• Musculoskelet Sci Pract · Apr 2019

    Patients' experiences of how symptoms are explained and influences on back-related health after pre-surgery physiotherapy: A qualitative study.

    • Yvonne Lindbäck, Paul Enthoven, and Birgitta Öberg.
    • Department of Medical and Health Sciences, Division of Physiotherapy, Faculty of Medicine and Health Sciences, Linköping University, Linköping, SE-581 83, Sweden. Electronic address: http://www.imh.liu.se/fysioterapi.
    • Musculoskelet Sci Pract. 2019 Apr 1; 40: 34-39.

    BackgroundSince the pre-surgery phase is a new setting for physiotherapy, exploring patients' experiences might contribute to new insights for future development of care in patients with degenerative lumbar spine disorders.ObjectivesTo describe patients' experiences of how symptoms are explained, and their experiences of the influences on back-related health after pre-surgery physiotherapy.DesignExplorative qualitative design using semi-structured interviews analysed with content analysis.ParticipantsEighteen patients with degenerative lumbar spine disorder scheduled for surgery, participated in pre-surgery physiotherapy.FindingsFive categories were identified: Influences on symptoms, physical function and sleep; Influences on coping and well-being; Explanations of back-related symptoms and wanting to be well-informed; Influence on social functioning; The ability of the model of care to influence reassurance and prevention.ConclusionImprovements in back-related health in all the biopsychosocial dimensions emerged. Even those who expressed no symptom improvements, felt better performing exercises than being inactive, and exercises improved their frame of mind, a useful experience in possible low back pain recurrences. Pre-surgery physiotherapy provided reassurance and gave time to reflect on treatments and lifestyle. Despite pre-surgery physiotherapy, back-related symptoms were mainly described in line with a biomedical explanatory model. Those using broader explanations were confident that physiotherapy and self-management could influence their symptoms. Suggesting more emphasis on explanatory models suitable for surgery, pre- and post-surgery physiotherapy and self-management in the professionals' dialogue with patients.Copyright © 2019. Published by Elsevier Ltd.

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