Validation of the World Health Organization Rehabilitation Competency Framework: An illustration using physiotherapy.
Marieke Mocke, Marianne Unger, Susan Hanekom
PMID 39654493WHAT IT FOUND
All 2001 competency statements from 20 physiotherapy frameworks fit into the WHO's five rehabilitation domains, but most described clinical practice.
This suggests the frameworks align with WHO goals but may underemphasise leadership, research and professionalism needed for broader health system roles.
Key findings
01The study identified 2001 individual competency statements from 20 official physiotherapy documents across 18 countries and two regional European bodies.
02Statements were unevenly distributed across the WHO's five domains, with the Practice domain containing 882 statements, Professionalism 488, Learning and Development 216, Management and Leadership 315, and Research 100.
03The authors found no African country documents were included, and regulatory authorities or training institutions were not approached, limiting the representativeness of the frameworks reviewed.
04The analysis identified gaps in existing frameworks regarding transformative competencies (like creating new value and taking responsibility) and technical competence related to technology and AI.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
The search was limited to World Physiotherapy member countries and official association documents. Regulatory bodies and individual training institutions were not included, which may miss key sources of competency definitions. No documents were found from African countries, limiting the global representativeness of the findings. Non-English documents were translated using Google Translate, not professional translators, which may have affected the accuracy of statement interpretation. Competency statements often overlapped across domains, requiring the researchers to split or assign statements to a single domain, which involves subjective judgment. The study reviewed documents, not actual practice or outcomes, so it cannot say whether these competencies are effectively taught or applied.
Declared interests
The authors received no financial support for the research, authorship, or publication of this article.
The easy way to misread this
Do not interpret the alignment with the WHO framework as evidence that physiotherapy competencies are fully developed or effective. This study only shows that existing written statements can be categorized into WHO domains. It does not validate whether these competencies are being taught, learned, or improving patient care, nor does it address the quality or implementation of the frameworks themselves.