{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:28:34Z","timestamp":1787020114014,"version":"build-2736575974"},"reference-count":34,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,3,1]],"date-time":"2021-03-01T00:00:00Z","timestamp":1614556800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,3,1]],"date-time":"2021-03-01T00:00:00Z","timestamp":1614556800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Geriatr"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>There are distinct differences in the implementation of physiotherapeutic care in nursing homes. Both nationally and internationally staffing levels of physiotherapy differ significantly between and within nursing homes. Since legislation or guidelines that specify the parameters of physiotherapy required in nursing homes are lacking, it is unknown how physiotherapists currently estimate the usefulness and necessity of physiotherapy in individual situations in long-term care. The purpose of this study was to describe how physiotherapists actually work, and how they want to work, in daily practice in Dutch nursing homes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a qualitative study with an online questionnaire. We asked 72 physiotherapists working in Dutch nursing homes to describe as accurately as possible usual care in nine different cases in long-term care. Furthermore we asked them to describe their role in the prevention and treatment of a number of indicators that measure the quality of care in nursing homes. Two reviewers thematically analysed the answers to the questionnaires.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Forty-six physiotherapists returned the questionnaire. Physiotherapy services include active exercise therapy aimed to improve mobility and movement dysfunctions, advising on prevention and management of falls, pressure ulcers, incontinence, malnutrition and sarcopenia, overweight, physical restraints, intertrigo, chronic wounds, behavioural and psychological symptoms in dementia, and physical inactivity, and ergonomic and behavioural training. The way and extent in which physiotherapists are involved in the various care- and functional problems differs and depends on organisational and personal factors such as, organisation\u2019s policy, type of ward, time pressure, staffing level, collaboration with other members of the multidisciplinary team, or lack of knowledge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Physiotherapists in nursing homes are involved in the prevention and management of different care situations and functional problems. The way in which they are involved differs between physiotherapist. Aiming for more uniformity seems necessary. A shared vision can help physiotherapists to work more consistently and will strengthen their position in nursing homes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12877-021-02080-6","type":"journal-article","created":{"date-parts":[[2021,3,1]],"date-time":"2021-03-01T15:02:58Z","timestamp":1614610978000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Physiotherapy in nursing homes. A qualitative study of physiotherapists\u2019 views and experiences"],"prefix":"10.1186","volume":"21","author":[{"given":"Shanty","family":"Sterke","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Paula","family":"Nascimento da Cunha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanneke","family":"Oomen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lennard","family":"Voogt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marleen","family":"Goumans","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,3,1]]},"reference":[{"key":"2080_CR1","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1016\/j.maturitas.2017.09.014","volume":"107","author":"DL Vetrano","year":"2018","unstructured":"Vetrano DL, Collamati A, Magnavita N, Sowa A, Topinkova E, Finne-Soveri H, van der Roest HG, Tobiasz-Adamczyk B, Giovannini S, Ricciardi W, et al. Health determinants and survival in nursing home residents in Europe: results from the SHELTER study. Maturitas. 2018;107:19\u201325.","journal-title":"Maturitas"},{"key":"2080_CR2","unstructured":"Planbureau voor de Leefomgeving (PBL),Centraal Bureau voor de Statistiek (CBS). Regionale bevolkings- en huishoudensprognose 2019\u20132050. Demografische veronderstellingen 2019. https:\/\/www.pbl.nl\/publicaties\/pbl-cbs-regionale-bevolkings-en-huishoudensprognose-2019-2050-belangrijkste-uitkomsten. Accessed 8 Apr 2020."},{"key":"2080_CR3","unstructured":"Zorginstituut Nederland.2016. https:\/\/www.zorginstituutnederland.nl\/Verzekerde+zorg\/b\/behandeling-wlz\/documenten\/standpunten\/2016\/01\/07\/standpunt-paramedische-zorg-in-de-wlz. Accessed 8 Apr 2020."},{"issue":"1","key":"2080_CR4","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1097\/00002508-200103000-00006","volume":"17","author":"A Wright","year":"2001","unstructured":"Wright A, Sluka KA. Nonpharmacological treatments for musculoskeletal pain. Clin J Pain. 2001;17(1):33\u201346.","journal-title":"Clin J Pain"},{"issue":"3","key":"2080_CR5","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1519\/00139143-200412000-00003","volume":"27","author":"FG Harrison","year":"2004","unstructured":"Harrison FG, Lemke S. The disparity between physical therapists\u2019 utilization and the availability of interventions for pressure ulcers in Arizona long-term care facilities. J Geriatr Phys Ther. 2004;27(3):88\u201392.","journal-title":"J Geriatr Phys Ther"},{"issue":"4","key":"2080_CR6","doi-asserted-by":"publisher","first-page":"311","DOI":"10.2165\/11318340-000000000-00000","volume":"27","author":"E Jaul","year":"2010","unstructured":"Jaul E. Assessment and management of pressure ulcers in the elderly: current strategies. Drugs Aging. 2010;27(4):311\u201325.","journal-title":"Drugs Aging"},{"issue":"1","key":"2080_CR7","first-page":"4","volume":"1","author":"LC Klotha","year":"2009","unstructured":"Klotha LC. The role of physical therapy in wound management - part one. J Am Col Certif Wound Spec. 2009;1(1):4\u20135.","journal-title":"J Am Col Certif Wound Spec"},{"key":"2080_CR8","doi-asserted-by":"publisher","first-page":"45","DOI":"10.2147\/CIA.S25326","volume":"7","author":"AG Vinsnes","year":"2012","unstructured":"Vinsnes AG, Helbostad JL, Nyronning S, Harkless GE, Granbo R, Seim A. Effect of physical training on urinary incontinence: a randomized parallel group trial in nursing homes. Clin Interv Aging. 2012;7:45\u201350.","journal-title":"Clin Interv Aging"},{"key":"2080_CR9","first-page":"CD005465","volume":"9","author":"ID Cameron","year":"2018","unstructured":"Cameron ID, Dyer SM, Panagoda CE, Murray GR, Hill KD, Cumming RG, Kerse N. Interventions for preventing falls in older people in care facilities and hospitals. Cochrane Database Syst Rev. 2018;9:CD005465.","journal-title":"Cochrane Database Syst Rev"},{"issue":"4","key":"2080_CR10","doi-asserted-by":"publisher","first-page":"435","DOI":"10.1017\/S071498081700040X","volume":"36","author":"C McArthur","year":"2017","unstructured":"McArthur C, Gibbs JC, Patel R, Papaioannou A, Neves P, Killingbeck J, Hirdes J, Milligan J, Berg K, Giangregorio L. A scoping review of physical rehabilitation in long-term care: interventions, outcomes, Tools. Can J Aging. 2017;36(4):435\u201352.","journal-title":"Can J Aging"},{"issue":"2","key":"2080_CR11","first-page":"40","volume":"33","author":"LP Voogt","year":"2019","unstructured":"Voogt LP, Sterke CS, Paulis W, Schmitt M. De waarde van fysiotherapie binnen de langdurige zorg. Een kwalitatief onderzoek naar de ervaringen van fysiotherapeuten. Nederlands Tijdschrift voor Geriatriefysiotherapie. 2019;33(2):40\u20138.","journal-title":"Nederlands Tijdschrift voor Geriatriefysiotherapie"},{"issue":"7","key":"2080_CR12","doi-asserted-by":"publisher","first-page":"e0219488","DOI":"10.1371\/journal.pone.0219488","volume":"14","author":"L Brett","year":"2019","unstructured":"Brett L, Noblet T, Jorgensen M, Georgiou A. The use of physiotherapy in nursing homes internationally: a systematic review. PLoS One. 2019;14(7):e0219488.","journal-title":"PLoS One"},{"key":"2080_CR13","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1186\/1471-2318-7-7","volume":"7","author":"CJ Leemrijse","year":"2007","unstructured":"Leemrijse CJ, de Boer ME, van den Ende CH, Ribbe MW, Dekker J. Factors associated with physiotherapy provision in a population of elderly nursing home residents; a cross sectional study. BMC Geriatr. 2007;7:7.","journal-title":"BMC Geriatr"},{"issue":"4","key":"2080_CR14","doi-asserted-by":"publisher","first-page":"462","DOI":"10.1016\/j.jamda.2019.02.002","volume":"20","author":"I Livingstone","year":"2019","unstructured":"Livingstone I, Hefele J, Nadash P, Barch D, Leland N. The relationship between quality of care, physical therapy, and occupational therapy staffing levels in nursing homes in 4 years\u2019 follow-up. J Am Med Dir Assoc. 2019;20(4):462\u20139.","journal-title":"J Am Med Dir Assoc"},{"issue":"2","key":"2080_CR15","doi-asserted-by":"publisher","first-page":"113","DOI":"10.3138\/ptc.2014-27","volume":"67","author":"C McArthur","year":"2015","unstructured":"McArthur C, Hirdes J, Berg K, Giangregorio L. Who receives rehabilitation in Canadian long-term care facilities? A cross-sectional study. Physiother Can. 2015;67(2):113\u201321.","journal-title":"Physiother Can"},{"issue":"Sep;(9)","key":"2080_CR16","doi-asserted-by":"publisher","first-page":"e5","DOI":"10.1111\/jan.12189","volume":"69","author":"RJG Halfens","year":"2013","unstructured":"Halfens RJG, Meesterberends E, van Nie-Visser NC, Lohrmann C, Schonherr S, Meijers JMM, Hahn S, Vangelooven C, Schols JMGA. International prevalence measurement of care problems: results. J Advanc Nurs. 2013;69(Sep;(9)):e5\u201317.","journal-title":"J Advanc Nurs"},{"key":"2080_CR17","unstructured":"Landelijke Prevalentiemeting Zorgkwaliteit. 2020. https:\/\/nl.lpz-um.eu\/nl. Accessed 2 Sept 2020."},{"key":"2080_CR18","unstructured":"ActiZ, Verenso, Verpleegkundigen & Verzorgenden Nederland, Zorgthuisnl. Handboek voor zorgaanbieders van verpleeghuiszorg. 2019. https:\/\/www.zorginzicht.nl\/binaries\/content\/assets\/zorginzicht\/kwaliteitsinstrumenten\/Handboek+voor+zorgaanbieders+van+verpleeghuiszorg+verslagjaar+2019.pdf. Accessed 2 Sep 2020."},{"key":"2080_CR19","unstructured":"PDL liefdevolle ondersteuning van passiviteit. https:\/\/stichtingpdl.nl\/. Accessed 15 Sept 2020."},{"issue":"3","key":"2080_CR20","doi-asserted-by":"publisher","first-page":"208","DOI":"10.1016\/j.physio.2014.03.001","volume":"100","author":"L Scurlock-Evans","year":"2014","unstructured":"Scurlock-Evans L, Upton P, Upton D. Evidence-based practice in physiotherapy: a systematic review of barriers, enablers and interventions. Physiotherapy. 2014;100(3):208\u201319.","journal-title":"Physiotherapy"},{"key":"2080_CR21","first-page":"CD004294","volume":"2","author":"T Crocker","year":"2013","unstructured":"Crocker T, Forster A, Young J, Brown L, Ozer S, Smith J, Green J, Hardy J, Burns E, Glidewell E, et al. Physical rehabilitation for older people in long-term care. Cochrane Database Syst Rev. 2013;2:CD004294.","journal-title":"Cochrane Database Syst Rev"},{"key":"2080_CR22","unstructured":"K\u00fcmpers S, Allen K, Campbell L, Dieterich A, Glasby J, Kagialaris G, Mastroyiannakis T, Pokrajac T, Ruppe G, Turk E, et al. Prevention and rehabilitation within long-term care across Europe. In: European Overview Paper: In; 2010."},{"issue":"3","key":"2080_CR23","doi-asserted-by":"publisher","first-page":"e020617","DOI":"10.1136\/bmjopen-2017-020617","volume":"8","author":"B Van Grootven","year":"2018","unstructured":"Van Grootven B, McNicoll L, Mendelson DA, Friedman SM, Fagard K, Milisen K, Flamaing J. Deschodt M, consortium GC: quality indicators for in-hospital geriatric co-management programmes: a systematic literature review and international Delphi study. BMJ Open. 2018;8(3):e020617.","journal-title":"BMJ Open"},{"issue":"10","key":"2080_CR24","doi-asserted-by":"publisher","first-page":"1246","DOI":"10.1007\/s12603-018-1103-8","volume":"22","author":"VAL Huppertz","year":"2018","unstructured":"Huppertz VAL, Halfens RJG, van Helvoort A, de Groot L, Baijens LWJ, Schols J. Association between Oropharyngeal dysphagia and malnutrition in Dutch nursing home residents: results of the National Prevalence Measurement of quality of care. J Nutr Health Aging. 2018;22(10):1246\u201352.","journal-title":"J Nutr Health Aging"},{"issue":"5","key":"2080_CR25","doi-asserted-by":"publisher","first-page":"780","DOI":"10.1111\/j.1532-5415.2007.01156.x","volume":"55","author":"SK Inouye","year":"2007","unstructured":"Inouye SK, Studenski S, Tinetti ME, Kuchel GA. Geriatric syndromes: clinical, research, and policy implications of a core geriatric concept. J Am Geriatr Soc. 2007;55(5):780\u201391.","journal-title":"J Am Geriatr Soc"},{"issue":"17","key":"2080_CR26","doi-asserted-by":"publisher","first-page":"1348","DOI":"10.1001\/jama.1995.03520410042024","volume":"273","author":"ME Tinetti","year":"1995","unstructured":"Tinetti ME, Inouye SK, Gill TM, Doucette JT. Shared risk factors for falls, incontinence, and functional dependence. Unifying the approach to geriatric syndromes. JAMA. 1995;273(17):1348\u201353.","journal-title":"JAMA"},{"issue":"1","key":"2080_CR27","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1111\/j.1445-5994.2007.01398.x","volume":"38","author":"M Anpalahan","year":"2008","unstructured":"Anpalahan M, Gibson SJ. Geriatric syndromes as predictors of adverse outcomes of hospitalization. Intern Med J. 2008;38(1):16\u201323.","journal-title":"Intern Med J"},{"issue":"11","key":"2080_CR28","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0026951","volume":"6","author":"BM Buurman","year":"2011","unstructured":"Buurman BM, Hoogerduijn JG, de Haan RJ, Abu-Hanna A, Lagaay AM, Verhaar HJ, Schuurmans MJ, Levi M, de Rooij SE. Geriatric conditions in acutely hospitalized older patients: prevalence and one-year survival and functional decline. PLoS One. 2011;6(11):e26951.","journal-title":"PLoS One"},{"issue":"3","key":"2080_CR29","doi-asserted-by":"publisher","first-page":"511","DOI":"10.1111\/j.1532-5415.2008.02150.x","volume":"57","author":"PG Lee","year":"2009","unstructured":"Lee PG, Cigolle C, Blaum C. The co-occurrence of chronic diseases and geriatric syndromes: the health and retirement study. J Am Geriatr Soc. 2009;57(3):511\u20136.","journal-title":"J Am Geriatr Soc"},{"issue":"2","key":"2080_CR30","doi-asserted-by":"publisher","first-page":"104","DOI":"10.1016\/j.jamda.2015.08.016","volume":"17","author":"L Brett","year":"2016","unstructured":"Brett L, Traynor V, Stapley P. Effects of physical exercise on health and well-being of individuals living with a dementia in nursing homes: a systematic review. J Am Med Dir Assoc. 2016;17(2):104\u201316.","journal-title":"J Am Med Dir Assoc"},{"issue":"6","key":"2080_CR31","doi-asserted-by":"publisher","first-page":"571","DOI":"10.1159\/000443611","volume":"62","author":"K Fr\u00e4ndin","year":"2016","unstructured":"Fr\u00e4ndin K, Gr\u00f6nstedt H, Helbostad JL, Bergland A, Andresen M, Puggaard L, Harms-Ringdahl K, Granbo R, Hellstr\u00f6m K. Long-term effects of individually tailored physical training and activity on physical function, well-being and cognition in Scandinavian nursing home residents: a randomized controlled trial. Gerontology. 2016;62(6):571\u201380.","journal-title":"Gerontology"},{"key":"2080_CR32","doi-asserted-by":"publisher","first-page":"369","DOI":"10.2147\/CIA.S53931","volume":"9","author":"J Hewitt","year":"2014","unstructured":"Hewitt J, Refshauge KM, Goodall S, Henwood T, Clemson L. Does progressive resistance and balance exercise reduce falls in residential aged care? Randomized controlled trial protocol for the SUNBEAM program. Clin Interv Aging. 2014;9:369\u201376.","journal-title":"Clin Interv Aging"},{"issue":"4","key":"2080_CR33","doi-asserted-by":"publisher","first-page":"778","DOI":"10.1016\/j.pmn.2013.08.003","volume":"15","author":"MM Tse","year":"2014","unstructured":"Tse MM, Tang SK, Wan VT, Vong SK. The effectiveness of physical exercise training in pain, mobility, and psychological well-being of older persons living in nursing homes. Pain Manag Nurs. 2014;15(4):778\u201388.","journal-title":"Pain Manag Nurs"},{"key":"2080_CR34","unstructured":"The Central Committee on Research Involving Human Subjects (CCMO). https:\/\/english.ccmo.nl\/investigators\/legal-framework-for-medical-scientific-research\/your-research-is-it-subject-to-the-wmo-or-not. Accessed 13 Oct 2020."}],"container-title":["BMC Geriatrics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12877-021-02080-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s12877-021-02080-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12877-021-02080-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,22]],"date-time":"2023-10-22T02:40:56Z","timestamp":1697942456000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcgeriatr.biomedcentral.com\/articles\/10.1186\/s12877-021-02080-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,1]]},"references-count":34,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["2080"],"URL":"https:\/\/doi.org\/10.1186\/s12877-021-02080-6","relation":{},"ISSN":["1471-2318"],"issn-type":[{"value":"1471-2318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3,1]]},"assertion":[{"value":"27 October 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 February 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 March 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This study was conducted according to the principles of the Declaration of Helsinki (World Medical Association, 2000) and in accordance to the Medical Research Involving Human Subjects Act (WMO). Research is subject to the WMO if the following criteria are met: It concerns medical scientific research and participants are subject to procedures or are required to follow rules of behaviour [\n                      \n                      ]. Therefore, research with online questionnaires filled out by healthcare providers does not require approval of an ethics review board in the Netherlands, and the study protocol was not examined in an ethics committee. All study data were handled confidentially and in accordance with the Personal Data Protection Act. All participants gave their informed consent.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"150"}}