Changing the prescription status of physiotherapists: Perception of Nigerian physiotherapists

  • Ayodele T Onigbinde OAU, IFE
  • Adebiyi S Adereni OAU, IFE
  • Kayode DS Bamitale OAU
  • Sylvia VK Kambalametore Univ of malawi
  • Vyvienne M’kumbuzi univ of malawi
  • Margaret Wazakili univ of malawi
Keywords: Supplementary prescription, Physiotherapists, Drugs, cost-effectiveness, Analgesics, NSAIDs


Background: There appears to be a global change in the role of physiotherapists (most especially) in serving as supplementary prescribers of relevant drugs.

Objectives: This study aimed to determine the opinion of physiotherapists on enlistment as supplementary prescribers of drugs, and the classes of drugs they would like to prescribe.

Methods: 102 licensed physiotherapists from 5 purposively selected hospitals participated in the study. A self administered questionnaire was used to collect the data. Data were analyzed using descriptive statistics and Kruskal Wallis test.

Results: Eighty-three physiotherapists (83.8%) wanted to be enlisted as supplementary prescribers and most would like to prescribe analgesics (74.8%), NSAIDS (74.8%) and muscle relaxants (59.2%). Also, 89 respondents (86.4%) supported the enactment of a law that will protect physiotherapists in case of professional litigation. A range of reasons were adduced for desiring to have a change in prescription status and these include effectiveness of clinical practice (77.7%), image improvement (67.0%) and the increased benefit for patients (82.5%). The number of respondents who would like to prescribe Analgesics, NSAIDS and Muscle relaxants were significantly higher than for other classes of drugs (P = 0.001). It was concluded that the majority of physiotherapists would want their status to change to that of supplementary prescribers. Also, most prescribers would like to prescribe analgesics and NSAIDS while a moderate number would like to prescribe muscle relaxants under the protection of an enabling law.

Author Biographies

Ayodele T Onigbinde, OAU, IFE
Senior Lecturer, Medical Rehab Dept
Adebiyi S Adereni, OAU, IFE
Kayode DS Bamitale, OAU
HOD, Dept pf therapeutics
Vyvienne M’kumbuzi, univ of malawi
lecturer at univ of malawi
Margaret Wazakili, univ of malawi
lecturer at univ of malawi


• Australian Medical Association, 2012. AMA takes strong stance on non-medical prescribing. Available through: [Accessed 29 August, 2013].

• CAIPE, 2002. Inter-professional Education. Available through < com/search; caipe. interprofessional%20knowledge&fr2=sb-top&fr=sfp>. [Accessed 5 March, 2013].

• Chartered Society of Physiotherapy, 2013. Practice guidance for physiotherapist supplementary and/or independent prescribers in the safe use of medicines. (2nd Edition). Available through: . [Accessed 29 August, 2013].

• Courtenay, M. and Griffiths, M. 2010. Independent and supplementary prescribing: an essential guide. . [Accessed 10 March, 2013].

• Crown Report, 1999. Review of prescribing, supply and administration of medicines. Available at: < /www.>. [Accessed 28 August, 2013].

• Crown Report, 2000. Supplementary prescribing by nurses, pharmacists, chiropodists/ podiatrists, physiotherapists and radiographers within the NHS in England. A guide for implementation. Available at: <>. [Accessed 8 March, 2013].

• Daily Mail, 2012. British physiotherapists become first in the world to be allowed to prescribe medicines for their patients. Available at: <>. [Accessed 9 March, 2013].

• Department of Health, 2005. Supplementary Prescribing by Nurses, Pharmacists, Chiropodists/Podiatrists, Physiotherapists and Radiographers within the NHS in England: A guide for implementation Available at: 20130107105354/http:// dh/@en/documents/digitalasset/dh_4110033.pdf. [Accessed 25 November, 2013].

• Durrell, S., 1996. Expanding the scope of physiotherapy: clinical physiotherapy specialists in consultants' clinics. Manual Therapy, 1 (4), pp. 210-213.

• Grimmer, K., Kumar, S., Gilbert, A., and Milanese, S., 2002. Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): Physiotherapists’ use, knowledge, and attitudes. Australian Journal of Physiotherapy, 48, pp. 82-91.

• Konitzer, M., Fischer, G.C., and Doering, T.J. 2003. Movement and its significance: Natural healing physiotherapy and modern pharmacological therapy of osteoporosis in the semantic differential. Forsch Komplementarmed Klass Naturheilkd, 10, pp. 128-136.

• Langridge, J.C. and Moran, C.J. 1984. A comparison of two methods of managing patients suffering from rheumatoid arthritis. Physiotherapy. 70(3), pp. 109–13.

• Magos, T. 2006. Interaction between pharmacotherapy and psychotherapy neurophysiologic basis. Neuropsychopharmacologia Hungarica. 8 (2): pp. 73-78.

• MHPRA, 2013. Supplementary Prescribing. Available at: <http://www.mhra. Howweregulate/ Medicines/ [Accessed 9 March, 2013].

• Moore, R.A., Tramer, M.R., Carroll, D., Wiffen, P.J., and McQuay, H.J. 1998. Quantitative systematic review of topically applied Non-Steroidal Anti-Inflammatory Drugs. Biomedical Journal, 316, pp. 333-338.

• Olszewski, J., Repetowski, M., and Kuśmierczyk, K. 2007. Comparative assessment of results in cervical vertigo pharmacotherapy vs. physiotherapy treatment. Otolaryngologia Polska, 61(5), pp. 827-830.

• Onigbinde, A.T., Adedoyin, R.A., and Johnson, O.E. 2006. Effect of physiotherapy interventions on pharmacokinetic variables: A preliminary Review, Nigerian Journal of Medical Rehabilitation, 11 (1), pp. 6-9.

• Onigbinde, A.T., Olaogun, M.O.B., and Iroghue, K. 2012. An evaluation of the knowledge level of Nigerian physiotherapists on topical pharmacology. Hong Kong Physiotherapy Journal, 30, pp. 36 – 42.

• Onigbinde, A.T., Bamitale, K.D.S., Olaogun, M.O.B., Makinde, O. O., Adetoogun, G.E., and Odeyemi, E. 2013. Opinion and knowledge of Nigerian physiotherapists on relevance and usefulness of pharmacology education on dosage of topical medications. International Journal of Pharmacy and Pharmacology, 2 (1), pp. 55 – 63.

• Zafonte R.D. and Munun M.C. 2001. Phenol and alcohol blocks for the treatment of spasticity; Physical Medicine and Rehabilitation Clinics of North America, 12, pp. 817-832.

How to Cite
Onigbinde, A. T., Adereni, A. S., Bamitale, K. D., Kambalametore, S. V., M’kumbuzi, V., & Wazakili, M. (2013). Changing the prescription status of physiotherapists: Perception of Nigerian physiotherapists. Nigerian Journal of Medical Rehabilitation, 16(2).
Research Articles