Knowledge and attitudes toward musculoskeletal pain neuroscience of manual therapy postgraduate students in the Netherlands

Anneke Beetsma, Roland Reezigt, Michiel F Reneman

Research output: Contribution to journalArticleAcademicpeer-review

62 Downloads (Pure)

Abstract

Background: Health care practitioners’ knowledge and attitudes influence patients’ beliefs and health outcomes
in musculoskeletal (MSK) pain. It is unclear to what extent physiotherapists undertaking a postgraduate master in
manual therapy (MT students) possess the knowledge and attitudes toward pain neuroscience to be able to apply
the biopsychosocial model in patients with MSK pain.
Objectives: The aim of this study was to assess the knowledge and attitudes toward pain neuroscience in MT
students.
Design: A cross-sectional study.
Method: Self-reported knowledge and attitudes were measured among students (n = 662) at baseline and in all
years of the MT postgraduate programs in the Netherlands. The Knowledge and Attitudes of Pain questionnaire
(KNAP) was used as a primary measure. Difference in KNAP-scores between baseline (0), year 1, year 2 and year
3 was tested using a one-way ANOVA (hypothesis: 0 < 1<2 < 3). A two factor ANOVA was used to determine the
interaction effect of focused pain education and year in the curriculum with KNAP.
Results: There was an overall significant difference of KNAP scores with a medium effect size (F(3, 218.18) =
13.56, p < .001, ω2 = 0.059). Differences between years ranged from small to medium. Interaction effect of
knowledge and attitudes and focused pain education was significant with a small effect size (F(6) = 2.597, p =
.017, ω2 = 0.012). Sensitivity analyses were consistent with the main results.
Conclusions: Positive differences in knowledge and attitudes toward pain neuroscience in MT students occur
between the progressing years of the curriculum. Differences may be related to the provision of focused pain
education.
Original languageEnglish
Article number52
Number of pages5
JournalMusculoskeletal Science and Practice
Volume52
Issue number102350
DOIs
Publication statusPublished - 11 Feb 2021

Keywords

  • Musculoskeletal pain (MeSH)
  • Biopsychosocial
  • Pain education
  • Manual therapy
  • Students

Fingerprint

Dive into the research topics of 'Knowledge and attitudes toward musculoskeletal pain neuroscience of manual therapy postgraduate students in the Netherlands'. Together they form a unique fingerprint.

Cite this