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Title: | Content and Delivery of Physical Therapy in Multiple Sclerosis across Europe: A Survey | Authors: | Rasova, Kamila Freeman, Jenny 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 Salci, Yeliz Dimitrova, Erieta Pavlikova, Marketa Stetkarova, Ivana Vorlickova, Jana Martinkova, Patricia |
Issue Date: | 2020 | Publisher: | MDPI | Source: | International journal of environmental research and public health (Print), 17 (3) (Art N° 886) | Abstract: | 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. IResults: 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. | Notes: | Rasova, K (reprint author), Charles Univ Prague, Fac Med 3, Dept Rehabil, Ruska 87, Prague 10800, Czech Republic. kamila.rasova@gmail.com; jenny.freeman@plymouth.ac.uk; 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; mario.habek@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; marketa@ucw.cz; ivana.stetkarova@fnkv.cz; jane.vorlickova@gmail.com; martinkova@cs.cas.cz |
Other: | Rasova, K (reprint author), Charles Univ Prague, Fac Med 3, Dept Rehabil, Ruska 87, Prague 10800, Czech Republic. kamila.rasova@gmail.com; jenny.freeman@plymouth.ac.uk; 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; mario.habek@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; marketa@ucw.cz; ivana.stetkarova@fnkv.cz; jane.vorlickova@gmail.com; martinkova@cs.cas.cz | Keywords: | multiple sclerosis;physical therapy;Europe;questionnaire survey;professional guidelines | Document URI: | http://hdl.handle.net/1942/30856 | ISSN: | 1661-7827 | e-ISSN: | 1660-4601 | DOI: | 10.3390/ijerph17030886 | ISI #: | WOS:000517783300211 | Rights: | 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2021 |
Appears in Collections: | Research publications |
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rasova.pdf | Published version | 2.3 MB | Adobe PDF | View/Open |
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