@misc{MueskeKirschnerScheffleretal., author = {M{\"u}ske, Carina and Kirschner, Jana and Scheffler, Bettina and Michel, Sven and Prill, Robert}, title = {Effects of treadmill training compared to conventional physiotherapy, other treadmilltraining or no intervention on gait cycle parameters stride length and walking speed, gait capacity and fatigue of patients with multiple sclerosis}, series = {The International Disabled People`s Day - XXVth edition - Life without Pain / Healthy Children - Healthy Europe}, journal = {The International Disabled People`s Day - XXVth edition - Life without Pain / Healthy Children - Healthy Europe}, publisher = {Oficyna Wydawnicza Klubu Literackiego "Inspiracje"}, address = {Zgorzelec}, isbn = {978-83-88380-77-8}, pages = {S. 51}, abstract = {Multiple sclerosis is the most common neurological disease of young adults leading to permanent disability and early retirement. There are currently about 224,000 people affected in Germany. The disease is an inflammatory autoimmune disease with a broad spectrum of symptoms. The most common symptoms are fatigue and walking disabilities. Approximately 75\% of patients suffer from difficulties in movement and balance, which lead to postural stability, walking ability and an increased risk of falling. 80 - 97\% of those affected also suffer from fatigue symptoms. Both gait disorders and fatigue have the greatest negative effects on the quality of life and activities of daily life. The review shows, how treadmill training of different types affects the gait parameters stride length and walking speed; gait capacity and fatigue in patients with multiple sclerosis of all types and disability rates compared to no intervention, other treadmill training or conventional physiotherapy and how it should be dosed. Nine studies with a total of 294 participants will be evaluated in this systematic review. The study results are categorized according to their type of training. Compared to no intervention, conventional treadmill training shows significant improvements in walking speed and partial in fatigue and gait capacity. Furthermore, it indicates that treadmill training with negative slope achieves significantly better results in gait capacity and fatigue. The comparison of treadmill training with Virtual Reality shows no advantage over conventional treadmill training and a robot-supported treadmill training does not show any superiority over conventional gait training. Treadmill training is an adequate alternative to conventional gait training in physiotherapy. The study situation is very rare and is not sufficient to completely determine the effects of treadmill training in multiple sclerosis. Further high-quality studies will be needed to investigate the effects of treadmill training on a larger sample size compared to conventional gait training or other treadmill training in patients with impaired walking ability and to examine the effects of training on a more homogeneous group of participants. Thus, possible interindividual differences between the different types of MS and disabilities could be identified and more specific conclusions could be drawn.}, language = {en} } @misc{SchefflerSchoelerSchimboecketal., author = {Scheffler, Bettina and Sch{\"o}ler, Almut and Schimb{\"o}ck, Florian and R{\"o}sner, Katrin and Spallek, Jacob and Kopkow, Christian}, title = {Leitlinienkonforme Physiotherapie in der Rehabilitation nach Schlaganfall. Ergebnisse einer deutschlandweiten Online-Umfrage}, series = {19. Deutscher Kongress f{\"u}r Versorgungsforschung, Deutsches Netzwerk Versorgungsforschung e.V., 30.09.-01.10.2020, digital}, journal = {19. Deutscher Kongress f{\"u}r Versorgungsforschung, Deutsches Netzwerk Versorgungsforschung e.V., 30.09.-01.10.2020, digital}, doi = {10.3205/20dkvf406}, language = {de} } @misc{WulffSchefflerRossaetal., author = {Wulff, Chiara and Scheffler, Bettina and Rossa, Karsten and Kopkow, Christian}, title = {Selbsteinsch{\"a}tzung der Kompetenzen zum Direktzugang von deutschen und kanadischen Physiotherapeut*innen - eine Querschnittstudie}, series = {5. Forschungssymposium Physiotherapie, FSPT2022 Abstractband}, journal = {5. Forschungssymposium Physiotherapie, FSPT2022 Abstractband}, doi = {10.26127/BTUOpen-5923}, pages = {88 -- 89}, language = {de} } @misc{BeranovaSchefflerKopkow, author = {Beranov{\´a}, Tereza and Scheffler, Bettina and Kopkow, Christian}, title = {Meinung und Wahrnehmung von Menschen mit Schlaganfall, ihrer Familienmitglieder und ihrer informellen Pflegenden zur Leitliniennutzung in der Neurorehabilitation}, series = {5. Forschungssymposium Physiotherapie, FSPT2022 Abstractband}, journal = {5. Forschungssymposium Physiotherapie, FSPT2022 Abstractband}, doi = {10.26127/BTUOpen-5923}, pages = {50 -- 51}, language = {de} } @misc{SchefflerBahnsSchimboecketal., author = {Scheffler, Bettina and Bahns, Carolin and Schimb{\"o}ck, Florian and Deckert, Stefanie and Kopkow, Christian}, title = {Schl{\"u}sselmerkmale der Leitlinienadh{\"a}renz von Angeh{\"o}rigen in den Gesundheitsberufen - ein Scoping Review}, series = {5. Forschungssymposium Physiotherapie, FSPT2022 Abstractband}, journal = {5. Forschungssymposium Physiotherapie, FSPT2022 Abstractband}, doi = {10.26127/BTUOpen-5923}, pages = {77 -- 78}, language = {de} } @misc{SchefflerBernhardtKopkow, author = {Scheffler, Bettina and Bernhardt, Lars and Kopkow, Christian}, title = {Gesundheitspolitische Faktoren evidenz-/ leitlinienbasierter Physiotherapie. Ein Scoping Review}, series = {5. Forschungssymposium Physiotherapie, FSPT2022 Abstractband}, journal = {5. Forschungssymposium Physiotherapie, FSPT2022 Abstractband}, doi = {10.26127/BTUOpen-5923}, pages = {75 -- 77}, language = {de} } @misc{BahnsSchefflerBremeretal., author = {Bahns, Carolin and Scheffler, Bettina and Bremer, Alexander and Kopkow, Christian}, title = {Leitlinienadh{\"a}renz in der Physiotherapie - ein systematisches Review}, series = {German Medical Science ; 25. Jahrestagung des Netzwerks Evidenzbasierte Medizin e. V. : Netzwerk Evidenzbasierte Medizin e. V. (EbM-Netzwerk), 13. - 15.03.2024, Berlin}, journal = {German Medical Science ; 25. Jahrestagung des Netzwerks Evidenzbasierte Medizin e. V. : Netzwerk Evidenzbasierte Medizin e. V. (EbM-Netzwerk), 13. - 15.03.2024, Berlin}, address = {D{\"u}sseldorf}, doi = {10.3205/24ebm097}, url = {http://nbn-resolving.de/urn:nbn:de:0183-24ebm097}, abstract = {Hintergrund/Fragestellung: Leitlinien fassen die aktuelle Evidenz zu verschiedenen Gesundheitsproblemen systematisch in Form von Handlungsempfehlungen zusammen und sollen so als Entscheidungshilfen in der medizinischen Versorgung dienen. Der Grad an {\"U}bereinstimmung zwischen {\"a}rztlicher bzw. therapeutischer Versorgung und den in Leitlinien verfassten Empfehlungen wird h{\"a}ufig als Leitlinienadh{\"a}renz beschrieben. Diese kann Hinweise auf eine m{\"o}gliche {\"U}ber-, Unter- oder Fehlversorgung geben. Allerdings f{\"u}hren die heterogene Verwendung des Begriffes Leitlinienadh{\"a}renz sowie das Fehlen einer standardisierten Erhebungsmethode bzw. Operationalisierung zu einer limitierten Vergleichbarkeit der Forschungsergebnisse. Ziel ist es, die Evaluation von Leitlinienadh{\"a}renz in der physiotherapeutischen Versorgung darzustellen sowie klinische und methodische Faktoren zu identifizieren, welche die anzunehmende Heterogenit{\"a}t in der Leitlinienadh{\"a}renz von Physiotherapeut:innen erkl{\"a}ren k{\"o}nnen. Methoden: Eine systematische Literaturrecherche erfolgte in den Datenbanken MEDLINE, EMBASE, PEDro und CENTRAL bis einschließlich Dezember 2022. Eingeschlossen wurden Studien, in denen Leitlinienadh{\"a}renz als Maß zur Darstellung der Versorgungsqualit{\"a}t oder zur Einsch{\"a}tzung der Effektivit{\"a}t von Implementierungsinterventionen bestimmt wurde. Die Bewertung der Studienqualit{\"a}t erfolgt mithilfe des Mixed-Methods-Appraisal-Tools. Die Datenextraktion umfasst vor allem Merkmale des wissenschaftlichen Zugangs zur Evaluation von Leitlinienadh{\"a}renz in der Physiotherapieforschung sowie die berichtete Leitlinienadh{\"a}renz von Physiotherapeut:innen. Ergebnisse: Die Datenbankrecherche ergab 3.244 Treffer, aus denen 128 Artikel in das Volltextscreening eingeschlossen wurden. Die Ergebnisse der {\"U}bersichtsarbeit sollen im Rahmen der 25. Jahrestagung des EbM-Netzwerks pr{\"a}sentiert werden. Es ist von einer hohen Heterogenit{\"a}t im methodischen Vorgehen zur Erfassung von Leitlinienadh{\"a}renz auszugehen. Schlussfolgerung: Die Ergebnisse des systematischen Reviews k{\"o}nnen als Grundlage zur Entwicklung eines standardisierten Assessments zur Evaluation von Leitlinienadh{\"a}renz bei Physiotherapeut:innen dienen. Eine einheitliche und transparente Erhebung von Leitlinienadh{\"a}renz erm{\"o}glicht eine verbesserte Vergleichbarkeit von Studienergebnissen und unterst{\"u}tzt die Identifizierung m{\"o}glicher {\"U}ber-, Unter- oder Fehlversorgung im physiotherapeutischen Setting.}, language = {de} } @misc{SchefflerSchoelerRoesneretal., author = {Scheffler, Bettina and Sch{\"o}ler, Almut and R{\"o}sner, Katrin and Schimb{\"o}ck, Florian and Spallek, Jacob and Kopkow, Christian}, title = {Evaluation and tailored implementation of guideline compliant physiotherapy in stroke rehabilitation in Germany - protocol of a mixed methods study}, series = {WFNR \& SOFMER 2020 - Abstracts of congress}, volume = {35}, journal = {WFNR \& SOFMER 2020 - Abstracts of congress}, number = {4}, issn = {1545-9683}, doi = {10.1177/1545968320988381}, language = {en} } @misc{SchefflerSchimboeckSchoeleretal., author = {Scheffler, Bettina and Schimb{\"o}ck, Florian and Sch{\"o}ler, Almut and Kopkow, Christian}, title = {Entwicklung und Pilotierung einer theoriebasierten Implementierungs- Intervention zur Umsetzung der Empfehlungen aus der S2e-Leitlinie „Rehabilitation der Mobilit{\"a}t nach Schlaganfall (ReMoS)". Protokoll zu einer multi-methodischen Studie.}, series = {4. Forschungssymposium Physiotherapie, FSPT2019 Abstractband}, journal = {4. Forschungssymposium Physiotherapie, FSPT2019 Abstractband}, pages = {52 -- 53}, language = {de} } @misc{SchefflerBahnsSchimboecketal., author = {Scheffler, Bettina and Bahns, Carolin and Schimb{\"o}ck, Florian and Sch{\"o}ler, Almut and Deckert, Stefanie and Kopkow, Christian}, title = {Definition und Operationalisierung von Leitlinienadh{\"a}renz von Angeh{\"o}rigen der Gesundheitsberufe. Ein Scoping Review}, series = {German Medical Science : 22. Deutscher Kongress f{\"u}r Versorgungsforschung, Deutsches Netzwerk Versorgungsforschung e. V., 04.10. - 06.10.2023, Berlin}, journal = {German Medical Science : 22. Deutscher Kongress f{\"u}r Versorgungsforschung, Deutsches Netzwerk Versorgungsforschung e. V., 04.10. - 06.10.2023, Berlin}, address = {D{\"u}sseldorf}, doi = {10.3205/23dkvf031}, abstract = {Hintergrund und Stand der Forschung: H{\"a}ufig wird die erfolgreiche Implementierung von Leitlinien anhand der Leitlinienadh{\"a}renz von Angeh{\"o}rigen der Gesundheitsberufe (LAAG) gemessen. Die fehlende Definition des Konstruktes sowie heterogene Evaluationsmethoden f{\"u}hren zu Forschungsergebnissen, die bedingt vergleichbar, synthetisierbar sowie transferierbar sind. Fragestellung und Zielsetzung, Hypothese: Ziel dieses Scoping Reviews ist die Identifizierung und Evaluation von Definitionen sowie Operationalisierungen von LAAG. Methode: Das Scoping Review (Registrierungs-DOI doi.org/10.17605/OSF.IO/6RCJ3) wurde in {\"U}bereinstimmung mit den Empfehlungen des Joanna Briggs Institute konzipiert, die Berichterstattung folgt der PRISMA-ScR-Checkliste. Eingeschlossen wurden jegliche Publikationen in Englisch oder Deutsch, welche Definitionen oder Evaluationsmethoden von LAAG berichten. Begriffe wie ‚accordance', ‚alignment', ‚compliance', ‚concordance', … wurden synonym betrachtet. Publikationen ohne einen eindeutigen Bezug zu mind. einer medizinischen Leitlinie oder, die Adh{\"a}renz gegen{\"u}ber Qualit{\"a}tsindikatoren, Clinical Pathways oder institutionsinternen Leitlinien berichten wurden ausgeschlossen. Die Literaturrecherche erfolgte in MEDLINE (via PubMed), EMBASE (via Ovid) sowie der Cochrane Library. Zwei Autor*innenteams selektierten alle identifizierten Artikel in einem schrittweisen Prozess. Die Ergebnisse der Literaturrecherche sowie Merkmale und Zielparameter der eingeschlossenen Publikationen werden tabellarisch erfasst und sowohl deskriptiv als auch narrativ ausgewertet. In {\"U}bereinstimmung mit den Leitlinien f{\"u}r Scoping Reviews wird keine Qualit{\"a}tsbewertung der eingeschlossenen Studien vorgenommen, da diese keinen Einfluss auf die Relevanz der Daten hat. Ergebnisse: Die Literaturrecherche erzielte 17.299 Treffer. Nach Entfernung der Duplikate wurden 13.411 Titel und Abstracts und 1.283 Volltexte gescreent. Vorl{\"a}ufig werden 503 Publikationen als geeignet betrachtet. Die Datenanalyse befindet sich zum Zeitpunkt der Abstracteinreichung in der Durchf{\"u}hrung. Finale Ergebnisse werden im Rahmen des 22. DKVF pr{\"a}sentiert. Diskussion: Die Ergebnisse des Reviews werden {\"u}ber das derzeitige Verst{\"a}ndnis gegen{\"u}ber LAAG sowie wissenschaftliche pr{\"a}ferierte Evaluationsmethoden Auskunft geben. Implikation f{\"u}r die Forschung: Ein einheitliches Verst{\"a}ndnis von LAAG bildet die Grundlage f{\"u}r die systematische Evaluation des Konstrukts sowie die Sicherung und Optimierung der Versorgungspraxis. Weiterhin wird die Entwicklung eines standardisierten Messinstrumentes erm{\"o}glicht.}, language = {de} } @misc{SchefflerSchimboeckSchoeleretal., author = {Scheffler, Bettina and Schimb{\"o}ck, Florian and Sch{\"o}ler, Almut and R{\"o}sner, Katrin and Spallek, Jacob and Kopkow, Christian}, title = {Tailored GuideLine Implementation in STrokE Rehabilitation (GLISTER) in Germany. Protocol of a Mixed Methods Study Using the Behavior Change Wheel and the Theoretical Domains Framework}, series = {Frontiers in Neurology}, volume = {13}, journal = {Frontiers in Neurology}, issn = {1664-2295}, doi = {10.3389/fneur.2022.828521}, pages = {1 -- 10}, abstract = {Objective: Evidence-based guidelines are important for informing clinical decision-making and improving patient outcomes. There is inconsistent usage of guidelines among physical therapists involved in stroke rehabilitation, suggesting the existence of a gap between theory and practice. Addressing the German guideline "evidence-based rehabilitation of mobility after stroke (ReMoS)," the aims of this project are (1) to describe the current physical therapy practice within the context of stroke rehabilitation in Germany, (2) to evaluate barriers and facilitators of guideline usage, (3) to develop, and (4) to pilot test a theory-based, tailored implementation intervention for the benefit of guideline recommendations. Materials and Methods: This study uses a stepwise mixed methods approach for implementing a local guideline. A self-reported online questionnaire will be used to survey the current physical therapy practice in stroke rehabilitation. The same survey and systematic-mixed methods review will be used to evaluate the barriers and facilitators of guideline usage quantitatively. Semi-structured interviews will add a qualitative perspective on factors that influence ReMoS guideline implementation. The Behavior Change Wheel and Theoretical Domains Framework will be used to support the development of a tailored implementation intervention which will be pilot tested in a controlled study. Patient and physical therapy-related outcomes, as well as the appropriateness, such as acceptance and feasibility of the tailored implementation intervention, will be analyzed. Conclusion: This will be the first endeavor to implement a guideline in German stroke rehabilitation with a focus on changing care provider behavior based on the knowledge of current practice and determining factors using a tailored and theory-based intervention.}, language = {en} } @misc{SchefflerSchimboeckSchoeleretal., author = {Scheffler, Bettina and Schimb{\"o}ck, Florian and Sch{\"o}ler, Almut and R{\"o}sner, Katrin and Spallek, Jacob and Kopkow, Christian}, title = {Current physical therapy practice and implementation factors regarding the evidence-based 'Rehabilitation of Mobility after Stroke (ReMoS)' guideline in Germany: a cross-sectional online survey}, series = {BMC neurology}, volume = {22}, journal = {BMC neurology}, issn = {1471-2377}, doi = {10.1186/s12883-022-02780-5}, pages = {1 -- 13}, abstract = {Background Evaluation of the current physical therapy practice for German stroke rehabilitation with respect to the 'Rehabilitation of Mobility after Stroke (ReMoS)' guideline recommendations and the associated implementation factors. Methods A descriptive cross-sectional study employing an online survey was performed among German physical therapists in 2019. The survey consisted of three sections with open and closed questions: 1) self-reported use of ReMoS recommendations, 2) barriers of guideline use and 3) socio-demographic characteristics. The benchmark level for guideline adherent physical therapy was set at > 80\%. Results Data from 170 questionnaires were eligible for analysis. Participants' mean age was 41.6 years, 69.4\% were female, while 60.1\% had no academic degree. The ReMoS guideline was unknown to 52.9\% of the responders. Out of all the 46 ReMoS guideline recommendations, only 'intensive walking training without a treadmill' was reported to be performed in a guideline adherent manner. Respondents usually denied any personal limitations, such as limited knowledge, or that the ReMoS guideline did not fit their routine practice. Conclusions Among German physical therapists, the ReMoS guideline is not well-known and many interventions are not performed as recommended, illustrating the discrepancies between the ReMoS guideline recommendations and current physical therapy practice. Interventions aimed at overcoming this gap should consider both knowledge of existing barriers and facilitators of guideline usage.}, language = {en} } @misc{KalischDanniesKopkowetal., author = {Kalisch, Luisa and Dannies, Sarah Jasmin and Kopkow, Christian and Scheffler, Bettina}, title = {Evaluation und Einflussfaktoren leitlinienadh{\"a}renter Physiotherapie in der Akut-Versorgung von Individuen mit COVID-19: eine deskriptive Querschnittstudie}, series = {7. Forschungssymposium Physiotherapie der Deutschen Gesellschaft f{\"u}r Physiotherapiewissenschaft e.V.}, volume = {20}, journal = {7. Forschungssymposium Physiotherapie der Deutschen Gesellschaft f{\"u}r Physiotherapiewissenschaft e.V.}, number = {S 01}, publisher = {Thieme}, doi = {10.1055/s-0043-1777917}, language = {de} } @misc{BremerIdenKopkowetal., author = {Bremer, Alexander and Iden, Laurin and Kopkow, Christian and Scheffler, Bettina}, title = {Evidenzbasierte Leitlinienempfehlungen f{\"u}r die Physiotherapie bei Individuen mit dem Idiopathischen Parkinson Syndrom - eine systematische {\"U}bersichtsarbeit}, series = {7. Forschungssymposium Physiotherapie der Deutschen Gesellschaft f{\"u}r Physiotherapiewissenschaft e.V.}, volume = {20}, journal = {7. Forschungssymposium Physiotherapie der Deutschen Gesellschaft f{\"u}r Physiotherapiewissenschaft e.V.}, number = {S 01}, publisher = {Thieme}, doi = {10.1055/s-0043-1777933}, language = {de} } @misc{LuxemburgovaDankhoffKopkowetal., author = {Luxemburgov{\´a}, Kateřina and Dankhoff, Samy and Kopkow, Christian and Scheffler, Bettina}, title = {Evidenzbasierte Leitlinienempfehlungen f{\"u}r die Physiotherapie bei Schlaganfall - eine systematische {\"U}bersichtsarbeit}, series = {7. Forschungssymposium Physiotherapie der Deutschen Gesellschaft f{\"u}r Physiotherapiewissenschaft e.V.}, volume = {20}, journal = {7. Forschungssymposium Physiotherapie der Deutschen Gesellschaft f{\"u}r Physiotherapiewissenschaft e.V.}, number = {S 01}, publisher = {Thieme}, doi = {10.1055/s-0043-1777951}, language = {de} } @misc{SchefflerSchimboeckSchoeleretal., author = {Scheffler, Bettina and Schimb{\"o}ck, Florian and Sch{\"o}ler, Almut and R{\"o}sner, Katrin and Spallek, Jacob and Kopkow, Christian}, title = {Implementierung der „Rehabilitation der Mobilit{\"a}t nach Schlaganfall (ReMoS)" - Leitlinie: Eine Querschnittbefragung von Physiotherapeut*innen in Deutschland}, series = {5. Forschungssymposium Physiotherapie, FSPT2022 Abstractband}, journal = {5. Forschungssymposium Physiotherapie, FSPT2022 Abstractband}, doi = {https://doi.org/10.26127/BTUOpen-5923}, pages = {39 -- 40}, language = {de} } @misc{BahnsSchefflerKopkow, author = {Bahns, Carolin and Scheffler, Bettina and Kopkow, Christian}, title = {Guideline-Adherent Physiotherapy for Patients With Hip and Knee Osteoarthritis in Germany: Protocol for an Implementation Research Project Using the Theoretical Domains Framework and the Behavior Change Wheel}, series = {JMIR Research Protocols}, volume = {12}, journal = {JMIR Research Protocols}, issn = {1929-0748}, doi = {10.2196/47834}, abstract = {Background: Hip and knee osteoarthritis is common and leads to pain, stiffness, and disability. Clinical practice guidelines provide recommendations based on the best available evidence to assist health care professionals and patients in clinical decision-making. However, several studies have reported a gap between guideline recommendations and clinical practice in physiotherapy. Improved implementation strategies and the removal of existing barriers may facilitate the transfer of evidence into clinical practice and contribute to optimized quality of care. Objective: This paper presents the protocol for a study that aims to describe the current physiotherapy practice in patients with hip and knee osteoarthritis and to investigate physiotherapists' adherence to clinical practice guidelines, to identify and specify barriers to and facilitators of guideline use and implementation, and to develop and pilot test a theory-based tailored implementation intervention aiming to increase guideline use in osteoarthritis care. Methods: The research project is divided into 4 parts. During the first part, we will conduct a nationwide web-based survey among German physiotherapists to evaluate the current management of hip and knee osteoarthritis and to evaluate whether treatment aligns with guideline recommendations. Subsequently, semistructured interviews will be conducted to specify barriers to and facilitators of guideline use and implementation among physiotherapists (part 2). On the basis of these findings, in part 3, we will develop a theory-driven implementation intervention based on the Theoretical Domains Framework and the Behavior Change Wheel, which will be evaluated in a controlled pilot study in terms of effectiveness, feasibility, and acceptability (part 4). Results: Data collection of the web-based survey among German physiotherapists (part 1) was completed in December 2021. The semistructured interviews (part 2) were conducted between January and September 2023. Recruitment of physiotherapy practices to participate in the development of the implementation intervention is expected to start in January 2024. Conclusions: This research project aims to develop a theory-driven implementation intervention to facilitate the transfer of evidence from hip and knee osteoarthritis guidelines in physiotherapy practice. We hypothesize that successful implementation will lead to increased guideline adherence in physiotherapists, which in turn will improve the quality of care. The results from our project will provide valuable knowledge concerning the development process and effectiveness of tailored implementation interventions.}, language = {en} } @article{RoesnerSchefflerKaehleretal., author = {Roesner, Katrin and Scheffler, Bettina and Kaehler, Martina and Schmidt-Maciejewski, Bianca and Boettger, Tabea and Saal, Susanne}, title = {Effects of physical therapy modalities for motor function, functional recovery, and post-stroke complications in patients with severe stroke: a systematic review update}, series = {Systematic Reviews}, volume = {13}, journal = {Systematic Reviews}, number = {1}, publisher = {Springer Science and Business Media LLC}, issn = {2046-4053}, doi = {10.1186/s13643-024-02676-0}, pages = {25}, abstract = {Background Physical therapy interventions play a crucial role in the daily care of patients recovering from severe stroke. However, the efficacy of these interventions and associated modalities, including duration, intensity, and frequency, have not been fully elucidated. In 2020, a systematic review reported the beneficial effects of physical therapy for patients with severe stroke but did not assess therapeutic modalities. We aim to update the current evidence on the effects of physical therapy interventions and their modalities in relation to the recovery phase in people with severe stroke in a hospital or inpatient rehabilitation facility. Methods We searched CENTRAL, MEDLINE, Web of Science, and three other relevant databases between December 2018 and March 2021 and updated the search between April 2021 and March 2023. ClinicalTrials.gov and ICTRP for searching trial registries helped to identify ongoing RCTs since 2023. We included individual and cluster randomized controlled trials in the English and German languages that compared physical therapy interventions to similar or other interventions, usual care, or no intervention in a hospital or rehabilitation inpatient setting. We screened the studies from this recent review for eligibility criteria, especially according to the setting. Critical appraisal was performed according to the Cochrane risk-of-bias tool 2.0. The data were synthesized narratively. Results The update identified 15 new studies, cumulating in a total of 30 studies (n = 2545 participants) meeting the eligibility criteria. These studies reported 54 outcomes and 20 physical therapy interventions. Two studies included participants during the hyperacute phase, 4 during the acute phase,18 during the early subacute phase, and 3 in the late subacute phase. Three studies started in the chronic phase. Summarised evidence has revealed an uncertain effect of physical therapy on patient outcomes (with moderate to low-quality evidence). Most studies showed a high risk of bias and did not reach the optimal sample size. Little was stated about the standard care and their therapy modalities. Discussion There is conflicting evidence for the effectiveness of physical therapy interventions in patients with severe stroke. There is a need for additional high-quality studies that also systematically report therapeutic modalities from a multidimensional perspective in motor stroke recovery. Due to the high risk of bias and the generally small sample size of the included studies, the generalizability of the findings to large and heterogeneous volumes of outcome data is limited.Systematic review registrationPROSPERO CRD42021244285.}, language = {en} } @misc{BahnsSchefflerKopkow, author = {Bahns, Carolin and Scheffler, Bettina and Kopkow, Christian}, title = {Implementing Osteoarthritis Guidelines in Physiotherapy in Germany : study protocol of a mixed-method study using the theoretical domains framework and the behaviour change wheel}, series = {Osteoarthritis and Cartilage}, volume = {30}, journal = {Osteoarthritis and Cartilage}, number = {Supplement 1}, issn = {1063-4584}, doi = {10.1016/j.joca.2022.02.520}, pages = {S386}, language = {en} } @misc{RennerJeitzinerAlbertetal., author = {Renner, Caroline and Jeitziner, Marie-Madlen and Albert, Monika and Brinkmann, Sabine and Diserens, Karin and Dzialowski, Imanuel and Heidler, Maria-Dorothea and L{\"u}ck, Martina and Nusser-M{\"u}ller-Busch, Ricki and Sandor, Peter S. and Sch{\"a}fer, Andreas and Scheffler, Bettina and Wallesch, Claus and Zimmermann, Gudrun and Nydahl, Peter}, title = {Guideline on multimodal rehabilitation for patients with post-intensive care syndrome}, series = {Critical Care}, volume = {27}, journal = {Critical Care}, number = {1}, publisher = {Springer Science and Business Media LLC}, issn = {1364-8535}, doi = {10.1186/s13054-023-04569-5}, pages = {1 -- 14}, abstract = {Background Intensive Care Unit (ICU) survivors often experience several impairments in their physical, cognitive, and psychological health status, which are labeled as post-intensive care syndrome (PICS). The aim of this work is to develop a multidisciplinary and -professional guideline for the rehabilitative therapy of PICS. Methods A multidisciplinary/-professional task force of 15 healthcare professionals applied a structured, evidence-based approach to address 10 scientific questions. For each PICO-question (Population, Intervention, Comparison, and Outcome), best available evidence was identified. Recommendations were rated as "strong recommendation", "recommendation" or "therapy option", based on Grading of Recommendations, Assessment, Development and Evaluation principles. In addition, evidence gaps were identified. Results The evidence resulted in 12 recommendations, 4 therapy options, and one statement for the prevention or treatment of PICS. Recommendations: early mobilization, motor training, and nutrition/dysphagia management should be performed. Delirium prophylaxis focuses on behavioral interventions. ICU diaries can prevent/treat psychological health issues like anxiety and post-traumatic stress disorders. Early rehabilitation approaches as well as long-term access to specialized rehabilitation centers are recommended. Therapy options include additional physical rehabilitation interventions. Statement: A prerequisite for the treatment of PICS are the regular and repeated assessments of the physical, cognitive and psychological health in patients at risk for or having PICS. Conclusions PICS is a variable and complex syndrome that requires an individual multidisciplinary, and multiprofessional approach. Rehabilitation of PICS should include an assessment and therapy of motor-, cognitive-, and psychological health impairments.}, language = {en} } @misc{SchefflerBahnsKopkow, author = {Scheffler, Bettina and Bahns, Carolin and Kopkow, Christian}, title = {Bridging the gap : wie Implementierungsforschung die Physiotherapie verbessern kann}, series = {Physioscience : Wissenschaft \& Forschung in der Physiotherapie}, volume = {21}, journal = {Physioscience : Wissenschaft \& Forschung in der Physiotherapie}, number = {02}, publisher = {Thieme}, address = {Stuttgart}, issn = {1860-3092}, doi = {10.1055/a-2527-8921}, pages = {53 -- 55}, abstract = {Seit den Anf{\"a}ngen der physiotherapeutischen Forschung, der Forderung nach evidenzbasierter Physiotherapiepraxis sowie der Etablierung der Physiotherapy Evidence Database (PEDro) wurde ein umfassender Korpus qualitativ hochwertiger Prim{\"a}r- und Sekund{\"a}rliteratur geschaffen, der eine wissenschaftlich begr{\"u}ndete Entscheidungsfindung in der Physiotherapie erm{\"o}glicht [1] [2]. Die Ver{\"o}ffentlichung der Forschungsergebnisse allein reicht jedoch nicht aus, entscheidend ist die Umsetzung in die Praxis. Im Durchschnitt dauert es etwa 17 Jahre, bis neue wissenschaftliche Erkenntnisse tats{\"a}chlich in den klinischen Alltag einfließen und weniger als 50 Prozent davon finden {\"u}berhaupt den Weg in die dauerhafte praktische Anwendung. Der Rest bleibt ungenutzt und steht Patient*innen damit nicht zur Verf{\"u}gung [3] [4].}, language = {de} } @misc{BahnsSchefflerBremeretal., author = {Bahns, Carolin and Scheffler, Bettina and Bremer, Alexander and Kopkow, Christian}, title = {Measuring guideline adherence in physiotherapy : a scoping review of methodological approaches}, series = {Journal of Evaluation in Clinical Practice}, journal = {Journal of Evaluation in Clinical Practice}, publisher = {Wiley}, issn = {1356-1294}, doi = {10.1111/jep.14218}, pages = {1 -- 10}, abstract = {RationaleClinical practice guidelines summarise the existing evidence on specific health conditions and aim to optimise quality of care by providing evidence-based recommendations. Studies have reported a gap between research findings and clinical practice in physiotherapy. Guideline adherence is often used as a measure of agreement between therapeutic care and guideline recommendations. However, there is currently no standardised methodological approach for measuring guideline adherence.Aims and ObjectiveThe objective of this scoping review was to summarise the methods and results of studies that assessed guideline adherence in physiotherapy.MethodsMEDLINE, EMBASE, PEDro and CENTRAL databases were searched for relevant literature up to December 2022. Published reports of observational studies and controlled clinical trials that provided information on the assessment of guideline adherence in physiotherapists were included. The selection process was performed independently by two reviewers. The methodological quality of the identified reports was not assessed. Results were summarised narratively.ResultsFrom a total of 2560 potentially relevant records, 53 reports were included in the analysis. Physiotherapists' adherence to guidelines was primarily assessed in the context of musculoskeletal conditions, such as low back pain (n = 25, 47.2\%) and osteoarthritis (n = 8, 15.1\%). A wide range of measurement approaches were used with the majority of reports using web-based surveys (n = 21, 39.6\%), followed by chart reviews (n = 17, 32.1\%). Most reports (n = 21, 39.6\%) provided information on the level of adherence in terms of frequency dichotomising (self-reported) clinical practice as adherent or non-adherent. Adherence rates varied widely between included reports.ConclusionsAlthough the large number of included reports indicates a high level of interest in the topic of guideline adherence, there is considerable heterogeneity between studies regarding the methodological approaches used to assess guideline adherence in physiotherapists. This reduces the comparability of the study results.Trial RegistrationINPLASY (registration no. 202250081). Registered on 12th May 2022.}, language = {en} }