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Changes in physiotherapy services and use of technology for people with multiple sclerosis during the COVID-19 pandemic

J. Jonsdottir, C. Santoyo-Medina, T. Kahraman, A. Kalron, K. Rasova, L. Moumdjian, S. Coote, A. Tacchino, E. Grange, T. Smedal, EC. Arntzen, Y. Learmonth, L. Pedulla, G. Quinn, D. Kos

. 2023 ; 71 (-) : 104520. [pub] 20230125

Jazyk angličtina Země Nizozemsko

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc23010676

BACKGROUND: The COVID-19 pandemic has led to reorganization or reduction of neurorehabilitation services for people with multiple sclerosis (PwMS). The aim of this study was to explore the changes in the organizational framework and technology usage in physiotherapy services for PwMS during the COVID-19 pandemic. METHODS: This international cross-sectional survey study was designed, developed, and disseminated by RIMS European Network for Best Practice and Research in Multiple Sclerosis Rehabilitation. Physiotherapists from nine countries (Australia, Belgium, Czech Republic, Ireland, Israel, Italy, Norway, Spain, Turkey) who provided physiotherapy services to PwMS, were invited to complete an online survey to compare physiotherapy delivery to PwMS prior to and during the pandemic period. RESULTS: The survey was completed by 215 physiotherapists. Accessibility, the average number, length and perceived effectiveness of physiotherapy sessions provided to PwMS were significantly reduced during the COVID-19 pandemic (p=0.001). Physiotherapists increased the advice of mobile apps, recorded videos for rehabilitation and exercise websites during the pandemic (p<0.001) while the use of telerehabilitation and virtual reality technology did not change. CONCLUSION: There was of a reduction in the number, duration and perceived effectiveness of rehabilitation sessions for people with multiple sclerosis during the COVID-19 pandemic while use of remote technologies for physiotherapy did not change. To ensure the continuity of physiotherapy for PwMS with complex healthcare needs also during pandemics, the provision of guidelines and training in telehealth technologies in professional education becomes crucial.

Centre for Molecular Medicine and Innovative Therapeutics Centre for Healthy Ageing Health Futures Institute Murdoch University Murdoch Australia

Centre of Physical Activity for Health Health Research Institute University of Limerick Limerick Ireland

CRRF Mons L Novarese Moncrivello Italy

Department of Neurology Multiple Sclerosis Competence Centre Haukeland University Hospital Helse Bergen Bergen Norway

Department of Physical Therapy School of Health Professions Sackler Faculty of Medicine and Sagol School of Neuroscience Tel Aviv University Israel

Department of Physiotherapy and Rehabilitation Faculty of Health Sciences Izmir Katip Celebi University Izmir Turkey

Department of Physiotherapy Faculty of Medicine and Health Sciences Universitat Internacional de Catalunya C Josep Trueta sn 08195 Sant Cugat del Vallès Barcelona Spain

Department of Physiotherapy Haukeland University Hospital Helse Bergen Bergen Norway

Department of Rehabilitation 3rd Faculty of Medicine Charles University Prague Czech Republic

Department of Rehabilitation Sciences KU Leuven Leuven 1501 3001 Belgium

Discipline of Exercise Science Murdoch University Murdoch Australia

IPEM Institute of Psychoacoustics and Electronic Music Faculty of Arts and Philosophy Ghent University Ghent Belgium

IRCCS Fondazione Don Carlo Gnocchi ONLUS Milan Italy

Multiple Sclerosis Center Sheba Medical Center Tel Hashomer Israel

Multiple Sclerosis Society of Ireland and Physical Activity for Health Research Centre Ireland

National MS Center Melsbroek Belgium

Neurology Neuroimmunology Department and Neurorehabilitation Unit Multiple Sclerosis Centre of Catalonia Barcelona Spain

Nord University Faculty of nursing and health sciences Bodø Norway

Perron Institute for Neurological and Translational Science Nedlands Australia

Physiotherapy Department St James's Hospital Dublin Ireland

REVAL Rehabilitation Research Center Faculty of Rehabilitation Sciences Hasselt University Hasselt Belgium

Scientific Research Area Italian Multiple Sclerosis Foundation Genoa Italy

Scientific Research Area Italian Multiple Sclerosis Foundation Genova Italy

UMSC Hasselt Pelt Belgium

Citace poskytuje Crossref.org

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$a BACKGROUND: The COVID-19 pandemic has led to reorganization or reduction of neurorehabilitation services for people with multiple sclerosis (PwMS). The aim of this study was to explore the changes in the organizational framework and technology usage in physiotherapy services for PwMS during the COVID-19 pandemic. METHODS: This international cross-sectional survey study was designed, developed, and disseminated by RIMS European Network for Best Practice and Research in Multiple Sclerosis Rehabilitation. Physiotherapists from nine countries (Australia, Belgium, Czech Republic, Ireland, Israel, Italy, Norway, Spain, Turkey) who provided physiotherapy services to PwMS, were invited to complete an online survey to compare physiotherapy delivery to PwMS prior to and during the pandemic period. RESULTS: The survey was completed by 215 physiotherapists. Accessibility, the average number, length and perceived effectiveness of physiotherapy sessions provided to PwMS were significantly reduced during the COVID-19 pandemic (p=0.001). Physiotherapists increased the advice of mobile apps, recorded videos for rehabilitation and exercise websites during the pandemic (p<0.001) while the use of telerehabilitation and virtual reality technology did not change. CONCLUSION: There was of a reduction in the number, duration and perceived effectiveness of rehabilitation sessions for people with multiple sclerosis during the COVID-19 pandemic while use of remote technologies for physiotherapy did not change. To ensure the continuity of physiotherapy for PwMS with complex healthcare needs also during pandemics, the provision of guidelines and training in telehealth technologies in professional education becomes crucial.
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$a Santoyo-Medina, Carme $u Neurology-Neuroimmunology Department & Neurorehabilitation Unit, Multiple Sclerosis Centre of Catalonia (Cemcat), Barcelona, Spain; Department of Physiotherapy, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, C/ Josep Trueta sn, 08195 Sant Cugat del Vallès, Barcelona, Spain. Electronic address: csantoyo@cem-cat.org
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$a Kalron, Alon $u Department of Physical Therapy, School of Health Professions, Sackler Faculty of Medicine, and Sagol School of Neuroscience, Tel-Aviv University, Israel; Multiple Sclerosis Center, Sheba Medical Center, Tel Hashomer, Israel
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$a Rasova, Kamila $u Department of Rehabilitation, Third Faculty of Medicine, Charles University, Prague, Czech Republic
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$a Moumdjian, Lousin $u UMSC Hasselt, Pelt, Belgium; REVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, Hasselt, Belgium; IPEM Institute of Psychoacoustics and Electronic Music, Faculty of Arts and Philosophy, Ghent University, Ghent, Belgium. Electronic address: lousin.moumdjian@uhasselt.be
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$a Coote, Susan $u Centre of Physical Activity for Health, Health Research Institute, University of Limerick, Limerick, Ireland; Multiple Sclerosis Society of Ireland and Physical Activity for Health Research Centre, Ireland. Electronic address: susanc@ms-society.ie
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$a Smedal, Tori $u Department of Physiotherapy, Haukeland University Hospital, Helse Bergen, Bergen, Norway,; Department of Neurology, Multiple Sclerosis Competence Centre, Haukeland University Hospital, Helse Bergen, Bergen, Norway. Electronic address: tori.smedal@helse-bergen.no
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$a Arntzen, Ellen Christin $u Nord University, Faculty of nursing and health sciences, Bodø, Norway. Electronic address: ellenarntzen@me.com
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$a Learmonth, Yvonne $u Discipline of Exercise Science, Murdoch University, Murdoch, Australia; Centre for Molecular Medicine and Innovative Therapeutics, Centre for Healthy Ageing, Health Futures Institute, Murdoch University, Murdoch, Australia; Perron Institute for Neurological and Translational Science, Nedlands, Australia. Electronic address: yvonne.learmonth@murdoch.edu.au
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$a Pedulla, Ludovico $u Scientific Research Area, Italian Multiple Sclerosis Foundation (FISM), Genoa, Italy. Electronic address: ludovico.pedulla@aism.it
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$a Quinn, Gillian $u Physiotherapy Department, St. James's Hospital, Dublin, Ireland
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$a Kos, Daphne $u Department of Rehabilitation Sciences, KU Leuven, Leuven 1501-3001, Belgium; National MS Center, Melsbroek, Belgium. Electronic address: daphne.kos@kuleuven.be
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