[Expected areas of impact of the disciplines medicine, psychology and physiotherapy in pain treatment : A survey among members of the professions]. / Erwartete Einflussbereiche der Disziplinen Medizin, Psychologie und Physiotherapie in der Schmerztherapie : Eine Umfrage unter Berufszugehörigen.

BACKGROUND: Interdisciplinary multimodal pain treatment (IMPT) is an essential element in the treatment of people with chronic pain. Although IMST is defined in terms of content, it is evident that its practical design is very heterogeneous. This refers not only to the composition of the contents of the treatment but also to the concrete distribution of tasks among the professions involved. This article deals with the attribution of the effect of the activities of the three professional groups involved in IMPT: medicine, psychology and physiotherapy. The aim of this work is to examine how the professions of medicine, psychology and physiotherapy assess the effectiveness of their work and the effectiveness of the other two disciplines in the care of chronic pain patients. MATERIAL AND METHODS: A newly designed questionnaire with 19 items was used. Each item describes a possible effect that treatment by the professions of medicine, psychology and physiotherapy can have. Based on factor analysis, items were combined for which the three effect attributions had the same items. The restriction to factor analysis areas was intended to avoid redundancies in the presentation and interpretation of results. The evaluation was carried out by means of a variance analysis for the impact areas with the factors "profession" and "attribution of impact". RESULTS: A total of 233 participants from the 3 disciplines (medicine, n = 78; psychology, n = 76; physiotherapy, n = 79) answered the questionnaire. The three areas of effect "pain reduction", "strength and movement" and "functional pain coping" could be identified by factor analysis. The impact areas attributed to the different professions are largely reflected in the participants' answers. The variance analysis revealed significant main effects for the two factors "profession" and "attribution of impact" and for their interactions. CONCLUSION: Professionals in medicine, psychology and physiotherapy have clear expectations of their own and the other professions mentioned here with respect to their effectiveness in certain areas of change. Overall, the three professions agree in their assessment of the contribution of medicine, psychology and physiotherapy to the areas of pain reduction, gain in strength and movement and functional pain coping.

[Physical therapy knowledge, skills, and competencies in the care of people with chronic pain]. / Physiotherapeutische Kenntnisse, Fertigkeiten und Kompetenzen in der Versorgung von Menschen mit chronischen Schmerzen.

BACKGROUND: Between 8 and 16 million people in Germany are affected by chronic pain, causing costs of up to 28.7 billion euros annually. Chronic pain is complex and has biopsychosocial aspects. Physiotherapeutic care requires special knowledge, skills and competencies. A publicly accessible description of these requirements does not currently exist in Germany. AIM: The aim of the work was to establish a consensus among experts working in Germany regarding the necessary knowledge, skills and competencies of physiotherapists in the care of people with chronic pain. METHODS: Two-stage Delphi procedure with 15 experts. In the first round of questions, knowledge, skills and competencies that had previously been identified in a systematic literature review were assessed and supplemented. In the second round of questions, the experts evaluated the additions made in the first round of questions with regard to their relevance. RESULTS: Of 219 evaluated statements, 124 were classified as absolutely relevant. In addition to anatomical and physiological pain knowledge, mainly educational and communication skills were rated as important. CONCLUSION: This overview may provide a basis for the development of a competency profile that can be used to develop contents for the modular design and standardisation of curricula in courses of study or training.

[Patient education for acute low back pain : Contents of pain education in patients with acute non-specific low back pain - a scoping review]. / Edukation bei akuten lumbalen Rückenschmerzen : Inhalte der Schmerzedukation bei Patient*innen mit akuten unspezifischen lumbalen Rückenschmerzen ­ ein Scoping-Review.

OBJECTIVE: The objective of the review is to map the content of intervention education in people with acute nonspecific lumbar low back pain (LBP) to make it available in a synopsis. BACKGROUND: In the care of people with acute non-specific LBP, education is recommended as an elementary treatment component. However, the proposed content is proving to be heterogenic and the question arises as to how education should be designed in the future. METHOD: A systematic literature search and content analysis of studies with content on pain education was conducted as part of a scoping review. Inclusion criteria were: provision of relevant information on the content of pain education, patients with acute nonspecific low back pain, 18 years or older, publication in English or German. The search was conducted in the Medline, CINAHL, Cochrane Library, and PEDro databases and supplemented by a hand search. The search was completed in February 2021. RESULTS: A total of 4239 hits were identified, of which 90 studies were included. A wide range of content was found and clustered into ten categories. The most frequent statements were in the categories "recommendations for dealing with LRS," "education, reassuring aspects, and relieving basic messages," and "information and recommendations about medications." CONCLUSION: The teaching of pathoanatomical information can potentially trigger or increase anxiety and worry, whereas information on neurophysiological mechanisms of pain development and processing is more likely to have an anxiety-reducing effect. The results can contribute to the design of the intervention in different settings.