+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Patient-physiotherapist agreement in low back pain

Patient-physiotherapist agreement in low back pain

Journal of Pain 6(12): 817-828

Agreement between patients' and health professionals' perceptions has been shown to be low to moderate for different aspects of the patients' pain experience. Little is known, however, about patient-physiotherapist agreement in low back pain. The study objectives were to describe patient-physiotherapist agreement for low back pain intensity and functional limitations, and to identify correlates of agreement. A cross-sectional design was used. Seventy-eight patients with acute/subacute nonspecific low back pain and their respective physiotherapists were included in the study. After the initial physiotherapy consultation, patients and physiotherapists completed a Numerical Rating Scale and the Roland-Morris Disability Questionnaire. Intraclass correlation coefficients (ICC) were used to measure chance-corrected agreement. Patients' and physiotherapists' mean ratings were also compared using paired t tests. Multiple regression analyses were conducted to identify factors associated with agreement measures. The level of agreement was moderate for pain intensity (ICC = 0.55, 95% confidence interval [CI]: 0.38-0.69) and functional limitations (ICC = 0.56, 95% CI: 0.22-0.74). Both variables were rated significantly (P < .05) lower by the physiotherapists than by the patients. Higher ratings by the patients for pain and functional limitations were related to higher differences in perceptions between patients and physiotherapists. This report shows that physiotherapists' perceptions of their patients' pain intensity and functional limitations often differ from their patients'. The findings of this study indicate that there are frequent discrepancies between patients' and physiotherapists' perceptions of the patients' low back pain experience. Gaining a better understanding of the level of patient-physiotherapist agreement and identifying the correlates of agreement may help improve physiotherapists' interventions with people with low back pain.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 049873837

Download citation: RISBibTeXText

PMID: 16326370

DOI: 10.1016/j.jpain.2005.07.008

Related references

Does patient-physiotherapist agreement influence the outcome of low back pain? A prospective cohort study. Bmc Musculoskeletal Disorders 7: 76, 2006

Evaluation of an advanced-practice physiotherapist in triaging patients with lumbar spine pain: surgeon-physiotherapist level of agreement and patient satisfaction. Canadian Journal of Surgery. Journal Canadien de Chirurgie 60(4): 266-272, 2017

Patient adherence to an exercise program for chronic low back pain measured by patient-report, physiotherapist-perception and observational data. PhysioTherapy Theory and Practice 35(12): 1304-1313, 2019

Evaluation of an advanced-practice physiotherapist in triaging patients with lumbar spine pain: surgeonphysiotherapist level of agreement and patient satisfaction. Canadian Journal of Surgery 60(4): 266-272, 2017

Clinical agreement of Msk out-patient (Op)B6 physiotherapist and Clinical Specialist Physiotherapist (Csp) in the management of patients with Msk conditions. Physiotherapy 105: e61-e62, 2019

Positive outcome following changed routines for back pain referrals. Scheduled visits to physiotherapist reduced waiting list to the back pain clinic. Lakartidningen 104(30-31): 2170-2171, 2007

Agreement among physiotherapists in assessing patient performance of exercises for low-back pain. Bmc Musculoskeletal Disorders 19(1): 265, 2018

Determining the feasibility of a physiotherapist-led pain management programme for Arab patients with low back pain in Bahrain. PhysioTherapy 102: E190-E191, 2016

BRIEF REPORT: Patient-physician agreement as a predictor of outcomes in patients with back pain. Journal of General Internal Medicine 20(10): 935-937, 2005

Psychosocial factors associated with change in pain and disability outcomes in chronic low back pain patients treated by physiotherapist: A systematic review. Sage Open Medicine 6: 2050312118757387, 2018

A physiotherapist's views on low back pain. Australian Family Physician 12(5): 342-343, 1983

Simplified Chinese Version of the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire: Agreement, Responsiveness, and Minimal Important Change for Patients With Chronic Low Back Pain. Spine 43(20): 1438-1445, 2018

Agreement between a physiotherapist and an orthopaedic surgeon regarding management and prescription of corticosteroid injection for patients with shoulder pain. Manual Therapy 26: 216-222, 2016

Agreement between a physiotherapist and orthopaedic surgeon regarding management of shoulder pain and prescription of subacromial corticosteroid injection. Manual Therapy 25: E42-E43, 2016

The Physiotherapist as an Orthopaedic Assistant in a Back Pain Clinic. PhysioTherapy 81(9): 546-548, 1995