Content of physical therapy in multiple
sclerosis across Europe
Within the SIG Mobility, Kamila Rasova (kamila.rasova@centrum.cz)
has taken initiative to reflect on the content of physical
rehabilitation across Europe. Click here for more information.
Title
Content of physical therapy in multiple sclerosis across Europe
Applicants
Kamila Rasova, Peter Feys, Thomas Henze, Brigitte Gattlen, Carme Santoyo,
Benoit Gebara and others (RIMS)
Motto
In similar cases, there are different therapeutic approaches applied,
but with the same aim – to help the patients as effectively as possible.
It seems important to define this difference and to understand the cause
of the difference.
Basic questions
What are the goals of neurorehabilitation, especially in the context of
the ICF (International Classification of Function).
Do therapeutic approaches differ in between different countries or in
between different concepts?
Are these differences of global origin (historical, philosophical and
cultural impact on health system) or individual one (understanding of
neurorehabilitation principles)?
Objective
To describe physical therapy in MS across Europe and find keys
principles for efficient and economy treatment.
Intervention
• To describe physical therapy in European rehabilitation centers
• To define basic approaches that have in common keys principles
• To compare effectiveness of the basic therapeutic approaches.
• To improve standard in physical therapy across Europe
Inclusion criteria
Rehabilitation centers treating patients with the diagnosis of MS
according to the criteria of McDonald [1], Poser [2], or Schumacher [3]
juvenile and adult, before and above age 18, of both gender, suffering
from any of the different types of MS (relapsing-remitting-RR,
primary-PP and secondary progressive-SP) and presenting with
disabilities of mobility, communication, activities of daily living,
swallowing, and higher cognitive functions that require specific
treatment.
In- and outpatient rehabilitation centers.
Methods
• Description of rehabilitation based on questionnaire aimed on content,
efficiency, and accessibility of existing rehabilitation treatment will
be send to as much European rehabilitation centers as possible (using
Delphi technique?).
• Comparative multi-centric study.
Duration
2009-2015
2009 preparation of the proposal project and questionnaire