Počitek pri kronični bolečini v spodnjem delu hrbta – razkorak med prakso in smernicami
DOI:
https://doi.org/10.55707/jhs.v12i2.185Ključne besede:
kronična bolečina v spodnjem delu hrbta, počitek, klinične smernice, biopsihosocialni model obravnave, fizioterapijaPovzetek
Kronična nespecifična bolečina v spodnjem delu hrbta je pogosta in predstavlja javnozdravstveni ter ekonomski izziv. Sodobne smernice priporočajo ohranjanje aktivnosti, omejevanje dolgotrajnega počitka in prilagojeno vključevanje dela. Napačna prepričanja o počitku lahko vplivajo na priporočila fizioterapevtov in okrevanje bolnikov. V presečni študiji je 104 fizioterapevtov iz primarnega zdravstva v Sloveniji preko spletnega vprašalnika izpolnilo HC-PAIRS, Back-PAQ in vprašanja o kliničnem primeru (aktivnost, delo, počitek). Največja skladnost s smernicami je bila pri telesni aktivnosti (54 %), medtem ko so bila priporočila glede dela (neskladna pri 89 %) in počitka (neskladna pri 64 %) v veliki meri neskladna. Večina fizioterapevtov je še vedno svetovala omejitve počitka v postelji, kljub
dokazom o škodljivosti dolgotrajnega počitka. Rezultati poudarjajo potrebo po izboljšanem strokovnem izobraževanju za spodbujanje aktivnega pristopa in skladnost s smernicami, kar lahko izboljša izide bolnikov.
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