Jonsdottir Johanna, Santoyo-Medina Carme, Kahraman Turhan, Kalron Alon, Rasova Kamila, Moumdjian Lousin, Coote Susan, Tacchino Andrea, Grange Erica, Smedal Tori, Arntzen Ellen Christin, Learmonth Yvonne, Pedulla Ludovico, Quinn Gillian, Kos Daphne
IRCCS Fondazione Don Carlo Gnocchi ONLUS, Milan, Italy.
Neurology-Neuroimmunology Department & Neurorehabilitation Unit, Multiple Sclerosis Centre of Catalonia (Cemcat), Barcelona, Spain; Department of Physiotherapy, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, C/ Josep Trueta sn, 08195 Sant Cugat del Vallès, Barcelona, Spain.
Mult Scler Relat Disord. 2023 Mar;71:104520. doi: 10.1016/j.msard.2023.104520. Epub 2023 Jan 25.
The COVID-19 pandemic has led to reorganization or reduction of neurorehabilitation services for people with multiple sclerosis (PwMS). The aim of this study was to explore the changes in the organizational framework and technology usage in physiotherapy services for PwMS during the COVID-19 pandemic.
This international cross-sectional survey study was designed, developed, and disseminated by RIMS European Network for Best Practice and Research in Multiple Sclerosis Rehabilitation. Physiotherapists from nine countries (Australia, Belgium, Czech Republic, Ireland, Israel, Italy, Norway, Spain, Turkey) who provided physiotherapy services to PwMS, were invited to complete an online survey to compare physiotherapy delivery to PwMS prior to and during the pandemic period.
The survey was completed by 215 physiotherapists. Accessibility, the average number, length and perceived effectiveness of physiotherapy sessions provided to PwMS were significantly reduced during the COVID-19 pandemic (p=0.001). Physiotherapists increased the advice of mobile apps, recorded videos for rehabilitation and exercise websites during the pandemic (p<0.001) while the use of telerehabilitation and virtual reality technology did not change.
There was of a reduction in the number, duration and perceived effectiveness of rehabilitation sessions for people with multiple sclerosis during the COVID-19 pandemic while use of remote technologies for physiotherapy did not change. To ensure the continuity of physiotherapy for PwMS with complex healthcare needs also during pandemics, the provision of guidelines and training in telehealth technologies in professional education becomes crucial.
新冠疫情导致了针对多发性硬化症患者（PwMS）的神经康复服务的重组或缩减。本研究的目的是探讨新冠疫情期间PwMS物理治疗服务的组织框架和技术使用的变化。
这项国际横断面调查研究由RIMS欧洲多发性硬化症康复最佳实践与研究网络设计、开展并传播。邀请了来自九个国家（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、土耳其）为PwMS提供物理治疗服务的物理治疗师完成一项在线调查，以比较疫情之前和期间为PwMS提供的物理治疗服务。
215名物理治疗师完成了调查。在新冠疫情期间，为PwMS提供的物理治疗服务的可及性、疗程的平均数量、时长和感知效果均显著降低（p = 0.001）。疫情期间，物理治疗师增加了对移动应用程序的推荐，录制了康复视频并推荐了运动网站（p < 0.001），而远程康复和虚拟现实技术的使用没有变化。
在新冠疫情期间，多发性硬化症患者康复疗程的数量、时长和感知效果有所减少，而物理治疗远程技术的使用没有变化。为确保在疫情期间也能为有复杂医疗需求的PwMS提供持续的物理治疗服务，在专业教育中提供远程医疗技术的指南和培训变得至关重要。
