Why Are We Finding It So Hard to Change Our Approach to Low Back Pain?

Exploring the experiences of partners who live with a chronic low back pain sufferer

“…A biopsychosocial approach is advocated in the management of CLBP (Clinical Standards Advisory Group 1994), but the present study shows that partners or significant others are not invited to participate in consultations with the sufferer or given information by healthcare professionals. The adoption of the biopsychosocial model is not permeating the medical world and clinicians tend to feel more comfortable with biophysical explanatory models (Pinnington 2001). The data show that healthcare professionals show a reluctance to engage with the social aspect of patients’ care.…”

Physiotherapists’ Pain Beliefs and Their Influence on the Management of Patients With Chronic Low Back Pain

“…This study suggests that just as it is difficult to influence the maladaptive or unhelpful beliefs of patients, it needs to be recognized that to change unhelpful biomedically oriented beliefs of physiotherapists regarding chronic pain may be a formidable task. Thus, members of the profession cannot keep on calling for change 57,58 without there being some structure in place that will facilitate this transition in physiotherapists. If biopsychosocial skills become as valued as the biomedical ones used to enlarge one's tool bag, then a shift in emphasis from treating specific structures to managing the biomedical, psychological, and social factors influencing the patients' pain experience would occur, which may have beneficial long-term effects on pain-associated incapacity.…”

Validity and reliability of instruments aimed at measuring Evidence‐Based Practice in Physical Therapy: a systematic review of the literature

“…What is more, as a result of its historical context, physiotherapy continues to struggle to identify a unique theoretical basis and to develop its own models of practice and suitable methods to develop these [5]. Physiotherapy's professional response in support of EBP has been to propose a series of initiatives designed to generate, evaluate and disseminate research, and implement these results in practice [14]; however, adherence to them is poor [15,16]. In fact, there are studies [16–18] examining the use of evidence in making clinical decisions by physical therapists which show that much practice is not based on evidence.…”