Knowledge, attitude, beliefs and practices of South African physiotherapists regarding the management of tension-type headaches
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Date
2021
Authors
Robertson, M. C.
Journal Title
Journal ISSN
Volume Title
Publisher
University of the Free State
Abstract
Background: Tension-type headaches (TTH) are primary headaches that have been indicated by the Global Burden of Disease study as the third most common pain condition worldwide and are more prevalent than migraines. People living with TTH may experience significant decreases in their ability to participate in work, social or leisure activities and housework. Often persons living with TTH are managed by physiotherapists, and therefore physiotherapists should be knowledgeable regarding the therapeutic management of the condition. Currently, there is a paucity of literature in South Africa regarding the knowledge, attitude and beliefs, and practices of South African physiotherapists concerning the management of TTH. Aim of the study: The aim of the study was to explore the knowledge, attitude, beliefs and practices of South African physiotherapists regarding the management of persons living with tension-type headaches. Methodology: A cross-sectional research study was performed using a self-developed questionnaire sent via an electronic survey platform. All ethical considerations were taken into account during this process. Privacy and confidentiality were strictly maintained throughout the research process. Results: One hundred and thirty-four physiotherapists provided electronic consent and completed the questionnaire. The participants were mostly female (89.5%) with a mean age of 36.5 and the median number of years of practice was 13 years. The majority of the participants were working in the private sector and most participants had an interest in Musculoskeletal and Pain management conditions. For the knowledge section, 79 participants (58.96%) obtained a median score of 60%, which indicated that they had average knowledge regarding TTH. The majority of participants enjoyed providing treatment for TTH, favoured the multi-disciplinary team approach and agreed that evidence-based outcome measures should be utilized. In the belief section once again the majority favoured the multi-disciplinary team approach and believed that patients should be provided with alternative pain management strategies. The frequency of treatment varied from one to three times per week in the practice section and the participants preferred a combination of pharmacological and non-pharmacological interventions in the management approach. Discussion and conclusion: This KABP study regarding the management of persons living with TTH among South African physiotherapists demonstrated that the majority of the participants in this study had average knowledge regarding TTH. Many of the participants were not able to identify all of the muscles involved in the symptoms of TTH, which is a concern in the physiotherapy profession since the anatomy of the body is a fundamental part of the understanding of presenting conditions and the development of treatment strategies. Intervention programmes in the form of accredited professional development training to address this shortcoming through online discussions or webinars could be undertaken. This study found that the participants were in favour of a multi-disciplinary team and an evidence-based practice approach in the management of persons living with TTH. It is recommended that further research should be done around this topic within the South African context.
Description
Dissertation (M.Sc. Physiotherapy))--University of the Free State, 2021
Keywords
Primary headaches, Tension-type headaches, Physiotherapy interventions, KABP study, Pharmacological interventions, Non-pharmacology interventions, Multi-disciplinary team approach, Evidence-based practice