DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20213005

People with physical disabilities in Sri Lanka are in need for the service of community physiotherapists

Vindya Vimani Senadheera, Kavinda Tharani Malwanage, Sithravelayuthan Mayooran, Abdul Majeed Mohomad Rikas, Agampodi Liyanage Indrajith Prasanna

Abstract


Background: Physiotherapists have long been recognized as important providers of services for people with disability. In Sri Lanka the concept of community physiotherapy has not emerged yet. The present study aimed to identify the need for ‘community physiotherapy service’ in Kandy district, Sri Lanka.

Methods: A community service projection community based rehabilitation, of three years was conducted by the department of physiotherapy, faculty of allied health sciences, University of Peradeniya, Sri Lanka in 2017-2019 in collaboration with department of social service and social welfare of Kandy district secretariat, Sri Lanka.

Results: One hundred and seventy participants with physical disabilities were included in the study 94 (55.29%) were males (mean age; 33.57 (SD ±23.17) and 76 (44.71%) were females (mean age; 33.14 (SD ±24.98). The pediatric population was 41.76% (N=71) followed by 38.82% of adults (N=66) and 19.41% of elderly patients (N=33) of the total population. The highest number of PWD had pediatric conditions (39.41%), followed by musculoskeletal (31.76%), neurological (15.88%), geriatric (8.82%) and cardio-respiratory (4.12%) conditions. The majority (55.88%) of all the people with disabilities who visited the clinics were in need for further physiotherapy consultation and follow up.

Conclusions: In Kandy district of Sri Lanka alone, number of people with physical disabilities who are in need of continuous physiotherapy follow ups is high compared to services already available. Conducting a successful community-based rehabilitation program in Sri Lanka as a whole, require having a specialized health care practitioner to the primary health care team; ‘a community physiotherapist’.


Keywords


Community, Disabilities, Rehabilitation, Physiotherapy

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References


Compilation of community-based rehabilitation practices in the WHO South-East Asia Region. Available at: http://apps.who.int/iris/handle/10665/ 204891. Accessed on 20 May 2021.

Summary world report on disability. Available at: https://www.who.int/teams/noncommunicable-diseases/sensory-functions-disability-and-rehabilitation/world-report-on-disability. Accessed on 20 May 2021.

CBR: a strategy for rehabilitation, equalization of opportunities, poverty reduction and social inclusion of people with disabilities: joint position paper. Available at: https://www.dinf.ne.jp/doc/english/ resource/cbr/cbr_e.html. Accessed on 20 May 2021.

Standard rules on the equalization of opportunities for persons with disabilities: resolution adopted by the general assembly. Available at: https://www.un.org/ development/desa/disabilities/standard-rules-on-the-equalization-of-opportunities-for-persons-with-disabilities.html. Accessed on 20 May 2021.

Community-based rehabilitation: CBR guidelines. Available at: https://www.who.int/disabilities/ publications/cbr/050405_CBR_guidelines_1st_meeting_report.pdf. Accessed on 20 May 2021.

World confederation for physical therapy. primary health care and community based rehabilitation: implications for physical therapy based on a survey of WCPT’s member organisations and a literature review. Available at: https://silo.tips/download/ primary-health-care-and-community-based-rehabilitation. Accessed on 20 May 2021.

Waters WHR, Udy SC, Lunn JE. A domiciliary physiotherapy service. Lancet. 1974:1033-4.

Partridge CJ. Access to physiotherapy services. J Rev Coll Gen Pract. 1982;32(243):634-6.

Burnard S. Development of a community physiotherapy service. Physiother. 1988;74(1):4-8.

Forster A, Young J. The role of community physiotherapy for stroke patients. Physiother. 1990; 76(8):495-7.

Seymour JC, Kerr KM. Community based physiotherapy in the Trent Region: A survey. Physiother. 1996;82(9):514-20.

Rajan P. Community-based physiotherapy in Western India: Some findings from surveys. Asia Pacific Disabil Rehabil J. 2012;23(4):90-6.

Igwesi-Chidobe C. Obstacles to obtaining optimal physiotherapy services in a rural community in southeastern Nigeria. Rehabil Res Pract. 2012;2012:1-8.

Mbada C, Olawuyi A, Oyewole OO, Odole AC, Ogundele AO, Fatoye F. Characteristics and determinants of community physiotherapy utilization and supply. BMC Health Serv Res. 2019;19(1):1-10.

Nualnetr N. Physical therapy roles in community-based rehabilitation: A case study in rural areas of north eastern thailand. Asia Pacific Disabil Rehabil J. 2009;20(1):73-82.

Bury T, Project Manager, WCPT. Primary health care and community based rehabilitation: implications for physical therapy based on a survey of WCPT’s member organisations and a literature review. Word Confed Phys Ther. 2003;(1):1-31.

Health for all better people health with for disability all people with disability. Available at: https://www.mhinnovation.net/resources/who-global-disability-action-plan-2014%E2%80%932021-better-health-all-people-disability. Accessed on 20 May 2021.