Article

Low back pain (LBP), is a common musculoskeletal problem, affecting 75-85% of
adults in their lifetime. Direct costs of LBP in the USA were estimated over 85
billion dollars in 2005 resulting in a significant economic burden for the
healthcare system. LBP classification systems and outcome measures are available
to guide physical therapy assessments and intervention. However, little is known
about which, if any, physical therapists use in clinical practice. The purpose of
this study was to identify the use of and barriers to LBP classification systems
and outcome measures among physical therapists in one state. A mixed methods
study using a cross-sectional cohort design with descriptive qualitative methods
was performed. A survey collected both quantitative and qualitative data relevant
to classification systems and outcome measures used by physical therapists
working with patients with LBP. Physical therapists responded using
classification systems designed to direct treatment predominantly. The McKenzie
method was the most frequent approach to classify LBP. Barriers to use of
classification systems and outcome measures were lack of knowledge, too limiting
and time. Classification systems are being used for decision-making in physical
therapy practice for patients with LBP. Lack of knowledge and training seems to
be the main barrier to the use of classification systems in practice. The
Oswestry Disability Index and Numerical Pain Scale were the most commonly used
outcome measures. The main barrier to their use was lack of time. Continuing
education and reading the literature were identified as important tools to teach
evidence-based practice to physical therapists in practice.

Langue : ANGLAIS