Exploring expectations and perceptions of different manual therapy techniques in chronic low back pain: a qualitative study

Plank, Angelika; Rushton, Alison; Ping, Yanchao; Mei, Rob van der; Falla, Deborah; Heneghan, Nicola R

doi:10.1186/s12891-021-04251-3

Cited by 8 publications

(7 citation statements)

References 46 publications

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“…Exploring expectations and perceptions of different manual therapy techniques in chronic low back pain, Plank et al (Plank et al, 2021) showed that a treatment technique is perceived as positive if its characteristics align with the individual's understanding of pain and if care is provided in an informative and reassuring manner.…”

Section: Expectations Of Resultsmentioning

confidence: 99%

Do patients’ expectations influence conservative treatment in Chronic Low Back Pain? A Narrative Review

Ballestra

Battaglino²,

Cotella

et al. 2022

Retos

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Introduction: The clinical management of Chronic Low Back Pain (CLBP) substantially varying among general practitioners, specialists and physical therapists belonging to the same country, resulting in a wide spectrum of approaches. Objective: To determine how outcome expectations influence conservative treatment of working-age patients with CLBP. Methods: This is a narrative review of studies investigating or reporting an association between patients’ expectation and conservative treatment in patients with CLBP in working-age. Narrative review’s guidelines were followed during the design, research, and reporting. Results: The articles were screened by reading the titles and abstracts or full articles. This process resulted in a total of 5 studies that met the selection criteria and were therefore included in the systematic review and considered eligible for quality assessment through the Critical Appraisal Skills Programme (CASP) tool and PEDro (Physiotherapy Evidence Database) scale. What emerges from the studies included in the review essentially concerned three main topics: (a) the expectations of results, highly influenced by patients’ previous experiences; (b) the expectation concerning the clinical professional which includes the desire to receive information and education about the disorder and (c) those about environment or context. Conclusions: The results of the studies analyzed show that certain patients’ expectations, such as the expectation of tailored training with frequent follow-ups, the hope for the best possible outcomes, realism or resignation regarding pain relief, activity levels, good dialogue and communication, the need to be seen and confirmed as an individual and the desire to receive an explanation for the pain could be related to a better recovery outcomes.

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Section: Expectations Of Resultsmentioning

confidence: 99%

Do patients’ expectations influence conservative treatment in Chronic Low Back Pain? A Narrative Review

Ballestra

Battaglino²,

Cotella

et al. 2022

Retos

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“…Participants in this cohort expressed a lack of alignment between their pain experience and their expectations. These sentiments highlight the individualized experience and need to enhance patient preparedness and improve counseling related to expectations and management options 24–26 . In September 2021, ACOG released a consensus statement endorsing the importance of individualized management of postpartum pain 27 .…”

Section: Discussionmentioning

confidence: 99%

“…These sentiments highlight the individualized experience and need to enhance patient preparedness and improve counseling related to expectations and management options. [24][25][26] In September 2021, ACOG released a consensus statement endorsing the importance of individualized management of postpartum pain. 27 Participants in this study echoed this imperative by demonstrating the individual nature of the pain experience and varying preferences regarding whether, when, and how to treat their postpartum pain.…”

Section: Discussionmentioning

confidence: 99%

Understanding the Postpartum Cesarean Pain Experience Among Individuals With Publicly Funded Insurance: A Qualitative Investigation

Badreldin

DiTosto

Leziak

et al. 2023

J Midwife Womens Health

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IntroductionPain is the most common postpartum concern and has been associated with adverse outcomes, such as difficulty with neonatal bonding, postpartum depression, and persistent pain. Furthermore, racial and ethnic disparities in the management of postpartum pain are well described. Despite this, less is known regarding patients’ lived experiences regrading postpartum pain. The purpose of this study was to assess patient experiences related to postpartum pain management after cesarean birth.MethodsThis is a prospective qualitative study of patients’ experiences with postpartum pain management after cesarean birth at a single large tertiary care center. Individuals were eligible if they had publicly funded prenatal care, were English or Spanish speaking, and underwent a cesarean birth. Purposive sampling was used to ensure a racially and ethnically diverse cohort. Participants underwent in‐depth interviews using a semistructured interview guide at 2 time points: postpartum day 2 to 3 and 2 to 4 weeks after discharge. Interviews addressed perceptions and experiences of postpartum pain management and recovery. Data were analyzed using the constant comparative method.ResultsOf 49 participants, 40.8% identified as non‐Hispanic Black and 40.8% as Hispanic. The majority (59.2%) had experienced a cesarean birth with a prior pregnancy. Thematic analysis yielded 2 overarching domains: (1) experience of pain after cesarean birth and (2) pain management and opioid use after cesarean birth. Themes related to the experience of pain included pain as a meaningful experience, pain not aligned with expectations, and limitations caused by pain. All participants discussed limitations caused by their pain, voicing frustration with pursuing activities of daily living, caring for home and family, caring for neonate, and impact on mood. Themes related to pain management and opioid use addressed a desire for nonpharmacologic pain management, positive and negative experiences using opioids, and hesitancy and perceived judgement regarding opioid use. Several participants described experiences of judgement regarding the request for opioids and needing stronger pain medications, such as oxycodone.DiscussionUnderstanding experiences regarding postpartum cesarean pain management and recovery is essential to improving patient‐centered care. The experiences identified by this analysis highlight the need for individualized postpartum pain management, improved expectation counseling, and the expansion of multimodal pain management options.

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“…To effectively deal with such barriers, physiotherapists need not only to know the current evidence but also to be able to engage patients in complex conversations, reframe their beliefs, suggest alternative treatment options, and develop a strong therapeutic alliance (Plank et al., 2021). Physiotherapists need the support of their professional organisations and must engage them in public awareness campaigns and advocacy efforts aligned with marketing and communication messages that promote EBP.…”

Section: Discussionmentioning

confidence: 99%

Barriers and facilitators of evidence‐based physiotherapy practice in Iran: A qualitative study

ShahAli,

Kajbafvala,

Fetanat

et al. 2023

Musculoskeletal Care

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BackgroundTo facilitate evidence‐based practice (EBP) in physiotherapy in Iran and guide future improvements, it is crucial to identify what barriers and facilitators exist in the current system from the physiotherapist's perspective. Therefore, the purpose of this study was to explore the barriers and facilitators of EBP in physiotherapy in Iran.MethodsThis qualitative study was conducted using a phenomenological approach from January to July 2023 in Iran. The sampling process started with a purposive approach, and then an attempt was made to identify and interview more potential samples with the snowball approach. Thematic analysis was used to analyse the collected qualitative data.Results44 individuals, including 37 physiotherapists and seven faculty members, participated in this study. Several barriers and facilitators to evidence‐based physiotherapy practice in Iran were found and then put into three themes: (1) individual factors, (2) practice environment factors, and (3) extra‐organisational factors. The most common barriers were time/workload pressures, financial incentives, lack of motivation, weakness in English, managers' pressures, inadequate awareness among patients, infrastructure limitations, poor economic situation, Internet restrictions, inappropriateness of the educational curriculum, difficult access to scientific research, and lack of insurance coverage for up‐to‐date therapies.ConclusionsAlthough most of the participants had a very positive view of physiotherapy based on scientific evidence, various obstacles have prevented this approach from being well implemented in Iran. Therefore, it is necessary to move towards minimising the existing barriers at the individual, practice environment, and extra‐organisational levels by adopting effective multilateral policies.

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Exploring expectations and perceptions of different manual therapy techniques in chronic low back pain: a qualitative study

Cited by 8 publications

References 46 publications

Do patients’ expectations influence conservative treatment in Chronic Low Back Pain? A Narrative Review

Do patients’ expectations influence conservative treatment in Chronic Low Back Pain? A Narrative Review

Understanding the Postpartum Cesarean Pain Experience Among Individuals With Publicly Funded Insurance: A Qualitative Investigation

Barriers and facilitators of evidence‐based physiotherapy practice in Iran: A qualitative study

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