ADHERENCE TO EVIDENCE-BASED PRACTICE: A SURVEY OF PHYSIOTHERAPISTS' CURRENT PRACTICES FOR MANAGING LUMBAR DISC HERNIATION

Background: Lumbar disc herniation (LDH) is a prevalent musculoskeletal disorder that impairs mobility, causes persistent pain, and reduces quality of life. It contributes to significant clinical and socioeconomic burdens worldwide. Evidence-Based Practice (EBP) is essential for delivering optimal patient care; however, in countries like Pakistan, the degree to which physiotherapists integrate EBP into LDH management remains unclear. Understanding adherence patterns is crucial for identifying gaps and enhancing clinical outcomes. Objective: To evaluate the adherence of physiotherapists to Evidence-Based Practice in the management of lumbar disc herniation. Methods: A cross-sectional survey was conducted among physiotherapists working in hospitals, rehabilitation centers, and private clinics across Pakistan. Data collection was performed both online via Google Forms and through in-person distribution. A total of 531 questionnaires, based on a literature-modified Evidence-Based Practice Questionnaire, were disseminated using a non-probability convenience sampling approach. Inclusion criteria were Pakistan-based clinical physiotherapists with a minimum of one year of experience treating LDH. Physiotherapists working exclusively in academia or outside Pakistan were excluded. Out of 357 returned responses, 312 met the inclusion criteria and were analyzed using SPSS version 21. Descriptive statistics summarized demographic and practice-related data, and chi-square tests assessed associations, with significance set at p<0.05. Results: Among the participants, 57.4% were male, with a mean age of 28.94 ± 5.10 years. Most (76.9%) had 1–5 years of clinical experience. EBP was reported as being used frequently by 50.6% and always by 36.9% of respondents. Knowledge levels were rated as good by 55.1% and excellent by 26.9%. Key barriers included limited access to recent research (39.1%) and time constraints (42.6%). Conclusion: Physiotherapists in Pakistan demonstrate awareness of EBP for LDH management; however, consistent application remains suboptimal, necessitating targeted strategies to bridge the gap between knowledge and practice.