scholarly journals Use of Physical Therapy Services Among Middle-Aged and Older Adults With Multiple Sclerosis

2010 ◽  
Vol 90 (11) ◽  
pp. 1607-1618 ◽  
Author(s):  
Marcia Finlayson ◽  
Matthew Plow ◽  
Chi Cho
Keyword(s):  
Multiple Sclerosis ◽  
Older Adults ◽  
Physical Therapy ◽  
Unmet Needs ◽  
Middle Aged ◽  
Factors Associated ◽  
The Past ◽  
Therapy Services ◽  
Therapy Service ◽  
Physical Therapy Services

Background There is limited understanding of the utilization of and perceived need for physical therapy services among middle-aged and older adults with multiple sclerosis (MS). The resulting knowledge gap compromises efforts for physical therapy service planning for this population. Objective The purpose of this study was to examine the use of and need for physical therapy services in a sample of adults with MS living in the Midwestern United States. Design This was a cross-sectional, descriptive study. Methods Data from telephone interviews with 1,065 people with MS, aged 45 to 90 years, were used for the study. A multinomial regression model was used to determine factors associated with use of physical therapy services (never, within the past year, more than a year ago). Logistic regression analysis examined factors associated with unmet needs for these services. Results Thirty-six percent of the sample reported never using physical therapy services, 33% reported using physical therapy services within the past year, and 31% reported using physical therapy services more than a year prior to the interview. Factors associated with recent use of physical therapy services included living in an urban or suburban community, deteriorating MS status, experiencing problems with spasticity (ie, hypertonicity), having difficulty moving inside the house, being hospitalized in the past 6 months, and seeing a family physician. These same factors were associated with unmet needs. Limitations Physical therapy service use was self-reported. Data were collected in 5 Midwestern states from people 45 years of age or older, which may limit generalizability. Conclusions Factors associated with use of and need for physical therapy services reflect issues of access (geographical, referrals), MS status, and mobility difficulties.

scholarly journals Predictors of the Use of Physical Therapy Services Among Patients With Rheumatoid Arthritis

2011 ◽  
Vol 91 (1) ◽  
pp. 65-76 ◽  
Author(s):  
Maura D. Iversen ◽  
Ritu K. Chhabriya ◽  
Nancy Shadick
Keyword(s):  
Rheumatoid Arthritis ◽  
Physical Therapy ◽  
Disease Activity ◽  
Service Use ◽  
College Education ◽  
Therapy Services ◽  
To Receive ◽  
Therapy Service ◽  
Physical Therapy Services

Background Although physical therapy is a proven and recommended intervention for managing rheumatoid arthritis (RA), few studies have explored correlates of physical therapy service use among people with RA. Objective The purposes of this study were: (1) to describe physical therapy use among people with RA and (2) to identify biopsychosocial factors associated with physical therapy use. It was expected that use of physical therapy services would be lower than previously reported, considering recent medical advancements, and that including contextual factors may lead to identification of new factors associated with physical therapy use. Design This was a cohort study. Methods Of 1,032 patients prospectively recruited from a large hospital registry, 772 completed baseline and laboratory assessments, received a physical examination, and completed a 1-year follow-up survey regarding physical therapy service use. Measures included: demographics (ie, age, sex, marital status, race, employment, disability status, insurance, income, comorbidities, and education), disease duration, RA medications, self-efficacy (assessed with the Arthritis Self-Efficacy Scale), social support (assessed with the Berkman-Syme Social Network Index), function (assessed with the Multi-Dimensional Health Assessment Questionnaire), and disease activity (assessed with the Rheumatoid Arthritis Disease Activity Index). Self-reported use of physical therapy (yes/no) was assessed at the 1-year follow-up. A staged regression approach, based on a theoretical model, was used to select and enter variables into the regression to develop a parsimonious set of predictors. Results The patients were well educated and had modestly high incomes, and most had health insurance. Approximately 15.3% of the patients used physical therapy services during the designated follow-up period. Using multivariable modeling, the most significant predictors of physical therapy service use were moderate to high disease activity (odds ratio [OR]=1.4, 95% confidence interval [CI]=1.1–1.8), less than a college education (OR=0.5, 95% CI=0.2–0.8), greater social networks (OR=2.1, 95% CI=1.3–3.5), and being on disability (OR=2.4, 95% CI=1.3–4.6). Limitations The limitations of this study were use of a convenience sample and the potential for misclassification of physical therapy service use. Conclusions Patients with less than college education were less likely to receive physical therapy services, and those with more active disease, those who were on disability, and those who had greater social networks were more likely to receive physical therapy services.

Unmet needs for assistance related to subjective cognitive decline among community-dwelling middle-aged and older adults in the US: prevalence and impact on health-related quality of life

2020 ◽  
pp. 1-14
Author(s):  
Erin D. Bouldin ◽  
Christopher A. Taylor ◽  
Kenneth A. Knapp ◽  
Christina E. Miyawaki ◽  
Nicholas R. Mercado ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Decline ◽  
Unmet Needs ◽  
Unmet Need ◽  
Community Dwelling ◽  
Subjective Cognitive Decline ◽  
Middle Aged ◽  
The Past ◽  
Related Quality ◽  
Health Related

ABSTRACT Objectives: To estimate the prevalence of unmet needs for assistance among middle-aged and older adults with subjective cognitive decline (SCD) in the US and to evaluate whether unmet needs were associated with health-related quality of life (HRQOL). Design: Cross-sectional Setting: US – 50 states, District of Columbia, and Puerto Rico Participants: Community-dwelling adults aged 45 years and older who completed the Cognitive Decline module on the 2015-–2018 Behavioral Risk Factor Surveillance System reported experiencing SCD and always, usually, or sometimes needed assistance with day-to-day activities because of SCD (n = 6,568). Measurements: We defined SCD as confusion or memory loss that was happening more often or getting worse over the past 12 months. Respondents with SCD were considered to have an unmet need for assistance if they sometimes, rarely, or never got the help they needed with day-to-day activities. We measured three domains of HRQOL: (1) mental (frequent mental distress, ≥14 days of poor mental health in the past 30 days), (2) physical (frequent physical distress, ≥14 days of poor physical health in the past 30 days), and (3) social (SCD always, usually, or sometimes interfered with the ability to work, volunteer, or engage in social activities outside the home). We used log-binomial regression models to estimate prevalence ratios (PRs). All estimates were weighted. Results: In total, 40.2% of people who needed SCD-related assistance reported an unmet need. Among respondents without depression, an unmet need was associated with a higher prevalence of frequent mental distress (PR = 1.55, 95% CI: 1.12–2.13, p = 0.007). Frequent physical distress and social limitations did not differ between people with met and unmet needs. Conclusions: Middle-aged and older adults with SCD-related needs for assistance frequently did not have those needs met, which could negatively impact their mental health. Interventions to identify and meet the unmet needs among people with SCD may improve HRQOL.

Perceived Barriers Among Healthcare Professionals for Access to Physical Therapy Service in Saudi Arabia

2019 ◽  
Vol 29 (01) ◽  
pp. 26-38
Author(s):  
Abdulmohsen Al Ghamdi ◽  
Abdullah Al Shehri ◽  
Oscar Ramirez ◽  
Sharick Shamshi ◽  
Shabana Khan
Keyword(s):  
Saudi Arabia ◽  
Physical Therapy ◽  
Healthcare Professionals ◽  
Physical Therapists ◽  
Perceived Barriers ◽  
City Hospital ◽  
Therapy Services ◽  
Geographical Accessibility ◽  
Therapy Service ◽  
Physical Therapy Services

Abstract Objective To examine physical therapy scope of practice and to describe the barriers and facilitators for access to physical therapy services as reported by healthcare professionals in Saudi Arabia. Methods Ninety physical therapists from the 6 hospitals in the cities of Riyadh, Jeddah, and Dammam were surveyed by the cross-sectional questionnaire. The questionnaire was distributed through email invitation or in-person. The questionnaire was developed to determine the perceived barriers to direct access to physical therapy service among healthcare professionals. Results The present study had a response rate of 77.7% (70 out of 90 physical therapists). Majority of the participants were in the age group range of 21–30 years (41.4%) and 68.6% of the respondents’ highest educational qualification is a Baccalaureate degree. The gender distribution showed that the majority of the respondents were female (51.4%). More than a quarter of the participants had a clinical experience that ranges from 6 to 10 years. Majority of the participants were working in the city hospital (88.6%). Most of the participants strongly agreed or -agreed that the factors included in the questionnaire such as geographical accessibility, availability, affordability, and acceptability of services were barriers to provide access to physical therapy services in Saudi Arabia. Conclusions This study documents many of the perceived barriers for access to providing physical therapy services in Saudi Arabia such as geographical accessibility, availability, affordability, and acceptability of services. Furthermore, the identified barriers could be used as a framework by policymaker and the third party payment system in order to further improve access to physical therapy services in Saudi Arabia.

Use of real-time videoconferencing to deliver physical therapy services: A scoping review of published and emerging evidence

2019 ◽  
Vol 26 (10) ◽  
pp. 581-589 ◽  
Author(s):  
Stephanie Horsley ◽  
Gunnar Schock ◽  
Stacey L Grona ◽  
Kara Montieth ◽  
Bryttnee Mowat ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Real Time ◽  
English Language ◽  
Data Extraction ◽  
Therapy Assessment ◽  
Process Outcomes ◽  
Study Characteristics ◽  
Therapy Services ◽  
Videoconferencing Technology ◽  
Physical Therapy Services

Introduction Telehealth may be a viable means to deliver physical therapy services across a range of practice settings and health conditions; however, there is limited uptake of telehealth in clinical practice. The purpose of this study is to examine and describe trends, gaps and opportunities in published and emerging evidence regarding the use of real-time videoconferencing to deliver physical therapy services. Methods Four databases and three trial registries were searched using terms for physical therapy and telehealth. Inclusion criteria were primary studies, systematic reviews and published trial registries that had the following features: physical therapy assessment and/or treatment, real-time videoconferencing and English language. Title/abstract, full text screening and data extraction were completed by pairs of independent reviewers. Descriptive statistics stratified by published research and trial registry records were used to summarize study characteristics. Results A total of 100 studies (80 published and 20 trial registries) were included. Australia, Canada and the US have the highest proportion of published and emerging research (63%). The majority of conditions studied were musculoskeletal (42%). Computers were the most common videoconferencing technology used (31%) and only 14% of studies reported using a secure platform. The majority of studies examined health outcomes (64%) and process outcomes (65%), while only 32% reported system outcomes. Discussion Research in the field of telehealth and physical therapy is growing and becoming increasingly diverse with the advancements in technology.

scholarly journals Factors associated with sarcopenia screened by finger-circle test among middle-aged and older adults: a population-based multisite cross-sectional survey in Japan

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Daiki Watanabe ◽  
Tsukasa Yoshida ◽  
Takashi Nakagata ◽  
Naomi Sawada ◽  
Yosuke Yamada ◽  
...  
Keyword(s):  
Older Adults ◽  
Smoking Status ◽  
Multiple Logistic Regression Analysis ◽  
Population Based ◽  
Middle Aged ◽  
Cross Sectional ◽  
Factors Associated ◽  
Mail Surveys ◽  
Osaka Prefecture ◽  
Middle Aged Adults

AbstractBackgroundPrevious epidemiological studies have demonstrated the prevalence and relationship of various factors associated with sarcopenia in older adults; however, few have examined the status of sarcopenia in middle-aged adults. In this study, we aimed to, 1) evaluate the validity of the finger-circle test, which is potentially a useful screening tool for sarcopenia, and 2) determine the prevalence and factors associated with sarcopenia in middle-aged and older adults.MethodsWe conducted face-to-face surveys of 525 adults, who were aged 40–91 years and resided in Settsu City, Osaka Prefecture, Japan to evaluate the validity of finger-circle test. The finger-circle test evaluated calf circumference by referring to an illustration printed on the survey form. The area under the receiver operating characteristic curves (AUROC) was plotted to evaluate the validity of the finger-circle test for screening sarcopenia and compared to that evaluated by skeletal muscle mass index (SMI) measured using bioimpedance. We also conducted multisite population-based cross-sectional anonymous mail surveys of 9337 adults, who were aged 40–97 years and resided in Settsu and Hannan Cities, Osaka Prefecture, Japan. Participants were selected through stratified random sampling by sex and age in the elementary school zones of their respective cities. We performed multiple logistic regression analysis to explore associations between characteristics and prevalence of sarcopenia.ResultsSarcopenia, defined by SMI, was moderately predicted by a finger-circle test response showing that the subject’s calf was smaller than their finger-circle (AUROC: 0.729, < 65 years; 0.653, ≥65 years); such subjects were considered to have sarcopenia. In mail surveys, prevalence of sarcopenia screened by finger-circle test was higher in older subjects (approximately 16%) than in middle-aged subjects (approximately 8–9%). In a multiple regression model, the factors associated with sarcopenia were age, body mass index, smoking status, self-reported health, and number of meals in all the participants.ConclusionsSarcopenia, screened by the finger-circle test, was present not only among older adults but also among middle-aged adults. These results may provide useful indications for developing public health programs, not only for the prevention, but especially for the management of sarcopenia.Trial registrationUMIN000036880, registered prospectively May 29, 2019, https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000042027

Nurses' Perspectives of the Need for Physical Therapy Services During an Acute Postpartum Stay

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Kate Divine ◽  
Paige Duvall ◽  
Lenzie Weicht ◽  
Karen Abraham
Keyword(s):  
Physical Therapy ◽  
Therapy Services ◽  
Physical Therapy Services

Psychometric evaluation of the Hopkins Rehabilitation Engagement Rating Scale in postacute physical therapy services.

2021 ◽  
Author(s):  
Julija Stelmokas ◽  
Amber D. Rochette ◽  
Robert J. Spencer ◽  
Lisa Manderino ◽  
Alexandra Sciaky ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Rating Scale ◽  
Psychometric Evaluation ◽  
Therapy Services ◽  
Physical Therapy Services
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