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138 APPENDICES Physiotherapy A Number of patients with hemiplegia/paresis(n) 100 80 60 40 20 Females n = 101 (42%) Mobilizations Gait rehabilitation Muscle strengthening Balance rehabilitation Stretching Education of the patient Functional rehabilitation (ADL) Bobath technique Kabat technique (PNF) Aerobic exercises Sensitive rehabilitation Electrophysiotherapy Added treatment: Massage Treadmill training Johnstone technique Perfetti technique EMG biofeedback Constraint-induced movement therapy Picard technique Brunnström technique 120 n = 243 0 Males n = 142 (58%) 0-14 15-29 30-44 45-59 60-74 75 and more Age (years) B C D Missing values n = 4 (2%) > 2 years n = 147 (58%) Proportion of physiotherapists treating at least 1 patient with hemiplegia/paresis (%) 0 10 20 30 40 50 60 70 80 90 100 n = 255 1-2 years n = 38 (15%) Electromagnetic waves 1-3 months n = 29 (11%) 3-6 months n = 23 (9%) 6-12 months n = 14 (5%) 0 50 100 150 200 250 Number of physiotherapists treating at least 1 patient with hemiplegia/paresis (n) Figure 4.6 Treatment modalities of hemiplegia/hemiparesis. Panel A: distribution of patients age. Panel B: proportion of males and females. Panel C: repartition of the delays since the beginning of the hemiplegia/hemiparesis. Panel D: distribution of treatment modalities used to treat hemiplegia/hemiparesis and repartition of electrophysiotherapeutic modalities (ES = electric stimulation; TENS = transcutaneous electrical nerve stimulation; IFC = inteRFTrential currents; US = ultrasounds). ES US IFC TENS
KCE reports vol. 40 APPENDICES Physiotherapy 139 Gait disorders in elderly people Overall, 266 physiotherapists out of the 367 respondents have treated, in the week preceding the receipt of the questionnaire, at least one elderly patient with gait disorders (see Table 4.6). Distribution of patients age, proportion of males and females, repartition of the delays between the first walking difficulties and the beginning of the treatment by the physiotherapist, and distribution of treatment modalities are presented in Figure 4.7. Gait disorders in elderly people present a peak of prevalence around 80-84 years. As shown in Table 4.6, the patients mean age was 81 ± 7 years (range: 62 100 years). A higher prevalence of females was observed presumably due to their higher life expectancy. In most cases, the delay between the first patient s walking difficulties and the beginning of his/her treatment by the physiotherapist is over 1 month. The most frequent treatment modalities applied by Belgian ambulatory physiotherapists to treat elderly patients with gait disorders were, from the most prevalent to the least: muscle strengthening (91 ± 03%), balance rehabilitation (90 ± 04%), mobilizations (83 ± 05%), education of the patient (information, advices) (71 ± 05%), proprioceptive rehabilitation (67 ± 06%), coordination exercises (59 ± 06%), and home exercises (52 ± 06%). The following treatment modalities were also common but to a lesser extent: transfer exercises (46 ± 06%), stretching (31 ± 06%), pick-up techniques (30 ± 06%), and aerobic exercises (30 ± 06%). One treatment modality not included in the pre-established list of the questionnaire was considered as it was mentioned by at least 10 physiotherapists (see Appendix 4.C). It concerns massage techniques. Bronchiolitis in infants and children Overall, 90 physiotherapists out of the 367 respondents have treated, in the week preceding the receipt of the questionnaire, at least one infant/child with bronchiolitis (see Table 4.6). Distribution of patients age, proportion of males and females, repartition of the delays the beginning of the complaint and the beginning of the treatment by the physiotherapist, and distribution of treatment modalities are presented in Figure 4.8. Bronchiolitis in infants and children presents a peak of prevalence during the two first years of life. As shown in Table 4.6, the patients mean age was 2 ± 3 years (range: 0 13 years). The prevalence of males was slightly higher than the prevalence of females. In most cases, no delay was observed between the beginning of the infant/child s complaint and the beginning of his/her treatment by the physiotherapist.
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