Physiotherapy practice in lymphoedema in South Africa: A survey

BACKGROUND: Lymphoedema is a chronic condition that is increasing in prevalence and requires specialised management to avoid possible life-threatening complications. OBJECTIVES: To describe the perceived knowledge of physiotherapists about lymphoedema and its management, the lymphoedema patient load seen by physiotherapists, and the current treatment approaches of physiotherapists in South Africa when managing lymphoedema. METHOD: A quantitative study using self-administered, online questionnaires were distributed among physiotherapists. RESULTS: Knowledge of lymphoedema management is perceived to be lacking among physiotherapists. Physiotherapists are getting limited referrals and spending little time managing patients with lymphoedema. Only a few physiotherapists have post-graduate education in lymphoedema management, thus international treatment standards still need to be met. CONCLUSION: In order to meet international standards and patient needs, future research investigating the physiotherapy perspective is needed in lymphoedema management. CLINICAL IMPLICATIONS: Educational bodies and policymakers may use this data to facilitate improvement in physiotherapy management of the condition and provision of care.