The survey of knowledge and skills regarding idiopathic scoliosis treatments among Thai physiotherapists and physiotherapy students
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Abstract
Background: Basic knowledge about scoliosis is essential for physical therapists (PTs) to provide appropriate management for patients with this condition. Improper treatment can result in worsening of the Cobb angle. In Thailand, there has been no comprehensive survey assessing the basic knowledge of scoliosis among PTs and physical therapy students.
Objective: This study aimed to explore the level of knowledge and confidence in managing patients with idiopathic scoliosis among Thai PT and PT students.
Methods: An online survey was formulated based on guidelines of the Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT). This questionnaire included sections on general information, basic knowledge, and confidence in treating patients with idiopathic scoliosis.
Results: A total of 221 PTs and 167 PT students completed the questionnaire. The results indicated that both groups had an average score below 50% of the total possible score. PTs with a postgraduate degree had a significantly higher average score compared to those with a bachelor's degree (p = 0.029). Furthermore, PT students reported higher confidence levels in managing scoliosis patients and rated the appropriateness of their curriculum content on scoliosis more favorably than PTs (p < 0.05).
Conclusion: Both PTs and PT students demonstrated a low level of knowledge regarding the management of scoliosis. It is recommended that undergraduate curricula be improved to include more detailed content on scoliosis. Additionally, continuing education programs for PTs should be revised to include more training specifically designed to improve their knowledge and skills in managing patients with scoliosis.
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References
Negrini S, Aulisa AG, Aulisa L, Circo AB, de Mauroy JC, Durmala J, et al. 2011 SOSORT guidelines: Orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis. 2012;7(1):3.
Negrini S, Donzelli S, Aulisa AG, Czaprowski D, Schreiber S, de Mauroy JC, et al. 2016 SOSORT guidelines: Orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis Spinal Disord. 2018;13:3.
Kunakornsawat S, Popan N, Piyaskulkaew C, Pruttikul P, Pluemvitayaporn T, Kittithamvongs P. Prevalence of idiopathic scoliosis in Thai female students aged 11-13 years. J Med Assoc Thai. 2017;100:533.
Dolphens M, Cagnie B, Coorevits P, Vanderstraeten G, Cardon G, D'Hooge R, et al. Sagittal standing posture and its association with spinal pain: a school-based epidemiological study of 1196 Flemish adolescents before age at peak height velocity. Spine (Phila Pa 1976). 2012;37(19):1657-66.
Farrell J, Garrido E, Vavruch L, Schlosser TPC. Thoracic morphology and bronchial narrowing are related to pulmonary function in adolescent idiopathic scoliosis. J Bone Joint Surg Am. 2021;103(21):2014-23.
Theroux J, Le May S, Fortin C, Labelle H. Prevalence and management of back pain in adolescent idiopathic scoliosis patients: A retrospective study. Pain Res Manag. 2015;20(3):153-7.
Glavas J, Rumboldt M, Karin Z, Matkovic R, Kresina S, Dragas-Zubalj N, et al. The role of school medicine in the early detection and management of adolescent idiopathic scoliosis. Wien Klin Wochenschr. 2023;135(11-12):273-81.
Reamy BV, Slakey JB. Adolescent idiopathic scoliosis: review and current concepts. Am Fam Physician. 2001;64(1):111-6.
Ma K, Wang C, Huang Y, Wang Y, Li D, He G. The effects of physiotherapeutic scoliosis-specific exercise on idiopathic scoliosis in children and adolescents: a systematic review and meta-analysis. Physiotherapy. 2023;121: 46-57.
Chen Y, Zhang Z, Zhu Q. The effect of an exercise intervention on adolescent idiopathic scoliosis: a network meta-analysis. J Orthop Surg Res. 2023;18(1):655.
Shi Z, Mao Z, Xue S, Chen G, Li S. What is the relationship between health-related quality of life among scoliosis patients and their caregiver burden? A cross-sectional study in China. BMC Psychol. 2023;11(1):346.
Black DAJ, Pilcher C, Drake S, Maude E, Glynn D. Current knowledge of scoliosis in physiotherapy students trained in the United Kingdom. Scoliosis Spinal Disord. 2017;12:34.
Linhares NA, Barbosa JC, Penha PJ, Andrade RM, Ribeiro AP, Magalhaes MO. The impact of training time on understanding the treatment of adolescent idiopathic scoliosis according to SOSORT international guidelines: An online survey study. Children (Basel). 2022;9(11): 1673.
du Toit A, Tawa N, Leibbrandt DC, Bettany-Saltikov J, Louw QA. Current knowledge of idiopathic scoliosis among practising physiotherapists in South Africa. S Afr J Physiother. 2020;76(1):1500.
Ciazynski D, Czernicki K, Durmala J. Knowledge about idiopathic scoliosis among students of physiotherapy. Stud Health Technol Inform. 2008;140:281-5.
Drake S, Glidewell M, Thomas J. Current knowledge of scoliosis in physical therapy students trained in the United States. Scoliosis. 2014;9(Suppl 1):O64.
Akgül H, Kılıç BB, Selçuk H, Aydın NS, Mete E, Sarı DM, et al. Current knowledge of scoliosis in physiotherapists and physiotherapy students trained in Turkey. Turk J Physiother Rehabil. 2022;33(3):123-9.
Aisha MD, Hairol Azman KS, Abdul Latiff AM, Abdul Razak HR. Assessing idiopathic scoliosis knowledge levels among Malaysian physiotherapists and associating their clinical experience. Environment-Behaviour Proceedings Journal. 2023;8(26):205-13.
Meirick T, Shah AS, Dolan LA, Weinstein SL. Determining the prevalence and costs of unnecessary referrals in adolescent idiopathic scoliosis. Iowa Orthop J. 2019;39(1):57-61.
Gamiz-Bermudez F, Obrero-Gaitan E, Zagalaz-Anula N, Lomas-Vega R. Corrective exercise-based therapy for adolescent idiopathic scoliosis: Systematic review and meta-analysis. Clin Rehabil. 2022;36(5):597-608.
Fan Y, Ren Q, To MKT, Cheung JPY. Effectiveness of scoliosis-specific exercises for alleviating adolescent idiopathic scoliosis: a systematic review. BMC Musculoskelet Disord. 2020;21(1):495.
Romano M, Minozzi S, Bettany-Saltikov J, Zaina F, Chockalingam N, Kotwicki T, et al. Therapeutic exercises for idiopathic scoliosis in adolescents. Cochrane Database Syst Rev. 2024;2(2):CD007837.
