First-contact physiotherapy practice in Nigeria

First-contact physiotherapy practice implies independent practice by physiotherapists. It means that physiotherapists may need to see patients without formal referral from a medical practitioner, and then assess and treat patients if their conditions are appropriate for physiotherapy management. This paper reviews the traditional referral system, whereby medical practitioners make all the decisions, and compares this with recent developments in Nigeria. Some alternative models of referral are suggested in which the physiotherapy professional would have greater independence of practice. Strategies for bringing this about include legislation, the creation of greater public awareness and an expansion of the physiotherapy curriculum. Finally, recommendations are offered in the area of research, treatment prescription, clinical training, internship, professionalisation of degrees and personal comportment of the individual physiotherapist.