“Expectation of physiotharapy treartment in acute and chronic neck pain patient about pain relieves and competance improvements.”

Abstract

Background: Regarding expectations, little is known about how they differ amongst various patient groups. The current study's objectives were to compare patients with neck complaints' expectations regarding pain and function before and after receiving physiotherapy treatment from ten clinical physiotherapists. It also sought to determine whether differences in patients' expectations varied among those with neck complaints and whether changes in expectations were related to patient characteristics. With regard to participants' expectations for pain relief, information about everyday activities, and information unique to their illness, we specifically sought to uncover themes and evaluate the nature of those expectations (values or probabilities). Additionally, we looked into the elements that participants felt had an impact on their expectations, such as but not limited to media, other people's experiences, and prior interactions with the patient. Methods: The study was cross sectional design conducted between June 2019 to May 2020.Measurement was before starting the physiotherapy intervention and after the intervention period (at first 5 sessions and after that 10 seconds). Questionnaires (the patient Neck Outcome Expectancies, or PNOE, questionnaire and a numeric rating scale or NRS) focused on expectations regarding pain and functioning were completed immediately prior to and after a consultation with a physiotherapy specialist. Results: In total, 100 patients were included. According to the study's findings, 71% of patients expected to feel better about their neck problems during the following month, 27% expected significant improvement, and 2% expected no change. When asked about the ability to use and perform neck movement, they said that it will be better, which signifies 70%, and in the case of neck discomfort, they said it will be considerably worse or worse, which respectively denote 12% and 60%. The mean value was and the standard deviation was 5.25±0.479, 2.23±0.75, and 4.81±1.13 correspondingly. After five therapy sessions, the patient expected to feel better about their neck condition, reporting 76% improvement and the same 18% improvement. When asked about their capacity to utilize and perform neck movements, they responded that it was 60% the same. In the case of neck discomfort, they indicated it was 30% worse, a little worse, and the same, which represent 42% and 26%, respectively. The average value and standard deviation were 4.73±0.565, 3.00±0.804, and 3.73±0.851, respectively. Conclusion: Patients with neck pain had high general expectations for physical therapy. Most patients specifically expected manual therapy and exercise to be beneficial treatments for neck pain. Patients with low general expectations for pain relief had worse outcomes at 6 months than patients who expected complete pain relief.