Current Management for Pregnancy-related Low Back Pain by Korean Physical Therapists: A National Cross-sectional Survey Using the Vignette Method

Background Numerous clinical practice guidelines (CPGs) have been developed to assist clinicians in care options for low back pain (LBP). Knowledge of CPGs has been marginal across health-related professions. Objective The aims of this study were: (1) to measure US-based physical therapists' knowledge of care recommendations associated with multidisciplinary LBP CPGs and (2) to determine which characteristics were associated with more correct responses. Design A cross-sectional survey was conducted. Methods Consenting participants attending manual therapy education seminars read a clinical vignette describing a patient with LBP and were asked clinical decision-making questions regarding care, education, and potential referral. Descriptive statistics illustrating response accuracy and binary logistic regression determined adjusted associations between predictor variables and appropriate decisions. Results A total of 1,144 of 3,932 surveys were eligible for analysis. Correct responses were 55.9% for imaging, 54.7% for appropriate medication, 62.0% for advice to stay active, 92.7% for appropriate referral with failed care, and 16.6% for correctly answering all 4 questions. After adjustment, practicing in an outpatient facility was significantly associated with a correct decision on imaging. Female participants were more likely than male participants to correctly select proper medications, refer the patient to another health care professional when appropriate, and answer all 4 questions correctly. Participants reporting caseloads of greater than 50% of patients with LBP were more likely to select proper medications, give advice to stay active, and answer all 4 questions correctly. Participants attending more continuing education were more likely to give advice to stay active and older, and more experienced participants were more likely to appropriately refer after failed care. Limitations There was potential selection bias, which limits generalizability. Conclusions The survey identified varied understanding of CPGs when making decisions that were similar in recommendation to the CPGs. No single predictor for correct responses for LBP CPGs was found.

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Wearable Technology to Increase Self-Awareness of Low Back Pain: A Survey of Technology Needs among Health Care Workers

Sensors ◽

10.3390/s21248412 ◽

2021 ◽

Vol 21 (24) ◽

pp. 8412

Author(s):

Andrea Ferrone ◽

Christopher Napier ◽

Carlo Menon

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Economic Cost ◽

Machine Learning Techniques ◽

Self Awareness ◽

Low Back ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Learning Techniques ◽

Monitoring Technologies

Low back pain (LBP) is a leading contributor to musculoskeletal injury worldwide and carries a high economic cost. The healthcare industry is the most burdened, with nurses, in particular, being highly prone to LBP. Wearable technologies have the potential to address the challenges of monitoring postures that contribute to LBP and increase self-awareness of workplace postures and movements. We aimed to gain insight into workers’ perceptions of LBP and whether they would consider using wearable monitoring technologies to reduce injury risks. We conducted a cross-sectional survey to gather information from a selected population of nurses. Sixty-four participants completed the survey, and data were analyzed with the support of Machine Learning techniques. Findings from this study indicate that the surveyed population (64 nurses) is interested in these new approaches to monitor movement and posture in the workplace. This technology can potentially change the way ergonomic guidelines are implemented in this population.

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Attitudes Toward Chiropractic

Journal of Evidence-Based Complementary & Alternative Medicine ◽

10.1177/2156587215604073 ◽

2015 ◽

Vol 21 (2) ◽

pp. 92-104 ◽

Cited By ~ 4

Author(s):

Carol Ann Weis ◽

Kent Stuber ◽

Jon Barrett ◽

Alexandra Greco ◽

Alexander Kipershlak ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Spinal Manipulation ◽

Response Rate ◽

Interprofessional Relations ◽

Chiropractic Care ◽

Low Back ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Written Comments

We assessed the attitudes of Canadian obstetricians toward chiropractic with a 38-item cross-sectional survey. Ninety-one obstetricians completed the survey, for a response rate of 14% (91 of 659). Overall, 30% of respondents held positive views toward chiropractic, 37% were neutral, and 33% reported negative views. Most (77%) reported that chiropractic care was effective for some musculoskeletal complaints, but 74% disagreed that chiropractic had a role in treatment of non-musculoskeletal conditions. Forty percent of respondents referred at least some patients for chiropractic care each year, and 56% were interested in learning more about chiropractic care. Written comments from respondents revealed concerns regarding safety of spinal manipulation and variability among chiropractors. Canadian obstetricians’ attitudes toward chiropractic are diverse and referrals to chiropractic care for their patients who suffer from pregnancy-related low back pain are limited. Improved interprofessional relations may help optimize care of pregnant patients suffering from low back pain.

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Pain knowledge and fear-avoidance beliefs of French osteopathy students and educators towards chronic low back pain: An osteopathic educational institution-based cross-sectional survey

International Journal of Osteopathic Medicine ◽

10.1016/j.ijosm.2021.12.002 ◽

2021 ◽

Author(s):

Hakim Mhadhbi ◽

Benoit Thierry-Hildenbrand ◽

Jerry Draper-Rodi ◽

Jorge E. Esteves ◽

Mathieu Ménard

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Educational Institution ◽

Low Back ◽

Fear Avoidance ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Fear Avoidance Beliefs ◽

Pain Knowledge

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A Cross-Sectional Survey of Low Back Pain in Nurses Working in Orthopedic Departments

Workplace Health & Safety ◽

10.1177/2165079918807231 ◽

2018 ◽

Vol 67 (5) ◽

pp. 218-230 ◽

Cited By ~ 2

Author(s):

Lingli Li ◽

Xiaofan Deng ◽

Hongxia Zhang ◽

Hui Yang ◽

Jiali Chen ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Sichuan Province ◽

Annual Number ◽

Low Back ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Fear Avoidance Beliefs ◽

Tertiary Hospitals ◽

Disability Questionnaire

The study aimed to gain knowledge about low back pain (LBP) in nurses working in the orthopedic departments of tertiary hospitals in Sichuan province, China. We used a cross-sectional survey to examine the prevalence of LBP among 797 inpatient nurses who had worked for 1 year in an orthopedic department in one of 29 hospitals (Grade 3A) in Sichuan province. The survey included a questionnaire to determine the prevalence of LBP and factors related to LBP, a screening graph of LBP symptoms, the Roland Morris Disability Questionnaire (RMDQ), and the Fear Avoidance Beliefs Questionnaire (FABQ) for LBP. The 1-year period prevalence of LBP in the nursing population was 66.8% and the point prevalence was 51.3%. Among the 523 nurses who had experienced LBP, the mean total number of days that LBP had been experienced during the past year was 20.2 ± 16.3 days (range = 1-90 days). The annual number of episodes of LBP was 5.7 ± 4.5 times/year (range = 1-20 times/year). More than half the orthopedic nurses (51.1%) planned to quit, and 5.8% thought of leaving their job due to LBP. These study findings indicate that nurses in this region experience a burden of LBP similar to those in other regions in the world.

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