[en] Background and aims: In 2013, a study showed low guideline adherence regarding chronic low back pain (CLBP) in physiotherapy students concerning activity and work recommendations (47% and 16%) . The aim of this study was to investigate if the 2020’ physiotherapy students’ attitudes and beliefs regarding CLBP and osteoarthritis (OA) and the guideline adherence have improved compared to the students in 2013, by using the same protocol.
Methods: In 2013 and 2020, physiotherapy students in their 2nd and 4th year of education were recruited from 6 Belgian and 2 Dutch institutions. Their attitudes and beliefs regarding CLBP and OA were measured using the Pain attitudes and beliefs scale (PABS), the Health Care Providers’ Pain and Impairment Relationship Scale (HC-PAIRS) and a questionnaire regarding therapeutic exercise and knee OA. A clinical case vignette was used to measure the guideline adherence regarding CLBP.
Results: A total of 2738 students participated, 1624 in 2013 and 1114 in 2020. Compared to 2013, students in 2020 scored lower on the biomedical scale (p<.001) and higher on the psychosocial scale (p<.001) regarding CLBP and OA. Medium effect size (cohens’d=0.548) was found on the psychosocial orientation of the PABS; small effect sizes were observed
regarding the other outcomes. In 2020, 54% provided clinical guidelines’ consistent recommendations for activity and 28% for work, which is significantly better than students in 2013.
Conclusions: The results suggest that a positive shift occurred towards a more biopsychosocial approach between students of 2013 and 2020. Although improved, the guideline adherence concerning activity and work recommendations remains low
Disciplines :
General & internal medicine
Author, co-author :
Munneke, Wouter ; Université de Liège - ULiège > Evaluation-Revalidation (EVAREVA) ; VUB - Vrije Universiteit Brussel [BE] > Department of Physiotherapy, Human Physiology and Anatomy
Demoulin, Christophe ; Université de Liège - ULiège > Département des Sciences de l'activité physique et de la réadaptation > Kinésithérapie spécifique et réadaptation motrice
Nijs, Jo; VUB - Vrije Universiteit Brussel [BE] > Department of Physiotherapy, Human Physiology and Anatomy ; University of Gothenburg > Department of Health and Rehabilitation
Roussel, Nathalie ; Université de Liège - ULiège > Département des Sciences de l'activité physique et de la réadaptation
Leysen, Marijke; KU Leuven - Katholieke Universiteit Leuven [BE] > Faculty of Kinesiology and Rehabilitation Sciences
Van Wilgen, Paul; Transcare > Transdisciplinary Pain Management Center ; VUB - Vrije Universiteit Brussel [BE] > Department of Physiotherapy, Human Physiology and Anatomy
Pitence, Laurent; UCLouvain > Neuro-musculoskeletal Lab ; UCL Saint-Luc - Cliniques Universitaires Saint-Luc [BE] > Oral and Maxillofacial Surgery Department
Reezigt, Roland; Hanze University of Applied Sciences Groningen > Department of Physiotherapy
Voogt, Lennard; VUB - Vrije Universiteit Brussel [BE] > Department of Physiotherapy, Human Physiology and Anatomy ; University of Applied Sciences Rotterdam > Department of Physical Therapy
Dankaerts, Wim; KU Leuven - Katholieke Universiteit Leuven [BE] > Faculty of Kinesiology and Rehabilitation Sciences
Danneels, Lieven; UGent - Universiteit Gent [BE] > Department of Rehabilitation Sciences and Physical Therapy
Köke, Albère J.A; UM - University of Maastricht [NL] > Department of Rehabilitation Medicine ; Adelante Centre of Expertise in Rehabilitation and Audiology ; Zuyd University of Applied Sciences > Department of Physical Therapy
Cools, Wilfried; Support for Quantitative and Qualitative Research > Core facility
De Kooning, Margot; VUB - Vrije Universiteit Brussel [BE] > Department of Physiotherapy, Human Physiology and Anatomy
