The use of physiotherapy in nursing homes internationally: A systematic review.

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  • Additional Information
    • Author-Supplied Keywords:
      Age groups
      Allied health care professionals
      Biology and life sciences
      Cognitive impairment
      Cognitive neurology
      Cognitive neuroscience
      Cognitive science
      Database and informatics methods
      Database searching
      Elderly
      Health care
      Health care facilities
      Health care providers
      Medicine and health sciences
      Neurology
      Neuroscience
      Nursing homes
      People and places
      Physiotherapy
      Population groupings
      Research and analysis methods
      Research Article
      Research assessment
      Research design
      Survey research
      Surveys
      Systematic reviews
    • NAICS/Industry Codes:
      621498 All Other Outpatient Care Centers
      623110 Nursing Care Facilities (Skilled Nursing Facilities)
      623310 Community care facilities for the elderly
      623220 Residential Mental Health and Substance Abuse Facilities
      624190 Other Individual and Family Services
      622210 Psychiatric and Substance Abuse Hospitals
    • Abstract:
      Background: Physiotherapy can improve functional ability, prevent falls and reduce pain for older adults in nursing homes. However, there are no legislations or guidelines that specify the parameters of physiotherapy required in nursing homes. With the increasing healthcare demands of ageing populations worldwide, it is important to understand the current use of physiotherapy services to ensure they are both evidence-based and promote equity. Objectives: (1) When and how are physiotherapy services used by older adults living in nursing homes? (2) What are the factors associated with use of physiotherapy services in nursing homes? (3) How are physiotherapy services in nursing homes documented and monitored? Methods: Several databases and grey literature (including MEDLINE, PubMed, Pedro and EMBASE) were searched following PRISMA guidelines in March 2018. Searches were limited to English language publications from 1997. Assessment for inclusion, data extraction and quality assessment were completed by two investigators independently using standardised forms. Studies were included if they considered any type of physiotherapy service that involved a qualified physiotherapist (such as exercise, massage and staff education) with older adults (aged 60 years and older) that were primarily permanent residents of a nursing home. Data extracted included proportion of clients that used physiotherapy services, type, frequency and duration of physiotherapy services, and factors associated with physiotherapy service use. Results: Eleven studies were included. Between 10% and 67% of nursing home clients used physiotherapy services. Factors associated with greater use of physiotherapy services included larger size facilities, and if clients had a physical impairment and mild or no cognitive impairment. Types of physiotherapy services reported were pain management and pressure ulcer management. Conclusions: Physiotherapy service use in nursing homes varied widely. The development of physiotherapy benchmarks and quality standards are needed to support older adults in nursing homes. PROSPERO registration number: CRD42018082460. [ABSTRACT FROM AUTHOR]
    • Abstract:
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    • Author Affiliations:
      1Department of Health Professions, Macquarie University, Sydney, NSW, Australia
      2Australian Institute of Health Innovation, Macquarie University, Sydney, NSW, Australia
      3Department of Sports and Rehabilitation Sciences, The University of Birmingham, Birmingham, United Kingdom
      4St George’s University Hospitals NHS Foundation Trust, London, United Kingdom
    • Full Text Word Count:
      7732
    • ISSN:
      1932-6203
    • Accession Number:
      10.1371/journal.pone.0219488
    • Accession Number:
      137426706
  • Citations
    • ABNT:
      BRETT, L. et al. The use of physiotherapy in nursing homes internationally: A systematic review. PLoS ONE, [s. l.], v. 14, n. 7, p. 1–16, 2019. DOI 10.1371/journal.pone.0219488. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=aph&AN=137426706. Acesso em: 4 jul. 2020.
    • AMA:
      Brett L, Noblet T, Jorgensen M, Georgiou A. The use of physiotherapy in nursing homes internationally: A systematic review. PLoS ONE. 2019;14(7):1-16. doi:10.1371/journal.pone.0219488.
    • AMA11:
      Brett L, Noblet T, Jorgensen M, Georgiou A. The use of physiotherapy in nursing homes internationally: A systematic review. PLoS ONE. 2019;14(7):1-16. doi:10.1371/journal.pone.0219488
    • APA:
      Brett, L., Noblet, T., Jorgensen, M., & Georgiou, A. (2019). The use of physiotherapy in nursing homes internationally: A systematic review. PLoS ONE, 14(7), 1–16. https://doi.org/10.1371/journal.pone.0219488
    • Chicago/Turabian: Author-Date:
      Brett, Lindsey, Tim Noblet, Mikaela Jorgensen, and Andrew Georgiou. 2019. “The Use of Physiotherapy in Nursing Homes Internationally: A Systematic Review.” PLoS ONE 14 (7): 1–16. doi:10.1371/journal.pone.0219488.
    • Harvard:
      Brett, L. et al. (2019) ‘The use of physiotherapy in nursing homes internationally: A systematic review’, PLoS ONE, 14(7), pp. 1–16. doi: 10.1371/journal.pone.0219488.
    • Harvard: Australian:
      Brett, L, Noblet, T, Jorgensen, M & Georgiou, A 2019, ‘The use of physiotherapy in nursing homes internationally: A systematic review’, PLoS ONE, vol. 14, no. 7, pp. 1–16, viewed 4 July 2020, .
    • MLA:
      Brett, Lindsey, et al. “The Use of Physiotherapy in Nursing Homes Internationally: A Systematic Review.” PLoS ONE, vol. 14, no. 7, July 2019, pp. 1–16. EBSCOhost, doi:10.1371/journal.pone.0219488.
    • Chicago/Turabian: Humanities:
      Brett, Lindsey, Tim Noblet, Mikaela Jorgensen, and Andrew Georgiou. “The Use of Physiotherapy in Nursing Homes Internationally: A Systematic Review.” PLoS ONE 14, no. 7 (July 11, 2019): 1–16. doi:10.1371/journal.pone.0219488.
    • Vancouver/ICMJE:
      Brett L, Noblet T, Jorgensen M, Georgiou A. The use of physiotherapy in nursing homes internationally: A systematic review. PLoS ONE [Internet]. 2019 Jul 11 [cited 2020 Jul 4];14(7):1–16. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=aph&AN=137426706