How do manual handling advisors and physiotherapists construct their back beliefs, and do safe lifting posture beliefs influence them?


Journal

Musculoskeletal science & practice
ISSN: 2468-7812
Titre abrégé: Musculoskelet Sci Pract
Pays: Netherlands
ID NLM: 101692753

Informations de publication

Date de publication:
02 2019
Historique:
received: 13 06 2018
revised: 11 10 2018
accepted: 09 11 2018
pubmed: 17 12 2018
medline: 14 6 2019
entrez: 17 12 2018
Statut: ppublish

Résumé

The Back-Pain Attitudes (Back-PAQ) questionnaire measures back beliefs across 6 domains. Our previous study showed that manual handling advisors (MHAs) have more negative beliefs than physiotherapists (PTs), and those who think straight back lifting is safer than a rounder back have more negative beliefs. However, exactly which domains of the Back-PAQ are most negative is unknown. Gain deeper understanding of how MHAs and PTs construct their back beliefs, and relate this safe lifting posture beliefs. Data was collected via an electronic survey. Participants' back beliefs were collected via the Back-PAQ. They were also asked to select the safest lifting posture from four options: two with a straight back; two with a rounder back. Back beliefs were analysed in the 6 domains that construct the Back-PAQ. Relationships were investigated using multiple linear and regression models. 400 PTs and MHAs completed the survey. MHAs scored higher (more negative beliefs) than PTs across all 6 domains, and those who perceive straight back lifting as safest scored higher across five of the 6 domains. The belief to keep active with back pain was common among all groups, but MHAs and those who prefer straight back lifting believe the back is vulnerable and more in need of protection. While all believe staying active is beneficial for back pain, residual negative beliefs regarding the vulnerability of the spine persist. Education campaigns may need to emphasise a 'trust your back' message rather than a 'protect your back' message while encouraging activity.

Sections du résumé

BACKGROUND
The Back-Pain Attitudes (Back-PAQ) questionnaire measures back beliefs across 6 domains. Our previous study showed that manual handling advisors (MHAs) have more negative beliefs than physiotherapists (PTs), and those who think straight back lifting is safer than a rounder back have more negative beliefs. However, exactly which domains of the Back-PAQ are most negative is unknown.
OBJECTIVES
Gain deeper understanding of how MHAs and PTs construct their back beliefs, and relate this safe lifting posture beliefs.
DESIGN
Data was collected via an electronic survey.
METHOD
Participants' back beliefs were collected via the Back-PAQ. They were also asked to select the safest lifting posture from four options: two with a straight back; two with a rounder back. Back beliefs were analysed in the 6 domains that construct the Back-PAQ. Relationships were investigated using multiple linear and regression models.
RESULTS
400 PTs and MHAs completed the survey. MHAs scored higher (more negative beliefs) than PTs across all 6 domains, and those who perceive straight back lifting as safest scored higher across five of the 6 domains. The belief to keep active with back pain was common among all groups, but MHAs and those who prefer straight back lifting believe the back is vulnerable and more in need of protection.
CONCLUSION
While all believe staying active is beneficial for back pain, residual negative beliefs regarding the vulnerability of the spine persist. Education campaigns may need to emphasise a 'trust your back' message rather than a 'protect your back' message while encouraging activity.

Identifiants

pubmed: 30553985
pii: S2468-7812(18)30223-6
doi: 10.1016/j.msksp.2018.11.009
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

101-106

Informations de copyright

Copyright © 2018 Elsevier Ltd. All rights reserved.

Auteurs

David Nolan (D)

Occupational Health, South West Yorkshire Partnership NHS Foundation Trust, Fieldhead Hospital, Outchthorpe Lane, Wakefield, WF1 3SP, UK. Electronic address: david.nolan@nhs.net.

Kieran O'Sullivan (K)

Department of Clinical Therapies, University of Limerick, Limerick, Ireland; Sports Spine Centre, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.

John Stephenson (J)

Department of Health Sciences, University of Huddersfield, Huddersfield, HD1 3DH, UK.

Peter O'Sullivan (P)

School of Physiotherapy and Exercise Science, Curtin University, Bentley, Australia; Body Logic Physiotherapy Clinic, Shenton Park, Australia.

Michael Lucock (M)

Centre for Applied Research in Health, University of Huddersfield, HD1 3DH, UK; South West Yorkshire Partnership NHS Foundation Trust, UK.

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