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      Factors affecting the extent of utilization of physiotherapy services by physicians in Saudi Arabia

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          Abstract

          [Purpose] To investigate physicians’ attitudes, opinions and experiences towards physiotherapy services as well as to identify the potential factors that may affect the extent of utilization of physiotherapy services (based on physicians’ beliefs) in Saudi Arabia (SA). [Subjects and Methods] A cross-sectional study was conducted. [Results] A total of 108 respondents met the inclusion criteria. The respondents’ attitude towards physiotherapy was slightly low (53.5%), while their opinions and experiences of physiotherapy indicated some important issues. For example, 50% of them believed that physiotherapists did not create a good awareness about physiotherapy services and 55.5% admitted that they did not have enough information about physiotherapy services. The most potential factor reported by physicians that may affect the extent of utilization of physiotherapy services was the lack of physiotherapist’s skills and knowledge to assess and treat patients (55.3%), followed by the limited knowledge of physicians regarding the types of physiotherapy services (44.5%) and the lack of cooperation between physicians and physiotherapists (40.7%). [Conclusion] There were some factors that limited the extent of utilization of physiotherapy services in SA. Physiotherapy academics and clinicians should attempt to change physicians’ negative attitudes, promoting awareness to provide them with a better understanding of physiotherapy services.

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          Most cited references17

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          Disability in Saudi Arabia.

          Disability is a complex, influential, dynamic, multidimensional challenge, and it can substantially limit major life activities of human beings and their ability to integrate/reintegrate into society. According to the World Health Organization reports almost 15% of the world's population lives with certain types of disability, of whom 2-4% experience substantial difficulties in functioning. In Saudi Arabia, very limited research has been conducted on the prevalence and incidence of disability, and most of this is on disabled children. There are several difficulties associated with conducting research on disability related issues in Saudi Arabia. Here, we review the current situation of disability, disability research, and rehabilitation in Saudi Arabia from the published literature.
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            Nurses' perceptions of physiotherapists as rehabilitation team members.

            To investigate nurses' perceptions of physiotherapists as members of the rehabilitation team. This study arose from the current emphasis that is placed on good multidisciplinary teamwork for effective rehabilitation and the awareness that different team members often have different perceptions of their respective roles within the team. Semi-structured interviews, the results of which were then subject to content analysis. Experienced rehabilitation nurses in two rehabilitation wards within a National Health Service Trust. Nurses perceived the role of physiotherapists as being concerned with mobility and movement, and valued the therapists' knowledge and skills in these areas. They felt, however, that physiotherapists had insufficient understanding of the demands and pressures of nursing practice and lacked recognition of the nurses' professional autonomy in decision-making in rehabilitation. Nurses viewed nursing and physiotherapy as two quite distinct and different roles within rehabilitation, despite some role overlap. Physiotherapy was perceived as specific and measurable, while nursing was perceived as generalized and undefined. These perceptions extended to their views on patient-staff interactions and organizational structures. Some of the differences, such as organizational structures, created barriers to rehabilitation. Others, such as physiotherapy expertise in mobility, were valued for their contribution to rehabilitation. Areas were identified where the two professions can assist each other in professional skills. Nurses valued the role and contribution of physiotherapists, but identified areas in which barriers existed to effective interprofessional working, particularly in relation to organizational factors and interprofessional relationships.
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              When is physiotherapy appropriate?

              The main goal of physiotherapy is to reduce pain and restore (or maintain) optimal physical functioning. A wide range of non-pharmacological treatment modalities can be accessed by physiotherapists, including manual therapies, electrophysical agents, thermotherapy, hydrotherapy and graded exercise. The aim of this chapter is to summarise the evidence to date for the effectiveness of various physiotherapy treatment modalities for patients with chronic musculoskeletal conditions, specifically ankylosing spondylitis, rheumatoid arthritis and osteoarthritis involving the peripheral joints. Some important issues for consideration by the rheumatologist before referral of a patient to physiotherapy are also outlined.
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                Author and article information

                Journal
                J Phys Ther Sci
                J Phys Ther Sci
                JPTS
                Journal of Physical Therapy Science
                The Society of Physical Therapy Science
                0915-5287
                2187-5626
                20 February 2018
                February 2018
                : 30
                : 2
                : 216-222
                Affiliations
                [1) ] Physiotherapy Department, Faculty of Applied Medical Sciences, Umm Al-Qura University: PO Box 715, Postal Code 21421, Umm Al-Qura University, Makkah, Saudi Arabia
                [2) ] Department of Basic Sciences, Faculty of Physical Therapy, Cairo University, Egypt
                [3) ] Department of Physical Therapy, Faculty of Applied Medical Sciences, King Abdul Aziz University, Saudi Arabia
                [4) ] College of Medicine and Health, University College Cork, Ireland
                [5) ] Department of Health Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Saudi Arabia
                Author notes
                [* ]Corresponding Author. Mansour Abdullah Alshehri (E-mail: mamshehri@ 123456uqu.edu.sa )
                Article
                jpts-2017-471
                10.1589/jpts.30.216
                5851350
                29545681
                343104e6-7536-4512-87b6-6dae500a48b1
                2018©by the Society of Physical Therapy Science. Published by IPEC Inc.

                This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License. (CC-BY-NC-ND 4.0: https://creativecommons.org/licenses/by-nc-nd/4.0/ )

                History
                : 30 August 2017
                : 07 November 2017
                Categories
                Original Article

                physiotherapy,physicians,saudi arabia
                physiotherapy, physicians, saudi arabia

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