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Physiotherapists’ self-reported competence to manage CLBP

How well do physiotherapists identify psychological factors related to the management of CLBP?

This study shows that physiotherapists may have underdeveloped skills when it comes to performing risk stratification and identifying psychological factors related to chronic low back pain (CLBP).

Although this was a single-center study involving only 49 patients with CLBP, risk allocation was done correctly only in less than half the patients.

Additionally, correlations between therapist perceptions and patient-filled questionnaires regarding distress, depression, anxiety and kinesiophobia went from moderate to nonexistent.

Physiotherapists showed unsatisfactory (41%) accuracy in allocating patients into risk stratification groups or identifying psychological factors.

Patient-reported distress was found to be a negative predictor of therapist self-reported competence in managing CLBP.

These results show better therapist training is needed to deal with this population.

> From: Brenner et al., Phys Ther 98 (2018) 471-479 (Epub ahead of print). All rights reserved to Oxford University Press. Click here for the online summary.

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