scholarly journals PREVALENCE OF LOW BACK PAIN IN HOME-BASED PHYSICAL THERAPISTS

2013 ◽  
Vol 2 (1) ◽  
pp. 15-20
Author(s):  
Ghazala Noor Nizami ◽  
Muhammad Sarfaraz ◽  
Dr. Shazia Noor Nizami
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapy ◽  
Physical Therapists ◽  
Sampling Technique ◽  
Survey Study ◽  
Low Back ◽  
Work Related ◽  
Home Based ◽  
Significant Difference

BACKGROUND To find out the prevalence and to highlight the risk factors of low back pain in home-based physical therapist. STUDY DESIGN AND SAMPLING TECHNIQUE A cross-sectional survey study with non-probability convenience sampling technique STUDY SETTING AND PARTICIPANTS 200 physical therapists that were doing home patients in Karachi, either without or with their jobs were the part of this study. They were either self-employed or affiliated to different hospitals. DATA COLLECTING TOOL AND DATA ANALYSIS A questionnaire was used to collect data, which was adopted from Nordic questionnaire and other researches. The collected data was analyzed on SPSS 20. RESULTS 93 % home-based physical therapists had experienced the work-related pain or discomfort in the last 12 months. Among them the low back is the highly affected site with prevalence of 81.5%. Their working status of job in physical therapy department or academics with home-based physical therapy had a significant difference in presence or absence of work related pain or discomfort. CONCLUSION This study shows that home-based physical therapists are more prone to develop work-related problems and had higher prevalence of work-related LBP. This may be due to more work load, lower bed height of home patients, poor ergonomics at homes of patients and poor posture of physical therapists.

scholarly journals Prevalence of Work Related Low Back Pain among Physical Therapists with Different Foot Postures at Fayoum, Egypt: A Survey Study

2019 ◽  
Vol 87 (March) ◽  
pp. 941-951
Author(s):  
HOSSAM EL-DIN A. IBRAHIM, M.Sc. SALWA F. ABD EL-MEGED, Ph.D. ◽  
EBTESSAM F. GOMAA, Ph.D. ALAA EL-MARAKBY, M.D.
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapists ◽  
Survey Study ◽  
Low Back ◽  
Work Related

scholarly journals Implementation of Clinical Guidelines on Physical Therapy for Patients With Low Back Pain: Randomized Trial Comparing Patient Outcomes After a Standard and Active Implementation Strategy

2005 ◽  
Vol 85 (6) ◽  
pp. 544-555 ◽  
Author(s):  
Geertruida E Bekkering ◽  
Maurits W van Tulder ◽  
Erik JM Hendriks ◽  
Marc A Koopmanschap ◽  
Dirk L Knol ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapy ◽  
Patient Outcomes ◽  
Physical Functioning ◽  
Clinical Guidelines ◽  
Physical Therapists ◽  
Low Back ◽  
Active Strategy ◽  
Active Implementation

Abstract Background and Purpose. An active strategy was developed for the implementation of the clinical guidelines on physical therapy for patients with low back pain. The effect of this strategy on patients' physical functioning, coping strategy, and beliefs regarding their low back pain was studied. Subjects. One hundred thirteen primary care physical therapists treated a total of 500 patients. Methods. The physical therapists were randomly assigned to 1 of 2 groups. The control group received the guidelines by mail (standard passive method of dissemination). The intervention group, in contrast, received an additional active training strategy consisting of 2 sessions with education, group discussion, role playing, feedback, and reminders. Patients with low back pain, treated by the participating therapists, completed questionnaires on physical functioning, pain, sick leave, coping, and beliefs. Results. Physical functioning and pain in the 2 groups improved substantially in the first 12 weeks. Multilevel longitudinal analysis showed no differences between the 2 groups on any outcome measure during follow-up. Discussion and Conclusion. The authors found no additional benefit to applying an active strategy to implement the physical therapy guidelines for patients with low back pain. Active implementation strategies are not recommended if patient outcomes are to be improved.

scholarly journals Direct Access to Physical Therapy for Patients With Low Back Pain in the Netherlands: Prevalence and Predictors

2014 ◽  
Vol 94 (3) ◽  
pp. 363-370 ◽  
Author(s):  
Jantine Scheele ◽  
Frank Vijfvinkel ◽  
Marijn Rigter ◽  
Ilse C.S. Swinkels ◽  
Sita M.A. Bierman-Zeinstra ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapy ◽  
The Netherlands ◽  
Clinical Characteristics ◽  
Physical Therapists ◽  
Education Level ◽  
Direct Access ◽  
Low Back ◽  
Episodes Of Care

Background In the Netherlands, direct access to physical therapy was introduced in 2006. Although many patients with back pain visit physical therapists through direct access, the frequency and characteristics of episodes of care are unknown. Objective The purposes of this study were: (1) to investigate the prevalence of direct access to physical therapy for patients with low back pain in the Netherlands from 2006 to 2009, (2) to examine associations between mode of access (direct versus referral) and patient characteristics, and (3) to describe the severity of the back complaints at the beginning and end of treatment for direct access and referral-based physical therapy. Design A cross-sectional study was conducted using registration data of physical therapists obtained from a longitudinal study. Method Data were used from the National Information Service for Allied Health Care, a registration network of Dutch physical therapists. Mode of access (direct or referral) was registered for each episode of physical therapy care due to back pain from 2006 to 2009. Logistic regression analysis was used to explore associations between mode of access and patient/clinical characteristics. Results The percentage of episodes of care for which patients with back pain directly accessed a physical therapist increased from 28.9% in 2006 to 52.1% in 2009. Characteristics associated with direct access were: middle or higher education level (odds ratio [OR]=1.3 and 2.0, respectively), previous physical therapy care (OR=1.7), recurrent back pain (OR=1.7), duration of back pain <7 days (OR=4.2), and age >55 years (OR=0.6). Limitations The study could not compare outcomes of physical therapy care by mode of access because this information was not registered from the beginning of data collection and, therefore, was missing for too many cases. Conclusions Direct access was used for an increasing percentage of episodes of physical therapy care in the years 2006 to 2009. Patient/clinical characteristics associated with the mode of access were education level, recurrent back pain, previous physical therapy sessions, and age.

scholarly journals Predictors of Physical Therapy Clinic Performance in the Treatment of Patients With Low Back Pain Syndromes

2008 ◽  
Vol 88 (9) ◽  
pp. 989-1004 ◽  
Author(s):  
Linda Resnik ◽  
Dawei Liu ◽  
Vince Mor ◽  
Dennis L Hart
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapy ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Low Back ◽  
Therapist Experience ◽  
Performance Group ◽  
Pain Syndromes ◽  
Physical Therapist Assistants

Background and Purpose Little is known about organizational and service delivery factors related to quality of care in physical therapy. This study sought to identify characteristics related to differences in practice outcomes and service utilization. Subjects The sample comprised 114 outpatient clinics and 1,058 therapists who treated 16,281 patients with low back pain syndromes during the period 2000–2001. Clinics participated with the Focus on Therapeutic Outcomes, Inc (FOTO) database. Methods Hierarchical linear models were used to risk adjust treatment outcomes and number of visits per treatment episode. Aggregated residual scores from these models were used to classify each clinic into 1 of 3 categories in each of 3 types of performance groups: (1) effectiveness, (2) utilization, and (3) overall performance (ie, composite measure of effectiveness and utilization). Relationships between clinic classification and the following independent variables were examined by multinomial logistic regression: years of therapist experience, number of physical therapists, ratio of physical therapists to physical therapist assistants, proportion of patients with low back pain syndromes, number of new patients per physical therapist per month, utilization of physical therapist assistants, and setting. Results Clinics that were lower utilizers of physical therapist assistants were 6.6 times more likely to be classified into the high effectiveness group compared with the low effectiveness group, 6.7 times more likely to be classified in the low utilization group compared with the high utilization group, and 12.4 times more likely to be classified in the best performance group compared with the worst performance group. Serving a higher proportion of patients with low back pain syndromes was associated with an increased likelihood of being classified in the lowest or middle group. Years of physical therapist experience was inversely associated with being classified in the middle utilization group compared with the highest utilization group. Discussion and Conclusion These findings suggest that, in the treatment of patients with low back pain syndromes, clinics that are low utilizers of physical therapist assistants are more likely to provide superior care (ie, better patient outcomes and lower service use).

scholarly journals FREQUENCY OF WORK RELATED LOW BACK PAIN AMONG PHYSICAL THERAPISTS

2013 ◽  
Vol 2 (2) ◽  
pp. 38-44
Author(s):  
Saima Javed ◽  
Anum Jawaid Sultan ◽  
M. Usman Khan ◽  
Maria Rahim
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Tertiary Care ◽  
Activity Level ◽  
Care Hospital ◽  
Low Back ◽  
Specialty Area ◽  
Work Related

To find out the frequency of work, related to Low Back Pain (LBP) among physical therapist of tertiary care hospital of Karachi. To analyze the effects of physical activity level, sub-specialty areas and Body Mass Index (BMI) on Work Related Low Back Pain (WRLBP) as well. A cross-sectional survey was conducted with non-probability convenience sampling technique was used. The study included 265 Physical Therapist working in Tertiary Care Hospitals of Karachi. Data was collected throughpre-tested, structured and self-administered questionnaire and then,wasanalyzed on SPSS version 17. This study reported that prevalence of WRLBP was 66.4%. The rate was higher in femalephysiotherapist, that is, 42.6%. Data revealed that, 69% of respondents experienced WRLBP within 2 years of their practices. Moreover, the manual therapy was found to be the most common cause for WRLBP. No significant association was found between BMIand physical activitylevel of physical therapist, but interestingly, it was found that sub-specialty area of work was correlated with WRLBP. The rate of WRLBP has been found to be high in physical therapists due to their profession. It is therefore, required to build up an effective ergonomic strategy, strengthen training for prevention at undergraduate level in order to reduce and prevent WRLBP.

scholarly journals Work-Related Low Back Pain Among Physical Therapists in Riyadh, Saudi Arabia

2017 ◽  
Vol 65 (8) ◽  
pp. 337-345 ◽  
Author(s):  
Ahmad Alghadir ◽  
Hamayun Zafar ◽  
Zaheen A. Iqbal ◽  
Einas Al-Eisa
Keyword(s):  
Saudi Arabia ◽  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Demographic Data ◽  
Daily Activities ◽  
Low Back ◽  
Online Questionnaire ◽  
Work Related

Low back pain (LBP) is a common health problem. Professions like physical therapy (PT), involving frequent lifting, bending, or standing, are at risk for developing LBP. The objective of this study was to determine the prevalence of work-related LBP and factors associated with and consequences of work-related LBP among physical therapists in Riyadh, Saudi Arabia. A self-administered online questionnaire (i.e., demographic data, history of LBP before and after working as a physical therapist, work setting, and effect on daily activities) was sent to 600 members of the Saudi PT association. Data were analyzed using the Pearson chi-square test and Mann-Whitney U test. Eighty-eight percent of potential respondents completed the questionnaire. Of these, 89.65% of the therapists reported LBP after beginning their PT practice, and 35.6% reported LBP at the time of this survey. Gender, PT specialty, and duration of contact with patients were all found to be related to LBP. The prevalence of work-related LBP among physical therapist in Riyadh was high, affecting patient care and daily activities of the therapists. Both primary and secondary prevention strategies (e.g., introduce ergonomics into PT curricula, reduce therapist stress, and promote teamwork) are needed to decrease LBP among therapists, so they can effectively care for patients.

scholarly journals Management of Work-Related Low Back Pain: A Population-Based Survey of Physical Therapists

2005 ◽  
Vol 85 (11) ◽  
pp. 1168-1181 ◽  
Author(s):  
Stéphane Poitras ◽  
Régis Blais ◽  
Bonnie Swaine ◽  
Michel Rossignol
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapists ◽  
Muscle Tension ◽  
Population Based ◽  
Treatment Session ◽  
Low Back ◽  
Work Related ◽  
Below The Knee ◽  
Interferential Current

Abstract Background and Purpose. Physical therapy often is used in the management of work-related low back pain (LBP). Little information, however, is known about the types of interventions used by physical therapists in the management of this condition. The objective of this study was to describe the interventions used by physical therapists in the treatment of workers with acute or subacute LBP, with or without radiating pain below the knee. Subjects. Clinical management questionnaires for workers without and with radiating pain were returned by 190 and 139 physical therapists, respectively. Methods. For each treatment session, therapists recorded treatment objectives, interventions, and education provided to 2 workers with LBP, 1 with radiating pain and 1 without radiating pain. Results. The majority of physical therapists used stretching and strengthening exercises, spinal mobilizations, soft tissue mobilizations and massage, manual traction, posture correction, interferential current, ultrasound, heat, and functional activities education. With radiating pain, the majority of the therapists also used cold and the McKenzie approach. Treatment objectives pursued by the majority of the therapists were decrease of pain, increase of range of motion, increase of muscle strength (force-generating capacity of muscle), decrease of muscle tension, and worker education. Discussion and Conclusion. Physical therapists use an array of interventions with workers with LBP. The effectiveness of most interventions reported has not been well studied.

scholarly journals Physical therapy for patients with low back pain in Germany: a survey of current practice

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Carolin Bahns ◽  
Lisa Happe ◽  
Christian Thiel ◽  
Christian Kopkow
Keyword(s):  
Health Care ◽  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapy ◽  
Guideline Adherence ◽  
Physical Therapists ◽  
Diagnostic Process ◽  
Low Back ◽  
German Physical

Abstract Background Low back pain (LBP) is one of the most common musculoskeletal disorders worldwide. The National Disease Management Guideline (NVL) “Non-specific LBP” is a practical decision-making aid for both physicians and non-medical professionals in Germany to improve quality of health care. Although LBP is the most frequent diagnosis resulting in physical therapy treatment, information on the current management of patients with LBP and guideline adherence is limited. The objective of this study was to evaluate the current physical therapy management of patients with LBP in Germany, and to explore guideline adherence to the NVL “Non-specific LBP” recommendations. Methods An online survey among physical therapists working in Germany was conducted based on the recommendations given in the NVL “Non-specific LBP”. Participants were recruited using a snowball sampling approach and invited to complete the questionnaire. Guideline adherence was evaluated by comparing the survey findings with the recommendations of the NVL. Results In total, 1361 physical therapists (41 years of age (SD 11); 839 female, 514 male; 16 years of clinical experience (SD 10)) completed the survey. Fifty percent (n = 675) of our respondents adhered to the recommendations of the NVL on the therapeutic diagnostic process, and 72% (n = 973) to the recommendations concerning treatment. The guideline adherence across the entire management process (i.e., both diagnosis and treatment) of LBP was 38% (n = 513). German physical therapists predominantly provide active interventions, e.g., exercise therapy, but also use interventions with low or conflicting evidence, respectively. Massage and Kinesio Taping were frequently used despite being not recommended. Less than one third of study participants (n = 400, 29%) answered to know the NVL or had dealt with its recommendations. Conclusions In the management of LBP, overall guideline adherence among German physical therapists was 38% with higher adherence in the treatment section than in the physical therapeutic diagnostic process. Widespread employment of implementation strategies and removal of existing barriers against the application of evidence-based guidelines could facilitate the transfer of scientific evidence into clinical practice and contribute to optimize the quality of health care. Trial registration German Clinical Trials Register (DRKS00012607). Registered 04 October 2017.

scholarly journals Implementation of a Quality Improvement Process Aimed to Deliver Higher-Value Physical Therapy for Patients With Low Back Pain: Case Report

2015 ◽  
Vol 95 (12) ◽  
pp. 1712-1721 ◽  
Author(s):  
Emily Karlen ◽  
Becky McCathie
Keyword(s):  
Low Back Pain ◽  
Quality Improvement ◽  
Back Pain ◽  
Physical Therapy ◽  
Physical Therapists ◽  
Evidence Based ◽  
Low Back ◽  
Quality Improvement Process ◽  
Improvement Process ◽  
Evidence Based Care

Background and PurposeThe current state of health care demands higher-value care. Due to many barriers, clinicians routinely do not implement evidence-based care even though it is known to improve quality and reduce cost of care. The purpose of this case report is to describe a theory-based, multitactic implementation of a quality improvement process aimed to deliver higher-value physical therapy for patients with low back pain.Case DescriptionPatients were treated from January 2010 through December 2014 in 1 of 32 outpatient physical therapy clinics within an academic health care system. Data were examined from 47,755 patients (mean age=50.3 years) entering outpatient physical therapy for management of nonspecific low back pain, with or without radicular pain. Development and implementation tactics were constructed from adult learning and change management theory to enhance adherence to best practice care among 130 physical therapists. A quality improvement team implemented 4 tactics: establish care delivery expectations, facilitate peer-led clinical and operational teams, foster a learning environment focused on meeting a population's needs, and continuously collect and analyze outcomes data. Physical therapy utilization and change in functional disability were measured to assess relative cost and quality of care. Secondarily, charge data assessed change in physical therapists' application of evidence-based care.OutcomesImplementation of a quality improvement process was measured by year-over-year improved clinical outcomes, decreased utilization, and increased adherence to evidence-based physical therapy, which was associated with higher-value care.DiscussionWhen adult learning and change management theory are combined in quality improvement efforts, common barriers to implementing evidence-based care can be overcome, creating an environment supportive of delivering higher-value physical therapy for patients with low back pain.

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