Content and Delivery of Physical Therapy in Multiple Sclerosis across Europe: A Survey.

Autor:	Řasová K; Department of Rehabilitation, Third Faculty of Medicine, Charles University, Ruská 87, 108 00 Prague, Czech Republic., Freeman J; Faculty of Health: Medicine, Dentistry and Human Sciences, University of Plymouth, Devon PL6 8BH, UK., Cattaneo D; IRCCS Fondazione Don Carlo Gnocchi, Larice Lab, Milan P20148, Italy., Jonsdottir J; IRCCS Fondazione Don Carlo Gnocchi, Larice Lab, Milan P20148, Italy., Baert I; Faculty of Rehabilitation Sciences REVAL Rehabilitation Research Center REVAL, BIOMED, Hasselt University, 3500 Hasselt, Belgium., Smedal T; Competence Centre, Department of Neurology, and Department of Physiotherapy, Haukeland University Hospital, 5021 Bergen, Norway., Romberg A; Physiotherapy, Masku Neurological Rehabilitation Centre, 21250 Masku, Finland., Feys P; Campus Diepenbeek, Faculty of Rehabilitation Sciences, REVAL Rehabilitation Research center REVAL, BIOMED, Hasselt University, 3500 Hasselt, Belgium., Alves-Guerreiro J; School of Health Sciences, Health Research Unit, Polytechnic Institute of Leiria, Campus 2-Morro do Lena-Alto do Vieiro, 2411-901 Leiria, Portugal., Habek M; Department of Neurology, Referral Center for Autonomic Nervous System, University Hospital Center Zagreb, University of Zagreb, School of Medicine, Kispaticeva, 10000 Zagreb, Croatia., Henze T; Specialist Practice in Neurology, Regensburg 93059, Germany., Santoyo-Medina C; Neurology-Neuroimmunology Department & Neurorehabilitation Unit, Multiple Sclerosis Centre of Catalonia (Cemcat), Vall d'Hebron University Hospital, 08035 Barcelona, Spain., Beiske A; Nevrologgruppen Oslo, 0159 Oslo, Norway., Asch PV; Fit Up, Fitness- and Physiotherapy Center, Kontich, Belgium., Bakalidou D; Department of physiotherapy, University of West Attica, 12243 Athens, Egaleo, Greece., Salcı Y; Department of Physical Therapy and Rehabilitation, Faculty of Health Science, Hacettepe University, Ankara 06100, Turkey., Dimitrova E; Department for Rehabilitation of Musculoskeletal Disorders, Institute of Physical Medicine and Rehabilitation, Faculty of Medicine, 'Ss. Cyril and Methodius' University, 1000 Skopje, Macedonia., Pavlíková M; Department of Rehabilitation, Third Faculty of Medicine, Charles University, Ruská 87, 108 00 Prague, Czech Republic., Štětkářová I; Department of Neurology, Third Faculty of Medicine, Charles University, 100 34 Prague, Czech Republic., Vorlíčková J; Department of Statistical Modelling, Institute of Computer Science, Czech Academy of Sciences, 18207 Prague, Czech Republic., Martinková P; Department of Statistical Modelling, Institute of Computer Science, Czech Academy of Sciences, 18207 Prague, Czech Republic.
Jazyk:	angličtina
Zdroj:	International journal of environmental research and public health [Int J Environ Res Public Health] 2020 Jan 31; Vol. 17 (3). Date of Electronic Publication: 2020 Jan 31.
DOI:	10.3390/ijerph17030886
Abstrakt:	Background: Guidelines and general recommendations are available for multiple sclerosis rehabilitation, but no specific guidance exists for physical therapists. Describing aspects of physical therapy content and delivery in multiple sclerosis and its determinants and analysing whether general recommendations connected with physical therapy are implemented in practice is important for interpreting clinical and research evidence. Methods: An online cross-sectional survey of physical therapists specialized in multiple sclerosis (212 specialists from 26 European countries) was used. Results : There was distinct diversity in service delivery and content across Europe. Perceived accessibility of physical therapy varied from most accessible in the Western region, and least in the Southern region. Sixty-four physical therapists adjusted their approach according to different disability levels, less so in the Eastern region. Duration, frequency and dose of sessions differed between regions, being highest in Southern and Western regions. "Hands on treatment" was the most commonly used therapeutic approach in all apart from the Northern regions, where "word instruction" (providing advice and information) prevailed. Conclusions: The content and delivery of physical therapy differs across Europe. Recommendations concerning access to treatment and adjustment according to disability do not appear to be widely implemented in clinical practice. Competing Interests: The Authors declares that there is no conflict of interest.
Databáze:	MEDLINE
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