Utilization of physiotherapy services and associated factors among stroke survivors attending hospitals in Gondar Town, Northwest Ethiopia

Abstract

Introduction: The physiotherapy service plays a vital role in stroke rehabilitation by improving mobility, reducing disability, and enhancing quality of life. This study assessed physiotherapy service utilization and associated factors among stroke survivors attending hospitals in Gondar Town, Northwest Ethiopia. Methods: An institution-based cross-sectional study was conducted from April to May 2025. A systematic random sampling technique was used to select participants. Data was collected using a structured interviewer-administered questionnaire supported by medical record review. Descriptive statistics were used to summarize participant characteristics. Variables with a p-value of less than 0.25 in the Bivariable regression were entered into a multivariable logistic regression, and a p-value of <0.05 was considered statistically significant. Results: A total of 400 stroke survivors participated in the study, of whom 46.75% utilized physiotherapy services. Utilization of physiotherapy service was significantly associated with the acute phase of stroke survivors (AOR = 1.63, p < 0.000), stroke survivors those who were dependence in activities of daily living (AOR = 1.07, p = 0.002), stroke survivors with balance impairment (AOR = 1.12, p = 0.019), and those with abnormal speed of mobility (AOR = 1.01, p = 0.018) were significantly associated with utilization of physiotherapy service. Conclusion: Physiotherapy service utilization among stroke survivors in Gondar Town was suboptimal. Utilization was significantly associated among patients in the acute phase and those with dependence in activities of daily living, balance impairment and abnormal speed of mobility. Improving access, strengthening referral systems, and enhancing follow-up care are recommended to increase physiotherapy service utilization.