Attitudes and diagnostic practice in low back pain:A qualitative study amongst Greek and British physiotherapists  

作　　者：Evdokia Billis Christopher J McCarthy John Gliatis Charalampos Matzaroglou Jacqueline A Oldham 

机构地区：[1]Department of Physical Therapy, Technological Educational Institute of Western Greece [2]Imperial College Healthcare NHS Trust, St Mary’s Hospital [3]Department of Orthopaedic, University Hospital of Patras [4]University of Manchester, Manchester:Integrating Medicine and Innovative Technology

出　　处：《World Journal of Orthopedics》2016年第9期561-569,共9页世界骨科杂志（英文版）

基　　金：Supported by The MACP’s Elsevier Science and Doctoral Awards for Research in Manipulative Physiotherapy

摘　　要：AIM To explore current diagnostic practice and attitudes of Greek and United Kingdom physiotherapists(PTs)on assessing low back pain(LBP)patients.METHODS Three focus groups were undertaken,followed by a structured questionnaire-type survey comprising 23 health professionals and a random stratified sample of 150 PTs,respectively.Twenty-nine themes relating to LBP diagnostic practice emerged.These were then given to 30 British PTs assessing their level of agreement with their Greek counterparts.Analysis was performed by percentage agreements andχ2 tests.RESULTS The survey was divided into three subsections;PTs’attitudes on LBP assessment,patients’attitudes and diagnostic/healthcare issues,each constituting 14,7 and 8 statements,respectively.Over half of the statements fell within the 30%-80%agreement between Greece and United Kingdom whereas,5 statements reported low(<10%)and 8 statements demonstrated high(>90%)PT percentage agreement.Similarities across British and Greek PTs were detected in history taking methods and in the way PTs feel patients perceive physiotherapy practice whereas,re-assessment was undertaken less frequently in Greece.Diagnosis according to 91%of the Greek PTs is considered a“privilege”which is exclusive for doctors in Greece(only 17%British PTs agreed)and is accompanied with a great overuse of medical investigations.Forty percent of Greek PTs(compared to 0%of British)consider themselves as“executers”,being unable to interfere with treatment plan,possibly implying lack of autonomy.CONCLUSION Although similarities on history taking methods and on patients’attitudes were detected across both groups,gross differences were found in re-assessment procedures and diagnostic issues between Greek and British physiotherapists,highlighting differences in service delivery and professional autonomy.

关 键 词：DIAGNOSTIC PRACTICE Low back pain UNITED KINGDOM GREEK PHYSIOTHERAPISTS 

分 类 号：R681.5[医药卫生—骨科学]