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The approach of physiatrists to low back pain across Europe
F. Dincer, S. Kesikburun, O. Ozdemir, E. Yaşar, S. Munoz, R. Valero, A. Juocevidius, M. Quittan, A. Lukmann, A. Winkelman, A. Vetra, B. Gerdle, C. Kiekens, CA. Branco, E. Smith, M. Delargy, E. Ilieva, FC. Boyer, F. Grubisic, H. Damjan, L. Krüger,...
Language English Country Netherlands
Document type Journal Article
PubMed
30248029
DOI
10.3233/bmr-171001
Knihovny.cz E-resources
- MeSH
- Medical History Taking MeSH
- Anti-Inflammatory Agents, Non-Steroidal therapeutic use MeSH
- Adult MeSH
- Physical Examination MeSH
- Referral and Consultation statistics & numerical data MeSH
- Practice Patterns, Physicians' statistics & numerical data MeSH
- Middle Aged MeSH
- Humans MeSH
- Low Back Pain therapy MeSH
- Young Adult MeSH
- Cross-Sectional Studies MeSH
- Surveys and Questionnaires MeSH
- Physiatrists * MeSH
- Physical Therapy Modalities statistics & numerical data MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Young Adult MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Geographicals
- Europe MeSH
BACKGROUND: Low back pain (LBP) is the most common type of musculoskeletal pain, thus it is one of the most commonly encountered conditions in Physical and Rehabilitation Medicine. The physicians who are primarily responsible for the nonsurgical management of LBP are physiatrists. OBJECTIVE: The present study aimed to investigate the approaches of physiatrists to low back pain across Europe. Preferences, tendencies, and priorities in the diagnosis, management, and treatment of LBP, as well as the epidemiological data pertaining to LBP in PRM practice were evaluated in this Europe-wide study. METHODS: The study was conducted under the control of the European Society of Physical and Rehabilitation Medicine (ESPRM) Musculoskeletal Disorders Research Committee. A total of 576 physiatrists from most European countries participated in the survey. RESULTS: The results show that physiatrists frequently deal with patients with LBP in their daily practice. Most patients are not referred to other departments and are treated with various conservative methods. Less than one-fifth of patients are primarily referred for surgery. The physiatrists believe that a clear diagnosis to account for cases of low back pain is rarely established. The most common diagnosis is discopathy. History and physical examination remain the most valuable clinical evaluation tools for low back pain according to physiatrists. Less than half the patients require a magnetic resonance imaging. Non-steroidal anti-inflammatory drugs are the most commonly prescribed drugs for low back pain. Exercise, back care information, and physical therapy are the preferred conservative treatments. More than half of the physiatrists offer interventional treatments to patients with low back pain. CONCLUSION: The present study is a preliminary report that presents the attitudes of European physiatrists in the management of low back pain. Further researches are warranted to standardize the conservative management of LBP.
Asklipeion General Hospital Athens Greece
Department Medicina Fisica y Rehabilitacion Universidad Complutense Madrid España
Department of Physical and Rehabilitation Medicine Champagne Ardenne University Reims Reims France
Department of Physical and Rehabilitation Medicine Medical University Hospital Plovdiv Bulgaria
Department of Physical and Rehabilitation Medicine Tampere University Hospital Tampere Finland
Department of Rehabilitation Medical University of Warsaw Warsaw Poland
Department of Rehabilitation Medicine General Teaching Hospital Prague Prague Czech Republic
Department of Sports Medicine and Rehabilitation University of Tartu Tartu Estonia
Faculty of Medicine Belgrade and Institute for Rehabilitation Belgrade Belgrade Serbia
Institute for Rehabilitation Ljubljana Slovenia
Institute of PMR Kaiser Franz Joseph Hospital Vienna Austria
Klinik und Poliklinik für Physikalische Medizin und Rehabilitation München Germany
National Rehabilitation and Mater Misericordiae University Hospital Dublin Ireland
National Rehabilitation Center Neurological Rehabilitation Jurmala Latvia
National Rehabilitation Hospital Dun Laoghaire Dublin Ireland
Orton Rehabilitation Centre Orton Orthopaedic Hospital Helsinki Finland
Physical and Rehabilitation Medicine University Hospitals Leuven Holsbeek Belgium
Rehabilitation Department Azienda ULSS 2 Treviso Italy
Rehabilitation Medicine Department Hospital São Sebastião CHEDV Santa Maria da Feira Portugal
References provided by Crossref.org
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- $a BACKGROUND: Low back pain (LBP) is the most common type of musculoskeletal pain, thus it is one of the most commonly encountered conditions in Physical and Rehabilitation Medicine. The physicians who are primarily responsible for the nonsurgical management of LBP are physiatrists. OBJECTIVE: The present study aimed to investigate the approaches of physiatrists to low back pain across Europe. Preferences, tendencies, and priorities in the diagnosis, management, and treatment of LBP, as well as the epidemiological data pertaining to LBP in PRM practice were evaluated in this Europe-wide study. METHODS: The study was conducted under the control of the European Society of Physical and Rehabilitation Medicine (ESPRM) Musculoskeletal Disorders Research Committee. A total of 576 physiatrists from most European countries participated in the survey. RESULTS: The results show that physiatrists frequently deal with patients with LBP in their daily practice. Most patients are not referred to other departments and are treated with various conservative methods. Less than one-fifth of patients are primarily referred for surgery. The physiatrists believe that a clear diagnosis to account for cases of low back pain is rarely established. The most common diagnosis is discopathy. History and physical examination remain the most valuable clinical evaluation tools for low back pain according to physiatrists. Less than half the patients require a magnetic resonance imaging. Non-steroidal anti-inflammatory drugs are the most commonly prescribed drugs for low back pain. Exercise, back care information, and physical therapy are the preferred conservative treatments. More than half of the physiatrists offer interventional treatments to patients with low back pain. CONCLUSION: The present study is a preliminary report that presents the attitudes of European physiatrists in the management of low back pain. Further researches are warranted to standardize the conservative management of LBP.
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