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Physiotherapeutic interventions in multiple sclerosis across Europe: Regions and other factors that matter

2018-05Journal article Open access
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dc.contributor.authorMartinková, Patrícia
dc.contributor.authorFreeman, Jenny
dc.contributor.authorDrabinová, Adéla
dc.contributor.authorErosheva, Elena
dc.contributor.authorCattaneo, Davide
dc.contributor.authorJonsdottir, Johanna
dc.contributor.authorBaert, Ilse
dc.contributor.authorSmedal, Tori
dc.contributor.authorRomberg, Anders
dc.contributor.authorFeys, Peter
dc.contributor.authorAlves-Guerreiro, José
dc.contributor.authorHabek, Mario
dc.contributor.authorHenze, Thomas
dc.contributor.authorSantoyo Medina, Carme
dc.contributor.authorBeiske, Antonie
dc.contributor.authorVan Asch, Paul
dc.contributor.authorBakalidou, Daphne
dc.contributor.authorSalcı, Yeliz
dc.contributor.authorDimitrova, Erieta Nikolikj
dc.contributor.authorPavlíková, Markéta
dc.contributor.authorŘasová, Kamila
dc.date.accessioned2025-07-14T11:28:13Z
dc.date.available2025-07-14T11:28:13Z
dc.date.issued2018-05
dc.description.abstractackground 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.eng
dc.description.sponsorshipThe survey was supported by a RIMS grant 2012 and unrestricted educational grant from Novartis Pharma AG to RIMS, 260388/SVV/2017 and Progres Q35.
dc.identifier.citationPatrícia Martinková, Jenny Freeman, Adéla Drabinová, Elena Erosheva, Davide Cattaneo, Johanna Jonsdottir, Ilse Baert, Tori Smedal, Anders Romberg, Peter Feys, Jose Alves-Guerreiro, Mario Habek, Thomas Henze, Carme Santoyo Medina, Antonie Beiske, Paul Van Asch, Daphne Bakalidou, Yeliz Salcı, Erieta Nikolikj Dimitrova, Markéta Pavlíková, Kamila Řasová, Physiotherapeutic interventions in multiple sclerosis across Europe: Regions and other factors that matter, Multiple Sclerosis and Related Disorders, Volume 22, 2018, Pages 59-67, ISSN 2211-0348, https://doi.org/10.1016/j.msard.2018.03.005.
dc.identifier.doi10.1016/j.msard.2018.03.005
dc.identifier.issn2211-0348
dc.identifier.urihttp://hdl.handle.net/10400.8/13620
dc.language.isoeng
dc.peerreviewedyes
dc.publisherElsevier BV
dc.relation.hasversionhttps://www.sciencedirect.com/science/article/pii/S2211034818300932
dc.relation.ispartofMultiple Sclerosis and Related Disorders
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectCluster analysis
dc.subjectQuestionnaire survey
dc.subjectPhysiotherapeutic interventions Europe
dc.subjectPhysical therapy
dc.subjectMultiple sclerosis
dc.titlePhysiotherapeutic interventions in multiple sclerosis across Europe: Regions and other factors that mattereng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage67
oaire.citation.startPage59
oaire.citation.titleMultiple Sclerosis and Related Disorders
oaire.citation.volume22
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameAlves-Guerreiro
person.givenNameJosé
person.identifier.orcid0000-0002-9038-9747
person.identifier.scopus-author-id6506306879
relation.isAuthorOfPublication30e516e1-3cf7-4439-a333-7754d3a08fa7
relation.isAuthorOfPublication.latestForDiscovery30e516e1-3cf7-4439-a333-7754d3a08fa7

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