Physiotherapy and Guillain--Barré syndrome: results of a national survey.

OBJECTIVE: To discover the extent to which persons with Guillain-Barré syndrome receive treatment by a physiotherapist (as inpatients and outpatients), and to assess whether the amount of treatment received is related to outcome. DESIGN: Survey method using self-administered questionnaires distribut...

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Publicado en:Physiotherapy Vol. 95; no. 3; pp. 157 - 164
Autores principales: Davidson I, Wilson C, Walton T, Brissenden S
Formato: research tables/charts Journal Article
Publicado: Elsevier B.V. Sep2009
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2009
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      pub: Elsevier B.V.
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        10.1016/j.physio.2009.04.001
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        atl: Physiotherapy and Guillain--Barré syndrome: results of a national survey.
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          Davidson I
          Wilson C
          Walton T
          Brissenden S
        affil: School of Nursing, Midwifery and Social Work, University of Manchester, Manchester M13 9PL, UK; ian.davidson@manchester.ac.uk
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          Physical Therapy
          Polyradiculoneuritis Rehabilitation
          Aged
          Anxiety
          Chi Square Test
          Clinical Assessment Tools
          Depression
          Fatigue
          Female
          Funding Source
          Male
          Mann-Whitney U Test
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          Scales
          Short Form-36 Health Survey (SF-36)
          Spearman's Rank Correlation Coefficient
          Surveys
          T-Tests
          Treatment Outcomes
          Human
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: OBJECTIVE: To discover the extent to which persons with Guillain-Barré syndrome receive treatment by a physiotherapist (as inpatients and outpatients), and to assess whether the amount of treatment received is related to outcome. DESIGN: Survey method using self-administered questionnaires distributed through a national database. PARTICIPANTS: Members of the Guillain-Barré Syndrome Support Group (n=1535). MAIN OUTCOME MEASURES: General patient data, general mobility, F-score, Hospital Anxiety and Depression Scale, Short Form-36 and Fatigue Severity Scale. RESULTS: In total, 884/1535 (58%) complete responses were received. Nearly 10% of respondents had not received treatment by a physiotherapist in hospital despite their average functional level being the same as respondents who had received treatment in hospital. One-quarter of respondents said that they had not received treatment following hospital discharge despite the identification of relatively high levels of disability. Those who did not receive treatment by a physiotherapist following discharge were less severely disabled. This may indicate that physiotherapists tend to offer treatment to more severely disabled patients. The majority of patients reported disabling fatigue; whilst not statistically related to receipt of treatment by a physiotherapist, this highlights the importance of assessing fatigue in treatment plans to improve physical functioning. CONCLUSION: Improvements to policy and practice can be made by widening inpatient accessibility to treatment by a physiotherapist and increasing outpatient provision of treatment for patients with Guillain-Barré syndrome of all degrees of severity.
      pubtype: Academic Journal
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      ougenre: Article
    language: English
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