PTSurveyArchives of physiotherapy2024

Neurological conditions and community-based physical activity: physical therapists' belief and actions.

Louise Declerck, Mathilde Gillot, Charlotte Goffaux and 2 others

PMID 39364377

WHAT IT FOUND

Community physical therapists in Belgium believed adapted physical activity and adaptive sports were very important, but rarely discussed them, asked about habits, assessed activity, or helped patients find local options.

Ask about activity and give local options.

Key findings

01Beliefs about the benefits of adapted physical activity and adaptive sports were high, with a median belief score of 10 on a 12-point scale.

02Half of PTs did not discuss adapted physical activity and adaptive sports with patients, and 81% never assessed their patients' physical activity.

03PTs with specific training in neurology reported promoting adapted physical activity and adaptive sports more often, especially asking about habits, guiding enrollment, and assessing activity.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The recommended sample size of 225 was not reached; 165 physical therapists were analysed. The survey used convenience sampling and voluntary participation, so it may over-represent therapists already interested in adapted physical activity or adaptive sports. Results are limited to French-speaking community-based physical therapists in Brussels or Wallonia who were treating at least one patient with a neurological condition; they exclude hospital, clinic, or rehabilitation-centre-only therapists and other countries or languages. Beliefs and actions were self-reported, and social desirability may have inflated reported promotion of adapted physical activity or adaptive sports. The study reports physical therapists' beliefs and self-reported actions, not patient outcomes.

Declared interests

The authors declare no conflict of interest, and the research received no specific grant from any public, commercial, or not-for-profit funding agency.

The easy way to misread this

Do not conclude that community physical therapists think adapted physical activity and adaptive sports are unimportant or that patients with neurological conditions do not want them. The survey found high belief scores and low reported promotion actions, and lack of patient demand was the most common barrier reported by therapists, but it did not assess patients directly.

Read it on PubMed →