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Research Article
Edwin Raaij
University of Applied Sciences Utrecht
Corresponding Author
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Introduction
Illness Perceptions (IPs) may be important in the management of persistent low back pain. The mediation and/or moderation effect of IPs on primary outcomes in physiotherapy treatment is unknown.
Methods
A multiple single-case experimental design, using a matched care physiothetapy intervention, with 3 phases (phases A-B-A’) was used including a 3-month follow up (phase A’). Primary outcomes: pain intensity, physical functioning and pain interference in daily life. Analyzes: linear mixed models, adjusted for fear of movement, catastrophizing, avoidance, sombreness and sleep.
Results
Nine patients were included by six different primary care physiotherapists. Repeated measures on 196 data points showed that IPs Consequences, Personal control, Identity, Concern and Emotional response had a mediation effect on all three primary outcomes. The IP Personal control acted as a moderator for all primary outcomes, with clinically relevant improvements at 3-month follow up.
Conclusion
This is the first study to shed some light in the mediating effects of IPs on the outcome of a matched care physiotherapy treatment. At baseline, assessing Personal control is relevant to determine the outcome prognosis of successful physiotherapy management of persistent low back pain.
Keywords
Low back pain, Illness Perceptions, Mediation, Moderation, SCED-study, Physiotherapy
This is a list of supplementary files associated with this preprint. Click to download.
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Peer Review Timeline
CURRENT STATUS: Under Review
Version 1
Posted 19 Jan, 2021
No community comments so far
Editorial decision: Major revision
On 18 May, 2021
Reviews received
Received 01 Apr, 2021
Reviewers agreed
On 01 Apr, 2021
Reviewers agreed
On 11 Feb, 2021
Reviewers invited
Invitations sent on 23 Jan, 2021
Editor assigned
On 14 Jan, 2021
Editor invited
On 14 Jan, 2021
Submission checks complete
On 14 Jan, 2021
First submitted
On 12 Jan, 2021
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Orthopedics
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
This preprint is under consideration at BMC Musculoskeletal Disorders. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research Article
Edwin Raaij
University of Applied Sciences Utrecht
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
Version 1
Posted 19 Jan, 2021
No community comments so far
Editorial decision: Major revision
On 18 May, 2021
Reviews received
Received 01 Apr, 2021
Reviewers agreed
On 01 Apr, 2021
Reviewers agreed
On 11 Feb, 2021
Reviewers invited
Invitations sent on 23 Jan, 2021
Editor assigned
On 14 Jan, 2021
Editor invited
On 14 Jan, 2021
Submission checks complete
On 14 Jan, 2021
First submitted
On 12 Jan, 2021
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Orthopedics
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Introduction
Illness Perceptions (IPs) may be important in the management of persistent low back pain. The mediation and/or moderation effect of IPs on primary outcomes in physiotherapy treatment is unknown.
Methods
A multiple single-case experimental design, using a matched care physiothetapy intervention, with 3 phases (phases A-B-A’) was used including a 3-month follow up (phase A’). Primary outcomes: pain intensity, physical functioning and pain interference in daily life. Analyzes: linear mixed models, adjusted for fear of movement, catastrophizing, avoidance, sombreness and sleep.
Results
Nine patients were included by six different primary care physiotherapists. Repeated measures on 196 data points showed that IPs Consequences, Personal control, Identity, Concern and Emotional response had a mediation effect on all three primary outcomes. The IP Personal control acted as a moderator for all primary outcomes, with clinically relevant improvements at 3-month follow up.
Conclusion
This is the first study to shed some light in the mediating effects of IPs on the outcome of a matched care physiotherapy treatment. At baseline, assessing Personal control is relevant to determine the outcome prognosis of successful physiotherapy management of persistent low back pain.
This is a list of supplementary files associated with this preprint. Click to download.
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