Journal article
Authors list: Belz, D.; Moinzadeh, P.; Riemekasten, G.; Henes, J.; Mueller-Ladner, U.; Blank, N.; Koetter, I; Siegert, E.; Pfeiffer, C.; Schmalzing, M.; Zeidler, G.; Schmeiser, T.; Worm, M.; Guenther, C.; Susok, L.; Kreuter, A.; Sunderkoetter, C.; Juche, A.; Aberer, E.; Gaebelein-Wissing, N.; Ramming, A.; Kuhr, K.; Hunzelmann, N.
Publication year: 2020
Pages: 1041-1048
Journal: Arthritis Care & Research
Volume number: 72
Issue number: 8
ISSN: 2151-464X
eISSN: 2151-4658
DOI Link: https://doi.org/10.1002/acr.23998
Publisher: Wiley
Abstract:
Objective To determine the type and frequency of physical therapy (PT) prescribed by physicians for patients in the registry of the German Network for Systemic Sclerosis. Methods The data for 4,252 patients were analyzed using descriptive statistics, chi-square tests, and odds ratios (ORs). Results Overall, 37.4% of patients (1,590 of 4,252) receivedPTat the end of a yearly follow-up. The most frequently used type ofPTwas lymphatic drainage (n = 1,061, 36.8%), followed by exercise therapy (n = 1,047, 36.3%) and heat therapy (n = 689, 23.9%). More than three-fourths of treated patients (82%) received 1 or 2 different forms ofPTsimultaneously. The prescription ofPTwas associated with the extent of skin fibrosis as measured by the modified Rodnan skin thickness score (<10 [41.8% of patients], 11-20 [55.8% of patients], and >21 [63.9% of patients];P< 0.001). Patients with musculoskeletal involvement (e.g., arthritis, muscle weakness, joint contractures, tendon friction rubs) had a higher chance of receivingPTthan patients without these symptoms, with correspondingORs ranging from 1.96 (95% confidence interval [95%CI] 1.69-2.28) for joint contractures to 3.83 (95%CI2.89-5.08) for arthritis. When comparing the type ofPTprescription across the initial and all follow-up visits from 2003 to 2017, significant alterations with a decreasing frequency of patients receivingPTcould be observed (P= 0.001). Conclusion To our knowledge, this is the first study reporting the use ofPTin patients with systemic sclerosis (SSc) in a large cohort. AlthoughSSc is characterized by considerable disability and restriction of motion, PT.
Citation Styles
Harvard Citation style: Belz, D., Moinzadeh, P., Riemekasten, G., Henes, J., Mueller-Ladner, U., Blank, N., et al. (2020) Large Variability of Frequency and Type of Physical Therapy in Patients in the German Network for Systemic Sclerosis, Arthritis Care & Research, 72(8), pp. 1041-1048. https://doi.org/10.1002/acr.23998
APA Citation style: Belz, D., Moinzadeh, P., Riemekasten, G., Henes, J., Mueller-Ladner, U., Blank, N., Koetter, I., Siegert, E., Pfeiffer, C., Schmalzing, M., Zeidler, G., Schmeiser, T., Worm, M., Guenther, C., Susok, L., Kreuter, A., Sunderkoetter, C., Juche, A., Aberer, E., ...Hunzelmann, N. (2020). Large Variability of Frequency and Type of Physical Therapy in Patients in the German Network for Systemic Sclerosis. Arthritis Care & Research. 72(8), 1041-1048. https://doi.org/10.1002/acr.23998
Keywords
INTERSTITIAL LUNG-DISEASE; PULMONARY REHABILITATION; SCLERODERMA; SUBSETS
