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Content and Delivery of Physical Therapy in Multiple Sclerosis across Europe: A Survey
K. Řasová, J. Freeman, D. Cattaneo, J. Jonsdottir, I. Baert, T. Smedal, A. Romberg, P. Feys, J. Alves-Guerreiro, M. Habek, T. Henze, C. Santoyo-Medina, A. Beiske, PV. Asch, D. Bakalidou, Y. Salcı, E. Dimitrova, M. Pavlíková, I. Štětkářová, J....
Language English Country Switzerland
Document type Journal Article, Research Support, Non-U.S. Gov't
NLK
Free Medical Journals
from 2004
PubMed Central
from 2005
Europe PubMed Central
from 2005
ProQuest Central
from 2009-01-01
Open Access Digital Library
from 2004-01-01
Open Access Digital Library
from 2005-01-01
Medline Complete (EBSCOhost)
from 2008-12-01
Health & Medicine (ProQuest)
from 2009-01-01
Public Health Database (ProQuest)
from 2009-01-01
ROAD: Directory of Open Access Scholarly Resources
from 2004
- MeSH
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Young Adult MeSH
- Delivery of Health Care * statistics & numerical data MeSH
- Cross-Sectional Studies MeSH
- Surveys and Questionnaires MeSH
- Multiple Sclerosis * therapy MeSH
- Physical Therapy Modalities * MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Young Adult MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
- Geographicals
- Europe MeSH
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.
Department of Neurology 3rd Faculty of Medicine Charles University 100 34 Prague Czech Republic
Department of physiotherapy University of West Attica 12243 Athens Egaleo Greece
Faculty of Health Medicine Dentistry and Human Sciences University of Plymouth Devon PL6 8BH UK
Fit Up Fitness and Physiotherapy Center Kontich Belgium
IRCCS Fondazione Don Carlo Gnocchi Larice Lab Milan P20148 Italy
Nevrologgruppen Oslo 0159 Oslo Norway
Physiotherapy Masku Neurological Rehabilitation Centre 21250 Masku Finland
References provided by Crossref.org
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- $a 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.
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