Falta de conhecimento sobre os fatores de risco não ocupacionais da dor lombar entre profissionais de saúde ocupacional brasileiros: um estudo observacional transversal





Dor Lombar, Fatores de Risco, Manejo da Dor, Pessoal de Saúde, Prevenção Primária


INTRODUCTION: Low back pain (LBP) is highly prevalent and is one of the main causes of disability in Brazil and around the world. LBP presents a multifactorial etiology, being extremely common in workers. OBJECTIVE: This study aimed to verify the knowledge about the LBP risk factors, beliefs and attitudes about the management of LBP among health professionals (physiotherapists and ergonomists) working in the occupational area. MATERIALS AND METHODS: A cross-sectional observational study was conducted with 81 Brazilian occupational health professionals. Participants completed an electronic questionnaire comprising professional data, sociodemographics, items about LBP risk factors, and the Brazilian version of the Pain Attitudes and Beliefs Scale for Physiotherapists. Knowledge, beliefs and attitudes were analyzed using the chi-square test for LBP risk factors and the linear regression model for health professionals' beliefs and attitudes. RESULTS: Obesity (7.4%), sitting for more than 2 hours (8.6%), physical activity (9.9%), lack of psychosocial support at work (11.1%) and consuming alcohol (37.0%) presented the lowest rate of knowledge about LBP risk factors by professionals. Items about general health showed the lowest knowledge. A balanced biomedical and psychosocial orientation of beliefs and attitudes about managing LBP was observed. CONCLUSION: Brazilian occupational health professionals lack knowledge about non-occupational LBP risk factors, especially general health status. These professionals also have balanced biomedical and psychosocial concepts in managing LBP.


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(1) Hoy D, Bain C, Williams G, March L, Brooks P, Blyth, F, et al. A systematic review of the global prevalence of low back pain. Arthritis Rheum. 2012;64(6):2028-2037. http://doi.org/10.1002/art.34347.

(2) Hartvigsen J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S, et al. What low back pain is and why we need to pay attention. Lancet. 2018;391(10137):2356-2367. https://doi.org/10.1016/S0140-6736(18)30480-X.

(3) GBD Disease Injury Incidence Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018;392(10159):1789-1858. https://doi.org/10.1016/S0140-6736(18)32279-7

(4) GBD 2019 Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396(10258):1204-1222. https://doi.org/10.1016/S0140-6736(20)30925-9

(5) Ministério da Fazenda (Brasil). Anuário Estatístico da Previdência Social 2018. MF/DATAPREV: Brasília, 2019; Vol. 25, p 1048. Available from: https://www.gov.br/previdencia/pt-br/assuntos/previdencia-social/arquivos/aeps-2018.pdf

(6) Maher C, Underwood M, Buchbinder R. Non-specific low back pain. Lancet. 2017;389(10070):736-747. https://doi.org/10.1016/S0140-6736(16)30970-9.

(7) Parreira P, Maher CG, Steffens D, Hancock MJ, Ferreira ML. Risk factors for low back pain and sciatica: an umbrella review. Spine J. 2018;18(9):1715-1721. https://doi.org/10.1016/j.spinee.2018.05.018.

(8) Foster NE, Anema JR, Cherkin D, Chou R, Cohen SP, Gross DP, et al. Prevention and treatment of low back pain: evidence, challenges, and promising directions. Lancet. 2018;391(10137):2368-2383. https://doi.org/10.1016/S0140-6736(18)30489-6.

(9) Bishop A, Thomas E, Foster NE. Health care practitioners' attitudes and beliefs about low back pain: a systematic search and critical review of available measurement tools. Pain. 2007;132(1-2):91-101. https://doi.org/10.1016/j.pain.2007.01.028.

(10) Magalhães MO, Costa LO, Cabral CM, Machado LA. Attitudes and beliefs of Brazilian physical therapists about chronic low back pain: a cross-sectional study. Rev Bras Fisioter. 2012;16(3):248-253. https://doi.org/10.1590/s1413-35552012005000014.

(11) von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Epidemiology. 2007;18(6):800-804. https://doi.org/10.1097/EDE.0b013e3181577654

(12) Kang, H. The prevention and handling of the missing data. Korean J Anesthesiol 2013;64(5):402-406. https://doi.org/10.4097/kjae.2013.64.5.402.

(13) Magalhaes MO, Costa LO, Ferreira ML, Machado LA. Testes clinimétricos de dois instrumentos que mensuram atitudes e crenças de profissionais de saúde sobre a dor lombar crônica. Rev Bras Fisioter. 2011;15(3):249-256. https://doi.org/10.1590/S1413-35552011000300012

(14) Ostelo RW, Stomp-van den Berg SG, Vlaeyen JW, Wolters PM, de Vet HC. Health care provider's attitudes and beliefs towards chronic low back pain: the development of a questionnaire. Man Ther. 2003;8(4):214-222. https://doi.org/10.1016/s1356-689x(03)00013-4.

(15) Mahdavi, SB, Riahi R, Vahdatpour B, Kelishadi R. Association between sedentary behavior and low back pain; A systematic review and meta-analysis. Health Promot Perspect. 2021;11(4):393-410. https://doi.org/10.34172/hpp.2021.50.

(16) Driessen MT, Proper KI, van Tulder MW, Anema JR, Bongers PM, van der Beek AJ. The effectiveness of physical and organisational ergonomic interventions on low back pain and neck pain: a systematic review. Occup Environ Med. 2010;67(4):277-285. https://doi.org/10.1136/oem.2009.047548.

(17) Shiri R, Coggon D, Falah-Hassani K. Exercise for the Prevention of Low Back Pain: Systematic Review and Meta-Analysis of Controlled Trials. Am J Epidemiol. 2018;187(5):1093-1101. https://doi.org/10.1093/aje/kwx337.

(18) Fullen BM, Baxter GD, O'Donovan BGG, Doody C, Daly L, Hurley DA. Doctors' attitudes and beliefs regarding acute low back pain management: A systematic review. Pain. 2008;136(3):388-396. https://doi.org/10.1016/j.pain.2008.01.003.

(19) Synnott A, O'Keeffe M, Bunzli S, Dankaerts W, O'Sullivan P, O'Sullivan K. Physiotherapists may stigmatise or feel unprepared to treat people with low back pain and psychosocial factors that influence recovery: a systematic review. J Physiother 2015;61(2):68-76. https://doi.org/10.1016/j.jphys.2015.02.016.

(20) Klyne DM, Hall LM, Nicholas MK, Hodges PW. Risk factors for low back pain outcome: Does it matter when they are measured? Eur J Pain. 2022;26(4):835-854. https://doi.org/10.1002/ejp.1911.

(21) Gardner T, Refshauge K, Smith L, McAuley J, Hübscher M, Goodall S. Physiotherapists' beliefs and attitudes influence clinical practice in chronic low back pain: a systematic review of quantitative and qualitative studies. J Physiother. 2017;63(3):132-143. https://doi.org/10.1016/j.jphys.2017.05.017.

(22) Darlow B, Fullen BM, Dean S, Hurley DA, Baxter GD, Dowell A. The association between health care professional attitudes and beliefs and the attitudes and beliefs, clinical management, and outcomes of patients with low back pain: a systematic review. Eur J Pain 2012;16(1):3-17. https://doi.org/10.1016/j.ejpain.2011.06.006.

(23) Shaheed CA, Graves J, Maher C. The effects of a brief educational intervention on medical students' knowledge, attitudes and beliefs towards low back pain. Scand J Pain. 2017;16:101-104. https://doi.org/10.1016/j.sjpain.2017.04.002

(24) Dalkilinc M, Cirak Y, Yilmaz GD, Demir YP. Validity and reliability of Turkish version of the Pain Attitudes and Beliefs Scale for Physiotherapists. Physiother Theory Pract. 2015;31(3):186-193. https://doi.org/10.3109/09593985.2014.986351

(25) LE Laekeman MA, Sitter H, Basler HD. The Pain Attitudes and Beliefs Scale for Physiotherapists: psychometric properties of the German version. Clin Rehabil. 2008;22(6):564-575. https://doi.org/10.1177/0269215508087485

(26) Eland ND, Strand LI, Ostelo RW, Kvåle A, Magnussen LH. How do physiotherapists understand and interpret the "Pain Attitudes and Beliefs Scale"? A cognitive interview study. Physiother Theory Pract. 2022;38(4):513-527. https://doi.org/10.1080/09593985.2020.1774949.

(27) Mutsaers JH, Peters R, Pool-Goudzwaard AL, Koes BW, Verhagen AP. Psychometric properties of the Pain Attitudes and Beliefs Scale for Physiotherapists: a systematic review. Man Ther. 2012;17(3):213-218. https://doi.org/10.1016/j.math.2011.12.010.





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Falta de conhecimento sobre os fatores de risco não ocupacionais da dor lombar entre profissionais de saúde ocupacional brasileiros: um estudo observacional transversal. (2024). Revista Pesquisa Em Fisioterapia, 14, e5427. https://doi.org/10.17267/2238-2704rpf.2024.e5427

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