TY - GEN A1 - Bahns, Carolin A1 - Kopkow, Christian T1 - Physiotherapy for patients with hip and knee osteoarthritis in Germany: a survey of current practice T2 - BMC Musculoskeletal Disorders N2 - Backround Osteoarthritis (OA) of the hip and the knee is common and leads to pain, stiffness and disability. Clinical practice guidelines (CPG) provide recommendations to assist healthcare professionals in clinical decision-making. Although evidence-based physiotherapy has been shown to be effective in the management OA, a gap between clinical practice and guideline recommendations exists. Little is known about OA management provided by physiotherapists in Germany and whether treatment aligns with CPGs. The objectives of this study were (1) to investigate the current physiotherapy practice in patients with hip and/or knee OA in Germany, (2) to evaluate physiotherapists’ adherence to guideline recommendations and (3) to explore barriers and facilitators to guideline use. Methods A cross-sectional online survey was conducted among physiotherapists. The questionnaire collected information on demographic characteristics, physiotherapists’ management of hip and knee OA and the use of CPGs in clinical practice. Guideline adherence was evaluated by comparing the survey findings with guideline recommendations. Full adherence was assumed if all recommended treatment options were chosen. Results In total, 447 (74.9%) of 597 eligible physiotherapists completed the survey. Data from 442 participants (mean age 41.2 ± 12.8 years; 288 female (65.1%)) were included in the analysis. The most common treatment choices for both hip and knee OA were exercise therapy (hip OA: 424/442, 95.9%; knee OA: 426/442, 96.4%), self-management advice (hip OA: 413/442, 93.2%; knee OA: 395/442, 89.4%) and education (hip OA: 325/442, 73.5%; knee OA: 331/442, 74.9%), followed by manual therapy (hip OA: 311/442, 70.4%; knee OA: 311/442, 70.4%) and joint traction (hip OA: 208/442, 47.1%; knee OA: 199/442, 45.0%). Full guideline adherence was found in 17.2% (76/442) of physiotherapists for hip OA management and in 8.6% (38/442) for knee OA. Less than half of the respondents (212/430, 49.3%) were aware of an OA guideline. Conclusions In accordance with current guideline recommendations, most physiotherapists provide exercise therapy and education for patients with hip and/or knee OA. Interventions with low or conflicting evidence were also frequently provided. The limited awareness of existing OA guidelines and the low guideline adherence indicate an insufficient implementation of CPGs in German physiotherapy practice. KW - Arthrose KW - Knie KW - Hüfte KW - Physiotherapie Y1 - 2023 U6 - https://doi.org/10.1186/s12891-023-06464-0 SN - 1471-2474 VL - 24 ER - TY - GEN A1 - Bahns, Carolin A1 - Scheffler, Bettina A1 - Kopkow, Christian T1 - 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 T2 - JMIR Research Protocols N2 - 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. KW - Physiotherapie KW - Evidenz-basierte Medizin KW - Leitlinien KW - Arthrose Y1 - 2023 UR - https://www.researchprotocols.org/2023/1/e47834/ U6 - https://doi.org/10.2196/47834 SN - 1929-0748 VL - 12 ER - TY - GEN A1 - Weber, Franziska A1 - Müller, Carsten A1 - Bahns, Carolin A1 - Kopkow, Christian A1 - Färber, Francesca A1 - Gellert, Paul A1 - Otte, Ina A1 - Vollmar, Horst Christian A1 - Brannath, Werner A1 - Diederich, Freya A1 - Kloep, Stephan A1 - Rothgang, Heinz A1 - Dieter, Valerie A1 - Krauß, Inga A1 - Kloek, Corelien A1 - Veenhof, Cindy A1 - Collisi, Sandra A1 - Repschläger, Ute A1 - Böbinger, Hannes A1 - Grüneberg, Christian A1 - Thiel, Christian A1 - Peschke, Dirk T1 - Smartphone-assisted training with education for patients with hip and/or knee osteoarthritis (SmArt-E): study protocol for a multicentre pragmatic randomized controlled trial T2 - BMC Musculoskeletal Disorders N2 - Hip and knee osteoarthritis are associated with functional limitations, pain and restrictions in quality of life and the ability to work. Furthermore, with growing prevalence, osteoarthritis is increasingly causing (in)direct costs. Guidelines recommend exercise therapy and education as primary treatment strategies. Available options for treatment based on physical activity promotion and lifestyle change are often insufficiently provided and used. In addition, the quality of current exercise programmes often does not meet the changing care needs of older people with comorbidities and exercise adherence is a challenge beyond personal physiotherapy. The main objective of this study is to investigate the short- and long-term (cost-)effectiveness of the SmArt-E programme in people with hip and/or knee osteoarthritis in terms of pain and physical functioning compared to usual care. KW - Arthrose, Knie, Hüfte, Physiotherapie Y1 - 2023 UR - https://bmcmusculoskeletdisord.biomedcentral.com/counter/pdf/10.1186/s12891-023-06255-7.pdf U6 - https://doi.org/10.1186/s12891-023-06255-7 VL - 24 IS - 1 ER - TY - GEN A1 - Spieß, Pauline A1 - Bahns, Carolin A1 - Kopkow, Christian T1 - Einstellungen und Adhärenz zur evidenzbasierten Praxis von in Brandenburg tätigen Physiotherapeut*innen T2 - Physioscience N2 - Hintergrund Für Deutschland liegen noch unzureichende Daten zur Einstellung und Adhärenz von Physiotherapeut*innen gegenüber Evidenzbasierter Praxis (EBP) vor, insbesondere für im Bundesland Brandenburg tätige Physiotherapeut*innen. Ziel Erfassung der 1) Einstellungen und Adhärenz gegenüber EBP von in Brandenburg tätigen Physiotherapeut*innen und die 2) Ableitung von Barrieren und Förderfaktoren für die Einhaltung der EBP. Methodik Von März bis April 2022 wurde eine Online-Befragung unter in Brandenburg tätigen Physiotherapeut*innen durchgeführt. Die Teilnehmenden füllten die deutschsprachige Version des „Evidence-based Practice Inventory“ aus, einem Fragebogen mit 5 Dimensionen zur Erfassung von Barrieren und Förderfaktoren hinsichtlich EBP. Zusätzlich wurden soziodemografische Daten erfragt. Die Auswertung erfolgte deskriptiv. Ergebnisse Es nahmen 101 Physiotherapeut*innen an der Befragung teil, davon 75 (74 %) Frauen und 26 (26 %) Männer. Die Befragten waren im Durchschnitt 39 Jahre (± 13) alt und verfügten über eine Berufserfahrung von 16 Jahren (± 12). Mehr als 70 % der Teilnehmenden hatten eine positive Einstellung gegenüber EBP. Knapp 55 % der Physiotherapeut*innen fühlten sich in der Lage, Prinzipien der EBP in ihren klinischen Entscheidungen anzuwenden. Gleichzeitig gaben weniger als 20 % an, dass in ihrer Abteilung sehr darauf geachtet wird, Prinzipien der EBP in klinischen Entscheidungen anzuwenden. Im Durchschnitt wiesen 30 % der Befragten eine hohe EBP-Adhärenz in den 5 Dimensionen auf. Die wichtigsten Förderfaktoren für Adhärenz zur EBP bildeten die Autor*innenschaft oder Mitarbeit an wissenschaftlichen Veröffentlichungen und die Teilnahme an einem Kurs zur EBP. Schlussfolgerung Die Einstellung von in Brandenburg tätigen Physiotherapeut*innen gegenüber EBP ist grundlegend positiv. Es zeigte sich jedoch, dass die Adhärenz zur EBP nur bei einem geringeren Anteil der Physiotherapeut*innen stark ausgeprägt ist. Barrieren und Förderfaktoren sollten näher untersucht werden, um zielgerichtete Interventionen zu entwickeln und die Implementierung von EBP im klinischen Alltag zu verbessern. KW - Physiotherapie KW - Evidenz-basierte Medizin KW - Evidenz-basierte Praxis Y1 - 2024 U6 - https://doi.org/10.1055/a-2079-6303 SN - 1860-3351 SN - 1860-3092 VL - 20 IS - 1 SP - 22 EP - 32 ER - TY - GEN A1 - Glaubitz, Andreas A1 - Napierala-Komp, Simone A1 - Hauke, Jeannine A1 - Strunk, Chiara A1 - Bahns, Carolin A1 - Kopkow, Christian T1 - „Good Life with osteoArthritis in Denmark“ (GLA:D®) in Deutschland T2 - MSK – Muskuloskelettale Physiotherapie KW - Physiotherapie KW - Arthrose Y1 - 2025 U6 - https://doi.org/10.1055/a-2452-1503 SN - 2701-6986 VL - 29 IS - 01 SP - 27 EP - 33 PB - Georg Thieme Verlag KG ER - TY - JOUR A1 - Bahns, Carolin T1 - Zadro et al. 2019: Folgen Physiotherapeutinnen und Physiotherapeuten bei der Behandlung muskuloskelettaler Erkrankungen den Empfehlungen evidenzbasierter Leitlinien? Systematische Übersichtsarbeit JF - physioscience T2 - Zadro et al. 2019:Do Physical Therapists Follow Evidence-based Guidelines when Managing Musculoskeletal Conditions? Systematic Review Y1 - 2021 UR - https://www.thieme-connect.de/products/ejournals/html/10.1055/a-1404-9693 U6 - https://doi.org/10.1055/a-1404-9693 VL - 17 SP - 88 EP - 90 ER - TY - JOUR A1 - Bahns, Carolin T1 - Reichenbach et al. 2022: Effekt von transkutaner elektrischer Nervenstimulation (TENS) auf Knieschmerzen und Funktion bei Patient*innen mit symptomatischer Kniearthrose – Eine randomisierte klinische Studie JF - physioscience Y1 - 2023 UR - https://www.thieme-connect.com/products/ejournals/html/10.1055/a-2008-9625 U6 - https://doi.org/10.1055/a-2008-9625 VL - 19 IS - 02 SP - 97 EP - 98 ER - TY - GEN A1 - Braun, Tobias A1 - Thiel, Christian A1 - Ziller, Carina A1 - Rasche, Julia A1 - Bahns, Carolin A1 - Happe, Lisa A1 - Retzmann, Theresa A1 - Grüneberg, Christian T1 - Prevalence of frailty in older adults in outpatient physiotherapy in an urban region in the western part of Germany : a cross-sectional study T2 - BMJ Open Y1 - 2019 U6 - https://doi.org/10.1136/bmjopen-2018-027768 SN - 2044-6055 VL - 9 IS - 6 ER - TY - GEN A1 - Bahns, Carolin A1 - Hering, Thomas A1 - Thiel, Christian T1 - Effekt von körperlichem Training auf den Schweregrad des Restless-Legs-Syndroms : Systematischer Review und Metaanalyse T2 - Physioscience Y1 - 2018 U6 - https://doi.org/10.1055/a-0658-0360 SN - 1860-3092 SN - 1860-3351 VL - 14 IS - 3 SP - 112 EP - 122 ER - TY - GEN A1 - Grüneberg, Christian A1 - Braun, Tobias A1 - Bahns, Carolin A1 - Thiel, Christian T1 - Diagnostik und Intervention bei älteren Menschen mit Frailty : ein Fallbericht T2 - Zeitschrift für Physiotherapeuten Y1 - 2018 SN - 1614-0397 VL - 70 IS - 9 SP - 33 EP - 43 ER - TY - GEN A1 - Ehrenbrusthoff, Katja A1 - Braun, Tobias A1 - Bahns, Carolin A1 - Happe, Lisa A1 - Kopkow, Christian T1 - Adherence to evidence-based practice across healthcare professionals in Germany : results from a cross-sectional, nationwide survey T2 - BMC Health Services Research Y1 - 2022 U6 - https://doi.org/10.1186/s12913-022-08682-z SN - 1472-6963 IS - 22 ER - TY - GEN A1 - Braun, Tobias A1 - Ehrenbrusthoff, Katja A1 - Bahns, Carolin A1 - Happe, Lisa A1 - Kopkow, Christian T1 - Adhärenz und Einflussfaktoren evidenzbasierter Praxis in der physiotherapeutischen Versorgung in Deutschland - eine Querschnittstudie T2 - Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen (ZEFQ) Y1 - 2022 U6 - https://doi.org/10.1016/j.zefq.2021.10.004 SN - 1865-9217 VL - 168 SP - 8 EP - 20 ER - TY - GEN A1 - Bahns, Carolin A1 - Bolm-Audorff, Ulrich A1 - Seidler, Andreas A1 - Romero Starke, Karla A1 - Ochsmann, Elke T1 - Occupational risk factors for meniscal lesions : a systematic review and meta-analysis T2 - BMC musculoskeletal disorders Y1 - 2021 U6 - https://doi.org/10.1186/s12891-021-04900-7 SN - 1471-2474 VL - 22 IS - 1 ER - TY - GEN A1 - Bahns, Carolin A1 - Scheffler, Bettina A1 - Kopkow, Christian T1 - Implementing Osteoarthritis Guidelines in Physiotherapy in Germany : study protocol of a mixed-method study using the theoretical domains framework and the behaviour change wheel T2 - Osteoarthritis and Cartilage Y1 - 2022 U6 - https://doi.org/10.1016/j.joca.2022.02.520 SN - 1063-4584 VL - 30 IS - Supplement 1 SP - S386 ER - TY - GEN A1 - Bahns, Carolin A1 - Happe, Lisa A1 - Thiel, Christian A1 - Kopkow, Christian T1 - Physical therapy for patients with low back pain in Germany: a survey of current practice T2 - BMC musculoskeletal disorders Y1 - 2021 U6 - https://doi.org/10.1186/s12891-021-04422-2 SN - 1471-2474 VL - 22 IS - 1 ER - TY - GEN A1 - Bahns, Carolin A1 - Kopkow, Christian T1 - Physiotherapy for patients with hip and knee osteoarthritis in Germany : a survey of current practice T2 - Osteoarthritis and Cartilage Y1 - 2022 U6 - https://doi.org/10.1016/j.joca.2022.02.575 SN - 1063-4584 VL - 30 IS - Supplement 1 SP - S422 EP - S423 ER -