Abstract
Background: Low back pain is one of the important patients’ presenting complain that requires expert management from the physiotherapists. Yet no work was available for reference on the use of outcome measures for its evaluation by Nigeria physiotherapists. Objective: This study, therefore, investigated the outcome measures used by Nigerian physiotherapists to evaluate patients with Low Back Pain and the factors that influenced their use. Methods: A survey questionnaire was posted to 306 randomly selected mem- bers of the Nigeria Society of Physiotherapy (NSP). Data were analyzed using frequency, percentages, mean, ANOVA, and Pearson’s Chi-square. P-value was placed at 0.05. Results: 52.9% of the respondents (221) used a pain visual analog scale. Only 36.1% used LBP-specific clinical outcome measures. The factors that influenced their use were belief, attitude, knowledge, and choice. There was no significant difference between the majority of the factors and the use of clinical outcome measures. The P-values were 0.960, 0.648, 0.760 for belief, attitude and knowledge respectively. The only factor that had a significant difference (P = 0.029) with the use of clinical outcome measures was choice. Gender and postgraduate qualification had no significant influ- ence on the use of clinical outcome measures at the P-value of 0.117 and 0.510 respectively. Conclusion: Pain visual analog scale is the outcome measure frequently used by Nigeria Physiotherapists to evaluate patients with Low Back Pain. Belief, attitude, knowledge, and choice are the factors that influ- enced the use. There is a need to incorporate the use of LBP-specific outcome measures by Nigerian physiotherapists while treating patients with LBP.
Highlights
Outcome measures are tools for measuring the outcome of healthcare interventions over time [1]
A simple bar chart was designed to illustrate the clinical outcome measures used by the respondents to evaluate patients with low back pain (LBP)
This study explored the outcome measures used by Nigerian physiotherapists in the management of patients with low back pain and the factors which influenced their use
Summary
Outcome measures are tools for measuring the outcome of healthcare interventions over time [1]. There is an increasing pressure on physiotherapists to demonstrate that their practice is evidenced-based and to document the improvements in patient’s functional status [7] In addition to these pressures, there has been a gradual change in health outcome ideology that could leave a footprint on physiotherapy intervention and the choice of outcome measures. Objective: This study, investigated the outcome measures used by Nigerian physiotherapists to evaluate patients with Low Back Pain and the factors that influenced their use. The factors that influenced their use were belief, attitude, knowledge, and choice. The only factor that had a significant difference (P = 0.029) with the use of clinical outcome measures was choice. Conclusion: Pain visual analog scale is the outcome measure frequently used by Nigeria Physiotherapists to evaluate patients with Low Back Pain. Attitude, knowledge, and choice are the factors that influ-
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