Main Article Content
Studies show that physical therapy students and professionals have limited knowledge about various aspects of the subject “pain”. This may result in inadequate approach and increases the patients’ suffering. Thus, it was aimed to review studies that investigated the physiotherapy students’ and professionals’ knowledge about pain, as well as to propose strategies for changing it. This is a systematic review in which EBSCOhost, LILACS, PubMed, REDALYC and SciELO databases were consulted by crossing the following keywords and its matching terms in Portuguese: “pain”, “knowledge”, “education”, “curriculum”, “physical therapy specialty”. Crosssectional or experimental studies addressing knowledge about pain clinical and pathophysiological aspects, and management were eligible. Studies that tested strategies to modify knowledge about pain were also qualified. Screening by title and abstract resulted in 84 studies. However, only five studies were included, which analyzed the knowledge about general aspects of pain and were published between 2003 and 2016. Only 60% of studies investigated volunteers from the field of physical therapy, whereas 100% of them had their knowledge verified in self-reported questionnaires. Four studies used validated questionnaires. Only 20% of them tested strategies to modify the knowledge about pain. The results of this review are that the topic “pain” is addressed as sub-topic only. Although it allows learning, it is not enough to ensure it. Physical therapy professionals are inconsistent as to theoretical knowledge and practice on pain management and human assistance. Teaching and learning strategies may improve students’ knowledge about pain.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY) that allows others to share and adapt the work with an acknowledgement of the work's authorship and initial publication in this journal.Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
2. Clenzos N, Naidoo N, Parker R. Physiotherapists’ knowledge of pain: a cross-sectional correlational study of members of the South African Sports and Orthopaedic Manipulative Special Interest Groups. S Afr J Sports Med. 2013;25(4):95-100. http://dx.doi.org/10.7196/SAJSM.502
3. Sereza TW, Dellaroza MSG. O que está sendo aprendido a respeito da dor na UEL? Semina Cienc Biol Saúde. 2003;24:55-66. http://dx.doi.org/10.5433/1679-0367.2003v24n1p55
4. Barreto RF, Gomes CZL, Silva RM, Signorelli AAF, Oliveira LF, Cavellani CL, et al. Avaliação de dor e do perfil epidemiológico, de pacientes atendidos no pronto-socorro de um hospital universitário. Rev Dor. 2012;13(3):213-9. http://dx.doi.org/10.1590/S1806-00132012000300004
5. Marinangeli F, Narducci C, Ursini ML, Paladini A, Pasqualucci A, Gatti A, et al. Acute pain and availability of analgesia in the prehospital emergency setting in Italy: a problem to be solved. Pain Pract. 2009;9(4):282-8. http://dx.doi.org/10.1111/j.1533-2500.2009.00277.x
6. Calil AM, Pimenta CAM, Birolini D. The “oligoanalgesia problem” in the emergency care. Clinics. 2007;62(5):591-8. http://dx.doi.org/10.1590/S1807-59322007000500010
7. Luppen LS, Sampaio FH, Standñik CMB. Satisfação dos pacientes com a implantação do conceito dor o quinto sinal vital, no controle da dor pós-operatória. Rev Dor. 2011;12(1):29-34. http://dx.doi.org/10.1590/S1806-00132011000100007
8. Marquez JO. A dor e os seus aspectos multidimensionais. Cienc Cult. 2011;63(2):28-32.
9. Vlainich R, Zucchi P, Issy AM, Sakata RK. Avaliação do custo do medicamento para tratamento ambulatorial de pacientes com dor crônica. Rev Bras Anestesiol. 2010;60(4):399-405. http://dx.doi.org/10.1590/S0034-70942010000400007
10. Silva GG, Sirena SA. Perfil de encaminhamentos a fisioterapia por um serviço de Atenção Primária à Saúde, 2012. Epidemiol Serv Saúde. 2015;24(1):123-33. http://dx.doi.org/10.5123/S1679-49742015000100014
11. Leite F, Gomes JO. Dor crônica em um ambulatório universitário de fisioterapia. Rev Ciênc Méd. 2006;15(3):211-21.
12. Mata MS, Costa FA, Souza TO, Mata ANS, Pontes JF. Dor e funcionalidade na atenção básica à saúde. Ciênc Saúde Coletiva. 2011;16(1):221-30. http://dx.doi.org/10.1590/S1413-81232011000100025
13. Gosling AP. Mecanismos de ação e efeitos da fisioterapia no tratamento da dor. Rev Dor. 2012;13(1):65-70. http://dx.doi.org/10.1590/S1806-00132012000100012
14. Dias RC, Dias JMD. Prática baseada em evidências: uma metodologia para a boa prática fisioterapêutica. Fisioter Mov. 2006;19(1):11-6.
15. Alves RC, Tavares JP, Funes RAC, Gasparetto GAR, Silva KCC, Ueda TK. Evaluation of pain knowledge of Physiotherapy students from a university center. Rev Dor. 2013;14(4):272-9. http://dx.doi.org/10.1590/S1806-00132013000400008
16. Ribeiro MCO, Costa IN, Ribeiro CJN, Nunes MS, Santos B, DeSantana JM. Knowledge of health professionals about pain and analgesia. Rev Dor. 2015;16(3):204-9. http://dx.doi.org/10.5935/1806-0013.20150041
17. Marques ES, Xarles T, Antunes TM, Silva KKD, Reis FJJ, Oliveira LAS, et al. Evaluation of physiologic pain knowledge by physiotherapy students. Rev Dor. 2016;17(1):29-33. http://dx.doi.org/10.5935/1806-0013.20160008
18. Castro CES, Parizotto NA, Barboza HFG. Programa mínimo sobre mecanismos de dor e analgesia para cursos de graduação em fisioterapia. Rev Bras Fisioter. 2003;7(1):85-92.
19. Petto J, Gomes VA, Oliveira FTO, Santos MPA, Barbosa PRP, Santos ACN. Importance of academic quality in the treatment of chronic venous insufficiency. Int J Cardiovasc Sci. 2016;29(1):31-6. http://www.dx.doi.org/10.5935/2359-4802.20160011