Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Research Article Volume 6 Issue 5

Knowledge Attitude and Practice Towards Patients with Chronic Low Back Pain Among the Physiotherapist Clinical Practice at Dhaka City - A Cross Sectional Study

Nafisa Tahera1*, Shamema Bari2, Mohd Harun-Or-Rashid3, Abul Hasnat Mohiuddin4 and Bijoya Sarkar5

1Senior Physiotherapist and OPD Head - Hasnat’s Physiotherapy Lalmatia, Dhaka, Bangladesh
2Junior Consultant (Physiotherapy) - Hasnat’s Physiotherapy Lalmatia, Dhaka, Bangladesh
3Consultant (Physiotherapy), New Life Trauma Centre, Rampura, Dhaka, Bangladesh
4Assistant Professor and Head of Physiotherapy Department, Dhaka College of Medical and Technology, Mohammadpur, Dhaka, Bangladesh
5Physiotherapist, Gono Shasthaya Medical College Hospital, Mirzanagar, Savar, Dhaka, Bangladesh

*Corresponding Author: Nafisa Tahera, Senior Physiotherapist and OPD Head - Hasnat’s Physiotherapy Lalmatia, Dhaka, Bangladesh.

Received: April 01, 2022; Published: April 26, 2022

Abstract

Introduction: Low back pain is one of the top foremost causes of disability worldwide. Most cases of acute low back pain progress to chronic low back pain when recuperation takes more than three months. This is due to psychosocial factors, brain structural change and also the neurochemical changes which lead to change in the central mechanism of the brain. The management approach of chronic low back pain has evolved from the biomedical to the biopsychosocial come up to in order to consider the psychosocial factors during assessment and management of patients with chronic low back pain. The multidisciplinary team and biopsychosocial draw near are currently recommended in managing patients with chronic low back pain in order to gain best possible results for patients. Their knowledge of the neurophysiology of pain and their attitudes and practice about patients with pain is equally important in influential the appropriate approach in the management of patients with chronic low back pain.

Objective: The objective of this study was to evaluate Knowledge, attitude and practice towards patients with chronic low back pain among the physiotherapist clinical practice in Dhaka city of Bangladesh.

Methodology: Cross sectional research with 105 participants among the target population of this study is male and female enthusiastically grace with presence in Dhaka city of Bangladesh. On the other hand the study population was those congregation inclusion/exclusion criteria and KAP study of chronic low back pain. Data was collected through a well structured NPQ for knowledge and HC-PAIRS for attitude and practice questionnaire prepared by the interviewer and approved by the examination board. Baseline information was collected through interviewer-administered questionnaire through face to face interview. Data were numerically coded and captured in Excel, using an SPSS 16.0 version.

Results: The study found that The youngest participants in this study were 25 years old and oldest participants were 50 years old. In this study, Gender showed that Gender showed that Male and female participant quotient was identical. Male 95.2% (n = 100) and Female 4.8% (n = 5). In this study Highest level of Education completed showed that HSC participants were highest rate that was 39% (n = 41). In this study income status of the participants showed that 10000-20000 BDT participants were highest rate that was 55.2% (n = 58). Have you ever been instructed or received information on low back pain and its contributing factors? This study showed that that yes participants were highest rate that was 59% (n = 62) and no participants were 41% (n = 43). Accepting your pain may facilitate recovery from low back pain this study showed that strongly agree participants were highest rate that was 48.6% (n = 51) and lowest disagree were 1% (n = 1). Flexion combined with compressive force to the lumbar spine, e.g. in lifting heavy objects poses the risk of developing low back pain This study showed that strongly agree participants.

Conclusion: This study highlighted that many patients with LBP in Dhaka city are not sufficiently knowledgeable about LBP and hold unconstructive attitudes and beliefs regarding their LBP. Even though no delineation was made between the knowledge, attitude and beliefs of patients living with chronic against repeated LBP, it can be accomplished that providing education to the patients regarding their LBP and especially pain neuroscience education may augment their knowledge regarding LBP. Therefore, LBP management approaches in Dhaka city should include education programmes aimed at sanction patients with knowledge regarding LBP, its contributing factors as well as changing their negative attitudes and beliefs about their pain. Patients’ sympathetic of the cause and nature of their pain may augment the accomplishment of treatment goals. The biomedical and biopsychosocial treatment orientations of physiotherapists in Dhaka city were relatively low. The most recurrent treatment strategies used by physiotherapists for Non specific chronic low back pain were home exercises and patient education. However, some passive and traditional treatments which are not optional by clinical practice guidelines for the management of LBP persist to be used repeatedly by physiotherapists in Dhaka city in Bangladesh. This study has confirmed that physiotherapists’ pain attitudes and beliefs are appreciably associated with treatment selection when managing individuals with NSCLBP. Further research through which to better understand and make possible the implementation of best evidence-based practice and clinical practice with the consideration of the biopsychosocial model in universities’ curricula is a priority, particularly in countries in which the biopsychosocial model is rarely measured in the healthcare and education/university systems.

Keywords: Low Back Pain; Knowledge; Attitudes; Practice; Physiotherapist

References

  1. Adillón Cristina., et al. "Comparison of pain neurophysiology knowledge among health sciences students: a cross-sectional study”. BMC Research Notes1 (2015): 1-8.
  2. Alshami Ali M and Yousef A Albahrani. "A comparison of the attitudes toward chronic low back pain in Saudi, Australian and Brazilian physical therapy students”. Journal of Taibah University Medical Sciences2 (2015): 181-187.
  3. Bishop A and Foster NE. “The implementation of guidelines for the management of patients with low back pain: the role of practitioners’ attitudes and perceptions”. International Musculoskeletal Medicine 32 (2010): 151-156.
  4. Briggs A M., et al. "Low back pain‐related beliefs and likely practice behaviors among final‐year cross‐discipline health students”. European Journal of Pain5 (2013): 766-775.
  5. Clenzos N., et al. "Physiotherapists’ knowledge of pain: A cross-sectional correlation study of members of the South African Sports and Orthopedic Manipulative Special Interest Groups”. South African Journal of Sports Medicine4 (2013): 95-100.
  6. Domenech Julio., et al. "Impact of biomedical and biopsychosocial training sessions on the attitudes, beliefs, and recommendations of health care providers about low back pain: a randomized clinical trial”. Pain11 (2011): 2557-2563.
  7. Duke Gloria., et al. "Pain management knowledge and attitudes of baccalaureate nursing students and faculty”. Pain Management Nursing1 (2013): 11-19.
  8. Dwyer Christopher P., et al. "Factors influencing the application of a biopsychosocial perspective in clinical judgments of chronic pain: Interactive management with medical students”. Pain Physician6 (2017): E951-E960.
  9. Freeman A. "Pain management psychotherapy: A practitioner’s guide”. New York: Wiley. Gatchel, RM, Peter, ML, Fuchs, PN, and Turk, DC (2007). The biopsychosocial approach to chronic pain: scientific advances and future directions. Psychological Bulletin 133.4 (1998): 518624.
  10. Driscoll Tim., et al. "The global burden of occupationally related low back pain: estimates from the Global Burden of Disease 2010 study”. Annals of the rheumatic diseases6 (2014): 975-981.
  11. Moffett JA., et al. "A longitudinal study of low back pain in student nurses”. International Journal of Nursing Studies3 (1993): 197-212.
  12. Luk Keith Dip Kei., et al. "A multidisciplinary rehabilitation programme for patients with chronic low back pain: a prospective study”. Journal of Orthopedic Surgery2 (2010): 131-138.
  13. Moore James E. "Chronic low back pain and psychosocial issues”. Physical Medicine and Rehabilitation Clinics4 (2010): 801-815.
  14. Ryan Cormack., et al. "The effect of a physiotherapy education compared with a non-healthcare education on the attitudes and beliefs of students towards functioning in individuals with back pain: an observational, cross-sectional study”. Physiotherapy2 (2010): 144-150.
  15. Stubbs Brendon., et al. "The epidemiology of back pain and its relationship with depression, psychosis, anxiety, sleep disturbances, and stress sensitivity: Data from 43 low-and middle-income countries”. General hospital psychiatry 43 (2016): 63-70.
  16. Videman T., et al. "Low-back pain in nurses and some loading factors of work”. Spine4 (1984): 400-404.
  17. Oosterhuis Teddy., et al. "Early rehabilitation after lumbar disc surgery is not effective or cost-effective compared to no referral: a randomized trial and economic evaluation”. Journal of Physiotherapy3 (2017): 144-153.
  18. Darlow Ben., et al. "The association between health care professional attitudes and beliefs and the attitudes and beliefs, clinical management, and outcomes of patients with low back pain: a systematic review”. European Journal of Pain1 (2012): 3-17.
  19. Widerström Birgitta., et al. "Aspects influencing clinical reasoning and decision-making when matching treatment to patients with low back pain in primary healthcare”. Musculoskeletal Science and Practice 41 (2019): 6-14.
  20. Alghadir Ahmad and Shahnawaz Anwer. "Prevalence of musculoskeletal pain in construction workers in Saudi Arabia”. The Scientific World Journal 2015 (2015).
  21. Alshami Ali M. "Prevalence of spinal disorders and their relationships with age and gender”. Saudi Medical Journal6 (2015): 725.
  22. Attar Suzan Mansour. "Frequency and risk factors of musculoskeletal pain in nurses at a tertiary centre in Jeddah, Saudi Arabia: a cross sectional study”. BMC Research Notes1 (2014): 1-6.

Citation

Citation: Nafisa Tahera., et al. “Knowledge Attitude and Practice Towards Patients with Chronic Low Back Pain Among the Physiotherapist Clinical Practice at Dhaka City - A Cross Sectional Study". Acta Scientific Medical Sciences 6.5 (2022): 188-198.

Copyright

Copyright: © 2022 Nafisa Tahera., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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