Loading...
Publication
Prática autoreportada da fisioterapia em utentes com dor lombar
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 1.8 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
Enquadramento: A dor lombar aguda/subaguda tem uma prevalência ao longo da vida de 60 a 80% e é a primeira causa de incapacidade a nível mundial. Em 85% a 90% dos casos, a dor lombar é de origem não específica, e os utentes procuram a fisioterapia para aliviar a sua dor, melhorar a sua capacidade funcional e retornar ao trabalho. Esta condição apresenta um tempo de recuperação médio de 2 semanas, podendo chegar, no máximo, a 6 semanas. Apesar do prognóstico favorável, a literatura mostra que são mantidos valores mínimos a moderados de dor e incapacidade após 1 ano, atribuível à prática não estar a ser concordante com as recomendações. A investigação realizada noutros países confirma a presença de uma lacuna entre a evidência e a prática, mas ainda não se sabe como se caracteriza a prática da fisioterapia em Portugal. Objetivo: Este estudo tem como objetivo caracterizar a prática (autoreportada) dos fisioterapeutas em utentes com dor lombar aguda/subaguda em Portugal e identificar as barreiras e elementos facilitadores para a implementação de uma prática informada pela evidência. Metodologia: Realizou-se um estudo transversal com 123 fisioterapeutas que trabalham em Portugal. O instrumento utilizado foi um questionário online e os participantes foram contactados via email. Resultados: A maioria das red flags não é avaliada de forma consistente. As modalidades mais utilizadas são o exercício (95,1%), a terapia manual (92,7%) e a educação (88,6%), mas a eletroterapia é utilizada por 35,8%. A educação sobre a causa não específica da dor é feita por 67,5%, mas as explicações baseadas em alterações posturais (63,4%) e em alterações biomecânicas (65,0%) também são usadas consistentemente. Maioritariamente, os participantes não fornecem informação específica sobre o prognóstico da condição. Conclusões: Apesar da amostra reduzida, verificou-se que a prática da fisioterapia não é feita de acordo com as recomendações.
Background: Acute/subacute low back pain has a lifetime prevalence of 60 to 80% and is the leading cause of disability worldwide. In 85% to 90% of cases, low back pain has non-specific origin, and the patients seek physiotherapy to relieve their pain, improve their functional capacity, and return to work. This condition has an average recovery time of 2 weeks, and can reach a maximum of 6 weeks. Despite the favorable prognosis, the literature shows that minimum to moderate values of pain and disability are maintained after 1 year, due to the fact that practice is not being in line with the recommendations. Research carried out in other countries confirms the existence of a gap between evidence and practice, but it is not yet known how the practice of physiotherapy in Portugal is characterized. Objective: This study aims to characterize the (self-reported) practice of physiotherapists in patients with acute/subacute low back pain in Portugal and to identify the barriers as well as facilitating elements for the implementation of a practice informed by the evidence. Methodology: A cross-sectional study was carried out with 123 physiotherapists working in Portugal. The instrument used was an online questionnaire and the participants were contacted via email. Results: Most red flags are not evaluated consistently. The most used modalities are exercise (95.1%), manual therapy (92.7%) and education (88.6%), but electrotherapy is used by 35.8%. Education of the non-specific cause of pain is done by 67.5%, but explanations based on postural changes (63.4%) and on biomechanical changes (65.0%) are also used consistently. Mostly, participants do not provide specific information on the prognosis of the condition. Conclusions: Despite the reduced sample of this study, it was verified that the practice of physiotherapy is not being done according to the recommendations.
Background: Acute/subacute low back pain has a lifetime prevalence of 60 to 80% and is the leading cause of disability worldwide. In 85% to 90% of cases, low back pain has non-specific origin, and the patients seek physiotherapy to relieve their pain, improve their functional capacity, and return to work. This condition has an average recovery time of 2 weeks, and can reach a maximum of 6 weeks. Despite the favorable prognosis, the literature shows that minimum to moderate values of pain and disability are maintained after 1 year, due to the fact that practice is not being in line with the recommendations. Research carried out in other countries confirms the existence of a gap between evidence and practice, but it is not yet known how the practice of physiotherapy in Portugal is characterized. Objective: This study aims to characterize the (self-reported) practice of physiotherapists in patients with acute/subacute low back pain in Portugal and to identify the barriers as well as facilitating elements for the implementation of a practice informed by the evidence. Methodology: A cross-sectional study was carried out with 123 physiotherapists working in Portugal. The instrument used was an online questionnaire and the participants were contacted via email. Results: Most red flags are not evaluated consistently. The most used modalities are exercise (95.1%), manual therapy (92.7%) and education (88.6%), but electrotherapy is used by 35.8%. Education of the non-specific cause of pain is done by 67.5%, but explanations based on postural changes (63.4%) and on biomechanical changes (65.0%) are also used consistently. Mostly, participants do not provide specific information on the prognosis of the condition. Conclusions: Despite the reduced sample of this study, it was verified that the practice of physiotherapy is not being done according to the recommendations.
Description
Relatório do Projeto de Investigação apresentado para cumprimento dos requisitos necessários à obtenção do grau de Mestre em Fisioterapia, área de especialização em Fisioterapia em Condições Músculo-‐ Esqueléticas
Keywords
dor lombar fisioterapia prática clínica Portugal low back pain physiotherapy clinical practice
Pedagogical Context
Citation
Publisher
Instituto Politécnico de Setúbal. Escola Superior de Saúde