Estresse e Burnout entre fisioterapeutas
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May 30, 2025
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Resumo
Objetivo: Sintetizar as informações atualizadas da literatura sobre estresse e Burnout entre fisioterapeutas. Revisão bibliográfica: O estresse é um fenômeno comum em ambientes de atenção à saúde e é frequentemente descrito como a reação do corpo a pressões e demandas externas. A síndrome de Burnout envolve exaustão emocional, despersonalização e uma menor realização pessoal. Esse esgotamento profissional entre os fisioterapeutas manifesta-se por um aumento da exaustão emocional e diminuição do sentimento de realização pessoal. Essa pesquisa concluiu que existem vários fatores que contribuem para o burnout e estresse em fisioterapeutas. Dentre esses fatores destacam-se a carga de trabalho, a restrição de recursos, os fatores sociodemográficos e a exaustão emocional. Considerações finais: Estratégias precoces de detecção e manejo destas condições precisam ser implementadas a fim de mitigar a fadiga e exaustão física e psicológica. A exposição do problema do estresse e síndrome de burnout em profissionais da fisioterapia proporciona compreensão em relação à necessidade de exploração pormenorizada dessa temática entre estes profissionais da saúde para reduzir custos com absenteísmo.
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Como Citar
NascimentoS. M., GutierrezD. M. D., SilvaB. F. G. da, LopesP. dos A. F., PaivaT. M. G. de, LeonelJ. S., & FurtadoS. da C. (2025). Estresse e Burnout entre fisioterapeutas. Revista Eletrônica Acervo Saúde, 25(5), e20155. https://doi.org/10.25248/reas.e20155.2025
Seção
Revisão Bibliográfica
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Referências
1. ALGHADIER M, et al. Burnout syndrome and its correlation with musculoskeletal disorders among physiotherapists in Saudi: A cross-sectional study. Physiotherapy Research International. 2024; 29(2): 2081.
2. BALOGUN JA, et al. Prevalence and determinants of burnout among physical and occupational therapists. Journal of Allied Health. 2002; 31(3): 131-139.
3. BEJER A, et al. Burnout syndrome in physiotherapists working in the Podkarpackie province in Poland. Work (Reading, Mass.). 2019; 64(4): 809-815.
4. BIGGS D, et al. Physiotherapy Under Pressure: A Cross-Sectional Study on The Interplay Between Perfectionism, Moral Injury, and Burnout. MedRxiv. 2024; 20(2): 299173.
5. BOWENS AN, et al. Assessment of Professional Quality of Life in the Alabama Physical Therapy Workforce. Physical Therapy. 2021; 101(7).
6. BURRI SD, et al. Risk factors associated with physical therapist burnout: A systematic review. Physiotherapy. 2022; 116: 9-24.
7. CAMPO MA, et al. Job Strain in Physical Therapists. Physical Therapy. 2009; 89(9): 946-956.
8. CANTU R, et al. Burnout and intent-to-leave in physical therapists: A preliminary analysis of factors under organizational control. Physiotherapy Theory and Practice. 2022; 38(13): 2988-2997.
9. CARMONA-BARRIENTOS I, et al. Occupational stress and burnout among physiotherapists: A cross-sectional survey in Cadiz (Spain). Human Resources for Health. 2020; 18: 1-10.
10. CARPI M, et al. Burnout and perceived stress among Italian physical therapists during the COVID-19 pandemic: A cross-sectional study. Psychology, Health & Medicine. 2023: 1-13.
11. DE SIRE A, et al. Psychological distress and work environment perception by physical therapists from Southern Italy during COVID-19 pandemic: The CALABRIA study. International Journal of Environmental Research and Public Health. 2021; 18(18): 9676-9676.
12. DECKARD GJ e PRESENT RM. Impact of role stress on physical therapists' emotional and physical well-being. Physical Therapy. 1989; 69(9): 713-718.
13. DIJXHOORN AFQ, et al. Prevalence of burnout in healthcare professionals providing palliative care and the effect of interventions to reduce symptoms: A systematic literature review. Palliative Medicine. 2021; 35(1): 6-26.
14. DONOHOE E, et al. Factors associated with burnout of physical therapists in Massachusetts rehabilitation hospitals. Physical Therapy. 1993; 73(11): 750-761.
15. ELBARAZI I, et al. Prevalence of and factors associated with burnout among health care professionals in Arab countries: A systematic review. BMC Health Services Research. 2017; 17: 1-10.
16. ELINICH J, et al. Perceptions and experiences of burnout: A survey of physical therapists across practice settings and patient populations. Physiotherapy Theory and Practice. 2024; 40(11): 2579-2590.
17. EVANS K, et al. The first year of private practice-new graduate physiotherapists are highly engaged and satisfied but edging toward burnout. Physiotherapy Theory and Practice. 2024; 40(2): 262-275.
18. FERGUSON JJ, et al. Feeling exhausted: How outpatient physical therapists perceive and manage job stressors. Musculoskeletal Care. 2023; 21(3): 845-855.
19. FREUDENBERGER HJ. Staff burn-out. Journal of Social Issues. 1974; 30(1): 159-165.
20. GONZÁLEZ-SÁNCHEZB, et al. Burnout syndrome prevalence in physiotherapists. Revista da Associação Médica Brasileira (1992). 2017; 63(4): 361-365.
21. GRANDE-ALONSO M, et al. Comparative analysis of the burnout syndrome index between contract and freelance physiotherapists: An observational study. Work (Reading, Mass.). 2023; 76(3): 1135-1144.
22. JÁCOME C, et al. Burnout in Portuguese physiotherapists during COVID‐19 pandemic. Physiotherapy Research International. 2021; 26(3): 1915.
23. KIM J-H, et al. Burnout Syndrome and Work-Related Stress in Physical and Occupational Therapists Working in Different Types of Hospitals: Which Group Is the Most Vulnerable?.International Journal of Environmental Research and Public Health. 2020; 17(14): 5001.
24. KOWALSKA J, et al. Analysis of the Sense of Occupational Stress and Burnout Syndrome among Working Physiotherapists-A Pilot Study. Medicina. 2021; 57(12): 1290-1290.
25. LEE S-J, et al. The Influencing Factors of Gender Differences on Mental Burdens in Young Physiotherapists and Occupational Therapist. International Journal of Environmental Research and Public Health. 2021; 18(6): 2858.
26. MAIA MS, et al. Work-related stress among physiotherapists from the musculoskeletal area: An observational study. Work. 2022; 71(4): 1163-1173.
27. MIKOLAJEWSKA E. Work-related stress and burnout in physiotherapists--a literature review. MedycynaPracy. 2014; 65(5): 693-701.
28. MORISAWA F, et al. Association between physiotherapist burnout and working environment during the coronavirus disease 2019 pandemic in Japan: A multicenter observational study. PLoS ONE. 2022; 17(9); 275415.
29. NOWAKOWSKA-DOMAGALA K, et al. The Interrelationships of Coping Styles and Professional Burnout Among Physiotherapists: A Cross-Sectional Study. Medicine. 2015; 94(24): 906.
30. NOZEDAR L e O'SHEA S. What is the prevalence of burnout amongst first contact physiotherapists working within primary care? Musculoskeletal Care. 2023; 21(3): 776-785.
31. OWCZAREK K, et al. Burnout Syndrome Among Physiotherapists. Wiadomosci Lekarskie. 2016; 537.
32. PATEL RM e BARTHOLOMEW J. Impact of Job Resources and Job Demands on Burnout among Physical Therapy Providers. International Journal of Environmental Research and Public Health. 2021; 18(23): 12521-12521.
33. PNIAK B, et al. Occupational burnout among active physiotherapists working in clinical hospitals during the COVID-19 pandemic in south-eastern Poland. Work. 2021; 68(2): 285-295.
34. PUGLIESE M, et al. Mentorship and self-efficacy are associated with lower burnout in physical therapists in the United States: a cross-sectional survey study. Journal of Educational Evaluation for Health Professions. 2023; 20: 27.
35. PUSTULKA-PIWNIK U, et al. Burnout syndrome in physical therapists-demographic and organizational factors. MedycynaPracy. 2014; 65(4): 453-462.
36. RODRÍGUEZ-NOGUEIRA Ó, et al. Relationship between competency for evidence-based practice and level of burnout of physical therapists with the establishment of the therapeutic relationship. Physiotherapy Theory and Practice. 2024; 40(2): 357-365.
37. RODRÍGUEZ-NOGUEIRA Ó, et al. The relationship between burnout and empathy in physiotherapists: a cross-sectional study. Annals of Medicine. 2022;54(1):933-940.
38. ROTHER ET. Systematic literature review X narrative review. Acta Paulista de Enfermagem. 2007; 20.
39. ROUNDY PE, et al. Relationships Between Burnout and Resilience: Experiences of Physical Therapists and Occupational Therapists During the COVID-19 Pandemic. Physical Therapy. 2023; 103(5): 22.
40. SALVAGIONI DAJ, et al. Physical, psychological and occupational consequences of job burnout: A systematic review of prospective studies. PloS one. 2017; 12(10): 185781.
41. SCHLENZKC, et al. Burnout in occupational therapists and physical therapists working in head injury rehabilitation. The American Journal of Occupational Therapy. 1995; 49(10): 986-993.
42. SCHUSTERND, et al. Burnout among physical therapists. Physical Therapy. 1984; 64(3): 299-303.
43. SILVA RAD, et al. Síndrome de Burnout: realidade dos fisioterapeutas intensivistas? Fisioterapia e Pesquisa. 2018; 25: 388-394.
44. ŚLIWIŃSKI Z, et al. Burnout among physiotherapists and length of service. International Journal of Occupational Medicine and Environmental Health. 2014; 27(2): 224-235.
45. ŚLIWIŃSKI Z, et al. Life satisfaction and risk of burnout among men and women working as physiotherapists. International Journal of Occupational Medicine and Environmental Health. 2014; 27(3): 400-412.
46. WILSKI M, et al. Work locus of control and burnout in Polish physiotherapists: The mediating effect of coping styles. International Journal of Occupational Medicine and Environmental Health. 2015; 28(5): 875-889.
47. WÓJTOWICZ D e KOWALSKA J. Analysis of the sense of occupational stress and burnout syndrome among physiotherapists during the COVID-19 pandemic. Scientific reports. 2023; 13(1): 5743.
2. BALOGUN JA, et al. Prevalence and determinants of burnout among physical and occupational therapists. Journal of Allied Health. 2002; 31(3): 131-139.
3. BEJER A, et al. Burnout syndrome in physiotherapists working in the Podkarpackie province in Poland. Work (Reading, Mass.). 2019; 64(4): 809-815.
4. BIGGS D, et al. Physiotherapy Under Pressure: A Cross-Sectional Study on The Interplay Between Perfectionism, Moral Injury, and Burnout. MedRxiv. 2024; 20(2): 299173.
5. BOWENS AN, et al. Assessment of Professional Quality of Life in the Alabama Physical Therapy Workforce. Physical Therapy. 2021; 101(7).
6. BURRI SD, et al. Risk factors associated with physical therapist burnout: A systematic review. Physiotherapy. 2022; 116: 9-24.
7. CAMPO MA, et al. Job Strain in Physical Therapists. Physical Therapy. 2009; 89(9): 946-956.
8. CANTU R, et al. Burnout and intent-to-leave in physical therapists: A preliminary analysis of factors under organizational control. Physiotherapy Theory and Practice. 2022; 38(13): 2988-2997.
9. CARMONA-BARRIENTOS I, et al. Occupational stress and burnout among physiotherapists: A cross-sectional survey in Cadiz (Spain). Human Resources for Health. 2020; 18: 1-10.
10. CARPI M, et al. Burnout and perceived stress among Italian physical therapists during the COVID-19 pandemic: A cross-sectional study. Psychology, Health & Medicine. 2023: 1-13.
11. DE SIRE A, et al. Psychological distress and work environment perception by physical therapists from Southern Italy during COVID-19 pandemic: The CALABRIA study. International Journal of Environmental Research and Public Health. 2021; 18(18): 9676-9676.
12. DECKARD GJ e PRESENT RM. Impact of role stress on physical therapists' emotional and physical well-being. Physical Therapy. 1989; 69(9): 713-718.
13. DIJXHOORN AFQ, et al. Prevalence of burnout in healthcare professionals providing palliative care and the effect of interventions to reduce symptoms: A systematic literature review. Palliative Medicine. 2021; 35(1): 6-26.
14. DONOHOE E, et al. Factors associated with burnout of physical therapists in Massachusetts rehabilitation hospitals. Physical Therapy. 1993; 73(11): 750-761.
15. ELBARAZI I, et al. Prevalence of and factors associated with burnout among health care professionals in Arab countries: A systematic review. BMC Health Services Research. 2017; 17: 1-10.
16. ELINICH J, et al. Perceptions and experiences of burnout: A survey of physical therapists across practice settings and patient populations. Physiotherapy Theory and Practice. 2024; 40(11): 2579-2590.
17. EVANS K, et al. The first year of private practice-new graduate physiotherapists are highly engaged and satisfied but edging toward burnout. Physiotherapy Theory and Practice. 2024; 40(2): 262-275.
18. FERGUSON JJ, et al. Feeling exhausted: How outpatient physical therapists perceive and manage job stressors. Musculoskeletal Care. 2023; 21(3): 845-855.
19. FREUDENBERGER HJ. Staff burn-out. Journal of Social Issues. 1974; 30(1): 159-165.
20. GONZÁLEZ-SÁNCHEZB, et al. Burnout syndrome prevalence in physiotherapists. Revista da Associação Médica Brasileira (1992). 2017; 63(4): 361-365.
21. GRANDE-ALONSO M, et al. Comparative analysis of the burnout syndrome index between contract and freelance physiotherapists: An observational study. Work (Reading, Mass.). 2023; 76(3): 1135-1144.
22. JÁCOME C, et al. Burnout in Portuguese physiotherapists during COVID‐19 pandemic. Physiotherapy Research International. 2021; 26(3): 1915.
23. KIM J-H, et al. Burnout Syndrome and Work-Related Stress in Physical and Occupational Therapists Working in Different Types of Hospitals: Which Group Is the Most Vulnerable?.International Journal of Environmental Research and Public Health. 2020; 17(14): 5001.
24. KOWALSKA J, et al. Analysis of the Sense of Occupational Stress and Burnout Syndrome among Working Physiotherapists-A Pilot Study. Medicina. 2021; 57(12): 1290-1290.
25. LEE S-J, et al. The Influencing Factors of Gender Differences on Mental Burdens in Young Physiotherapists and Occupational Therapist. International Journal of Environmental Research and Public Health. 2021; 18(6): 2858.
26. MAIA MS, et al. Work-related stress among physiotherapists from the musculoskeletal area: An observational study. Work. 2022; 71(4): 1163-1173.
27. MIKOLAJEWSKA E. Work-related stress and burnout in physiotherapists--a literature review. MedycynaPracy. 2014; 65(5): 693-701.
28. MORISAWA F, et al. Association between physiotherapist burnout and working environment during the coronavirus disease 2019 pandemic in Japan: A multicenter observational study. PLoS ONE. 2022; 17(9); 275415.
29. NOWAKOWSKA-DOMAGALA K, et al. The Interrelationships of Coping Styles and Professional Burnout Among Physiotherapists: A Cross-Sectional Study. Medicine. 2015; 94(24): 906.
30. NOZEDAR L e O'SHEA S. What is the prevalence of burnout amongst first contact physiotherapists working within primary care? Musculoskeletal Care. 2023; 21(3): 776-785.
31. OWCZAREK K, et al. Burnout Syndrome Among Physiotherapists. Wiadomosci Lekarskie. 2016; 537.
32. PATEL RM e BARTHOLOMEW J. Impact of Job Resources and Job Demands on Burnout among Physical Therapy Providers. International Journal of Environmental Research and Public Health. 2021; 18(23): 12521-12521.
33. PNIAK B, et al. Occupational burnout among active physiotherapists working in clinical hospitals during the COVID-19 pandemic in south-eastern Poland. Work. 2021; 68(2): 285-295.
34. PUGLIESE M, et al. Mentorship and self-efficacy are associated with lower burnout in physical therapists in the United States: a cross-sectional survey study. Journal of Educational Evaluation for Health Professions. 2023; 20: 27.
35. PUSTULKA-PIWNIK U, et al. Burnout syndrome in physical therapists-demographic and organizational factors. MedycynaPracy. 2014; 65(4): 453-462.
36. RODRÍGUEZ-NOGUEIRA Ó, et al. Relationship between competency for evidence-based practice and level of burnout of physical therapists with the establishment of the therapeutic relationship. Physiotherapy Theory and Practice. 2024; 40(2): 357-365.
37. RODRÍGUEZ-NOGUEIRA Ó, et al. The relationship between burnout and empathy in physiotherapists: a cross-sectional study. Annals of Medicine. 2022;54(1):933-940.
38. ROTHER ET. Systematic literature review X narrative review. Acta Paulista de Enfermagem. 2007; 20.
39. ROUNDY PE, et al. Relationships Between Burnout and Resilience: Experiences of Physical Therapists and Occupational Therapists During the COVID-19 Pandemic. Physical Therapy. 2023; 103(5): 22.
40. SALVAGIONI DAJ, et al. Physical, psychological and occupational consequences of job burnout: A systematic review of prospective studies. PloS one. 2017; 12(10): 185781.
41. SCHLENZKC, et al. Burnout in occupational therapists and physical therapists working in head injury rehabilitation. The American Journal of Occupational Therapy. 1995; 49(10): 986-993.
42. SCHUSTERND, et al. Burnout among physical therapists. Physical Therapy. 1984; 64(3): 299-303.
43. SILVA RAD, et al. Síndrome de Burnout: realidade dos fisioterapeutas intensivistas? Fisioterapia e Pesquisa. 2018; 25: 388-394.
44. ŚLIWIŃSKI Z, et al. Burnout among physiotherapists and length of service. International Journal of Occupational Medicine and Environmental Health. 2014; 27(2): 224-235.
45. ŚLIWIŃSKI Z, et al. Life satisfaction and risk of burnout among men and women working as physiotherapists. International Journal of Occupational Medicine and Environmental Health. 2014; 27(3): 400-412.
46. WILSKI M, et al. Work locus of control and burnout in Polish physiotherapists: The mediating effect of coping styles. International Journal of Occupational Medicine and Environmental Health. 2015; 28(5): 875-889.
47. WÓJTOWICZ D e KOWALSKA J. Analysis of the sense of occupational stress and burnout syndrome among physiotherapists during the COVID-19 pandemic. Scientific reports. 2023; 13(1): 5743.