Chronic Low Back Pain and Physiotherapy: a metasynthesis about relevant questions of communication in therapeutic relationship

Authors

DOI:

https://doi.org/10.51723/ccs.v34i01.1110

Keywords:

Low Back Pain, Chronic Pain, Health Communication, Qualitative research

Abstract

The study explored how people with low back pain perceive communication with the physiotherapist in the therapeutic relationship based on a systematic review of qualitative studies, known as metasynthesis. The PubMed, EMBASE, BIREME, PsycINFO, Scopus and Scielo databases were consulted and the terms Back Pain and Qualitative Research were used. Methodological quality was assessed by the Critical Appraisal Skills Program. The analysis of the five studies included in this review showed that the satisfaction of people with low back pain is related to the physical therapist's ability to provide explanations about the exercises and the multidimensionality of pain and to provide guidance that contributes to carrying out daily activities.

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Author Biographies

  • Sofia Paiva Sventnickas, Universidade Federal do Rio Grande do Sul - UFRGS

    Graduanda do curso de Fisioterapia, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio grande do Sul, Brasil

  • Rogéria Sabina da Silva de Oliveira, Universidade Federal do Rio Grande do Sul - UFRGS

    Fisioterapeuta, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio grande do Sul, Brasil

  • Ana Carolina Bertini, Universidade Federal do Rio Grande do Sul - UFRGS

    Graduanda do curso de Fisioterapia, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio grande do Sul, Brasil

  • Adriane Vieira, Universidade Federal do Rio Grande do Sul - UFRGS

    Doutora em Ciências do Movimento Humano e Professora Associada, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio grande do Sul, Brasil

References

- Maher, C., Underwood, M., & Buchbinder, R. Non-specific low back pain. The Lancet [Internet]. 2017 [acesso em 11 ago 2021]; 389(10070), 736-747. Disponível em: https://doi.org/10.1016/S0140-6736(16)30970-9

- Peter BO'S, Caneiro JP, Mary O'K, Anne S, Wim D. Cognitive functional therapy: an integrated behavioral approach for the targeted management of disabling low back pain. Physical therapy [Internet]. 2018 [acesso em 11 ago 2021]; 98(5), 408-423. DOI: https://doi:10.1093/ptj/pzy022.

- Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber-Moffett J, Kovacs F, et al. European guidelines for the management of chronic nonspecific low back pain. European spine journal [Internet]. 2006 [acesso em 11 ago 2021]; 15(Suppl 2), s192. Disponível em: https//:doi:10.1007/s00586-006-1072-1.

- Delitto A, George, SZ, Van Dillen L, Whitman JM, Sowa G, Shekelle P, et al. Low Back Pain- Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association. J Orthop Sports Phys Ther [Internet]. 2012 [acesso em 11 ago 2021]; 42(4):A1-A57. Disponível em: https://www.jospt.org/doi/10.2519/jospt.2012.42.4.A1

- Zolnierek, K. B. H., & DiMatteo, M. R. Physician communication and patient adherence to treatment: a meta-analysis. Medical care [Internet]. 2009 [acesso em 11 ago 2021]; 47(8), 826. Disponível em: https://doi:10.1097/MLR.0b013e31819a5acc.

- World Health Organization. Towards a Common Language for Functioning, Disability, and Health ICF [Internet]. 2002. [acesso em 15 ago 2021]. Disponível em: https://www.who.int/classifications/icf/icfbeginnersguide.pdf

- Hush JM, Cameron K, Mackey M. Patient satisfaction with musculoskeletal physical therapy care: a systematic review. Physical therapy [Internet]. 2011; [acesso em 15 ago 2021] 91(1) 25-36. DOI: https://doi.org/10.2522/ptj.20100061

- Oliveira, V. C., Refshauge, K. M., Ferreira, M. L., Pinto, R. Z., Beckenkamp, P. R., Negrao Filho, R. F., & Ferreira, P. H. Communication that values patient autonomy is associated with satisfaction with care: a systematic review. Journal of Physiotherapy [Internet]. 2012 [acesso em 15 ago 2021]; 58(4), 215-229. Disponível em: https://doi.org/10.1016/S1836-9553(12)70123-6

- Schiavo R. Health communication: from theory to practice. 2° edição. São Francisco: Jossey-Bass. 2014

- Aittokallio J & Rajala AI. Perspectives On'Person-Centeredness' From Neurological Rehabilitation and Critical Theory: Toward a Critical Constellation. The Journal of Humanities in Rehabilitation [Internet]. 2020. [acesso em 10 mai 2023]; Disponível em: https://www.jhrehab.org/2020/05/07/perspectives-on-person-centeredness-from-neurological-rehabilitation-and-critical-theory-toward-a-critical-constellation/

- Pluut B. Differences that matter: developing critical insights into discourses of patient-centeredness. Medicine, Health Care, and Philosophy [Internet]. 2016. [acesso em 5 mai 2023]; 19, 501 - 515. Disponível em: DOI: 10.1007/s11019-016-9712-7

- Paparella G. Person-centred care in Europe: a cross-country comparison of health system performance, strategies and structures. Oxford: Picker Institute Europe. 2016

- May, S. J. Patient satisfaction with management of back pain main. Physiotherapy [Internet]. 2001 [acesso em 15 ago 2021]; 87(1), 4-20. DOI: https://www.physiotherapyjournal.com/article/S0031-9406(05)61186-8/fulltext

- Sandelowski, M., Docherty, S., & Emden, C. Qualitative metasynthesis: Issues and techniques. Research in nursing & health [Internet]. 1997 [acesso em 15 ago 2021]; 20(4), 365-371.Disponível em: https://doi.org/10.1002/(SICI)1098-240X(199708)20:4<365::AID-NUR9>3.0.CO;2-E

- Lachal, J., Revah-Levy, A., Orri, M., & Moro, M. R. Metasynthesis: an original method to synthesize qualitative literature in psychiatry. Frontiers in psychiatry [Internet]. 2017 [acesso em 15 ago 2021]; 8, 269. Disponível em: https://doi.org/10.3389/fpsyt.2017.00269

- Korhonen, A., Hakulinen‐Viitanen, T., Jylhä, V., & Holopainen, A. Meta‐synthesis and evidence‐based health care–a method for systematic review. Scandinavian journal of caring sciences [Internet]. 2013 [acesso em 20 ago 2021]; 27(4), 1027-1034. Disponível em: https://doi.org/10.1111/scs.12003

- Lopes, A. L. M., & Fracolli, L. A. Revisão sistemática de literatura e metassíntese qualitativa: considerações sobre sua aplicação na pesquisa em enfermagem. Texto & Contexto-Enfermagem [Internet]. 2008 [ acesso em 20 ago 2021]. 17, 771-778. Disponível em: https://doi.org/10.1590/S0104-07072008000400020

- Jette AM, Delany C, Lundberg M. The Value of Qualitative Research in Physical Therapy. Phys Ther [Internet]. 2019 [acesso em 20 ago 2021] Jul 1;99(7):819-820. Disponível em: https://pubmed.ncbi.nlm.nih.gov/31260535/

- World Confederation for Physical Therapy (WCPT). Description of physical therapy Policy statement London, UK: WCPT [Internet]. 2011 [acesso em 20 ago 2021]. Disponível em: https://world.physio/sites/default/files/2020-07/PS-2019-Description-of-physical-therapy.pdf

- Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ [Internet]. 2021 [acesso em 20 ago 2021] 372:n71. Disponível em: https://doi.org/10.1136/bmj.n71

- Higgins J, Thomas J. Cochrane Handbook for Systematic Reviews of Interventions [Internet]. 2021 [acesso em 20 ago 2021]. Disponível em: https://training.cochrane.org/handbook/current

- Braun, V., & Clarke, V. Using thematic analysis in psychology. Qualitative research in psychology [Internet]. 2006 [acesso em 20 ago 2021]; 3(2), 77-101. Disponível em: https://www.tandfonline.com/doi/abs/10.1191/1478088706qp063oa

- Williams, V., Boylan, A. M., & Nunan, D. Critical appraisal of qualitative research: necessity, partialities and the issue of bias. BMJ evidence-based medicine [Internet]. 2020 [acesso em 5 set 2021]; 25(1), 9-11. Disponível em: http://dx.doi.org/10.1136/bmjebm-2018-111

-Toye, F., & Barker, K. ‘I can’t see any reason for stopping doing anything, but I might have to do it differently’–restoring hope to patients with persistent non-specific low back pain–a qualitative study. Disability and rehabilitation [Internet]. 2012 [acesso em 20 ago 2021]; 34(11), 894-903. Disponível em: https://doi.org/10.3109/09638288.2011.626483

- Palazzo, C., Klinger, E., Dorner, V., Kadri, A., Thierry, O., Boumenir, Y., et al. Barriers to home-based exercise program adherence with chronic low back pain: Patient expectations regarding new technologies. Annals of physical and rehabilitation medicine [Internet]. 2016 [acesso em 20 ago 2021]; 59(2), 107-113. Disponível em: https://pubmed.ncbi.nlm.nih.gov/27050664/

- Saner, J., Bergman, E. M., de Bie, R. A., & Sieben, J. M. Low back pain patients' perspectives on long-term adherence to home-based exercise programmes in physiotherapy. Musculoskeletal Science and Practice [Internet]. 2018 [acesso em 20 ago 2021]; 38, 77-82. Disponível em: https://pubmed.ncbi.nlm.nih.gov/30317015/

- Campbell, C., & Guy, A. Why Can't They Do Anything for a Simple Back Problem?' A Qualitative Examination of Expectations for Low Back Pain Treatment and Outcome. Journal of health psychology [Internet]. 2007 [acesso em 20 ago 2021]; 12(4), 641-652. Disponível em: https://doi.org/10.1177/1359105307078171

- Cook, F. M., & Hassenkamp, A. M.Active rehabilitation for chronic low back pain: The patients' perspective. Physiotherapy [Internet]. 2000 [acesso em 20 ago 2021]; 86(2), 61-68. Disponível em: https://doi.org/10.1016/S0031-9406(05)61207-2

- Walsh, D. A., & Radcliffe, J. C. Pain beliefs and perceived physical disability of patients with chronic low back pain. Pain [Internet]. 2002 [acesso em 2 set 2021]; 97(1-2), 23-31. Disponível em: https://doi.org/10.1016/S0304-3959(01)00426-2

- Turk, D. C., & Wilson, H. D. Fear of pain as a prognostic factor in chronic pain: conceptual models, assessment, and treatment implications. Current pain and headache reports [Internet]. 2010 [acesso em 2 set 2021]; 14(2), 88-95. Disponível em: https://pubmed.ncbi.nlm.nih.gov/20425197/

- Luque-Suarez, A., Martinez-Calderon, J., & Falla, D. Role of kinesiophobia on pain, disability and quality of life in people suffering from chronic musculoskeletal pain: a systematic review. British journal of sports medicine [Internet]. 2019 [acesso em 5 set 2021]; 53(9), 554-559. Disponível em: http://dx.doi.org/10.1136/bjsports-2017-098673

- Burton, A., Balagué, F., Cardon, G., Eriksen, H.R., Henrotin, Y.L.A., Leclerc, A., Muller, G. and van der Beek, A.J. European guidelines for prevention in low back pain. Project Report. European Commission Research Directorate General [Internet] 2004 [acesso em 5 set 2021]. Disponível em: http://eprints.hud.ac.uk/id/eprint/7489/1/WG3_Guidelines.pdf

- Cooper, K., Smith, B. H., & Hancock, E. Patient-centredness in physiotherapy from the perspective of the chronic low back pain patient. Physiotherapy [Internet]. 2008 [acesso em 5 set 2021]; 94(3), 244-252. Disponível em: https://doi.org/10.1016/j.physio.2007.10.006

- Buchbinder, R., van Tulder, M., Öberg, B., Costa, L. M., Woolf, A., Schoene, M.,et al. Low back pain: a call for action. The Lancet [Internet]. 2008 [acesso em 5 set 2021]; 391(10137), 2384-2388. Disponível em: https://pubmed.ncbi.nlm.nih.gov/29573871/

- Santana, M. J., Manalili, K., Jolley, R. J., Zelinsky, S., Quan, H., & Lu, M. How to practice person‐centred care: A conceptual framework. Health Expectations [Internet]. 2018 [acesso em 5 set 2021]; 21(2), 429-440. Disponível em: https://doi.org/10.1111/hex.12640

- Hiller, A., Guillemin, M., & Delany, C. Exploring healthcare communication models in private physiotherapy practice. Patient education and counseling [Internet]. 2015 [acesso em 5 set 2021]; 98(10), 1222-1228. Disponível em: https://doi.org/10.1016/j.pec.2015.07.029

- Hall, A. J., Burrows, L., Lang, I. A., Endacott, R., & Goodwin, V. A. Are physiotherapists employing person-centred care for people with dementia? An exploratory qualitative study examining the experiences of people with dementia and their carers. BMC geriatrics [Internet]. 2018 [acesso em 5 set 2021]; 18(1), 1-10. Disponível em: https://doi.org/10.1186/s12877-018-0756-9

-Cowell I., O'Sullivan P., O'Sullivan K., Poyton R., McGregor A., & Murtagh G. Perceptions of physiotherapists towards the management of non-specific chronic low back pain from a biopsychosocial perspective: a qualitative study. Musculoskeletal Science and Practice [Internet] 2018 [acesso em 5 mai 2023] 38, 113-119. Disponível em: DOI: 10.1016/j.msksp.2018.10.006

Published

2023-07-10

Issue

Section

Clínica Assistencial

How to Cite

1.
Chronic Low Back Pain and Physiotherapy: a metasynthesis about relevant questions of communication in therapeutic relationship. Com. Ciências Saúde [Internet]. 2023 Jul. 10 [cited 2024 Nov. 20];34(01). Available from: https://revistaccs.espdf.fepecs.edu.br/index.php/comunicacaoemcienciasdasaude/article/view/1110

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