Physiotherapists' perceptions and use of medical imaging information in practice

Little, Tamara; Lazaro, Rolando T.

doi:10.1002/pri.37

Cited by 8 publications

(7 citation statements)

References 3 publications

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“…The participants in the current study had a positive attitude towards MI. Similarly, Little and Lazaro [ 28 ] reported that a cohort of USA-based physiotherapists had a positive perception of the utilisation of diagnostic imaging reports (DIR). However, the present study found a negative correlation between participants’ attitudes towards MI and years in practice.…”

Section: Discussionmentioning

confidence: 99%

“…Most participants in our study reported that they used imaging for musculoskeletal assessment. Little and Lazaro [ 28 ] reported that if available, 83.4% of their participants utilised DIR. The reader should note the difference between having the right to order MI and having access to DIR already processed through a physician’s directive [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

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Musculoskeletal imaging authority, levels of training, attitude, competence, and utilisation among clinical physiotherapists in Nigeria: a cross-sectional survey

et al. 2022

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Musculoskeletal imaging authority, levels of training, attitude, competence, and utilisation among clinical physiotherapists in Nigeria: a cross-sectional survey

et al. 2022

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“…-76 ing on the specific clinic or hospital, when MSK imag-77 ing is needed, a PT requires a referral by another health-78 care professional. PTs in SA may demonstrate similar 79 practice barriers mentioned by PTs in previous stud-80 ies[3,7,15]. However, the practice of Saudi PTs in or-81 dering and interpreting DI has not been previously in-82 vestigated formally.…”

mentioning

confidence: 83%

“…The results of DI are utilized by radiologists and other healthcare professionals; physical therapists (PTs) in particular should be able to both identify the need for DI studies and use the results of imaging in patient management [ 2 ]. Knowledge of medical imaging material enables clinicians to understand, with greater depth and precision, the extent of a specific disease or condition during a patient’s evaluation, diagnosis, prognosis, and intervention [ 3 ]. In this context, the interest of PTs in DI is rising, as reflected in the increasing focus on it in physical therapy education, scientific papers, and books [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

A preliminary exploration of attitudes, beliefs, and barriers to physical therapists’ practices in ordering diagnostic imaging

Alqabbani¹,

Alsuwailem²,

AlShammari³

et al. 2023

BMR

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BACKGROUND: Diagnostic imaging (DI) studies are useful resources for examining musculoskeletal (MSK) conditions. When DI is used appropriately, it is an important tool for physical therapists (PTs). OBJECTIVE: The purpose of this study was to explore the attitudes, beliefs, and barriers to PTs’ practices in referring to DI in Saudi Arabia (SA). METHODS: For this quantitative cross-sectional study, an online self-reported questionnaire was designed and distributed. A total of 138 PTs participated in the study. RESULTS: Although most PTs had access to DI, few reported being able to order DI. The PTs demonstrated positive attitudes regarding their ability to refer patients for DI. Nevertheless, some PTs have adopted several beliefs and awareness of PTs regarding the clinical appropriateness of referring to DI, which may increase the unnecessary utilisation of DI requests. More than half of the PTs in this study reported that they were unfamiliar with the clinical rules used for prescribing imaging. CONCLUSION: This study highlights recommendations to improve PTs’ practices towards DI in SA, such as providing more DI courses targeting PTs and including clinical rules within DI education in undergraduate studies. Furthermore, a clear governmental policy is needed to permit PTs to refer to DI when specific criteria are met.

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“…We did not find any comprehensive instrument that could be used to explore the nature of training, attitude, competence and utilisation of musculoskeletal imaging among physiotherapists. However, the following bodies of literature were found relevant in drafting the initial version of the instrument: physiotherapists’ perceptions and use of medical imaging information in practice (Little & Lazaro 2006); Ontario physiotherapists’ opinions on an expanded scope of practice and ordering diagnostic imaging (Chong et al 2015); and studies by Sak-Ocbina et al (2016), Boissonnault et al (2014) and Potter, Cairns and Stokes (2012). A step-by-step approach for the development, validation, pilot testing and implementation of an online profiling questionnaire was adopted from the works of Dizon et al (2011), Streiner and Norman (2008), Boynton (2004), Boynton and Greenhalgh (2004) and Andrews, Nonnecke and Preece (2003).…”

Section: Methodsmentioning

confidence: 99%

Physiotherapist’s musculoskeletal imaging profiling questionnaire: Development, validation and pilot testing

Onyeso

Umunnah

Ibikunle

et al. 2019

South African Journal of Physiotherapy

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BackgroundMany countries have started adopting musculoskeletal imaging as part of physiotherapy practice and their educational programmes are expected to bridge the gaps in training.ObjectivesTo develop an instrument that can be used to explore the level and nature of training, attitude, competence and utilisation of musculoskeletal imaging among physiotherapists.MethodAn exploratory sequential mixed methods design was used. An in-depth international literature search was conducted, followed by a focus group discussion (FGD). The FGD informants were recruited through maximum variation sampling. The results of the FGD and the information from relevant literature were used to draft the physiotherapist’s musculoskeletal imaging profile questionnaire (PMIPQ). The PMIPQ was then subjected to face, content and criterion validity and pilot testing. The final version of the PMIPQ consists of six domains: (A) demographic details, (B) nature of training in musculoskeletal imaging, (C) level of training, (D) attitude towards musculoskeletal imaging, (E) utilisation and (F) competence. Data were analysed using means, standard deviation, Spearman’s correlation (ρ) and Cronbach’s alpha (α); SPSS 20 software (p ≤ 0.05).ResultsThe results showed that the PMIPQ has good psychometric properties: validity and internal consistency. The test–retest reliability (p-value) across the domains was: C (0.973), D (0.979), E (0.842) and F (0.716).ConclusionPhysiotherapist’s musculoskeletal imaging profile questionnaire is a relevant instrument for assessing the musculoskeletal imaging profile of physiotherapists in Nigeria and in other countries with a similar scope of training and practice.Clinical implicationsMusculoskeletal system imaging is a potentially useful adjunct to physiotherapists in clinical practice.

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Physiotherapists' perceptions and use of medical imaging information in practice

Cited by 8 publications

References 3 publications

Musculoskeletal imaging authority, levels of training, attitude, competence, and utilisation among clinical physiotherapists in Nigeria: a cross-sectional survey

Musculoskeletal imaging authority, levels of training, attitude, competence, and utilisation among clinical physiotherapists in Nigeria: a cross-sectional survey

A preliminary exploration of attitudes, beliefs, and barriers to physical therapists’ practices in ordering diagnostic imaging

Physiotherapist’s musculoskeletal imaging profiling questionnaire: Development, validation and pilot testing

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