{"id":1403,"date":"2026-04-11T17:36:51","date_gmt":"2026-04-11T17:36:51","guid":{"rendered":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/?page_id=1403"},"modified":"2026-04-11T18:02:51","modified_gmt":"2026-04-11T18:02:51","slug":"ijpr-2025-150","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/ijpr-2025-150","title":{"rendered":"IJPR.2025.150"},"content":{"rendered":"<p style=\"text-align: justify;\"><div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijpr.14.2\/IJPR.2025.150.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#3498db;border-color:#2a7ab0;border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#71b7e6;border-radius:5px;text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijpr_vol14_2.html\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#3498db;border-color:#2a7ab0;border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#71b7e6;border-radius:5px;text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong> \u00a0Original Research<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 14; Issue 1 (April 2026)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong> 4975-4981<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijpr.2025.150<\/h3>\n<h3 style=\"text-align: justify;\">Attitudes and Beliefs of Indian Physiotherapist about Chronic Nonspecific Low Back Pain and Choices in Treatment Selection: A Questionnaire Based Cross Sectional Study<\/h3>\n<p><strong>Abdur Rahman *\u00b9, Ranjeeth Kumar C <sup>2<\/sup>, Snehanjali Sahu <sup>3<\/sup>.<\/strong><\/p>\n<p style=\"text-align: justify;\"><sup>*1 <\/sup>Master of Physiotherapy, Department of Physiotherapy, Yenepoya School of Allied and Healthcare Professions, Yenepoya (Deemed to be University), Bengaluru, Karnataka, India.<\/p>\n<p style=\"text-align: justify;\"><sup>2<\/sup> Assistant Professor, Department of Physiotherapy, Yenepoya School of Allied and Healthcare Professions, Yenepoya (Deemed to be University), Bengaluru, Karnataka, India.<\/p>\n<p style=\"text-align: justify;\"><sup>3<\/sup> Assistant Professor, Department of Occupational Therapy, Yenepoya School of Allied and Healthcare Professions, Yenepoya (Deemed to be University), Bengaluru, Karnataka, India.<\/p>\n<p style=\"text-align: justify;\"><strong>Corresponding Author: <\/strong>Abdur Rahman, Master of Physiotherapy, Department of Physiotherapy, Yenepoya School of Allied and Healthcare Professions, Yenepoya (Deemed to be University), Bengaluru, Karnataka, India.\u00a0<strong>E-Mail:<\/strong> rahmank2587774@gmail.com<\/p>\n<p style=\"text-align: justify;\"><strong>ABSTRACT<\/strong><\/p>\n<p style=\"text-align: justify;\">Chronic low back pain (CLBP) is a leading cause of disability worldwide. While often managed using a biomedical model, current evidence supports the biopsychosocial approach. This study examined the attitudes and beliefs of Indian physiotherapists regarding non-specific CLBP (NSCLBP) using the Pain Attitudes and Beliefs Scale for Physiotherapists (PABS-PT) and explored associations between belief orientation and treatment choices. Ninety-six physiotherapists from Bangalore, India, participated in a questionnaire-based cross-sectional survey. Data were collected via face-to-face interviews and analyzed using descriptive statistics, Pearson correlation, and logistic regression in SPSS v26 (p&lt;0.05). Participants demonstrated moderate biomedical and strong biopsychosocial orientations. Stretching was universally practiced; other treatments varied. Higher biomedical scores predicted bed rest prescription, whereas stronger biopsychosocial orientation predicted use of the McKenzie method and cupping therapy. Findings suggest a blend of traditional and modern beliefs, with some reliance on outdated practices. Educational interventions promoting the biopsychosocial model may improve patient outcomes.<\/p>\n<p style=\"text-align: justify;\"><strong>KEY WORDS: <\/strong>Attitudes, beliefs, biomedical orientation, biopsychosocial model, low back pain, physiotherapy.<\/p>\n<p style=\"text-align: justify;\">\u00a0<strong>REFERENCES<\/strong><\/p>\n<p style=\"text-align: justify;\">[1]. Alshehri MA, Alzahrani H, Alotaibi M, et al. Physiotherapists&#8217; pain attitudes and beliefs towards chronic low back pain and their association with treatment selection: a cross-sectional study. BMJ Open. 2020;10(6):e037159. <br \/>https:\/\/doi.org\/10.1136\/bmjopen-2020-037159<br \/>PMid:32571864 PMCid:PMC7311013<br \/>[2]. Magalh\u00e3es MO, Costa LO, Cabral CM, et al. Attitudes and beliefs of Brazilian physical therapists about chronic low back pain: a cross-sectional study. Rev Bras Fisioter. 2012;16(3):248-253. <br \/>https:\/\/doi.org\/10.1590\/S1413-35552012005000014<br \/>PMid:22481694<br \/>[3]. Latimer J, Maher C, Refshauge K, Colaco I. The attitudes and beliefs of physiotherapy students to chronic back pain. Clin J Pain. 2004;20(1):45-50. <br \/>https:\/\/doi.org\/10.1097\/00002508-200401000-00009<br \/>PMid:14668656<br \/>[4]. Darlow B, Perry M, Stanley J, et al. Cross-sectional survey of attitudes and beliefs about back pain in New Zealand. BMJ Open.2014;4(5):e004725. <br \/>https:\/\/doi.org\/10.1136\/bmjopen-2013-004725<br \/>PMid:24859999 PMCid:PMC4039787<br \/>[5]. Bishop A, Foster NE, Thomas E, Hay EM. How does the self-reported clinical management of patients with low back pain relate to the attitudes and beliefs of health care practitioners? A survey of UK general practitioners and physiotherapists. Pain. 2008;135(1-2):187-195. <br \/>https:\/\/doi.org\/10.1016\/j.pain.2007.11.010<br \/>PMid:18206309 PMCid:PMC2258319<br \/>[6]. Christe G, Nzamba J, Gobelet C, et al. Physiotherapists&#8217; attitudes and beliefs about low back pain influence their clinical decisions and advice. Musculoskelet Sci Pract.2021;53:102382. <br \/>https:\/\/doi.org\/10.1016\/j.msksp.2021.102382<br \/>PMid:33915318<br \/>[7]. Alamam DM, Leaver A, Refshauge K, et al. Pain Behaviour Scale (PaBS): An exploratory study of reliability and construct validity in a chronic low back pain population. Pain Res Manag. 2019;2019:2508019. <br \/>https:\/\/doi.org\/10.1155\/2019\/2508019<br \/>PMid:30863470 PMCid:PMC6377952<br \/>[8]. Pottkotter K, Hazlett M, Mansfield C, Ford K, Rethman K, Fritz J, et al. Understanding social determinants of health and physical therapy outcomes in patients with low back pain: a scoping review protocol. Musculoskeletal Care. 2022;20(4):531-539. <br \/>https:\/\/doi.org\/10.1002\/msc.1650<br \/>[9]. Jeffrey JE, Foster NE, Choy EH. A qualitative investigation of physical therapists&#8217; experiences and feelings of managing patients with nonspecific low back pain. Phys Ther. 2012;92(2):266-278.<br \/>https:\/\/doi.org\/10.2522\/ptj.20100416<br \/>PMid:22173793<br \/>[10]. Corbett M, Foster N, Ong BN. GP attitudes and self-reported behaviour in primary care consultations for low back pain. Fam Pract. 2009;26(4):359-364.<br \/>https:\/\/doi.org\/10.1093\/fampra\/cmp039<br \/>PMid:19535736<br \/>[11]. Askew R, Kibelstis C, Overbaugh S, et al. Physical therapists&#8217; perception of patients&#8217; pain and its effect on management. Physiother Res Int. 1998;3(1):37-57.<br \/>https:\/\/doi.org\/10.1002\/pri.128<br \/>PMid:9648174<br \/>[12]. Rainville J, Bagnall D, Phalen L. Health care providers&#8217; attitudes and beliefs about functional impairments and chronic back pain. Clin J Pain. 1995;11(4):287-295.<br \/>https:\/\/doi.org\/10.1097\/00002508-199512000-00009<br \/>PMid:8788579<br \/>[13]. Ostelo RWJG, Stomp-van den Berg SGM, Vlaeyen JWS, Wolters PMJC, de Vet HCW. Health care providers&#8217; attitudes and beliefs towards chronic low back pain: the development of a questionnaire. Man Ther. 2003;8(4):214-222.<br \/>https:\/\/doi.org\/10.1016\/S1356-689X(03)00013-4<br \/>PMid:14559044<br \/>[14]. Bishop A, Foster NE, Croft PR. The Pain Attitudes and Beliefs Scale (PABS): further validation and development of a short form. J Physiother. 2010;56(4):279-286.<br \/>https:\/\/doi.org\/10.1016\/S1836-9553(10)70014-X<br \/>PMid:21213945<br \/>[15]. Darlow B, Fullen BM, Dean S, Hurley DA, Baxter GD, Dowell A. The association between health care professional attitudes and beliefs and the attitudes and beliefs, clinical management, and outcomes of patients with low back pain: a systematic review. Eur J Pain. 2012;16(1):3-17. <br \/>https:\/\/doi.org\/10.1016\/j.ejpain.2011.06.006<br \/>PMid:21719329<\/p>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #3498db #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #3498db;\"><strong>Cite this article:<\/strong><\/span> Abdur Rahman, Ranjeeth Kumar C, Snehanjali Sahu. Attitudes and Beliefs of Indian Physiotherapist about Chronic Nonspecific Low Back Pain and Choices in Treatment Selection: A Questionnaire Based Cross Sectional Study. Int J Physiother Res 2026;14(2):4885-4890. DOI: 10.16965\/ijpr.2025.150 \n             <\/div>\t\n\t\t\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of Article: \u00a0Original Research Volume 14; Issue 1 (April 2026) Page No.: 4975-4981 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijpr.2025.150 Attitudes and Beliefs of Indian Physiotherapist about Chronic Nonspecific Low Back Pain and Choices in Treatment Selection: A Questionnaire Based Cross Sectional Study Abdur Rahman *\u00b9, Ranjeeth Kumar C 2, Snehanjali Sahu 3. *1 Master of Physiotherapy, Department of Physiotherapy,<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/ijpr-2025-150\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-1403","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/1403"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/comments?post=1403"}],"version-history":[{"count":2,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/1403\/revisions"}],"predecessor-version":[{"id":1405,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/1403\/revisions\/1405"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/media?parent=1403"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}