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

. 2020 Jan 31 ; 17 (3) : . [epub] 20200131

Jazyk angličtina Země Švýcarsko Médium electronic

Typ dokumentu časopisecké články, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/pmid32023868

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.

Campus Diepenbeek Faculty of Rehabilitation Sciences REVAL Rehabilitation Research center REVAL BIOMED Hasselt University 3500 Hasselt Belgium

Competence Centre Department of Neurology and Department of Physiotherapy Haukeland University Hospital 5021 Bergen Norway

Department for Rehabilitation of Musculoskeletal Disorders Institute of Physical Medicine and Rehabilitation Faculty of Medicine Ss Cyril and Methodius University 1000 Skopje Macedonia

Department of Neurology 3rd Faculty of Medicine Charles University 100 34 Prague Czech Republic

Department of Neurology Referral Center for Autonomic Nervous System University Hospital Center Zagreb University of Zagreb School of Medicine Kispaticeva 10000 Zagreb Croatia

Department of Physical Therapy and Rehabilitation Faculty of Health Science Hacettepe University Ankara 06100 Turkey

Department of physiotherapy University of West Attica 12243 Athens Egaleo Greece

Department of Rehabilitation 3rd Faculty of Medicine Charles University Ruská 87 108 00 Prague Czech Republic

Department of Statistical Modelling Institute of Computer Science Czech Academy of Sciences 18207 Prague Czech Republic

Faculty of Health Medicine Dentistry and Human Sciences University of Plymouth Devon PL6 8BH UK

Faculty of Rehabilitation Sciences REVAL Rehabilitation Research Center REVAL BIOMED Hasselt University 3500 Hasselt Belgium

Fit Up Fitness and Physiotherapy Center Kontich Belgium

IRCCS Fondazione Don Carlo Gnocchi Larice Lab Milan P20148 Italy

Neurology Neuroimmunology Department and Neurorehabilitation Unit Multiple Sclerosis Centre of Catalonia Vall d'Hebron University Hospital 08035 Barcelona Spain

Nevrologgruppen Oslo 0159 Oslo Norway

Physiotherapy Masku Neurological Rehabilitation Centre 21250 Masku Finland

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

Specialist Practice in Neurology Regensburg 93059 Germany

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