Physical therapists' perspectives and practices on weight management for chronic pain patients with obesity: a cross-sectional survey.
Publisher DOI
PubMed ID
41341695
Abstract
Introduction
Overweight and obesity management in primary care gained importance due to its global rise and association with cardiometabolic diseases and chronic musculoskeletal disorders (MSD). Physical therapists are well-positioned to incorporate weight management in their practice. This survey evaluates attitudes, barriers and clinical practices of physical therapists regarding weight management for individuals with chronic pain and comorbid overweight or obesity.Methods
German-speaking physical therapists in Switzerland volunteered in an online survey. Descriptive statistics summarized physical therapists' attitudes, barriers and practices. Logistic regression analyses identified factors associated with recommending and implementing weight reduction interventions.Results
Of the 581 respondents, 92.1% acknowledged the importance of educating patients on obesity-related health risks, and 81.6% recommended weight reduction. Two-thirds offered weight reduction interventions in physical therapy, although fewer (57.3%) received corresponding training during entry-level education. Most weight reduction interventions focused on movement, endurance, and strength, whilst a minority addressed nutrition, sleep or stress. The odds of offering weight reduction interventions were higher among those with entry-level education (OR: 2.1, 95% CI: 1.4-3.3), further education (OR: 1.9, 95% CI: 1.1-3.3), and for those who perceived weight reduction interventions (OR: 6.5, 95% CI: 3.5-12.3) and counseling on other lifestyle factors (OR: 2.9, 95% CI: 1.2-7.3) as within their professional scope.Conclusions
While physical therapists showed positive attitudes toward weight reduction interventions for individuals with chronic pain and overweight or obesity, their education and implementation remain inconsistent, primarily focusing on improving physical activity. Clear competencies and structured training are needed to integrate evidence-based weight management into clinical practice.
Overweight and obesity management in primary care gained importance due to its global rise and association with cardiometabolic diseases and chronic musculoskeletal disorders (MSD). Physical therapists are well-positioned to incorporate weight management in their practice. This survey evaluates attitudes, barriers and clinical practices of physical therapists regarding weight management for individuals with chronic pain and comorbid overweight or obesity.Methods
German-speaking physical therapists in Switzerland volunteered in an online survey. Descriptive statistics summarized physical therapists' attitudes, barriers and practices. Logistic regression analyses identified factors associated with recommending and implementing weight reduction interventions.Results
Of the 581 respondents, 92.1% acknowledged the importance of educating patients on obesity-related health risks, and 81.6% recommended weight reduction. Two-thirds offered weight reduction interventions in physical therapy, although fewer (57.3%) received corresponding training during entry-level education. Most weight reduction interventions focused on movement, endurance, and strength, whilst a minority addressed nutrition, sleep or stress. The odds of offering weight reduction interventions were higher among those with entry-level education (OR: 2.1, 95% CI: 1.4-3.3), further education (OR: 1.9, 95% CI: 1.1-3.3), and for those who perceived weight reduction interventions (OR: 6.5, 95% CI: 3.5-12.3) and counseling on other lifestyle factors (OR: 2.9, 95% CI: 1.2-7.3) as within their professional scope.Conclusions
While physical therapists showed positive attitudes toward weight reduction interventions for individuals with chronic pain and overweight or obesity, their education and implementation remain inconsistent, primarily focusing on improving physical activity. Clear competencies and structured training are needed to integrate evidence-based weight management into clinical practice.
Date Issued
2025
Publication Type
Article
Subject(s)
Subjects
Chronic pain
•
Lifestyle
•
Obesity
•
Physical therapy
•
Weight management
Language(s)
en
Author(s)
Liechti, Melanie | |
Menegon, Massimo | |
Bern University of Applied Sciences, Berner Fachhochschule, FIFA, University of Antwerp, University of Applied Sciences Rosenheim, University of Bern, Universität Bern, Vrije Universiteit Brussels | |
Vanroose, Matteo | |
Clijsen, Ron | |
Malfliet, Anneleen | |
Faeh, David | |
Taeymans, Jan | |
Lutz, Nathanael |
Additional Credits
Bern University of Applied Sciences, Berner Fachhochschule, FIFA, University of Antwerp, University of Applied Sciences Rosenheim, University of Bern, Universität Bern, Vrije Universiteit Brussels
Journal
Archives of Physiotherapy
Publisher
AboutScienceSrl
ISSN
2057-0082
Access(Rights)
open.access