Evidence map›Paper›PMID 27716390›Full record

ArticleBMC health services research2016

The organisation of physiotherapy for people with multiple sclerosis across Europe: a multicentre questionnaire survey.

Kamila Rasova, Jenny Freeman, Patricia Martinkova, Marketa Pavlikova, Davide Cattaneo, Johanna Jonsdottir, Thomas Henze, Ilse Baert, Paul Van Asch, Carme Santoyo and 17 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04386863 (Taxonomy of Neurorehabilitation Treatments and Outcome Measures), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.5field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04386863 completednot on this mapstarted 2018, after this paper: background citation

Taxonomy of Neurorehabilitation Treatments and Outcome Measures: a Multicentre Italian Study

TypeobservationalSponsorFondazione Don Carlo Gnocchi ETSRan2018 to 2022Enrolled204ConditionsMultiple Sclerosis, Stroke, Parkinson Disease
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Content and Delivery of Physical Therapy in Multiple Sclerosis across Europe: A Survey.International journal of environmental research and public health · 2020
    Article
  7. Multiple sclerosis and rehabilitation: an overview of the different rehabilitation settings.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2017
    Observational
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

27 authors at 17 institutions in 16 countries.

Kamila RasovaDepartment of rehabilitation, Third Faculty of Medicine, Charles University in Prague, Ruska 87, Prague 10, 100 00, Czech Republic. kamila.rasova@gmail.com.
Jenny FreemanFaculty of Health and Human Science, Plymouth University, Playmouth, PL6 8BH, England.
Patricia MartinkovaInstitute of Computer Science, Academy of Sciences of the Czech Republic, Pod Vodarenskou vezi 2, Prague 8, 182 07, Czech Republic.
Marketa PavlikovaThird Faculty of Medicine, Charles University in Prague, Ruska 87, Prague 10, 100 00, Czech Republic.
Davide CattaneoDon Gnocchi Foundation, Larice Lab, Santa Maria Nascente, Via Capecelatro 66, 20148, Milan, Italy.
Johanna JonsdottirNeurorehabilitation at the Don Gnocchi Foundation, Larice Lab, Santa Maria Nascente, Via Capecelatro 66, 20148, Milan, Italy.
Thomas HenzePASSAUER WOLF Reha-Zentrum Nittenau, Rehabilitations klinik für Neurologie-Geriatrie-Urologie, Eichendorffstr. 21, D-93149, Nittenau, Germany.
Ilse BaertHasselt University, Campus Diepenbeek, REVAL Rehabilitation Research Institute (BIOMED), Agoralaan building A, B-3590, Diepenbeek, Belgium.
Paul Van AschFit Up, Fitness- and Physiotherapy Center, Mechelsesteen weg 192a, 2550, Kontich, Belgium.
Carme SantoyoCemcat, Neurorehabilitation Unit, Passeig de la Vall d'Hebron, 119-129, 08035, Barcelona, Spain.
Tori SmedalDepartment of Neurology, Norwegian Multiple Sclerosis Competence Centre, Haukeland University Hospital, P.O. Box 1400, 5021, Bergen, Norway.
Antonie Giæver BeiskeMS-Senteret Hakadal AS, Blomsterbakken 33, 1487, Hakadal, Norway.
Małgorzata StachowiakMS Rehabilitation Centre, Szpitalna 5, 78-449, Borne Sulinowo, Poland.
Mariusz KovalewskiMS Rehabilitation Centre, Szpitalna 5, 78-449, Borne Sulinowo, Poland.
Una NedeljkovicClinic for physical medicine and rehabilitation, Clinical Center of Serbia, Pasterova 2, 11000, Belgrade, Serbia.
Daphne BakalidouTechnological Educational Institute of Athens, 24, Mitrodorou street, Ak. Pratonos, 10441, Athens, Greece.
José Manuel Alves GuerreiroSchool of Health Sciences, Health Research Unit, Polytechnic Institute of Leiria, Campus 2 - Morro do Lena - Alto do Vieiro, 2411-901, Leiria, Portugal.
Ylva NilsagårdFaculty of Medicine and Health, Örebro University Region, SE- 701 82, Örebro, Sweden.
Erieta Nikolikj DimitrovaInstitute of Physical Medicine and Rehabilitation, Faculty of Medicine, "Ss Cyril and Methodius" University, Elisie Popovski 28, 1000, Skopje, Macedonia, Republic of The former Yugoslav.
Mario HabekReferral Center for Demyelinating Diseases of the Central Nervous System University Department of Neurology Zagreb School of Medicine and University Hospital Center, Kispaticeva 12, HR-10000, Zagreb, Croatia.
Kadriye ArmutluPhysical Therapy and Rehabilitation departmant of Health Science Faculty, Hacettepe University, Ankara, Turkey.
Cécile DonzéGroupe Hospitalier de l'institut Catholique de Lille, Department of physical Medicine and Rehabilitation hospital Saint Philibert, Faculté Libre de Médecine, Univ Nord de France, F-59000, Lille, France.
Elaine RossSt. James's Hospital, St. James's street, Dublin 8, Ireland.
Ana Maria Ilie"Elias" University Emergency Hospital, 17 Marasti Bulevard, Bucharest, 01146, Romania.
Andrej MartićDivison of Neurology, Neurorehabilitation unit, University Medical Centre Ljubljana, Zaloška 2, 1000, Ljubljana, Slovenia.
Anders RombergMasku Neurological Rehabilitation Centre, Physiotherapy, Vaihemäentie 10, PO Box 15, 21251, Masku, Finland.
Peter FeysHasselt University, Campus Diepenbeek, REVAL Rehabilitation Research Institute (BIOMED), Agoralaan building A, B-3590, Diepenbeek, Belgium.
Charles University · CZDon Carlo Gnocchi Foundation · ITHasselt University · BECenter for Health, Exercise and Sport Sciences · RSCzech Academy of Sciences · CZGroupe Hospitalier de l'Institut Catholique de Lille · FRHacettepe University · TRHaukeland University Hospital · NOInstituto Politécnico de Leiria · PTLjubljana University Medical Centre · SIÖrebro University · SEParkinson-Klinik Ortenau · DESaints Cyril and Methodius University of Skopje · MKSt. James's Hospital · IETechnological Educational Institute of Athens · GRUniversity Hospital Centre Zagreb · HRUniversity of Plymouth · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnderstanding the organisational set-up of physiotherapy services across different countries is increasingly important as clinicians around the world use evidence to improve their practice. This also has to be taken into consideration when multi-centre international clinical trials are conducted. This survey aimed to systematically describe organisational aspects of physiotherapy services for people with multiple sclerosis (MS) across Europe.

methodsRepresentatives from 72 rehabilitation facilities within 23 European countries completed an online web-based questionnaire survey between 2013 and 2014. Countries were categorised according to four European regions (defined by United Nations Statistics). Similarities and differences between regions were examined.

resultsMost participating centres specialized in rehabilitation (82 %) and neurology (60 %), with only 38 % specialising in MS. Of these, the Western based Specialist MS centres were predominately based on outpatient services (median MS inpatient ratio 0.14), whilst the Eastern based European services were mostly inpatient in nature (median MS inpatient ratio 0.5). In almost all participating countries, medical doctors - specialists in neurology (60 %) and in rehabilitation (64 %) - were responsible for referral to/prescription of physiotherapy. The most frequent reason for referral to/prescription of physiotherapy was the worsening of symptoms (78 % of centres). Physiotherapists were the most common members of the rehabilitation team; comprising 49 % of the team in Eastern countries compared to approximately 30 % in the rest of Europe. Teamwork was commonly adopted; 86 % of centres based in Western countries utilised the interdisciplinary model, whilst the multidisciplinary model was utilised in Eastern based countries (p = 0.046).

conclusionThis survey is the first to provide data about organisational aspects of physiotherapy for people with MS across Europe. Overall, care in key organisational aspects of service provision is broadly similar across regions, although some variations, for example the models of teamwork utilised, are apparent. Organisational framework specifics should be considered anytime a multi-centre study is conducted and results from such studies are applied.

Indexed as

Ambulatory CareEuropeHumansInpatientsMultiple SclerosisPatient Care TeamPhysical Therapy ModalitiesPrescriptionsReferral and ConsultationSurveys and Questionnaires

Identifiers

PMID27716390
PMCPMC5053346
OpenAlexW2528278760

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.