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Title: Measuring physical behaviour in physiotherapists and in people with chronic low back pain
Author: Campbell, Ciara
ISNI:       0000 0004 6350 8370
Awarding Body: Ulster University
Current Institution: Ulster University
Date of Award: 2017
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Background This PhD thesis is in two main strands; the measurement of physical behaviour (physical activity and sedentary behaviour) in (i) health professionals and (ii) a clinical population. The physical behaviour of health professionals was investigated as evidence suggests that their promotion of healthy behaviour is increased if they are physically active (Brutons et al 2005). However, this link has not been investigated with UK physiotherapists. Physiotherapists should promote good health to all patients but particularly those with chronic low back pain (CLBP) (50% of musculoskeletal physiotherapists caseload, Foster et al 1999). There has been no large scale studies investigating sedentary behaviour in CLBP population. Methods For strand one, a questionnaire was designed and carried out with physiotherapists to ascertain their personal physical behaviour, knowledge of guidelines and health promotion practices. For strand two, a systematic review was undertaken to ascertain the most valid and reliable tool for measuring sedentary behavior in back pain. A secondary analysis was then carried out to determine the level and pattern of physical behaviour in people with CLBP. Results The majority of physiotherapists promoted physical activity to their patients, were physically active and self-reported knowledge of the guidelines was high. However, actual knowledge of the guidelines was low. The activPAL was the most appropriate device for measuring sedentary behavior in this CLBP population. The secondary analysis concluded people with CLBP spend 9.37 hours a day in sedentary behavior however this is regularly broken up. They also spend 1.82 hours in ‘standing/stepping’ activity but this is accumulated in short bouts less than 10 minutes, which is not long enough to incur health benefits (McVeigh et al 2016). Conclusions Physiotherapists promote physical activity but require training in implementation of the guidelines to ensure optimum health promotion practices. Future interventions with the CLBP population should seek to reduce total sedentary time.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available