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Igwesi-Chidobe, Chinonso N., Chiamaka Anyaene, Adegoke Akinfeleye, Ernest Anikwe, and Rik Gosselink. "Experiences of physiotherapists involved in front-line management of patients with COVID-19 in Nigeria: a qualitative study." BMJ Open 12, no. 4 (April 2022): e060012. http://dx.doi.org/10.1136/bmjopen-2021-060012.
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ObjectivesEvidence-based guidelines recommend physiotherapy for respiratory treatment and physical rehabilitation of patients with COVID-19. It is unclear to what extent physiotherapy services are used in the front-line management of COVID-19 in Nigeria. This study aimed to explore the experiences of front-line physiotherapists managing patients with COVID-19 in Nigeria.DesignQualitative interview-based study.SettingICU and hospital COVID-19 wards, COVID-isolation and treatment centres in Nigeria, between August 2020 and January 2021.ParticipantsEight out of 20 physiotherapists managing patients with COVID-19 in the front line were recruited using purposive and snowball sampling.MethodsQualitative in-depth semistructured telephone interviews of all consenting physiotherapists managing patients with COVID-19 in the front line in Nigeria were conducted and transcribed verbatim. Transcripts were thematically analysed.ResultsEight front-line physiotherapists (three neurological physiotherapists, two orthopaedic physiotherapists, one cardiopulmonary physiotherapist, one sports physiotherapist and one rotational physiotherapist) provided consent and data for this study. Four themes and 13 subthemes were generated illustrating discriminatory experiences of front-line physiotherapists, particularly from COVID-19 team leads; lack of multidisciplinary teamwork within COVID-19 teams; wide ranging stigmatisation from extended family members, colleagues, friends and the general public; material and psychosocial personal losses; lack of system support and suboptimal utilisation of physiotherapy in the management of COVID-19 in Nigeria. Personal agency, sense of professionalism, previous experience managing highly infectious diseases and being a cardiopulmonary physiotherapist were the factors that made the front-line physiotherapists to become involved in managing patients with COVID-19. However, discriminatory experiences made some of these physiotherapists to stop being involved in the management of patients with COVID-19 in the front line. Most front-line physiotherapists were not cardiopulmonary physiotherapists which may have influenced their level of expertise, multidisciplinary involvement and patient outcomes.ConclusionsThere is suboptimal involvement and support for physiotherapists, particularly cardiopulmonary physiotherapists treating patients with COVID-19 in the front line in Nigeria.
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Saha, Pranav, Tenzin Yangchen, Shaili Sharma, Jaspinder Kaur, Tsetan Norboo, and Ammar Suhail. "How Do Physiotherapists Treat People with Knee Osteoarthritis and their evidence awareness: A cross-sectional survey among Indian Physiotherapists." International Journal of Physiotherapy and Research 9, no. 4 (August 11, 2021): 3968–73. http://dx.doi.org/10.16965/ijpr.2021.161.
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Background: Evidence-based practice in the field of physiotherapy is of utmost importance and is the way ahead. Physiotherapists' knowledge of evidence in terms of assessment and management of knee OA may influence the implementation of evidence-based practice. However, physiotherapist’s practice patterns are usually based on their professional experience or expert opinions. The present study aimed to explore the evidence awareness among Indian physiotherapists and identify their practice patterns in patients with knee OA. Methods: An online cross-sectional survey was conducted among Indian physiotherapists. The survey was designed using current clinical practice guidelines and previously published similar studies. The survey consisted of three sections: (1) demographic details, (2) questions related to evidence awareness, (3) questions related to the practice patterns of Indian physiotherapists. The evidence awareness and practice patterns of physiotherapists were explored. Results: A total of 165 responses were received and analyzed. Most participants perceived footwear modifications (21.2%) and resistance exercises (44.2%) as having very strong evidence. Range of motion assessment and functional assessment was regarded as a must during the patient's initial visit. In terms of management strategies majority of the participants considered patient education (n=122), strengthening exercises (n=81), and therapeutic ultrasound (n=79) as their treatment of choice. Conclusion: Most physiotherapist assessment strategies were aimed at identifying impairments in patients. In line with the clinical practice guidelines, most physiotherapists use patient education and strengthening exercises to treat patients with knee OA. However, treatment modalities like ultrasound, TENS, and dry needling, which lack scientific support, are still being used by the physiotherapist. There is a lack of coherence between physiotherapists' evidence awareness and their choice of management strategies. KEY WORDS: Knee, Osteoarthritis, Survey, Resistance exercises.
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Bryndal, Aleksandra, Sebastian Glowinski, and Agnieszka Grochulska. "Influence of Occupation on the Prevalence of Spinal Pain among Physiotherapists and Nurses." Journal of Clinical Medicine 11, no. 19 (September 23, 2022): 5600. http://dx.doi.org/10.3390/jcm11195600.
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(1) Background: Neck pain (NP) and low back pain (LBP) are common musculoskeletal disorders, one of the major causes of disability globally. The aim of the study was to determine the influence of medical occupation (physiotherapist and nurse) on the prevalence of spinal pain, functional status and degree of disability. (2) Methods: a total of 544 people (462 females (84.9%) and 82 males (15.1%)), licensed to practice as a physiotherapist (n1 = 240 (44.1%)) or nurse (n2 = 304 (55.9%)) in Poland completed a special questionnaire designed by the authors of the study, and were assessed using the Neck Disability Index (NDI, Polish language version) and Revised Oswestry Disability Index (ODI, Polish language version). (3) Results: Compared to physiotherapists, nurses were older, shorter, had higher BMI, and longer work experience. In the whole study group, 30.2% of subjects reported NP, 17.7% reported thoracic pain (ThP) and 80.5% reported LBP. During working life, 90.9% of physiotherapists and 97.7% of nurses experienced spinal pain. Pain intensity measured with Visual Analogue Scale (VAS) was higher among nurses (mean 5.37) than among physiotherapists (mean 4.64). Nurses had a higher degree of disability caused by LBP and NP measured with ODI and NDI compared to physiotherapists. (4) Conclusions: Excessive strain of the spine associated with occupational activities has a strong impact on the intensity and frequency of spinal pain episodes. Physiotherapists and nurses mainly suffer from low back pain. Pain scores measured with VAS are higher in nurses than in physiotherapists.
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Lewis, Matthew William, and Paul Gill. "Facilitators and barriers regarding the implementation and interprofessional collaboration of a first contact physiotherapy service in primary care in Wales: a qualitative study." International Journal of Therapy and Rehabilitation 30, no. 1 (January 2, 2023): 1–12. http://dx.doi.org/10.12968/ijtr.2022.0053.
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Background/Aims Future primary care services in Wales are likely to face higher demand for musculoskeletal ailments because of an ageing population and difficulties retaining and recruiting general practitioners. First contact physiotherapists provide specialist musculoskeletal management within primary care and offer a solution to this issue; however, no studies have yet explored first contact physiotherapist services in Wales. Consequently, little is known about the experience of working as a first contact physiotherapist in Wales. The aim of this study was to explore the experiences of first contact physiotherapists in primary care in south east Wales regarding the implementation, interprofessional collaboration and the facilitators and barriers to providing the service. Methods A qualitative, Heideggerian hermeneutical phenomenological study was performed. A purposive sample of eleven physiotherapists were recruited for the study from an NHS health board in south east Wales, comprising three different first contact physiotherapist models. Data were collected through individual semi-structured interviews. Data analysis was conducted via a three-step format. Results Participants viewed the first contact physiotherapist role as positive as it represented role and career advancement. Adequate training and mentorship were not provided to support the role. Participants perceived that patients and the wider multidisciplinary team did not fully understand the role of the first contact physiotherapist. Inappropriate use of services was common, with first contact physiotherapists often acting as the second contact practitioner, leading to duplication of effort and the development of unnecessary waiting lists. The degree of interprofessional collaboration appeared to influence the clarity of the role of the first contact physiotherapist, with a reduced clarity of role in models where first contact physiotherapists were not often present. Burnout was perceived as a risk for participants with low levels of experience in advanced practice and was dependent on the model worked in. Participants perceived a lack of specific aims for the first contact physiotherapy service and ambiguity over who was responsible for service leadership, leading to inappropriate use of services. Conclusions Clear operational leadership and strategies to increase interprofessional collaboration are required to increase the clarity about the roled of the first contact physiotherapist and ensure service efficacy. There is a need in Wales for a professional development, mentorship and governance framework to ensure sustainability and efficacy of first contact physiotherapy services.
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Chi, Chong Li, and Vinodhkumar Ramalingam. "CHALLENGES OF PHYSIOTHERAPIST DURING PROSTHESIS REHABILITATION IN MALAYSIA." Journal of Experimental Biology and Agricultural Sciences 9, Spl-1- GCSGD_2020 (March 25, 2021): S85—S94. http://dx.doi.org/10.18006/2021.9(spl-1-gcsgd_2020).s85.s94.
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The present study reported the challenges faced by the physiotherapist during prosthesis rehabilitation in Malaysia. Mortality due to lower limb amputation is a concern in recent days that can be improved by providing proper rehabilitation. However, challenges faced by the physiotherapist during rehabilitation are expected to affect the effectiveness of the rehabilitation. Hence, it is important to identify the possible challenges faced by the physiotherapist during prosthesis rehabilitation to take the necessary precautions for better outcomes. A total of 200 Malaysian physiotherapists who have experience in rehabilitating amputees were selected to participate in this online survey. The participants were requested to complete a self-administered electronic questionnaire containing 20 questions. The present study reported a few challenges faced by the physiotherapists in Malaysia during prosthesis rehabilitation such as “encountering patient that refuse to perform exercises is common” (77%), encountered high physical demand (81.5%), encountering language barriers (48.5%), patients often encounter difficulty in assessing health service (63.5%) and encountering prosthesis problems (67%). The barriers were inconsistent and complex, including patient factors, healthcare provider’s factors, environmental factors, other factors. The study has highlighted challenges faced by the physiotherapists during prosthesis rehabilitation to raise awareness among physiotherapists and at the same time create ideas for specific health care practitioners to overcome the barriers, therefore shortening the length of rehabilitation and enhancing the effectiveness of the rehabilitation to lower the mortality.
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Woods, Emma, and Lynne Gaskell. "The STarT Back Tool: Physiotherapist Experience and Perceptions of its Clinical Utility." European Journal for Person Centered Healthcare 2, no. 4 (October 13, 2014): 497. http://dx.doi.org/10.5750/ejpch.v2i4.836.
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i) Rationale:The STarT Back Tool (SBT) has been recently validated for use as a prognostic screening tool with Lower Back Pain (LBP) patients in the primary care setting (1). A recent study by Hill et al (2) concluded that LBP outcomes and cost effectiveness could be improved from using the SBT to guide decision making and providing a stratified approach to care. The SBT was introduced to musculoskeletal physiotherapists working in the community setting for Bolton NHS Foundation Trust.This study aims to explore the perceptions and experiences of physiotherapists using the SBT in clinical practice. No study has yet explored thisii) Method:A qualitative study was conducted. A Nominal Group Technique (NGT) was undertaken to develop an appropriate set of questions for use in a single Focus Group (FG). The FG comprised of eight musculoskeletal physiotherapists. The FG was audio taped and the data obtained was analysed through Grounded Theory Methodology.iii) Results:Physiotherapists felt the SBT acted in a confirmatory manner. Although deemed easy to use, a number of barriers led to only a small impact on decision making. These being, perceived oversimplification of the decision making process, impact on professional reputations and professional development, risks associated with single treatment sessions, patient satisfaction and threats to patient centred care. iv) Conclusion:A number of barriers reduced Physiotherapist confidence in using the SBT to guide decision making and led to physiotherapists questioning whether a stratified approach to LBP management represented the ‘best care’ for their patients. The study highlighted the importance of a robust training prior to and during the implementation of the SBT and a stratified approach to care within physiotherapy departments.
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Monaco, Silvia, Alessia Renzi, Beatrice Galluzzi, Rachele Mariani, and Michela Di Trani. "The Relationship between Physiotherapist and Patient: A Qualitative Study on Physiotherapists’ Representations on This Theme." Healthcare 10, no. 11 (October 25, 2022): 2123. http://dx.doi.org/10.3390/healthcare10112123.
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The physiotherapist represents a resource for the psychophysical well-being of an individual. Specific characteristics of the physiotherapist–patient relationship can influence the outcome of rehabilitation. This study aimed to explore physiotherapists’ representations on how they perceive their relationship with their patients, in order to highlight helpful elements in promoting the outcome of the intervention. In this study, 50 physiotherapists (27 females and 23 males; mean age = 42 years; sd = 12.2) participated in an individual interview, conducted remotely via videocall. Socio-demographic and occupational data were collected. The interviews were recorded and transcribed. Texts were analyzed using emotional text mining (ETM). Participants organized their work by means of three categories: (1) work with the patient, in which the physiotherapists described two complementary elements of the therapy, which are the observable-technical aspects of their work and the internal predispositions; (2) the healing process, highlighting the aims of their intervention, including the physical pathology and the relationship with the patients; (3) physiotherapist as a psychologist, describing the attempt to understand patients’ emotional experience to gradually transition to the practical intervention. Understanding the emotional and relational processes that form the basis of physiotherapist practice can contribute to the development of interventions in which the body and the mind can be integrated, resulting in a real person-centered point of view.
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Harding, Paula, Jonathan Prescott, Lenore Block, Anne Marie O'Flynn, and Angela T. Burge. "Patient experience of expanded-scope-of-practice musculoskeletal physiotherapy in the emergency department: a qualitative study." Australian Health Review 39, no. 3 (2015): 283. http://dx.doi.org/10.1071/ah14207.
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Objective The increasing number of people presenting to hospital with musculoskeletal conditions places pressure on existing services, and has resulted in expanding the scope of practice of musculoskeletal physiotherapists working in emergency departments (ED). The aim of the present study was to qualitatively explore the perspectives of patients presenting with an isolated musculoskeletal condition seen by a musculoskeletal physiotherapist in the ED of two Australian hospitals situated in contrasting geographical locations. Methods Semistructured interviews were conducted with nine participants from a major metropolitan hospital and 16 participants from a remote hospital. Interviews were transcribed, coded and analysed using a thematic approach. Results The emerging themes from the two datasets were remarkably similar, so the final themes were merged. The major themes were: (1) participants were satisfied with the process and service provided by the physiotherapist; (2) the personal attributes of the physiotherapists were important to participants; (3) participant confidence in the skills and attributes of the physiotherapist made them a suitable alternative to a doctor in these situations; and (4) the timing and efficiency of the physiotherapy service was better than expected and valued. Conclusions Participants from both settings described their experience in positive terms, reflecting satisfaction with their management by an expanded scope of practice musculoskeletal physiotherapist. What is known about the topic? To date, the literature evaluating expanded scope of practice by physiotherapists (or advanced musculoskeletal physiotherapy services) has consistently reported positive participant satisfaction. Participant satisfaction has been typically restricted to the use of standardised questionnaires. What does this paper add? To our knowledge, this is the first study to describe the participant experience and perception of being seen by an expanded-scope-of-practice physiotherapist. The study found that the perceptions of participants from two vastly different geographic locations were remarkably similar and that participants were very receptive to seeing a physiotherapist instead of a doctor. The emergent themes highlight what is important to people when they attend the ED and indicate that participants seen by a musculoskeletal physiotherapist had a positive experience regardless of whether it was in a metropolitan or remote hospital. What are the implications for practitioners? Patient-centred care should be an underlying principle of all models of service delivery in healthcare. Understanding what is important to patients is imperative to ensure they have a positive experience, particularly when new models of service are being introduced. This study provides valuable information for practitioners about what is important for the patient to have a positive experience when they visit the ED. Participants in this study valued receiving a timely and efficient service in addition to acknowledging the personal attributes, knowledge and expertise of the physiotherapist. The implications for practitioners are that an expanded scope of practice physiotherapy service in the ED can provide a positive patient experience.
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Alhowimel, Ahmed, Faris Alodiabi, Dalyah Alamam, Mazyad Alotaibi, and Julie Fritz. "Current Understanding of Pain Neurophysiology among Physiotherapists Practicing in Saudi Arabia." Healthcare 9, no. 9 (September 21, 2021): 1242. http://dx.doi.org/10.3390/healthcare9091242.
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To ensure the effective management of patients’ pain, it is important that physiotherapists have a good understanding of the neuroscience behind pain. A major barrier to adequate pain management is that, for patients, there is limited access to clinicians who are knowledgeable about pain. This study examined the level of knowledge regarding pain neurophysiology among physiotherapists currently practicing in Saudi Arabia. Method: The study was a cross-sectional web-based survey that utilized the 12-item Revised Neurophysiology of Pain Questionnaire. Descriptive and inferential statistics were used to describe levels of knowledge regarding pain neurophysiology and to examine differences in knowledge based on the characteristics of the participating physiotherapists (gender, educational level, experience, practice region, and country where their highest educational level was attained). Results: One hundred and eleven physiotherapists (58.6% male) from various regions and educational backgrounds participated in the study. Out of a maximum Revised Neurophysiology of Pain Questionnaire score of 12, the mean ± standard deviation (SD) was 6.7 ± 2.2; 90% of physiotherapists scored 9 (75%) or less. None of the examined characteristics of the participants were associated with knowledge. Conclusion: Physiotherapists in Saudi Arabia showed limited knowledge of the neurophysiology of pain; however, this was not related to the personal characteristics that were examined. The continuation of education in modern pain science is recommended for physiotherapists, especially those dealing with patients suffering from chronic pain. Clinical Relevance: The physiotherapists who took part in this study displayed limited knowledge of pain neuroscience; this limited knowledge might suggest the need for a more bio-anatomical approach to pain management. There is a need for tailored medical education to address pain neuroscience knowledge in current physiotherapist practitioners.
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Rathod, Neelam K., Shraddha Diwan, and Palak M. Engineer. "Comparison of musculoskeletal pain among neuro-pediatric physiotherapist and orthopedic physiotherapist: an observational study." International Journal of Contemporary Pediatrics 9, no. 2 (January 24, 2022): 183. http://dx.doi.org/10.18203/2349-3291.ijcp20220091.
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Background: Musculoskeletal disorders can affect the body's muscles, joints, tendons, ligaments and nerve which caused either by the work itself or by the therapist’s working environment. Physiotherapists routinely perform activities such as transferring dependent patients, assisting with mat activities, and lifting heavy equipment. These work tasks put therapists at risk for both acute and chronic musculoskeletal pain.Methods: An observational cross-sectional survey was carried out among 34 physiotherapists specialized as a neuro-pediatric and orthopedic PTs age more than 22 years old both male and females who are working as a full time PTs in clinic or a part time PTs (at least 4 hour/day with minimum 1 year work experience at same job) and not involved in any occupation other than physiotherapy (full/part time. Extended Nordic musculoskeletal questionnaire was used to quantify the musculoskeletal pain and activity limitation in 9 body regions.Results: Physiotherapist reported the highest rate of musculoskeletal disorder in the lower back and neck regions. During12-months period and point prevalence rate of WMSDs occurred mostly in low back region was (58.80%), neck (35.30%), upper back (35.30%) in neuro-paediatric physiotherapist and it was mostly in back region (41.10%) and neck, upper back, shoulder region (23.50%) respectively in orthopaedic physiotherapist.Conclusions: A high proportion of neuro-pediatric physiotherapist reported WMSDs at some body site working in their occupational lives with the low back pain and neck pain most often compare to orthopedic physiotherapists.
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Lim, Audrey, Vicki Xafis, and Clare Delany. "Exploring ethical challenges in Singapore physiotherapy practice: Implications for ethics education." Asia Pacific Scholar 8, no. 1 (January 3, 2023): 13–24. http://dx.doi.org/10.29060/taps.2023-8-1/oa2810.
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Introduction: Workplace contexts, including political and sociocultural systems influence health professions’ perception and experience of ethical issues. Although established health ethics principles are relevant guiding values, they may be experienced and interpreted differently within different health contexts. How should ethics education account for this? This paper presents ethical dilemmas and concerns encountered by physiotherapists practicing in Singapore and discusses the implications for ethics education. Methods: Qualitative methods informed by interpretivism and phenomenology were employed. In-depth interviews with 42 physiotherapists from different workplace settings in Singapore were conducted. Participants described everyday ethical challenges they encountered. Inductive content analysis was used to analyse the interview transcript data. Results: Ethical issues occurred within and across three spheres of ethics: micro, meso and macro. Ethical issues at the micro sphere centered around physiotherapist-patient relationships, interactions with colleagues, and therapists’ feelings of moral distress. In the meso sphere, ethical challenges related to influences arising from the organizational resources or systems. In the macro sphere, ethical challenges developed or were influenced by sociocultural, religious, economic, and political factors. Conclusion: The findings reflect current literature indicating that context can influence ethical situations, as experienced and perceived by physiotherapists in their unique settings. Such empirical data might inform the development of ethics curricula to ensure that universal ethical principles are situated within the realities of clinical practice. Locally relevant and realistic ethical case studies will better enable students to recognise and address these situations.
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Shaukat, Hira, Anam Zafar, Hafiz Rana Muhammad Arslan, Lubna Zafar, Fatima Jafar, and Faizan ur Rehman. "A Cross -Ectional Survey on Knowledge, Attitude and Practices of Physical Therapists Towards Covid-19 Pandemic." Pakistan Journal of Medical and Health Sciences 15, no. 7 (July 30, 2021): 2374–78. http://dx.doi.org/10.53350/pjmhs211572374.
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Objectives: The purpose of this study was to determine the number of physiotherapists who interrupted their services because of the COVID-19 pandemic and to verify the procedures adopted by the physiotherapists who are still working. Methods: It was a Cross sectional study. Study Setting was University of South Asia, Lahore. Data was collected through self-administered questionnaire. Physiotherapists working in Government and Private Hospitals in Lahore were recruited. Data was collected from October 2020 to November 2020. Non-probability Convenient sampling technique was used to recruit participants in study. Sample size of 241 Participants was calculated by using an online calculator (Raosoft,Inc.2004) with 5% margin of error, 95% confidence level and population of 462 physiotherapists working in Lahore in various Government and Private Hospitals Results: Out of 210 participants, males were 154 (73%) while females were 56 (27%). 37 (18%) were working in government hospitals while 173 (82%) were working in private setups. 14 (7%) were holding only undergraduate degree while 196 (93%) were post graduate. 28 (13%) were having up to 4 years of clinical experience working as physiotherapist, 65 (31%) were having up to 8 years of experience while 117 (56%) were having up to 12 years of clinical experience. When asked about Source of information on COVID-19, 16 (8%) chose Official international health organization sites and media, 18 (9%) chose Official government sites and media e.g. Ministry of Health Pakistan, 121 (58%) chose News Media e.g. TVs, radios, Magazines, Newspapers, 52 (25%) chose Social Media e.g. WhatsApp, Facebook, Twitter, Instagram while 2 (1%) chose journals and only 1 participant (.5%) chose others source of information. Conclusion: The distribution of Attitude, Knowledge, and Practice is the same across categories of source of information on COVID-19. Keywords: COVID-19, Coronavirus disease, Knowledge, Attitude, Practice
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Shaukat, Hira, Anam Zafar, Hafiz Rana Muhammad Arslan, Lubna Zafar, Fatima Jafar, and Faizan ur Rehman. "A Cross -Ectional Survey on Knowledge, Attitude and Practices of Physical Therapists Towards Covid-19 Pandemic." Pakistan Journal of Medical and Health Sciences 15, no. 7 (July 30, 2021): 2374–78. http://dx.doi.org/10.53350/pjmhs211572374.
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Objectives: The purpose of this study was to determine the number of physiotherapists who interrupted their services because of the COVID-19 pandemic and to verify the procedures adopted by the physiotherapists who are still working. Methods: It was a Cross sectional study. Study Setting was University of South Asia, Lahore. Data was collected through self-administered questionnaire. Physiotherapists working in Government and Private Hospitals in Lahore were recruited. Data was collected from October 2020 to November 2020. Non-probability Convenient sampling technique was used to recruit participants in study. Sample size of 241 Participants was calculated by using an online calculator (Raosoft,Inc.2004) with 5% margin of error, 95% confidence level and population of 462 physiotherapists working in Lahore in various Government and Private Hospitals Results: Out of 210 participants, males were 154 (73%) while females were 56 (27%). 37 (18%) were working in government hospitals while 173 (82%) were working in private setups. 14 (7%) were holding only undergraduate degree while 196 (93%) were post graduate. 28 (13%) were having up to 4 years of clinical experience working as physiotherapist, 65 (31%) were having up to 8 years of experience while 117 (56%) were having up to 12 years of clinical experience. When asked about Source of information on COVID-19, 16 (8%) chose Official international health organization sites and media, 18 (9%) chose Official government sites and media e.g. Ministry of Health Pakistan, 121 (58%) chose News Media e.g. TVs, radios, Magazines, Newspapers, 52 (25%) chose Social Media e.g. WhatsApp, Facebook, Twitter, Instagram while 2 (1%) chose journals and only 1 participant (.5%) chose others source of information. Conclusion: The distribution of Attitude, Knowledge, and Practice is the same across categories of source of information on COVID-19. Keywords: COVID-19, Coronavirus disease, Knowledge, Attitude, Practice
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McKenna, Jim, Helen Delaney, and Sonia Phillips. "Physiotherapists' lived experience of rehabilitating elite athletes." Physical Therapy in Sport 3, no. 2 (May 2002): 66–78. http://dx.doi.org/10.1054/ptsp.2001.0092.
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Boucaut, Rose, and Barbara McPhee. "Physiotherapists in occupational health — the Australian experience." Physical Therapy Reviews 18, no. 5 (October 2013): 327–35. http://dx.doi.org/10.1179/1743288x13y.0000000091.
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Pangestu, Kadek Yowanda, Dyah Pradnyaparamita Duarsa, and Ni Wayan Tianing. "Rekomendasi Fisioterapis Pada Pasien Low Back Pain Kronis." Jurnal Keterapian Fisik 5, no. 2 (November 12, 2020): 89–100. http://dx.doi.org/10.37341/jkf.v5i2.230.
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Background: Low Back Pain (LBP) chronic is a health problem that not only involves biomechanical factors but also involves cognitive, psychological, and social factors. The last decade has seen a shift in understanding in chronic case management that can affect physiotherapy recommendations for chronic LBP patients to return to work/activities normally. This study aims to determine the related between the characteristics of physiotherapists in Denpasar City and Badung Regency, attitudes and beliefs, as well as a diagnosis of the recommendations given in chronic LBP cases. Methods: The study design was a cross-sectional web-based survey with a total of 124 physiotherapists who are members of the Indonesian Physiotherapy Association (IFI), Central Bali Branch. Characteristics data were collected through a questionnaire, attitudes and beliefs with ABS-mp and PABS-PT, diagnosis and recommendations using a scenario. Data were analyzed using SPSS univariate, bivariate and multivariate. Results: Physiotherapists in Denpasar City and Badung Regency 21.8% have a biopsychosocial orientation. Multivariate analysis showed that the variable that had a significant relationship with physiotherapist recommendations was the personal interaction attitude variable with a value of p = 0.039 (AOR = 6.511, 95% CI = 1.099-38.581). Conclusion: Factors that related on recommendations physiotherapists to return to work/activities normally in patients with chronic LBP are age, work experience, training, personal interaction attitudes, physiotherapy beliefs, and physiotherapy diagnosis
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Toomey, Elaine, James Matthews, and Deirdre A. Hurley. "Using mixed methods to assess fidelity of delivery and its influencing factors in a complex self-management intervention for people with osteoarthritis and low back pain." BMJ Open 7, no. 8 (August 2017): e015452. http://dx.doi.org/10.1136/bmjopen-2016-015452.
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Objectives and designDespite an increasing awareness of the importance of fidelity of delivery within complex behaviour change interventions, it is often poorly assessed. This mixed methods study aimed to establish the fidelity of delivery of a complex self-management intervention and explore the reasons for these findings using a convergent/triangulation design.SettingFeasibility trial of the Self-management of Osteoarthritis and Low back pain through Activity and Skills (SOLAS) intervention (ISRCTN49875385), delivered in primary care physiotherapy.Methods and outcomes60 SOLAS sessions were delivered across seven sites by nine physiotherapists. Fidelity of delivery of prespecified intervention components was evaluated using (1) audio-recordings (n=60), direct observations (n=24) and self-report checklists (n=60) and (2) individual interviews with physiotherapists (n=9). Quantitatively, fidelity scores were calculated using percentage means and SD of components delivered. Associations between fidelity scores and physiotherapist variables were analysed using Spearman's correlations. Interviews were analysed using thematic analysis to explore potential reasons for fidelity scores. Integration of quantitative and qualitative data occurred at an interpretation level using triangulation.ResultsQuantitatively, fidelity scores were high for all assessment methods; with self-report (92.7%) consistently higher than direct observations (82.7%) or audio-recordings (81.7%). There was significant variation between physiotherapists’ individual scores (69.8% - 100%). Both qualitative and quantitative data (from physiotherapist variables) found that physiotherapists’ knowledge (Spearman's association at p=0.003) and previous experience (p=0.008) were factors that influenced their fidelity. The qualitative data also postulated participant-level (eg, individual needs) and programme-level factors (eg, resources) as additional elements that influenced fidelity.ConclusionThe intervention was delivered with high fidelity. This study contributes to the limited evidence regarding fidelity assessment methods within complex behaviour change interventions. The findings suggest a combination of quantitative methods is suitable for the assessment of fidelity of delivery. A mixed methods approach provided a more insightful understanding of fidelity and its influencing factors.Trial registration numberISRCTN49875385; Pre-results.
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Newstead, Clint, Catherine L. Johnston, Gillian Nisbet, and Lindy McAllister. "Physiotherapy clinical education in Australia: an exploration of clinical educator characteristics, confidence and training requirements." Australian Health Review 43, no. 6 (2019): 696. http://dx.doi.org/10.1071/ah18094.
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Objectives The aim of this study was to describe physiotherapists’ involvement, confidence and training needs in the provision of student clinical education (CE) in Australia. Methods A valid and reliable cross-sectional online survey instrument was used to collect data from physiotherapists employed in public and private healthcare facilities in Australia. Survey questions included participant personal and professional characteristics, participation in CE-related continuing professional development (CPD) and confidence in components of CE. Results In all, 170 (34%) physiotherapists (mean age 37 years; mean years clinical experience 13 years) completed the survey. Most participants (68%) were currently involved in CE, over half (56%) had completed CE-related CPD and many (56%) reported a need for more CPD. Participants with no previous CE experience were less confident (P≤0.05) in all components of CE. Participants with less clinical experience were less confident in managing challenging students (P=0.003), multiple students (P=<0.001) and competing workplace and education duties (P=<0.001). Conclusions Physiotherapists with varying professional characteristics were involved in CE. Although many participants had attended CE-related CPD, many reported that more training was required. Future training for clinical educators should be tailored to participants’ level of experience and focus on the components of CE in which they feel least confident. What is known about the topic? The ability of physiotherapists to confidently assume a clinical educator role may affect their willingness to be clinical educators in the future and the students’ perceptions of clinical placement quality. CPD relating to CE may help prepare physiotherapists for the clinical educator role. What does this paper add? There is a lack of information regarding physiotherapists’ involvement in CE, completion of CE-related CPD or perceived levels of confidence in various aspects of the clinical educator role, such as placement organisation, teaching, assessment and the provision of feedback. This study describes the involvement of physiotherapists in CE in Australia, including their demographic and professional characteristics, participation in CE-related CPD and confidence in various components of CE. What are the implications for practitioners? Several recommendations regarding future CE-related CPD have resulted from this study, including tailoring CPD to the needs of physiotherapists based on their level of clinical or CE experience, focusing CPD on the aspects of CE in which physiotherapists feel least confident and raising the awareness of and improving accessibility to CPD opportunities in this area.
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Zadro, Joshua, Aimie L. Peek, Rachael H. Dodd, Kirsten McCaffery, and Christopher Maher. "Physiotherapists’ views on the Australian Physiotherapy Association’s Choosing Wisely recommendations: a content analysis." BMJ Open 9, no. 9 (September 2019): e031360. http://dx.doi.org/10.1136/bmjopen-2019-031360.
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ObjectivesChoosing Wisely holds promise for increasing awareness of low-value care in physiotherapy. However, it is unclear how physiotherapists’ view Choosing Wisely recommendations. The aim of this study was to evaluate physiotherapists’ feedback on Choosing Wisely recommendations and investigate agreement with each recommendation.SettingThe Australian Physiotherapy Association emailed a survey to all 20 029 physiotherapist members in 2015 seeking feedback on a list of Choosing Wisely recommendations.ParticipantsA total of 9764 physiotherapists opened the email invitation (49%) and 543 completed the survey (response rate 5.6%). Participants were asked about the acceptability of the wording of recommendations using a closed (Yes/No) and free-text response option (section 1). Then using a similar response format, participants were asked whether they agreed with each Choosing Wisely recommendation (sections 2–6).Primary and secondary outcomesWe performed a content analysis of free-text responses (primary outcome) and used descriptive statistics to report agreement and disagreement with each recommendation (secondary outcome).ResultsThere were 872 free-text responses across the six sections. A total of 347 physiotherapists (63.9%) agreed with the ‘don’t’ style of wording. Agreement with recommendations ranged from 52.3% (electrotherapy for back pain) to 76.6% (validated decision rules for imaging). The content analysis revealed that physiotherapists felt that blanket rules were inappropriate (range across recommendations: 13.9%–30.1% of responses), clinical experience is more valuable than evidence (11.7%–28.3%) and recommendations would benefit from further refining or better defining key terms (7.3%–22.4%).ConclusionsAlthough most physiotherapists agreed with both the style of wording for Choosing Wisely recommendations and with the recommendations, their feedback highlighted a number of areas of disagreement and suggestions for improvement. These findings will support the development of future recommendations and are the first step towards increasing the impact Choosing Wisely has on physiotherapy practice.
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Geraghty, Adam W. A., Lisa C. Roberts, Rosie Stanford, Jonathan C. Hill, Dinesh Yoganantham, Paul Little, Nadine E. Foster, Elaine M. Hay, and Lucy Yardley. "Exploring Patients’ Experiences of Internet-Based Self-Management Support for Low Back Pain in Primary Care." Pain Medicine 21, no. 9 (December 16, 2019): 1806–17. http://dx.doi.org/10.1093/pm/pnz312.
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Abstract Objective We explored patients’ experiences of using Internet-based self-management support for low back pain (LBP) in primary care, with and without physiotherapist telephone guidance. Design Exploratory descriptive qualitative study using thematic analysis, nested within a randomized feasibility trial. Methods Patients with LBP who participated in a feasibility trial of the SupportBack Internet intervention (ISRCTN: 31034004) were invited to take part in semistructured telephone interviews after the three-month intervention period (a convenience sample from within the trial population). Fifteen participants took part (age range = 36–87 years, 66.7% female, characteristics representative of the trial population). Data were analyzed thematically. Results Analysis resulted in the development of six themes (subthemes in parentheses): Perceptions of SupportBack’s design (Clarity and ease of use, Variety and range of information provided, Need for specificity and flexibility), Engaging with the SupportBack intervention, Promoting positive thought processes (Reassurance, Awareness of self-management), Managing behavior with SupportBack (Motivation and goal setting, Using activity as a pain management strategy, Preferences for walking or gentle back exercises), Feeling supported by telephone physiotherapists (Provision of reassurances and clarity, Physiotherapists are motivating), Severity and comorbidity as barriers (Preexisting condition or severity acting as a barrier, Less useful for mild low back pain). Conclusions The Internet intervention SupportBack appeared to feasibly support self-management of LBP. Reassurance and ongoing support to implement behavioral changes were central to reported benefits. The addition of physiotherapist telephone support further enhanced the patient experience and the potential utility of the intervention.
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Locke, Rachel, Emma Wilkinson, Lucy Wallis, Sharon Kibble, and Beverley Harden. "The experiences of physiotherapists and occupational therapists working as rehabilitation ward leaders." International Journal of Therapy and Rehabilitation 29, no. 8 (August 2, 2022): 1–16. http://dx.doi.org/10.12968/ijtr.2021.0135.
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Background/Aims Rehabilitation teams have piloted the deployment of physiotherapists and occupational therapists into the role of ward leader. This was the first research study designed specifically to explore the experiences of physiotherapists and occupational therapists working as ward leaders on wards with a patient rehabilitation focus and how to optimise this workforce transformation. Methods An interpretivist qualitative study was designed to enable the detailed exploration of physiotherapists' and occupational therapists' working experiences during their time as ward leaders. A total of 11 physiotherapists and occupational therapists with between 6 months' and 3 years' experience of working as ward leaders participated in semi-structured interviews. Thematic analysis was undertaken. Results Four themes were derived from the data analysis that related to participants' experiences: becoming a rehabilitation ward leader; responsibilities of physiotherapists and occupational therapists; perceptions of the role; and impact of allied health professionals in ward leader roles. Although taking on the role of a rehabilitation ward leader was reported as ‘challenging’, participants would recommend it. Success was perceived by interviewees to be relative to the presence of personal leadership qualities, the belief of the individual in their unique skill set and the confidence in the leadership team to value the unique and shared skills of the profession or individual and thus reinvent the role. Conclusions This study identifies the key attributes that evidence the unique contribution that physiotherapists and occupational therapists working as rehabilitation ward leaders can make. The findings of this study are significant and highly relevant for the ongoing pandemic, which has seen a need for increased rehabilitation capability.
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Atkins, Elaine. "Physiotherapists' Experience of Implementing their Injection Therapy Skills." Physiotherapy 89, no. 3 (March 2003): 145–57. http://dx.doi.org/10.1016/s0031-9406(05)61031-0.
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Wong, W. P., J. D. Paratz, K. Wilson, and Y. R. Burns. "Hemodynamic and ventilatory effects of manual respiratory physiotherapy techniques of chest clapping, vibration, and shaking in an animal model." Journal of Applied Physiology 95, no. 3 (September 2003): 991–98. http://dx.doi.org/10.1152/japplphysiol.00249.2003.
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Chest clapping, vibration, and shaking were studied in 10 physiotherapists who applied these techniques on an anesthetized animal model. Hemodynamic variables (such as heart rate, blood pressure, pulmonary artery pressure, and right atrial pressure) were measured during the application of these techniques to verify claims of adverse events. In addition, expired tidal volume and peak expiratory flow rate were measured to ascertain effects of these techniques. Physiotherapists in this study applied chest clapping at a rate of 6.2 ± 0.9 Hz, vibration at 10.5 ± 2.3 Hz, and shaking at 6.2 ± 2.3 Hz. With the use of these rates, esophageal pressure swings of 8.8 ± 5.0, 0.7 ± 0.3, and 1.4 ± 0.7 mmHg resulted from clapping, vibration, and shaking respectively. Variability in rates and “forces” generated by these techniques was <20% in average coefficients of variation. In addition, clinical experience accounted for 76% of the variance in vibration rate ( P = 0.001). Cardiopulmonary physiotherapy experience and layers of towel used explained ∼79% of the variance in clapping force ( P = 0.004), whereas age and clinical experience explained >80% of variance in shaking force ( P = 0.003). Application of these techniques by physiotherapists was found to have no significant effects on hemodynamic and most ventilatory variables in this study. From this study, we conclude that chest clapping, vibration, and shaking 1) can be consistently performed by physiotherapists; 2) are significantly related to physiotherapists' characteristics, particularly clinical experience; and 3) caused no significant hemodynamic effects.
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Toftdahl, Anne Katrine Skjølstrup, Laura Hvidaa Hjoernholm, Mia Simonsen, Christina M. Stapelfeldt, Janus Laust Thomsen, Marianne Kongsgaard, and Allan Riis. "Perspectives on the treatment of sequelae after cancer: protocol of an interview study of primary care physiotherapists." BMJ Open 12, no. 4 (April 2022): e052378. http://dx.doi.org/10.1136/bmjopen-2021-052378.
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IntroductionAn increasing number of patients are living with fatigue, pain and other sequelae after cancer. About 30% of these patients express a need for physical rehabilitation and patients prefer to be involved in medical decision-making. This includes being offered individualised treatment with patient-defined goals and education during all aspects of treatment by physiotherapists with empathic skills. However, physiotherapists are often unaware of the relationship between cancer and its presenting symptoms. This can lead to inappropriate care and unrealistic goalsetting for rehabilitation. This calls for greater attention towards physiotherapist’s treatment and their current perspectives on how treatment can be improved in physiotherapy clinics. The aim of this study is to explore physiotherapists perspectives on barriers, facilitators and potential solutions to improve the care of sequelae after cancer in physiotherapy clinics.Methods and analysisThis is a qualitative interview study using individual semistructured interviews with physiotherapists using a phenomenological approach to explore their lifeworld at work. We will recruit physiotherapists working in private clinics based on a variation in gender and years of working experience in private clinics. We will conduct between 10 and 16 interviews online via Microsoft Teams and thematically analyse data supported by NVivo software. Interviewing is scheduled to take place from April 2022.Ethics and disseminationThis is a non-intervention and qualitative study, and the local Ethics Committee in the North Denmark Region has stated that their approval is not needed. Informants will provide a written informed consent. Study information will be sent to the informant at least 3 days prior to the interview session and information will be summarised by the interviewer before the interview.Aside from publication, results will be disseminated by two teaching institutions, a regional health care provider and DEFACTUM (a public Danish research institution focusing on increasing social equality in health).
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Munir, Muzna, Laaj Khan, Maira Noor Niazi, Noor-e. Fajir, and Hunyya Fatima. "WORK RELATED MUSCULOSKELETAL DISORDERS AMONG PHYSICAL THERAPIST LIVING IN PAKISTAN." Pakistan Journal of Rehabilitation 11, no. 1 (January 3, 2022): 103–9. http://dx.doi.org/10.36283/pjr.zu.11.1/019.
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BACKGROUND AND AIM One of the serious health issues amongst physical therapists (PTs) is “Work-related musculoskeletal disorders”. WMSDs are correlated to physiotherapist’s gender, age group, specialization, and work activities. Depending upon the tasks performed by the PT, different body parts are affected. The irony is that physiotherapists develop musculoskeletal disorders when they are helping their patients.The main aim of this study was to find out the musculoskeletal disorders that are work-related in physical therapists. METHODOLOGY A cross sectional survey was conducted in Lahore and D.G. Khan for those working in hospitals or private clinics to determine the prevalence of work-related musculoskeletal disorders in physiotherapists. For data collection, the questionnaire which was used was standard Nordic musculoskeletal questionnaire. The sample size was calculated to be 132. Both male and female physiotherapists were included those who have minimum experience of 4 months, working in hospitals or in private clinics. RESULTS Within 12 months, absolute recognized area affected by WRMSDs was upper limb than lower limb as well as in the recent 7 days the ratio was same. The order of pain during last 12 months was Neck > Low back > upper back. The order of pain during last 7 days Low back> neck> shoulder. CONCLUSION From this study, it was concluded that Physiotherapists working in clinics have a large number of work-related musculoskeletal disorders especially neck region and low back are the most affected regions while the minimally affected one is the elbow. KEY WORDS Physical therapists, Musculoskeletal injuries, Workload, Working environment, Biomechanics, Disorders.
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Timmer, Merel A., Corelien J. J. Kloek, Piet de Kleijn, Isolde A. R. Kuijlaars, Roger E. G. Schutgens, Cindy Veenhof, and Martijn F. Pisters. "A Blended Physiotherapy Intervention for Persons With Hemophilic Arthropathy: Development Study." Journal of Medical Internet Research 22, no. 6 (June 19, 2020): e16631. http://dx.doi.org/10.2196/16631.
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Background Joint bleeds are the hallmark of hemophilia, leading to a painful arthritic condition called as hemophilic arthropathy (HA). Exercise programs are frequently used to improve the physical functioning in persons with HA. As hemophilia is a rare disease, there are not many physiotherapists who are experienced in the field of hemophilia, and regular physiotherapy sessions with an experienced physiotherapist in the field of hemophilia are not feasible for persons with HA. Blended care is an innovative intervention that can support persons with HA at home to perform the advised physical activities and exercises and provide self-management information. Objective The aim of this study was to develop a blended physiotherapy intervention for persons with HA. Methods The blended physiotherapy intervention, namely, e-Exercise HA was developed by cocreation with physiotherapists, persons with HA, software developers, and researchers. The content of e-Exercise HA was compiled using the first 3 steps of the Center for eHealth Research roadmap model (ie, contextual inquiry, value specification, and design), including people with experience in the development of previous blended physiotherapy interventions, a literature search, and focus groups. Results A 12-week blended intervention was developed, integrating face-to-face physiotherapy sessions with a web-based app. The intervention consists of information modules for persons with HA and information modules for physiotherapists, a graded activity program using a self-chosen activity, and personalized video-supported exercises. The information modules consist of text blocks, videos, and reflective questions. The patients can receive pop-ups as reminders and give feedback on the performance of the prescribed activities. Conclusions In this study, we developed a blended physiotherapy intervention for persons with HA, which consists of information modules, a graded activity program, and personalized video-supported exercises.
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Ramanandi, Vivek Harsukhbhai. "Association between Work Experience and Work-Related Musculoskeletal Disorders among the Clinical and Teaching Physiotherapists of Gujarat, India – An Observational Study." International Journal of Occupational Safety and Health 11, no. 1 (March 23, 2021): 9–15. http://dx.doi.org/10.3126/ijosh.v11i1.33372.
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Introduction: Work-related musculoskeletal disorders (MSDs) are present universally where physiotherapists are found to be at higher risk of being affected due to the postures attained at work. This can lead to excessive exertion associated with significant discomfort and pain in loading joints. In addition to these, the anatomical, physiological and physical characteristics of males and females are disparate so gender-based differences may also affect. However, the paucity of data for correlating the years of experience with MSDs was found in Gujarat. Hence, the present study was undertaken to investigate the association between the prevalence of MSDs with an increase in work experience among the physiotherapists of Gujarat.
Methods: This was an online cross-sectional survey study where 322 physiotherapists were included after gaining informed electronic consent. Prevalence rates were found by employing a standardized Nordic Musculoskeletal Questionnaire (NMQ) and non - parametric tests were used for data analysis.
Results: Present study showed no statistically significant relationship between the increase in work experience and work-related MSDs prevalence. It was also observed that females (68.63%) have more prevalence compare to males (61.19%). The majority f the physiotherapists reported complaints of MSDs in the lower back (41.30%) and neck (37.58%) regions.
Conclusion: It is inferred that the chances of being affected by MSDs do not increase with years of work experience. Moreover, female physiotherapists are more prone to MSDs. Thus, early identification and interventions through ergonomic advice and physiotherapy can prove to be very effective in declining the rate of MSDs to a notable extent.
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Henderson, Judith, Ryan Gallagher, Peter Brown, Damien Smith, and Kevin Tang. "Emergency department after-hours primary contact physiotherapy service reduces analgesia and orthopaedic referrals while improving treatment times." Australian Health Review 44, no. 3 (2020): 485. http://dx.doi.org/10.1071/ah18259.
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ObjectiveThe aims of this study were to identify: (1) whether an after-hours emergency department (ED) collaborative care service using primary contact physiotherapists (PCPs) improves treatment times for musculoskeletal and simple orthopaedic presentations; and (2) differences in orthopaedic referral rates and analgesia prescription for patients managed by PCPs compared with secondary contact physiotherapists. MethodsA prospective observational study was conducted of diagnosed, matched patients seen in a 4-day week after-hours ED primary contact physiotherapy service in a tertiary referral ED. Patients presenting with a musculoskeletal or simple orthopaedic diagnosis reviewed by a physiotherapist as either the primary or secondary physiotherapy contact between 1630 and 2030 hours from Saturday to Tuesday were included in the analysis. Outcome measures collected included ED length of stay, orthopaedic referrals in the ED, follow-up plan on discharge from the ED and analgesia prescriptions. ResultsThere were no adverse events, missed diagnoses or re-presentations for any patients managed by an ED PCP. Mean (±s.d.) treatment time for patients seen by an ED PCP was 130±76min, compared with 240±115min for those seen by a secondary contact physiotherapist (P<0.001). There were significant differences between patients managed by PCP versus secondary contact physiotherapists, with decreases of 20.4% for referrals to orthopaedics in the ED, 21.2% for orthopaedic clinic referrals on discharge and 8.5% in analgesia prescriptions for patients managed by an ED PCP (P<0.001). In addition to these reductions, there was a 17.5% increase in general practitioner referrals on discharge for patients managed by an ED PCP (P<0.001). ConclusionAn after-hours ED physiotherapy service is a safe service that reduces ED treatment times, as well as analgesia prescriptions and orthopaedic referrals for patients managed by a PCP. What is known about the topic?PCPs are capable of providing safe and effective care to patients in the ED who present with musculoskeletal complaints. Patients managed by physiotherapists as the primary contact require fewer X-rays and have reduced treatment times. What does this paper add?Compared with previously published articles, this study demonstrates similar reductions in ED treatment times in an after-hours setting for patients managed by an ED PCP. However, this was achieved by physiotherapists who have less reported experience. Furthermore, this study found that management of patients by PCPs resulted in a reduction in the amount of analgesia prescribed and orthopaedic input required for these patients. What are the implications for practitioners?PCPs can be trained to operate in the ED with minor or no prior ED experience while facilitating reductions in the amount of analgesia prescribed, orthopaedic referrals required (in ED and on discharge) and reducing treatment times for patients.
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Kang (PT), Dr Jaspreet Kaur, and Neeta Vyas (PT). "The Perceptions and knowledge of Physiotherapist regarding exercise and joint health in India." VIMS JOURNAL OF PHYSICAL THERAPY 3, no. 2 (December 31, 2021): 73–77. http://dx.doi.org/10.46858/vimsjpt.3203.
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BACKGROUND:
A physiotherapist plays a key role in assessing, monitoring, educating and prescribing exercise for RA. A few previous surveys across the goble emphasized on the lack of evidence to guide physiotherapist recognizing the early signs of RA, in knowledge of disease course, and in evidence-based interventions and therefore the ability to manage an individual with RA over the course of the disease. The study aims to investigate physiotherapists’ current practice in specific disease-related Knowledge and clinical skills required managing people with RA and extent to which they promote physical activity and exercise.
METHOD:
A cross-sectional national e-survey was sent to physiotherapists regarding their confidence in managing RA patients. Questionnaire Data developed from previous literatures included the following details: years of clinical experience, current RA clinical caseload, and professional qualifications, primary clinical area of practice, relevant treatment options in established or newly diagnosed cases and management goals.
RESULT:
A total of 478 physiotherapist responses were received.84% agreed to the fact that exercises does play an important role in joint health promotion. Almost 70% strongly agreed to factor that FIIT principal has to be taken in consideration while prescribing exercises. Approximately 48% were familiar with Index that measures disease activity and ACR-preferred tools for functional status assessment in RA. Moreover, 98% were having a clear perspective of different guidelines of management in RA and Osteoarthritis (OA).While considering the choice of treatment physical activity and educational advice were more preferred as compared to the modalities or manual therapy.
CONCLUSION:
The present practices are in lines with the current guidelines for RA management, but still most of them never prescribed high-intensity exercise and lacked knowledge of when to advice appropriate splints/orthoses. Even the recommendations regarding splints were not clear. So, there's a requirement to develop education and training for constantly upgrading physiotherapists within for the promotion of physical activity in rheumatoid arthritis patients.
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Ciddi, Pınar Kaya, and Gülay Aras Bayram. "Impact of COVID-19 on rehabilitation experiences of physiotherapists." Work 71, no. 1 (January 15, 2022): 31–39. http://dx.doi.org/10.3233/wor-210658.
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BACKGROUND: As the COVID-19 pandemic progressed, pressures on almost all health sectors in many countries increased, and physiotherapy interventions were canceled for various reasons. OBJECTIVES: The aim of this study was to determine the status of physiotherapists who interrupted their services due to the pandemic and investigate procedures adopted by physiotherapists during face-to-face practice. METHOD: The measuring tool was an online survey administered via Google Forms between January 27 and February 27, 2021. In this descriptive cross-sectional study, the sample consisted of 558 physiotherapists, questions about their clinical experience during the pandemic were answered, and descriptive statistics were examined. RESULTS: Of the physiotherapists, 351 (62.9%) suspended their services due to pandemic, while 207 (37%) of all participants worked without suspending their services since the beginning of the process. Among participants, 303 (54.3%) needed education to use telerehabilitation methods, and 315 (56.5%) monitored their patients with remote communication methods. Hand washing (86.6%), disinfectant (85.3%), gloves (76.5%) and masks (86.6%) were the most common protective measures. CONCLUSIONS: Most physiotherapists had their face-to-face practice interrupted for a short time due to the COVID-19 outbreak, but they continue to treat all disease conditions in spite of inherent physical intimacy and increased risk of infection.
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Quartey, Jonathan, Selorm Afidemenyo, and Samuel Koranteng Kwakye. "Athletes’ expectations about physiotherapy in sports injury rehabilitation in greater Accra region." Hong Kong Physiotherapy Journal 39, no. 02 (October 23, 2019): 101–14. http://dx.doi.org/10.1142/s1013702519500094.
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Background: Physiotherapists play a key role in sports injury rehabilitation within the sports healthcare team. A strong athlete–physiotherapist relationship is necessary for effective treatment and shaping of athletes’ expectations of injury rehabilitation. Hence, it is necessary to factor the injured athletes’ expectations in structuring a rehabilitation program. Objective: The aim of this study was to determine athletes’ expectations about physiotherapy in sports injury rehabilitation. Methods: We performed a cross-sectional survey in which data was collected using the expectation about athletic training (EAAT) questionnaire from 120 recruited athletes of different sporting disciplines. Percentages, means and standard deviations of the expectation scores were computed. Associations between socio-demographic characteristics and athletes’ expectations of physiotherapy in sports injury rehabilitation were analyzed with the chi-square test. Differences between the athletes’ expectations of physiotherapy and demographic characteristics were also analyzed with Kruskal–Wallis and Mann–Whitney tests. Results: The study revealed that there was no significant difference ([Formula: see text]) between gender, injury type, physiotherapy experience and mental skills experience and the athletes’ expectations. There was a significant difference ([Formula: see text]) between competition level and athletes’ expectations. Conclusion: It was concluded that athletes in the Greater Accra Region have high expectations of physiotherapy in injury rehabilitation; thus sports physiotherapists would need to enhance their communication with athletes which may also help them better understand the risks, benefits, timeline and rehabilitation approach.
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Clenzos, N., N. Naidoo, and R. Parker. "Physiotherapists’ knowledge of pain: A cross-sectional correlational study of members of the South African Sports and Orthopaedic Manipulative Special Interest Groups." South African Journal of Sports Medicine 25, no. 4 (December 10, 2013): 95. http://dx.doi.org/10.17159/2413-3108/2013/v25i4a337.
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Background. Pain is the most common complaint for which patients seek the help of a physiotherapist. Furthermore, pain has been identified as the fifth vital sign, indicating the attention with which physiotherapists should be assessing pain. Previous studies have found deficits in pain knowledge among healthcare providers. Poor knowledge about pain is recognised to lead to poor assessment ability, and subsequently, to poor pain management.Objective. To investigate the pain knowledge of sports and orthopaedic manipulative physiotherapists in South Africa (SA).Methods. Data were collected online by means of a demographic questionnaire and Unruh’s Revised Pain Knowledge and Attitudes Questionnaire (RPKAQ). Participants were members of the Sports Physiotherapy Group and Orthopaedic Manipulative Physiotherapy Group of the South African Society of Physiotherapy.Results. The mean score for the RPKAQ was 65.5% (standard deviation (SD) ±8.6). Only 14.45% of the physiotherapists scored ≥75%. Lowest scores were obtained for the ‘assessment and measurement of pain’ (47.6%; SD ±15.6) and ‘developmental changes in pain perception’ (58.7%; SD ±20.8) sections of the RPKAQ, while the highest mean score was obtained for the ‘physiological basis of pain’ section (76.8%; SD±14.6). Gender, ethnicity (defined by home language), academic training and clinical experience did not contribute significantly to overall pain knowledge.Conclusion. There is an inadequate level of pain knowledge among members of the sports and orthopaedic manipulative physiotherapy groups in SA, particularly in the areas of the assessment and measurement of pain, and developmental changes in pain perception.
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Clenzos, N., N. Naidoo, and R. Parker. "Physiotherapists’ knowledge of pain: A cross-sectional correlational study of members of the South African Sports and Orthopaedic Manipulative Special Interest Groups." South African Journal of Sports Medicine 25, no. 4 (December 10, 2013): 95. http://dx.doi.org/10.17159/2078-516x/2013/v25i4a337.
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Background. Pain is the most common complaint for which patients seek the help of a physiotherapist. Furthermore, pain has been identified as the fifth vital sign, indicating the attention with which physiotherapists should be assessing pain. Previous studies have found deficits in pain knowledge among healthcare providers. Poor knowledge about pain is recognised to lead to poor assessment ability, and subsequently, to poor pain management.Objective. To investigate the pain knowledge of sports and orthopaedic manipulative physiotherapists in South Africa (SA).Methods. Data were collected online by means of a demographic questionnaire and Unruh’s Revised Pain Knowledge and Attitudes Questionnaire (RPKAQ). Participants were members of the Sports Physiotherapy Group and Orthopaedic Manipulative Physiotherapy Group of the South African Society of Physiotherapy.Results. The mean score for the RPKAQ was 65.5% (standard deviation (SD) ±8.6). Only 14.45% of the physiotherapists scored ≥75%. Lowest scores were obtained for the ‘assessment and measurement of pain’ (47.6%; SD ±15.6) and ‘developmental changes in pain perception’ (58.7%; SD ±20.8) sections of the RPKAQ, while the highest mean score was obtained for the ‘physiological basis of pain’ section (76.8%; SD±14.6). Gender, ethnicity (defined by home language), academic training and clinical experience did not contribute significantly to overall pain knowledge.Conclusion. There is an inadequate level of pain knowledge among members of the sports and orthopaedic manipulative physiotherapy groups in SA, particularly in the areas of the assessment and measurement of pain, and developmental changes in pain perception.
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Kansara, Vaishvi P., Neeraj Kumar, and Sukhpreet Pabla. "Prevalence of Impostor Phenomenon in Physiotherapy Professionals: A Pan India Survey." International Journal of Health Sciences and Research 11, no. 10 (October 20, 2021): 322–31. http://dx.doi.org/10.52403/ijhsr.20211042.
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Background: Impostor Phenomenon is described as the psychological experience in which there is the individual does not have the ability to believe that the accomplishments achieved by him/her are deserved or are achieved because of one’s own skills and talents, but because of one being fortunate. Impostor Phenomenon is seen in many professional setting and is also prominent in highly successful individuals. Impostor phenomenon is increasing among the health care professionals. The following study determines the prevalence of Impostor Phenomenon in Physiotherapy professionals. Method: The study was conducted through online survey method. Simple random sampling was done and forms were sent to the physiotherapists. 200 participants responded to the questionnaire. Clance Impostor Phenomenon Scale was used to measure Impostor Phenomenon. Demographic data was collected and questionnaire was filled by the participants. Total scoring was done and the participants were classified according to categories of Clance Impostor Phenomenon Scale. Result: 7.5% of physiotherapists had few impostor characteristics, 58% experienced moderate impostor characteristics, 32% having often impostor characteristics and 2.5% of had intense Impostor Phenomenon. The scoring of male and female physiotherapists was similar and the scores of clinicians were more than academicians. Conclusion: The study concluded that Impostor Phenomenon affected the Physiotherapists. Many of physiotherapists scored between 40-60 and indicated having the characteristics of Impostor Phenomenon at a moderate level. No significant difference was seen between males and females. The prevalence of Impostor Phenomenon in clinicians was higher than in academicians. Key words: Impostor Phenomenon, Health care professionals, Physiotherapists.
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Summers, Rachael H., Claire Ballinger, Dimitra Nikoletou, Rachel Garrod, Anne Bruton, and Miranda Leontowitsch. "Giving hope, ticking boxes or securing services? A qualitative study of respiratory physiotherapists’ views on goal-setting with people with chronic obstructive pulmonary disease." Clinical Rehabilitation 31, no. 7 (July 20, 2016): 978–91. http://dx.doi.org/10.1177/0269215516658937.
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Objective: To explore respiratory physiotherapists’ views and experiences of using goal-setting with people with chronic obstructive pulmonary disease in rehabilitation settings. Participants: A total of 17 respiratory physiotherapists with ⩾12 months current or previous experience of working with patients with chronic obstructive pulmonary disease in a non-acute setting. Participants were diverse in relation to age (25–49 years), sex (13 women), experience (Agenda for Change bands 6–8) and geographic location. Method: Data were collected via face-to-face qualitative in-depth interviews (40–70 minutes) using a semi-structured interview guide. Interview locations were selected by participants (included participants’ homes, public places and University). Interviews followed an interview guide, were audio-recorded and transcribed verbatim. Data Analysis: Data were analysed using thematic analysis; constant comparison was made within and between accounts, and negative case analysis was used. Results: Three themes emerged through the process of analysis: (1) ‘Explaining goal-setting’; (2) ‘Working with goals’; and (3) ‘Influences on collaborative goal-setting’. Goal-setting practices among respiratory physiotherapists varied considerably. Collaborative goal-setting was described as challenging and was sometimes driven by service need rather than patient values. Lack of training in collaborative goal-setting at both undergraduate and postgraduate level was also seen as an issue. Conclusion: Respiratory physiotherapists reflected uncertainties around the use of goal-setting in their practice, and conflict between patients’ goals and organisational demands. This work highlights a need for wider discussion to clarify the purpose and implementation of goal-setting in respiratory rehabilitation.
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Wilesmith, Sarah, Andrew Lao, and Roma Forbes. "New-graduate physiotherapists’ self-efficacy and preparedness for patient education practice: A mixed methods study." Focus on Health Professional Education: A Multi-Professional Journal 21, no. 3 (December 1, 2020): 44–64. http://dx.doi.org/10.11157/fohpe.v21i3.432.
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Introduction: Patient education is a fundamental component of effective physiotherapypractice. Current literature suggests that physiotherapists may not be adequately prepared for patient education practice; however, perception of graduate preparedness for professional practice has not been explored. This study aimed to investigate newgraduate physiotherapists’ self-efficacy for practising patient education and explore their perceived preparedness for transitioning into this professional role.Methods: This study utilised a sequential mixed-methods design. New-graduate physiotherapists completed the Patient Education Self Efficacy Scale at the conclusion of their pre-professional training (n = 149). Following entry to the workforce, a randomised sample of 15 of these individuals participated in semi-structured interviews exploring perceptions and experiences of practising patient education. Interview data were subject to framework analysis.Results: Highest scoring self-efficacy items were: understanding the role of patient education and questioning to seek the patient’s perceptions and concerns about their condition. The lowest scoring item was: recognising and effectively managing barriers to effective education. Five themes emerged: (1) patient education is a powerful tool, (2) individualised education is highly valued, (3) decreased confidence when facing complexity, (4) overcoming patient-related barriers is challenging and (5) practical experience is critical for skill development.Conclusion: New-graduate physiotherapists demonstrated high self-efficacy and perceived preparedness in most aspects of patient education. Interview findings corroborated survey results indicating that new graduates perceive difficulty in managing barriers to patient education and are challenged when facing complex situations. Direct experience was perceived as the most beneficial for enhancing self-efficacy and preparedness for patient education.
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Mubashir, Mariyam. "A CROSS-SECTIONAL SURVEY ON PREVALENCE OF UPPER CROSS SYNDROME AND ITS CORRELATION TO WRMSDs IN WORKING PHYSIOTHERAPISTS." Pakistan Journal of Rehabilitation 10, no. 1 (January 10, 2021): 40–46. http://dx.doi.org/10.36283/pjr.zu.10.1/008.
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BACKGROUND AND AIMS Upper Cross Syndrome (UCS) is stress over the neck region due to poor posture and ergonomics, particularly sitting or standing. This study aimed to determine the prevalence of UCS in working physiotherapists of Pakistan and its correlation of UCS with WRMSDs to gauge the burden of the Musculoskeletal disorders (MSDs). METHODOLOGY A cross-sectional study was conducted on working physiotherapists recruited through convenience sampling technique via email or social media platforms. A self-administered questionnaire constitutes of screening questions regarding posture and Modified Oswestry Neck Disability Index was used to collect data. RESULTS A total number of 148 physiotherapists participated in the study out of which 45 males and 103 females. The professionals were categorized on basis of their level of experience years 40 % beginners 32 % competent and 28% proficient. The screening revealed that 75(51.7 %) have forwarded head posture while 73 (49.3%) physiotherapists suffered from moderate disability. The chi-square analysis was found to have significant association (p<0.005) on gender, experience level and duration of working posture hour with disability. CONCLUSION It was concluded that UCS prevalence was found to be 27% in working physiotherapists whereas female and individuals working for prolonged duration were found to be more prone to develop UCS. Further studies should be conducted taking large sample size and confounding factors for the better understanding of the health-related outcomes.
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Adepoju, Faderera A., Oyinlola F. Kehinde, and Oladunni C. Osundiya. "11 What Physiotherapists do in Rehabilitation of Degenerative Arthropathies: A Focus Group Discussion." Age and Ageing 48, Supplement_4 (December 2019): iv3. http://dx.doi.org/10.1093/ageing/afz164.11.
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Abstract Background Degenerative arthropathies (DA) are pathological changes in joints mainly due to wear and tear. These often affect weight bearing joints and are commoner in the elderly (American Academy of Physical Medicine and Rehabilitation AAPMR, 2019). More than 50% of adults above 65 years suffer from DA (AAPMR, 2019) with a large number presenting with combination of lumbar spondylosis (LS) and knee osteoarthritis (KOA). Physiotherapists in Nigeria use various management approaches which results in variable efficacy; standardised protocols are rarely used. Objectives This study was aimed at evaluating knowledge and rehabilitation approaches of Physiotherapists (PTs) working at a Geriatric Centre in Nigeria in managing LS and KOA. Method A focused group discussion (FGD) was carried out among the ten Physiotherapists working at the geriatric center of the University College Hospital, Ibadan, Nigeria using a questionnaire specifically designed for the purpose. Results All PTs had basic qualifications; four had postgraduate degrees in Physiotherapy. Five Physiotherapists had worked for at least two and half years at the center, while the work experience of the remaining five ranged between two and eleven weeks. Each PT demonstrated adequate knowledge of DA. They used combination of techniques to improve functional outcomes. Each PT listed precautions in management of DA but the more experienced PTs (≥ 2.5 years) were more specific. They all opined that standards operating protocols (SOPs) that allows for flexibility would enhance management but none is presently in use. Better efficacy was reported when rehabilitation is combined with medications such as chondroitin sulphate, diclofenac sodium, and potassium chloride. Continuous rehabilitation with reducing frequency as symptoms subsided was unanimously advocated. Conclusion Techniques employed by Physiotherapists in rehabilitation of DA though evidence-based, vary depending on individual preferences and experience. Standardised, culture-specific protocols to enhance uniformity of care should be developed. Reference 1. American Academy of Physical Medicine and Rehabilitation (AAPMR) 2019: Degenerative Joint Disease. https://www.aapmr.org/about-physiatry/ assessed on 29/07/2019; 10.30pm.
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Doherty, Cailbhe, Arash Joorabchi, Peter Megyesi, Aileen Flynn, and Brian Caulfield. "Physiotherapists’ Use of Web-Based Information Resources to Fulfill Their Information Needs During a Theoretical Examination: Randomized Crossover Trial." Journal of Medical Internet Research 22, no. 12 (December 17, 2020): e19747. http://dx.doi.org/10.2196/19747.
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Background The widespread availability of internet-connected smart devices in the health care setting has the potential to improve the delivery of research evidence to the care pathway and fulfill health care professionals’ information needs. Objective This study aims to evaluate the frequency with which physiotherapists experience information needs, the capacity of digital information resources to fulfill these needs, and the specific types of resources they use to do so. Methods A total of 38 participants (all practicing physiotherapists; 19 females, 19 males) were randomly assigned to complete three 20-question multiple-choice questionnaire (MCQ) examinations under 3 conditions in a randomized crossover study design: assisted by a web browser, assisted by a federated search portal system, and unassisted. MCQ scores, times, and frequencies of information needs were recorded for overall examination-level and individual question-level analyses. Generalized estimating equations were used to assess differences between conditions for the primary outcomes. A log file analysis was conducted to evaluate participants’ web search and retrieval behaviors. Results Participants experienced an information need in 55.59% (845/1520) MCQs (assisted conditions only) and exhibited a mean improvement of 10% and 16% in overall examination scores for the federated search and web browser conditions, respectively, compared with the unassisted condition (P<.001). In the web browser condition, Google was the most popular resource and the only search engine used, accounting for 1273 (64%) of hits, followed by PubMed (195 hits; 10% of total). In the federated search condition, Wikipedia and PubMed were the most popular resources with 1518 (46% of total) and 1273 (39% of total) hits, respectively. Conclusions In agreement with the findings of previous research studies among medical physicians, the results of this study demonstrate that physiotherapists frequently experience information needs. This study provides new insights into the preferred digital information resources used by physiotherapists to fulfill these needs. Future research should clarify the implications of physiotherapists’ apparent high reliance on Google, whether these results reflect the authentic clinical environment, and whether fulfilling clinical information needs alters practice behaviors or improves patient outcomes.
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Shah, Hiral, Harshada Agrawal, and Priya Sahasrabuddhe. "Prevalence of Work-Related Thumb Pain in Physiotherapists." International Journal of Health Sciences and Research 11, no. 6 (June 10, 2021): 15–23. http://dx.doi.org/10.52403/ijhsr.20210604.
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Background: Physiotherapy is associated with job tasks that are physically challenging and some of the routine procedures include manual therapy and soft tissue mobilizations which require higher levels of force and may be performed in hazardous or awkward postures. This study was done to find out the prevalence of work-related thumb pain amongst Physiotherapists and also to assess the awareness about the thumb pain and ergonomic strategies to reduce the same. Objectives: 1. To find the prevalence of Work-Related Thumb Pain (WRTP) in Physiotherapists 2. To assess the awareness of ergonomics related to WRTP in Physiotherapists 3. To find the coping strategies used by the Physiotherapists for WRTP Methods: 94 Physiotherapists from various setups in Pune city, with a basic qualification in B.P.Th. having a work experience of minimum 2 years and having minimum 20 hours of clinical duties per week and performing manual therapy techniques on patients were included in the study. Results: The overall prevalence came to 68.1%. 94.7% of the respondents were aware about the ergonomic strategies to prevent/reduce thumb pain and 5.3% were not aware about the same. Multiple coping strategies were used by the Physiotherapists, of which changing or modifying their treatment, modifying either the patient’s position or their position, asking to help handle a heavy patient were the most common ones. Conclusion: This study indicates that thumb problems are common in Physiotherapists. Key words: Physiotherapists, thumb pain, ergonomic strategies, coping strategies.
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Mirsky, Reuth, Shay Hibah, Moshe Hadad, Ariel Gorenstein, and Meir Kalech. "“PhysIt”—A Diagnosis and Troubleshooting Tool for Physiotherapists in Training." Diagnostics 10, no. 2 (January 28, 2020): 72. http://dx.doi.org/10.3390/diagnostics10020072.
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Many physiotherapy treatments begin with a diagnosis process. The patient describes symptoms, upon which the physiotherapist decides which tests to perform until a final diagnosis is reached. The relationships between the anatomical components are too complex to keep in mind and the possible actions are abundant. A trainee physiotherapist with little experience naively applies multiple tests to reach the root cause of the symptoms, which is a highly inefficient process. This work proposes to assist students in this challenge by presenting three main contributions: (1) A compilation of the neuromuscular system as components of a system in a Model-Based Diagnosis problem; (2) The PhysIt is an AI-based tool that enables an interactive visualization and diagnosis to assist trainee physiotherapists; and (3) An empirical evaluation that comprehends performance analysis and a user study. The performance analysis is based on evaluation of simulated cases and common scenarios taken from anatomy exams. The user study evaluates the efficacy of the system to assist students in the beginning of the clinical studies. The results show that our system significantly decreases the number of candidate diagnoses, without discarding the correct diagnosis, and that students in their clinical studies find PhysIt helpful in the diagnosis process.
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Fary, Robyn E., Helen Slater, Jason Chua, and Andrew M. Briggs. "Translating Policy into Practice for Community-Based Management of Rheumatoid Arthritis: Targeting Professional Development Needs among Physiotherapists." International Journal of Rheumatology 2012 (2012): 1–9. http://dx.doi.org/10.1155/2012/240689.
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Introduction. Contemporary health policy promotes delivery of community-based health services to people with musculoskeletal conditions, including rheumatoid arthritis (RA). This emphasis requires a skilled workforce to deliver safe, effective care. We aimed to explore physiotherapy workforce readiness to co-manage consumers with RA by determining the RA-specific professional development (PD) needs in relation to work and educational characteristics of physiotherapists in Western Australia (WA).Methods. An e-survey was sent to physiotherapists regarding their confidence in co-managing people with RA and their PD needs. Data including years of clinical experience, current RA clinical caseload, professional qualifications, and primary clinical area of practice were collected.Results. 273 physiotherapists completed the survey. Overall confidence in managing people with RA was low (22.7–58.2%) and need for PD was high (45.1–95.2%). Physiotherapists with greater years of clinical experience, a caseload of consumers with RA, postgraduate qualifications in musculoskeletal physiotherapy, or who worked in the musculoskeletal area were more confident in managing people with RA and less likely to need PD. Online and face-to-face formats were preferred modes of PD delivery.Discussion. To enable community-based RA service delivery to be effectively established, subgroups within the current physiotherapy workforce require upskilling in the evidence-based management of consumers with RA.
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Eden, Allaina, Claire Purkiss, Gabriella Cork, Adam Baddeley, Kelly Morris, Leah Carey, Mike Brown, Laura McGarrigle, and Samantha Kennedy. "In-patient physiotherapy for adults on veno-venous extracorporeal membrane oxygenation – United Kingdom ECMO Physiotherapy Network: A consensus agreement for best practice." Journal of the Intensive Care Society 18, no. 3 (June 14, 2017): 212–20. http://dx.doi.org/10.1177/1751143717705801.
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Clinical specialist physiotherapists from the five severe respiratory failure centres in England where respiratory extracorporeal membrane oxygenation (ECMO) is practiced have established this consensus agreement for physiotherapy best practice. The severe respiratory failure centres are Wythenshawe Hospital, Manchester; Glenfield Hospital, Leicester; Papworth Hospital, Cambridge; Guy’s and St Thomas’ Hospital, London and The Royal Brompton Hospital, London. Although research into physiotherapy and ECMO is increasing, there is not a sufficient amount to write evidence-based guidelines; hence the development of a consensus document, using knowledge and experience of the specialist physiotherapists working with patients receiving ECMO. The document outlines safety aspects, practicalities and additional treatment considerations for physiotherapists conducting respiratory care and physical rehabilitation.
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Sedláčková, Katarína, and Sarah-Jane Ryan. "The Perceptions of Slovak Physiotherapists of their Practice Placement Experience." International Journal of Practice-based Learning in Health and Social Care 1, no. 2 (October 2013): 23–36. http://dx.doi.org/10.11120/pblh.2013.00015.
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Scheiber, Barbara, Claudia Spiegl, Claudia Wiederin, Erika Schifferegger, and Natalia Schiefermeier-Mach. "Post-COVID-19 Rehabilitation: Perception and Experience of Austrian Physiotherapists and Physiotherapy Students." International Journal of Environmental Research and Public Health 18, no. 16 (August 18, 2021): 8730. http://dx.doi.org/10.3390/ijerph18168730.
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The rehabilitation needs of COVID-19 survivors are increasingly recognized, with a focus on combating respiratory and neuromuscular dysfunctions. The aim here was to explore the perception of Austrian physiotherapists and physiotherapy students on post-COVID-19 rehabilitation care and to identify barriers for the application of sufficient rehabilitation. We analysed current knowledge and practical skills in respiratory physiotherapy, performing a cross-sectional national survey among physiotherapists working in outpatient settings and physiotherapy students in their last academic year of bachelor-level education in Austria. Out of 255 survey participants, one-third already had inquiries to treat post-COVID-19 patients, and the majority of respondents expected a further increased inflow of patients with rehabilitation needs (64.2%). Only 11.2% of respondents reported feeling sufficiently informed about post-COVID-19 rehabilitation. A total of 68.2% of students and up to 48.1% of physiotherapists favoured a COVID-19-specific adaptation already in the basic academic education, and 74.1% of survey participants indicated interest in attending specific training. Concerning respiratory physiotherapy, our data showed discrepancies between the estimation of the importance of specific examination and treatment techniques and the level of current experience. There is a clear lack of experience in implementing effective device-based respiratory therapy. Our data indicate an urgent need to develop new education and training programs with a focus on the interdisciplinary rehabilitation of patients with post-COVID-19 syndrome.
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Zhu, Shiyi, Catherine Sherrington, Matthew Jennings, Bernadette Brady, Marina Pinheiro, Sarah Dennis, Lauren J. Christie, et al. "Current Practice of Physical Activity Counselling within Physiotherapy Usual Care and Influences on Its Use: A Cross-Sectional Survey." International Journal of Environmental Research and Public Health 18, no. 9 (April 29, 2021): 4762. http://dx.doi.org/10.3390/ijerph18094762.
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Physical activity counselling has demonstrated effectiveness at increasing physical activity when delivered in healthcare, but is not routinely practised. This study aimed to determine (1) current use of physical activity counselling by physiotherapists working within publicly funded hospitals; and (2) influences on this behaviour. A cross-sectional survey of physiotherapists was conducted across five hospitals within a local health district in Sydney, Australia. The survey investigated physiotherapists’ frequency of incorporating 15 different elements of physical activity counselling into their usual healthcare interactions, and 53 potential influences on their behaviour framed by the COM-B (Capability, Opportunity, Motivation-Behaviour) model. The sample comprised 84 physiotherapists (79% female, 48% <5 years of experience). Physiotherapists reported using on average five (SD:3) elements of physical activity counselling with at least 50% of their patients who could be more active. A total of 70% of physiotherapists raised or discussed overall physical activity, but less than 10% measured physical activity or contacted community physical activity providers. Physiotherapists reported on average 25 (SD:9) barriers influencing their use of physical activity counselling. The most common barriers were related to “opportunity”, with 57% indicating difficulty locating suitable community physical activity opportunities and >90% indicating their patients lacked financial and transport opportunities. These findings confirm that physical activity counselling is not routinely incorporated in physiotherapy practice and help to identify implementation strategies to build clinicians’ opportunities and capabilities to deliver physical activity counselling.
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Atkinson, Karen, and Jane Owen Hutchinson. "Transition from higher education to National Health Service for visually impaired physiotherapists: An interpretative phenomenological exploration." British Journal of Visual Impairment 31, no. 1 (January 2013): 32–46. http://dx.doi.org/10.1177/0264619612466101.
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This idiographic study aims to hear the voices of a small group of visually impaired physiotherapists to explore their lived experience 1 of transition from higher education (HE) into employment. The findings are based on six semi-structured interviews analysed using an interpretative phenomenological approach. Participants were visually impaired physiotherapists who are either working, or have worked, in the National Health Service (NHS). A number of interrelated themes emerged concerning the work of the disabled self, compensation, stigma and passing, disclosure, barriers, disempowerment, and positive experiences. These appear to be linked to a reluctance by participants to engage with their disability identity. The experiences and perceptions of participants do not provide evidence of a commitment to disability-related support for disabled health-care professionals. The results of this study indicate that a wide range of both personal and institutional barriers still exist in the NHS.
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Musiał, Natalia, Agnieszka Jankowicz-Szymańska, and Jacek A. Pietrzyk. "Guillain-Barré syndrome, about a disease that is a challenge for doctors of various specialties." Health Promotion & Physical Activity 2, no. 2 (December 9, 2018): 15–19. http://dx.doi.org/10.5604/01.3001.0012.7785.
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Although the Guillain-Barré syndrome is relatively rare, it is a disease entity that doctors of different specialties and physiotherapists should know as much as possible. This is a post-infectious autoimmune polyneuropathy. This condition falls on the patient unexpectedly and in a short time can lead to damage to many organs and even life-threatening. Due to the multitude and variety of symptoms, treatment of the Guillain-Barré syndrome, more than other diseases, requires close cooperation of the entire therapeutic team. A physiotherapist plays a special role in working with a patient with the Guillain-Barré syndrome. Restoration of lost or limited functions requires time, patience, knowledge and experience to select the methods of working with the patient in the most effective way.
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Jones, Sarah E., Penny K. Campbell, Alexander J. Kimp, Kim Bennell, Nadine E. Foster, Trevor Russell, and Rana S. Hinman. "Evaluation of a Novel e-Learning Program for Physiotherapists to Manage Knee Osteoarthritis via Telehealth: Qualitative Study Nested in the PEAK (Physiotherapy Exercise and Physical Activity for Knee Osteoarthritis) Randomized Controlled Trial." Journal of Medical Internet Research 23, no. 4 (April 30, 2021): e25872. http://dx.doi.org/10.2196/25872.
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Background The delivery of physiotherapy via telehealth could provide more equitable access to services for patients. Videoconference-based telehealth has been shown to be an effective and acceptable mode of service delivery for exercise-based interventions for chronic knee pain; however, specific training in telehealth is required for physiotherapists to effectively and consistently deliver care using telehealth. The development and evaluation of training programs to upskill health care professionals in the management of osteoarthritis (OA) has also been identified as an important priority to improve OA care delivery. Objective This study aims to explore physiotherapists’ experiences with and perceptions of an e-learning program about best practice knee OA management (focused on a structured program of education, exercise, and physical activity) that includes telehealth delivery via videoconferencing. Methods We conducted a qualitative study using individual semistructured telephone interviews, nested within the Physiotherapy Exercise and Physical Activity for Knee Osteoarthritis randomized controlled trial, referred to as the PEAK trial. A total of 15 Australian physiotherapists from metropolitan and regional private practices were interviewed following the completion of an e-learning program. The PEAK trial e-learning program involved self-directed learning modules, a mock video consultation with a researcher (simulated patient), and 4 audited practice video consultations with pilot patients with chronic knee pain. Interviews were audio recorded and transcribed verbatim. Data were thematically analyzed. Results A total of five themes (with associated subthemes) were identified: the experience of self-directed e-learning (physiotherapists were more familiar with in-person learning; however, they valued the comprehensive, self-paced web-based modules. Unwieldy technological features could be frustrating); practice makes perfect (physiotherapists benefited from the mock consultation with the researcher and practice sessions with pilot patients alongside individualized performance feedback, resulting in confidence and preparedness to implement new skills); the telehealth journey (although inexperienced with telehealth before training, physiotherapists were confident and able to deliver remote care following training; however, they still experienced some technological challenges); the whole package (the combination of self-directed learning modules, mock consultation, and practice consultations with pilot patients was felt to be an effective learning approach, and patient information booklets supported the training package); and impact on broader clinical practice (training consolidated and refined existing OA management skills and enabled a switch to telehealth when the COVID-19 pandemic affected in-person clinical care). Conclusions Findings provide evidence for the perceived effectiveness and acceptability of an e-learning program to train physiotherapists (in the context of a clinical trial) on best practice knee OA management, including telehealth delivery via videoconferencing. The implementation of e-learning programs to upskill physiotherapists in telehealth appears to be warranted, given the increasing adoption of telehealth service models for the delivery of clinical care.
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DeGaris, Jessica S., and Christian R. Osadnik. "Physical exercise during acute exacerbations of chronic obstructive pulmonary disease: Australian physiotherapy practice." Chronic Respiratory Disease 17 (January 1, 2020): 147997312091282. http://dx.doi.org/10.1177/1479973120912821.
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Evidence supports an important role for pulmonary rehabilitation (PR) after acute exacerbations of chronic obstructive pulmonary disease (AECOPD); however, the role of physical exercise during hospitalisation is less clear. This study evaluated Australian physiotherapy practice and clinical perspectives regarding exercise and physical activity for patients with AECOPD. A national survey of 123 Australian public hospitals was conducted from 2016 to 2017 using a purpose-designed survey measuring self-reported physical exercise prescription, objective measure use, referral patterns and factors influencing service delivery. The response rate was 72% (88 hospitals; 176 physiotherapists). Most physiotherapists (92%) prescribed physical exercise frequently for patients with AECOPD and perceived their role to be important (81%). The most commonly prescribed modalities were ground walking (94%), sit-to-stand (89%) and non-equipment-based lower limb strengthening (79%). Only 32% of respondents offered physiotherapy evaluation during post-discharge outpatient clinic appointments at their hospital. While 71% of respondents indicated they frequently referred patients to PR after AECOPD, rates were significantly higher in those with more cardiorespiratory experience (82%) than those with less experience (66%; p = 0.026). Australian physiotherapists frequently prescribe simple physical exercise modalities for patients with AECOPD. PR referral rates appear influenced by clinician experience, which may need consideration in future remedial strategies.