Do Quebec Physiotherapists Follow Evidence-Based Guidelines for Treating Knee Osteoarthritis?

Author:

El-Khoury Jonathan1,Orozco Tatiana2,Bernatsky Sasha3,Desmeules François2,Perreault Kadija4,Woodhouse Linda J.56,Feldman Debbie Ehrmann2785

Affiliation:

1. Faculté de médecine et des sciences de la santé, Université de Sherbrooke, Sherbrooke;

2. École de réadaptation, Faculté de médecine, Université de Montréal;

3. Divisions of Rheumatology and Clinical Epidemiology, Department of Medicine, McGill University Health Centre;

4. Département de réadaptation, Faculté de médecine, Université Laval, Quebec City, Que.;

5. School of Physiotherapy and Exercise Science, Faculty of Health Sciences, Curtin University, Perth, Australia;

6. Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton.

7. Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal;

8. Institut de recherche en santé publique de l’Université de Montréal, Montreal;

Abstract

Purpose: The aim of this study was to document the types of treatment that Quebec physiotherapists use for knee osteoarthritis (OA), to assess whether treatment choices are consistent with current practice guidelines, and to explore the factors associated with using certain treatments. Method: Physiotherapists in Quebec answered a cross-sectional survey that was sent through licensing bodies and social media contacts. The respondents were asked which treatments they would use for a typical case of knee OA. We used descriptive statistics to determine the proportions of physiotherapists who chose each treatment and explored the associations between the use of treatments and demographic factors. Results: A total of 195 Quebec physiotherapists participated in this study, 74.9% of whom were women. The most common treatment choices were mobility exercises (96.4%), followed by education (93.8%), strengthening exercises (85.1%), thermotherapy and cryotherapy (72.3%), manual therapy (53.3%), and electrotherapy (42.1%). Selecting either manual or electrotherapy was significantly associated with working in private practice. Conclusions: The great majority of physiotherapists included mobility and strengthening exercises, both of which are the recommended approaches for treating knee OA. Physiotherapists in private practice were more likely to select manual therapy and electrotherapy.

Publisher

University of Toronto Press Inc. (UTPress)

Subject

Physical Therapy, Sports Therapy and Rehabilitation

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