Assessing the Awareness and Practices of Physical Therapists in Managing Modifiable Risk Factors for Stroke in Saudi Arabia
DOI:
https://doi.org/10.62464/ijoprp.v3i2.14Keywords:
Stroke, Modifiable Risk Factors, Physical therapist, Rehabilitation, Stroke Knowledge and AttitudeAbstract
Aims & Objective: The current research on physical therapists' understanding of managing modifiable risk factors for stroke in Saudi Arabia is limited. This study aims to evaluate physical therapists' knowledge in Saudi Arabia on managing modifiable stroke risk factors and their prioritization of stroke prevention. It also seeks to understand the connection between therapists' awareness, experience, perceptions, and information access with their readiness to apply stroke prevention measures. Methodology: A cross-sectional online questionnaire survey was administered to registered Physical therapists in the Riyadh region between February and July of 2022. An online questionnaire was developed with 18 questions to evaluate the knowledge and perception of the Physical therapist about the risk factors and management of stroke. Socio-demographic information, participant's knowledge and perception of stroke risk factors, and participant's stroke risk factor sources of information. Results: The results of this survey suggest that while most physical therapists in Saudi Arabia have a good understanding of stroke risk factors, there are still some knowledge gaps that need to be addressed. The fact that a significant percentage of respondents were unsure about the relationship between some risk factors and stroke highlights the need for ongoing education and training for physical therapists in this area. Conclusions: The findings underscore the importance of education, training, work experience, and sources of knowledge in shaping physical therapists' beliefs and practice behaviors.
References
Al Khathaami, A. M., Algahtani, H., Alwabel, A., Alosherey, N., Kojan, S., & Aljumah, M. (2011). The status of acute stroke care in Saudi Arabia: an urgent call for action! International Journal of Stroke, 6(1), 75-76. https://doi.org/10.1111/j.1747-4949.2010.00556.x DOI: https://doi.org/10.1111/j.1747-4949.2010.00542.x
Al-Senani, F., Salawati, M., AlJohani, M., et al. (2019). Workforce requirements for comprehensive ischaemic stroke care in a developing country: the case of Saudi Arabia. Human Resources for Health, 17(1), 90. https://doi.org/10.1186/s12960-019-0412-3 DOI: https://doi.org/10.1186/s12960-019-0408-y
Alabdulwahab, S. S., Ahmad, F., & Singh, H. (2015). Effects of Functional Limb Overloading on Symmetrical Weight Bearing, Walking Speed, Perceived Mobility, and Community Participation among Patients with Chronic Stroke. Rehabilitation research and practice, 2015, 241519. https://doi.org/10.1155/2015/241519 DOI: https://doi.org/10.1155/2015/241519
Alanazi, F., & Alrwaily, M. (2022). Assessing Physical Therapy Knowledge amongst the New Graduates in Saudi Arabia: Competency Examination across the Nation. Healthcare, 10(3). https://doi.org/10.3390/healthcare10030504 DOI: https://doi.org/10.3390/healthcare10030579
Alatawi, S. F. (2021). Current clinical practices of Saudi physiotherapists in stroke rehabilitation. Journal of Acute Care Physical Therapy, 12(4), 194-204. https://doi.org/10.1097/JAT.0000000000000145 DOI: https://doi.org/10.1097/JAT.0000000000000165
Alharbi, Muhannad Noor, et al. Ischemic stroke: prevalence of modifiable risk factors in the Saudi population." Age (years) 25 (2019): 25. DOI: https://doi.org/10.24911/IJMDC.51-1548376707
AlOmar, R. S., Al-Azzam, S. I., & Al-Abdulwahab, S. S. (2018). Knowledge and attitude of healthcare providers towards stroke and stroke prevention. Journal of Taibah University Medical Sciences, 13(3), 255-259.
Alqahtani, B. A., Alenazi, A. M., Hoover, J. C., Alshehri, M. M., Alghamdi, M. S., Osailan, A. M., & Khunti, K. (2020). Incidence of stroke among Saudi population: a systematic review and meta-analysis. Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 41(11), 3099–3104. https://doi.org/10.1007/s10072-020-04520-4 DOI: https://doi.org/10.1007/s10072-020-04520-4
Alqahtani, M., Kashoo, F., Alzhrani, M., Ahmad, F., Seyam, M. K., Ahmad, M., Alhusaini, A. A., Melam, G. R., & Buragadda, S. (2020). Current Physical Therapy Practice in the Intensive Care Unit in Saudi Arabia: A Multicentre Cross-Sectional Survey. Critical care research and practice, 2020, 6610027. https://doi.org/10.1155/2020/6610027 DOI: https://doi.org/10.1155/2020/6610027
Benamer, H. T., & Grosset, D. (2009). Stroke in Arab countries: a systematic literature review. Journal of Neurological Sciences, 284, 18-23. DOI: https://doi.org/10.1016/j.jns.2009.04.029
Crosby, R. A., DiClemente, R. J., & Salazar, L. F. (Eds.). (2006). Research methods in health promotion. Jossey-Bass.
Cui, Q., & Naikoo, N. A. (2019). Modifiable and non-modifiable risk factors in ischemic stroke: a meta-analysis. African Health Sciences, 19(2), 2121-2129. doi: 10.4314/ahs.v19i2.36 DOI: https://doi.org/10.4314/ahs.v19i2.36
Feigin, V. L., Lawes, C. M., Bennett, D. A., & Anderson, C. S. (2003). Stroke epidemiology: a review of population-based studies of incidence, prevalence, and case-fatality in the late 20th century. The Lancet. Neurology, 2(1), 43–53. https://doi.org/10.1016/s1474-4422(03)00266-7 DOI: https://doi.org/10.1016/S1474-4422(03)00266-7
Frankfort-Nachmias, C., and Nachmias, D. (2008). Research methods in the social sciences (7th ed.). New York, NY: Worth.
Gorelick, P. B., Scuteri, A., Black, S. E., Decarli, C., Greenberg, S. M., Iadecola, C., ... & van Wijngaarden, J. V. (2011). Vascular contributions to cognitive impairment and dementia: A statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 42(9), 2672-2713. https://doi.org/10.1161/STR.0b013e3182299496 DOI: https://doi.org/10.1161/STR.0b013e3182299496
Hasani, F., MacDermid, J. C., Tang, A., Kho, M., Alghadir, A. H., & Anwer, S. (2020). Knowledge, Attitude, and Implementation of Evidence-Based Practice among Physiotherapists Working in the Kingdom of Saudi Arabia: A Cross-Sectional Survey. Healthcare (Basel, Switzerland), 8(3), 354. https://doi.org/10.3390/healthcare8030354 DOI: https://doi.org/10.3390/healthcare8030354
Jensen, M., & Thomalla, G. (2020). Causes and secondary prevention of acute ischemic stroke in adults. Hämostaseologie, 40(01), 022-030. DOI: https://doi.org/10.1055/s-0039-1700502
Johnson, C.O.; Nguyen, M.; Roth, G.A.; Nichols, E.; Alam, T.; Abate, D.; Abd-Allah, F.; Abdelalim, A.; Abraha, H.N.; Abu- Rmeileh, N.M. Global, regional, and national burden of stroke, 1990–2016: A systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol. 2019, 18, 439–458.
Natarajan, P., Oelschlager, A., Agah, A., Pohl, P., Ahmad, S., & Liu, W. (2008). Current clinical practices in stroke rehabilitation: regional pilot survey. Journal of Rehabilitation Research and Development, 45(6), 841-850. https://doi.org/10.1682/JRRD.2007.09.0145 DOI: https://doi.org/10.1682/JRRD.2007.04.0057
O’Donnell, M. J., Chin, S. L., Rangarajan, S., Xavier, D., Liu, L., Zhang, H., Rao-Melacini, P., Zhang, X., Pais, P., Agapay, S., et al. (2016). Global and regional effects of potentially modifiable risk factors associated with acute stroke in 32 countries: a case–control study. Lancet, 388(10046), 761–75. DOI: https://doi.org/10.1016/S0140-6736(16)30506-2
O'Donnell, M. J., Xavier, D., Liu, L., Zhang, H., Chin, S. L., Rao-Melacini, P., ... & Yusuf, S. (2010). Risk factors for ischemic and intracerebral hemorrhagic stroke in 22 countries (the INTERSTROKE study): A case-control study. The Lancet, 376(9735), 112-123. https://doi.org/10.1016/S0140-6736(10)60834-3 DOI: https://doi.org/10.1016/S0140-6736(10)60834-3
Ookeditse, T. R., Motswakadikgwa, T. R., Ookeditse, K. K., Masilo, G., Bogatsu, Y., Lekobe, B. C., Mosepele, M., Schirmer, H., & Johnsen, S. H. (2021). Healthcare professionals' knowledge of modifiable stroke risk factors: A cross-sectional questionnaire survey in greater Gaborone, Botswana. eNeurologicalSci, 25, 100365. https://doi.org/10.1016/j.ensci.2021.100365
Pomeroy, V., & Tallis, R. (2000). Physical therapy to improve movement performance and functional ability post-stroke. Part 1: Existing evidence. Review of Clinical Gerontology, 10, 261-290. https://doi.org/10.1017/S0959259800102105 DOI: https://doi.org/10.1017/S0959259800010364
Ookeditse, O., Motswakadikgwa, T. R., Ookeditse, K. K., Masilo, G., Bogatsu, Y., Lekobe, B. C., Mosepele, M., Schirmer, H., & Johnsen, S. H. (2021). Healthcare professionals' knowledge of modifiable stroke risk factors: A cross-sectional questionnaire survey in greater Gaborone, Botswana. eNeurologicalSci, 25, 100365. https://doi.org/10.1016/j.ensci.2021.100365 DOI: https://doi.org/10.1016/j.ensci.2021.100365
Robert, A. A., & Zamzami, M. M. (2014). Stroke in Saudi Arabia: a review of the recent literature. Pan African Medical Journal, 17, 14. DOI: https://doi.org/10.11604/pamj.2014.17.14.3015
Sacco, R. L., Kasner, S. E., Broderick, J. P., Caplan, L. R., Connors, J. J., Culebras, A., Elkind, M. S., George, M. G., Hamdan, A. D., Higashida, R. T., Hoh, B. L., Janis, L. S., Kase, C. S., Kleindorfer, D. O., Lee, J. M., Moseley, M. E., Peterson, E. D., Turan, T. N., Valderrama, A. L., Vinters, H. V., … Council on Nutrition, Physical Activity and Metabolism (2013). An updated definition of stroke for the 21st century: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 44(7), 2064–2089. https://doi.org/10.1161/STR.0b013e318296aeca DOI: https://doi.org/10.1161/STR.0b013e318296aeca
Shaik, A. R., Ahmad, F., Miraj, M., Alqahtani, M., Alzhrani, M., Alanazi, A., & Kashoo, F. (2021). Efficacy of the structured balance awareness program on perceived balance confidence and fear-related maladaptive behaviour in post-stroke survivors. NeuroRehabilitation, 49(4), 547–552. https://doi.org/10.3233/NRE-210144 DOI: https://doi.org/10.3233/NRE-210144
Sutton, K. M., Hunter, E. G., Logsdon, B., Santella, B., & Kitzman, P. H. (2021). The Role of Physical Therapy in Multiple Risk Factor Management Poststroke: A Scoping Review. Journal of Geriatric Physical Therapy, 44(3), 165-174. https://doi.org/10.1519/JPT.0000000000000248 DOI: https://doi.org/10.1519/JPT.0000000000000248
Vincent-Onabajo, G., & Moses, T. (2016). Knowledge of stroke risk factors among stroke survivors in Nigeria. Stroke Research and Treatment, 2016, 1902151. https://doi.org/10.1155/2016/1902151 DOI: https://doi.org/10.1155/2016/1902151
World health Organization: The WHO STEP wise approach to stroke surveillance, version 2.1. Available at: http://www.who.int/ncd_surveillance/ en/steps_stroke_manual_v1.2.pdf
Downloads
Published
Versions
- 2024-03-21 (4)
- 2024-02-12 (3)
- 2024-02-12 (2)
- 2024-02-12 (1)
How to Cite
Issue
Section
License
Copyright (c) 2024 International Journal of Physical Therapy Research & Practice
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
