Determining clinical practice of expert physiotherapy for patients undergoing lumbar spinal fusion a cross-sectional survey study
article
Purpose: To determine the content of current Dutch expert hospital physiotherapy practice for patients undergoing lumbar spinal fusion (LSF), to gain insight into expert-based clinical practice. Methods: At each hospital where LSF is performed, one expert physiotherapist received an e-mailed questionnaire, about pre- and postoperative physiotherapy and discharge after LSF. The level of uniformity in goals and interventions was graded on a scale from no uniformity (50–60 %) to very strong uniformity (91–100 %). Results: LSF was performed at 34 of the 67 contacted hospitals. From those 34 hospitals, 28 (82 %) expert physiotherapists completed the survey. Twenty-one percent of the respondents saw patients preoperatively, generally to provide information. Stated postoperative goals and administered interventions focused mainly on performing transfers safely and keeping the patient informed. Outcome measures were scarcely used. There was no uniformity regarding advice on the activities of daily living. Conclusion: Dutch perioperative expert physiotherapy for patients undergoing LSF is variable and lacks structural outcome assessment. Studies evaluating the effectiveness of best-practice physiotherapy are warranted. © 2016, The Author(s).
Topics
Health surveysPhysical therapy modalitiesRehabilitationArticlecaregiverclinical practicecoping behaviorcross-sectional studydaily life activitye-mailfunctional assessmenthospital dischargehospital patienthumanlength of staylumbar spinal fusionlumbar spinemulticenter studynurseoccupational therapistphysical capacityphysical examinationphysiotherapistphysiotherapyphysiotherapy practicepostoperative carepreoperative careprimary medical carepriority journalspine fusiontreatment durationhealth care personnelpatient educationpatient liftingquestionnairespine fusionstandardsstatistics and numerical datautilizationCross-Sectional StudiesHealth PersonnelHumansMoving and Lifting PatientsPatient Education as TopicPhysical Therapy ModalitiesSpinal FusionSurveys and Questionnaires
TNO Identifier
954745
ISSN
09406719
Source
European Spine Journal, 25(5), pp. 1533-1541.
Pages
1533-1541