Neuro-Physiotherapy at the Primary Health Care Level: Perception of Public Health Physicians


  • TS Daniels Institute of Public Health. University of Nigeria. Enugu
  • AO Jejelaye Faculty of Medical Rehabilitation, University of Medical Sciences, Ondo
  • AM Akinola Sociology and Anthropology Department. Obafemi Awolowo University. Ile Ife.


Neuro-Physiotherapy, Primary Health Care, Public Health Physicians, Perception


Background: There is consistent increase in chronic neurological conditions presenting at primary health care settings across the world. However, there is paucity of neuro-physiotherapy services and research on integrating neuro-physiotherapy to promote independence among this population at primary health care settings. This study determined the perception of public health physicians on the integration of neuro-physiotherapy at the primary health care (PHC) level in Nigeria.

Methods: A descriptive cross-sectional survey using a validated and pre-tested questionnaire to retrieve data from 149 Public Health Physicians in Nigeria to determine their perception of neuro-physiotherapy at the primary health care level.

Results: Majority of the participants 133 (89.3%) agreed to the need for neuro-rehabilitation care at primary health care level. 83 (55.7%) believed that the physiotherapists are competent enough to handle neuro-rehabilitation needs at the PHC level. The findings highlighted the challenges towards implementing neuro-rehabilitation at the primary health care level.

Conclusion: The results revealed positive recommendations from public heath physicians in Nigeria towards the integration of neuro-physiotherapy services in primary health care.


Akeneh UJ. Roles of physiotherapy in primary health care: Awareness and perceptions of other health care professionals in Rivers East Senatorial District, Rivers State, Nigeria 2019.

Kumar P. Role of Physiotherapy in Primary Health Care: Opportunities and Challenges. Inthe 2nd International Conference and workshop on Physical Therapy AIIMS 2013 organized by AIIMS 2013.

Soever L. Primary health care and physical therapists–moving the profession’s agenda forward: a discussion paper prepared for TheCollege of Physical Therapists of Alberta. Alberta Physiotherapy Association and The Canadian Physiotherapy Association. 2006.

McColl MA, Shortt S, Godwin M, Smith K, Rowe K, O'Brien P, Donnelly C. Models for integrating rehabilitation and primary care: ascoping study. Archives of physical medicine and rehabilitation. 2009 Sep 1;90(9):1523-31.

Jejelaye A, Maseko L, Franzsen D. Occupational therapy services and perception of integration of these at Primary Healthcare Level in South Africa. South African Journal of Occupational Therapy. 2019 Dec;49(3):46-53.

Khan F, Amatya B, Mannan H, Rathore FA. Neurorehabilitation in developing countries: challenges and the way forward. Phys Med Rehabil Int. 2015;2(9):1070.

World Health Organization. World report on disability 2011. World Health Organization; 2011.

Vaughan-Graham J, Brooks D, Rose L, Nejat G, Pons J, Patterson K. Exoskeleton use in post-stroke gait rehabilitation: A qualitative study of the perspectives of persons post-stroke and physiotherapists. Journal of neuroengineering and rehabilitation. 2020 Dec;17(1):1-5.

Mundada PH, Kovela RK, Harjpal PL, Kaple NA, Kaple GS. Combined Neurophysiotherapy and Accelerated Skill Acquisition Programme in Improving Upper Extremity Motor Function in Hemiplegia after Brain Tumour Resection. Journal of Clinical & Diagnostic Research. 2022 Oct 1;16(10).

Kaple N, Harjpal P, Samal SS. Neuro-Physiotherapy Regimen to Enhance the Functional Performance of a Hemiplegic Patient Following Brain Tumor Resection: A Case Report. Cureus. 2022 Oct 18;14(10). DOI:10.7759/cureus.30421

Harjpal P, Raipure A, Kovela RK. The effect of neuro-physiotherapy on gross motor function in a male child with spastic diplegic cerebral palsy: a case report. Cureus. 2022 Sep 19;14(9). DOI:10.7759/cureus.29310

Pathak A, Gyanpuri V, Dev P, Dhiman NR. The Bobath Concept (NDT) as rehabilitation in stroke patients: A systematic review. Journal of Family Medicine and Primary Care. 2021 Nov;10(11):3983. doi:10.4103/jfmpc.jfmpc_528_21

O'Donoghue G, Dean E. The physiotherapist's role in contemporary health care in Ireland: responding to 21st century indicators and priorities. Physiotherapy Practice and Research. 2010 Jan 1;31(2):4-9.

World Health Organization. Policies and priority interventions for healthy ageing. World Health Organization. Regional Office for Europe; 2012.

Maleka D, Franzsen D, Stewart A. Physiotherapy services required at primary health care level in gauteng and limpopo provinces (service provider’s perspective-physiotherapists/assistants). South African Journal of Physiotherapy. 2008 Jan 7;64(1):2-7.

Restall G, Leclair L, Fricke M. Integration of occupational therapy and physiotherapy services in primary health care in Winnipeg. School of Medical Rehabilitation, University of Manitoba; 2005.

Ganiyu LO. Physiotherapy in primary health care: are we ready?. Journal of the Nigeria Society of Physiotherapy. 2008 Dec 30;16(1):37-43.

Guilcher SJ. The Value of Physiotherapists in Primary Health Care Clinics: Optimizing (Self-) Management Supports for Persons with Complex Health and Social Needs. Physiotherapy Canada. 2018;70(1):1.

Perreault K. Linking health promotion with physiotherapy for low back pain: a review. Journal of rehabilitation medicine. 2008 Jun 1;40(6):401-9.

Dufour SP, Brown J, Deborah Lucy S. Integrating physiotherapists within primary health care teams: perspectives of family physicians andnurse practitioners. Journal of interprofessional care. 2014 Sep 1;28(5):460-5.

Warren C, Njuki R, Abuya T, Ndwiga C, Maingi G, Serwanga J, Mbehero F, Muteti L, Njeru A, Karanja J, Olenja J. Study protocol for promoting respectful maternity care initiative to assess, measure and design interventions to reduce disrespect and abuse during childbirth in Kenya. BMC pregnancy and childbirth. 2013 Dec;13(1):1-9.

Onwuekwe IO, Ezeala-Adikaibe B. Prevalence and distribution of neurological disease in a neurology clinic in Enugu, Nigeria. Annals of medical and health sciences research. 2011;1(1):63-8.

Al-Abbad HM, Al-Haidary HM. The perception of physical therapy leaders in Saudi Arabia regarding physical therapy scope of practice in primary health care. Journal of physical therapy science. 2016;28(1):112-7.

Maharaj S, Chung C, Dhugge I, Gayevski M, Muradyan A, McLeod KE, Smart A, Cott CA. Integrating physiotherapists into primary health care organizations: the Physiotherapists' perspective. Physiotherapy Canada. 2018;70(2):188-95.

Govender P, Blose S, ChemaneNC, Maddocks S, Chetty V. Physiotherapists’ perception of a community-based primary healthcare clinical education approach to undergraduate learning. African Journal of Health Professions Education. 2019 Mar 1;11(1):16-21.




How to Cite

Daniels, T., Jejelaye, A., & Akinola, A. (2023). Neuro-Physiotherapy at the Primary Health Care Level: Perception of Public Health Physicians. The Nigerian Health Journal, 23(1), 489–497. Retrieved from



Original Articles

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.