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<strong>KCE</strong> reports vol. 40 APPENDICES Physio<strong>the</strong>rapy 133<br />
Significant differences between questionnaire and INAMI/RIZIV data were observed for all variables of <strong>the</strong><br />
Belgian nomenclature code. However, <strong>the</strong> differences of proportions seen between questionnaire and<br />
INAMI/RIZIV data are generally small. Overall, a difference of proportions equivalent to 2.25 ± 3.06% was<br />
found. Codes relative to physio<strong>the</strong>rapists office were more represented in <strong>the</strong> questionnaire to <strong>the</strong> detriment<br />
of patients home and nursing home codes. There were also more codes referring to a session length of 30<br />
minutes to <strong>the</strong> detriment of <strong>the</strong> o<strong>the</strong>r lengths. Heavy pathologies were less recorded in our questionnaire. On<br />
<strong>the</strong> contrary, acute and chronic pathologies of FA and FB lists were more represented. Finally, <strong>the</strong>re were<br />
more codes relative to fee cost of 18 euros to <strong>the</strong> detriment of o<strong>the</strong>r costs.<br />
1.2.3. Treatment modalities applied in Belgium ambulatory physio<strong>the</strong>rapy<br />
Treatment modalities applied in Belgian ambulatory physio<strong>the</strong>rapy were recorded by asking <strong>the</strong><br />
physio<strong>the</strong>rapists who have treated, last week, at least one patient suffering from <strong>the</strong> selected condition to<br />
indicate <strong>the</strong> treatment modality/ies applied for <strong>the</strong> last patient seen for this condition. The age and sex of this<br />
patient as well as <strong>the</strong> delay between <strong>the</strong> beginning of his/her condition and <strong>the</strong> beginning of <strong>the</strong> treatment by<br />
<strong>the</strong> physio<strong>the</strong>rapist were recorded. The respondents also had <strong>the</strong> possibility to specify <strong>the</strong><br />
electrophysio<strong>the</strong>rapeutic modalities and o<strong>the</strong>r treatment modalities not included in <strong>the</strong> pre-established list (in<br />
this case, <strong>the</strong> treatment modality was labelled as Added treatment: X , where X is <strong>the</strong> name of <strong>the</strong> treatment<br />
modality). Table 4.6 presents, for each condition selected in <strong>the</strong> questionnaire, <strong>the</strong> number and proportion of<br />
physio<strong>the</strong>rapists who have treated in <strong>the</strong> week preceding <strong>the</strong> receipt of <strong>the</strong> questionnaire at least one patient<br />
of <strong>the</strong> selected condition as well as <strong>the</strong> age and sex of <strong>the</strong> last patient seen for this condition.<br />
Table 6 Treatment modalities applied in Belgium ambulatory physio<strong>the</strong>rapy<br />
Physio<strong>the</strong>rapists Patients' characteristics<br />
Conditions selected in <strong>the</strong> survey treating at least<br />
1 case/week*<br />
Age (years)** Sex***<br />
Acute low back pain (without radiating<br />
pain)<br />
255 (69 ± 05%) 46 ± 16 (05-092) 126 (50 ± 06%)<br />
Total knee replacement 172 (47 ± 05%) 69 ± 10 (42-090) 045 (28 ± 07%)<br />
Hemiplegia/hemiparesis 255 (69 ± 05%) 68 ± 16 (02-098) 142 (58 ± 06%)<br />
Gait disorders in elderly people 266 (72 ± 05%) 81 ± 07 (62-100) 062 (25 ± 05%)<br />
Bronchiolitis in infants and children 090 (25 ± 04%) 02 ± 03 (00-013) 047 (55 ± 11%)<br />
* Number of physio<strong>the</strong>rapists (proportion ± accuracy corresponding to <strong>the</strong> 95% confidence interval)<br />
** Mean ± SD (minimum-maximum)<br />
*** Number of males (proportion ± accuracy corresponding to <strong>the</strong> 95% confidence interval)<br />
Acute low back pain (without radiating pain)<br />
Overall, 255 physio<strong>the</strong>rapists out of <strong>the</strong> 367 respondents have treated, in <strong>the</strong> week preceding <strong>the</strong> receipt of<br />
<strong>the</strong> questionnaire, at least one patient suffering from acute low back pain without radiating pain (see Table 4.6).<br />
Distribution of patients age, proportion of males and females, repartition of <strong>the</strong> delays between <strong>the</strong> beginning<br />
of <strong>the</strong> complaint and <strong>the</strong> beginning of <strong>the</strong> treatment by <strong>the</strong> physio<strong>the</strong>rapist, and distribution of treatment<br />
modalities are presented in Figure 4.4. Low back pain concerns all age brackets with a predominance in <strong>the</strong><br />
adulthood. As shown in Table 4.6, <strong>the</strong> patients mean age was 46 ± 16 years (range: 5 92 years). The<br />
prevalence of males and females were similar. The delays between <strong>the</strong> beginning of <strong>the</strong> complaint and <strong>the</strong><br />
beginning of <strong>the</strong> treatment by <strong>the</strong> physio<strong>the</strong>rapist were varied: immediate, 1 week, 2 weeks, 3 weeks, or over<br />
1 month.<br />
The most frequent treatment modalities applied by Belgian ambulatory physio<strong>the</strong>rapists to treat patients with<br />
acute low back pain were, from <strong>the</strong> most prevalent to <strong>the</strong> least: education of <strong>the</strong> patient (information, advices)<br />
(86 ± 04%), massage (75 ± 05%), mobilizations (74 ± 05%), home exercises (62 ± 06%), and stretching (55 ±<br />
06%). The following treatment modalities were also common: <strong>the</strong>rmo<strong>the</strong>rapy (46 ± 06%), muscle<br />
streng<strong>the</strong>ning (44 ± 06%), electrophysio<strong>the</strong>rapy (39 ± 06%; <strong>the</strong> most frequent electrophysio<strong>the</strong>rapeutic