Neurological conditions and community-based physical activity: physical therapists' belief and actions.

IF 2.1 Q1 REHABILITATION Archives of physiotherapy Pub Date : 2024-09-30 eCollection Date: 2024-01-01 DOI:10.33393/aop.2024.2733
Louise Declerck, Mathilde Gillot, Charlotte Goffaux, Jean-François Kaux, Gaëtan Stoquart
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Abstract

Introduction: Physical therapists (PTs) are key actors in physical activity (PA) promotion. However, it remains unclear whether PTs in community settings promote community-based PA such as adapted physical activity (APA) and adaptive sports (AS) to their patients with neurological conditions (NCs). The main purposes were to evaluate the beliefs PTs have of APA and AS, and to explore actions they undertake to promote it to their patients with NCs.

Methods: An online survey was created specifically for the study. PT associations and institutions were contacted and licensed PTs working in community-based settings, treating at least one patient with a NC, were invited to participate. Questionnaires were analyzed only if all mandatory questions had been answered.

Results: A total of 165 questionnaires were analyzed. PTs reported prioritizing active treatment. They viewed APA and AS as beneficial for their patients with NCs; however, its promotion remained largely infrequent due to a number of barriers. The PTs' own level of PA seemed to significantly influence their beliefs of the benefits of APA and AS (p = 0.001), while being specialized in neurologic physical therapy enabled the PTs to increase frequency of promotion (p = 0.003).

Conclusion: Though community-based PTs are aware of the importance of PA for individuals with NCs, they face difficulties in promoting it to their patients. However, these difficulties are reduced among PTs who are specialized in neurologic physical therapy. Efforts should be made toward educating PTs to neurological pathologies and their specificities when it comes to PA.

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神经系统疾病与社区体育活动:理疗师的信念与行动。
导言:物理治疗师(PTs)是促进体育活动(PA)的主要参与者。然而,在社区环境中,物理治疗师是否向其神经系统疾病(NCs)患者推广以社区为基础的体育活动,如适应性体育活动(APA)和适应性运动(AS),目前仍不清楚。研究的主要目的是评估护理人员对适应性体育活动(APA)和适应性运动(AS)的看法,并探讨他们为向神经系统疾病(NC)患者推广这些活动而采取的行动:方法:为本研究专门制作了一份在线调查问卷。我们联系了PT协会和机构,并邀请在社区工作、至少治疗一名NC患者的持证PT参与调查。只有回答了所有必答问题,才会对问卷进行分析:共分析了 165 份问卷。PT 报告称,积极治疗是优先事项。他们认为APA和AS对NC患者有益;然而,由于一些障碍,推广APA和AS的频率仍然很低。物理治疗师自身的PA水平似乎极大地影响了他们对APA和AS益处的看法(p = 0.001),而作为神经物理治疗的专家,物理治疗师能够增加推广的频率(p = 0.003):结论:尽管社区理疗师意识到 PA 对 NC 患者的重要性,但他们在向患者推广 PA 时却遇到了困难。然而,这些困难在专门从事神经物理治疗的康复理疗师中有所减少。应努力教育理疗师,让他们了解神经系统病症及其在 PA 方面的特殊性。
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10 weeks
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