title: Compliance with the guidelines for acute ankle sprain for physiotherapists is moderate in the Netherlands: an observational study.
abstract: OBJECTIVE
  What is the compliance with guidelines for acute ankle sprain for physiotherapists?
  
  
  METHODS
  Survey of random sample of physiotherapists.
  
  
  METHODS
  400 physiotherapists working in extramural health care in the Netherlands.
  
  
  METHODS
  Questions covered attitude towards guidelines in general, familiarity with the guidelines for acute ankle sprain,compliance with the guidelines, advantages and disadvantages of the guidelines, and factors relating to compliance with the guidelines.
  
  
  RESULTS
  The majority of the physiotherapists were familiar with the content of the guidelines to some degree and 66%applied it to more than half of their patients with acute ankle sprain. The recommendations to determine both the prognosis and the necessity of treatment by using the function score were the least followed. Some physiotherapists thought the function score was not completely clear, which may have been a barrier for implementation. Factors relating positively to compliance were a positive attitude towards guidelines in general, and having colleagues who implemented the guidelines for acute ankle sprain.
  
  
  CONCLUSIONS
  Although compliance with the guidelines for acute ankle sprain was fair/moderate, compliance may be enhanced by improving clarity of the function score, including it in the short version and improving the attitude of physiotherapists towards guidelines in general.
authors.affiliation: Netherlands Institute of Health Services Research, Utrecht, The Netherlands. C.Leemrijse@nivel.nl
authors.forename: Chantal J
authors.initials: CJ
authors.lastname: Leemrijse
authors.forename: Geeske M
authors.initials: GM
authors.lastname: Plas
authors.forename: Hanelore
authors.initials: H
authors.lastname: Hofhuis
authors.forename: Cornelia H M
authors.initials: CH
authors.lastname: van den Ende
mesh_terms: D000208:Acute Disease; D016512:Ankle Injuries / Q000534:rehabilitation*; D001291:Attitude of Health Personnel; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data* / Q000639:trends*; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D009426:Netherlands; D026761:Physical Therapy Specialty / Q000379:methods*; D017410:Practice Guidelines as Topic; D011379:Prognosis; D012044:Regression Analysis; D012720:Severity of Illness Index; D013180:Sprains and Strains / Q000534:rehabilitation*; D011795:Surveys and Questionnaires; D000078329:Workforce