Evidence map›Paper›PMID 39966819›Full record

ArticleChiropractic & manual therapies2025

Insights into how manual therapists incorporate the biopsychosocial-enactive model in the care of individuals with CLBP: a qualitative study.

Marco Bianchi, Giacomo Rossettini, Francesco Cerritelli, Jorge E Esteves

Abstract read
In one paragraph

Article in Chiropractic & manual therapies, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Marco BianchiMalta ICOM Educational, Gzira, Malta.
Giacomo RossettiniSchool of Physiotherapy, University of Verona, Via Bengasi 4, Verona, 37134, Italy. giacomo.rossettini@gmail.com.
Francesco CerritelliFoundation COME Collaboration, Clinical-Based Human Research Department, Pescara, Italy.
Jorge E EstevesMalta ICOM Educational, Gzira, Malta.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic low back pain (CLBP) presents a significant challenge for manual therapists. Recent advancements in pain research have highlighted the limitations of the traditional biomedical and biopsychosocial models, prompting the exploration of alternatives. The biopsychosocial-enactive (BPS-E) model has emerged as a promising alternative. This study aims to explore the application of the BPS-E model by manual therapists in managing CLBP and to initiate a meaningful dialogue about its use.

methodsThis study adhered to the Standards for Reporting Qualitative Research. Guided by constructivist grounded theory, we conducted semi-structured interviews with ten manual therapists who are experts in the BPS-E model. Data collection, conceptualization, and analysis were systematically carried out to identify key themes and insights.

resultsThe core theme identified was "The person-centred approach," with three subthemes: "Opportunities in implementing the model", "Utilizing and Integrating Diverse Skills for Holistic Care", and "Challenges in implementing the model".

conclusionThis study provides insights into how manual therapists incorporate the BPS-E model in their practice, demonstrating its advantages over the traditional biopsychosocial model. The findings highlight the need for further research and training to effectively implement the BPS-E model in clinical settings. This research begins an essential discussion on the potential of the BPS-E model to enhance care for CLBP patients.

Indexed as

Chronic PainLow Back PainModels, BiopsychosocialMusculoskeletal ManipulationsAdultFemaleHumansInterviews as TopicMaleMiddle AgedQualitative ResearchBiopsychosocial-enactive modelBiopsychosocial modelChronic low back painGrounded theoryManual therapyPerson-centred care

Identifiers

PMID39966819
PMCPMC11837614

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.