背景:2013年,物理治疗学生展示了关于脊柱病理学的慢性下腰痛(CLBP)的低指南依从性建议,活动,和工作。
目的:评估物理治疗学生态度的差异,信仰,以及在2013年至2020年期间遵守关于CLBP和膝骨关节炎的指南建议。
方法:在2013年和2020年,从6个比利时和2个荷兰机构招募了二年级和四年级物理治疗学生。使用物理治疗师疼痛态度和信念量表(PABS-PT)评估CLBP和膝关节OA的态度和信念,医疗保健提供者疼痛和损害关系量表(HC-PAIRS),以及关于治疗性运动和膝骨关节炎的问卷。临床小插图用于测量有关脊柱病理学的指南遵循性建议,活动,和工作。
结果:2013年,927名二年级学生和695名四年级学生;2020年,695名二年级学生和489名四年级学生;被招募参加研究。与2013年相比,学生对CLBP的生物医学和生物心理社会态度和信念较少,更多遵循指导方针的活动建议,以及更多关于运动对膝骨关节炎患者在第二年和第四年的益处的生物心理社会信念。2020年,只有四年级学生在HC-PAIRS和有关脊柱病理学的指南遵循建议方面得分明显更高。在工作建议方面没有发现差异。
结论:在2013年至2020年之间,物理治疗学生向CLBP和膝骨关节炎管理的更多生物心理社会方法做出了积极的转变。关于活动改善的CLBP的指导遵守建议,然而,关于工作和脊柱病理学,它仍然很低。
BACKGROUND: In 2013, physical therapy students demonstrated low guideline-adherent recommendations regarding chronic low back pain (CLBP) for spinal pathology, activity, and work.
OBJECTIVE: To assess the differences in physical therapy students\' attitudes, beliefs, and adherence to guideline recommendations regarding CLBP and knee osteoarthritis between 2013 and 2020.
METHODS: In 2013 and 2020, second and fourth-year physical therapy students were recruited from 6 Belgian and 2 Dutch institutions. Attitudes and beliefs regarding CLBP and knee OA were evaluated using the Pain Attitudes and Beliefs Scale for Physiotherapists (PABS-PT), the Health Care Providers\' Pain and Impairment Relationship Scale (HC-PAIRS), and a questionnaire regarding therapeutic exercise and knee osteoarthritis. A clinical vignette was used to measure guideline-adherent recommendations regarding spinal pathology, activity, and work.
RESULTS: In 2013, 927 second-year and 695 fourth-year students; in 2020, 695 second-year and 489 fourth-year students; were recruited to participate in the study. Compared to 2013, students had less biomedical and stronger biopsychosocial attitudes and beliefs regarding CLBP, more guideline-adherent recommendations for activity, and more biopsychosocial beliefs regarding the benefits of exercise for patients with knee osteoarthritis in both the second and fourth year. Only fourth-year students in 2020 scored significantly better on HC-PAIRS and guideline-adherent recommendation relating to spinal pathology. No differences were found regarding work recommendations.
CONCLUSIONS: Between 2013 and 2020, physical therapy students made a positive shift towards a more biopsychosocial approach to CLBP and knee osteoarthritis management. Guideline-adherent recommendations for CLBP concerning activity improved, however, concerning work and spinal pathology, it remained low.