Universität zu Köln

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. and Hunzelmann, N. (2020). Large Variability of Frequency and Type of Physical Therapy in Patients in the German Network for Systemic Sclerosis. Arthritis Care Res., 72 (8). S. 1041 - 1049. HOBOKEN: WILEY. ISSN 2151-4658

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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.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Belz, D. UNSPECIFIED UNSPECIFIED UNSPECIFIED Moinzadeh, P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Riemekasten, G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Henes, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller-Ladner, U. UNSPECIFIED UNSPECIFIED UNSPECIFIED Blank, N. UNSPECIFIED UNSPECIFIED UNSPECIFIED Koetter, I UNSPECIFIED UNSPECIFIED UNSPECIFIED Siegert, E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfeiffer, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schmalzing, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Zeidler, G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schmeiser, T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Worm, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Guenther, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Susok, L. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kreuter, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Sunderkoetter, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Juche, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Aberer, E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Gaebelein-Wissing, N. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ramming, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kuhr, K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hunzelmann, N. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-325038
DOI:	10.1002/acr.23998
Journal or Publication Title:	Arthritis Care Res.
Volume:	72
Number:	8
Page Range:	S. 1041 - 1049
Date:	2020
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	2151-4658
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language INTERSTITIAL LUNG-DISEASE; PULMONARY REHABILITATION; EXERCISE; SCLERODERMA; EFFICACY; HYPERTENSION; BENEFITS; SUBSETS; PROGRAM Multiple languages Rheumatology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/32503