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Abstract

Background: Strong communication skills are central to improving physiotherapy outcomes and fostering patient trust and satisfaction. While their importance is widely recognized, there is limited evidence on how well physiotherapists in low and middle-income countries are equipped for effective clinical communication. Objective: To explore the knowledge and attitude of physiotherapists toward communication skills in clinical practice in Khartoum State of Sudan. Methodology: A descriptive cross-sectional design was employed among physiotherapists working in selected hospitals and clinics.  Using purposive sampling, a total of 89 participants were enrolled. Eligible participants were qualified physiotherapists currently practicing in the chosen institutions. Physiotherapy students and other healthcare professionals were excluded. Data were collected through a structured self-administered questionnaire comprising 11 knowledge (yes/no) and eight attitude (Likert scale) items. Knowledge was considered adequate when more than five correct responses were provided, and attitudes were categorized as positive when more than five favorable answers were given. Descriptive statistics, frequencies, and percentages were generated and presented in tables and figures. Ethical clearance was granted by the Ahfad University for Women Research Committee, and institutional permissions were secured. Informed consent was obtained from all participants. Results: Most participants were female (88%), aged 25-30 years (96%), and held a bachelor’s degree (88%). High knowledge of communication skills was observed in 89% of respondents, while 93% expressed positive attitudes. Although 91% had communication skills included in their undergraduate curriculum, only 45% reported receiving postgraduate training. Notably, 30% remained neutral about their skill adequacy despite strong knowledge levels. Conclusion: Physiotherapists in Sudan demonstrate an encouraging level of knowledge and positive attitudes toward communication skills. However, the gap between academic learning and practical application highlights the need for more structured postgraduate training and ongoing professional development to enhance real-world communication competence.