The Knowledge and Adherence of Saudi Arabian Physiotherapists to Evidence-Based Practice Guidelines and Recommendations for the Treatment of Lateral Ankle Sprain
Background: The most common musculoskeletal injury to the lower extremities that occurs during sports and leisure activities is lateral ankle sprain (LAS). However, it appears that physiotherapists are using more non-evidence-based treatments. So, this study examined the knowledge and adherence of...
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Vasinformatics
2025-06-01
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| Series: | International Journal of Physiotherapy |
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| Online Access: | https://ijphy.com/index.php/journal/article/view/1774 |
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| author | Feras Tharwat Kutbi Amr Almaz Abdel-Aziem |
| author_facet | Feras Tharwat Kutbi Amr Almaz Abdel-Aziem |
| author_sort | Feras Tharwat Kutbi |
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Background: The most common musculoskeletal injury to the lower extremities that occurs during sports and leisure activities is lateral ankle sprain (LAS). However, it appears that physiotherapists are using more non-evidence-based treatments. So, this study examined the knowledge and adherence of Saudi physiotherapists to the LASs’ clinical practice guidelines (CPGs) and recommendations.
Methods: A questionnaire was used for this cross-sectional study. Two clinical examples, using the Ottawa Ankle Rules (OAR), were described: one positive (vignette II) and one negative (vignette I). The treatment that the physiotherapists would employ was described. The CPGs and recommendations were categorized as follows: partially followed, partially not followed, and not followed. Then, they used a 1-5 Likert scale to indicate their level of agreement with various CPG and guideline statements.
Results: 386 physiotherapists (62.2% men and 37.8% women) completed the survey. Acute LAS with negative OAR was the clinical vignette. I. 2.07% of them reported "following" the recommended treatments, 39.64% "partially following,” 8.55% "partially not following, and 52.59% "not following." An acute LAS with positive OAR was the clinical vignette II, 5.18% of them reported "following" the recommended treatments, 18.65% "partially following" and 76.17% "not following". The statements for which a 70% consensus was attained were two statements (18.18%). The third and fifth statements were among those that the participants agreed upon, which were related to the assessment phase.
Conclusion: The first-line suggested therapy for acute LAS management was unknown to the Saudi physiotherapists. Moreover, three-quarters of them were unable to recognize positive outcomes after radiation (OAR). The current findings highlight a gap between evidence and practice in LAS management.
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| format | Article |
| id | doaj-art-118f709f04cd405f8103bd5ccf2c9a9e |
| institution | Kabale University |
| issn | 2349-5987 2348-8336 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Vasinformatics |
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| series | International Journal of Physiotherapy |
| spelling | doaj-art-118f709f04cd405f8103bd5ccf2c9a9e2025-08-20T03:29:38ZengVasinformaticsInternational Journal of Physiotherapy2349-59872348-83362025-06-0112210.15621/ijphy/2025/v12i2/1774The Knowledge and Adherence of Saudi Arabian Physiotherapists to Evidence-Based Practice Guidelines and Recommendations for the Treatment of Lateral Ankle SprainFeras Tharwat Kutbi0Amr Almaz Abdel-Aziem1Department of Physical Therapy, College Applied Medical Sciences, Taif University, Taif, Saudi Arabia. Email: pt.ferask@gmail.comDepartment of Biomechanics, Faculty of Physical Therapy, Cairo University, Giza, Egypt. Email: amralmaz@yahoo.com; amralmaz@tu.edu.sa Background: The most common musculoskeletal injury to the lower extremities that occurs during sports and leisure activities is lateral ankle sprain (LAS). However, it appears that physiotherapists are using more non-evidence-based treatments. So, this study examined the knowledge and adherence of Saudi physiotherapists to the LASs’ clinical practice guidelines (CPGs) and recommendations. Methods: A questionnaire was used for this cross-sectional study. Two clinical examples, using the Ottawa Ankle Rules (OAR), were described: one positive (vignette II) and one negative (vignette I). The treatment that the physiotherapists would employ was described. The CPGs and recommendations were categorized as follows: partially followed, partially not followed, and not followed. Then, they used a 1-5 Likert scale to indicate their level of agreement with various CPG and guideline statements. Results: 386 physiotherapists (62.2% men and 37.8% women) completed the survey. Acute LAS with negative OAR was the clinical vignette. I. 2.07% of them reported "following" the recommended treatments, 39.64% "partially following,” 8.55% "partially not following, and 52.59% "not following." An acute LAS with positive OAR was the clinical vignette II, 5.18% of them reported "following" the recommended treatments, 18.65% "partially following" and 76.17% "not following". The statements for which a 70% consensus was attained were two statements (18.18%). The third and fifth statements were among those that the participants agreed upon, which were related to the assessment phase. Conclusion: The first-line suggested therapy for acute LAS management was unknown to the Saudi physiotherapists. Moreover, three-quarters of them were unable to recognize positive outcomes after radiation (OAR). The current findings highlight a gap between evidence and practice in LAS management. https://ijphy.com/index.php/journal/article/view/1774Ankle sprain, evidence-based, physical therapy, clinical guidelines. |
| spellingShingle | Feras Tharwat Kutbi Amr Almaz Abdel-Aziem The Knowledge and Adherence of Saudi Arabian Physiotherapists to Evidence-Based Practice Guidelines and Recommendations for the Treatment of Lateral Ankle Sprain International Journal of Physiotherapy Ankle sprain, evidence-based, physical therapy, clinical guidelines. |
| title | The Knowledge and Adherence of Saudi Arabian Physiotherapists to Evidence-Based Practice Guidelines and Recommendations for the Treatment of Lateral Ankle Sprain |
| title_full | The Knowledge and Adherence of Saudi Arabian Physiotherapists to Evidence-Based Practice Guidelines and Recommendations for the Treatment of Lateral Ankle Sprain |
| title_fullStr | The Knowledge and Adherence of Saudi Arabian Physiotherapists to Evidence-Based Practice Guidelines and Recommendations for the Treatment of Lateral Ankle Sprain |
| title_full_unstemmed | The Knowledge and Adherence of Saudi Arabian Physiotherapists to Evidence-Based Practice Guidelines and Recommendations for the Treatment of Lateral Ankle Sprain |
| title_short | The Knowledge and Adherence of Saudi Arabian Physiotherapists to Evidence-Based Practice Guidelines and Recommendations for the Treatment of Lateral Ankle Sprain |
| title_sort | knowledge and adherence of saudi arabian physiotherapists to evidence based practice guidelines and recommendations for the treatment of lateral ankle sprain |
| topic | Ankle sprain, evidence-based, physical therapy, clinical guidelines. |
| url | https://ijphy.com/index.php/journal/article/view/1774 |
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