Professional practice profile, treatment preferences, and the bases for clinical, educational, and research among Nigerian physiotherapists

Mbada, Chidozie Emmanuel, Onigbinde, Omotola Adam, Oyewole, Olufemi Oyeleye, Binuyo, Overcomer Temiloluwa, Gebrye, Tadesse ORCID: https://orcid.org/0000-0001-7976-2013, Egwu, Michael Ogbonnia, Karstens, Sven and Fatoye, Francis ORCID: https://orcid.org/0000-0002-3502-3953 (2023) Professional practice profile, treatment preferences, and the bases for clinical, educational, and research among Nigerian physiotherapists. Bulletin of Faculty of Physical Therapy, 28 (1). 45. ISSN 1110-6611

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Abstract

Background Physiotherapy education and practice have country-specific peculiarities which may limit globalization in health care. This study aimed to characterize physiotherapy practice and treatment preferences, educational qualifications, and research in Nigeria, with a view of providing vital information for transnational integration and collaboration. Methods A cross-sectional survey of 104 Nigerian physiotherapists was conducted. The Physical Therapy Practice Questionnaire and a self-developed proforma were used as survey tools. Results The mean age of respondents was 33.5 ± 9.4 years. About two-fifth of all respondents (39.4%) had an MSc and mostly practice as clinicians (51.0%) in teaching hospitals (34.6%). The respondents were mostly involved in general practice (50.0%), with a caseload of 1–10 patients per day (67.3%). Soft tissue mobilization (83%), proprioceptive neuromuscular facilitation (76%), breathing exercises (77%), and transcutaneous electrical neuromuscular stimulation (83%) were commonly used. Respondents were familiar databases and evidence-based resources (81.2%) and mostly utilize PubMed (73.3%). Regular case conferences with professional colleagues (47.6%) and treatment planning of between 11 and 30 min (40.6%) were common. Educators spend 1–3 h planning educational work (91.8%). Clinical decision-making is mostly based on professional experience, while journals are the primary resource for educational information. Conclusion Physiotherapy practice in Nigeria is degree based and requires registration board’s licensure. Practitioners deal with a high caseload and utilize a wide range of techniques and modalities and have tendencies to utilize personal experience and research in making clinical decisions. The parity in education and practice with advanced climes inadvertently gives physiotherapy practice in Nigeria a global purview.