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    Physiotherapists implicitly evaluate bending and lifting with a round back as dangerous

    74411.pdf (1.223Mb)
    Access Status
    Open access
    Authors
    Caneiro, JP
    O'Sullivan, Peter
    Smith, Anne
    Ovrebekk, Ingrid
    Tozer, Luke
    Williams, Michael
    Teng, Magdalene Li Wen
    Lipp, Ottmar
    Date
    2019
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Caneiro, J. and O'Sullivan, P. and Smith, A. and Ovrebekk, I. and Tozer, L. and Williams, M. and Teng, M. et al. 2019. Physiotherapists implicitly evaluate bending and lifting with a round back as dangerous. Musculoskeletal Science and Practice. 39: pp. 107-114.
    Source Title
    Musculoskeletal Science and Practice
    DOI
    10.1016/j.msksp.2018.12.002
    ISSN
    2468-8630
    School
    School of Physiotherapy and Exercise Science
    URI
    http://hdl.handle.net/20.500.11937/74126
    Collection
    • Curtin Research Publications
    Abstract

    © 2018 Elsevier Ltd. Background: Beliefs can be assessed using explicit measures (e.g. questionnaires) that rely on information of which the person is ‘aware’ and willing to disclose. Conversely, implicit measures evaluate beliefs using computer-based tasks that allow reduced time for introspection thus reflecting ‘automatic’ associations. Thus far, physiotherapists’ beliefs about back posture and safety have not been evaluated with implicit measures. Objectives: (1) Evaluate implicit associations between bending lifting back posture (straight-back vs round-back) and safety (safe vs danger); (2) Explore correlations between implicit and explicit measures of beliefs towards vulnerability of the back. Design: Exploratory cross-sectional quantitative study. Methods: 47 musculoskeletal physiotherapists completed explicit measures of fear of movement (TSK-HC), back beliefs (BackPAQDanger) and beliefs related to bending and lifting back posture and safety (BSB). An Implicit Association Test (IAT) was used to assess implicit associations between (i) images of people bending/lifting with a ‘round-back’ or with a ‘straight-back’ posture, and (ii) words representing ‘safety’ and ‘danger’. A one-sample t-test assessed the degree and direction of the sample's IAT score. Cohen's d provided an effect size of the estimated bias. Correlation between IAT and each explicit measure was assessed using Pearson's coefficient. Results: The sample displayed an implicit association between ‘round-back’ and ‘danger’ (µ = 0.213, 95% CI [0.075-0.350], p =.003), with an effect size magnitude of 0.45. There were fair to moderate correlations between IAT and BSB (r = 0.320, 95% CI [0.036-0.556], p =.029) and, IAT and BackPAQDanger (r = 0.413, 95%CI [0.143-0.626], p =.004). Conclusions: Physiotherapists displayed an implicit bias towards bending and lifting with a round-back as dangerous.

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