PTSurveyBrazilian journal of physical therapy2021

Reported practices related to, and capability to provide, first-line knee osteoarthritis treatments: a survey of 1064 Australian physical therapists.

Christian J Barton, Marcella F Pazzinatto, Kay M Crossley and 5 others

PMID 34548210

WHAT IT FOUND

Only 11% of surveyed Australian physical therapists could name an accepted knee osteoarthritis guideline.

Most reported providing strength exercise and education, but weight management discussion was less frequent than belief in its evidence.

Key findings

01Only 11% of 1064 respondents could name an accepted knee osteoarthritis guideline, although 38% stated awareness.

0223% did not agree they had the skills, and 52% did not agree they had been trained to deliver guideline-recommended education and exercise therapy.

03More frequent aerobic and neuromuscular exercise prescription and weight-management discussion were related to greater confidence and belief that the evidence supported them.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

Participants were physical therapists attending a GLA:D Australia training course, so they were likely already interested in osteoarthritis care and may not represent all Australian physical therapists. The study relied on anonymous self-report, so it may not show what therapists actually do in clinic. The survey had a limited number of questions and did not cover all possible barriers or enablers to guideline-recommended care. The paper reports therapist awareness, confidence and self-reported practice, not patient outcomes, so it cannot show whether these practices improved knee osteoarthritis symptoms or function. Only 1064 of an estimated 26 000 Australian physical therapists were represented, and the sample was estimated to be 4% of the profession.

Declared interests

CJB received a MRFF Translating Research Into Practice Fellowship. JLK received an NHMRC early career fellowship. NAL received a Future Leader Fellowship from the National Heart Foundation of Australia. CJB, KMC and JLK lead GLA:D Australia, a not-for-profit implementation initiative that trains Australian physical therapists to provide guideline-recommended education and exercise therapy. The survey participants were recruited from GLA:D Australia training courses.

The easy way to misread this

Do not treat these percentages as observed clinical behaviour or as proof that patient care is adequate. The study asked therapists to report their own practices, and participants were recruited from a training course, so the findings may not represent all Australian physical therapists.

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