Article

Evidence has suggested that patients' expectations influence the
clinical course when they present with low back pain (LBP). However, little
empirical evidence has outlined the nature of these expectations. The aim of this
study was to describe LBP patients' expectations of physiotherapy. Method:
Seventy-nine adult patients who had LBP for more than 16 weeks and were referred
for physiotherapy at two hospital physiotherapy departments in St. John's,
Newfoundland and Labrador, were included. They filled out a questionnaire
detailing their expectations of treatment. Results: Before treatment, more than
90% of patients expected a physical examination, tests or investigations, a
diagnosis, reassurance and advice, and clear explanations of causation, symptom
management, and benefits and risks of treatment. Approximately half hoped for a
prescription or referral to a specialist, and about 60% hoped to discuss problems
in their life. Conclusions: The findings of this study indicate that patients
attend physiotherapy with clear expectations about what information should be
provided. Most expected tests or investigations leading to diagnosis and an
explanation of causation; this presents a challenge for clinicians, given the
current understanding of LBP reflected in international practice guidelines. The
fact that more than half of the patients wanted to discuss problems in their life
points to the need for physiotherapists to consider LBP from a bio-psychosocial
perspective.

Langue : ANGLAIS