Joint Hypermobility: a survey of knowledge and current practices among Saudi paediatric physiotherapists

Abstract

Background: Physiotherapists play a crucial role in the management of children with joint hypermobility (JH) and symptomatic joint hypermobility (SJH). Therefore, this study aimed to assess knowledge of these conditions among paediatric physiotherapists in Saudi Arabia and to review current practices in terms of the assessment and management of children with JH and SJH. Methods: A cross-sectional study design utilising a previously validated questionnaire was conducted. The questionnaire was distributed online among eligible Saudi paediatric physiotherapists via the Saudi Physical Therapy Association and convenience sampling. The study was between June to July 2023. Results: A total of 69 responses were collected, 28 of which completed the questionnaire. Most participants (79%) had received no undergraduate training in joint hypermobility and related conditions, while 59% of the respondents with postgraduate education had received no training. The mean score of total knowledge about JH and its associated conditions and features was 18.24 out of 41. A significant association was found between the knowledge score and postgraduate training (p < 0.006). Assessment tools for diagnosing JH and related conditions were used by one-third or less of the respondents. Only 32% of respondents were confident with their assessment of this condition, and only 52% of them were confident with their treatment. Conclusion: There is a knowledge gap about JH and SJH among Saudi paediatric physiotherapists. Education and training were shown to improve knowledge scores. Therefore, it is important to address the gap and improve confidence levels through evidence-based education and training.