期刊
MANUAL THERAPY
卷 23, 期 -, 页码 48-55出版社
CHURCHILL LIVINGSTONE
DOI: 10.1016/j.math.2016.03.010
关键词
Musculoskeletal pain; Short-form Orebro; Screening; Psychosocial factors
资金
- Australian National Health and Medical Research Council [APP1036778]
Background: Contrasting evidence exists on the ability of clinicians to identify biopsychosocial factors in patients with musculoskeletal pain compared to questionnaires. Objective: Evaluate associations between two aspects of clinical practice used to assess biopsychosocial factor contribution in patient presentations (physiotherapist perceptions versus shortened 10-item Orebro Musculoskeletal Pain Screening Questionnaire (OMPSQ-10)). Potential influence of physiotherapists' training, experience and confidence level were assessed. Study design: Observational. Methods: 90 musculoskeletal pain patients completed the OMPSQ-10 prior to their initial assessment. Independently, 19 treating physiotherapists provided their perception of contribution of biopsychosocial factors to the patient presentation. Pragmatic comparison of physiotherapist perceptions and the OMPSQ-10 was made with Spearman's correlations. Results: Fair correlation existed between physiotherapists' perception of overall contribution of biopsychosocial factors to the patients' presentation and the OMPSQ-10 (0.39). There where moderate correlations for the domains of recovery expectancy (0.53), self-perceived ability to work (0.52) and ability to sleep (0.54). There where fair correlations for anxiety (0.33) and depression (0.32), and a poor correlation for fear (0.10). Correlations were influenced by therapist training in psychosocial aspects of pain, experience and confidence. Conclusions: Physiotherapists' perceptions on biopsychosocial contributing factors to overall presentation of patients with musculoskeletal pain were reasonably correlated with a number of the domains in the OMPSQ-10. However, correlations for anxiety, depression and fear were not as good. This may reflect a lack of adequate training and/or the inadequacy of single questionnaire items to capture complex issues such as pain-related fear. Screening questionnaires are recommended as an adjunct to clinician perceptions. (C) 2016 Elsevier Ltd. All rights reserved.
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