Back Pain Study

Objectives: To examine the knowledge of LBP and physical activity for people with LBP among practitioners prescribing or delivering physical activity in the community. Methods: A cross-sectional survey was administered to physiotherapists and physical trainers involved in the delivery of exercise programs in Hamilton, Ontario. Results: A total of 14 (35.9%) physiotherapists and 25 (64.1%) physical trainers completed the survey. Both physiotherapists and trainers routinely assessed their client’s physical activity but used different tools to track physical activity. Both groups demonstrated high confidence in prescribing physical activity although there were differences in what each group constitutes physical activity for their patients. The results showed that trainers had more pessimistic beliefs about LBP compared to physiotherapists using the back beliefs questionnaire, T(34) = -3.81, p < 0.01 and a modified version of the Örebro Musculoskeletal Pain Questionnaire, T(33) = -3.04, p < 0.01. Conclusions: An educational program targeting those delivering physical activity programs in the community, which focuses on attitudes, beliefs, and recommendations for prescribing physical activity for patients with LBP could improve the uptake of physical activity in this patient group.研究目的：针对社区中开具或实施身体活动干预方案的从业者，调查其对下背痛（Low Back Pain, LBP）患者相关知识及身体活动认知情况。 研究方法：针对加拿大安大略省汉密尔顿市参与运动康复项目实施的物理治疗师与体能训练师开展横断面调查。 结果：共计14名物理治疗师（占比35.9%）与25名体能训练师（占比64.1%）完成本次调查。两类从业者均会常规评估服务对象的身体活动水平，但采用的身体活动追踪工具存在差异。尽管两类从业者为患者界定身体活动的范畴存在分歧，但均对开具身体活动处方表现出较高自信心。结果显示，采用背痛信念问卷（Back Beliefs Questionnaire）评估时，体能训练师对下背痛的认知态度较物理治疗师更为消极（T(34) = -3.81, p < 0.01）；采用改良版厄勒布鲁肌肉骨骼疼痛问卷（Örebro Musculoskeletal Pain Questionnaire）评估时，该差异同样具有统计学意义（T(33) = -3.04, p < 0.01）。 研究结论：针对社区身体活动干预实施者开展以针对下背痛患者的身体活动处方开具相关态度、认知及建议为核心的教育培训项目，可有效提升该类患者的身体活动参与度。