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Table 5 Frequencies of answers to Clinical Vignette by level of adherence with Clinical Practice Guidelines

From: Italian physiotherapists’ knowledge of and adherence to osteoarthritis clinical practice guidelines: a cross-sectional study

Question All (N = 822; 100%) ‘Delivering’ (N = 202; 25%) ‘Partial Delivering’ (N = 181; 22%) ‘Non-Delivering’ (N = 439; 53%)
YES NO YES NO YES NO YES NO
Section 1: Management (N (%))
 1) Physiotherapy treatment 794 (97) 28 (3) 202 (100) 0 (0) 181 (100) 0 (0) 411 (94) 28 (6)
 2) Referral pharmacological 159 (19) 663 (81) 40 (20) 162 (80) 15 (8) 166 (92) 104 (24) 335 (76)
 3) Referral for debridment 15 (2) 807 (98) 0 (0) 202 (100) 0 (0) 181 (100) 15 (3) 424 (97)
 4) Referral for surgery 26 (3) 796 (97) 0 (0) 202 (100) 0 (0) 181 (100) 26 (6) 413 (94)
 5) Weight Loss 645 (79) 177 (21) 202 (100) 0 (0) 90 (50) 91 (50) 353 (80) 86 (20)
Section 2: Assessment (N (%))
 1) Pain 727 (88) 95 (12) 202 (100) 0 (0) 138 (76) 43 (24) 387 (88) 52 (12)
 2) Functionality 756 (92) 66 (8) 202 (100) 0 (0) 164 (91) 17 (9) 390 (89) 49 (11)
 3) Disability and Partecipation 722 (88) 100 (12) 202 (100) 0 (0) 149 (82) 32 (18) 371 (85) 68 (15)
Section 3: Treatment (N (%))
 1) Load reduction (rest) 244 (30) 578 (70) 0 (0) 202 (100) 0 (0) 181 (100) 244 (56) 195 (44)
 2) Manual therapy 612 (75) 210 (25) 145 (72) 57 (28) 135 (75) 46 (25) 332 (76) 107 (24)
 3) Muscles strengthening 702 (85) 120 (15) 202 (100) 0 (0) 143 (79) 38 (21) 357 (81) 82 (19)
 4) Generic exercise (e.g. aerobic exercise or generic physical activity) 525 (64) 297 (36.) 202 (100) 0 (0) 92 (51) 89 (49) 231 (53) 208 (47)
 5) Education on the pathophysiology of osteoarthritis 698 (85) 124 (15) 202 (100) 0 (0) 142 (78) 39 (21) 354 (81) 85 (19)
 6) TENS 111 (14) 711 (86) 25 (12) 177 (88) 27 (15) 154 (85) 59 (13) 380 (87)
 7) Other Physical Therapies (e.g. ultrasound and laser) 137 (17) 685 (83) 0 (0) 202 (100) 0 (0) 181 (100) 137 (31) 302 (69)
 8) Load reduction devices (e.g. braces, insoles or walking aids). 185 (23) 637 (77) 30 (15) 172 (85) 34 (19) 147 (82) 121 (28) 318 (72)
 9) Hyaluronic acid and corticosteroids 111 (14) 711 (86) 7 (4) 195 (96) 19 (11) 162 (89) 85 (19) 354 (81)
 10) Treatment: Supplements 279 (34) 543 (66) 0 (0) 202 (100) 0 (0) 181 (100) 77 (18) 362 (82)
Section 4: Number of sessions (N (%))*
 Less than 5 sessions 71 (9) 0 (0) 0 (0) 71 (17) Less than 5 sessions 71 (9) 0 (0) 0 (0)
 Between 5 and 10 sessions 465 (58) 138 (68) 121 (67) 206 (50) Between 5 and 10 sessions 465 (58) 138 (68) 121 (67)
 More than 10 sessions 258 (33) 64 (32) 60 (33) 134 (33) More than 10 sessions 258 (33) 64 (32) 60 (33)
  1. Legend: N, number; %, percentage; *Percentage calculated on N = 794; N = 28 could not access to this section as they didn’t check the “Management section: 1) Physiotherapy treatment” option