Content and Delivery of Physical Therapy in Multiple Sclerosis across Europe: A Survey
Jazyk angličtina Země Švýcarsko Médium electronic
Typ dokumentu časopisecké články, práce podpořená grantem
PubMed
32023868
PubMed Central
PMC7038126
DOI
10.3390/ijerph17030886
PII: ijerph17030886
Knihovny.cz E-zdroje
- Klíčová slova
- Europe, multiple sclerosis, physical therapy, professional guidelines, questionnaire survey,
- MeSH
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- poskytování zdravotní péče * statistika a číselné údaje MeSH
- průřezové studie MeSH
- průzkumy a dotazníky MeSH
- roztroušená skleróza * terapie MeSH
- techniky fyzikální terapie * MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Evropa 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
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Feys P., Giovannoni G., Dijsselbloem N., Centonze D., Eelen P., Andersen S.L. The importance of a multi-disciplinary perspective and patient activation programmes in MS management. Mult. Scler. J. 2016;22:34–46. doi: 10.1177/1352458516650741. PubMed DOI
Montalban X., Gold R., Thompson A.J., Otero-Romero S., Amato M.P., Chandraratna D., Clanet M., Comi G., Derfuss T., Fazekas F., et al. ECTRIMS/EAN guideline on the pharmacological treatment of people with multiple sclerosis. Eur. J. Neurol. 2018;25:215–237. doi: 10.1111/ene.13536. PubMed DOI
Khan F., Amatya B. Rehabilitation in Multiple Sclerosis: A Systematic Review of Systematic Reviews. Arch. Phys. Med. Rehabil. 2017;98:353–367. doi: 10.1016/j.apmr.2016.04.016. PubMed DOI
Freeman J., Hendrie W., Jarrett L., Hawton A., Barton A., Dennett R., Marsden J., Rogers E., Zajicek J. Standing up in multiple sclerosis (SUMS): A multi-centre randomised controlled trial evaluating the clinical and cost effectiveness of a home-based self-management standing frame programme in people with progressive multiple sclerosis. Mul. Scler. J. 2019;24:869–870. doi: 10.1186/s12883-016-0581-8. PubMed DOI
Soelberg Sorensen P., Giovannoni G., Montalban X., Thalheim C., Zaratin P., Comi G. The Multiple Sclerosis Care Unit. Mul. Scler. 2018;25:627–636. doi: 10.1177/1352458518807082. PubMed DOI PMC
Rasova K., Freeman J., Martinkova P., Pavlikova M., Cattaneo D., Jonsdottir J., Henze T., Baert I., Van Asch P., Santoyo C., et al. The organisation of physiotherapy for people with multiple sclerosis across Europe: A multicentre questionnaire survey. BMC Heal. Serv. Res. 2016;16:552. doi: 10.1186/s12913-016-1750-6. PubMed DOI PMC
Martinková P., Freeman J., Drabinová A., Erosheva E., Cattaneo D., Jónsdóttir J., Baert I., Smedal T., Romberg A., Feys P., et al. Physiotherapeutic interventions in multiple sclerosis across Europe: Regions and other factors that matter. Mult. Scler. Relat. Disord. 2018;22:59–67. doi: 10.1016/j.msard.2018.03.005. PubMed DOI
European Multiple Sclerosis Platform. Code of Good Practice in MS & Consensus Papers. [(accessed on 30 January 2020)];2008 Available online: http://www.emsp.org/wp-content/uploads/2015/06/140824-Revised-Code-of-Good-Practice.pdf.
European Multiple Sclerosis Platform. Recommendation on Rehabilitation Services for Persons with Multipe Sclerosis in Europe Henze T, editor. [(accessed on 30 January 2020)];2012 Available online: https://www.eurims.org/News/recommendations-on-rehabilitation-services-for-persons-with-multiple-sclerosis-in-europe.html.
Nielsen G., Stone J., Matthews A., Brown M., Sparkes C., Farmer R., Masterton L., Duncan L., Winters A., Daniell L., et al. Physiotherapy for functional motor disorders: A consensus recommendation. J. Neurol. Neurosurg. Psychiatry. 2015;86:1113–1119. doi: 10.1136/jnnp-2014-309255. PubMed DOI PMC
Josephson I., Hedberg B., Bulow P. Problem-solving in physiotherapy--physiotherapists’ talk about encounters with patients with non-specific low back pain. Disabil. Rehabil. 2013;35:668–677. doi: 10.3109/09638288.2012.705221. PubMed DOI
Rasova K., Feys P., Henze T., Van Tongeren H., Cattaneo D., Jonsdottir J., Herbenova A. Emerging evidence-based physical rehabilitation for Multiple Sclerosis-Towards an inventory of current content across Europe. Heal. Qual. Life Outcomes. 2010;8:76. doi: 10.1186/1477-7525-8-76. PubMed DOI PMC
United Nations Statistics Dapartment Composition of Macro Geographical (Continental) Regions, Geographical Sub-Regions, and Selected Economic and Other Groupings. [(accessed on 30 January 2020)]; Available online: https://unstats.un.org/unsd/methodology/m49/
Hope A.C.A. A Simplified Monte Carlo Significance Test Procedure. J. R. Stat. Soc. Ser. B Methodol. 1968;30:582–598. doi: 10.1111/j.2517-6161.1968.tb00759.x. DOI
Benjamini Y., Hochberg Y. Controlling the False Discovery Rate: A Practical and Powerful Approach to Multiple Testing. J. R. Stat. Soc. Ser. B Stat. Methodol. 1995;57:289–300. doi: 10.1111/j.2517-6161.1995.tb02031.x. DOI
R Core Team RC . R: A Language and Environment for Statistical Computing. R Foundation for Statistical Computing; Vienna, Austria: 2017.
DeJong G., Horn S.D., Conroy B., Nichols D., Healton E.B. Opening the black box of post-stroke rehabilitation: Stroke rehabilitation patients, processes, and outcomes. Arch. Phys. Med. Rehabil. 2005;86(Suppl. S2):S1–S7. doi: 10.1016/j.apmr.2005.09.003. PubMed DOI
Wiles C. Physiotherapy and related activities in multiple sclerosis. Mult. Scler. J. 2008;14:863–871. doi: 10.1177/1352458507088155. PubMed DOI
Thompson A.J. The effectiveness of neurological rehabilitation in multiple sclerosis. J. Rehabil. Res. Dev. 2000;37:455–461. PubMed
Thompson A.J. Neurological rehabilitation: From mechanisms to management. J. Neurol. Neurosurg. Psychiatry. 2000;69:718–722. doi: 10.1136/jnnp.69.6.718. PubMed DOI PMC
Bode R.K., Heinemann A.W., Semik P., Mallinson T. Patterns of therapy activities across length of stay and impairment levels: Peering inside the “black box” of inpatient stroke rehabilitation. Arch. Phys. Med. Rehabil. 2004;85:1901–1908. doi: 10.1016/j.apmr.2004.02.023. PubMed DOI
Van Hedel H.J.A. Improvement in function after spinal cord injury: The black-box entitled rehabilitation. Swiss Med Wkly. 2012;142:w13673. PubMed
Ashburn A., Jones D., Plant R., Lovgreen B., Kinnear E., Handford F., Loader S. Physiotherapy for people with Parkinson’s disease in the UK: An exploration of practice. Int. J. Ther. Rehabil. 2004;11:160–167. doi: 10.12968/ijtr.2004.11.4.13371. DOI
Kalron A., Feys P., Dalgas U., Smedal T., Freeman J., Romberg A., Conyers H., Elorriaga I., Gebara B., Merilainen J., et al. Searching for the “Active Ingredients” in Physical Rehabilitation Programs Across Europe, Necessary to Improve Mobility in People With Multiple Sclerosis: A Multicenter Study. Neurorehabil. Neural Repair. 2019;33:260–270. doi: 10.1177/1545968319834893. PubMed DOI
McCallum C.A., Mosher P.D., Jacobson P.J., Gallivan S.P., Giuffre S.M. Quality in Physical Therapist Clinical Education: A Systematic Review. Phys. Ther. 2013;93:1298–1311. doi: 10.2522/ptj.20120410. PubMed DOI
Rasova K., Martinkova P., Pavlikoma M., Cattaneo D., Jonsdottir J., Henze T., Baert I., Van Asch P., Santovo C., Smedal T., et al. Physical therapy provision in multiple sclerosis across Europe: A regional lottery? Eur. J. Phys. Rehabil. Med. 2015;51:850–852. PubMed
Pavlikova M., Cattaneo D., Jonsdottir J., Štětkářová I., Angelová G., Markova M., Prochazkova M., Prokopiusová T., Hruskova N., Reznickova J., et al. The Impact of Balance Specific Physiotherapy, Intensity of Therapy and Disability on Static and Dynamic Balance in People with Multiple Sclerosis: A Multi-Centre Prospective Study. [(accessed on 30 January 2020)]; Available online: https://www.msard-journal.com/article/S2211-0348(20)30050-X/fulltext. PubMed
Asova K., Martinkova P., Cattaneo D., Jonsdottir J., Henze T., Baert I., Van Asch P., Santoyo C., Smedal T., Gorzata S.M., et al. Physical therapy in multiple sclerosis differs across Europe: Information regarding an ongoing study. J. Int. Med Res. 2014;42:1185–1187. PubMed
Kobelt G., Thompson A., Berg J., Gannedahl M., Eriksson J. New insights into the burden and costs of multiple sclerosis in Europe. Mult. Scler. J. 2017;23:1123–1136. doi: 10.1177/1352458517694432. PubMed DOI PMC
Rieckmann P., Centonze D., Elovaara I., Giovannoni G., Havrdová E., Kesselring J., Kobelt G., Langdon D., Morrow S.A., Oreja-Guevara C., et al. Unmet needs, burden of treatment, and patient engagement in multiple sclerosis: A combined perspective from the MS in the 21st Century Steering Group. Mult. Scler. Relat. Disord. 2018;19:153–160. doi: 10.1016/j.msard.2017.11.013. PubMed DOI
Marziniak M., Brichetto G., Feys P., Meyding-Lamade U., Vernon K., Meuth S.G. The Use of Digital and Remote Communication Technologies as a Tool for Multiple Sclerosis Management: Narrative Review. JMIR Rehabil. Assist. Technol. 2018;5:e5. doi: 10.2196/rehab.7805. PubMed DOI PMC
Straudi S., Basaglia N. Neuroplasticity-Based Technologies and Interventions for Restoring Motor Functions in Multiple Sclerosis. Adv. Exp. Med. Biol. 2017;958:171–185. PubMed
Craig P., Dieppe P., MacIntyre S., Michie S., Nazareth I., Petticrew M. Developing and evaluating complex interventions: The new Medical Research Council guidance. BMJ. 2008;337:a1655. doi: 10.1136/bmj.a1655. PubMed DOI PMC
Jette D.U., Bacon K., Batty C., Carlson M., Ferland A., Hemingway R.D., Hill J.C., Ogilvie L., Volk D. Evidence-Based Practice: Beliefs, Attitudes, Knowledge, and Behaviors of Physical Therapists. Phys. Ther. 2003;83:786–805. doi: 10.1093/ptj/83.9.786. PubMed DOI
Boesen F., Nørgaard M., Trénel P., Rasmussen P.V., Petersen T., Løvendahl B., Sørensen J. Longer term effectiveness of inpatient multidisciplinary rehabilitation on health-related quality of life in MS patients: A pragmatic randomized controlled trial–The Danish MS Hospitals Rehabilitation Study. Mult. Scler. J. 2017;24:340–349. doi: 10.1177/1352458517735188. PubMed DOI PMC
Khan F., Amatya B., Kesselring J., Galea M.P. Telerehabilitation for persons with multiple sclerosis. A Cochrane review. Eur. J. Phys. Rehabil. Med. 2015;51:311–325. PubMed