Knowledge of Leprosy Prevention and Management Among Physiotherapists in Pakistan: A National Cross-Sectional Study
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Background: Leprosy remains a preventable cause of peripheral neuropathy, deformity, disability, and social stigma in endemic pockets despite elimination-level prevalence in Pakistan. Physiotherapists can support early recognition, disability prevention, rehabilitation, self-care education, and timely referral; however, national evidence on their leprosy-related knowledge is limited. Objective: To assess physiotherapists’ knowledge regarding prevention and management of leprosy across Pakistan. Methods: A descriptive cross-sectional survey was conducted among 422 physiotherapists from Punjab, Sindh, Khyber Pakhtunkhwa, and Balochistan. A structured 17-item questionnaire assessed prevention and management knowledge. Knowledge was categorized as good, fair, or poor using predefined percentage cutoffs. Data were analyzed using descriptive statistics and chi-square tests in SPSS version 27, with p<0.05 considered statistically significant. Results: Overall, 330 participants demonstrated good knowledge, representing 78.2% of the sample, while 19.4% had fair knowledge and 2.4% had poor knowledge. Good knowledge was highest in Punjab (81.1%), followed by Sindh (76.9%), Khyber Pakhtunkhwa (76.2%), and Balochistan (76.2%), with no significant provincial difference (χ²=4.3, p=0.37). Stronger domains included screening recognition (82.7%) and claw-hand deformity recognition (80.6%), while late-stage exercise prescription showed the largest gap (51.2%). Conclusion: Pakistani physiotherapists demonstrated generally good knowledge of leprosy prevention and management, but targeted training is needed in late rehabilitation and reaction recognition.
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