Detail
Article
Online article
FT
Medvik - BMC
  • Something wrong with this record ?

The organisation of physiotherapy for people with multiple sclerosis across Europe: a multicentre questionnaire survey

K. Rasova, J. Freeman, P. Martinkova, M. Pavlikova, D. Cattaneo, J. Jonsdottir, T. Henze, I. Baert, P. Van Asch, C. Santoyo, T. Smedal, AG. Beiske, M. Stachowiak, M. Kovalewski, U. Nedeljkovic, D. Bakalidou, JM. Guerreiro, Y. Nilsagård, EN....

. 2016 ; 16 (1) : 552. [pub] 20161006

Language English Country England, Great Britain

Document type Journal Article, Multicenter Study

Persistent link   https://www.medvik.cz/link/bmc17031402

BACKGROUND: Understanding the organisational set-up of physiotherapy services across different countries is increasingly important as clinicians around the world use evidence to improve their practice. This also has to be taken into consideration when multi-centre international clinical trials are conducted. This survey aimed to systematically describe organisational aspects of physiotherapy services for people with multiple sclerosis (MS) across Europe. METHODS: Representatives from 72 rehabilitation facilities within 23 European countries completed an online web-based questionnaire survey between 2013 and 2014. Countries were categorised according to four European regions (defined by United Nations Statistics). Similarities and differences between regions were examined. RESULTS: Most participating centres specialized in rehabilitation (82 %) and neurology (60 %), with only 38 % specialising in MS. Of these, the Western based Specialist MS centres were predominately based on outpatient services (median MS inpatient ratio 0.14), whilst the Eastern based European services were mostly inpatient in nature (median MS inpatient ratio 0.5). In almost all participating countries, medical doctors - specialists in neurology (60 %) and in rehabilitation (64 %) - were responsible for referral to/prescription of physiotherapy. The most frequent reason for referral to/prescription of physiotherapy was the worsening of symptoms (78 % of centres). Physiotherapists were the most common members of the rehabilitation team; comprising 49 % of the team in Eastern countries compared to approximately 30 % in the rest of Europe. Teamwork was commonly adopted; 86 % of centres based in Western countries utilised the interdisciplinary model, whilst the multidisciplinary model was utilised in Eastern based countries (p = 0.046). CONCLUSION: This survey is the first to provide data about organisational aspects of physiotherapy for people with MS across Europe. Overall, care in key organisational aspects of service provision is broadly similar across regions, although some variations, for example the models of teamwork utilised, are apparent. Organisational framework specifics should be considered anytime a multi-centre study is conducted and results from such studies are applied.

3rd Faculty of Medicine Charles University Prague Ruska 87 Prague 10 100 00 Czech Republic

Cemcat Neurorehabilitation Unit Passeig de la Vall d'Hebron 119 129 08035 Barcelona Spain

Clinic for physical medicine and rehabilitation Clinical Center of Serbia Pasterova 2 11000 Belgrade Serbia

Department of Neurology Norwegian Multiple Sclerosis Competence Centre Haukeland University Hospital P O Box 1400 5021 Bergen Norway Department of Physiotherapy Haukeland University Hospital P O Box 1400 5021 Bergen Norway

Department of rehabilitation 3rd Faculty of Medicine Charles University Prague Ruska 87 Prague 10 100 00 Czech Republic 3rd Faculty of Medicine Charles University Prague Ruska 87 Prague 10 100 00 Czech Republic

Divison of Neurology Neurorehabilitation unit University Medical Centre Ljubljana Zaloška 2 1000 Ljubljana Slovenia

Don Gnocchi Foundation Larice Lab Santa Maria Nascente Via Capecelatro 66 20148 Milan Italy

Elias University Emergency Hospital 17 Marasti Bulevard Bucharest 01146 Romania

Faculty of Health and Human Science Plymouth University Playmouth PL6 8BH England

Faculty of Medicine and Health Örebro University Region SE 701 82 Örebro Sweden

Fit Up Fitness and Physiotherapy Center Mechelsesteen weg 192a 2550 Kontich Belgium

Groupe Hospitalier de l'institut Catholique de Lille Department of physical Medicine and Rehabilitation hospital Saint Philibert Faculté Libre de Médecine Univ Nord de France F 59000 Lille France

Hasselt University Campus Diepenbeek REVAL Rehabilitation Research Institute Agoralaan building A B 3590 Diepenbeek Belgium

Institute of Computer Science Academy of Sciences of the Czech Republic Pod Vodarenskou vezi 2 Prague 8 182 07 Czech Republic

Institute of Physical Medicine and Rehabilitation Faculty of Medicine Ss Cyril and Methodius University Elisie Popovski 28 1000 Skopje Macedonia Republic of The former Yugoslav

Masku Neurological Rehabilitation Centre Physiotherapy Vaihemäentie 10 PO Box 15 21251 Masku Finland

MS Rehabilitation Centre Szpitalna 5 78 449 Borne Sulinowo Poland

MS Senteret Hakadal AS Blomsterbakken 33 1487 Hakadal Norway

Neurorehabilitation at the Don Gnocchi Foundation Larice Lab Santa Maria Nascente Via Capecelatro 66 20148 Milan Italy

PASSAUER WOLF Reha Zentrum Nittenau Rehabilitations klinik für Neurologie Geriatrie Urologie Eichendorffstr 21 D 93149 Nittenau Germany

Physical Therapy and Rehabilitation departmant of Health Science Faculty Hacettepe University Ankara Turkey

Referral Center for Demyelinating Diseases of the Central Nervous System University Department of Neurology Zagreb School of Medicine and University Hospital Center Kispaticeva 12 HR 10000 Zagreb Croatia

School of Health Sciences Health Research Unit Polytechnic Institute of Leiria Campus 2 Morro do Lena Alto do Vieiro 2411 901 Leiria Portugal

St James's Hospital St James's street Dublin 8 Ireland

Technological Educational Institute of Athens 24 Mitrodorou street Ak Pratonos 10441 Athens Greece

References provided by Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc17031402
003      
CZ-PrNML
005      
20171030123906.0
007      
ta
008      
171025s2016 enk f 000 0|eng||
009      
AR
024    7_
$a 10.1186/s12913-016-1750-6 $2 doi
035    __
$a (PubMed)27716390
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a enk
100    1_
$a Rasova, Kamila $u Department of rehabilitation, Third Faculty of Medicine, Charles University in Prague, Ruska 87, Prague 10, 100 00, Czech Republic. kamila.rasova@gmail.com. Third Faculty of Medicine, Charles University in Prague, Ruska 87, Prague 10, 100 00, Czech Republic. kamila.rasova@gmail.com.
245    14
$a The organisation of physiotherapy for people with multiple sclerosis across Europe: a multicentre questionnaire survey / $c K. Rasova, J. Freeman, P. Martinkova, M. Pavlikova, D. Cattaneo, J. Jonsdottir, T. Henze, I. Baert, P. Van Asch, C. Santoyo, T. Smedal, AG. Beiske, M. Stachowiak, M. Kovalewski, U. Nedeljkovic, D. Bakalidou, JM. Guerreiro, Y. Nilsagård, EN. Dimitrova, M. Habek, K. Armutlu, C. Donzé, E. Ross, AM. Ilie, A. Martić, A. Romberg, P. Feys,
520    9_
$a BACKGROUND: Understanding the organisational set-up of physiotherapy services across different countries is increasingly important as clinicians around the world use evidence to improve their practice. This also has to be taken into consideration when multi-centre international clinical trials are conducted. This survey aimed to systematically describe organisational aspects of physiotherapy services for people with multiple sclerosis (MS) across Europe. METHODS: Representatives from 72 rehabilitation facilities within 23 European countries completed an online web-based questionnaire survey between 2013 and 2014. Countries were categorised according to four European regions (defined by United Nations Statistics). Similarities and differences between regions were examined. RESULTS: Most participating centres specialized in rehabilitation (82 %) and neurology (60 %), with only 38 % specialising in MS. Of these, the Western based Specialist MS centres were predominately based on outpatient services (median MS inpatient ratio 0.14), whilst the Eastern based European services were mostly inpatient in nature (median MS inpatient ratio 0.5). In almost all participating countries, medical doctors - specialists in neurology (60 %) and in rehabilitation (64 %) - were responsible for referral to/prescription of physiotherapy. The most frequent reason for referral to/prescription of physiotherapy was the worsening of symptoms (78 % of centres). Physiotherapists were the most common members of the rehabilitation team; comprising 49 % of the team in Eastern countries compared to approximately 30 % in the rest of Europe. Teamwork was commonly adopted; 86 % of centres based in Western countries utilised the interdisciplinary model, whilst the multidisciplinary model was utilised in Eastern based countries (p = 0.046). CONCLUSION: This survey is the first to provide data about organisational aspects of physiotherapy for people with MS across Europe. Overall, care in key organisational aspects of service provision is broadly similar across regions, although some variations, for example the models of teamwork utilised, are apparent. Organisational framework specifics should be considered anytime a multi-centre study is conducted and results from such studies are applied.
650    _2
$a ambulantní péče $x statistika a číselné údaje $7 D000553
650    _2
$a Evropa $7 D005060
650    _2
$a lidé $7 D006801
650    _2
$a hospitalizovaní pacienti $7 D007297
650    _2
$a roztroušená skleróza $x terapie $7 D009103
650    _2
$a týmová péče o pacienty $x organizace a řízení $7 D010348
650    _2
$a techniky fyzikální terapie $x organizace a řízení $7 D026741
650    _2
$a lékařské předpisy $7 D055656
650    _2
$a konziliární vyšetření a konzultace $x statistika a číselné údaje $7 D012017
650    _2
$a průzkumy a dotazníky $7 D011795
655    _2
$a časopisecké články $7 D016428
655    _2
$a multicentrická studie $7 D016448
700    1_
$a Freeman, Jenny $u Faculty of Health and Human Science, Plymouth University, Playmouth, PL6 8BH, England.
700    1_
$a Martinkova, Patricia $u Institute of Computer Science, Academy of Sciences of the Czech Republic, Pod Vodarenskou vezi 2, Prague 8, 182 07, Czech Republic.
700    1_
$a Pavlikova, Marketa $u Third Faculty of Medicine, Charles University in Prague, Ruska 87, Prague 10, 100 00, Czech Republic.
700    1_
$a Cattaneo, Davide $u Don Gnocchi Foundation, Larice Lab, Santa Maria Nascente, Via Capecelatro 66, 20148, Milan, Italy.
700    1_
$a Jonsdottir, Johanna $u Neurorehabilitation at the Don Gnocchi Foundation, Larice Lab, Santa Maria Nascente, Via Capecelatro 66, 20148, Milan, Italy.
700    1_
$a Henze, Thomas $u PASSAUER WOLF Reha-Zentrum Nittenau, Rehabilitations klinik für Neurologie-Geriatrie-Urologie, Eichendorffstr. 21, D-93149, Nittenau, Germany.
700    1_
$a Baert, Ilse $u Hasselt University, Campus Diepenbeek, REVAL Rehabilitation Research Institute (BIOMED), Agoralaan building A, B-3590, Diepenbeek, Belgium.
700    1_
$a Van Asch, Paul $u Fit Up, Fitness- and Physiotherapy Center, Mechelsesteen weg 192a, 2550, Kontich, Belgium.
700    1_
$a Santoyo, Carme $u Cemcat, Neurorehabilitation Unit, Passeig de la Vall d'Hebron, 119-129, 08035, Barcelona, Spain.
700    1_
$a Smedal, Tori $u Department of Neurology, Norwegian Multiple Sclerosis Competence Centre, Haukeland University Hospital, P.O. Box 1400, 5021, Bergen, Norway. Department of Physiotherapy, Haukeland University Hospital, P.O. Box 1400, 5021, Bergen, Norway.
700    1_
$a Beiske, Antonie Giæver $u MS-Senteret Hakadal AS, Blomsterbakken 33, 1487, Hakadal, Norway.
700    1_
$a Stachowiak, Małgorzata $u MS Rehabilitation Centre, Szpitalna 5, 78-449, Borne Sulinowo, Poland.
700    1_
$a Kovalewski, Mariusz $u MS Rehabilitation Centre, Szpitalna 5, 78-449, Borne Sulinowo, Poland.
700    1_
$a Nedeljkovic, Una $u Clinic for physical medicine and rehabilitation, Clinical Center of Serbia, Pasterova 2, 11000, Belgrade, Serbia.
700    1_
$a Bakalidou, Daphne $u Technological Educational Institute of Athens, 24, Mitrodorou street, Ak. Pratonos, 10441, Athens, Greece.
700    1_
$a Guerreiro, José Manuel Alves $u School of Health Sciences, Health Research Unit, Polytechnic Institute of Leiria, Campus 2 - Morro do Lena - Alto do Vieiro, 2411-901, Leiria, Portugal.
700    1_
$a Nilsagård, Ylva $u Faculty of Medicine and Health, Örebro University Region, SE- 701 82, Örebro, Sweden.
700    1_
$a Dimitrova, Erieta Nikolikj $u Institute of Physical Medicine and Rehabilitation, Faculty of Medicine, "Ss Cyril and Methodius" University, Elisie Popovski 28, 1000, Skopje, Macedonia, Republic of The former Yugoslav.
700    1_
$a Habek, Mario $u Referral Center for Demyelinating Diseases of the Central Nervous System University Department of Neurology Zagreb School of Medicine and University Hospital Center, Kispaticeva 12, HR-10000, Zagreb, Croatia.
700    1_
$a Armutlu, Kadriye $u Physical Therapy and Rehabilitation departmant of Health Science Faculty, Hacettepe University, Ankara, Turkey. $7 gn_A_00008638
700    1_
$a Donzé, Cécile $u Groupe Hospitalier de l'institut Catholique de Lille, Department of physical Medicine and Rehabilitation hospital Saint Philibert, Faculté Libre de Médecine, Univ Nord de France, F-59000, Lille, France.
700    1_
$a Ross, Elaine $u St. James's Hospital, St. James's street, Dublin 8, Ireland.
700    1_
$a Ilie, Ana Maria $u "Elias" University Emergency Hospital, 17 Marasti Bulevard, Bucharest, 01146, Romania.
700    1_
$a Martić, Andrej $u Divison of Neurology, Neurorehabilitation unit, University Medical Centre Ljubljana, Zaloška 2, 1000, Ljubljana, Slovenia.
700    1_
$a Romberg, Anders $u Masku Neurological Rehabilitation Centre, Physiotherapy, Vaihemäentie 10, PO Box 15, 21251, Masku, Finland.
700    1_
$a Feys, Peter $u Hasselt University, Campus Diepenbeek, REVAL Rehabilitation Research Institute (BIOMED), Agoralaan building A, B-3590, Diepenbeek, Belgium.
773    0_
$w MED00008183 $t BMC health services research $x 1472-6963 $g Roč. 16, č. 1 (2016), s. 552
856    41
$u https://pubmed.ncbi.nlm.nih.gov/27716390 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y a $z 0
990    __
$a 20171025 $b ABA008
991    __
$a 20171030123955 $b ABA008
999    __
$a ok $b bmc $g 1254995 $s 992429
BAS    __
$a 3
BAS    __
$a PreBMC
BMC    __
$a 2016 $b 16 $c 1 $d 552 $e 20161006 $i 1472-6963 $m BMC health services research $n BMC Health Serv Res $x MED00008183
LZP    __
$a Pubmed-20171025

Find record

Citation metrics

Archiving options