Perception of Physiotherapy as a Profession by Orthopedic Surgeons.
DOI:
https://doi.org/10.61919/jhrr.v3i2.49Keywords:
Physiotherapy, Orthopedic Surgery, Perception Study, Medical Collaboration, Treatment Methodology, Professional AutonomyAbstract
Background: The field of physiotherapy is increasingly recognized in the medical domain for its solid theoretical underpinnings and advancements in treatment methodologies. However, perceptions among orthopedic surgeons vary, with some viewing physiotherapy as potentially impacting their professional domain, including the frequency of surgical interventions and post-operative patient management.
Objective: This study aims to explore and analyze the perceptions of orthopedic surgeons regarding physiotherapy, focusing on their attitudes towards its role, efficacy, and professional autonomy.
Methods: A cross-sectional descriptive study was conducted involving 26 practicing orthopedic surgeons from various hospital settings in Lahore. Non-probability convenience sampling was employed. Data were collected using a validated questionnaire, which included items on the surgeons' experience, types of surgeries performed, and their frequency, alongside queries about their perceptions of physiotherapy.
Results: A significant proportion of participants (53.8%) strongly endorsed the positive role of physiotherapy, especially in post-operative care, with 57.7% strongly agreeing on its effectiveness. The autonomy of the physiotherapy profession was recognized by 42.3% of surgeons. However, there was notable uncertainty (57.7%) regarding the diversity of physiotherapy's scope. Innovative approaches in physiotherapy were acknowledged by 61.5% of respondents. Competency of physiotherapists as professionals was strongly agreed upon by 42.3% of surgeons.
Conclusion: The study reveals a generally positive perception of physiotherapy among orthopedic surgeons, yet it also uncovers areas of skepticism and uncertainty, particularly regarding the scope and professional autonomy of physiotherapists. These findings highlight the need for enhanced interdisciplinary understanding and collaboration.
Downloads
References
Hoffmann T, Bakhit M, Michaleff Z. Shared decision making and physical therapy: What, when, how, and why? Braz J Phys Ther. 2022;26(1):100382.
Matthews A, Smith K, Read L, Nicholas J, Schmidt E. Trigger finger: An overview of the treatment options. JAAPA : official journal of the American Academy of Physician Assistants. 2019;32(1):17-21.
van Dijk H, Köke AJA, Elbers S, Mollema J, Smeets R, Wittink H. Physiotherapists Using the Biopsychosocial Model for Chronic Pain: Barriers and Facilitators-A Scoping Review. Int J Environ Res Public Health. 2023;20(2).
Kim SK, Min A, Jeon C, Kim T, Cho S, Lee SC, et al. Clinical outcomes and cost-effectiveness of massage chair therapy versus basic physiotherapy in lower back pain patients: A randomized controlled trial. Medicine (Baltimore). 2020;99(12):e19514.
Zhang W, Liu L, Yang W, Liu H. Effectiveness of physiotherapy on quality of life in children with asthma: Study protocol for a systematic review and meta-analysis. Medicine (Baltimore). 2019;98(26):e16195.
Tenforde AS, Borgstrom H, Polich G, Steere H, Davis IS, Cotton K, et al. Outpatient Physical, Occupational, and Speech Therapy Synchronous Telemedicine: A Survey Study of Patient Satisfaction with Virtual Visits During the COVID-19 Pandemic. American journal of physical medicine & rehabilitation. 2020;99(11):977-81.
Rangan A, Brealey SD, Keding A, Corbacho B, Northgraves M, Kottam L, et al. Management of adults with primary frozen shoulder in secondary care (UK FROST): a multicentre, pragmatic, three-arm, superiority randomised clinical trial. Lancet (London, England). 2020;396(10256):977-89.
Wilson AT, Riley JL, 3rd, Bishop MD, Beneciuk JM, Cruz-Almeida Y, Markut K, et al. Pain phenotyping and investigation of outcomes in physical therapy: An exploratory study in patients with low back pain. PLoS One. 2023;18(2):e0281517.
Thom JM, Dennis S, Gibson KA, Livings R, Mills K, Schabrun SM, et al. Knee osteoarthritis patient perspectives of their care in an australian private physiotherapy setting: a qualitative exploratory interview study. BMC musculoskeletal disorders. 2023;24(1):564.
Primeau CA, Philpott HT, Vader K, Unger J, Le CY, Birmingham TB, et al. Students' attitudes, beliefs and perceptions surrounding 2SLGBTQIA + health education and inclusiveness in Canadian physiotherapy programs. BMC Public Health. 2023;23(1):1661.
Hara S, Andresen H, Solheim O, Carlsen SM, Sundstrøm T, Lønne G, et al. Effect of Spinal Cord Burst Stimulation vs Placebo Stimulation on Disability in Patients With Chronic Radicular Pain After Lumbar Spine Surgery: A Randomized Clinical Trial. Jama. 2022;328(15):1506-14.
Paramento M, Rubega M, Di Marco R, Contessa P, Agostini M, Cantele F, et al. Experimental protocol to investigate cortical, muscular and body representation alterations in adolescents with idiopathic scoliosis. PLoS One. 2023;18(10):e0292864.
Natsis K, Kostares M, Tsakotos G, Koutserimpas C, Kostares E, Triantafyllou G, et al. Physical Activity Level Alterations Due to the Lockdowns: A Multi-Center Greek University-Based Study. Acta medica academica. 2023;52(2):119-33.
Akyurek E, Zengin Alpozgen A, Akgul T. The preliminary results of physiotherapy scoliosis-specific exercises on spine joint position sense in adolescent idiopathic scoliosis: A randomized controlled trial. Prosthetics and orthotics international. 2022;46(5):510-7.
Teo PL, Bennell KL, Lawford B, Egerton T, Dziedzic K, Hinman RS. Patient experiences with physiotherapy for knee osteoarthritis in Australia-a qualitative study. BMJ Open. 2021;11(3):e043689.
O'Connor S, Geaney D, Whyte EF, Kontos AP, O'Halloran PJ, Beidler E. Perceptions of Concussion and Associated Anxiety in Irish Collegiate Athletes. Sports health. 2023;15(2):199-209.
Lanier VM, Lohse KR, Hooker QL, Francois SJ, van Dillen LR. Treatment preference changes after exposure to treatment in adults with chronic low back pain. PM & R : the journal of injury, function, and rehabilitation. 2023;15(7):817-27.
Healy S, Dorflinger E, Michaleff ZA, Marks D. Patient preferences and decision-making when considering surgery for musculoskeletal disorders: A mixed methods systematic review. Musculoskeletal Care. 2023;21(2):312-37.
Smith MD, Vicenzino B, Bahr R, Bandholm T, Cooke R, Mendonça LM, et al. Return to sport decisions after an acute lateral ankle sprain injury: introducing the PAASS framework-an international multidisciplinary consensus. British journal of sports medicine. 2021;55(22):1270-6.
Korakakis V, O'Sullivan K, O'Sullivan PB, Evagelinou V, Sotiralis Y, Sideris A, et al. Physiotherapist perceptions of optimal sitting and standing posture. Musculoskeletal science & practice. 2019;39:24-31.
Gassner L, Dabnichki P, Langer A, Pokan R, Zach H, Ludwig M, et al. The therapeutic effects of climbing: A systematic review and meta-analysis. PM & R : the journal of injury, function, and rehabilitation. 2023;15(9):1194-209.
Gleadhill C, Bolsewicz K, Davidson SRE, Kamper SJ, Tutty A, Robson E, et al. Physiotherapists' opinions, barriers, and enablers to providing evidence-based care: a mixed-methods study. BMC Health Serv Res. 2022;22(1):1382.
Butler P, Nguyen T, Giummarra MJ, O'Leary S, Sterling M. Injury perceptions and their association with recovery outcomes in adults with traumatic orthopaedic injuries: a scoping review. Disabil Rehabil. 2022;44(24):7707-22.
DIN ST, SHAKEEL N. Factors Affecting the Extent of Utilization of Physiotherapy Services Among Orthopedic Consultants in Lahore, Pakistan. 2021.
Tanujaya B, Prahmana RCI, Mumu J. Likert scale in social sciences research: Problems and difficulties. 2022.
Uchechukwu MC, FABUNMI AA, IKAR OV, UMUNNAH JO, AKOBUNDU UN, OKONKWO UP. KNOWLEDGE AND PERCEPTION OF PRE-AND POST-OPERATIVE PHYSIOTHERAPY INTERVENTIONS AMONG MEDICAL DOCTORS IN TERTIARY HOSPITALS IN ANAMBRA STATE. Journal of Biomedical Investigation. 2023;11(1):71-80.
O Mir M, Blake C, Cunningham C, Fennelly O, O'Sullivan C. Orthopaedic consultant surgeons perceptions of an advanced practice physiotherapy service in paediatrics: A qualitative study. Musculoskeletal Care. 2021;19(2):149-57.
Volkmer B, Sadler E, Lambe K, Martin FC, Ayis S, Beaupre L, et al. Orthopaedic physiotherapists’ perceptions of mechanisms for observed variation in the implementation of physiotherapy practices in the early postoperative phase after hip fracture: a UK qualitative study. Age and Ageing. 2021;50(6):1961-70.
Samsson KS, Bernhardsson S, Larsson MEH. Perceived quality of physiotherapist-led orthopaedic triage compared with standard practice in primary care: a randomised controlled trial. BMC musculoskeletal disorders. 2016;17(1):257.
Samsson KS, Bernhardsson S, Larsson MEH. “Take me seriously and do something!” - a qualitative study exploring patients’ perceptions and expectations of an upcoming orthopaedic consultation. BMC musculoskeletal disorders. 2017;18(1):367.
Grevnerts HT, Krevers B, Kvist J. Treatment decision-making process after an anterior cruciate ligament injury: patients’, orthopaedic surgeons’ and physiotherapists’ perspectives. BMC musculoskeletal disorders. 2022;23(1):782.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Aiman Junaid, Haroon Mansha, Muhammad Hassan, Muhammad Usman Khalid, Misbah Javed, Ayesha Maqbool
This work is licensed under a Creative Commons Attribution 4.0 International License.
