Survey of exercise therapy in medical rehabilitation
Research award for the project BewegtheReha
Congratulations! Based on the research work in the “BewegtheReha” project, Dr. Wolfgang Geidl and Judith Wais (University of Tübingen) have been awarded the Reha Research Prize of the German Society for Orthopaedics and Trauma Surgery (DGOU). The prize is endowed with 5,000 euros.
The award-winning work analyses the status quo of exercise therapy in medical rehabilitation with a focus on the promotion of physical activity. The inventory at the facility and actor level provides the basis for a systematic improvement in the concept and process quality of evidence-based and sustainable exercise therapy.
© T. Heinlein-Müller / DGOU
Geidl, W., Deprins, J., Streber, R., Rohrbach, N., Sudeck, G., Pfeifer, K. (2018). Exercise therapy in medical rehabilitation: study protocol of a national survey at facility and practitioner level with a mixed method design. Contemporary Clinical Trials Communication. 11, 37-45. DOI: https://doi.org/10.1016/j.conctc.2018.05.004
Deprins, J., Geidl, W., Streber, R., Pfeifer, K., Sudeck, G. (2019). Konzeptionelle Grundlagen der Bewegungstherapie in der medizinischen Rehabilitation: Ergebnisse einer bundesweiten Bestandsaufnahme [Conceptual basis of exercise therapy in medical rehabilitation: results of a national survey in Germany]. Die Rehabilitation. German. Epub ahead of print; DOI: https://doi.org/10.1055/s-0043-121808
Geidl, W., Fangman, C., Deprins, J., Pfeifer, K., Sudeck, G. (2018). Inhalte und Methoden der Bewegungsförderung in der Bewegungstherapie: Die Sichtweisen bewegungstherapeutischer Akteure in der medizinischen Rehabilitation. Bewegungstherapie und Gesundheitssport [Promoting physical activity in exercise therapy: therapists´ perspectives on related contents and methods in medical rehabilitation]. Bewegungstherapie und Gesundheitssport. 34(4), 162-167. German. DOI: https://doi.org/10.1055/a-0641-8239
Sudeck, G., Geidl, W., Deprins, J., Pfeifer, K. (2019). The role of physical activity promotion in typical exercise therapy concepts: A latent class analysis based on a national survey in German medical rehabilitation. Disability and Rehabilitation. Epub ahead of print; DOI: https://doi.org/10.1080/09638288.2019.1608322
Geidl, W., Deprins, J., Streber, R., Cassar, S., Portenlänger, F., Sudeck, G., Pfeifer, K. (2019). Exercise therapy and physical activity promotion: Do exercise therapists assess or receive information on clients´ relevant personal factors? A national survey from Germany. European Journal of Physiotherapy. Epub ahead of print; DOI: https://doi.org/10.1080/21679169.2019.1617776
Geidl, W., Deprins, J., Fangmann, C., Demisse, E. , Pfeifer, K., Sudeck, G. (accepted). Physical activity promotion in daily exercise therapy: The perspectives of exercise therapists in German rehabilitation settings. BMC Sport Science, Medicine and Rehabilitation. Pre-print available: https://www.researchsquare.com/article/f405da61-18b5-48f5-b5d0-e28a2c7c0c0b/v1
Deprins, J., Geidl, W., Rohrbach, N., Sudeck, G., Pfeifer, K. (in Revision). Exercise therapy teamwork in medical rehabilitation: Results of a survey in Germany using mixed methods design.
Although exercise therapy is the most comprehensive treatment element within the rehabilitation of chronic diseases, comparatively little knowledge is available as to how exercise therapy is actually implemented in German rehabilitation practice. The aim of the research project “BewegtheReha” is to determine the status quo of exercise therapy care. For the first time, a comprehensive inventory of the current status of exercise therapy in Germany will be carried out within the project.
What has happened so far?
In a first step, a questionnaire on exercise therapy concepts and process characteristics was developed in project phase I for the nationwide inventory in the research team. This questionnaire was first tested with regard to comprehensibility, completeness and acceptance by persons working in the field of exercise therapy and members of the expert committee (DGRW-AG exercise therapy).
The questionnaire, which was addressed to leading persons of the exercise therapy, was sent from May 2015 onwards to 1558 specialist departments of 1146 rehabilitation facilities on the basis of a coding list via the DRV Association. The return was anonymous. A total of 700 institutions provided feedback, 552 of which provided information on their exercise therapy departments (48%).
In order to gain an even more detailed insight into exercise therapy care in addition to the survey, 255 leading persons in exercise therapy agreed to be allowed to be contacted subsequently with regard to the provision of existing documents (e.g. therapy concepts, manuals). Accordingly, an average of ten documents were then sent to each institution, comprising around 70 pages per institution.
What’s the next step?
In project phase II, development workshops will take place in spring 2016. Based on the results of Phase I, exercise therapists from selected institutions will be invited to participate in these workshops in order to examine the concepts and process characteristics of exercise therapy in more detail and to take the individual perspectives of the actors directly into account.
from left to right: Dr. Wolfgang Geidl, Judith Deprins, Prof. Dr. Gorden Sudeck, Prof. Dr. Klaus Pfeifer, René Streber
New research project started
Which exercise therapy concepts actually exist in German rehabilitation facilities? What goals are important to exercise therapists? And what content and methods are used to achieve these goals?
Although exercise therapy represents the most comprehensive intervention within the rehabilitation of chronic diseases, comparatively little knowledge is available as to how exercise therapy is actually implemented in German rehabilitation practice. The research project “Exercise therapy in rehabilitation” (BewegTheReha) would like to change this and answer the questions listed at the beginning. The aim of the project is to determine the status quo of exercise therapy care. For this purpose, a comprehensive inventory of the current status of exercise therapy in Germany will be carried out for the first time within the project.
The project, which is funded by the German Pension Insurance Association, is led by Prof. Klaus Pfeifer and Prof. Gorden Sudeck and is carried out in close cooperation with the Physical Exercise Therapy Working Group of the German Society for Rehabilitation Sciences. As a first step, the participating researchers will carry out a nationwide survey of exercise therapy concepts in the spring of 2015 and write to about 1500 rehabilitation institutions. Among other things, this involves the question of which concepts are available in the facilities and how they are designed (e.g. goals, contents, methods, etc.). In addition, in the first phase, quality-relevant process characteristics of exercise therapy will be asked: which assessments will be used; how is exercise therapy organised, etc.? Building on this, concepts and process characteristics of exercise therapy will be examined in more detail in the second project phase in 2016. In phase 2, the individual views of exercise therapists will be considered directly. The topic “attachment to regular physical activity” plays a special role. Among other things, the research team would like to find out which contents and methods are currently used in practice to promote a physically active lifestyle.
The results form the basis for the systematic quality development of exercise therapy in rehabilitation, particularly with regard to the further development and dissemination of evidence-based exercise therapy concepts.
Project manager: Prof. Dr. Klaus Pfeifer
Project staff: Dr. Wolfgang Geidl, René Streber
Cooperation partners: Prof. Dr. Gorden Sudeck, Eberhard Karls Universität Tübingen, Institute for Sports Science
Sponsor: German Pension Insurance Federation (DRV)