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

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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.