fear-inducing language was provided n = 1624 (69%) times.

Conclusions

The majority of the information on the Dutch private physiotherapy websites was biomedical and not in line with the current guidelines and fear-inducing.

Significance

This study revealed that the majority of private physiotherapy practice websites that provide information on LBP and NP are inconsistent with the biopsychosocial model and current guidelines. This information has a negative impact on patients' knowledge, attitudes, beliefs, and expectations, potentially affecting treatment outcomes. Consequently, most physiotherapy practice websites are unreliable sources of information on LBP and NP for patients. There is an urgent need to implement strategies to make websites reliable and helpful sources of information.

Abstract Image

查看原文本刊更多论文

物理治疗师网站上关于腰痛和颈部疼痛的无用信息。

背景：互联网越来越多地被用作肌肉骨骼疼痛患者的主要信息来源。私人物理治疗实践在他们的网站上提供有关腰痛（LBP）和颈痛（NP）的信息，但这些信息在多大程度上是生物心理社会，指南一致性和恐惧诱导是未知的。本研究的目的是分析荷兰私人物理治疗网站上关于LBP和NP与指南和生物心理社会模型的一致性的信息，并探讨恐惧诱导语言的使用。方法：采用横断面研究设计对所有现有荷兰私人物理治疗实践网站的内容进行检查。内容分析基于生物心理社会模型和循证指南的预定标准。采用描述性统计。结果：剔除重复和无信息网站后，8707个网站中保留834个（10%）。在449个（54%）网站和295个（35%）网站上发现了LBP的信息。大多数网站(LBP: n = 287，占64%；NP: n = 174, 59%)为生物医学取向。在n = 560（67%）个网站上给出了1855次治疗建议。大多数推荐的干预措施与指南不一致或未提及。诱导恐惧的语言提供n = 1624次（69%）。结论：荷兰私人物理治疗网站上的信息大部分是生物医学信息，不符合现行指南，引起恐惧。意义：本研究揭示了大多数提供LBP和NP信息的私人物理治疗实践网站与生物心理社会模型和现行指南不一致。这些信息对患者的知识、态度、信念和期望产生负面影响，可能影响治疗结果。因此，大多数物理治疗实践网站是不可靠的LBP和NP患者的信息来源。迫切需要实施战略，使网站成为可靠和有用的信息来源。

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

European Journal of Pain 医学-临床神经学

CiteScore

7.50

自引率

5.60%

发文量

163

审稿时长

4-8 weeks

期刊介绍： European Journal of Pain (EJP) publishes clinical and basic science research papers relevant to all aspects of pain and its management, including specialties such as anaesthesia, dentistry, neurology and neurosurgery, orthopaedics, palliative care, pharmacology, physiology, psychiatry, psychology and rehabilitation; socio-economic aspects of pain are also covered. Regular sections in the journal are as follows: • Editorials and Commentaries • Position Papers and Guidelines • Reviews • Original Articles • Letters • Bookshelf The journal particularly welcomes clinical trials, which are published on an occasional basis. Research articles are published under the following subject headings: • Neurobiology • Neurology • Experimental Pharmacology • Clinical Pharmacology • Psychology • Behavioural Therapy • Epidemiology • Cancer Pain • Acute Pain • Clinical Trials.