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The attitudes and beliefs of UK osteopaths towards the management of low back pain: A cross-sectional study

Journal: International Journal of Osteopathic Medicine Date: 2018/06, 28Pages: 42-47. doi: Subito , type of study: cross sectional study

Full text    (https://www.sciencedirect.com/science/article/abs/pii/S1746068917301153)

Keywords:

biomedical [51]
biosocial [1]
attitudes and beliefs [1]
low back pain [413]
LBP [9]
UK [80]
osteopaths [138]
cross sectional study [597]

Abstract:

Objectives: To assess the biomedical (BM) and biopsychosocial (BM) attitudes and beliefs of osteopaths towards the management of low back pain (LBP) and whether this is associated with certain demographic variables. Methods: A cross-sectional survey of UK osteopaths was undertaken utilising the Pain Attitudes and Beliefs Scale for Physiotherapists (PABS.PT), which assesses practitioners' treatment orientation (BPS or BM) in LBP management. A demographic questionnaire was used to assess the relationship with certain demographic variables. Results: Responses were analysed from 107 osteopaths. The mean PABS.PT score for the BM scale was 32.41 (SD 6.32) and 31.99 (SD 4.09) for the BPS scale. There was a statistically significant, negative correlation between the scales. Most osteopaths recognised stress as a contributing factor to LBP and believed in the benefits of exercise for LBP but had diverse views regarding the relationships between pain and tissue damage. None of the demographic variables were associated with the PABS.PT scales. Conclusion: Osteopaths' beliefs may indicate an acceptance of the BPS approach, but some still hold strong BM beliefs about pain, which may influence their clinical decision making. Future studies should investigate the impact of osteopaths’ beliefs on their clinical management of LBP.


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