Rekomendasi Fisioterapis Pada Pasien Low Back Pain Kronis

Abstract

Background: Low Back Pain (LBP) chronic is a health problem that not only involves biomechanical factors but also involves cognitive, psychological, and social factors. The last decade has seen a shift in understanding in chronic case management that can affect physiotherapy recommendations for chronic LBP patients to return to work/activities normally. This study aims to determine the related between the characteristics of physiotherapists in Denpasar City and Badung Regency, attitudes and beliefs, as well as a diagnosis of the recommendations given in chronic LBP cases. Methods: The study design was a cross-sectional web-based survey with a total of 124 physiotherapists who are members of the Indonesian Physiotherapy Association (IFI), Central Bali Branch. Characteristics data were collected through a questionnaire, attitudes and beliefs with ABS-mp and PABS-PT, diagnosis and recommendations using a scenario. Data were analyzed using SPSS univariate, bivariate and multivariate. Results: Physiotherapists in Denpasar City and Badung Regency 21.8% have a biopsychosocial orientation. Multivariate analysis showed that the variable that had a significant relationship with physiotherapist recommendations was the personal interaction attitude variable with a value of p = 0.039 (AOR = 6.511, 95% CI = 1.099-38.581). Conclusion: Factors that related on recommendations physiotherapists to return to work/activities normally in patients with chronic LBP are age, work experience, training, personal interaction attitudes, physiotherapy beliefs, and physiotherapy diagnosis