TY - GEN A1 - Müske, Carina A1 - Kirschner, Jana A1 - Scheffler, Bettina A1 - Michel, Sven A1 - Prill, Robert T1 - 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 T2 - The International Disabled People`s Day - XXVth edition - Life without Pain / Healthy Children - Healthy Europe N2 - 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. Y1 - 2019 SN - 978-83-88380-77-8 SP - S. 51 PB - Oficyna Wydawnicza Klubu Literackiego "Inspiracje" CY - Zgorzelec ER - TY - GEN A1 - Scheffler, Bettina A1 - Schöler, Almut A1 - Schimböck, Florian A1 - Rösner, Katrin A1 - Spallek, Jacob A1 - Kopkow, Christian T1 - Leitlinienkonforme Physiotherapie in der Rehabilitation nach Schlaganfall. Ergebnisse einer deutschlandweiten Online-Umfrage T2 - 19. Deutscher Kongress für Versorgungsforschung, Deutsches Netzwerk Versorgungsforschung e.V., 30.09.-01.10.2020, digital Y1 - 2020 U6 - https://doi.org/10.3205/20dkvf406 ER - TY - GEN A1 - Wulff, Chiara A1 - Scheffler, Bettina A1 - Rossa, Karsten A1 - Kopkow, Christian T1 - Selbsteinschätzung der Kompetenzen zum Direktzugang von deutschen und kanadischen Physiotherapeut*innen – eine Querschnittstudie T2 - 5. Forschungssymposium Physiotherapie, FSPT2022 Abstractband Y1 - 2022 UR - http://www.dgptw.org/symposien/fspt-2022/fspt2022-abstractband U6 - https://doi.org/10.26127/BTUOpen-5923 SP - 88 EP - 89 ER - TY - GEN A1 - Beranová, Tereza A1 - Scheffler, Bettina A1 - Kopkow, Christian T1 - Meinung und Wahrnehmung von Menschen mit Schlaganfall, ihrer Familienmitglieder und ihrer informellen Pflegenden zur Leitliniennutzung in der Neurorehabilitation T2 - 5. Forschungssymposium Physiotherapie, FSPT2022 Abstractband Y1 - 2022 UR - http://www.dgptw.org/symposien/fspt-2022/fspt2022-abstractband U6 - https://doi.org/10.26127/BTUOpen-5923 SP - 50 EP - 51 ER - TY - GEN A1 - Scheffler, Bettina A1 - Bahns, Carolin A1 - Schimböck, Florian A1 - Deckert, Stefanie A1 - Kopkow, Christian T1 - Schlüsselmerkmale der Leitlinienadhärenz von Angehörigen in den Gesundheitsberufen - ein Scoping Review T2 - 5. Forschungssymposium Physiotherapie, FSPT2022 Abstractband Y1 - 2022 UR - http://www.dgptw.org/symposien/fspt-2022/fspt2022-abstractband U6 - https://doi.org/10.26127/BTUOpen-5923 SP - 77 EP - 78 ER - TY - GEN A1 - Scheffler, Bettina A1 - Bernhardt, Lars A1 - Kopkow, Christian T1 - Gesundheitspolitische Faktoren evidenz-/ leitlinienbasierter Physiotherapie. Ein Scoping Review T2 - 5. Forschungssymposium Physiotherapie, FSPT2022 Abstractband Y1 - 2022 UR - http://www.dgptw.org/symposien/fspt-2022/fspt2022-abstractband U6 - https://doi.org/10.26127/BTUOpen-5923 SP - 75 EP - 77 ER - TY - GEN A1 - Bahns, Carolin A1 - Scheffler, Bettina A1 - Bremer, Alexander A1 - Kopkow, Christian T1 - Leitlinienadhärenz in der Physiotherapie – ein systematisches Review T2 - German Medical Science ; 25. Jahrestagung des Netzwerks Evidenzbasierte Medizin e. V. : Netzwerk Evidenzbasierte Medizin e. V. (EbM-Netzwerk), 13. - 15.03.2024, Berlin N2 - 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 Übereinstimmung zwischen ärztlicher bzw. therapeutischer Versorgung und den in Leitlinien verfassten Empfehlungen wird häufig als Leitlinienadhärenz beschrieben. Diese kann Hinweise auf eine mögliche Über-, Unter- oder Fehlversorgung geben. Allerdings führen die heterogene Verwendung des Begriffes Leitlinienadhärenz sowie das Fehlen einer standardisierten Erhebungsmethode bzw. Operationalisierung zu einer limitierten Vergleichbarkeit der Forschungsergebnisse. Ziel ist es, die Evaluation von Leitlinienadhärenz in der physiotherapeutischen Versorgung darzustellen sowie klinische und methodische Faktoren zu identifizieren, welche die anzunehmende Heterogenität in der Leitlinienadhärenz von Physiotherapeut:innen erklären können. Methoden: Eine systematische Literaturrecherche erfolgte in den Datenbanken MEDLINE, EMBASE, PEDro und CENTRAL bis einschließlich Dezember 2022. Eingeschlossen wurden Studien, in denen Leitlinienadhärenz als Maß zur Darstellung der Versorgungsqualität oder zur Einschätzung der Effektivität von Implementierungsinterventionen bestimmt wurde. Die Bewertung der Studienqualität erfolgt mithilfe des Mixed-Methods-Appraisal-Tools. Die Datenextraktion umfasst vor allem Merkmale des wissenschaftlichen Zugangs zur Evaluation von Leitlinienadhärenz in der Physiotherapieforschung sowie die berichtete Leitlinienadhärenz von Physiotherapeut:innen. Ergebnisse: Die Datenbankrecherche ergab 3.244 Treffer, aus denen 128 Artikel in das Volltextscreening eingeschlossen wurden. Die Ergebnisse der Übersichtsarbeit sollen im Rahmen der 25. Jahrestagung des EbM-Netzwerks präsentiert werden. Es ist von einer hohen Heterogenität im methodischen Vorgehen zur Erfassung von Leitlinienadhärenz auszugehen. Schlussfolgerung: Die Ergebnisse des systematischen Reviews können als Grundlage zur Entwicklung eines standardisierten Assessments zur Evaluation von Leitlinienadhärenz bei Physiotherapeut:innen dienen. Eine einheitliche und transparente Erhebung von Leitlinienadhärenz ermöglicht eine verbesserte Vergleichbarkeit von Studienergebnissen und unterstützt die Identifizierung möglicher Über-, Unter- oder Fehlversorgung im physiotherapeutischen Setting. KW - Physiotherapie, Evidenz-basierte Medizin, Leitlinien Y1 - 2024 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:0183-24ebm097 UR - https://www.egms.de/static/de/meetings/ebm2024/24ebm097.shtml CY - Düsseldorf ER - TY - GEN A1 - Scheffler, Bettina A1 - Schöler, Almut A1 - Rösner, Katrin A1 - Schimböck, Florian A1 - Spallek, Jacob A1 - Kopkow, Christian T1 - Evaluation and tailored implementation of guideline compliant physiotherapy in stroke rehabilitation in Germany – protocol of a mixed methods study T2 - WFNR & SOFMER 2020 - Abstracts of congress Y1 - 2021 UR - https://journals.sagepub.com/doi/epub/10.1177/1545968320988381 U6 - https://doi.org/10.1177/1545968320988381 SN - 1545-9683 SN - 1552-6844 VL - 35 IS - 4 ER - TY - GEN A1 - Scheffler, Bettina A1 - Schimböck, Florian A1 - Schöler, Almut A1 - Kopkow, Christian T1 - Entwicklung und Pilotierung einer theoriebasierten Implementierungs- Intervention zur Umsetzung der Empfehlungen aus der S2e-Leitlinie „Rehabilitation der Mobilität nach Schlaganfall (ReMoS)“. Protokoll zu einer multi-methodischen Studie. T2 - 4. Forschungssymposium Physiotherapie, FSPT2019 Abstractband Y1 - 2019 UR - http://www.dgptw.org/symposien/fspt-2019/fspt2019-abstractband SP - 52 EP - 53 ER - TY - GEN A1 - Scheffler, Bettina A1 - Bahns, Carolin A1 - Schimböck, Florian A1 - Schöler, Almut A1 - Deckert, Stefanie A1 - Kopkow, Christian T1 - Definition und Operationalisierung von Leitlinienadhärenz von Angehörigen der Gesundheitsberufe. Ein Scoping Review T2 - German Medical Science : 22. Deutscher Kongress für Versorgungsforschung, Deutsches Netzwerk Versorgungsforschung e. V., 04.10. - 06.10.2023, Berlin N2 - Hintergrund und Stand der Forschung: Häufig wird die erfolgreiche Implementierung von Leitlinien anhand der Leitlinienadhärenz von Angehörigen der Gesundheitsberufe (LAAG) gemessen. Die fehlende Definition des Konstruktes sowie heterogene Evaluationsmethoden führen 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 Übereinstimmung 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 Adhärenz gegenüber Qualitätsindikatoren, 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 Übereinstimmung mit den Leitlinien für Scoping Reviews wird keine Qualitätsbewertung 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. Vorläufig werden 503 Publikationen als geeignet betrachtet. Die Datenanalyse befindet sich zum Zeitpunkt der Abstracteinreichung in der Durchführung. Finale Ergebnisse werden im Rahmen des 22. DKVF präsentiert. Diskussion: Die Ergebnisse des Reviews werden über das derzeitige Verständnis gegenüber LAAG sowie wissenschaftliche präferierte Evaluationsmethoden Auskunft geben. Implikation für die Forschung: Ein einheitliches Verständnis von LAAG bildet die Grundlage für die systematische Evaluation des Konstrukts sowie die Sicherung und Optimierung der Versorgungspraxis. Weiterhin wird die Entwicklung eines standardisierten Messinstrumentes ermöglicht. KW - Leitlinienadhärenz KW - Gesundheitsberufe Y1 - 2023 UR - https://www.egms.de/static/en/meetings/dkvf2023/23dkvf031.shtml U6 - https://doi.org/10.3205/23dkvf031 CY - Düsseldorf ER - TY - GEN A1 - Scheffler, Bettina A1 - Schimböck, Florian A1 - Schöler, Almut A1 - Rösner, Katrin A1 - Spallek, Jacob A1 - Kopkow, Christian T1 - 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 T2 - Frontiers in Neurology N2 - 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. KW - Stroke KW - Rehabilitation KW - Mixed-methods study KW - Guideline KW - Implementation Y1 - 2022 UR - https://www.frontiersin.org/articles/10.3389/fneur.2022.828521/full U6 - https://doi.org/10.3389/fneur.2022.828521 SN - 1664-2295 VL - 13 SP - 1 EP - 10 ER - TY - GEN A1 - Scheffler, Bettina A1 - Schimböck, Florian A1 - Schöler, Almut A1 - Rösner, Katrin A1 - Spallek, Jacob A1 - Kopkow, Christian T1 - 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 T2 - BMC neurology N2 - 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. KW - Stroke KW - Rehabilitation KW - Physical therapy KW - Guideline adherence KW - Implementation factors KW - Cross-sectional study KW - Online survey Y1 - 2022 UR - https://bmcneurol.biomedcentral.com/articles/10.1186/s12883-022-02780-5 U6 - https://doi.org/10.1186/s12883-022-02780-5 SN - 1471-2377 VL - 22 SP - 1 EP - 13 ER - TY - GEN A1 - Kalisch, Luisa A1 - Dannies, Sarah Jasmin A1 - Kopkow, Christian A1 - Scheffler, Bettina T1 - Evaluation und Einflussfaktoren leitlinienadhärenter Physiotherapie in der Akut-Versorgung von Individuen mit COVID-19: eine deskriptive Querschnittstudie T2 - 7. Forschungssymposium Physiotherapie der Deutschen Gesellschaft für Physiotherapiewissenschaft e.V. KW - Physiotherapie, COVID-19, Leitlinienadhärenz Y1 - 2024 UR - https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0043-1777917 U6 - https://doi.org/10.1055/s-0043-1777917 VL - 20 IS - S 01 PB - Thieme ER - TY - GEN A1 - Bremer, Alexander A1 - Iden, Laurin A1 - Kopkow, Christian A1 - Scheffler, Bettina T1 - Evidenzbasierte Leitlinienempfehlungen für die Physiotherapie bei Individuen mit dem Idiopathischen Parkinson Syndrom – eine systematische Übersichtsarbeit T2 - 7. Forschungssymposium Physiotherapie der Deutschen Gesellschaft für Physiotherapiewissenschaft e.V. KW - Physiotherapie, Parkinson Y1 - 2024 UR - https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0043-1777933 U6 - https://doi.org/10.1055/s-0043-1777933 VL - 20 IS - S 01 PB - Thieme ER - TY - GEN A1 - Luxemburgová, Kateřina A1 - Dankhoff, Samy A1 - Kopkow, Christian A1 - Scheffler, Bettina T1 - Evidenzbasierte Leitlinienempfehlungen für die Physiotherapie bei Schlaganfall – eine systematische Übersichtsarbeit T2 - 7. Forschungssymposium Physiotherapie der Deutschen Gesellschaft für Physiotherapiewissenschaft e.V. KW - Physiotherapie, Schlaganfall, Leitlinien Y1 - 2024 UR - https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0043-1777951 U6 - https://doi.org/10.1055/s-0043-1777951 VL - 20 IS - S 01 PB - Thieme ER - TY - GEN A1 - Scheffler, Bettina A1 - Schimböck, Florian A1 - Schöler, Almut A1 - Rösner, Katrin A1 - Spallek, Jacob A1 - Kopkow, Christian T1 - Implementierung der „Rehabilitation der Mobilität nach Schlaganfall (ReMoS)“ - Leitlinie: Eine Querschnittbefragung von Physiotherapeut*innen in Deutschland T2 - 5. Forschungssymposium Physiotherapie, FSPT2022 Abstractband Y1 - 2022 UR - http://www.dgptw.org/symposien/fspt-2022/fspt2022-abstractband U6 - https://doi.org/https://doi.org/10.26127/BTUOpen-5923 SP - 39 EP - 40 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 - JOUR A1 - Roesner, Katrin A1 - Scheffler, Bettina A1 - Kaehler, Martina A1 - Schmidt-Maciejewski, Bianca A1 - Boettger, Tabea A1 - Saal, Susanne T1 - Effects of physical therapy modalities for motor function, functional recovery, and post-stroke complications in patients with severe stroke: a systematic review update JF - Systematic Reviews N2 - 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. KW - Schlaganfall KW - Stroke KW - Physical Therapy KW - Physiotherapie Y1 - 2024 U6 - https://doi.org/10.1186/s13643-024-02676-0 SN - 2046-4053 VL - 13 IS - 1 PB - Springer Science and Business Media LLC 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 - Renner, Caroline A1 - Jeitziner, Marie-Madlen A1 - Albert, Monika A1 - Brinkmann, Sabine A1 - Diserens, Karin A1 - Dzialowski, Imanuel A1 - Heidler, Maria-Dorothea A1 - Lück, Martina A1 - Nusser-Müller-Busch, Ricki A1 - Sandor, Peter S. A1 - Schäfer, Andreas A1 - Scheffler, Bettina A1 - Wallesch, Claus A1 - Zimmermann, Gudrun A1 - Nydahl, Peter T1 - Guideline on multimodal rehabilitation for patients with post-intensive care syndrome T2 - Critical Care N2 - 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. KW - Post-intensive care syndrome Y1 - 2023 U6 - https://doi.org/10.1186/s13054-023-04569-5 SN - 1364-8535 VL - 27 IS - 1 SP - 1 EP - 14 PB - Springer Science and Business Media LLC ER - TY - GEN A1 - Scheffler, Bettina A1 - Bahns, Carolin A1 - Kopkow, Christian T1 - Bridging the gap : wie Implementierungsforschung die Physiotherapie verbessern kann T2 - Physioscience : Wissenschaft & Forschung in der Physiotherapie N2 - Seit den Anfängen der physiotherapeutischen Forschung, der Forderung nach evidenzbasierter Physiotherapiepraxis sowie der Etablierung der Physiotherapy Evidence Database (PEDro) wurde ein umfassender Korpus qualitativ hochwertiger Primär- und Sekundärliteratur geschaffen, der eine wissenschaftlich begründete Entscheidungsfindung in der Physiotherapie ermöglicht [1] [2]. Die Veröffentlichung 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 tatsächlich in den klinischen Alltag einfließen und weniger als 50 Prozent davon finden überhaupt den Weg in die dauerhafte praktische Anwendung. Der Rest bleibt ungenutzt und steht Patient*innen damit nicht zur Verfügung [3] [4]. KW - Implementierungsforschung Y1 - 2025 U6 - https://doi.org/10.1055/a-2527-8921 SN - 1860-3092 VL - 21 IS - 02 SP - 53 EP - 55 PB - Thieme CY - Stuttgart ER - TY - GEN A1 - Bahns, Carolin A1 - Scheffler, Bettina A1 - Bremer, Alexander A1 - Kopkow, Christian T1 - Measuring guideline adherence in physiotherapy : a scoping review of methodological approaches T2 - Journal of Evaluation in Clinical Practice N2 - 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. Y1 - 2024 U6 - https://doi.org/10.1111/jep.14218 SN - 1356-1294 SN - 1365-2753 SP - 1 EP - 10 PB - Wiley ER -