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Attitudes to back pain amongst musculoskeletal practitioners : a comparison of professional groups and practice settings using the ABS-mp

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Pincus, Tamar, Foster, Nadine E., Vogel, Steven, Santos, Rita, Breen, Alan and Underwood, Martin (2007) Attitudes to back pain amongst musculoskeletal practitioners : a comparison of professional groups and practice settings using the ABS-mp. Manual Therapy, 12 (2). pp. 167-175. doi:10.1016/j.math.2006.06.005 ISSN 1356-689X.

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Official URL: http://dx.doi.org/10.1016/j.math.2006.06.005

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Abstract

Chiropractors, osteopaths and physiotherapists play key roles in the management of low back pain (LBP) patients in the UK. We investigated the attitudes of these three professional groups to back pain using a recently developed and validated questionnaire, the Attitudes to Back Pain Scale for musculoskeletal practitioners (ABS-mp). A cross-sectional questionnaire survey was sent to 300 of each professional group (n = 900). Responses were analysed from 465 practitioners: 132 chiropractors (28%), 159 osteopaths (34%) and 174 physiotherapists (37%). Overall, all three groups endorse a psychosocial approach to treatment, and see re-activation as a primary goal. However, physiotherapists and osteopaths tend to endorse attitudes towards limiting the number of treatment sessions offered to LBP patients more than chiropractors, and chiropractors endorse a more biomedical approach than physiotherapists. When practice setting (NHS versus private practice) was considered (in physiotherapists alone), physiotherapists working for the NHS endorsed limiting the number of treatment sessions more than those working in the private sector and would also less frequently advise their patients to restrict activities and be vigilant. The results may help explain current clinical practice patterns observed in these groups and their uptake of clinical guideline recommendations. © 2006 Elsevier Ltd. All rights reserved.

Item Type: Journal Article
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title: Manual Therapy
Publisher: Churchill Livingstone
ISSN: 1356-689X
Official Date: 1 May 2007
Dates:
DateEvent
1 May 2007Published
Volume: 12
Number: 2
Page Range: pp. 167-175
DOI: 10.1016/j.math.2006.06.005
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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