School of Therapeutic Sciences, SRH University Heidelberg, Heidelberg, Germany.
Department of Health Sciences, University of Applied Sciences Campus Vienna, Vienna, Austria.
NeuroRehabilitation. 2023;53(1):105-119. doi: 10.3233/NRE-230010.
A contextual transferability analysis identified group-based circuit training (GCT) as an optimal intervention in German and Austrian outpatient physical therapy to improve mobility post-stroke. GCT incorporates task-oriented, high-repetitive, balance, aerobic and strength training and allows for increased therapy time without increasing personnel.
To determine the extent to which German and Austrian physical therapists (PTs) use GCT and its components in the outpatient treatment of stroke-related mobility deficits and to identify factors associated with using GCT components.
A cross-sectional online survey was conducted. Data were analyzed descriptively and using ordinal regression.
Ninety-three PTs participated. None reported using GCT moderately to frequently (4-10/10 patients). The percentage of PTs reporting frequent use (7-10/10 patients) of task-oriented, balance, strength, aerobic, and high-repetitive training was 45.2%, 43.0%, 26.9%, 19.4%, and 8.6%, respectively. Teaching or supervising students, time for evidence-based practice activities at work, and working in Austria was associated with using GCT components frequently.
German and Austrian PTs do not yet use GCT in outpatient physical therapy for stroke. Almost half of PTs, however, employ task-oriented training as recommended across guidelines. A detailed, theory-driven and country-specific evaluation of barriers to GCT uptake is necessary to inform implementation.
语境可转移性分析确定基于小组的循环训练（GCT）是改善德国和奥地利门诊物理治疗中风后移动能力的最佳干预措施。GCT 包含任务导向、高重复性、平衡、有氧和力量训练，允许增加治疗时间而不增加人员。
确定德国和奥地利物理治疗师（PT）在门诊治疗中风相关运动障碍中使用 GCT 及其组成部分的程度，并确定与使用 GCT 组成部分相关的因素。
进行了一项横断面在线调查。数据进行描述性和有序回归分析。
93 名 PT 参与了调查。没有报告中度到频繁使用 GCT（4-10/10 名患者）的情况。报告频繁使用（7-10/10 名患者）任务导向、平衡、力量、有氧和高重复性训练的 PT 比例分别为 45.2%、43.0%、26.9%、19.4%和 8.6%。教授或监督学生、工作中基于证据的实践活动时间以及在奥地利工作与使用 GCT 组成部分的频繁使用相关。
德国和奥地利的 PT 尚未在中风的门诊物理治疗中使用 GCT。然而，几乎一半的 PT 按照指南推荐使用任务导向训练。需要对 GCT 采用的障碍进行详细、基于理论且针对特定国家的评估，以提供实施信息。
