Original Research The knowledge, attitudes and perceptions of physiotherapists and chiropractors in South Africa

Micaela Ravidutt, Sonill Maharaj

About the author(s) Micaela Ravidutt, Department of Chiropractic, Durban University of Technology, Durban, South Africa
Sonill Maharaj, Department of Physiotherapy, University of KwaZulu-Natal, Durban, South Africa

Abstract

Background: Effective healthcare delivery occurs when health professionals collaborate and provide holistic, patient-centred care. Physiotherapists and chiropractors treat a common range of patients with an overlap in their scope of practice and modalities because of typical healthcare roles that could lead to ‘perceived’ animosity.

Objectives: To assess the knowledge, attitudes, and perceptions of qualified chiropractors and physiotherapists regarding each other’s practice.

Method: A cross-sectional survey using an online questionnaire and analysed descriptively.

Results: Participants were chiropractors (n = 116) and physiotherapists (n = 190). Chiropractors achieved a mean knowledge score of 75.7%, with physiotherapists at 59.7% on the assessments of each other’s patients; an average score of 85.3% and 72.0% respectively, on knowledge of treatment modalities; knowledge score of 82.4% and 77.3% respectively, on the conditions treated by the other professional. A total of 82.8% (n = 96) of chiropractors and 70.0% (n = 133) of physiotherapists indicated the other professionals’ competence in treating neuromusculoskeletal conditions. Inter-professional referrals occurred between 81.9% of chiropractors (n = 95) and 55.3% of physiotherapists (n = 105). Chiropractors (69.0%, n = 80) and physiotherapists (55.3%, n = 105) wanted to collaborate to manage patients.

Conclusion: In the surveyed population in South Africa, chiropractors and physiotherapists had good knowledge, positive attitudes and perceptions of each other’s practices, especially in the private sector.

Clinical implications: Inter-professional collaboration between chiropractors and physiotherapists should be encouraged so that healthcare delivery can be holistic and patient-centred for better clinical outcomes.

Keywords

chiropractors; physiotherapists; physiotherapy; chiropractic; knowledge; attitudes; perceptions; collaboration.

Sustainable Development Goal

Goal 3: Good health and well-being

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