Content and Delivery of Physical Therapy in Multiple Sclerosis across Europe : A Survey
Řasová, Kamila (Charles University)
Freeman, Jenny (University of Plymouth)
Cattaneo, Davide (IRCCS Fondazione Don Carlo Gnocchi)
Jonsdottir, Johanna (IRCCS Fondazione Don Carlo Gnocchi)
Baert, Ilse (Hasselt University)
Smedal, Tori (Haukeland University Hospital (Bergen, Noruega))
Romberg, Anders (Masku Neurological Rehabilitation Centre)
Feys, Peter (Hasselt University)
Alves-Guerreiro, Jose (Polytechnic Institute of Leiria)
Habek, Mario (University Hospital Center Zagreb)
Henze, Thomas (Specialist Practice in Neurology (Alemanya))
Santoyo-Medina, Carme (Hospital Universitari Vall d'Hebron)
Beiske, Antonie (Nevrologgruppen Oslo)
Van Asch, Paul (FFitness- and Physiotherapy Center (Bélgica))
Bakalidou, Daphne (University of West Attica)
Salcı, Yeliz (Hacettepe University)
Dimitrova, Erieta (Faculty of Medicine, "Ss. Cyril and Methodius" University)
Pavlíková, Markéta (Charles University)
Štětkářová, Ivana (Charles University)
Vorlíčková, Jana (Czech Academy of Sciences)
Martinková, Patricia (Czech Academy of Sciences)
Universitat Autònoma de Barcelona

Fecha:	2020
Resumen:	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.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Multiple sclerosis ; Physical therapy ; Europe ; Questionnaire survey ; Professional guidelines
Publicado en:	International journal of environmental research and public health, Vol. 17 (january 2020) , ISSN 1660-4601

DOI: 10.3390/ijerph17030886
PMID: 32023868

13 p, 2.2 MB

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