Clinicians’ views about the experience of disability due to low back pain. Results from a focus group study

European spine journal

article

Cedraschi Christine¹  Campello Marco³  Salmi Louis-Rachid⁵  Côté Pierre⁷ 

[1] Division of General Medical Rehabilitation, Geneva Faculty of Medicine, Geneva University Hospitals;Division of Clinical Pharmacology and Toxicology, Multidisciplinary Pain Centre, University Hospitals, Geneva University;NYU Hospital for Joint Diseases, Occupational and Industrial Orthopaedic Center (OIOC), New York University;NYU Robert I Grossman School of Medicine;University Bordeaux, Centre INSERM U1219 Bordeaux Population Health;CHU de Bordeaux, Pole de sante publique, Service d’information medicale;Center for Disability Prevention and Rehabilitation, University of Ontario Institute of Technology and Canadian Memorial Chiropractic College;Ontario Tech University

关键词: Low back pain;    Qualitative methods;    Focus groups;    Disability;    Rehabilitation;   

DOI  :  10.1007/s00586-020-06463-y

来源: Springer

【 摘 要 】

For clinicians, treating the cause of non-pathological low back pain (LBP) is central. For patients, it is how LBP limits their activities of daily living. Little is known about clinicians’ understanding of disability and the patient’s perspective. We conducted a qualitative study to examine how clinicians involved in the care of patients with BP describe and define disability, its associated changes, and rehabilitation. Two focus groups (FGs) were conducted with spine specialists including eleven confirmed orthopedic surgeons and neurosurgeons, ten advanced residents, and five other clinicians. Participants were questioned about their views on disability, what it means to them and to the patients. Responses were collected by two independent observers using Metaplan techniques. Large stickers were used to collect participants’ responses/ideas; the stickers were posted on billboards so the FGs could check them during the discussion. Metaplan was used to aggregate responses. Disability was viewed as a major source of physical limitations, difficulties in performing daily activities, associated with emotional distress, and raising legitimacy issues. Changes in roles engaged the social component. Considered from the patients’ perspective, negative emotions and social issues were emphasized, along with the patients’ resources. For rehabilitation, the participants emphasized patient-centered care, teamwork, and objectives for care. The participants pointed to disability as an umbrella term for impairments, activity limitations, and participation restrictions. They underlined the necessity for clinicians to help patients define their level of optimal functioning when faced with BP, utilizing adaptation and teamwork within the therapeutic relationship.

【 授权许可】

Unknown