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ORIGINAL RESEARCH REPORT: Qualitative evaluation of the contents of physicians' referral to the Physiotherapy Department...
Daniel O Odebiyi, Ummukulthoum Bakare, Oluseun A Fapojuwo, Oluwatoyosi B Owoeye, Rotimi O Kareem
Journal of Clinical Sciences, Year 2016, Volume 13, Issue 4 [p. 173-177]
DOI: 10.4103/2468-6859.192282
Background: The content of physicians' referral (PR) for physiotherapy is very crucial with respect to physical diagnosis and treatment decisions. It is an indicator of the level of clinical decision making required for proper physiotherapy management of patients. Objectives: To investigate the contents of the PRs to the Department of Physiotherapy of a Teaching Hospital. Materials and Methods: A total of 326 PR for physiotherapy received from four Medical Departments (63 Medicine, 90 Orthopaedics, 81 Paediatrics, and 92 Surgery) of the Teaching Hospital over a period of 3 months were analyzed using a structured data selection sheet. Clinical information such as patient's name and age, diagnosis, brief summary of pathology, prescribed modality, referring unit, date of referral, name, and signature of referring physicians were extracted. Data are presented using frequency distribution and percentages. Chi-square was used to determine the association between variables with significance set at P < 0.05. Results: In the majority of the PR, a brief summary of the pathology of the patients (230, 70.6%) and the referring units (259, 79.4%) were included. The majority (239, 73.3%) of the PR included diagnosis in their referral; (212, 65.0%) and (142, 43.6%) of the PR contained physiotherapy prescription and physicians' name, respectively. Conclusion: Most of the PR did not contain adequate or complete information based on a standard referral format, and most physicians use physiotherapy on "prescription basis" rather than on "consultation basis." A detailed PR for physiotherapy may encourage the use of physiotherapy on a consultation basis.
ORIGINAL ARTICLE: Awareness, attitude, belief, and utilization of physiotherapy services among the general public i...
Vivek H Ramanandi, Dhara N Panchal, Mukund M Prabhakar, Disha J Shah, Janki C Mavani
Physiotherapy - The Journal of Indian Association of Physiotherapists, Year 2019, Volume 13, Issue 2 [p. 95-101]
DOI: 10.4103/PJIAP.PJIAP_3_19
BACKGROUND AND OBJECTIVE: Physiotherapy is considered an integral part in the health-care delivery system, with the provision of services to improve the quality of life of an individual. Utilization of physiotherapy services by the general public can be influenced by knowledge of the role of physiotherapy in health-care delivery. This study investigated the awareness of, attitude toward, belief about, and utilization of physiotherapy services in the general public of four major cities of Gujarat state in India. MATERIALS AND METHODS: A cross-sectional survey of 500 conveniently selected participants from the general public in selected areas of Ahmedabad, Vadodara, Rajkot, and Surat in Gujarat was conducted using a self-administered, validated questionnaire. Data were analyzed using descriptive statistics of mean, percentages, and standard deviation. RESULTS: Participants (n = 245 males, n = 255 females) were aged 36.66 ± 12.2 years. A large proportion, 427 (85.4%), of the participants was aware of physiotherapy through various medium. Out of all the participants, 436 (87.2%) participants were familiar with physiotherapy services. Most of the participants, i.e., 288 (67.4%), reported that physiotherapists treat disorders affecting just bones and joints. About half (216 [49.5%]) and over one-third (157 [36%]) participants reported physiotherapy to be always and sometimes effective, respectively. Around 334 (76.6%) participants stated that they would prefer physiotherapy to Indigenous Health Services, while majority of respondents (398 [89.4%]) claimed that they would recommend physiotherapy. CONCLUSION: A large proportion of the participants are aware of physiotherapy services. Positive attitude toward and belief about physiotherapy services were reported. Furthermore, physiotherapy services utilization of participants was fairly high.
EDITORIAL: Clinical Establishments Act, 2010: Improving clinical standards or proscribing physiotherapy
Akhoury Gourang Kumar Sinha
Physiotherapy - The Journal of Indian Association of Physiotherapists, Year 2019, Volume 13, Issue 2 [p. 53-57]
DOI: 10.4103/PJIAP.PJIAP_34_19
ORIGINAL RESEARCH REPORT: Analysis of physiotherapy documentation of patients' records and discharge plans in a tertiary...
Olajide A Olawale, Ashiyat K Akodu, Emilia A Tabeson
Journal of Clinical Sciences, Year 2015, Volume 12, Issue 2 [p. 85-89]
DOI: 10.4103/1595-9587.169687
Background and Objective: Accurate documentation promotes continuity of care and facilitates dissemination of information concerning the patient to all members of the health care team. This study was designed to analyze the pattern of physiotherapy documentation of the patients' records and discharge plans in a tertiary hospital in Lagos, Nigeria. Materials and Methods: A total of 503 case files from the four units of the Physiotherapy Department of the hospital were examined for accuracy of records. The D-Catch instrument was used to quantify the accuracy of record structure, admission data, physiotherapy examination, physiotherapy diagnosis, patients' prognoses based on the plan of care, physiotherapy intervention, progress and outcome evaluation, legibility, and discharge/discontinuation plan. Results: “Accuracy of legibility” domain had the highest accuracy score: 401 (79.72%) case files had an accuracy score of 4. The domain “accuracy of the discharge/discontinuation summary” had the lowest accuracy score: 502 (99.80%) case files had an accuracy score of 1. Conclusion: Documentation of the plan of care made in the hospital for the period of this study did not fully conform to the guidelines of the World Confederation for Physical Therapy (WCPT). The accuracy of physiotherapy documentation needs to be improved in order to promote optimal continuity of care, improve efficiency and quality of care, and recognize patients' needs. Implementation and use of electronically produced documentation might help physiotherapists to organize their notes more accurately.
ORIGINAL ARTICLE: Awareness and perception of physiotherapy among senior students of selected secondary schools in ...
Samuel Olufemi Bolarinde, Temitope Victor Owoyemi, Ayodeji Obaya, Michael Nanimebila
Indian Journal of Physical Therapy and Research, Year 2020, Volume 2, Issue 1 [p. 19-24]
DOI: 10.4103/ijptr.ijptr_2_20
Context: Physiotherapy plays a significant role in health care system. The pursuit of career in physiotherapy depends largely on the information available to the students about the practice of physiotherapy. Aims: To investigate the level of awareness and perception of physiotherapy profession among senior secondary school students. Settings and Design: The cross-sectional study recruited 259 senior class students in selected secondary schools in Owo local government area of Ondo-state, South-western Nigeria. Materials and Methods: A self-administered questionnaire adapted from similar studies was used to obtain information on level of awareness and perception of physiotherapy. Statistical Analysis Used: Data were summarized using mean, standard deviation, frequency and percentiles. Results: 71.0% of participants were aware of physiotherapy profession. 76.8% were aware that physiotherapy can be studied in University while others believed it can be studied in polytechnic (3.9%), college of education (6.6%) and technical schools (5.4%). 45.9% knew about adequate subject combination for gaining admission to study physiotherapy while 54.1% did not know about adequate subject combination. The overall knowledge score of <48.0% among the participants indicated inadequate knowledge about physiotherapy practice, treatment modalities and specialties. Conclusions: Participants in this study demonstrated a high level of awareness about physiotherapy. The knowledge level of the participants about the practice of physiotherapy, treatment modalities and specialties other than orthopedic remains inadequate. Professional body of Physiotherapy should create a detailed career talk in secondary school to increase the level of awareness and knowledge about the practice of physiotherapy, treatment modalities and specialties.
ORIGINAL ARTICLE: Awareness of physiotherapy among the Anganwadi workers in Dakshina Kannada: A survey
Tania Johnsey, Narasimman Swaminathan, Sydney Rebello, Kavitha Vishal
Muller Journal of Medical Sciences and Research, Year 2013, Volume 4, Issue 2 [p. 57-63]
DOI: 10.4103/0975-9727.118224
Purpose: The physiotherapist facilitates optimum functional independence, health and well being of the community. An idea of the range of conditions that a physiotherapist can treat will help the community to benefit from their skill. Anganwadi workers (AWW) play a key role in health education and care at the primary care settings especially in rural India. Objectives: The objective of this study was to assess the awareness of physiotherapy among AWW in Dakshina Kannada. Materials and Methods: A cross-sectional survey using a validated questionnaire was conducted among 112 AWW. The data obtained were analyzed and described. Results: Fifty percent of the 112 respondents were not aware of the role of physiotherapy in many of the impairments and only 3% of the AWW were informed during their training period regarding physiotherapy. Conclusion and Implications: Awareness about physiotherapy among the AWWs who participated in the study was poor. Adequate awareness programs among the AWW with regard to physiotherapy, through the various means of information transfer, can be beneficial in helping them to direct the people who are in need of such services.
MEDICINE AND SOCIETY: COMMUNITY AND PHYSIATRIST: Approach of physiotherapy students towards community placement: Perceived obstacles
Anila Paul, Ruptee Dhaul
Astrocyte, Year 2014, Volume 1, Issue 3 [p. 233-235]
DOI: 10.4103/2349-0977.157769
Context: Challenges on community clinical placements for students from various medical streams has been reported over time. Physiotherapy students are exposed to community clinical placements during graduation course as part of training. This study was conducted to investigate the attitude of Physiotherapy students towards community clinical placements. Aims: To investigate attitude of Physiotherapy students towards community clinical placements. Settings and Design: A cross-sectional survey was conducted among 181 Physiotherapy students (103 final years and 78 interns) from three different Universities in Mumbai using purposive sampling. Materials and Methods: A validated questionnaire was designed to gather information on attitude and perception towards community clinical placements. Statistical analysis used: Data were analyzed using descriptive statistics in SPSS version 16. Results: Sixty-eight percentage of students reported keen interest in community clinical placements in which 78% were motivated by their past experiences in community services. Eighty percent of them reported that community clinical placements play a significant role in Physiotherapy education and training. The obstacles faced during community clinical placements were lack of interest in Physiotherapy among community members (80%), unavailability of local resources (57%), difficulty in communication in local language (48%), and unhygienic environment (33%). Conclusions: Physiotherapy students reported positive attitude towards community clinical placements as a part of curriculum and were keen in community services. However, lack of awareness about Physiotherapy among community pose barriers to this exposure.
ORIGINAL ARTICLE: Awareness and perception of physiotherapy practice among career educators in selected secondary s...
Samuel Olufemi Bolarinde, Temitope Victor Owoyemi, Ayodeji Ojo Obaya, Michael Nanimebila
Muller Journal of Medical Sciences and Research, Year 2020, Volume 11, Issue 2 [p. 65-70]
DOI: 10.4103/mjmsr.mjmsr_8_20
Context: High school career educators educate and counsel senior students on choice of career. The pursuit of a career in physiotherapy depends largely on the information available to the students. Aims: The aim of the study is to investigate the level of awareness and perception of the physiotherapy profession among secondary school career educators. Settings and Design: The cross-sectional study recruited 49 secondary school career educators in both public and private secondary schools in Owo local government area of Ondo-state, South-western Nigeria. Subjects and Methods: A self-administered questionnaire was used to obtain information on the level of awareness and knowledge about physiotherapy. Statistical Analysis Used: Data were summarized using mean, standard deviation, frequency, and percentiles. Results: About 95.5% of school career educators are aware of physiotherapy. 77.6% are aware that physiotherapy can be studied in university, while others believe that it can be studied in polytechnic (4.1%), college of education (2.0%), and technical schools (6.1%). 51.0% knew about adequate subject combination for gaining admission to study physiotherapy, while 49.0% did not know about the adequate subject combination. The overall knowledge score of <48.0% among school career educators indicated inadequate knowledge about physiotherapy practice, treatment modalities, and specialties. Conclusions: Secondary school career educators in this study demonstrated a high level of awareness about physiotherapy. However, their knowledge about the practice of physiotherapy, treatment modalities, specialties, and employability in institutions other than government own health facilities remains inadequate. The professional body of physiotherapy should organize programs aimed at improving the knowledge of secondary school career educators about the practice of physiotherapy.
ORIGINAL ARTICLE: Facebook and WhatsApp in identifying current practices of neurological physiotherapy intervention...
Neha Sharma, Krati Omar, Navjyoti Gupta, Asir John Samuel
Journal of Pediatric Neurosciences, Year 2020, Volume 15, Issue 2 [p. 90-93]
DOI: 10.4103/jpn.JPN_175_18
Background: Neonatal intensive care unit (NICU) is care of less gestational age babies, prenatal neurological insult such as asphyxia, and congenital abnormalities such as congenital heart disease (CHD). There is a few evidence about neurological interventions in NICUs. Aims and Objectives: To explore the current physiotherapy neurological practices in NICU by the cross-sectional online survey. Materials and Methods: 150 physiotherapy students from different physiotherapy colleges, who were posted in NICU during their clinical posting as a part of curriculum in the age group between 18 and 25 years were enrolled in the study. The study was carried out by sending the link to the students through social networking sites such as Facebook and WhatsApp. The survey was administrated using the online survey portal, SurveyMonkey (online survey services). The questionnaire was filled by physiotherapy students. Validated questionnaire approved by student project committee comprising 10 questions were included in the survey. Results: Out of 150 physiotherapy students, only 107 were responded back. No incomplete questionnaire was received from survey. We obtained 31%––always; 23%––usually; 24%––sometimes; 6%––seldom; and 16%––never performed neurological physiotherapy intervention in NICU. Conclusion: Less than 50% physiotherapy students performed neurological physiotherapy intervention in NICU. Therefore, more awareness needs to be created regarding neurological physiotherapy intervention performed in NICU.
REVIEW ARTICLE: Ethics of physiotherapy practice in terminally ill patients in a developing country, Nigeria
NN Chigbo, ER Ezeome, TC Onyeka, CC Amah
Nigerian Journal of Clinical Practice, Year 2015, Volume 18, Issue 7 [p. 40-45]
DOI: 10.4103/1119-3077.170826 PMID: 26620621
Physiotherapy has been widely defined as a healthcare profession that assesses, diagnoses, treats, and works to prevent disease and disability through physical means. The World Confederation for Physical Therapy describes physiotherapy as providing services to people and populations to develop, maintain, and restore maximum movement and functional ability throughout the lifespan. Physiotherapists working with terminally ill patients face a myriad of ethical issues which have not been substantially discussed in bioethics especially in the African perspective. In the face of resource limitation in developing countries, physiotherapy seems to be a cost-effective means of alleviating pain and distressing symptoms at the end-of-life, ensuring a more dignified passage from life to death, yet referrals to physiotherapy are not timely. Following extensive literature search using appropriate keywords, six core ethical themes related to physiotherapy in terminally ill patients were identified and using the four principles of bioethics (patient's autonomy, beneficence, nonmaleficence, and justice), an ethical analysis of these themes was done to highlight the ethical challenges of physiotherapists working in a typical African setting such as Nigeria.
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