Use of Physical Therapy Services Among Middle-Aged and Older Adults With Multiple Sclerosis
Use of Physical Therapy Services Among Middle-Aged and Older Adults With Multiple Sclerosis
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DOI：
10.2522/ptj.20100072
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发表时间：
2010-11-01
期刊：
影响因子：
3.2
通讯作者：
Cho, Chi
中科院分区：
文献类型：
--
作者：
Finlayson, Marcia;Plow, Matthew;Cho, Chi
背景。目前对中老年多发性硬化症（MS）患者物理治疗服务的使用和感知需求的了解有限。由此产生的知识差距影响了为这一人群制定物理治疗服务计划的努力。本研究的目的是调查生活在美国中西部的成年多发性硬化症患者对物理治疗服务的使用和需求。这是一项横断面描述性研究。这项研究使用了1065名年龄在45岁至90岁之间的多发性硬化症患者的电话访谈数据。使用多项回归模型确定与使用物理治疗服务相关的因素（从未，在过去一年内，超过一年前）。Logistic回归分析检验了与未满足这些服务需求相关的因素。36%的样本报告从未使用过物理治疗服务，33%的报告在过去一年内使用过物理治疗服务，31%的报告在采访前一年多使用过物理治疗服务。与近期使用物理治疗服务相关的因素包括：居住在城市或郊区社区、多发性硬化症恶化、出现痉挛问题（即高张力）、在室内活动困难、过去6个月住院和看家庭医生。这些因素与未满足的需求有关。使用物理治疗服务是自我报告的。数据是在中西部5个州从45岁或以上的人群中收集的，这可能会限制普遍性。与物理治疗服务的使用和需求相关的因素反映了获取问题（地理位置、转诊）、多发性硬化症状态和行动困难。
Background. There is limited understanding of the utilization of and perceived need for physical therapy services among middle-aged and older adults with multiple sclerosis (MS). The resulting knowledge gap compromises efforts for physical therapy service planning for this population.Objective. The purpose of this study was to examine the use of and need for physical therapy services in a sample of adults with MS living in the Midwestern United States.Design. This was a cross-sectional, descriptive study.Methods. Data from telephone interviews with 1,065 people with MS, aged 45 to 90 years, were used for the study. A multinomial regression model was used to determine factors associated with use of physical therapy services (never, within the past year, more than a year ago). Logistic regression analysis examined factors associated with unmet needs for these services.Results. Thirty-six percent of the sample reported never using physical therapy services, 33% reported using physical therapy services within the past year, and 31% reported using physical therapy services more than a year prior to the interview. Factors associated with recent use of physical therapy services included living in an urban or suburban community, deteriorating MS status, experiencing problems with spasticity (ie, hypertonicity), having difficulty moving inside the house, being hospitalized in the past 6 months, and seeing a family physician. These same factors were associated with unmet needs.Limitations. Physical therapy service use was self-reported. Data were collected in 5 Midwestern states from people 45 years of age or older, which may limit generalizability.Conclusions. Factors associated with use of and need for physical therapy services reflect issues of access (geographical, referrals), MS status, and mobility difficulties.