Abstract:
:Over the past few years concerns have been rising about the use of Evidence-Based Practice (EBP). We explored obstacles among Belgian physiotherapists to the implementation of EBP in clinical work. We used a qualitative research strategy based on five focus groups, organised between October 2004 and May 2005. Purposeful sampling was used to recruit 43 participants from diverse geographical regions in Flanders, working in different settings and with a variety of interest and expertise in EBP. Data collection and analysis were concurrent and guided by "grounded theory approach." A problem tree was developed. Important obstacles to the implementation of EBP include physiotherapists' lack of autonomy and authority to decide on patients' treatments or to negotiate with government. In addition, the lack of evidence, inaccessibility and inapplicability of scientific evidence, the economic parameters influencing government and physicians, the expectations from patients and a lack of motivation hamper the implementation of EBP. The problem tree developed reveals direct links between the lack of autonomy from physiotherapists and the dominant position from physicians in the Belgian health care system, which further impacts the boundaries between both professions and the weight of physiotherapists in governmental advisory boards. Direct access to physiotherapy has not yet been considered in Belgium. However, it could have major advantages for physiotherapists who are in favour of a more autonomous, professional status.
journal_name
Physiother Theory Practjournal_title
Physiotherapy theory and practiceauthors
Karin H,Filip S,Jo G,Bert Adoi
10.3109/09593980802661949subject
Has Abstractpub_date
2009-10-01 00:00:00pages
476-88issue
7eissn
0959-3985issn
1532-5040pii
10.3109/09593980802661949journal_volume
25pub_type
杂志文章abstract::Introduction: The aim of this study is to assess whether Basic Body Awareness Therapy (BBAT) improves musculoskeletal pain, movement quality, psychological function, and quality of life. Methods: The effects of BBAT in addition to treatment as usual (TAU) were studied in a randomized controlled trial. Forty-one patien...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章,随机对照试验
doi:10.1080/09593985.2018.1467520
更新日期:2019-10-01 00:00:00
abstract:: Background: In Mechanical Diagnosis and Therapy (MDT), patients with low back pain (LBP) are classified into subgroups to guide a management strategy. A common subgroup where symptoms improve with lumbar extension is labeled posterior derangement syndrome. A less common su...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2018.1488906
更新日期:2020-04-01 00:00:00
abstract::Intermittent claudication can seriously limit an individual's walking capacity. Walking programs are known to improve this limitation but could be limited by a person's ability to carry his or her own full body weight to perform the walking. We theorized that decreasing body weight, through mechanical unloading, might...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2010.523447
更新日期:2011-08-01 00:00:00
abstract::Provision of out of regular business hours (OBH) physiotherapy to hospital inpatients is widespread in the hospital setting. This systematic review evaluated the effect of additional OBH physiotherapy services on patient length of stay (LOS), pulmonary complications, discharge destination, discharge mobility status, q...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章,评审
doi:10.1080/09593980601023754
更新日期:2006-12-01 00:00:00
abstract::Infants with congenital muscular torticollis (CMT) often have an imbalance in muscle function in the lateral flexors of the neck, and the need for a valid and reliable assessment tool to determine muscle function in these muscles is essential. The lateral uprighting response is used to examine and to strengthen the st...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593980802686904
更新日期:2009-02-01 00:00:00
abstract::Objective: To compare the segmental and extrasegmental hypoalgesic effects of TENS, IFC and Aussie current on pressure pain threshold (PPT) during and after stimulation in healthy subjects. The second objective was to compare the sensory comfort related to electrical stimulation. Material and Methods: 120 healthy subj...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2019.1650857
更新日期:2019-08-12 00:00:00
abstract::Among older adults, low back pain (LBP) is common, costly, and disabling. Trunk muscle training (TMT) and neuromuscular electrical stimulation (NMES) have both been found to be effective in reducing LBP, but studies among older adults have been limited. An 83-year-old female with left-sided chronic LBP participated in...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2018.1457745
更新日期:2019-08-01 00:00:00
abstract:INTRODUCTION:Forward flexed posture is an impairment in body structure commonly seen among older adults and those with pathologies such as ankylosing spondylitis and osteoporosis. Accurate measurement of forward flexed posture is important as it is related to pain, mobility limitations, and falls. Our purpose was to ex...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2020.1771801
更新日期:2020-05-29 00:00:00
abstract:PURPOSE:This study investigates the type of shoulder conditions presenting to public physiotherapy departments and the outcomes of such presentations. METHODS:Demographic, diagnostic, and outcome data were collected from people with shoulder pain presenting to 10 public outpatient physiotherapy services in NSW, Austra...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2013.871764
更新日期:2014-07-01 00:00:00
abstract::Background: Chronic pain management is a challenging area of practice for new graduate physiotherapists entering the workforce. Understanding the readiness and experience of new graduates entering this area of practice is important for informing requirements for preparation for practice.Objective: The aim of this stud...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2019.1692394
更新日期:2019-12-01 00:00:00
abstract::Hydrotherapy and whirlpool are used to increase skin blood flow and warm tissue. However, recent evidence seems to show that part of the increase in skin blood flow is not due to the warmth itself but due to the moisture content of the heat. Therefore, two series of experiments were accomplished on 10 subjects with an...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593980802640059
更新日期:2010-02-01 00:00:00
abstract::The aims of this study were to evaluate the influence of breathing when measuring lumbar postural control during a clinical progressive lumbar stabilization test (LST) and to estimate the intrasession reliability of the LST. The lumbar postural control index was calculated by using a biofeedback pressure unit. The LST...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593980902776589
更新日期:2009-04-01 00:00:00
abstract:INTRODUCTION:Aquatic therapy can lead to improved mobility and health in individuals with various conditions. This case report looks at an activity-specific aquatic therapy targeting gait for a patient with incomplete spinal cord injury (iSCI). CASE REPORT:The patient participated in an individualized aquatic therapy ...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2017.1302026
更新日期:2017-04-01 00:00:00
abstract::Publicly funded community-based physical therapy (PT) services in Canada's most populous province of Ontario were partially delisted, or deinsured, in April 2005. Two previous studies examined the short-term effects from the client and provider perspectives; and in this study, we follow up with participants from these...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593980802278397
更新日期:2008-09-01 00:00:00
abstract::Evidence supporting the use of music during pediatric physical therapy intervention is limited. The purpose of this single-subject design was to evaluate the effects of music on patient progress, the amount of crying during therapy, and parent satisfaction with physical therapy services. The subject was an infant girl...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593980701211804
更新日期:2007-03-01 00:00:00
abstract:BACKGROUND:Increasing age, numbers, and complexity of care are potentially impacting physiotherapy service delivery for adults with cystic fibrosis (CF). PURPOSE:This study aimed to describe physiotherapy service provision, scope of practice, and skill mix in a large tertiary adult CF center, and determine if services...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2020.1777606
更新日期:2020-06-11 00:00:00
abstract::Study Design: Case Series. Background: Shoulder pain is a prevalent problem in health care. Traditionally, treatment is based on a pathoanatomical diagnosis determined through the use of special tests. The validity of these special tests is questionable and minimal evidence exists to support these tests to guide treat...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2019.1571136
更新日期:2020-11-01 00:00:00
abstract::Background: There is evidence that interventions based on a behavioral medicine approach to physical therapy (BMPI) are beneficial for older adults living with chronic pain; however, knowledge of the perceptions of older people regarding their participation in BMPI is lacking. Aim: The aim of this study was to describ...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2019.1572846
更新日期:2020-10-01 00:00:00
abstract:BACKGROUND:Obesity is regarded as a modern lifestyle problem, causing illness, stigma, discrimination, and psychological problems. To help patients avoid these problems, physiotherapists increasingly engage in lifestyle programs specialized in weight loss. OBJECTIVE:To explore how physiotherapists' encounters with pat...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2017.1400140
更新日期:2018-05-01 00:00:00
abstract:INTRODUCTION:The patient was referred to an outpatient physical therapy clinic for lumbar radiculopathy by a primary care physician and subsequently referred for imaging due to suspicion of cervical myelopathy. The case highlights the clinical reasoning of the physical therapist differentiating between lumbar stenosis,...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2018.1443361
更新日期:2019-04-01 00:00:00
abstract::Background and Purpose: Limited research exists regarding physical therapy management for patients with cervical dystonia (CD). The purpose of this case report is to describe the clinical management of a patient with CD using manual techniques, cervical traction, and laser-guided postural reeducation. Case Description...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2018.1488904
更新日期:2020-04-01 00:00:00
abstract::Overweight and obesity are increasingly prevalent. The purpose for a sample of older adults was to describe body mass index (BMI) and determine its relationship with mobility. The BMI of 36 consecutive home-care patients (≥ 65 years) was determined as was their independence in sit-to stand (STS [ability without help o...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2010.523058
更新日期:2011-08-01 00:00:00
abstract:: Background: Physiotherapists (PTs) are responsible for the prevention and promotion of physical and mental health. Their beliefs toward mental illness (MI) are important to disclose stigmatization. Purpose: To investigate the b...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2020.1870251
更新日期:2021-01-21 00:00:00
abstract::A systematic review by Barclay-Goddard et al (2004) reported that force platform feedback improved stance symmetry but not sway, clinical balance outcomes, or measures of independence in adults with stroke. However, the role of computerized dynamic posturography (CDP) systems was not explored. The purpose of this case...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2011.577887
更新日期:2012-04-01 00:00:00
abstract::The aim of this study was to examine how risks and benefits of cervical spine manipulation (CSM) were framed and discussed in the context of mentorship and their impact on the perception of safe practice of CSM in clinical physiotherapy settings. A multi-method qualitative approach was employed, including a document a...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2017.1375056
更新日期:2018-02-01 00:00:00
abstract::Breathing retraining (BR) improves symptoms, psychological well-being and quality of life in adults with asthma; but there remains uncertainty as to mechanism of effect. One of the intuitively logical theories is that BR works through altering breathing pattern. There is currently no evidence, however, that BR does re...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2017.1400139
更新日期:2018-04-01 00:00:00
abstract::Purpose: The effects of preoperative respiratory muscle training (RMT) on postoperative complications in patients with pulmonary resection have recently attracted the attention of researchers. More studies are obviously needed to clarify the effects of RMT after pulmonary resection. The aim of this study was to evalua...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章,随机对照试验
doi:10.1080/09593985.2018.1488189
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVE:To study the effects of transcutaneous electrical nerve stimulation (TENS) on joint position sense (JPS) in knee osteoarthritis (OA) subjects. METHODS:Thirty subjects with knee OA (40-60 years old) using non-random sampling participated in this study. In order to evaluate the absolute error of repositioning ...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2014.903547
更新日期:2014-10-01 00:00:00
abstract::Introduction: The primary purpose of this study was to examine the feasibility and informativeness of the Patient-Specific Functional Scale (PSFS) for identifying activities that persons with Parkinson disease (PD) self-identified as difficult.Method: Informativeness was investigated by cross-referencing the identifie...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2019.1571134
更新日期:2020-11-01 00:00:00
abstract::Cervicogenic headache (CH) is a debilitating pain problem, estimated to affect 13-17% of the population with chronic headache. Physiotherapy can improve this condition in 75% of patients but the remaining 25% are unresponsive to treatment, and to date researchers have been unable to identify predictors of non-responsi...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2013.783894
更新日期:2013-11-01 00:00:00