1
|
Van Wilgen CP, Ucles-Juarez R, Krutko D, Li Y, Polli A, Syed A, Zampese S, Reis FJJ, de Zeeuw J. Knowledge on cause, clinical manifestation and treatment for fibromyalgia among medical doctors: A worldwide survey. Pain Pract 2024; 24:620-626. [PMID: 38156436 DOI: 10.1111/papr.13339] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2023]
Abstract
OBJECTIVES Hench introduced the fibromyalgia syndrome almost 50 years ago. In the meantime, the prevalence has increased, the clinical criteria have changed and the way we explain (chronic) pain has altered. DESIGN In the current study, we conducted a worldwide survey in which we investigate whether medical doctors are familiar with the American College of Rheumatology (ACR) criteria for fibromyalgia and, if so, whether these medical doctors adhere to the clinical guidelines following evidence-based treatments. RESULTS In total, 286 medical doctors from 43 countries spread over 6 continents filled out the survey. In most of the countries, the diagnosis fibromyalgia was used. Only 10% adhere to the ACR criteria, widespread pain (44%), unrefreshed sleep (24%), fatigue (20%) and cognitive problems (8%) were most used diagnostic criteria. Of the respondents, 94 (32%) mentioned that the cause is unknown or idiopathic, but also a wide variety of other causes was mentioned. More than 70 different treatment options were provided, of which 24% of the responses were classified as according to the clinical guidelines. From this study, we conclude that many medical doctors do not follow the ACR criteria; the majority has an inappropriate knowledge of causes for fibromyalgia and that a minority of treatment advice adhere to the guidelines.
Collapse
Affiliation(s)
- C Paul Van Wilgen
- Transcare Transdisciplinary Pain Management Center, Groningen, The Netherlands
- Pain in Motion International Research Group, Brussels, Belgium
- PAIN - VUB Pain in Motion Research Group, Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Brussel, Belgium
| | | | - Denis Krutko
- Saint Petersburg State University, St Petersburg, Russian Federation
| | - Yijun Li
- Research Centre Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, The Netherlands
| | - Andrea Polli
- Pain in Motion International Research Group, Brussels, Belgium
- PAIN - VUB Pain in Motion Research Group, Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Brussel, Belgium
- Centre for Environment and Health, Katholieke Universiteit Leuven, Leuven, Belgium
| | - Anwar Syed
- Bangladesh College of Physicians and Surgeons, Dhaka, Bangladesh
| | | | - Felipe J J Reis
- Pain in Motion International Research Group, Brussels, Belgium
- PAIN - VUB Pain in Motion Research Group, Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Brussel, Belgium
- Physical Therapy Department, Instituto Federal do Rio de Janeiro (IFRJ), Rio de Janeiro, Brazil
- Postgraduate Progam - Clinical Medicine Department of Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil
| | - Janine de Zeeuw
- Department of Health Sciences, Global Health Unit, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
| |
Collapse
|
2
|
Munneke W, Demoulin C, Roussel N, Leysen M, Van Wilgen CP, Pitance L, Reezigt RR, Voogt LP, Dankaerts W, Danneels L, Köke AJA, Cools W, De Kooning M, Nijs J. Comparing physical therapy students' attitudes and beliefs regarding chronic low back pain and knee osteoarthritis: an international multi-institutional comparison between 2013 and 2020 academic years. Braz J Phys Ther 2024; 28:100592. [PMID: 38368840 PMCID: PMC10883834 DOI: 10.1016/j.bjpt.2024.100592] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/23/2023] [Revised: 01/25/2024] [Accepted: 02/01/2024] [Indexed: 02/20/2024] Open
Abstract
BACKGROUND In 2013, physical therapy students demonstrated low guideline-adherent recommendations regarding chronic low back pain (CLBP) for spinal pathology, activity, and work. OBJECTIVES To assess the differences in physical therapy students' attitudes, beliefs, and adherence to guideline recommendations regarding CLBP and knee osteoarthritis between 2013 and 2020. METHODS In 2013 and 2020, second and fourth-year physical therapy students were recruited from 6 Belgian and 2 Dutch institutions. Attitudes and beliefs regarding CLBP and knee OA were evaluated using the Pain Attitudes and Beliefs Scale for Physiotherapists (PABS-PT), the Health Care Providers' Pain and Impairment Relationship Scale (HC-PAIRS), and a questionnaire regarding therapeutic exercise and knee osteoarthritis. A clinical vignette was used to measure guideline-adherent recommendations regarding spinal pathology, activity, and work. RESULTS In 2013, 927 second-year and 695 fourth-year students; in 2020, 695 second-year and 489 fourth-year students; were recruited to participate in the study. Compared to 2013, students had less biomedical and stronger biopsychosocial attitudes and beliefs regarding CLBP, more guideline-adherent recommendations for activity, and more biopsychosocial beliefs regarding the benefits of exercise for patients with knee osteoarthritis in both the second and fourth year. Only fourth-year students in 2020 scored significantly better on HC-PAIRS and guideline-adherent recommendation relating to spinal pathology. No differences were found regarding work recommendations. CONCLUSIONS Between 2013 and 2020, physical therapy students made a positive shift towards a more biopsychosocial approach to CLBP and knee osteoarthritis management. Guideline-adherent recommendations for CLBP concerning activity improved, however, concerning work and spinal pathology, it remained low.
Collapse
Affiliation(s)
- Wouter Munneke
- Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium; Pain in Motion International Research Group (PiM), Belgium; Department of Sport and Rehabilitation Sciences, University of Liège, Liège, Belgium
| | - Christophe Demoulin
- Department of Sport and Rehabilitation Sciences, University of Liège, Liège, Belgium
| | - Nathalie Roussel
- Department of Physiotherapy and Rehabilitation Sciences (MOVANT), Antwerp, Belgium
| | - Marijke Leysen
- Pain in Motion International Research Group (PiM), Belgium; Faculty of Kinesiology and Rehabilitation Sciences, Katholieke Universiteit Leuven, Leuven, Belgium
| | - C Paul Van Wilgen
- Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium; Pain in Motion International Research Group (PiM), Belgium; Transcare, Transdisciplinary Pain Management Center, the Netherlands
| | - Laurent Pitance
- Neuro-musculoskeletal Lab (NMSK), UCLouvain, Brussels, Belgium; Oral and Maxillofacial Surgery Department, Cliniques Universitaires Saint-Luc, Brussels, Belgium
| | - Roland R Reezigt
- Department of Physiotherapy, Hanze University of Applied Sciences Groningen, the Netherlands
| | - Lennard P Voogt
- Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium; Pain in Motion International Research Group (PiM), Belgium; Department of Physical Therapy, University of Applied Sciences Rotterdam, Rotterdam, the Netherlands
| | - Wim Dankaerts
- Faculty of Kinesiology and Rehabilitation Sciences, Katholieke Universiteit Leuven, Leuven, Belgium
| | - Lieven Danneels
- Department of Rehabilitation Sciences and Physical Therapy, Universiteit Gent, Ghent, Belgium
| | - Albère J A Köke
- Adelante Centre of Expertise in Rehabilitation and Audiology, Hoensbroek, the Netherlands; Department of Rehabilitation Medicine, CAPHRI, Maastricht University, Maastricht, the Netherland; Department of Physical Therapy Zuyd University of Applied Sciences, Heerlen, the Netherlands
| | - Wilfried Cools
- Core facility - Support for Quantitative and Qualitative Research (SQUARE), Vrije Universiteit Brussel, Brussels, Belgium
| | - Margot De Kooning
- Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium
| | - Jo Nijs
- Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium; Pain in Motion International Research Group (PiM), Belgium; Institute of Neuroscience and Physiology, Department of Health and Rehabilitation, Unit of Physiotherapy, University of Gothenburg, Sweden.
| |
Collapse
|
3
|
Leysen M, Nijs J, Van Wilgen CP, Struyf F, Meeus M, Fransen E, Demoulin C, Smeets RJ, Roussel NA. Illness Perceptions Explain the Variance in Functional Disability, but Not Habitual Physical Activity, in Patients With Chronic Low Back Pain: A Cross-Sectional Study. Pain Pract 2017; 18:523-531. [DOI: 10.1111/papr.12642] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2017] [Revised: 08/18/2017] [Accepted: 09/08/2017] [Indexed: 11/28/2022]
Affiliation(s)
- Marijke Leysen
- Rehabilitation Sciences and Physiotherapy (REVAKI); Faculty of Medicine and Health Sciences; University of Antwerp; Antwerp Belgium
- Pain in Motion International Research Group
- Department of Physiotherapy, Physiology and Anatomy; Faculty of Physical Education and Physiotherapy; Vrije Universiteit Brussel; Brussels Belgium
| | - Jo Nijs
- Pain in Motion International Research Group
- Department of Physiotherapy, Physiology and Anatomy; Faculty of Physical Education and Physiotherapy; Vrije Universiteit Brussel; Brussels Belgium
- Department of Physical Medicine and Physiotherapy; University Hospital Brussels; Brussels Belgium
| | - C. Paul Van Wilgen
- Pain in Motion International Research Group
- Department of Physiotherapy, Physiology and Anatomy; Faculty of Physical Education and Physiotherapy; Vrije Universiteit Brussel; Brussels Belgium
- Transdisciplinary Pain Management Centre; Transcare; Groningen The Netherlands
| | - Filip Struyf
- Rehabilitation Sciences and Physiotherapy (REVAKI); Faculty of Medicine and Health Sciences; University of Antwerp; Antwerp Belgium
- Pain in Motion International Research Group
- Department of Physiotherapy, Physiology and Anatomy; Faculty of Physical Education and Physiotherapy; Vrije Universiteit Brussel; Brussels Belgium
| | - Mira Meeus
- Rehabilitation Sciences and Physiotherapy (REVAKI); Faculty of Medicine and Health Sciences; University of Antwerp; Antwerp Belgium
- Pain in Motion International Research Group
- Department of Rehabilitation Sciences and Physiotherapy; Faculty of Medicine and Health Sciences; Ghent University; Ghent Belgium
| | - Erik Fransen
- StatUA Centre for Statistics; University of Antwerp; Antwerp Belgium
| | - Christophe Demoulin
- Department of Sport and Rehabilitation Sciences; University of Liege; Liege Belgium
- Department of Physical Medicine and Rehabilitation; Liege University Hospital; Liege Belgium
| | - Rob J.E.M. Smeets
- Centre of Expertise in Rehabilitation and Audiology; Hoensbroek The Netherlands
- School of Caphri; Maastricht University; Maastricht, Limburg The Netherlands
| | - Nathalie A. Roussel
- Rehabilitation Sciences and Physiotherapy (REVAKI); Faculty of Medicine and Health Sciences; University of Antwerp; Antwerp Belgium
| |
Collapse
|
4
|
Wijma AJ, Bletterman AN, Clark JR, Vervoort SC, Beetsma A, Keizer D, Nijs J, Van Wilgen CP. Patient-centeredness in physiotherapy: What does it entail? A systematic review of qualitative studies. Physiother Theory Pract 2017; 33:825-840. [DOI: 10.1080/09593985.2017.1357151] [Citation(s) in RCA: 54] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Amarins J Wijma
- Department of Physiotherapy, Human Physiology and Anatomy, Vrije Universiteit Brussel, Brussels, Belgium
- Transcare, Transdisciplinary Outpatient Treatment Centre, Groningen, The Netherlands
- Pain in Motion International Research Group, Brussels, Belgium
| | | | - Jacqui R Clark
- Department of Physiotherapy, Human Physiology and Anatomy, Vrije Universiteit Brussel, Brussels, Belgium
- Faculty of Health Psychology and Social Care, Manchester Metropolitan University, Manchester, UK
| | - Sigrid C.J.M Vervoort
- UMC Utrecht Cancer Center, University Medical Centre Utrecht, Utrecht, The Netherlands
| | - Anneke Beetsma
- Department of Physiotherapy, Hanze University of Applied Sciences, School of Health Studies, Groningen, The Netherlands
| | - Doeke Keizer
- Transcare, Transdisciplinary Outpatient Treatment Centre, Groningen, The Netherlands
| | - Jo Nijs
- Department of Physiotherapy, Human Physiology and Anatomy, Vrije Universiteit Brussel, Brussels, Belgium
- Pain in Motion International Research Group, Brussels, Belgium
| | - C. Paul Van Wilgen
- Department of Physiotherapy, Human Physiology and Anatomy, Vrije Universiteit Brussel, Brussels, Belgium
- Transcare, Transdisciplinary Outpatient Treatment Centre, Groningen, The Netherlands
- Pain in Motion International Research Group, Brussels, Belgium
| |
Collapse
|
5
|
Roussel NA, Neels H, Kuppens K, Leysen M, Kerckhofs E, Nijs J, Beetsma AJ, Van Wilgen CP. History taking by physiotherapists with low back pain patients: are illness perceptions addressed properly? Disabil Rehabil 2015; 38:1268-79. [DOI: 10.3109/09638288.2015.1077530] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
|
6
|
Ruiz-Montero PJ, Van Wilgen CP, Segura-Jiménez V, Carbonell-Baeza A, Delgado-Fernández M. Illness perception and fibromyalgia impact on female patients from Spain and the Netherlands: do cultural differences exist? Rheumatol Int 2015; 35:1985-93. [PMID: 25969339 DOI: 10.1007/s00296-015-3281-6] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2015] [Accepted: 05/04/2015] [Indexed: 10/23/2022]
Abstract
The purpose of this study was to examine the differences in illness perception and overall impact on fibromyalgia females from Spain and the Netherlands. A total of 325 fibromyalgia females from Spain (54.3 ± 7.1 years) and the Netherlands (51.8 ± 7.2 years) participated in the study. Illness perception and impact of fibromyalgia were assessed by the Revised Illness Perception Questionnaire and the Fibromyalgia Impact Questionnaire, respectively. Spanish fibromyalgia females perceived more symptoms related to their fibromyalgia (identity) such as nausea, breathlessness, wheezing or fatigue (P < 0.001) and had greater emotional representation (P < 0.01). Dutch fibromyalgia females experienced less timeline (acute/chronic) and consequences (all, P < 0.05), had a better cyclical timeline, personal control, treatment control and illness coherence (all, P < 0.001). Spanish fibromyalgia females reported higher impact of fibromyalgia than Dutch females (61.2 + 14.8 vs. 54.9 + 16.4, respectively; P < 0.001), but the effect size was small (Cohen's d = 0.41) . Impact of fibromyalgia and negative views of fibromyalgia were higher in Spanish fibromyalgia females, whereas Dutch fibromyalgia females presented higher score of positive beliefs about the controllability of the illness. Psychological interventions which help patients to cope with their illness perception might lead to an improvement of the impact of the disease on fibromyalgia females.
Collapse
Affiliation(s)
- Pedro J Ruiz-Montero
- Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Carretera de Alfacar, s/n, CP 18071, Granada, Spain.
| | - C Paul Van Wilgen
- Pain in Motion Research Group, Transcare, Transdisciplinary Pain Management Centre, Groningen, The Netherlands.,Department of Physiotherapy and Rehabilitation Sciences, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium
| | - Victor Segura-Jiménez
- Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Carretera de Alfacar, s/n, CP 18071, Granada, Spain
| | - Ana Carbonell-Baeza
- Department of Physical Education, Faculty of Education Sciences, University of Cadiz, Cádiz, Spain
| | - Manuel Delgado-Fernández
- Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Carretera de Alfacar, s/n, CP 18071, Granada, Spain
| |
Collapse
|
7
|
Van Abbema R, Van Wilgen CP, Van Der Schans CP, Van Ittersum MW. Patients with more severe symptoms benefit the most from an intensive multimodal programme in patients with fibromyalgia. Disabil Rehabil 2010; 33:743-50. [DOI: 10.3109/09638288.2010.510177] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
|