Fujita Hitomi, Tsukada Atsushi, Ohura Tomoko
Department of Rehabilitation, Faculty of Health Sciences, Nihon Fukushi University, Aichi 475-0012, Japan.
Department of Mechanical Engineering, Faculty of Science and Technology, Meijo University, Nagoya 468-8502, Japan.
Healthcare (Basel). 2021 May 25;9(6):631. doi: 10.3390/healthcare9060631.
Patients with muscular dystrophy (MD) need fitted wheelchairs. This study aimed to ascertain physiotherapists and occupational therapists' opinions about the current wheelchair seating process for patients with MD in Japan. We identified 266 academic papers published between August 2014 and July 2019 with the keywords "muscular dystrophy" and either "physiotherapy" or "occupational therapy." We then sent survey requests to 140 physiotherapists and occupational therapists (who were among the authors of the aforementioned papers), of whom 41 agreed to partake in this study. We found that the time required for each seating was 30-60 min for three types of MD, and the most commonly reported time to trial fitting was 1-3 months. In addition, health insurance reimbursements for seating were considered part of disease-specific rehabilitation in most cases, and most therapists were more or less satisfied with the current seating procedure. Physiotherapists had the highest degree of reflection of their views (wishes) regarding seating, followed by MDs and their families. In Japan, seating has been regarded as a medical practice since 2017. In the future, we would like to investigate the seating concept for individual therapists in detail.
肌肉萎缩症（MD）患者需要定制轮椅。本研究旨在确定物理治疗师和职业治疗师对日本MD患者当前轮椅座位适配流程的看法。我们检索了2014年8月至2019年7月期间发表的266篇学术论文，关键词为“肌肉萎缩症”以及“物理治疗”或“职业治疗”。然后，我们向140名物理治疗师和职业治疗师（上述论文的作者）发送了调查请求，其中41人同意参与本研究。我们发现，三种类型的MD每次座位适配所需时间为30 - 60分钟，最常报告的试穿时间为1 - 3个月。此外，在大多数情况下，座位适配的医疗保险报销被视为特定疾病康复的一部分，大多数治疗师对当前的座位适配程序或多或少感到满意。物理治疗师对座位适配的观点（愿望）反映程度最高，其次是MD患者及其家属。在日本，自2017年以来，座位适配一直被视为一种医疗行为。未来，我们希望详细调查个体治疗师的座位适配理念。
