A National Profile of Older Physical Therapy Users in France: Results of the 2015 Capacities, Aids, and Resource Representative Survey
Rattachement africain : fr, es. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
OBJECTIVE: Older adults-a highly heterogeneous group with complex health challenges-are often overlooked in the field of physical therapy despite their already important and growing numbers. This study aimed to estimate the use of physical therapy in the older population and compare the characteristics and health profiles of older adults who consult physical therapists with those who do not consult physical therapists. METHODS: Data from the French 2015 Capacities, Aids, and Resources survey, a large-scale survey with representative sampling weights, was used. It includes community-dwelling and institutionalized older adults aged 60 to 109 years. The main outcome measures were diseases (16 components), clinical symptoms (10 components), functional limitations (16 components), and geriatric syndromes (5 components). RESULTS: Among the 12,043 older adults included, 26.5% received treatment from a physical therapist, with 23.9% being 80 years or older. They had worse outcomes across all indicators. Rheumatology disorders (55.9%; OR = 2.26; 95% CI, 1.96-2.60), fatigue (48.3%; OR 1.84; 95% CI, 1.61-2.11), lower limb limitations (58.3%; OR = 2.64; 95% CI, 2.28-3.06), difficulty washing (34.1%; OR = 3.03; 95% CI, 2.54-3.61), difficulty with transportation (52.5%; OR = 2.46; 95% CI, 2.09-2.88), and multimorbidity (68.1%; OR = 2.07; 95% CI, 1.78-2.40), were the most common conditions in disease, symptoms, mobility, basic and instrumental activity limitations, and geriatric syndromes in this population. Several clinical situations were also uncommon but highly related to requiring physical therapeutic care such as having bedsores (OR = 2.67; 95% CI, 1.81-3.97) or Parkinson's disease (OR = 3.08; 95% CI, 2.08-4.55). They also accumulate more deficiencies in a 70-item frailty index than their counterparts in every age group and in every disease subgroup, suggesting a more complex health profile than older adults not requiring physical therapists. CONCLUSION: More than a quarter of older adults consulted a physical therapist. These patients showed complex profiles that simultaneously combine diseases, symptoms, geriatric syndromes, and limitations. IMPACT: These complex profiles and large-scale demographic changes underway are key challenges in the evolution of a profession that has a significant focus on disability.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- A National Profile of Older Physical Therapy Users in France: Results of the 2015 Capacities, Aids, and Resource Representative Survey
- Date Crossref
- 29/03/2025
- Éditeur
- Oxford University Press (OUP)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Inserm pays non établi dans la noticeOrganisme public
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Université Paris Cité Department of Physical Medicine and Rehabilitation pays non établi dans la noticeUniversité ou école supérieure
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Instituto de Salud Carlos III pays non établi dans la noticeOrganisme public
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Centro de Investigación Biomédica en Red de Salud Mental pays non établi dans la noticeStructure de recherche
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Sorbonne Paris Cité pays non établi dans la noticeInstitution
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Assistance Publique – Hôpitaux de Paris pays non établi dans la noticeÉtablissement de santé
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Hôpital Fernand-Widal pays non établi dans la noticeÉtablissement de santé
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Parc Sanitari Sant Joan de Déu pays non établi dans la noticeÉtablissement de santé
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Centre de Recherche Épidémiologie et Statistique pays non établi dans la noticeStructure de recherche
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Université Rennes 2 pays non établi dans la noticeUniversité ou école supérieure
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CIC Rennes pays non établi dans la noticeStructure de recherche
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Centre Hospitalier Universitaire de Rennes pays non établi dans la noticeÉtablissement de santé
Inserm, Department of Physical Medicine and Rehabilitation — Université Paris Cité et Instituto de Salud Carlos III, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.