Physiotherapists’ knowledge, attitude and practice of clinical prediction rules in low-back pain

Mbada, Chidozie Emmanuel ORCID: https://orcid.org/0000-0003-3666-7432, Afolabi, Victor Adeboye, Oghumu, Saturday N, Gebrye, Tadesse ORCID: https://orcid.org/0000-0001-7976-2013, Ademoyegun, Adekola ORCID: https://orcid.org/0000-0002-7711-7835, Adje, Mishael, Karstens, Sven and Fatoye, Francis ORCID: https://orcid.org/0000-0002-3502-3953 (2024) Physiotherapists’ knowledge, attitude and practice of clinical prediction rules in low-back pain. Bulletin of Faculty of Physical Therapy, 29 (1). 52. ISSN 1110-6611

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Abstract

Background and aim: Clinical prediction rules (CPRs) are mathematical tools that are intended to guide clinicians in clinical decision making or predict a future outcome, but they seem rather unknown, under-utilized, or avoided by clinicians. This study aimed to assess knowledge, attitude, and practice of CPRs in low-back pain (LBP) among physiotherapists. Methods: A cross-sectional study involving 45 consenting specialist musculoskeletal physiotherapists from three public-funded teaching hospitals in Nigeria was carried out. An adapted validated questionnaire on facilitators and barriers to CPRs utilization, and a socio-demographic proforma were used to collect data. Descriptive and inferential statistics were employed to analyze data. Alpha level was set at p < 0.05. Results: Respondents were mostly males (71.1%), married (64.4%) and first-degree holders (55.6%). Twenty-eight (62.2%) of the respondents had above-average knowledge of CPRs in LBP. Rates for positive attitude towards, and utilization of CPRs were 37.8% and 15.6%. Knowledge and attitude about CPRs in LBP were not significantly influenced by socio-demographic factors (p > 0.05). However, there was a significant association between the utilization of CPRs and years of experience (χ2 = 10.339 p = 0.016). Conclusion: Most Nigerian physiotherapists had above-average knowledge, but a negative attitude and low utilization of CPRs in LBP. Clinicians’ years of clinical experience influence the usage of CPR. There is a need to incorporate training in CPRs into undergraduate and continuous professional development programmes.