Author:
Onyeso Ogochukwu Kelechi,Umunnah Joseph O.,Eze Joseph C.,Onigbinde Ayodele Teslim,Anyachukwu Canice Chukwudi,Ezema Charles Ikechukwu,Onwuakagba Ifeoma Uchenna,Abaraogu Ukachukwu Okoroafor,Awhen Agba Peter,Anikwe Ernest Emezie,Akinola Odunayo Theresa,Kalu Michael Ebe
Abstract
Abstract
Background
Direct-access physiotherapy practice has led to a global review of the use of differential-diagnostic modalities such as musculoskeletal imaging (MI) in physiotherapy.
Objective
To explore the MI authority, levels of training, attitude, utilisation, and competence among clinical physiotherapists in Nigeria.
Methods
This national cross-sectional study analysed a voluntary response sample of 400 Nigerian physiotherapists that completed the online version of the Physiotherapist’s Musculoskeletal Imaging Profiling Questionnaire (PMIPQ), using descriptive statistics, Spearman’s correlation, Mann-Whitney U, Kruskal-Wallis, and Friedman’s ANOVA tests.
Results
Of the 400 participants, 93.2% believed that physiotherapists should use MI in clinical practice. However, only 79.8% reported having MI authority in their practice settings. The participants’ median (interquartile range) levels of training =10 (24) and competence =16 (24) were moderate. Nonetheless, levels of training (χ2 [15] = 1285.899, p = 0.001), and competence (χ2 [15] = 1310.769, p < 0.001) differed across MI procedures. The level of training and competence in x-ray referral and utilisation was significantly higher than magnetic resonance imaging, computed tomography scan, ultrasonography, scintigraphy, and dual-energy x-ray absorptiometry, in that order (p < 0.05). There was a significant positive correlation between the levels of training and competence (rho =0.61, p < 0.001). The participants had a positive attitude =32 (32) and occasionally used MI in clinical practice =21 (28).
Conclusion
Majority of the respondents believed they had MI authority although there was no explicit affirmation of MI authority in the Nigerian Physiotherapy Practice Act. Participants had a positive attitude towards MI. However, levels of MI training, competence, and utilisation were moderate. Our findings have legislative and curriculum implications.
Publisher
Springer Science and Business Media LLC
Subject
Education,General Medicine
Reference33 articles.
1. Moffat M. A history of physical therapist education around the world. J Phys Ther Educ. 2012;26:13–23.
2. Balogun JA, Mbada C, Balogun AO, Okafor U. Nigerian physiotherapists’ knowledge and attributes of professionalism. Cogent Med. 2017;4:1382181. https://doi.org/10.1080/2331205x.2017.1382181.
3. American Physical Therapy Association. Imaging education manual for Doctor of Physical Therapy professional degree programs; 2015. p. 58. Available from: https://www.orthopt.org/uploads/content.../DxProcImagPhysTherPractice_FINAL.pdf. Accessed 17 Jun 2016
4. Keil AP, Baranyi B, Mehta S, Maurer A. Ordering of diagnostic imaging by physical therapists: a 5-year retrospective practice analysis. Phys Ther. 2019;99:1020–6.
5. Gross DP, Emery DJ, Long A, Reese H, Whittaker JL. A descriptive study of physiotherapist use of publicly funded diagnostic imaging modalities in Alberta. Canada Eur J Physiother. 2018;21:171–6.
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