{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T06:32:14Z","timestamp":1778049134721,"version":"3.51.4"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,7,6]],"date-time":"2025-07-06T00:00:00Z","timestamp":1751760000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Low back pain (LBP) is a leading global cause of disability, with the most significant burden now observed in low\u2010 and middle\u2010income countries (LMICs). Despite the growing availability of physiotherapy, cultural perceptions and systemic factors may hinder its utilisation in Bangladesh. This study explores how patients with chronic LBP in Bangladesh perceive their condition and the role of physiotherapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using interpretative phenomenological analysis, we conducted in\u2010depth semi\u2010structured interviews with 20 Bangladeshi adults (mean age 41.9\u00a0years) with chronic LBP (median duration 30\u00a0months). Participants were purposively sampled to capture diverse sociodemographic perspectives. Transcripts were thematically analysed to explore lived experiences with LBP and its management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Four interrelated themes emerged: (1) there was limited understanding of the causes of LBP; (2) physician authority strongly influenced perceptions of physiotherapy, reinforcing passive treatment approaches; (3) friends and family, social media, and the internet shaped expectations; and (4) cultural and spiritual beliefs promoted traditional remedies over evidence\u2010based care. As a result of these perceptions, physiotherapy was often viewed as a last resort and was typically limited to passive modalities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Improving LBP care in Bangladesh may require culturally sensitive multilevel strategies, such as public education, upskilling of physiotherapists in active evidence\u2010based interventions, and health policy reforms, to promote the availability of direct physiotherapy access. These strategies could help align patient expectations with contemporary care models and reduce LBP\u2010related disability in LMICs.<\/jats:p><\/jats:sec>","DOI":"10.1002\/msc.70159","type":"journal-article","created":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T00:31:21Z","timestamp":1751848281000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Perceptions of Low Back Pain and the Role of Physiotherapy in Bangladesh: A Qualitative Study"],"prefix":"10.1002","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4685-5050","authenticated-orcid":false,"given":"Mohammad","family":"Ali","sequence":"first","affiliation":[{"name":"Low Back Research Team School of Allied Health, Human Services and Sport La Trobe University  Bundoora Australia"},{"name":"Department of Physiotherapy and Rehabilitation Uttara Adhunik Medical College Hospital  Dhaka Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0686-7436","authenticated-orcid":false,"given":"Casey L.","family":"Peiris","sequence":"additional","affiliation":[{"name":"Allied Health Royal Melbourne Hospital and La Trobe University  Parkville Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5524-190X","authenticated-orcid":false,"given":"Jon J.","family":"Ford","sequence":"additional","affiliation":[{"name":"Low Back Research Team School of Allied Health, Human Services and Sport La Trobe University  Bundoora Australia"},{"name":"Advance Healthcare  Boronia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4575-1273","authenticated-orcid":false,"given":"Ahmed","family":"Hossain","sequence":"additional","affiliation":[{"name":"Department of Public Health North South University  Dhaka Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6227-5339","authenticated-orcid":false,"given":"Andrew J.","family":"Hahne","sequence":"additional","affiliation":[{"name":"Low Back Research Team School of Allied Health, Human Services and Sport La Trobe University  Bundoora Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,6]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(20)30925\u20109"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/1348\u20109585.12131"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2022.05.050"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2024.102788"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.3233\/PPR\u2010210549"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.3138\/ptc.2015\u201050"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12676"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(18)30489\u20106"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/MSC.113"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/16094069241306284"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(18)30480\u2010X"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/BMJ.325.7360.357"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h1225"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/BMJOPEN\u20102021\u2010059192"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2018.00080"},{"key":"e_1_2_14_17_1","volume-title":"Phenomenology of Practice: Meaning\u2010Giving Methods in Phenomenological Research and Writing","author":"Max V. 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