Physiotherapy in Parkinson’s Disease: Building ParkinsonNet in Czechia

Objective. We conducted a questionnaire survey to investigate the availability and quality of physiotherapy (PT) for Parkinson’s disease (PD). Background. Despite evidence about the benefits of PT, there is no data regarding its use in Czechia. Methods. Questionnaires were sent to 368 PD patients se...

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Main Authors: Ota Gal, Martin Srp, Romana Konvalinkova, Martina Hoskovcova, Vaclav Capek, Jan Roth, Evzen Ruzicka
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Parkinson's Disease
Online Access:http://dx.doi.org/10.1155/2017/8921932
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author Ota Gal
Martin Srp
Romana Konvalinkova
Martina Hoskovcova
Vaclav Capek
Jan Roth
Evzen Ruzicka
author_facet Ota Gal
Martin Srp
Romana Konvalinkova
Martina Hoskovcova
Vaclav Capek
Jan Roth
Evzen Ruzicka
author_sort Ota Gal
collection DOAJ
description Objective. We conducted a questionnaire survey to investigate the availability and quality of physiotherapy (PT) for Parkinson’s disease (PD). Background. Despite evidence about the benefits of PT, there is no data regarding its use in Czechia. Methods. Questionnaires were sent to 368 PD patients seen in a single movement disorders centre within two years (inclusion criteria: idiopathic PD, Hoehn and Yahr stage <5, and residence in Prague) and to 211 physical therapists (PTs) registered in Prague. The patient questionnaire evaluated limitations in 6 core areas and in activities of daily living and inquired about experience with PT. The PTs questionnaire evaluated knowledge about PD, number of PD patients treated yearly, and details of therapy. Results. Questionnaires were returned by 248 patients and 157 PTs. PT was prescribed to 70/248 patients. The effects were satisfactory in 79% and lasted >3 months in 60/64. About half of the PTs have no experience with PD patients, 26% reported <3, and 5% see >10 yearly. The most widely used techniques were neurodevelopmental treatments. Conclusion. Present PD healthcare model in Czechia is suboptimal (low PT prescription, non-evidence-based PT). Implementation of European PT Guidelines for PD and the introduction of an efficient model of care are needed.
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spelling doaj-art-67f5d8738cd4484aa629380a7565d7dd2025-08-20T02:23:55ZengWileyParkinson's Disease2090-80832042-00802017-01-01201710.1155/2017/89219328921932Physiotherapy in Parkinson’s Disease: Building ParkinsonNet in CzechiaOta Gal0Martin Srp1Romana Konvalinkova2Martina Hoskovcova3Vaclav Capek4Jan Roth5Evzen Ruzicka6Department of Neurology and Centre of Clinical Neuroscience, First Faculty of Medicine and General University Hospital, Charles University in Prague, Katerinska 30, 128 21 Prague, Czech RepublicDepartment of Neurology and Centre of Clinical Neuroscience, First Faculty of Medicine and General University Hospital, Charles University in Prague, Katerinska 30, 128 21 Prague, Czech RepublicDepartment of Neurology and Centre of Clinical Neuroscience, First Faculty of Medicine and General University Hospital, Charles University in Prague, Katerinska 30, 128 21 Prague, Czech RepublicDepartment of Neurology and Centre of Clinical Neuroscience, First Faculty of Medicine and General University Hospital, Charles University in Prague, Katerinska 30, 128 21 Prague, Czech RepublicApplied Neurosciences and Brain Imaging, National Institute of Mental Health, Topolova 748, 250 67 Klecany, Czech RepublicDepartment of Neurology and Centre of Clinical Neuroscience, First Faculty of Medicine and General University Hospital, Charles University in Prague, Katerinska 30, 128 21 Prague, Czech RepublicDepartment of Neurology and Centre of Clinical Neuroscience, First Faculty of Medicine and General University Hospital, Charles University in Prague, Katerinska 30, 128 21 Prague, Czech RepublicObjective. We conducted a questionnaire survey to investigate the availability and quality of physiotherapy (PT) for Parkinson’s disease (PD). Background. Despite evidence about the benefits of PT, there is no data regarding its use in Czechia. Methods. Questionnaires were sent to 368 PD patients seen in a single movement disorders centre within two years (inclusion criteria: idiopathic PD, Hoehn and Yahr stage <5, and residence in Prague) and to 211 physical therapists (PTs) registered in Prague. The patient questionnaire evaluated limitations in 6 core areas and in activities of daily living and inquired about experience with PT. The PTs questionnaire evaluated knowledge about PD, number of PD patients treated yearly, and details of therapy. Results. Questionnaires were returned by 248 patients and 157 PTs. PT was prescribed to 70/248 patients. The effects were satisfactory in 79% and lasted >3 months in 60/64. About half of the PTs have no experience with PD patients, 26% reported <3, and 5% see >10 yearly. The most widely used techniques were neurodevelopmental treatments. Conclusion. Present PD healthcare model in Czechia is suboptimal (low PT prescription, non-evidence-based PT). Implementation of European PT Guidelines for PD and the introduction of an efficient model of care are needed.http://dx.doi.org/10.1155/2017/8921932
spellingShingle Ota Gal
Martin Srp
Romana Konvalinkova
Martina Hoskovcova
Vaclav Capek
Jan Roth
Evzen Ruzicka
Physiotherapy in Parkinson’s Disease: Building ParkinsonNet in Czechia
Parkinson's Disease
title Physiotherapy in Parkinson’s Disease: Building ParkinsonNet in Czechia
title_full Physiotherapy in Parkinson’s Disease: Building ParkinsonNet in Czechia
title_fullStr Physiotherapy in Parkinson’s Disease: Building ParkinsonNet in Czechia
title_full_unstemmed Physiotherapy in Parkinson’s Disease: Building ParkinsonNet in Czechia
title_short Physiotherapy in Parkinson’s Disease: Building ParkinsonNet in Czechia
title_sort physiotherapy in parkinson s disease building parkinsonnet in czechia
url http://dx.doi.org/10.1155/2017/8921932
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