WHAT ARE UNSAFE STRATEGIES TO PICK UP A LIGHT LOAD ACCORDING TO GRADUATES / STUDENTS IN PHYSIOTHERAPY AND MEDICINE ?

Josephine Rialet-Micoulau;Valoris Lucas;Demoulin, Christophe;Pitance, Laurent
(2019) 9th European Congress Manual Therapy — Location: Antwerpen (21.September.2019)

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  • Josephine Rialet-MicoulauUCLouvain
    Author
  • Valoris LucasUCLouvain
    Author
  • Demoulin, ChristopheUCLouvain
    Author
  • Author
Abstract
Background: Misbeliefs about low back pain (LBP) are numerous and common (1). According to several of them, the spine is fragile/weak thereby requiring specific protective strategies e.g. to lift any object from the floor by bending knees and keeping the back straight. Such misbeliefs can favor maladaptive behavior and kinesiophobia (2-4). Some patients’ beliefs can be influenced by those of their clinicians and their messages (5). Health professionals’ beliefs about the safest posture to lift a light load is unknown. Objectives: To evaluate (i) which lifting techniques physiotherapy’s master students, third- year medical master's students, general practitioners in training and physiotherapists perceive as unsafe to pick up a light load, and (ii) their back pain beliefs Method: Data was collected via an electronic survey. Participants were asked to select the unsafe lifting posture(s) from eight strategies to lift “a key ring” (Fig.1) for asymptomatic people with a history of LBP and patients with chronic LBP. Respondent’s back beliefs were also investigated with French version of the Back-Pain Attitudes Questionnaire (Back-PAQ- FR-10). Results: 1005 participants completed the survey. The average number of selected pictures was significantly lower for physiotherapists than in other groups. Pictures describing “squat strategy” were less selected than postures with straight legs and rounded back. Moreover, most physiotherapists (70%) reported there were no harmful postures neither for asymptomatic people nor for chronic LBP patients; comparatively only 5% of the med’s groups reported that. Physiotherapists’ scores were significantly higher on the Back-PAQ-Fr-10 across all six domains (13.6 + 5.5) than physiotherapist’s students (8.7 + 5.7), general practitioners in training (6.0 + 5.5) and med’s students (4.1 + 5.3) indicating more negative back beliefs for med’s groups. Conclusion: Our study indicates there are still lots of misbeliefs about bending the back for picking up a light load, particularly in medical students/doctors.
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Josephine Rialet-Micoulau, Valoris Lucas, Demoulin, C., & Pitance, L. (2019). WHAT ARE UNSAFE STRATEGIES TO PICK UP A LIGHT LOAD ACCORDING TO GRADUATES / STUDENTS IN PHYSIOTHERAPY AND MEDICINE ? 9th European Congress Manual Therapy, Antwerpen. https://hdl.handle.net/2078.5/31449