COVID-19 大流行对多发性硬化症患者物理治疗实践的影响：RIMS 网络的多中心调查研究。
The impact of the COVID-19 pandemic on physical therapy practice for people with multiple sclerosis: A multicenter survey study of the RIMS network.
机构信息
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Izmir Katip Celebi University, Izmir, Turkey.
Department of Rehabilitation, Third Faculty of Medicine, Charles University, Prague, Czech Republic.
出版信息
Mult Scler Relat Disord. 2022 Jun;62:103799. doi: 10.1016/j.msard.2022.103799. Epub 2022 Apr 10.
BACKGROUND
The impact of the COVID-19 pandemic on physical therapy services for people with multiple sclerosis (pwMS) is unknown. Therefore, the Special Interest Group for Mobility (SIG Mobility) of the European Network for Best Practice and Research in Multiple Sclerosis Rehabilitation (RIMS) has undertaken the initiative to examine the impact of the COVID-19 outbreak on physical therapy services and physical activity participation in pwMS across Europe, Israel and Australia.
OBJECTIVE
To describe the impact of the COVID-19 outbreak on physical therapy practice from the perspective of the therapist.
METHODS
An online survey was developed and conducted from December 2020 to July 2021. The survey (50 questions), included multiple-choice questions and open-ended responses.
RESULTS
In total, 215 physical therapists (PT's) from 9 countries (Australia, Belgium, the Czech Republic, Ireland, Israel, Italy, Norway, Spain, and Turkey) participated in the study. The therapy most affected during the pandemic was aerobic training/conditioning exercises; 33.5% reported that these activities were either reduced or unavailable. In contrast, 15% of the PTs reported increased use of relaxation/mind body techniques and/or fatigue management programs during the pandemic. PTs reported a mixture of positive and negative feelings about the therapeutic sessions offered during the pandemic. Most reported positive feelings included "positive" (26.5%), and "optimistic" (24.7%). Negative feelings most frequently reported included "worried" (30.7%), and "hesitant" (20.9%). The PTs reported a 10% decrease in the use of hands-on techniques and a 10% increase in the use of oral instructions when treating moderately and severely pwMS during as compared to before the pandemic.
CONCLUSION
The COVID-19 pandemic has affected physical therapy services in pwMS internationally in terms of content, frequency of use and format.
背景
COVID-19 大流行对多发性硬化症（pwMS）患者的物理治疗服务的影响尚不清楚。因此，欧洲多发性硬化症康复最佳实践和研究网络（RIMS）的移动性特别兴趣小组（SIG Mobility）已着手研究 COVID-19 爆发对欧洲、以色列和澳大利亚的 pwMS 的物理治疗服务和身体活动参与的影响。
目的
从治疗师的角度描述 COVID-19 爆发对物理治疗实践的影响。
方法
开发并于 2020 年 12 月至 2021 年 7 月进行了在线调查。该调查（50 个问题）包括多项选择题和开放式回答。
结果
共有来自 9 个国家（澳大利亚、比利时、捷克共和国、爱尔兰、以色列、意大利、挪威、西班牙和土耳其）的 215 名物理治疗师（PT）参加了研究。大流行期间受影响最大的治疗是有氧运动/调节运动；33.5%的人报告说这些活动要么减少了，要么无法进行。相比之下，15%的 PT 报告说，在大流行期间更多地使用放松/身心技巧和/或疲劳管理方案。PT 对大流行期间提供的治疗性会议有积极和消极的混合感受。报告的积极感受包括“积极”（26.5%）和“乐观”（24.7%）。报告的负面感受包括“担忧”（30.7%）和“犹豫”（20.9%）。与大流行前相比，PT 在治疗中度和重度 pwMS 时，手动技术的使用率降低了 10%，口头指令的使用率增加了 10%。
结论
COVID-19 大流行在内容、使用频率和形式方面影响了国际上 pwMS 的物理治疗服务。
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