{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T21:02:37Z","timestamp":1792789357490,"version":"4.5.0"},"reference-count":62,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2023,4,23]],"date-time":"2023-04-23T00:00:00Z","timestamp":1682208000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"European Regional Development Fund","award":["Interreg FWVl NOMADe\u2014N\u00b0 4.7.360"],"award-info":[{"award-number":["Interreg FWVl NOMADe\u2014N\u00b0 4.7.360"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: Clinical practice guidelines promote bio-psychosocial management of patients suffering from low back pain (LBP). The objective of this study was to examine the current knowledge, attitudes and beliefs of physiotherapists about a guideline-adherent approach to LBP and to assess the ability of physiotherapists to recognise signs of a specific LBP in a clinical vignette. Methods: Physiotherapists were recruited to participate in an online study. They were asked to indicate whether they were familiar with evidence-based guidelines and then to fill in the Health Care Providers\u2019 Pain and Impairment Relationship Scale (HC-PAIRS), Back Pain Attitudes Questionnaire (Back-PAQ), Neurophysiology of Pain Questionnaire (NPQ), as well as questions related to two clinical vignettes. Results: In total, 527 physiotherapists participated in this study. Only 38% reported being familiar with guidelines for the management of LBP. Sixty-three percent of the physiotherapists gave guideline-inconsistent recommendations regarding work. Only half of the physiotherapists recognised the signs of a specific LBP. Conclusions: The high proportion of physiotherapists unfamiliar with guidelines and demonstrating attitudes and beliefs not in line with evidence-based management of LBP is concerning. It is crucial to develop efficient strategies to enhance knowledge of guidelines among physiotherapists and increase their implementation in clinical practice.<\/jats:p>","DOI":"10.3390\/ijerph20095611","type":"journal-article","created":{"date-parts":[[2023,4,24]],"date-time":"2023-04-24T03:04:08Z","timestamp":1682305448000},"page":"5611","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Management of Low Back Pain: Do Physiotherapists Know the Evidence-Based Guidelines?"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8494-4919","authenticated-orcid":false,"given":"Antoine","family":"Fourr\u00e9","sequence":"first","affiliation":[{"name":"Department of Neurosciences, Research Institute for Health Sciences and Technology, University of Mons, 7000 Mons, Belgium"},{"name":"Faculty of Medicine and Health Sciences, Rehabilitation Sciences and Physiotherapy (MOVANT), University of Antwerp, 2610 Antwerpen, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5780-5219","authenticated-orcid":false,"given":"Rob","family":"Vanderstraeten","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sciences, Rehabilitation Sciences and Physiotherapy (MOVANT), University of Antwerp, 2610 Antwerpen, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2140-8297","authenticated-orcid":false,"given":"Laurence","family":"Ris","sequence":"additional","affiliation":[{"name":"Department of Neurosciences, Research Institute for Health Sciences and Technology, University of Mons, 7000 Mons, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hilde","family":"Bastiaens","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sciences, Rehabilitation Sciences and Physiotherapy (MOVANT), University of Antwerp, 2610 Antwerpen, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4353-6601","authenticated-orcid":false,"given":"Jozef","family":"Michielsen","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sciences, Rehabilitation Sciences and Physiotherapy (MOVANT), University of Antwerp, 2610 Antwerpen, Belgium"},{"name":"Orthopedic Department, University Hospital, 2650 Antwerp, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8280-834X","authenticated-orcid":false,"given":"Christophe","family":"Demoulin","sequence":"additional","affiliation":[{"name":"Department of Sport and Rehabilitation Sciences, University of Li\u00e8ge, 4000 Li\u00e8ge, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben","family":"Darlow","sequence":"additional","affiliation":[{"name":"Department of Primary Health Care and General Practice, University of Otago, Wellington 6021, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7409-878X","authenticated-orcid":false,"given":"Nathalie","family":"Roussel","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sciences, Rehabilitation Sciences and Physiotherapy (MOVANT), University of Antwerp, 2610 Antwerpen, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,4,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"S57","DOI":"10.1097\/j.pain.0000000000001869","article-title":"The Lancet Series call to action to reduce low value care for low back pain: An update","volume":"161","author":"Buchbinder","year":"2020","journal-title":"Pain"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"2356","DOI":"10.1016\/S0140-6736(18)30480-X","article-title":"What low back pain is and why we need to pay attention","volume":"391","author":"Hartvigsen","year":"2018","journal-title":"Lancet"},{"key":"ref_3","unstructured":"Van Wambeke Leuven, P.U., President, G., Desomer, A., Ailliet, L., Berquin, A., Demoulin Universit\u00e9 de Li\u00e8ge, C., de Li\u00e8ge, C., Depreitere, B., Dewachter, J., and Dolphens, M. 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