{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T02:04:34Z","timestamp":1777860274666,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JRS"],"published-print":{"date-parts":[[2021,5,7]]},"abstract":"<jats:p>OBJECTIVE: This study aimed to investigate the knowledge, usage and attitude of physiotherapists towards non-steroidal anti-inflammatory drugs (NSAIDs) in Karachi, Pakistan. METHODS: A cross-sectional study was conducted among clinical physiotherapists working in Karachi who were enrolled through convenient sampling. A questionnaire was distributed to the participants, which consisted of questions regarding physiotherapists\u2019 current knowledge, current practice and their attitude towards NSAIDs prescription. RESULTS: Responses of 310 physiotherapists out of the 350 questionnaires distributed were received (response rate = 88%). Results show that most physiotherapists (60.3%) recommended NSAIDs to their patients despite having a variable understanding of the contraindications, adverse reactions and drug interactions of NSAIDs. Most physiotherapists demonstrated poor knowledge of the legislation on NSAIDs prescription as most of them believed that they were allowed to advise (71.9%), prescribe (66.1%) and recommend (72.2%) NSAIDs to their patients. CONCLUSION: This study implicates that physiotherapists should be trained through proper educational sessions such as certification courses on pharmacotherapy (specifically pain medications) in order to become certified to prescribe NSAIDs and other analgesics.<\/jats:p>","DOI":"10.3233\/jrs-202007","type":"journal-article","created":{"date-parts":[[2020,6,16]],"date-time":"2020-06-16T14:05:30Z","timestamp":1592316330000},"page":"109-121","source":"Crossref","is-referenced-by-count":4,"title":["Physiotherapists\u2019 knowledge, usage and attitude towards non-steroidal anti-inflammatory drugs (NSAIDs) in Karachi, Pakistan"],"prefix":"10.1177","volume":"32","author":[{"given":"Suman","family":"Shaikh","sequence":"first","affiliation":[{"name":"College of Physiotherapy, Jinnah Postgraduate Medical Centre, , Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riya","family":"Tharani","sequence":"additional","affiliation":[{"name":"College of Physiotherapy, Jinnah Postgraduate Medical Centre, , Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad","family":"Saad Khan","sequence":"additional","affiliation":[{"name":"College of Physiotherapy, Jinnah Postgraduate Medical Centre, , Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. Riaz Baig","family":"Chughtai","sequence":"additional","affiliation":[{"name":"College of Physiotherapy, Jinnah Postgraduate Medical Centre, , Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bukhtiar","family":"Alam","sequence":"additional","affiliation":[{"name":", Government College of Commerce and Economics, , Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","reference":[{"issue":"3","key":"10.3233\/JRS-202007_ref2","doi-asserted-by":"crossref","first-page":"555","DOI":"10.2165\/00003495-200060030-00004","article-title":"Oral versus topical NSAIDs in rheumatic diseases","volume":"60","author":"Heyneman","year":"2000","journal-title":"Drugs"},{"key":"10.3233\/JRS-202007_ref3","volume-title":"Final report for the Department of Health.","author":"Bissell","year":"2008"},{"issue":"5","key":"10.3233\/JRS-202007_ref4","first-page":"1","article-title":"Perception of Nigerian physiotherapists on enlistment, legislation and benefits of supplementary prescribing","volume":"2","author":"Teslim","year":"2014","journal-title":"Am J Public Health Res"},{"key":"10.3233\/JRS-202007_ref6","volume-title":"Independent and Supplementary Prescribing: An Essential Guide","author":"Crown","year":"2010"},{"issue":"2","key":"10.3233\/JRS-202007_ref7","first-page":"54","article-title":"Analgesic recommendations when treating musculoskeletal sprains and strains","volume":"35","author":"Abbott","year":"2007","journal-title":"NZ Journal of Physiotherapy"},{"issue":"3","key":"10.3233\/JRS-202007_ref8","doi-asserted-by":"crossref","first-page":"230","DOI":"10.3138\/ptc.2015-25","article-title":"Knowledge and use of, and attitudes toward, non-steroidal anti-inflammatory drugs (NSAIDs) in practice: A\u00a0survey of Ontario physiotherapists","volume":"68","author":"Green","year":"2016","journal-title":"Physiotherapy Canada"},{"issue":"8","key":"10.3233\/JRS-202007_ref9","doi-asserted-by":"crossref","first-page":"675","DOI":"10.1016\/j.tcm.2016.04.011","article-title":"FDA labeling of NSAIDs: Review of nonsteroidal anti-inflammatory drugs in cardiovascular disease","volume":"26","author":"Pirlamarla","year":"2016","journal-title":"Trends in Cardiovascular Medicine"},{"issue":"24","key":"10.3233\/JRS-202007_ref10","doi-asserted-by":"crossref","first-page":"1888","DOI":"10.1056\/NEJM199906173402407","article-title":"Gastrointestinal toxicity of nonsteroidal antiinflammatory drugs","volume":"340","author":"Wolfe","year":"1999","journal-title":"New England Journal of Medicine"},{"issue":"2","key":"10.3233\/JRS-202007_ref11","doi-asserted-by":"crossref","first-page":"106","DOI":"10.4103\/sja.SJA_557_18","article-title":"Knowledge of patients on safe medication use in relation to nonsteroidal anti-inflammatory drugs","volume":"13","author":"Babelghaith","year":"2019","journal-title":"Saudi Journal of Anaesthesia"},{"issue":"2","key":"10.3233\/JRS-202007_ref12","doi-asserted-by":"crossref","first-page":"148","DOI":"10.31254\/jsir.2014.3206","article-title":"Prevalence of prescribing pattern of more than one NSAID in Pakistan","volume":"3","author":"Gul","year":"2014","journal-title":"Journal of Scientific and Innovative Research"},{"issue":"2","key":"10.3233\/JRS-202007_ref14","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1016\/S0004-9514(14)60202-6","article-title":"Non-steroidal anti-inflammatory drugs (NSAIDs): Physiotherapists\u2019 use, knowledge and attitudes","volume":"48","author":"Grimmer","year":"2002","journal-title":"Australian Journal of Physiotherapy"},{"key":"10.3233\/JRS-202007_ref15","volume-title":"IBM SPSS Statistics for Windows, Version 23.0","author":"IBM Corp","year":"2015"},{"issue":"1","key":"10.3233\/JRS-202007_ref16","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1590\/S1806-00132013000100011","article-title":"Physiotherapists understanding and attitudes toward non-steroid anti-inflammatory drugs","volume":"14","author":"Coelho-de-Souza","year":"2013","journal-title":"Revista Dor"},{"issue":"12","key":"10.3233\/JRS-202007_ref17","first-page":"1371","article-title":"NSAID prescribing precautions","author":"Risser","year":"2009","journal-title":"American Family Physician"},{"issue":"1","key":"10.3233\/JRS-202007_ref18","doi-asserted-by":"crossref","first-page":"69","DOI":"10.2147\/tcrm.1.1.69.53596","article-title":"Nonsteroidal antiinflammatory drugs (NSAIDs) and physiotherapy management of musculoskeletal conditions: A\u00a0professional minefield?","volume":"1","author":"Kumar","year":"2005","journal-title":"Therapeutics and Clinical Risk Management"},{"issue":"1","key":"10.3233\/JRS-202007_ref19","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/S0031-9406(05)60525-1","article-title":"Advising clients about prescription medications: A\u00a0survey of physiotherapy practice in Australia","volume":"88","author":"Lansbury","year":"2002","journal-title":"Physiotherapy"}],"container-title":["International Journal of Risk &amp; 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