Lack of knowledge about non-occupational low back pain risk factors among Brazilian occupational health professionals: a cross-sectional observational study

Authors

DOI:

https://doi.org/10.17267/2238-2704rpf.2024.e5427

Keywords:

Low Back Pain, Risk Factors, Pain Management, Health Personnel, Primary Prevention

Abstract

INTRODUÇÃO: A dor lombar possui alta prevalência, sendo uma das principais causas de incapacidade no Brasil e no mundo. A dor lombar apresenta etiologia multifatorial, sendo extremamente comum em trabalhadores. OBJETIVOS: Verificar o conhecimento sobre os fatores de risco para dor lombar, crenças e atitudes sobre o manejo da dor lombar entre profissionais de saúde (fisioterapeutas e ergonomistas) atuantes na área ocupacional. MATERIAIS E MÉTODOS: Foi realizado um estudo observacional transversal com 81 profissionais de saúde ocupacional brasileiros. Os participantes preencheram um questionário eletrônico composto por dados profissionais, sociodemográficos, itens sobre fatores de risco para dor lombar e a Brazilian version of the Pain Attitudes and Beliefs Scale for Physiotherapists. Conhecimentos, crenças e atitudes foram analisados ​​por meio do teste do qui-quadrado para fatores de risco para dor lombar e um modelo de regressão linear para crenças e atitudes dos profissionais de saúde. RESULTADOS: Obesidade (7,4%), ficar sentado mais de 2 horas (8,6%), atividade física (9,9%), falta de apoio psicossocial no trabalho (11,1%) e consumo de álcool (37,0%), apresentaram os menores índices de conhecimento sobre fatores de risco da dor lombar pelos profissionais. Itens sobre saúde geral apresentaram o menor conhecimento. Uma orientação biomédica e psicossocial equilibrada de crenças e atitudes sobre o manejo da dor lombar foi observada. CONCLUSÃO: Profissionais de saúde ocupacional brasileiros carecem de conhecimento sobre os fatores de risco não ocupacionais da dor lombar, especialmente o estado geral de saúde. Esses profissionais também possuem conceitos biomédicos e psicossociais equilibrados no manejo da dor lombar.

Downloads

Download data is not yet available.

References

(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.

Published

03/19/2024

Issue

Section

Original Articles

How to Cite

1.
Leivas EG, Corrêa LA, Ferreira A de S, de Almeida RS, Nogueira LAC. Lack of knowledge about non-occupational low back pain risk factors among Brazilian occupational health professionals: a cross-sectional observational study. Rev Pesq Fisio [Internet]. 2024 Mar. 19 [cited 2024 Nov. 19];14:e5427. Available from: https://www5.bahiana.edu.br/index.php/fisioterapia/article/view/5427

Most read articles by the same author(s)

<< < 64 65 66 67 68 69