Download the supplement (208 p.) - KCE
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<strong>KCE</strong> reports vol. 40 APPENDICES Physio<strong>the</strong>rapy 121<br />
Table 2 Main reasons for treatment in Belgian ambulatory physio<strong>the</strong>rapy<br />
Reason for treatment (when n 100 out of 5170 sessions) Number Proportion*<br />
Hemiplegia/hemiparesis and stroke/cerebrovascular disorders 431 8.34 ± 0.75%<br />
Low back pain 332 6.42 ± 0.67%<br />
Presence of orthopaedic joint implants 286 5.53 ± 0.62%<br />
Total hip replacement 134 2.59 ± 0.43%<br />
Total knee replacement 120 2.32 ± 0.41%<br />
O<strong>the</strong>r orthopaedic joint implants 032 0.62 ± 0.21%<br />
Arthrosis and polyarthrosis 245 4.74 ± 0.58%<br />
Gait disorders 235 4.55 ± 0.57%<br />
Cervicalgia 204 3.95 ± 0.53%<br />
Lymphoedema and edema 192 3.71 ± 0.52%<br />
Postmastectomy lymphoedema 104 2.01 ± 0.38%<br />
O<strong>the</strong>r lymphoedema and edema 088 1.70 ± 0.35%<br />
Parkinson 174 3.37 ± 0.49%<br />
En<strong>the</strong>sopathy and tendinitis 169 3.27 ± 0.48%<br />
Chronic obstructive pulmonary diseases (COPD) 137 2.65 ± 0.44%<br />
Adhesive capsulitis of shoulder 119 2.30 ± 0.41%<br />
O<strong>the</strong>r 2646 51.18 ± 1.36%0<br />
Total 5170 100 ± 0.00%<br />
* Proportion ± accuracy corresponding to <strong>the</strong> 95% confidence interval<br />
Pathologies treated during physio<strong>the</strong>rapeutic sessions were also classified according to two well-known<br />
classifications:<br />
The International Classification of Primary Care 2 nd Edition (ICPC-2) proposed by <strong>the</strong> Wonca<br />
International Classification Committee (WICC) (World Organisation of National Colleges, Academic<br />
& Academic Associations of General Practitioners / Family Physicians 1998).<br />
The International Statistical Classification of Diseases and Related Health Problems 10 th Revision<br />
(ICD-10) proposed by <strong>the</strong> World Health Organization (WHO) (World Health Organisation 1992).<br />
The ICPC-2 was primarily designed for <strong>the</strong> classification of patient reasons for treatment by <strong>the</strong> primary care<br />
provider at <strong>the</strong> time of consultation. This classification is based on body systems, following <strong>the</strong> principle that<br />
localization has precedence over aetiology in primary care. Indeed, many of <strong>the</strong> conditions treated in primary<br />
care are vague, can sometimes only be diagnosed in terms of symptoms/complaints, and are not necessarily<br />
related to an underlying disease (e.g., gait disorders in elderly people). Contrary to <strong>the</strong> ICPC-2, ICD-10 has an<br />
emphasis on disease in terms of its aetiology, pathology, and morphology. The ICD-10 is <strong>the</strong> oldest and most<br />
widely recognized classification of diseases and presents <strong>the</strong> advantage of international recognition, aiding<br />
comparability of data from different countries.<br />
Physio<strong>the</strong>rapeutic sessions during one working day according to <strong>the</strong> International Classification<br />
of Primary Care 2 nd Edition (ICPC-2)<br />
One physio<strong>the</strong>rapeutic session may be used to treat more than one condition when co-morbidity exists. In<br />
such situation, <strong>the</strong> session was divided into <strong>the</strong> number of RFT/conditions that are treated during this session if<br />
<strong>the</strong>y belong to different ICPC-2 chapters. As a result, <strong>the</strong> 5170 examined sessions increased up to 5416<br />
reasons for treatment (RFT). The number and <strong>the</strong> proportion of RFT according to each of <strong>the</strong> 17 ICPC-2<br />
chapters are illustrated in Figure 4.2. Most of <strong>the</strong> pathologies treated in Belgium during ambulatory<br />
physio<strong>the</strong>rapeutic sessions refer to musculoskeletal (49.78 1.33%) and neurological (21.38 1.09%)<br />
disorders.