Repository of colleges and higher education institutions

Show document
A+ | A- | Help | SLO | ENG

Title:Relationship of baseline pain conceptualisation with outcomes in patients with chronic nonspecific low back pain : doctoral thesis of the third-cycle Bologna study program Physiotherapy
Authors:ID Lončarić Kelečić, Iva (Author)
ID Vojvodić Schuster, Snježana (Mentor) More about this mentor... New window
Files:URL https://d.cobiss.net/repository/si/files/236283651/162589/Lonc%CC%8Caric%CC%81_Kelec%CC%8Cic%CC%81_Iva_dr_2024.pdf
 
Language:English
Work type:Doctoral dissertation
Typology:2.08 - Doctoral Dissertation
Organization:UAMEU - Alma Mater Europaea University
Abstract:Introduction: Chronic nonspecific low back pain (CNSLBP) imposes a significant burden, necessitating effective physiotherapy to enhance patient outcomes. Ascertainment of the interaction between baseline pain conceptualisation and patient outcomes may aid comprehension of (re)conceptualisation and clinical decision-making. Methods: Quantitative, pre-post research was conducted in outpatient physiotherapy. Participants with CNSLBP (n=84) underwent exercise therapy and provided relevant data before and after treatment cessation; sociodemographic and clinical data, pain, disability and health-related quality of life (HRQoL) outcome, and pain conceptualisation measures. The relationship between baseline pain conceptualisation and patient outcomes in an overall and specific manner and the difference in conceptualisation concerning educational attainment were verified. The SPSS program was employed, with descriptive and inferential statistical methods utilised under conventional acceptance of statistical significance. Results: Baseline pain conceptualisation was found to be related to overall patient outcomes, thereby explaining variances in pain (r = -0.273, p = 0.012; r2 = 0.075) disability (r = -0.259, p = 0.018; r2 = 0.067), and HRQoL outcomes (r = 0.295, p = 0.007; r2 = 0.087, respectively r = 0.323, p = 0.003; r2 = 0.104) following physiotherapy. Lower baseline pain conceptualisation was associated neither with less pain or disability reduction nor less improved HRQoL outcomes following physiotherapy. The lower-educated patients showed lower pain conceptualisation (t = -2.219, p = 0.014; d = 0.55). Conclusion: In CNSLBP, baseline pain conceptualisation is related to overall pain, disability, and HRQoL outcomes following physiotherapy but does not influence the extent of improvement in these outcomes. Lower-educated patients may be at risk for poorer overall outcomes.
Keywords:chronic pain knowledge apain science aphysiotherapy aspine, knowledge, pain science, physiotherapy, spine
Place of publishing:Maribor
Place of performance:Maribor
Publisher:I. Lončarić Kelečić
Year of publishing:2024
Year of performance:2024
Number of pages:87 str., [16] f. pril.
PID:20.500.12556/ReVIS-12177 New window
COBISS.SI-ID:236283651 New window
UDC:615.82/.84:616.711-009.7-036.1(043.3)
Publication date in ReVIS:12.09.2025
Views:48
Downloads:1
Metadata:XML DC-XML DC-RDF
:
Copy citation
  
Share:Bookmark and Share


Hover the mouse pointer over a document title to show the abstract or click on the title to get all document metadata.

Secondary language

Language:Slovenian
Title:Razmerje izhodne konceptualizacije bolečine z izidi pri bolnikih s kronično nespecifično bolečino v križu
Abstract:Uvod: Kronična nespecifična bolečina v spodnjem delu hrbta (KNBVSDH) predstavlja pomembno breme, kar zahteva učinkovito fizioterapijo za izboljšanje izidov pri pacientih. Ugotavljanje interakcije med začetno konceptualizacijo bolečine in izidi pacientov lahko prispeva k razumevanju (re)konceptualizacije in kliničnemu odločanju. Metode: Kvantitativna raziskava s primerjavo rezultatov pred in po fizioterapevtskem zdravljenju je bila izvedena v ambulantni fizioterapiji. Udeleženci s KNBVSDH (n = 84) so bili deležni vadbene terapije in pred zaključkom zdravljenja posredovali ustrezne podatke; sociodemografski in klinični podatki, izidi glede bolečine, invalidnost/zmanjšana zmožnost in z zdravjem povezana kakovost življenja (ZZPKŽ) ter mere konceptualizacije bolečine. Preverjena je bila splošna kot specifična povezava med začetno konceptualizacijo bolečine in izidi pacientov ter razlika v konceptualizaciji glede na njihovo izobrazbeno raven. Uporabljen je bil program SPSS, z uporabo deskriptivnih in inferenčnih statističnih metod po konvencionalni sprejemljivosti statistične značilnosti. Rezultati: Ugotovljeno je bilo, da je začetna konceptualizacija bolečine povezana s splošnimi izidi pacientov, s čimer je razložila varianco bolečine (r = -0.273, p = 0.012; r2 = 0.075), invalidnosti/zmanjšano zmožnosti (r = -0.259, p = 0.018; r2 = 0.067) in izid ZZPKŽ (r = 0.295, p = 0.007; r2 = 0.087, oziroma r = 0.323, p = 0.003; r2 = 0.104) po fizioterapiji. Nižja začetna konceptualizacija bolečine ni bila povezana z zmanjšanjem bolečine ali invalidnostjo/zmanjšano zmožnostjo, niti z manj izboljšano ZZPKŽ po fizioterapiji. Pacienti z nižjo stopnjo izobrazbe so pokazali nižjo konceptualizacijo bolečine (t = -2.219, p = 0.014; d = 0.55). Zaključek: Pri kronični nespecifični bolečini v križu je konceptualizacija bolečine ob začetku zdravljenja povezana z izidi bolečine, invalidnosti in kakovosti življenja po fizioterapiji, vendar ne vpliva na obseg izboljšav teh izidov. Bolniki z nižjo izobrazbo so lahko ogroženi z slabšimi končnimi izidi.
Keywords:kronična bolečina, znanje, znanost o bolečini, fizioterapija, hrbtenica


Back