Referring doctors' perspectives about Physiotherapy management for chronic musculoskeletal pain

Rajan, Pavithra; Bellare, Bharati

doi:10.5455/ijtrr.00000018

Cited by 3 publications

(1 citation statement)

References 15 publications

(31 reference statements)

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“…Because paediatric physicians are the first point of contact for the caregivers of specially abled children, hence physicians need to be aware of when to refer for physiotherapy and which conditions should be referred. They are in an ideal position to understand the barriers faced by parents when patients are referred to different specialties [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Understanding the Perspectives of Paediatric Physicians on Physiotherapy in Paediatric Rehabilitation in Chennai, India: A Qualitative Approach

Kanniappan,

Rajeswari,

Padma Lawrence

et al. 2024

JPMPH

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Objectives: Children with disabilities may exhibit a multitude of symptoms, and treatment requires a multidisciplinary approach for a satisfactory outcome. Lack of awareness among physicians, lack of referral, and lack of inter-sectoral coordination have hindered paediatric practice in Tamil Nadu, a state in India with a striking childhood disability rate that warrants a timely interdisciplinary approach. However, the perspectives of paediatricians on paediatric physiotherapy are unknown. The aim of the study was to investigate the perspectives of practicing paediatric physicians in Chennai on the role of physiotherapy in paediatrics.Methods: For an in-depth exploration, qualitative semi-structured interviews were conducted in person with 10 paediatricians. Audio from the sessions was recorded and transcribed, and data saturation was achieved through iterative analysis.Results: A grounded theory analysis of the results yielded 5 domains under which the perspectives and expectations of the physicians were described, along with the barriers experienced by patients’ parents as explained by their paediatrician. The responses highlighted deficits in awareness, structural support, accessibility and direct communication between physicians and physiotherapists.Conclusions: Paediatric physicians have different opinions, and some ignorance persists concerning paediatric physiotherapy. This study warrants a proper structure of the paediatric rehabilitation unit and regular interdisciplinary meetings and focus group discussions to increase access for parents and improve patient outcomes.

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Section: Introductionmentioning

confidence: 99%

Understanding the Perspectives of Paediatric Physicians on Physiotherapy in Paediatric Rehabilitation in Chennai, India: A Qualitative Approach

Kanniappan,

Rajeswari,

Padma Lawrence

et al. 2024

JPMPH

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International Olympic Committee consensus statement on pain management in elite athletes

et al. 2017

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Pain is a common problem among elite athletes and is frequently associated with sport injury. Both pain and injury interfere with the performance of elite athletes. There are currently no evidence-based or consensusbased guidelines for the management of pain in elite athletes. Typically, pain management consists of the provision of analgesics, rest and physical therapy. More appropriately, a treatment strategy should address all contributors to pain including underlying pathophysiology, biomechanical abnormalities and psychosocial issues, and should employ therapies providing optimal benefit and minimal harm. To advance the development of a more standardised, evidenceinformed approach to pain management in elite athletes, an IOC Consensus Group critically evaluated the current state of the science and practice of pain management in sport and prepared recommendations for a more unified approach to this important topic.

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Perception of Filipino physicians on the roles and scope of practice of physical therapy in the Philippines: A multi-method quantitative study

Callejo-Tiuseco

Rimando

Nava

et al. 2022

Philippine Journal of Physical Therapy

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Introduction: Physical therapists (PTs) are licensed practitioners who can assess, diagnose, and provide treatment interventions that restore patients to optimal function. While PTs can deliver complete management plans, the practice of physical therapy (PT) in the Philippines follows a referral system where physicians are the first contact of the patient, emphasizing the importance of physician's perception towards the role of PTs and scope of PT service. This study aimed to determine the internal consistency of the Perception on Physical Therapists Questionnaire (PoPTQ), and to use this tool to report the existing perceptions of Filipino physicians on the practice of PT. Method: This study was divided into two phases and utilized a multi-method quantitative research design. For Phase 1 (psychometric), 18 questionnaires administered to Filipino physicians were used to compute Cronbach's α of PoPTQ. A total of 134 questionnaires of the same population were analyzed for Phase 2 (cross-sectional), in which descriptive statistics and cross tab analysis were used to report the respondents' perceptions. Both phases utilized online means of data gathering done via convenience sampling. Results: Phase 1 revealed a Cronbach's α value of 0.528 for all items of PoPTQ. Phase 2 showed that physicians who have attended lectures discussing the roles of PTs or have experience with working with them have a higher referral rate than those with no prior exposure to PTs. Discussion: Filipino physicians believe that PTs can establish strong patient-therapist relationships, treat different patients, and acknowledge the roles of PTs in clinical and research settings. Data suggest that adequate foundational knowledge, positive perceptions, and high awareness of PTs' roles and scope of practice are observed among Filipino physicians. However, there remains a need to increase collaboration opportunities between PTs and physicians in their academic years and programs that focus on the promotion of PT roles and scope of practice.

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Referring doctors' perspectives about Physiotherapy management for chronic musculoskeletal pain

Cited by 3 publications

References 15 publications

Understanding the Perspectives of Paediatric Physicians on Physiotherapy in Paediatric Rehabilitation in Chennai, India: A Qualitative Approach

Understanding the Perspectives of Paediatric Physicians on Physiotherapy in Paediatric Rehabilitation in Chennai, India: A Qualitative Approach

International Olympic Committee consensus statement on pain management in elite athletes

Perception of Filipino physicians on the roles and scope of practice of physical therapy in the Philippines: A multi-method quantitative study

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