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首页> 外文期刊>Journal of neurology >Physiotherapy in Parkinson's disease: utilisation and patient satisfaction.
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Physiotherapy in Parkinson's disease: utilisation and patient satisfaction.

机译：帕金森氏症的物理疗法：利用率和患者满意度。

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To examine the quality and quantity of physiotherapy care in Parkinson's disease (PD) in the Netherlands, postal questionnaires were sent to 300 PD patients. Patients who had received treatment by a physiotherapist at some stage during the previous year were asked to give approval to contact their therapist. Subsequently, postal questionnaires were sent to 129 physiotherapists who had recently treated the patients that were identified in the first stage of the study. Completed questionnaires were returned by 235 patients and 99 therapists. Sixty percent of patients were currently treated by a physiotherapist, most of them for more than six months. Ninety-five patients had serious problems within at least one of the four core areas of physiotherapy practice in PD (posture, balance, gait, transfers) and were therefore regarded as requiring referral to physiotherapy. Yet, 41% of them received no treatment at the time of enquiry. On the other hand, 75 patients had no serious problems within these core areas, yet half of them currently received treatment. The main goals for treatment were improvement of gait, general physical condition, posture or balance. Treatment mainly comprised active exercises. 60% of patients were treated by therapists without specific interest or education in PD. Most patients were presently satisfied with the treatment, but 11% had previously changed to another therapist because of dissatisfaction. In the Netherlands, referral rates of PD patients to physiotherapy are high and treatment duration is lengthy. Referral seems, to some extent, arbitrary. Scientific evidence for the effectiveness of physiotherapy in PD remains limited.
机译：为了检查荷兰帕金森氏病（PD）的物理治疗护理的质量和数量，向300名PD患者发送了邮政问卷。要求在去年的某个阶段接受过物理治疗师治疗的患者批准与他们的治疗师联系。随后，向129位理疗师发送了邮寄问卷，这些理疗师最近对研究第一阶段中确定的患者进行了治疗。 235名患者和99名治疗师返回了完整的问卷。目前，有60％的患者接受了物理治疗师的治疗，其中大多数患者已超过六个月。 95位患者在PD物理治疗实践的四个核心领域中至少有一个严重问题（姿势，平衡，步态，转移），因此被认为需要转诊物理治疗。但是，其中41％的人在询问时未得到任何治疗。另一方面，有75名患者在这些核心区域没有严重问题，但其中一半目前正在接受治疗。治疗的主要目标是步态，一般身体状况，姿势或平衡的改善。治疗主要包括积极锻炼。 60％的患者接受了治疗师的治疗，没有对PD产生特殊兴趣或接受过教育。目前，大多数患者对这种治疗感到满意，但由于不满意，以前有11％的患者已改用其他治疗师。在荷兰，PD患者接受物理治疗的转诊率很高，并且治疗时间较长。推荐似乎在某种程度上是任意的。 PD中物理治疗有效性的科学证据仍然有限。

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