System resources of physical rehabilitation / physical therapy in musculoskeletal disorders

Topicality. The crisis situation of the state of Ukrainian population health lifts the level of rehabilitation of patients and persons with disability to the priority national problem. The state of rehabilitation services grant substantially depends on the skilled personnel providing. Research aim: on the basis of analysis of scientifically-methodical literature and normatively legal acts to investigate pre-conditions and modern trends of progress of physical therapy and occupational therapy specialities in Ukraine. Research results. The educational programs of specialists preparation on a physical rehabilitation have many defects, and preparation of specialists on occupational therapy is absent in our country absolutely. In accordance with normative acts physical therapy is the legal successor of physical rehabilitation in our country, but these concepts are not identical. The intensive process of forming of new specialities, criterias of accreditation, educational programs of retraining passes in Ukraine. Conclusions. Change of legal bases in the sphere of preparation and labour of physical therapeutists and ergotherapeutists, design of educational programs in accordance with international standards, is the first step on a way to quality development of these fields of knowledge and practice.

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Direct access to physical therapy for the patient with musculoskeletal disorders, a literature review

Journal of Physical Therapy Science ◽

10.1589/jpts.29.1463 ◽

2017 ◽

Vol 29 (8) ◽

pp. 1463-1471 ◽

Cited By ~ 6

Author(s):

Leonardo Piano ◽

Filippo Maselli ◽

Antonello Viceconti ◽

Silvia Gianola ◽

Aldo Ciuro

Keyword(s):

Physical Therapy ◽

Literature Review ◽

Musculoskeletal Disorders ◽

Direct Access

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Psychometric Properties of the Outpatient Physical Therapy Improvement in Movement Assessment Log (OPTIMAL) in Patients With Musculoskeletal Disorders: A Replication Study With Additional Findings

Physical Therapy ◽

10.2522/ptj.20120444 ◽

2013 ◽

Vol 93 (5) ◽

pp. 672-680 ◽

Cited By ~ 6

Author(s):

Daniel L. Riddle ◽

Paul W. Stratford ◽

Tracy L. Carter ◽

Joshua A. Cleland

Keyword(s):

Physical Therapy ◽

Lower Extremity ◽

Psychometric Properties ◽

Musculoskeletal Disorders ◽

Internal Consistency Reliability ◽

Cross Sectional ◽

Scale Scores ◽

Difficulty Scale ◽

Movement Assessment ◽

Confidence Scale

BackgroundThe Outpatient Physical Therapy Improvement in Movement Assessment Log (OPTIMAL) is a recently developed self-report outcome instrument designed to measure the extent of activity limitation as defined by the World Health Organization.ObjectiveThe purposes of the study were to replicate some aspects of the original study of the OPTIMAL Difficulty and Confidence scales and to conduct additional psychometric tests.DesignA cross-sectional design was used in the study.MethodsOf a total of 1,150 patients who received treatment at 4 outpatient centers over the study period, 1,030 patients were recruited for this study and completed the OPTIMAL instrument and previously validated region-specific functional status measures. A variety of analytic methods were used to examine the extent of redundancy between the OPTIMAL Difficulty and Confidence scales, as well as the internal consistency reliability, standard error of measurement, known-groups validity, and convergent validity of OPTIMAL Difficulty Scale scores.ResultsThe OPTIMAL Difficulty and Confidence scale scores were found in a factor analysis to be load-based on anatomical region rather than on difficulty and confidence concepts. Internal consistency reliability for the subscales of the Confidence Scale varied and was .80 or higher for the lower-extremity subscale but .50 or less for the trunk and upper-extremity subscales.LimitationsOnly cross-sectional relationships were examined, and another pure measure of activity limitation was not used for comparison.ConclusionsThe findings generally did not support the psychometric properties of the OPTIMAL instrument. Although not conclusive, the data suggested that the OPTIMAL Difficulty and Confidence scales demonstrate substantial overlap. Reliability was generally low, with the exception of the lower-extremity subscale. Scores for the subscales of the Difficulty Scale differentiated among patients with lower-extremity versus trunk or upper-extremity diagnoses, but associations with previously validated region-specific measures were generally weak or absent. Clinicians treating outpatients with musculoskeletal disorders should consider alternative measures when attempting to quantify the extent of activity limitations.

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The effectiveness of a new complex of physical rehabilitation with the inclusion of mechanotherapy technologies in improving quality of life in patients with osteoporotic vertebral fractures

Russian Journal of Physiotherapy Balneology and Rehabilitation ◽

10.17816/1681-3456-2020-19-1-8 ◽

2020 ◽

Vol 19 (1) ◽

pp. 51-58

Author(s):

Larisa A. Marchenkova ◽

Ekaterina V. Makarova ◽

Marina Yu. Gerasimenko ◽

Valeria A. Vasilieva ◽

Mikhail A. Eryomushkin ◽

...

Keyword(s):

Quality Of Life ◽

Physical Therapy ◽

Vertebral Fractures ◽

Daily Living ◽

Physical Rehabilitation ◽

Psychological Aspects ◽

Daily Living Activity ◽

Physical Exercises ◽

Therapy Effect

Background. Medical rehabilitation plays a key role in restoring functionality and social activity, as well as the physical and psychological aspects of quality of life (QOL) in patients with pathological fractures in the setting of osteoporosis (OP). Objective: to assess the effect of a new complex of physical rehabilitation with the inclusion of mechanotherapy on the physical and psychological aspects of QOL in patients with vertebral fractures (VFs) and OP. Methods. The study was carried out in the form of a prospective controlled open study in two parallel groups. 90 patients with osteoporotic VF were randomized in a 2:1 ratio to the intervention group (group 1, n=60), which received a new complex of physical therapy, or control group (group 2, n=30), which received only special complex of physical exercises. QOL and pain level assessment was performed at baseline and at follow-up on the 21st and 70th day in patients of both groups. A special questionnaire QUALEFFO-41 was used to assess QOL. Results. Administration of a new physical rehabilitation complex resulted in pain reduction and improvement of such QOL aspects as jobs around the house, mobility and mental state. No dynamics was found in QUALEFFO-41 scale in daily living activity and leisure, social activities, general health perception domains. Therapy effect on pain syndrome relief, expansion of daily living activity, mobility and increasement in overall QOL assessment, remains for at least 4 weeks after the rehabilitation course. Conclusion. New three-week physical therapy complex, including mechanotherapeutic methods with biological feedback and special physical exercises in the gym and pool can be recommended for the rehabilitation of patients with osteoporotic VF in order to increase QOL and reduce back pain.

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The creation of programs of physical rehabilitation/therapy in musculoskeletal disorders

Слобожанський науково-спортивний вісник ◽

10.15391/snsv.2016-6.006 ◽

2016 ◽

Vol 6 (56) ◽

pp. 37-45

Author(s):

Andrii Hertsyk ◽

Keyword(s):

Musculoskeletal Disorders ◽

Physical Rehabilitation ◽

Rehabilitation Therapy ◽

The Creation

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Direct Access to Physical Therapy: Should Italy Move Forward?

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph19010555 ◽

2022 ◽

Vol 19 (1) ◽

pp. 555

Author(s):

Filippo Maselli ◽

Leonardo Piano ◽

Simone Cecchetto ◽

Lorenzo Storari ◽

Giacomo Rossettini ◽

...

Keyword(s):

Physical Therapy ◽

Musculoskeletal Disorders ◽

General Practitioners ◽

Physical Therapist ◽

Care Pathway ◽

Scientific Evidence ◽

Historical Context ◽

Healthcare Systems ◽

Direct Access ◽

Academic Paths

Direct access to physical therapy (DAPT) is the patient’s ability to self-refer to a physical therapist, without previous consultation from any other professional. This model of care has been implemented in many healthcare systems since it has demonstrated better outcomes than traditional models of care. The model of DAPT mainly focuses on the management of musculoskeletal disorders, with a huge epidemiological burden and worldwide healthcare systems workload. Among the healthcare professionals, physical therapists are one of the most accessed for managing pain and disability related to musculoskeletal disorders. Additionally, the most updated guidelines recommend DAPT as a first-line treatment because of its cost-effectiveness, safety, and patients’ satisfaction compared to other interventions. DAPT was also adopted to efficiently face the diffuse crisis of the declining number of general practitioners, reducing their caseload by directly managing patients’ musculoskeletal disorders traditionally seen by general practitioners. World Physiotherapy organization also advocates DAPT as a new approach, with physical therapy in a primary care pathway to better control healthcare expenses. Thus, it is unclear why the Italian institutions have decided to recognize new professions instead of focusing on the growth of physical therapy, a long-established and autonomous health profession. Furthermore, it is unclear why DAPT is still not fully recognized, considering the historical context and its evidence. The future is now: although still preliminary, the evidence supporting DAPT is promising. Hard skills, academic paths, scientific evidence, and the legislature argue that this paradigm shift should occur in Italy.

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