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

2020-01-31Journal article Open access
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datacite.subject.fosCiências Médicas::Outras Ciências Médicas
datacite.subject.fosCiências Naturais::Ciências da Terra e do Ambiente
datacite.subject.sdg03:Saúde de Qualidade
datacite.subject.sdg04:Educação de Qualidade
datacite.subject.sdg17:Parcerias para a Implementação dos Objetivos
dc.contributor.authorŘasová, Kamila
dc.contributor.authorFreeman, Jenny
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.authorAsch, Paul Van
dc.contributor.authorBakalidou, Daphne
dc.contributor.authorSalcı, Yeliz
dc.contributor.authorDimitrova, Erieta
dc.contributor.authorPavlíková, Markéta
dc.contributor.authorŠtětkářová, Ivana
dc.contributor.authorVorlíčková, Jana
dc.contributor.authorMartinková, Patricia
dc.date.accessioned2025-10-06T12:22:59Z
dc.date.available2025-10-06T12:22:59Z
dc.date.issued2020-01-31
dc.description.abstractBackground: 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.eng
dc.description.sponsorshipThis study was supported by a RIMS grant 2012 and unrestricted educational grant from Novartis Pharma AG to RIMS, 260388/SVV/2019, Q 35 and Q37. This research was funded by RIMS grant 2012 and unrestricted educational grant from Novartis Pharma AG to RIMS, 260388/SVV/2019, Q 35 and Q37.
dc.identifier.citationŘasová, K., Freeman, J., Cattaneo, D., Jonsdottir, J., Baert, I., Smedal, T., Romberg, A., Feys, P., Alves-Guerreiro, J., Habek, M., Henze, T., Santoyo-Medina, C., Beiske, A., Van Asch, P., Bakalidou, D., Salcı, Y., Dimitrova, E., Pavlíková, M., Štětkářová, I., ... Martinková, P. (2020). Content and Delivery of Physical Therapy in Multiple Sclerosis across Europe: A Survey. International Journal of Environmental Research and Public Health, 17(3), 886. https://doi.org/10.3390/ijerph17030886.
dc.identifier.doi10.3390/ijerph17030886
dc.identifier.eissn1660-4601
dc.identifier.issn1661-7827
dc.identifier.urihttp://hdl.handle.net/10400.8/14208
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relation.hasversionhttps://www.mdpi.com/1660-4601/17/3/886
dc.relation.ispartofInternational Journal of Environmental Research and Public Health
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectmultiple sclerosis
dc.subjectphysical therapy
dc.subjectEurope
dc.subjectquestionnaire survey
dc.subjectprofessional guidelines
dc.titleContent and Delivery of Physical Therapy in Multiple Sclerosis across Europe: A Surveyeng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage13
oaire.citation.issue3
oaire.citation.startPage1
oaire.citation.titleInternational Journal of Environmental Research and Public Health
oaire.citation.volume17
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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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.
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