The Knowledge and Adherence of Saudi Arabian Physiotherapists to Evidence-Based Practice Guidelines and Recommendations for the Treatment of Lateral Ankle Sprain
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Bibliographic record
Abstract
Background: The most common musculoskeletal injury to the lower extremities that occurs during sports and leisure activities is lateral ankle sprain (LAS). However, it appears that physiotherapists are using more non-evidence-based treatments. So, this study examined the knowledge and adherence of Saudi physiotherapists to the LASs’ clinical practice guidelines (CPGs) and recommendations. Methods: A questionnaire was used for this cross-sectional study. Two clinical examples, using the Ottawa Ankle Rules (OAR), were described: one positive (vignette II) and one negative (vignette I). The treatment that the physiotherapists would employ was described. The CPGs and recommendations were categorized as follows: partially followed, partially not followed, and not followed. Then, they used a 1-5 Likert scale to indicate their level of agreement with various CPG and guideline statements. Results: 386 physiotherapists (62.2% men and 37.8% women) completed the survey. Acute LAS with negative OAR was the clinical vignette. I. 2.07% of them reported "following" the recommended treatments, 39.64% "partially following,” 8.55% "partially not following, and 52.59% "not following." An acute LAS with positive OAR was the clinical vignette II, 5.18% of them reported "following" the recommended treatments, 18.65% "partially following" and 76.17% "not following". The statements for which a 70% consensus was attained were two statements (18.18%). The third and fifth statements were among those that the participants agreed upon, which were related to the assessment phase. Conclusion: The first-line suggested therapy for acute LAS management was unknown to the Saudi physiotherapists. Moreover, three-quarters of them were unable to recognize positive outcomes after radiation (OAR). The current findings highlight a gap between evidence and practice in LAS management.
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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it