Faculty of Rehabilitation Sciences and Physiotherapy, Hasselt University, Agoralaan Building A, 3590 Diepenbeek, Belgium.
Research Group of Rehabilitation for Internal Disorders, University of Leuven, 3000 Leuven, Belgium.
Eur J Cardiovasc Nurs. 2024 Apr 12;23(3):230-240. doi: 10.1093/eurjcn/zvad065.
Physiotherapists often treat patients with (elevated risk for) cardiovascular disease (CVD), and should thus be able to provide evidence-based exercise advice to these patients. This study, therefore, aims to examine whether exercise prescriptions by physiotherapists to patients with CVD are in accordance with European recommendations.
This prospective observational survey included forty-seven Belgian physiotherapists. The participants agreed to prescribe exercise intensity, frequency, session duration, program duration, and exercise type (endurance or strength training) for the same three patient cases. Exercise prescriptions were compared between physiotherapists and relations with their characteristics were studied. The agreement between physiotherapists' exercise prescriptions and those from European recommendations ('agreement score': based on a maximal score of 60/per case) was assessed. A wide inter-clinician variability was noticed for all exercise modalities, leading to a large variance for total peak-effort training minutes (from 461 up to 9000 over the three cases). The exercise frequency was prescribed fully out of range of the recommendations and the prescription of additional exercise modes was generally flawed. Exercise intensity and program duration were prescribed partially correct. The addition of strength exercises and session duration was prescribed correctly. This led to physiotherapist agreement scores of 25.3 ± 9.6, 23.2 ± 9.9, and 27.1 ± 10.6 (all out of 60), for cases one, two, and three, respectively. A greater agreement score was found in younger colleagues and those holding a Ph.D.
Exercise prescriptions for CVD patients vary widely among physiotherapists and often disagree with European recommendations.
ClinicalTrials.gov NCT05449652.
物理治疗师经常治疗心血管疾病（CVD）风险升高的患者，因此应该能够为这些患者提供基于证据的运动建议。本研究旨在检验物理治疗师为 CVD 患者开出的运动处方是否符合欧洲建议。
本前瞻性观察性调查纳入了 47 名比利时物理治疗师。参与者同意为三个相同的患者病例开出运动强度、频率、疗程、疗程和运动类型（耐力或力量训练）的处方。研究了物理治疗师之间的运动处方差异及其与特征之间的关系。评估了物理治疗师的运动处方与欧洲建议之间的一致性（“一致性评分”：基于每个病例的最大 60 分）。所有运动方式的临床医生之间存在广泛的变异性，导致三个病例的总峰值努力训练分钟数差异很大（从 461 到 9000）。运动频率完全超出了建议范围，额外运动模式的处方通常存在缺陷。运动强度和疗程部分正确。力量练习的增加和疗程的延长被正确地开出。这导致治疗师对病例一、二和三的一致性评分为 25.3±9.6、23.2±9.9 和 27.1±10.6（均为 60 分）。年轻的同事和拥有博士学位的同事的一致性评分更高。
CVD 患者的运动处方在物理治疗师之间差异很大，并且经常与欧洲建议不符。
ClinicalTrials.gov NCT05449652。
