SavedAdd your journal

Journals / Eskisehir Medical Journal / 2025 / Volume: 6 Issue: 3

KNOWLEDGE AND EXPECTATIONS ON THE MANAGEMENT OF NEUROMUSCULAR DISEASE AMONG TURKISH PHYSICAL MEDICINE AND REHABILITATION SPECIALISTS

TÜRK FİZİKSEL TIP VE REHABİLİTASYON HEKİMLERİ ARASINDA NÖROMÜSKÜLER HASTALIKLARIN YÖNETİMİNE İLİŞKİN BİLGİ VE BEKLENTİLER

Özgür Zeliha Karaahmet(Etlik City Hospital, Ankara, Turkey)0000-0002-1338-8935
Ebru Umay(Etlik City Hospital, Ankara, Turkey)0000-0002-4137-7731
Eda Gürcay(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA GAZİLER FİZİK TEDAVİ VE REHABİLİTASYON SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, FİZİKSEL TIP VE REHABİLİTASYON ANABİLİM DALI)0000-0002-0118-6527
Yasemin Tombak(Etlik City Hospital, Ankara, Turkey)0000-0003-0065-5376
Ece Ünlü Akyüz(Etlik City Hospital, Ankara, Turkey)0000-0003-4718-5981
Pages
—
Publication Date
2025-11-25
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We recommend future studies investigating patient outcomes based on increased PMR knowledge following educational interventions.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Introduction: Neuromuscular diseases (NMDs) have a substantial burden on patients, their caregivers, and healthcare systems.
📊
Key Findings & Data:Results: Of the 198 PMR specialists included in the study.
💡
Conclusion & Impact:We recommend future studies investigating patient outcomes based on increased PMR knowledge following educational interventions.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Neuromuscular disorders · quality of life · rehabilitation

Abstract

Introduction: Neuromuscular diseases (NMDs) have a substantial burden on patients, their caregivers, and healthcare systems. The level of knowledge of Physical Medicine and Rehabilitation (PMR) specialists about NMD is of great importance for these patient groups. This study aimed to measure the level of knowledge and expectation of PMR specialists about NMD. Methods: We conducted a national, population-based, cross-sectional survey of PMR specialists caring for persons with NMD. An experience-based survey had three themes: clinician facing NMD, clinician’s NMD knowledge, and clinician’s expectations. Results: Of the 198 PMR specialists included in the study. Among the NMD subgroup diseases, Duchenne Muscular dystrophy was the most well-known disease (n=179, 90.4%), followed by Myasthenia Gravis (n=174, 87.9%) and Amyotrophic Lateral Sclerosis (ALS) (n=162, 81.8%). The subgroup with the least awareness was diabetic polyneuropathy (n=61, 30.8%). While most of the participants (n=192, 97%) thought that rehabilitation programs could be effective in NMD, almost half of them (n=83, 41.9%) thought that stretching and strengthening exercises were harmful. Conclusion: Despite the high potential and thousands of patients who might benefit, NMD rehabilitation awareness is inadequate among PMR specialists. Improving PMR specialists' knowledge of NMD may contribute to patient outcomes. We recommend future studies investigating patient outcomes based on increased PMR knowledge following educational interventions.

Özet

Giriş: Nöromüsküler hastalıklar (NMH), hastalar, bakıcıları ve sağlık sistemleri üzerinde önemli bir yüke sahiptir. Fiziksel Tıp ve Rehabilitasyon (FTR) uzmanlarının NMH hakkındaki bilgi düzeyi, bu hasta grupları için büyük önem taşımaktadır. Bu çalışma, FTR uzmanlarının NMH’ler hakkındaki bilgi ve beklenti düzeyini ölçmeyi amaçlamaktadır. Yöntemler: NMH'li kişileri tedavi edan FTR uzmanlarına yönelik ulusal, nüfusa dayalı, kesitsel bir anket çalışması yaptık. Deneyime dayalı bu anketin NMH ile karşı karşıya kalan klinisyen, klinisyenin NMH bilgisi ve klinisyenin beklentileri şeklinde üç teması vardı. Bulgular: Çalışmaya 198 FTR uzman hekimi dahil edildi. NMH alt grup hastalıkları arasında Duchenne Musküler Distrofi en iyi bilinen hastalıktı (n=179, %90,4), bunu Myastenia Gravis (n=174, %87,9) ve Amyotrofik Lateral Skleroz (ALS) (n=162, %81,8) izledi. En az farkındalığa sahip alt grup diyabetik polinöropatiydi (n=61, %30,8). Katılımcıların çoğu (n=192, %97) rehabilitasyon programlarının NMH'de etkili olabileceğini düşünürken, neredeyse yarısı (n=83, %41,9) germe ve güçlendirme egzersizlerinin zararlı olduğunu düşünüyordu. Sonuç: Yüksek potansiyele ve fayda sağlayabilecek binlerce hastaya rağmen, NMH rehabilitasyon farkındalığı FTR uzmanları arasında yetersizdir. FTR uzmanlarının NMH hakkındaki bilgilerinin geliştirilmesi hastaların sonuçlarına katkıda bulunabilir. Eğitim müdahaleleri sonrasında FTR bilgisinin artmasına dayalı olarak hasta sonuçlarını araştıran çalışmalar yapılmasını öneriyoruz.

🔖

Cite This Article

Karaahmet, Ö. Z., Umay, E., Gürcay, E., Tombak, Y., Akyüz, E. Ü. (2025). KNOWLEDGE AND EXPECTATIONS ON THE MANAGEMENT OF NEUROMUSCULAR DISEASE AMONG TURKISH PHYSICAL MEDICINE AND REHABILITATION SPECIALISTS. Eskisehir Medical Journal, Volume: 6 Issue: 3. https://ajindex.com/articles/1614242

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (23)

  1. McDonald CM. Physical activity, health impairments, and disability in neuromuscular disease. Am J Phys Med Rehabil 2002;81(11):108-20.
  2. Andersson PB, Rando TA. Neuromuscular disorders of childhood. Curr Opin Pediatr. 1999;11(6): 497-503.
  3. World Health Organization 2001. International Classification of Functioning, Disability, and Health: 214 ICF.
  4. Johnson LB, Florence JM, Abresch RT. Physical therapy evaluation and management in neuromuscular diseases. Phys Med Rehabil Clin N Am 2012;23(3):633-51.
  5. McDonald CM, Fowler WM Jr. The role of the neuromuscular medicine and physiatry specialists in the multidisciplinary management of neuromuscular disease. Phys Med Rehabil Clin N Am 2012;23(3):475-93.
  6. Andreasson KM, Espinosa-Ortega F, Sandlund H, Alexanderson H. Self-reported physical activity and fatigue and its associations to anxiety and depression in adult patients with idiopathic inflammatory myopathies: a MIHRA psychological impact and MIHRA exercise and rehabilitation scientific working groups collaboration. Clin Exp Rheumatol. 2025;43(2):230-40.
  7. Hughes MI, Hicks EM, Nevin NC, Patterson VH. The prevalence of inherited neuromuscular disease in Northern Ireland. Neuromuscul Disord 1996;6(1):69-73.
  8. Emery AE. Population frequencies of inherited neuromuscular diseases: a world survey. Neuromuscul Disord 1991;1(1):19-29.
  9. Fedele D, Comi G, Coscelli C, Cucinotta D, Feldman EL, Ghirlanda G et al. A multicenter study on the prevalence of diabetic neuropathy in Italy. Italian Diabetic Neuropathy Committee. Diabetes Care 1997;20(5):836-43.
  10. De Domenico P, Malara CE, Marabello L, Puglisi RM, Meneghini F, Serra S et al. Amyotrophic lateral sclerosis: an epidemiological study in the Province of Messina, Italy, 1976-1985. Neuroepidemiology 1988;7(3):152-8.
  11. Sonnier FE. Myasthenia gravis. Dan Med Bull 1996;43(1):1-10.
  12. Ahlstrom G, Gunnarsson LG, Leissner, P Sjödén PO. Epidemiology of neuromuscular disease, including the postpolio sequelae in a Swedish country. Neuroepidemiology 1993;12(5):262-9.
  13. Shoenberg BS, Melton LJ. Epidemiologic approaches to peripheral neuropathy. In: Dyck 235 PJ, Thomas PK, Griffin JW, Low PA, Poduslo JF, editors. Peripheral neuropathy Philadelphia: Saunders; 1993. p. 775-83.
  14. Kaplan JC. The 2009 version of the gene table of neuromuscular disorders. Neuromuscul Disord 2009;19:77-98.
  15. Noonan CW, Kathman SJ, White MC. Prevalence estimates for MS in the United States and evidence of an increasing trend for women. Neurology 2002;58:136-8.
  16. Cup EH, Pieterse AJ, Ten Broek-Pastoor JM, Munneke M, van Engelen BG, Hendricks HT et al. Exercise Therapy and Other Types of Physical Therapy for Patients with Neuromuscular Diseases: A Systematic Review. Arch Phys Med Rehabil 2007;88(11):1452-64.
  17. Cup EH, Pieterse AJ, Knuijt S, Hendricks HT, van Engelen BG, Oostendorp RA et al. Referral of patients with neuromuscular disease to occupational therapy, physical therapy, and speech therapy: usual practice versus multidisciplinary advice. Disabil Rehabil 2007;29:717-6.
  18. Oorschot S, Brehm MA, van Groenestijn AC, Veneman T, Twisk J, Verhamme C, et al. Efficacy of Combined Aerobic Exercise and Coaching on Physical Fitness in People With Neuromuscular Diseases: A Randomized Clinical Trial. Neurology. 2025;105(1):e213781.
  19. Eagle M. Report on the muscular dystrophy campaign workshop: an exercise in neuromuscular diseases. Neuromuscul Disord 2002;12:975-83.
  20. van der Kooi EL, Lindeman E, Riphagen I. Strength training and aerobic exercise training for muscle disease. Cochrane Database Syst Rev 2005;(1): CD003907.
  21. Abresch RT, Carter GT, Han JJ, McDonald CM. Exercise in neuromuscular diseases. Phys Med Rehabil Clin N Am 2012 23(3):653-73.
  22. Fowler WM. Role of physical activity and exercise training in neuromuscular diseases. Am J Phys Med Rehabil 2002;81(11):S187-95.
  23. American College of Sports Medicine. General principles of exercise prescription. In: Franklin BA, Whaley MH, Howley ET, editors. ACSM's guidelines for exercise testing and prescription. 6th ed. Philadelphia: ACSM; 2000. pp. 137-64.