Background

Low back pain (LBP) is a common problem that places a major burden on individuals and society. It has been proposed that patients treated by biomedically oriented clinicians will have worse outcomes than those treated by biopsychosocially oriented clinicians.

Objective

To investigate the impact of physical therapist LBP related attitudes and beliefs on the outcomes of patients with LBP.

Design

Retrospective cohort design.

Method

United States based physical therapists utilizing the Focus on Therapeutic Outcomes, Inc. (FOTO) database were surveyed using the Health Care Providers' Pain and Impairment Relationship Scale (HC-PAIRS) and the Pain Attitudes and Beliefs Scale for Physiotherapists (PABS-PT). Outcomes were measured using average Computerized Lumbar Functional Scale change scores (CLFS) and CLFS residual scores.

Results

Analysis was performed on outcome data from 78 physical therapist and included 2345 patients. HC-PAIRS was a univariate predictor of average CLFS change scores and average CLFS residual scores. PABS-PT Biomedical subscale was a univariate predictor of average CLFS change scores. After adjusting for confounding variables, higher HC-PAIRS scores and PABS-BM scores were associated with a greater change in average CLFS score, and higher PABS-BM scores were associated with higher CLFS residual scores.

Conclusion

Physical therapists who believed in a stronger relationship between pain and disability had improved patient outcomes.

中文翻译：

---

物理治疗师的态度和信念对腰痛患者预后的影响

背景

腰痛 (LBP) 是一个常见问题，给个人和社会带来重大负担。有人提出，由生物医学导向的临床医生治疗的患者比由生物心理社会导向的临床医生治疗的患者具有更差的结果。

客观的

调查物理治疗师 LBP 相关态度和信念对 LBP 患者结果的影响。

设计

回顾性队列设计。

方法

美国物理治疗师利用 Focus on Therapeutic Outcomes, Inc. (FOTO) 数据库接受了医疗保健提供者疼痛和损伤关系量表 (HC-PAIRS) 和物理治疗师疼痛态度和信念量表 (PABS-PT) 的调查. 使用平均计算机化腰椎功能量表变化评分 (CLFS) 和 CLFS 残差评分测量结果。

结果

对 78 名物理治疗师的结果数据进行了分析，其中包括 2345 名患者。HC-PAIRS 是平均 CLFS 变化得分和平均 CLFS 残差得分的单变量预测因子。PABS-PT 生物医学分量表是平均 CLFS 变化评分的单变量预测因子。在调整混杂变量后，较高的 HC-PAIRS 评分和 PABS-BM 评分与平均 CLFS 评分的更大变化相关，而较高的 PABS-BM 评分与较高的 CLFS 残差评分相关。

结论

相信疼痛与残疾之间存在更强关系的物理治疗师改善了患者的治疗效果。