Effectiveness of psychological interventions delivered by physiotherapists in the management of neck pain: a systematic review with meta-analysis

Farrell, Scott F.; Edmunds, Devon; Fletcher, John; Martine, Harry; Mohamed, Hashem; Liimatainen, Jenna; Sterling, Michele

doi:10.1097/pr9.0000000000001076

Cited by 8 publications

(3 citation statements)

References 94 publications

(412 reference statements)

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“…Despite some variation in the scope of practice, such as diagnosis and manual therapy within the physiotherapy discipline, there is considerable overlap of these professions when managing CLBP in the type(s) of treatment they can provide (e.g., education and exercise). While neither profession is trained to deliver psychological therapy per se, both physiotherapists and AEPs may practice through a psychologically informed lens and use cognitive behavioural strategies in their approaches (Coronado et al., 2020; Farrell et al., 2023; Hall et al., 2018). Such approaches may produce better outcomes for people with chronic pain (Farrell et al., 2023).…”

Section: Introductionmentioning

confidence: 99%

“…While neither profession is trained to deliver psychological therapy per se, both physiotherapists and AEPs may practice through a psychologically informed lens and use cognitive behavioural strategies in their approaches (Coronado et al., 2020; Farrell et al., 2023; Hall et al., 2018). Such approaches may produce better outcomes for people with chronic pain (Farrell et al., 2023).…”

Section: Introductionmentioning

confidence: 99%

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Are the attitudes and beliefs of Australian exercise‐based practitioners associated with their use of, and confidence in, treatment modalities for people with chronic low back pain?

Gibbs,

Last,

Marshall

et al. 2023

Musculoskeletal Care

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BackgroundPractitioners' attitudes and beliefs towards chronic low back pain (CLBP) influence their clinical decision making, but few studies have investigated decision making outside the context of patient vignettes for a range of first‐ and second‐line treatment options for CLBP, or in accredited exercise physiologists (AEPs).MethodsUsing an online survey, Australian AEPs and physiotherapists rated their use of different treatments for CLBP (exercise, education, manual therapy, cognitive behavioural therapy) and their confidence in these treatments for reducing pain and disability. Their biomedical and biopsychosocial beliefs were also assessed using the Pain and Attitudes Beliefs Scale for Physiotherapists. Differences between disciplines in treatment use and confidence were analysed using Mann–Whitney U tests and independent t‐tests, respectively. Multiple linear regression was used to explore factors associated with treatment choices.ResultsTwo‐hundred thirty‐three practitioners (n = 143 physiotherapists, n = 90 AEPs) completed the survey. Most practitioners were confident in treating CLBP, had a moderate—high level of confidence in the different treatments, and regularly used them in practice. Practitioners with higher biomedical beliefs had greater use of, and confidence in, specific exercise, manual therapy, and combined exercise and manual therapy. Practitioners with higher biopsychosocial beliefs were more confident in general exercise, cognitive behavioural therapy, pain education and combined exercise and pain education.ConclusionPractitioner beliefs influence their use of, and confidence in different treatments for CLBP. These findings suggest a need for strategies to enhance biopsychosocial beliefs/reduce biomedical beliefs in Australian exercise‐based practitioners.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Are the attitudes and beliefs of Australian exercise‐based practitioners associated with their use of, and confidence in, treatment modalities for people with chronic low back pain?

Gibbs,

Last,

Marshall

et al. 2023

Musculoskeletal Care

View full text Add to dashboard Cite

show abstract

“…Maladaptive pain coping behaviors, such as fear avoidance and pain catastrophizing, have been described as determining aspects of chronic pain in the same line as other comorbidities, such as depression and sleep deprivation [10]. The most recent systematic reviews (published in 2022 and 2023) concluded that a range of interventions for chronic neck pain, such as electrotherapy [11,12], massage [13], psychological intervention [14], pain education [15], neck manipulation and mobilization [16] or exercise [17,18], can have a variable degree of effectiveness. Those reviews provide small to moderate evidence due to the difficulty of including different patient etiologies and profiles.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Self-Care Education for Chronic Neck Pain: A Systematic Review and Meta-Analysis

Valenza-Peña,

Martín-Núñez,

Heredia-Ciuró

et al. 2023

Healthcare

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Self-care programs for chronic neck pain are relevant to everyday life and can lead to long- term improvement. More studies on their effectiveness, key components and appropriate duration are needed. The aim of this study was to determine the effectiveness of self-care programs for patients with chronic neck pain. A systematic review and meta-analysis of randomized controlled trials was conducted according to the PRISMA guidelines. After searching in PubMed, Web of Science, Scopus and ScienceDirect, eleven studies met the inclusion criteria. Self-care education interventions typically consisted of education (i.e., pain neuro-science education or general educational concepts) accompanied by exercise or manual therapy. The most frequent components were addressing physical and psychological symptoms and engaging in self-care strategies. The least frequent ones were monitoring and recording symptoms and discussing with providers of medical care. The duration of the interventions ranged from three sessions to six months. Finally, individual and supervised modalities were the most frequent. After pooling the data, a meta-analysis was carried out according to four variables (i.e., pain, disability, kinesiophobia and catastrophization) and showed significant results (p < 0.05) in favor of self-care interventions. This systematic review and meta-analysis suggests that self-education interventions improve pain, psychological pain-related variables and disability in patients with chronic neck pain. The most frequently used components were addressing physical and psychological symptoms and engaging in self-care strategies. Future trials should focus on including other components, such as discussing symptoms with providers of medical care or self-monitoring symptoms. Additional areas of focus include more homogeneous doses and comparator treatments, as well as studies with better evidence to reach more solid conclusions.

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Attitudes and Beliefs Toward Non‐Specific Neck Pain Among Physiotherapists in Jordan: A Cross‐Sectional Study

Etoom,

Banibakkar,

Abdullahi

et al. 2024

Musculoskeletal Care

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BackgroundPhysiotherapists' attitudes and beliefs play a crucial role in the management and treatment outcomes of non‐specific neck pain (NSNP).ObjectiveTo investigate the attitudes and beliefs of physiotherapists in Jordan towards NSNP, and to identify factors influencing these attitudes and beliefs.MethodsA Cross‐sectional survey of registered physiotherapists working in Jordan was conducted. A structured questionnaire was used to assess the attitudes and beliefs of physiotherapists towards NSNP. Descriptive and inferential statistics were used.ResultsA total of 301 PTs completed the survey, 155 females (51.56%). Most respondents held bachelor's degrees, with an average of 9.5 ± 6.6 experience years. The total score for PABS‐PT (Z = 11.4, p < 0.001) and its BM (Z = +11.9, p < 0.001) and PS (Z = 3.6, p < 0. 001) subscales were significantly positive. The score of the biomedical subscale was more significantly positive than psychosocial subscale. The treatment orientation was positively correlated with education level, and negatively with age and experience. The most reported treatments were manual therapy followed by general exercises and electrical modalities. No significant relationship was observed between treatment orientation and treatment selection.ConclusionThis study created the initial profile for pain attitudes and beliefs in Jordan. Physiotherapists hold positive attitudes and beliefs towards the NSNP treatment orientations with a superiority of the BM approach. Engaging educational sectors and stakeholders in the current situation of PTs' attitudes and beliefs is important.

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Effectiveness of psychological interventions delivered by physiotherapists in the management of neck pain: a systematic review with meta-analysis

Abstract: Supplemental Digital Content is Available in the Text.This systematic review with meta-analysis demonstrated that physiotherapist-delivered psychological interventions were more effective than standard physiotherapy for chronic non-traumatic neck pain and acute whiplash.

Cited by 8 publications

References 94 publications

Are the attitudes and beliefs of Australian exercise‐based practitioners associated with their use of, and confidence in, treatment modalities for people with chronic low back pain?

Are the attitudes and beliefs of Australian exercise‐based practitioners associated with their use of, and confidence in, treatment modalities for people with chronic low back pain?

Effectiveness of Self-Care Education for Chronic Neck Pain: A Systematic Review and Meta-Analysis

Attitudes and Beliefs Toward Non‐Specific Neck Pain Among Physiotherapists in Jordan: A Cross‐Sectional Study

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