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Title: | Physiotherapeutic interventions in multiple sclerosis across Europe: Regions and other factors that matter | Authors: | Martinková, Patrícia Freeman, Jenny Drabinová, Adéla Erosheva, Elena Cattaneo, Davide Jonsdottir, Johanna BAERT, Ilse Smedal, Tori Romberg, Anders FEYS, Peter Alves-Guerreiro, Jose Habek, Mario Henze, Thomas Santoyo Medina, Carme Beiske, Antonie VAN ASCH, Paul Bakalidou, Daphne Salcı, Yeliz Nikolikj Dimitrova, Erieta Pavlíková, Markéta Řasová, Kamila |
Issue Date: | 2018 | Source: | Multiple Sclerosis and Related Disorders, 22, p. 59-67 | Abstract: | Background A wide variety of interventions exists in physical therapy (PT), but knowledge about their use across different geographical regions is limited. This study investigated the use of PT interventions in people with multiple sclerosis (MS) across Europe. It aimed to determine whether regions differ in applying interventions, and explore whether factors other than regions play a role in their use. Methods In an online cross-sectional survey, 212 respondents from 115 European workplaces providing PT services to people with MS representing 26 countries (four European regions) participated. Cluster analysis, Pearson Chi-squared test and a Poisson regression model were used to analyze the data. Results Thirteen of 45 listed PT interventions were used by more than 75% of centers, while nine interventions were used by less than 25%. For 12 interventions, regions differed markedly in their use. Cluster analysis of centers identified four clusters similar in their intervention use. Cluster assignment did not fully align with regions. While center region was important, center size, number and gender of physical therapists working in the center, and time since qualification also played a role. Cluster analysis exploring the use of the interventions provided the basis for a categorization of PT interventions in line with their primary focus: 1. Physical activity (fitness/endurance/resistance) training; 2. Neuroproprioceptive “facilitation/inhibition”; 3. Motor/skill acquisition (individualized therapy led); 4. Technology based interventions. Conclusions To our knowledge this is the first study that has explored this topic in MS. The results broaden our understanding of the different PT interventions used in MS, as well as the context of their use. | Notes: | Martinkova, P (reprint author, Czech Acad Sci, Inst Comp Sci, Dept Stat Modelling, Pod Vodarenskou Vezi 2, Prague 19207 8, Czech Republic. martinkova@cs.cas.cz; jenny.freeman@plymouth.ac.uk; drabinova@cs.cas.cz; erosheva@uw.edu; dcattaneo@dongnocchi.it; jjonsdottir@dongnocchi.it; ilse.baert@uhasselt.be; tori.smedal@helse-bergen.no; anders.romberg@neuroliitto.fi; Peter.Feys@uhasselt.be; jose.guerreiro@ipleiria.pt; mhabek@mef.hr; thomas.henze@outlook.com; csantoyo@cem-cat.org; agbeiske@gmail.com; paulvanasch@yahoo.com; dafbak@otenet.gr; fztyeliz@hotmail.com; erietand@yahoo.com; pavlikova@biostatisticka.cz; kamila.rasova@gmail.com | Keywords: | Multiple sclerosis; Physical therapy; Physiotherapeutic interventions; Europe; Questionnaire survey; Cluster analysis | Document URI: | http://hdl.handle.net/1942/25953 | ISSN: | 2211-0348 | e-ISSN: | 2211-0356 | DOI: | 10.1016/j.msard.2018.03.005 | ISI #: | 000433294800014 | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2019 |
Appears in Collections: | Research publications |
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Martinkova Rasova Physiotherapeutic interventions in multiple sclerosis MSARD 2018.pdf Restricted Access | Published version | 1.58 MB | Adobe PDF | View/Open Request a copy |
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