The Dutch version of the Brief Illness Perception Questionnaire is an appropriate instrument for measuring patients' perceptions in acute low back pain patients, showing acceptable internal consistency and reliability. Concurrent validity is adequate, however, the instrument may be unsuitable for detecting changes in low back pain perception over time.
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In this thesis, a Dutch version of the Brief IPQ is presented to assess IPs in daily physiotherapy practice in The Netherlands. Further, a literature overview of the existing associations and prognosis of IPs on MSP and functioning is presented, and these associations in primary physiotherapy care in The Netherlands are explored. The impact of a matched care physiotherapy package, matched to dysfunctional IPs, and MSP and physical functioning is studied. In this thesis, three themes (ie. measurement, association / prediction and treatment) are explored for their contribution to physiotherapy management of MSP in general, and especially for low back pain
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Purpose: Despite the increasing evidence that illness perceptions should be addressed in patients, there is a lack of studies evaluating whether physiotherapists question illness perceptions. This study, using a mixed-methods design, investigates the integration of illness perceptions during the first consultation of physiotherapists treating patients with low back pain (LBP). Methods: Thirty-four physiotherapists performed usual history taking in a patient with non-specific LBP. The interview was audiotaped and illness perceptions were indexed using an observational instrument, based on the domains of Leventhals Common Sense Model. Patients were also asked to fill in the Illness Perception Questionnaire-Revised for LBP. Results: Physiotherapists assessed the illness identity, also perceptions regarding the (physical) cause and controllability of LBP were evaluated. Illness perceptions, such as timeline, consequences, coherence and emotional representation, were poorly assessed. Results of the questionnaire reveal that LBP-patients report overuse, workload and bad posture as primary cause. Patients held positive beliefs about the controllability and have high illness coherence. Conclusion: Belgian physiotherapists mainly question bio-medically oriented illness perceptions, e.g. physical symptoms and causes, but do not sufficiently address psychosocially oriented illness perceptions as recommended in LBP guidelines.Implications for RehabilitationBelgian physiotherapists mainly question biomedical oriented illness perceptions (illness identity, provoking factors and treatment control) in patients with low back pain (LBP) during the history taking (i.e. the first consultation).From a bio-psycho-social view psychosocially oriented illness perceptions should be incorporated in the daily routine of physiotherapists to comply with the bio-psycho-social treatment guidelines for LBP.Continuing education is mandatory in order to improve physiotherapists knowledge regarding the use of all dimensions of illness perceptions in the assessment of patients with LBP.
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Welke invloed heeft het gevoel van ziek zijn op de lichamelijke gezondheid en verwachtingen van de patiënt? Dit onderzoeken we binnen de fysiotherapie. De uitkomsten kunnen van belang zijn voor huidige behandelingen.Doel We hebben de volgende doelen gesteld: het bestuderen van bestaande wetenschappelijke literatuur. Zodat we ongewenste gevoelens van ziek zijn bij pijnklachten en beperkingen tijdens bewegen, kunnen herkennen; het ontwikkelen van normwaardes van de IPQ short version (Illness perception questionnaire) bij patiënten met pijnklachten en beperkingen tijdens bewegen; Het verzamelen van gegevens bij patiënten met pijnklachten en beperkingen tijdens bewegen in de dagelijkse praktijk; het bestuderen van de relatie tussen het gevoel van ziek zijn, pijn en lichamelijke activiteit. Resultaten Dit onderzoek loopt nog. Na afronding vind je hier een samenvatting van de resultaten. De opgedane kennis kan gedeeld worden via publicaties, symposia, bijeenkomsten binnen het werkveld en het onderwijs. Looptijd 01 september 2015 - 01 augustus 2020
