M54.5
Conditions
Interventions
Group 1: Physiotherapists in the intervention group will receive approximately 3 hours of online training and additional materials to provide to their patients. They will be encouraged to incorporate
Sponsors
Hochschule für Gesundheit, Department für angewandte Gesundheitswissenschaften, Studienbereich Physiotherapie
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Practices and facilities whose physiotherapists regularly treat or have treated patients with low back pain (on average at least once a week for six months or 20 times in their working life) are included. Participating physiotherapists may be employed full-time or part-time but should work as a physiotherapist for at least 15 hours per week. Patients must be between the ages of 18 and 65. They must have episodic or chronic low back pain.
Exclusion criteria
Exclusion criteria: Failure to fulfil the inclusion criteria leads to exclusion. Patients whose complaints result from structural pathologies (e.g. infections, tumors, osteoporosis, fractures or deformities of the lumbar spine, inflammatory diseases, radiculopathies, or cauda equina syndrome) are excluded. Patients who can only lift or carry very light weights or nothing at all or who need to use a cane or forearm crutches because of pain (items from the Oswestry Disability Index) are excluded. Patients with an average pain intensity of 8 out of 10 or more on the NRS are also excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary endpoint is the descriptive assessment of feasibility throughout the process based on the criteria of Thabane et al. (2010). Therefore, process steps, study design and measurement instruments, as well as potential resource or management issues are analyzed, also to assess which methodological aspects need to be considered in a possible larger follow-up study. The study will determine how the participating physiotherapists perceive the feasibility and relevance of the training in the context of care practice and how they implement the content (e.g. compliance, adherence, acceptance, safety, costs). Therefore, the trained physiotherapists will be surveyed twice (after six to eight weeks and after 12 to 14 weeks). | — |
Secondary
| Measure | Time frame |
|---|---|
| As part of feasibility, the magnitude and direction of possible effects on the outcomes listed below are assessed. This is done at baseline prior to the second physiotherapy appointment and after completion of the therapy or after 12 to 14 weeks at the latest. 1. Function (disability): Oswestry Disability Index (ODI) 2. Health-related quality of Life: Short-Form 12 (SF-12) 3. Physical Activity: Global Physical Activity Questionnaire (GPAQ) 4. Pain Knowledge: Neurophysiology of Pain Questionnaire 5. Physical activity-related health competence: A short version of the physical activity-related health competence questionnaire (PAHCO_12) 6. Beliefs about low back pain: • Fear Avoidance Belief Questionnaire (FABQ) Subscale ‘Activity’ • Back Beliefs Questionnaire (BBQ) 7. (Almost) Pain free walking distance in meters (up to NRS 5/10) 8. Functional Assessment/ pain-provoking movement For some outcomes only individual items or subscales of the questionnaires are used to reduce the burden on participants. | — |
Countries
Germany
Contacts
Public ContactStefanie Terhorst
Hochschule für Gesundheit, Department für angewandte Gesundheitswissenschaften, Studienbereich Physiotherapie
Outcome results
None listed