Comparing physical therapy students' attitudes and beliefs regarding chronic low back pain and knee osteoarthritis: an international multi-institutional comparison between 2013 and 2020 academic years

Wouter Munneke; Christophe Demoulin; Nathalie Roussel; Marijke Leysen; C Paul Van Wilgen; Laurent Pitance; Roland R Reezigt; Lennard P Voogt; Wim Dankaerts; Lieven Danneels; Albère J A Köke; Wilfried Cools; Margot De Kooning; Jo Nijs

doi:10.1016/j.bjpt.2024.100592

Comparing physical therapy students' attitudes and beliefs regarding chronic low back pain and knee osteoarthritis: an international multi-institutional comparison between 2013 and 2020 academic years

Wouter Munneke, Christophe Demoulin, Nathalie Roussel, Marijke Leysen, C Paul Van Wilgen, Laurent Pitance, Roland R Reezigt, Lennard P Voogt, Wim Dankaerts, Lieven Danneels, Albère J A Köke, Wilfried Cools, Margot De Kooning, Jo Nijs

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Abstract

BACKGROUND: In 2013, physical therapy students demonstrated low guideline-adherent recommendations regarding chronic low back pain (CLBP) for spinal pathology, activity, and work.

OBJECTIVES: To assess the differences in physical therapy students' attitudes, beliefs, and adherence to guideline recommendations regarding CLBP and knee osteoarthritis between 2013 and 2020.

METHODS: In 2013 and 2020, second and fourth-year physical therapy students were recruited from 6 Belgian and 2 Dutch institutions. Attitudes and beliefs regarding CLBP and knee OA were evaluated using the Pain Attitudes and Beliefs Scale for Physiotherapists (PABS-PT), the Health Care Providers' Pain and Impairment Relationship Scale (HC-PAIRS), and a questionnaire regarding therapeutic exercise and knee osteoarthritis. A clinical vignette was used to measure guideline-adherent recommendations regarding spinal pathology, activity, and work.

RESULTS: In 2013, 927 second-year and 695 fourth-year students; in 2020, 695 second-year and 489 fourth-year students; were recruited to participate in the study. Compared to 2013, students had less biomedical and stronger biopsychosocial attitudes and beliefs regarding CLBP, more guideline-adherent recommendations for activity, and more biopsychosocial beliefs regarding the benefits of exercise for patients with knee osteoarthritis in both the second and fourth year. Only fourth-year students in 2020 scored significantly better on HC-PAIRS and guideline-adherent recommendation relating to spinal pathology. No differences were found regarding work recommendations.

CONCLUSIONS: Between 2013 and 2020, physical therapy students made a positive shift towards a more biopsychosocial approach to CLBP and knee osteoarthritis management. Guideline-adherent recommendations for CLBP concerning activity improved, however, concerning work and spinal pathology, it remained low.

Original language	English
Article number	100592
Number of pages <span style="color:red"p> <font size="1.5"> ✽ </span> </font>	9
Journal	Brazilian Journal of Physical Therapy
Volume	28
Issue number	1
DOIs	https://doi.org/10.1016/j.bjpt.2024.100592
Publication status	Published - 9 Feb 2024

Bibliographical note

Funding Information:
We would like to thank all institutions for their participation in this study.

Publisher Copyright:
© 2024 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia

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10.1016/j.bjpt.2024.100592

108600612Accepted author manuscript, 274 KBLicence: Unspecified

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10883834Licence: Unspecified

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Munneke, W., Demoulin, C., Roussel, N., Leysen, M., Van Wilgen, C. P., Pitance, L., Reezigt, R. R., Voogt, L. P., Dankaerts, W., Danneels, L., Köke, A. J. A., Cools, W., De Kooning, M., & Nijs, J. (2024). Comparing physical therapy students' attitudes and beliefs regarding chronic low back pain and knee osteoarthritis: an international multi-institutional comparison between 2013 and 2020 academic years. Brazilian Journal of Physical Therapy, 28(1), [100592]. https://doi.org/10.1016/j.bjpt.2024.100592

Munneke, Wouter ; Demoulin, Christophe ; Roussel, Nathalie ; Leysen, Marijke ; Van Wilgen, C Paul ; Pitance, Laurent ; Reezigt, Roland R ; Voogt, Lennard P ; Dankaerts, Wim ; Danneels, Lieven ; Köke, Albère J A ; Cools, Wilfried ; De Kooning, Margot ; Nijs, Jo. / Comparing physical therapy students' attitudes and beliefs regarding chronic low back pain and knee osteoarthritis : an international multi-institutional comparison between 2013 and 2020 academic years. In: Brazilian Journal of Physical Therapy. 2024 ; Vol. 28, No. 1.

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title = "Comparing physical therapy students' attitudes and beliefs regarding chronic low back pain and knee osteoarthritis: an international multi-institutional comparison between 2013 and 2020 academic years",

abstract = "BACKGROUND: In 2013, physical therapy students demonstrated low guideline-adherent recommendations regarding chronic low back pain (CLBP) for spinal pathology, activity, and work.OBJECTIVES: To assess the differences in physical therapy students' attitudes, beliefs, and adherence to guideline recommendations regarding CLBP and knee osteoarthritis between 2013 and 2020.METHODS: In 2013 and 2020, second and fourth-year physical therapy students were recruited from 6 Belgian and 2 Dutch institutions. Attitudes and beliefs regarding CLBP and knee OA were evaluated using the Pain Attitudes and Beliefs Scale for Physiotherapists (PABS-PT), the Health Care Providers' Pain and Impairment Relationship Scale (HC-PAIRS), and a questionnaire regarding therapeutic exercise and knee osteoarthritis. A clinical vignette was used to measure guideline-adherent recommendations regarding spinal pathology, activity, and work.RESULTS: In 2013, 927 second-year and 695 fourth-year students; in 2020, 695 second-year and 489 fourth-year students; were recruited to participate in the study. Compared to 2013, students had less biomedical and stronger biopsychosocial attitudes and beliefs regarding CLBP, more guideline-adherent recommendations for activity, and more biopsychosocial beliefs regarding the benefits of exercise for patients with knee osteoarthritis in both the second and fourth year. Only fourth-year students in 2020 scored significantly better on HC-PAIRS and guideline-adherent recommendation relating to spinal pathology. No differences were found regarding work recommendations.CONCLUSIONS: Between 2013 and 2020, physical therapy students made a positive shift towards a more biopsychosocial approach to CLBP and knee osteoarthritis management. Guideline-adherent recommendations for CLBP concerning activity improved, however, concerning work and spinal pathology, it remained low.",

author = "Wouter Munneke and Christophe Demoulin and Nathalie Roussel and Marijke Leysen and {Van Wilgen}, {C Paul} and Laurent Pitance and Reezigt, {Roland R} and Voogt, {Lennard P} and Wim Dankaerts and Lieven Danneels and K{\"o}ke, {Alb{\`e}re J A} and Wilfried Cools and {De Kooning}, Margot and Jo Nijs",

note = "Funding Information: We would like to thank all institutions for their participation in this study. Publisher Copyright: {\textcopyright} 2024 Associa{\c c}{\~a}o Brasileira de Pesquisa e P{\'o}s-Gradua{\c c}{\~a}o em Fisioterapia",

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doi = "10.1016/j.bjpt.2024.100592",

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Munneke, W, Demoulin, C, Roussel, N, Leysen, M, Van Wilgen, CP, Pitance, L, Reezigt, RR, Voogt, LP, Dankaerts, W, Danneels, L, Köke, AJA, Cools, W , De Kooning, M & Nijs, J 2024, 'Comparing physical therapy students' attitudes and beliefs regarding chronic low back pain and knee osteoarthritis: an international multi-institutional comparison between 2013 and 2020 academic years', Brazilian Journal of Physical Therapy, vol. 28, no. 1, 100592. https://doi.org/10.1016/j.bjpt.2024.100592

Comparing physical therapy students' attitudes and beliefs regarding chronic low back pain and knee osteoarthritis : an international multi-institutional comparison between 2013 and 2020 academic years. / Munneke, Wouter; Demoulin, Christophe; Roussel, Nathalie; Leysen, Marijke; Van Wilgen, C Paul; Pitance, Laurent; Reezigt, Roland R; Voogt, Lennard P; Dankaerts, Wim; Danneels, Lieven; Köke, Albère J A; Cools, Wilfried ; De Kooning, Margot ; Nijs, Jo.

In: Brazilian Journal of Physical Therapy, Vol. 28, No. 1, 100592, 09.02.2024.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Comparing physical therapy students' attitudes and beliefs regarding chronic low back pain and knee osteoarthritis

T2 - an international multi-institutional comparison between 2013 and 2020 academic years

AU - Munneke, Wouter

AU - Demoulin, Christophe

AU - Roussel, Nathalie

AU - Leysen, Marijke

AU - Van Wilgen, C Paul

AU - Pitance, Laurent

AU - Reezigt, Roland R

AU - Voogt, Lennard P

AU - Dankaerts, Wim

AU - Danneels, Lieven

AU - Köke, Albère J A

AU - Cools, Wilfried

AU - De Kooning, Margot

AU - Nijs, Jo

PY - 2024/2/9

Y1 - 2024/2/9

N2 - BACKGROUND: In 2013, physical therapy students demonstrated low guideline-adherent recommendations regarding chronic low back pain (CLBP) for spinal pathology, activity, and work.OBJECTIVES: To assess the differences in physical therapy students' attitudes, beliefs, and adherence to guideline recommendations regarding CLBP and knee osteoarthritis between 2013 and 2020.METHODS: In 2013 and 2020, second and fourth-year physical therapy students were recruited from 6 Belgian and 2 Dutch institutions. Attitudes and beliefs regarding CLBP and knee OA were evaluated using the Pain Attitudes and Beliefs Scale for Physiotherapists (PABS-PT), the Health Care Providers' Pain and Impairment Relationship Scale (HC-PAIRS), and a questionnaire regarding therapeutic exercise and knee osteoarthritis. A clinical vignette was used to measure guideline-adherent recommendations regarding spinal pathology, activity, and work.RESULTS: In 2013, 927 second-year and 695 fourth-year students; in 2020, 695 second-year and 489 fourth-year students; were recruited to participate in the study. Compared to 2013, students had less biomedical and stronger biopsychosocial attitudes and beliefs regarding CLBP, more guideline-adherent recommendations for activity, and more biopsychosocial beliefs regarding the benefits of exercise for patients with knee osteoarthritis in both the second and fourth year. Only fourth-year students in 2020 scored significantly better on HC-PAIRS and guideline-adherent recommendation relating to spinal pathology. No differences were found regarding work recommendations.CONCLUSIONS: Between 2013 and 2020, physical therapy students made a positive shift towards a more biopsychosocial approach to CLBP and knee osteoarthritis management. Guideline-adherent recommendations for CLBP concerning activity improved, however, concerning work and spinal pathology, it remained low.

AB - BACKGROUND: In 2013, physical therapy students demonstrated low guideline-adherent recommendations regarding chronic low back pain (CLBP) for spinal pathology, activity, and work.OBJECTIVES: To assess the differences in physical therapy students' attitudes, beliefs, and adherence to guideline recommendations regarding CLBP and knee osteoarthritis between 2013 and 2020.METHODS: In 2013 and 2020, second and fourth-year physical therapy students were recruited from 6 Belgian and 2 Dutch institutions. Attitudes and beliefs regarding CLBP and knee OA were evaluated using the Pain Attitudes and Beliefs Scale for Physiotherapists (PABS-PT), the Health Care Providers' Pain and Impairment Relationship Scale (HC-PAIRS), and a questionnaire regarding therapeutic exercise and knee osteoarthritis. A clinical vignette was used to measure guideline-adherent recommendations regarding spinal pathology, activity, and work.RESULTS: In 2013, 927 second-year and 695 fourth-year students; in 2020, 695 second-year and 489 fourth-year students; were recruited to participate in the study. Compared to 2013, students had less biomedical and stronger biopsychosocial attitudes and beliefs regarding CLBP, more guideline-adherent recommendations for activity, and more biopsychosocial beliefs regarding the benefits of exercise for patients with knee osteoarthritis in both the second and fourth year. Only fourth-year students in 2020 scored significantly better on HC-PAIRS and guideline-adherent recommendation relating to spinal pathology. No differences were found regarding work recommendations.CONCLUSIONS: Between 2013 and 2020, physical therapy students made a positive shift towards a more biopsychosocial approach to CLBP and knee osteoarthritis management. Guideline-adherent recommendations for CLBP concerning activity improved, however, concerning work and spinal pathology, it remained low.

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DO - 10.1016/j.bjpt.2024.100592

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JF - Brazilian Journal of Physical Therapy

SN - 1413-3555

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Munneke W, Demoulin C, Roussel N, Leysen M, Van Wilgen CP, Pitance L et al. Comparing physical therapy students' attitudes and beliefs regarding chronic low back pain and knee osteoarthritis: an international multi-institutional comparison between 2013 and 2020 academic years. Brazilian Journal of Physical Therapy. 2024 Feb 9;28(1). 100592. https://doi.org/10.1016/j.bjpt.2024.100592

Comparing physical therapy students' attitudes and beliefs regarding chronic low back pain and knee osteoarthritis: an international multi-institutional comparison between 2013 and 2020 academic years

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Bibliographical note

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FWOAL930: Exercise therapy for osteoarthritis pain: how does it work?

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Comparing physical therapy students' attitudes and beliefs regarding chronic low back pain and knee osteoarthritis: an international multi-institutional comparison between 2013 and 2020 academic years

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Bibliographical note

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FWOAL930: Exercise therapy for osteoarthritis pain: how does it work?

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