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Title: The perspective of people with axial spondyloarthritis regarding physiotherapy : room for the implementation of a more active approach
Authors : Osthoff, Anne-Kathrin Rausch
van der Giesen, Florus
Meichtry, André
Walker, Beatrice
van Gaalen, Floris A
Goekoop-Ruiterman, Yvonne P M
Peeters, Andreas J
Niedermann Schneider, Karin
Vliet Vlieland, Theodora P M
et. al : Yes
Published in : Rheumatology Advances in Practice
Volume(Issue) : 3
Issue : 2
Publisher / Ed. Institution : Oxford University Press
Issue Date: 2019
License (according to publishing contract) : CC BY-NC 4.0: Attribution - Non commercial 4.0 International
Type of review: Peer review (publication)
Language : English
Subjects : Physiotherapy; Ankylosing spondylitis; Hydrotherapy; Group exercise
Subject (DDC) : 615.82: Physical therapy
616.7: Diseases of musculoskeletal system and orthopaedics
Abstract: Objectives. Physiotherapy is recommended in the management of people with axial spondyloarthritis (axSpA), with new insights into its preferred content and dosage evolving. The aim of this study was to describe the use and preferences regarding individual and group physiotherapy among people with axSpA. Methods. A cross-sectional survey was conducted among people with axSpA living in The Netherlands (NL) and Switzerland (CH). Results. Seven hundred and thirteen people with axSpA participated (56.7% male, median age 55 years, median Assessment of Spondyloarthritis International Society Health Index score 4.2). Response rates were 45% (n¼206) in NL and 29% in CH (n¼507). Of these participants, 83.3% were using or had been using physiotherapy. Individual therapy only was used or had been used by 36.7%, a combination of individual plus land- and water-based group therapy by 29.1% and group therapy by only 5.3%. Fewer than half of the participants attending individual therapy reported active therapy (such as aerobic, muscle strength and flexibility exercises). Although the majority (75.9%) were not aware of the increased cardiovascular risk, participants showed an interest in cardiovascular training, either individually or in a supervised setting. If supervised, a majority, in CH (75.0%) more than in NL (55.7%), preferred supervision by a specialized physiotherapist. Conclusion. The majority of people with axSpA use or have used physiotherapy, more often in an individual setting than in a group setting. The content of individual therapy should be more active; in both therapy settings, aerobic exercises should be promoted. In particular, enabling people with axSpA to perform exercises independently would meet their needs and might enhance their daily physical activity.
Departement: Health Professions
Organisational Unit: Institute of Physiotherapy (IPT)
Publication type: Article in scientific journal
DOI : 10.1093/rap/rkz043
ISSN: 2514-1775
Appears in Collections:Publikationen Gesundheit

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