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비네트를 활용한 한국 물리치료사의 임신 관련 허리통증 환자에 대한 치료실태 조사연구

Current Management for Pregnancy-related Low Back Pain by Korean Physical Therapists: A National Cross-sectional Survey Using the Vignette Method

한국전문물리치료학회지 2020년 27권 1호 p.53 ~ 62
한희주 ( Han Hee-Ju ) - 대전대학교 대학원 물리치료학과

김선엽 ( Kim Suhn-Yeop ) - 대전대학교 보건의료과학대학 물리치료학과

Abstract


Background: Pregnancy-related low back pain (PLBP) has fewer systematic guidelines than pregnancy-related pelvic girdle pain, previous studies have not evaluated physical therapy for this ailment in Korea.

Objects: We aimed to provide a detailed account of clinical decision making by Korean phys-iotherapists while treating PLBP.

Methods: In total, 955 questionnaires were distributed mainly in places of continuing edu-cation held by the Korean Physical Therapy Association from April to July 2019. The same questionnaire was posted on a website used by physiotherapists. We collected subject in-formation, a specific Vignette typically represent symptoms of PLBP, and responses to mul-tiple questions about decision making, subjective recognition and interest level in the field of women’s health physiotherapy (WHPT).

Results: The overall response rate was 56% (n = 537); of these, responses to 520 ques-tionnaires were analyzed. Most respondents chose various combinations of physical therapy methods. There were significant differences in subjective recognition levels of WHPT accord-ing to gender (p < 0.05), age (p < 0.01), education level (p < 0.01), and clinical experience (p < 0.05). There were significant differences in interest according to gender (p < 0.01) and education level (p < 0.01). With respect to the types of treatment, significant differences were noted in selective rates for “manual therapy”, “pain control”, and “supportive devices” based on gender. Manual therapy tended to be chosen more with increasing age and clinical experi-ence. With increased education level, there were fewer choices for the use of pain control.

Conclusion: This is the first data on how Korean physiotherapists manage PLBP patients us-ing the vignette method. We were able to recognize the Korean physical therapist's decision on PLBP patients, and observed statistically significant correlations. This may aid in developing future research and education plans in the WHPT field.

키워드

Cross-sectional studies; Korean physical theraist; Low back pain; Pregnancy; Vignette method
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