Manual Therapy
Volume 12, Issue 2 , Pages 167-175 , May 2007

Attitudes to back pain amongst musculoskeletal practitioners: A comparison of professional groups and practice settings using the ABS-mp

  • Tamar Pincus

      Affiliations

    • Department of Psychology, Royal Holloway University of London, Egham, Surrey, TW20 0EX, UK
    • Corresponding Author InformationCorresponding author. Department of Psychology, Royal Holloway University of London, Egham, Surrey, TW20 0EX.
  • ,
  • Nadine E Foster

      Affiliations

    • Primary Care Sciences Research Centre, Keele University, UK
  • ,
  • Steven Vogel

      Affiliations

    • The Research Centre, British School of Osteopathy, UK
  • ,
  • Rita Santos

      Affiliations

    • Department of Psychology, Royal Holloway University of London, Egham, Surrey, TW20 0EX, UK
  • ,
  • Alan Breen

      Affiliations

    • Institute for Musculoskeletal Research and Clinical Implementation, AECC, Parkwood Road, Bournemouth BH5 2DF, UK
  • ,
  • Martin Underwood

      Affiliations

    • Centre for Health Sciences, Barts and The London, Queen Mary University of London, UK

Received 19 May 2005 ,Revised 6 February 2006 ,Accepted 2 June 2006.

References 

  1. Assendelft WJ, Morton SC, Yu EI, Suttorp MJ, Shekelle PG. Spinal manipulative therapy for low back pain. A meta-analysis of effectiveness relative to other therapies. Annals of Internal Medicine. 2003;138:33
  2. Barnett AG, Underwood MR, Vickers MR. Effect of UK national guidelines on services to treat patients with acute low back pain: follow up questionnaire survey. British Medical Journal. 1999;318:919–920
  3. Bishop A, Foster NE. Do physical therapists in the United Kingdom recognise psychosocial factors in patients with acute low back pain?. Spine. 2005;30:1316–1322
  4. Breen AC. Chiropractors and the treatment of back pain. Rheumatology and Rehabilitation. 1977;16:46–53
  5. Burton AK. Back pain in osteopathic practice. Rheumatology and Rehabilitation. 1981;20:239–246
  6. Cherkin DC, Deyo RA, Battie M, et al. A comparison of physical therapy, chiropractic manipulation, and provision of an educational booklet for the treatment of patients with low back pain. New England Journal of Medicine. 1998;339:1021–1029
  7. Cherkin D, Sherman K, Deyo R, Shekelle P. A review of the evidence for the effectiveness, safety and cost of acupuncture, massage therapy and spinal manipulation for back pain. Annals of Internal Medicine. 2003;138:898–906
  8. Coakes SJ, Steed LG. SPSS: analysis without anguish: version 10.0 for windows. Brisbane: Wiley; 2001;
  9. Cohen J. Statistical power for behavioural sciences. 2nd ed. New York: Academic Press; 1988;
  10. Cohen J. A power primer. Psychological Bulletin. 1992;112:155–159
  11. Clinical Standards Advisory Group (CSAG). Clinical Standards Advisory Group Report on Back Pain. London: HMSO; 1994.
  12. Daykin AR, Richardson B. Physiotherapists’ pain beliefs and their influence on the management of patients with chronic low back pain. Spine. 2004;29:783–795
  13. Di Iorio D, Henley E, Doughty A. A survey of primary care physician practice patterns and adherence to acute low back problem guidelines. Archives of Family Medicine. 2000;9:1015–1021
  14. Elstein A, Schwarz A. Clinical problem solving and diagnostic decision-making: selective review of the cognitive literature. British Medical Journal. 2002;324:729–732
  15. Evans DW, Foster NE, Vogel S, Breen AC. Implementing evidence-based practice in the UK physical therapy professions: do they want it and do they feel they need it? Presented at the Linkoping international forum vi for primary care research on low-back pain, Linkoping, Sweden, 23–25 May 2003.
  16. Evans DW, Foster NE, Underwood M, Vogel S, Breen AC, Pincus T. Testing the effectiveness of an innovative information package on practitioner reported behaviour and beliefs. The UK Chiropractors, Osteopaths and Musculoskeletal Physiotherapists Low Back Pain Management (COMPLeMENT) Trial. [ISRCTN77245761]. BMC Musculoskeletal Disorders 6: 41 (20 July 2005).
  17. Foster NE, Thompson KA, Baxter GD, Allen JM. Management of nonspecific low back pain by physiotherapists in Britain and Ireland. A descriptive questionnaire of current clinical practice. Spine. 1999;24:1332–1342
  18. Foster NE, Pincus T, Underwood MR, Vogel S, Breen AC, Harding G. Treatment and the process of care in musculoskeletal conditions; a multidisciplinary perspective and integration. Orthopedic Clinics of North America. 2003;34:239–244
  19. Frost H, Lamb SE, Dol HA, Carver PT, Stewart-Brown S. Randomised controlled trial of physiotherapy compared with advice for low back pain. British Medical Journal. 2004;329:708
  20. Goubert L, Crombez G, Hermans D, Vanderstraeten G. Implicit attitude towards pictures of back-stressing activities in pain-free subjects and patients with low back pain: an effective priming study. European Journal of Pain. 2003;7:33–42
  21. Gracey JH, McDonough SM, Baxter GD. Physiotherapy management of low back pain: a survey of current practice in Northern Ireland. Spine. 2002;27:406–411
  22. Grimshaw JM, Thomas RE, MacLennan G, Fraser C, Ramsay CR, Vale L, et al. Effectiveness and efficiency of guideline dissemination and implementation strategies. Health Technological Assessment. 2004;8(6):
  23. Harvey E, Burton AK, Klaber-Moffett J, Breen AC. Spinal manipulation for low-back pain: a treatment package agreed by the UK chiropractic, osteopathy and physiotherapy professional associations. Manual Therapy. 2003;8:46–51
  24. Hay EM, Mullis R, Lewis M, Vohora K, Main CJ, Watson P, et al. Comparison of physical treatments versus a brief pain-management programme for back pain in primary care: a randomised clinical trial in physiotherapy practice. Lancet. 2005;365:2024–2030
  25. Houben RMA, Vlaeyen JWS, Peters M, Ostelo RWJG, Wolters PMJC, Stomp-van den Berg SGM. Health care providers attitudes and beliefs towards common low back pain: factor structure and psychometric properties of the HC-PAIRS. Clinical Journal of Pain. 2004;20:37–44
  26. Houben RMA, Ostelo RWJG, Vlaeyen JWS, Wolters PMJC, Peters M, Stomp-van den Berg SGM. Health care providers’ orientations towards common low back pain predict perceived harmfulness of physical activities and recommendations regarding return to normal activity. European Journal of Pain. 2005;9:173–183
  27. Houben RMA, Gijsen A, Peterson J, deJong PJ, Vlaeyen JWS. Do health care providers’ attitudes towards back pain predict their treatment recommendations? Differential predictive validity of implicit and explicit attitude measures. Pain. 2005;114:491–498
  28. Langworthy J, Breen A. Auditing the management of acute back pain in primary care: too late to preserve the momentum? Proceedings of the 32nd annual scientific meeting of the society for academic primary care, Manchester, July 2003.
  29. Linton SJ, Vlaeyen J, Ostelo R. The back pain beliefs of health care providers: are we fear-avoidant?. Journal of Occupational Rehabilitation. 2002;12:223–232
  30. Little P, Smith L, Cantrell T, Chapman J, Langridge J, Pickering R. General practitioners’ management of acute back pain: a survey of reported practice compared with clinical guidelines. British Medical Journal. 1996;312:485–488
  31. Maniadakis N, Gray A. The economic burden of back pain in the UK. Pain. 2000;84:95–103
  32. Ostelo RW, Stomp-van denBerg SG, Vlaeyen JW, Wolters PM, deVet HC. Health care providers attitudes and beliefs towards chronic low back pain: the development of a questionnaire. Manual Therapy. 2003;8:214–222
  33. Pedersen P. A survey of chiropractic practice in Europe. European Journal of Chiropractic. 1994;42:1–28
  34. Pincus T, Vogel S, Savage R, Newman S. Patients’ satisfaction with osteopathic and GP management of low back pain in the same surgery. Complement Therapy Medicine. 2000;8:180–186
  35. Pincus T, Vogel S, Breen A, Foster N, Underwood M. Persistent back pain? why do physical therapy clinicians continue treatment? A Mixed methods study of chiropractors, osteopaths and physiotherapists. European Journal of Pain 2006a;10(1):67–76.
  36. Pincus T, Vogel S, Santos R, Breen A, Foster N, Underwood M. The attitudes to back pain scale in musculoskeletal practitioners (ABS-mp); the development and testing of a new questionnaire. Clinical Journal of Pain 2006b;22(4):378–86.
  37. Pringle M, Tyreman S. Study of 500 patients attending an osteopathic practice. British Journal of General Practice. 1993;43:15–18
  38. Rainville J, Bagnall D, Phalen L. Health care providers’ attitudes and beliefs about functional impairments and chronic back pain. Clinical Journal of Pain. 1995;11:287–295
  39. Rainville J, Carlson N, Polatin P, Gatchel RJ, Indahl A. Exploration of physicians recommendations for activities in chronic low back pain. Spine. 2000;25:2210–2220
  40. UK BEAM Trial Team. United Kingdom back pain exercise and manipulation (UK BEAM) randomised trial; effectiveness of physical treatments for back pain in primary care. British Medical Journal 2004; 329:1377–85.
  41. van Tulder M, Malmivaara A, Esmail R, Koes B. Exercise therapy for low back pain: a systematic review within the framework of the cochrane collaboration back review group. Spine. 2000;25:2784–2796
  42. Waddell G, Feder G, McIntosh G, Lewis M, Hutchinson A. Low back pain evidence review. London: Royal College of General Practitioners; 1996;
  43. Waddell G, Feder G, McIntosh A, Lewis M, Hutchinson A. Low back pain evidence review. London: Royal College of General Practitioners; 1999;
  44. Waddell G. The back pain revolution. 2nd ed.. Edinburgh: Churchill Livingstone; 2004;

PII: S1356-689X(06)00082-8

doi: 10.1016/j.math.2006.06.005

Manual Therapy
Volume 12, Issue 2 , Pages 167-175 , May 2007