Graduate Student Research and Publications

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Browsing Graduate Student Research and Publications by Subject "Curriculum"

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    An evaluation of the nature and level of musculoskeletal imaging training in physiotherapy educational programmes in Nigeria
    (SpringerNature, 2020) Onyeso, Ogochukwu K.; Umunnah, Joseph O.; Ezema, Charles I.; Balogun, Joseph A.; Uchenwoke, Chigozie I.; Nwankwo, Maduabuchukwu J.; Oke, Kayode I.; Bello, Bashir; Nwosu, Ifeoma B.; Adje, Mishael E.
    Background: Deficiency in musculoskeletal imaging (MI) education will pose a great challenge to physiotherapists in clinical decision making in this era of first-contact physiotherapy practices in many developed and developing countries. This study evaluated the nature and the level of MI training received by physiotherapists who graduate from Nigerian universities. Methods: An online version of the previously validated Physiotherapist Musculoskeletal Imaging Profiling Questionnaire (PMIPQ) was administered to all eligible physiotherapists identified through the database of the Medical Rehabilitation Therapist Board of Nigeria. Data were obtained on demographics, nature, and level of training on MI procedures using the PMIPQ. Logistic regression, Friedman’s analysis of variance (ANOVA) and Kruskal-Wallis tests were used for the statistical analysis of collected data. Results: The results (n = 400) showed that only 10.0% of the respondents had a stand-alone entry-level course in MI, 92.8% did not have any MI placement during their clinical internship, and 67.3% had never attended a MI workshop. There was a significant difference in the level of training received across MI procedures [χ 2 (15) = 1285.899; p = 0.001]. However, there was no significant difference in the level of MI training across institutions of entry-level programme (p = 0.36). The study participants with transitional Doctor of Physiotherapy education were better trained in MI than their counterparts with a bachelor’s degree only (p = 0.047). Conclusions: Most physiotherapy programmes in Nigeria did not include a specific MI module; imaging instructions were mainly provided through clinical science courses. The overall self-reported level of MI training among the respondents was deficient. It is recommended that stand-alone MI education should be introduced in the early part of the entry-level physiotherapy curriculum.
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    Musculoskeletal imaging authority, levels of training, attitude, competence, and utilisation among clinical physiotherpists in Nigeria: a cross-sectional survey
    (Springer Nature, 2022) Onyeso, Ogochukwu K.; Umunnah, Joseph O.; Eze, Joseph C.; Onigbinde, Ayodele T.; Anyachukwu, Canice C.; Ezema, Charles I.; Onwuakagba, Ifeoma U.; Abaraogu, Ukachukwu O.; Awhen, Agba P.; Anikwe, Ernest E.; Akinola, Odunayo T.; Kalu, Michael E.
    Background: Direct-access physiotherapy practice has led to a global review of the use of differential-diagnostic modalities such as musculoskeletal imaging (MI) in physiotherapy. Objective: To explore the MI authority, levels of training, attitude, utilisation, and competence among clinical physi- otherapists in Nigeria. Methods: This national cross-sectional study analysed a voluntary response sample of 400 Nigerian physiotherapists that completed the online version of the Physiotherapist’s Musculoskeletal Imaging Profiling Questionnaire (PMIPQ), using descriptive statistics, Spearman’s correlation, Mann-Whitney U, Kruskal-Wallis, and Friedman’s ANOVA tests. Results: Of the 400 participants, 93.2% believed that physiotherapists should use MI in clinical practice. However, only 79.8% reported having MI authority in their practice settings. The participants’ median (interquartile range) levels of training =10 (24) and competence =16 (24) were moderate. Nonetheless, levels of training (χ2 [15] = 1285.899, p = 0.001), and competence (χ2 [15] = 1310.769, p < 0.001) differed across MI procedures. The level of training and competence in x-ray referral and utilisation was significantly higher than magnetic resonance imaging, computed tomography scan, ultrasonography, scintigraphy, and dual-energy x-ray absorptiometry, in that order (p < 0.05). There was a significant positive correlation between the levels of training and competence (rho =0.61, p < 0.001). The par- ticipants had a positive attitude =32 (32) and occasionally used MI in clinical practice =21 (28). Conclusion: Majority of the respondents believed they had MI authority although there was no explicit affirmation of MI authority in the Nigerian Physiotherapy Practice Act. Participants had a positive attitude towards MI. How- ever, levels of MI training, competence, and utilisation were moderate. Our findings have legislative and curriculum implications