Embedding psychosocial perspectives within clinical management of low back pain: Integration of psychosocially informed management principles into physical therapist practice-challenges and opportunities

Physical Therapy

Volumn 91, Issue 5, 2011, Pages 790-803

  Foster, Nadine E ^a   Delitto, Anthony ^b  

^a KEELE UNIVERSITY   (United Kingdom)

^b UNIVERSITY OF PITTSBURGH   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CLINICAL TRIAL (TOPIC); CONTINUING EDUCATION; CONVALESCENCE; DECISION MAKING; DISABILITY; EDUCATION; HEALTH CARE PLANNING; HUMAN; KINESIOTHERAPY; LOW BACK PAIN; PATIENT EDUCATION; PHYSIOTHERAPY; PROGNOSIS; PSYCHOLOGICAL ASPECT; PSYCHOPHYSIOLOGY; REIMBURSEMENT; REVIEW; RISK ASSESSMENT; RISK FACTOR;

CLINICAL TRIALS AS TOPIC; DECISION MAKING; DISABILITY EVALUATION; EDUCATION, CONTINUING; EXERCISE THERAPY; HEALTH PRIORITIES; HUMANS; LOW BACK PAIN; PATIENT EDUCATION AS TOPIC; PHYSICAL THERAPY (SPECIALTY); PHYSICAL THERAPY MODALITIES; PROGNOSIS; PSYCHOPHYSIOLOGY; RECOVERY OF FUNCTION; REIMBURSEMENT MECHANISMS; RISK ASSESSMENT; RISK FACTORS;

EID: 79960952992     PISSN: 00319023     EISSN: 15386724     Source Type: Journal    
DOI: 10.2522/ptj.20100326     Document Type: Article

References (93)

1. Hayden JA, van Tulder MW, Malmivaara A, Koes BW. Exercise therapy for treatment of non-specific low back pain. Cochrane Database Syst Rev. 2005;3:CD000335.
2. van Middelkoop M, Rubinstein SM, Verhagen AP, et al. Exercise therapy for chronic nonspecific low-back pain. Best Pract Res Clin Rheumatol. 2010;24:193-204.
3. Long A, Donelson R, Fung T. Does it matter which exercise: a randomized control trial of exercise for low back pain. Spine (Phila Pa 1976). 2004;29: 2593-2602.
4. Chou R, Huffman LH; American Pain Society; American College of Physicians. Nonpharmacologic therapies for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline [erratum in: Ann Intern Med. 2008;148:247-248]. Ann Intern Med. 2007;147:492-504.
5. Thomas KJ, MacPherson H, Thorpe L, et al. Randomised controlled trial of a short course of traditional acupuncture compared with usual care for persistent non-specific low back pain. BMJ. 2006; 333:623.
6. Savigny P, Watson P, Underwood M; Guideline Development Group. Early management of persistent non-specific low back pain: summary of NICE guidance. BMJ. 2009;338:b1805.
7. Rubinstein SM, van Middelkoop M, Kuijpers T, et al. A systematic review on the effectiveness of complementary and alternative medicine for chronic non-specific low-back pain. Eur Spine J. 2010;19: 1213-1228.
8. Manca A, Dumville JC, Torgerson DJ, et al. Randomized trial of two physiotherapy interventions for primary care back and neck pain patients: cost effectiveness analysis. Rheumatology (Oxford). 2007;46: 1495-1501.
9. Whitehurst DG, Lewis M, Yao GL, et al. A brief pain management program compared with physical therapy for low back pain: results from an economic analysis alongside a randomized clinical trial. Arthritis Rheum. 2007;57:466-473.
10. Waddell G. The Back Pain Revolution. 2nd ed. Edinburgh, Scotland: Churchill Livingstone; 2004:128.
11. Pincus T, Burton AK, Vogel S, Field AP. A systematic review of psychological factors as predictors of chronicity/disability in prospective cohorts of low back pain. Spine (Phila Pa 1976). 2002;27:E109-E120.
12. Foster NE, Thomas E, Bishop A, et al. Distinctiveness of psychological obstacles to recovery in low back pain patients in primary care. Pain. 2010; 148:398-406.
13. Grotle M, Foster NE, Dunn KM, Croft P. Are prognostic indicators for poor outcome different for acute and chronic low back pain consulters in primary care? Pain. 2010;151:790-797.
14. Gatchel RJ, Polatin PB, Mayer TG. The dominant role of psychosocial risk factors in the development of chronic low back pain disability. Spine (Phila Pa 1976). 1995;20:2702-2709.
15. Hewlett S, Clarke B, O'Brien A, et al. Rheumatology education for undergraduate nursing, physiotherapy and occupational therapy students in the UK: standards, challenges and solutions. Rheumatology (Oxford). 2008;47:1025-1030.
16. International Association for the Study of Pain. Pain Curricula. Available at: http://www.iasppain.org/AM/Template.cfm?Section_General_Resource_Links&Template_/CM/HTMLDisplay.cfm&ContentID_3004. Accessed May 25, 2010.
17. Watt-Watson J, McGillion M, Hunter J, et al. A survey of prelicensure pain curricula in health science faculties in Canadian universities. Pain Res Manag. 2009;14: 439-444.
18. A Normative Model of Physical Therapist Professional Education: Version 2004. Alexandria, VA: American Physical Therapy Association; 2004.
19. Guide to Physical Therapist Practice Online. American Physical Therapy Association. Available at: http://guidetoptpractice.apta.org.
20. Pincus T, Vogel S, Breen A, et al. Persistent back pain; why do physical therapy clinicians continue treatment: a mixed methods study of chiropractors, osteopaths and physiotherapists. Eur J Pain. 2006;10:67-76.
21. Corbett M, Foster N, Ong BN. GP attitudes and self-reported behaviour in primary care consultations for low back pain. Fam Pract. 2009;26:359-364.
22. Daykin AR, Richardson B. Physiotherapists' pain beliefs and their influence on the management of patients with chronic low back pain. Spine (Phila Pa 1976). 2004;29:783-795.
23. Overmeer T, Linton SJ, Holmquist L, et al. Do evidence-based guidelines have an impact in primary care: a cross-sectional study of Swedish physicians and physiotherapists. Spine (Phila Pa 1976). 2005; 30:146-151.
24. Swinkels IC, Wimmers RH, Groenewegen PP, et al. What factors explain the number of physical therapy treatment sessions in patients referred with low back pain: a multilevel analysis. BMC Health Serv Res. 2005;5:74.
25. Swinkels IC, van den Ende CH, van den Bosch W, et al. Physiotherapy management of low back pain: does practice match the Dutch guidelines? Aust J Physiother. 2005;51:35-41.
26. Bishop A, Foster NE. Do physical therapists in the United Kingdom recognize psychosocial factors in patients with acute low back pain? Spine (Phila Pa 1976). 2005;30:1316-1322.
27. Bishop A, Foster NE, Thomas E, Hay EM. How does the self-reported clinical management of patients with low back pain relate to the attitudes and beliefs of health care practitioners: a survey of UK general practitioners and physiotherapists. Pain. 2008;135:187-195.
28. Kent PM, Keating JL, Taylor NF. Primary care clinicians use variable methods to assess acute nonspecific low back pain and usually focus on impairments. Man Ther. 2009;14:88-100.
29. Smart K, Doody C. The clinical reasoning of pain by experienced musculoskeletal physiotherapists. Man Ther. 2007;12:40-49.
30. Linton S, Vlaeyen J, Ostelo R. The back pain beliefs of health care providers: are we fear-avoidant? J Occup Rehabil. 2002; 12:223-232.
31. Ostelo RW, Stomp-van den Berg SG, Vlaeyen JW, et al. Health care provider's attitudes and beliefs towards chronic low back pain: the development of a questionnaire. Man Ther. 2003;8:214-222.
32. Houben RM, Ostelo RW, Vlaeyen JW, et al. Health care providers' orientations towards common low back pain predict perceived harmfulness of physical activities and recommendations regarding return to normal activity. Eur J Pain. 2005;9:173-183.
33. Houben RM, Vlaeyen JW, Peters M, et al. Health care providers' attitudes and beliefs towards common low back pain: factor structure and psychometric properties of the HC-PAIRS. Clin J Pain. 2004;20:37-44.
34. Coudeyre E, Rannou F, Tubach F, et al. General practitioners' fear avoidance beliefs influence their management of patients with low back pain. Pain. 2006; 124:330-337.
35. Hills R, Kitchen S. Satisfaction with outpatient physiotherapy: focus groups to explore the views of patients with acute and chronic musculoskeletal conditions. Physiother Theory Pract. 2007;23:1-20.
36. Klaber Moffett JA, Newbronner E, Waddell G, et al. Public perceptions about low back pain and its management: a gap between expectations and reality? Health Expect. 2000;3:161-168.
37. Parsons S, Harding G, Breen A, et al. The influence of patients' and primary care practitioners' beliefs and expectations about chronic musculoskeletal pain on the process of care: a systematic review of qualitative studies. Clin J Pain. 2007;23: 91-98.
38. Cherkin DC, Deyo RA, Battié M, et al. A comparison of physical therapy, chiropractic manipulation, and provision of an educational booklet for the treatment of patients with low back pain. N Engl J Med. 1998;339:1021-1029.
39. Hay EM, Mullis R, Lewis M, et al. Comparison of physical treatments versus a brief pain-management programme for back pain in primary care: a randomised clinical trial in physiotherapy practice. Lancet. 2005;365:2024-2030.
40. Moffett JK, Jackson DA, Gardiner ED, et al. Randomized trial of two physiotherapy interventions for primary care neck and back pain patients:''McKenzie'' vs brief physiotherapy pain management. Rheumatology (Oxford). 2006;45:1514-1521.
41. Boersma K, Linton SJ. Psychological processes underlying the development of a chronic pain problem: a prospective study of the relationship between profiles of psychological variables in the fearavoidance model and disability. Clin J Pain. 2006;22:160-166.
42. Crombez G, Vlaeyen JW, Heuts PH, Lysens R. Pain related fear is more disabling than pain itself: evidence on the role of painrelated fear in chronic back pain disability. Pain. 1999;80:329-339.
43. Leeuw M, Houben RM, Severeijns R, et al. Pain-related fear in low back pain: a prospective study in the general population. Eur J Pain. 2007;11:256-266.
44. Iles RA, Davidson M, Taylor NF. Psychosocial predictors of failure to return to work in non-chronic non-specific low back pain: a systematic review. Occup Environ Med. 2008;65:507-517.
45. Grotle M, Brox JI, Veierod MB, Vollestad NK. Clinical course and prognostic factors in acute low back pain: patients consulting primary care for the first time. Spine (Phila Pa 1976). 2005;30:976-982.
46. Smeets RJ, Vlaeyen JW, Kester AD, Knottnerus JA. Reduction of pain catastrophizing mediates the outcome of both physical and cognitive-behavioral treatment in chronic low back pain. J Pain. 2006;7: 261-271.
47. Turner JA, Jensen MP, Romano JM. Do beliefs, coping and catastrophizing independently predict functioning in patients with chronic pain? Pain. 2000;85: 115-125.
48. Henschke N, Maher CG, Refshauge KM, et al. Prognosis in patients with recent onset low back pain in Australian primary care: inception cohort study. BMJ. 2008; 337:a171.
49. Hilfiker R, Bachmann LM, Heitz CA, et al. Value of predictive instruments to determine persisting restriction of function in patients with subacute non-specific low back pain: systematic review. Eur Spine J. 2007;16:1755-1775.
50. Iles RA, Davidson M, Taylor NF, O'Halloran P. Systematic review of the ability of recovery expectations to predict outcomes in non-chronic non-specific low back pain. J Occup Rehabil. 2009;19: 25-40.
51. Symonds TL, Burton AK, Tillotson KM, Main CJ. Do attitudes and beliefs influence work loss due to low back trouble? Occup Med (Lond). 1996;46:25-32.
52. Foster NE, Bishop A, Thomas E, et al. Illness perceptions of low back pain patients in primary care: what are they, do they change and are they associated with outcome? Pain. 2008;136:177-187.
53. Mirkhil S, Kent PM. The diagnostic accuracy of brief screening questions for psychosocial risk factors of poor outcome from an episode of pain: a systematic review. Clin J Pain. 2009;25:340-348.
54. Long MJ. An explanatory model of medical practice variation: a physician resource demand perspective. J Eval Clin Pract. 2002;8:167-174.
55. Main C, Sullivan M, Watson P. Pain Management in Clinical and Occupational Settings. 2nd ed. Edinburgh, Scotland: Churchill Livingstone; 2008.
56. Salisbury C, Foster NE, Bishop A, et al.''PhysioDirect'' telephone assessment and advice services for physiotherapy: protocol for a pragmatic randomised controlled trial. BMC Health Serv Res. 2009;9:136.
57. Holdsworth LK, Webster VS, McFadyen A. What are the costs to NHS Scotland of self-referral to physiotherapy: results of a national trial. Physiotherapy. 2007;93: 3-11.
58. The British Pain Society; Pain Education Special Interest Group. Survey of undergraduate pain curricula for healthcare professionals in the UK: a short report. Published 2009. Available at: http://www.britishpainsociety.org/members_sig_edu_short_report_survey.pdf. Accessed May 25, 2010.
59. Latimer J, Maher C, Refshauge K. The attitudes and beliefs of physiotherapy students to chronic back pain. Clin J Pain. 2004;20:45-50.
60. Ryan C, Murphy D, Clark M, Lee A. 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, crosssectional study. Physiotherapy. 2010;96: 144-150.
61. Main CJ, Buchbinder R, Porcheret M, Foster N. Addressing patient beliefs and expectations in the consultation. Best Pract Res Clin Rheumatol. 2010;24:219-225.
62. Rundell SD, Davenport TE, Wagner T. Physical therapist management of acute and chronic low back pain using the World Health Organization's International Classification of Functioning, Disability and Health [erratum in: Phys Ther. 2009;89:310]. Phys Ther. 2009;89:82-90.
63. Hall P, Weaver L. Interdisciplinary education and teamwork: a long and winding road. Med Educ. 2001;35:867-875.
64. King PM, Boissonnault WG. Manipulation Education Manual for Physical Therapist Professional Degree Programs. Manipulation Education Committee; Manipulation Task Force; Education Section and Orthopaedic Section, American Physical Therapy Association; American Physical Therapy Association; American Academy of Orthopaedic Manual Physical Therapists; 2004.
65. Brimmer DJ, McCleary KK, Lupton TA, et al. A train-the-trainer education and promotion program, chronic fatigue syndrome: a diagnostic and management challenge. BMC Med Educ. 2008;8:49.
66. Sullivan MJ, Ward LC, Tripp D, et al. Secondary prevention of work disability: community-based psychosocial intervention for musculoskeletal disorders. J Occup Rehabil. 2005;15:377-392.
67. Lamb SE, Hansen Z, Lall R, et al. Group cognitive behavioural treatment for lowback pain in primary care: a randomised controlled trial and cost-effectiveness analysis. Lancet. 2010;375:916-923.
68. Eccleston C, Williams AC, Morley S. Psychological therapies for the management of chronic pain (excluding headache) in adults. Cochrane Database Syst Rev. 2009;2:CD007407.
69. Hill JC, Foster NE, Hay EM. Cognitive behavioural therapy shown to be an effective and low cost treatment for subacute and chronic low-back pain, improving pain and disability scores in a pragmatic RCT. Evid Based Med. 2010;15:118-119.
70. Hay EM, Dunn KM, Hill JC, et al. A randomised clinical trial of subgrouping and targeted treatment for low back pain compared with best current care: the STarT Back Trial Study Protocol. BMC Musculoskelet Disord. 2008;9:58.
71. Ostelo R, Croft P, van der Weijden T, van Tulder M. Challenges in using evidence to inform your clinical practice in low back pain. Best Pract Res Clin Rheumatol. 2010;24:281-289.
72. Evans DW, Breen AC, Pincus T, et al. The effectiveness of a posted information package on the beliefs and behavior of musculoskeletal practitioners: the UK Chiropractors, Osteopaths, and Musculoskeletal Physiotherapists Low Back Pain ManagemENT (COMPLeMENT) randomized trial. Spine (Phila Pa 1976). 2010;35: 858-866.
73. Appraisal of Guidelines Research and Evaluation. Available at: http://www.agreecollaboration.org.
74. Overmeer T, Boersma K, Main CJ, Linton SJ. Do physical therapists change their beliefs, attitudes, knowledge, skills and behaviour after a biopsychosocially orientated university course? J Eval Clin Pract. 2009;15:724-732.
75. McKenzie JE, French SD, O'Connor DA, et al. IMPLEmenting a clinical practice guideline for acute low back pain evidence-based manageMENT in general practice (IMPLEMENT): cluster randomised controlled trial study protocol. Implement Sci. 2008;3:11.
76. Sieben JM, Vlaeyen JW, Portegijs PJ, et al. General practitioners' treatment orientations towards low back pain: influence on treatment behaviour and patient outcome. Eur J Pain. 2009;13:412-418.
77. Foster NE, Mullis R, Young J, et al. IMPaCT Back study protocol; implementation of subgrouping for targeted treatment systems for low back pain patients in primary care: a prospective population-based sequential comparison. BMC Musculoskelet Disord. 2010;11:186.
78. Stevenson K, Lewis M, Hay E. Do physiotherapists' attitudes towards evidencebased practice change as a result of an evidence-based educational programme? J Eval Clin Pract. 2004;10:207-217.
79. Stevenson K, Lewis M, Hay E. Does physiotherapy management of low back pain change as a result of an evidence-based educational programme? J Eval Clin Pract. 2006;12:365-375.
80. Vonk F, Pool JJ, Ostelo RW, Verhagen AP. Physiotherapists' treatment approach towards neck pain and the influence of a behavioural graded activity training: an exploratory study. Man Ther. 2009;14: 131-137.
81. Buchbinder R, Jolley D. Population-based intervention to change back pain beliefs: three-year follow up population survey. BMJ. 2004;328:321.
82. Buchbinder R, Gross DP, Werner EL, Hayden JA. Understanding the characteristics of effective mass media campaigns for back pain and methodological challenges in evaluating their effects. Spine (Phila Pa 1976). 2008;33:74-80.
83. Waddell G, O'Connor M, Boorman S, Torsney B. Working Backs Scotland: a public and professional health education campaign for back pain. Spine (Phila Pa 1976). 2007;32:2139-2143.
84. Costa-Black KM, Loisel P, Anema J, Pransky G. Back pain and work. Best Pract Res Clin Rheumatol. 2010;24:227-240.
85. Linton S, Hallden K. Can we screen for problematic back pain: a screening questionnaire for predicting outcome in acute and subacute back pain. Clin J Pain. 1998; 14:209-215.
86. Hill JC, Dunn KM, Lewis M, et al. A primary care back pain screening tool: identifying patient subgroups for initial treatment. Arthritis Rheum. 2008;59: 632-641.
87. Beneciuk JM, Bishop MD, George SZ. Clinical prediction rules for physical therapy interventions: a systematic review. Phys Ther. 2009;89:114-124.
88. van der Windt D, Hay E, Jellema P, Main C. Psychosocial interventions for low back pain in primary care: lessons learned from recent trials. Spine. 2008;33:81-89.
89. Vlaeyen JW, Morley S. Cognitive behavioural treatments for chronic pain: what works for whom? Clin J Pain. 2005; 21:1-8.
90. Main CJ, Buchbinder R, Porcheret M, Foster N. Addressing patient beliefs and expectations in the consultation. Best Pract Res Clin Rheumatol. 2010;24:219-225.
91. Shaw WS, van der Windt DA, Main CJ, et al. Early patient screening and intervention to address individual-level occupational factors (''blue flags'') in back disability. J Occup Rehabil. 2009;19:64-80.
92. Canadian Medical Association. The physician's role in helping patients return to work after an illness or injury. CMAJ. 1997;42:1172-1177.
93. Vision for the Future of UK Physiotherapy. London, United Kingdom: The Chartered Society of Physiotherapy; 2010.