https://doi.org/10.4081/monaldi.2021.1762
Physiotherapist involvement in the pandemic era: a Lombardy region survey
Submitted: January 5, 2021
Accepted: April 17, 2021
Published: May 4, 2021
Accepted: April 17, 2021
Abstract Views: 1505
PDF: 739
Supplementary: 94
Annex 1: 95
Annex 2: 104
Supplementary: 94
Annex 1: 95
Annex 2: 104
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
In February 2020 the first COVID-19 case was reported in Italy and afterwards the virus started spreading rapidly, increasing dramatically the number of infected subjects. To face the pandemic outbreak, hospitals converted wards to assure COVID-19 patients’ care and adopted measures to reduce virus diffusion. The aim of this study was to determine how many physiotherapists, in the Lombardy region, worked during pandemic, whether they continued their usual practice or were employed in COVID-19 wards and in which tasks they were involved. The survey was submitted online by the national professional order. The response rate was 11.79%. During the pandemic, 648 (53.9%) respondents interrupted their services. Less than 20% of the physiotherapists that continued working were assigned to COVID-19 wards with the role of physiotherapist. Only a small proportion of respondents had advanced skills in respiratory physiotherapy. Moreover, this study showed a limited involvement of physiotherapists inside the very acute and intense settings. In conclusion, this work revealed that, during COVID-19 pandemic, in the Lombardy region a small percentage of physiotherapists was employed in COVID-19 wards, mainly in post-acute context. Even though the response rate of this survey was very low, this study highlights the need to define and underline the role of physiotherapy in acute setting during emergency.
Armocida B, Formenti B, Ussai S, et al. The Italian health system and the COVID-19 challenge. Lancet Public Health 2020;5:e253.
DOI: https://doi.org/10.1016/S2468-2667(20)30074-8
Lazzeri M, Lanza A, Bellini R, et al. Respiratory physiotherapy in patients with COVID-19 infection in acute setting: a Position Paper of the Italian Association of Respiratory Physiotherapists (ARIR). Monaldi Arch Chest Dis 2020;90:1285.
DOI: https://doi.org/10.4081/monaldi.2020.1285
Vitacca M, Lazzeri M, Guffanti E, et al. Italian suggestions for pulmonary rehabilitation in COVID-19 patients recovering from acute respiratory failure: results of a Delphi process. Monaldi Arch Chest Dis 2020;90:1444.
DOI: https://doi.org/10.4081/monaldi.2020.1444
Belli S, Balbi B, Prince I, et al. Low physical functioning and impaired performance of activities of daily life in COVID-19 patients who survived hospitalisation. Eur Respir J 2020;56:2002096.
DOI: https://doi.org/10.1183/13993003.02096-2020
Associazione Italiana Fisioterapisti AIFI, Commissioni di Albo dei Fisioterapisti. [Aggiornamento sulla nota sulla rimodulazione degli interventi fisioterapici nell'emergenza COVID19].[Report in Italian]. Available from: https://aifi.net/wp-content/uploads/2020/04/Aggiornamento-rimodulazione-interventi-FT-CDAFT-AIFI-agg-20-02-2020-Finale.pdf
Associazione Italiana Fisioterapisti AIFI, Commissioni di Albo dei Fisioterapisti. [Nota su DPCM 26 April 2020].[Report in Italian]. Available from: https://aifi.net/wp-content/uploads/2020/04/NOTA-SU-DPCM-26-04-20.pdf
Associazione Italiana Fisioterapisti AIFI, Commissioni di Albo dei Fisioterapisti. [Note sulla rimodulazione degli interventi fisioterapici in relazione all'emergenza COVID19].[Report in Italian]. Available from: https://aifi.net/wp-content/uploads/2020/05/Note-sulla-rimodulazione-degli-interventi-idrokinesiterapici-in-setting-.._.pdf
World Health Organization. Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected: interim guidance, 13 March 2020. Available from: https://apps.who.int/iris/handle/10665/331446
DOI: https://doi.org/10.15557/PiMR.2020.0003
Associazione Italiana Fisioterapisti AIFI, Commissioni di Albo dei Fisioterapisti. [Emergenza sanitaria COVID 19. Suggerimenti operativi per i fisioterapisti].[Report in Italian]. Available from: https://aifi.net/wp-content/uploads/2020/03/suggerimenti-COVID19-per-fisioterapisti-congiunto-AIFI-CDA-OrdiniTSRMPSTRP-10-marzo-2020-def.pdf
Eysenbach G. Improving the quality of Web surveys: the Checklist for Reporting Results of Internet E-Surveys (CHERRIES). J Med Internet Res 2004;6:e34.
DOI: https://doi.org/10.2196/jmir.6.3.e34
Taherdoost H. Determining sample size; How to calculate survey sample size. Int J Econ Manage Syst 2017;2. Available from: https://ssrn.com/abstract=3224205
Baruch Y. Response rate in academic studies-A comparative analysis. Hum Relat 1999;52:421.
DOI: https://doi.org/10.1177/001872679905200401
Gosselink RA, Wagenaar RC, Rijswijk H, et al. Diaphragmatic breathing reduces efficiency of breathing in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 1995;15:1136-42.
DOI: https://doi.org/10.1164/ajrccm.151.4.7697243
Fink JB. Positioning versus postural drainage. Respir Care 2002;47:769-77.
Lannefors L, Wollmer P. Mucus clearance with three chest physiotherapy regimes in cystic fibrosis: a comparison between postural drainage, PEP and physical exercise. Eur Respir J 1992;5:748-53.
Vitacca M, Clini E, Bianchi L, Ambrosino N. Acute effects of deep diaphragmatic breathing in COPD patients with chronic respiratory insufficiency. Eur Respir J 1998;11:408-15.
DOI: https://doi.org/10.1183/09031936.98.11020408
Supporting Agencies
Lombardy region section of the National Professional OrderHow to Cite
Privitera, Emilia, Francesco D’Abrosca, Giuseppe Gaudiello, Marta Lazzeri, Angela Bellofiore, Pamela Frigerio, and Martina Santambrogio. 2021. “Physiotherapist Involvement in the Pandemic Era: A Lombardy Region Survey”. Monaldi Archives for Chest Disease 91 (3). https://doi.org/10.4081/monaldi.2021.1762.
Copyright (c) 2021 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Samuele Baldasseroni, Francesco Orso, Alessandra Pratesi, Alice Foschini, Andrea Giosafat Marella, Nadia Bartoli, Ilaria Bracali, Alessando Antenore, Francesca Tarantini, Costanza Burgisser, Niccolò Marchionni, The complexity of risk stratification in older patient candidate to non-cardiac surgery , Monaldi Archives for Chest Disease: Vol. 78 No. 3 (2012): Cardiac series
- A.L. Kruis, N.H. Chavannes, Potential benefits of integrated COPD management in primary care , Monaldi Archives for Chest Disease: Vol. 73 No. 3 (2010): Pulmonary series
- Roberto F.E. Pedretti, Francesco Fattirolli, Raffaele Griffo, Marco Ambrosetti, Elisabetta Angelino, Silvia Brazzo, Ugo Corrà , Nicolò Dasseni, Pompilio Faggiano, Giuseppe Favretto, Oreste Febo, Marina Ferrari, Francesco Giallauria, Cesare Greco, Manuela Iannucci, Maria Teresa La Rovere, Mario Mallardo, Antonio Mazza, Massimo Piepoli, Carmine Riccio, Simonetta Scalvini, Luigi Tavazzi, Pier Luigi Temporelli, Gian Francesco Mureddu, Cardiac Prevention and Rehabilitation “3.0â€: From acute to chronic phase. Position Paper of the ltalian Association for Cardiovascular Prevention and Rehabilitation (GICR-IACPR) , Monaldi Archives for Chest Disease: Vol. 88 No. 3 (2018)
- F. Novelli, F. Costa, M. Latorre, L. Malagrinò, A. Celi, B. Vagaggini, P. Paggiaro, Tiotropium: a new therapeutic option in asthma , Monaldi Archives for Chest Disease: Vol. 79 No. 3-4 (2013): Pulmonary series
- Roberto Tramarin, Marco Ambrosetti, Stefania De Feo, Massimo Piepoli, Carmine Riccio, Raffaele Griffo, The Italian Survey on Cardiac Rehabilitation - 2008 (ISYDE-2008). Part 3. National availability and organization of cardiac rehabilitation facilities. Official report of the Italian Association for Cardiovascular Prevention, Rehabilitation and Epidemiolog , Monaldi Archives for Chest Disease: Vol. 70 No. 4 (2008): Cardiac series
- Neeta Singla, Amitesh Gupta, U.K. Khalid, Ravindra Kumar Dewan, Rupak Singla, Clinical profile, risk factors, disease severity, and outcome for COVID-19 disease in patients with tuberculosis on treatment under the National Tuberculosis Elimination Program: a cohort of 1400 patients , Monaldi Archives for Chest Disease: Early Access
- Raffaele Griffo, Marco Ambrosetti, Giuseppe Furgi, Roberto Carlon, Carmine Chieffo, Giuseppe Favretto, Oreste Febo, Ugo Corrà , Francesco Fattirolli, Pantaleo Giannuzzi, Cesare Greco, Massimo F. Piepoli, Pier Luigi Temporelli, Roberto Tramarin, Stefano Urbinati, Standards and outcome measures in Cardiovascular Rehabilitation. Position Paper GICR/IACPR , Monaldi Archives for Chest Disease: Vol. 78 No. 4 (2012): Cardiac series
- H. Sumikawa, T. Johkoh, N. Tomiyama, S. Hamada, M. Koyama, M. Tsubamoto, S. Murai, A. Inoue, H. Nakamura, T. Tachibana, N.L. Müller, Pulmonary Alveolar Microlithiasis: CT and pathologic findings in 10 patients , Monaldi Archives for Chest Disease: Vol. 63 No. 1 (2005): Pulmonary series
- Sergio C. Conte, Giulia Spagnol, Marco Confalonieri, Beatrice Brizi, Deep sedation versus minimal sedation during endobronchial ultrasound transbronchial needle aspiration , Monaldi Archives for Chest Disease: Vol. 88 No. 3 (2018)
- Gianfranco Beghi, Antonio De Tanti, Paolo Serafini, Chiara Bertolino, Antonietta Celentano, Graziella Taormina, Monitoring of hospital acquired pneumonia in patients with severe brain injury on first access to intensive neurological rehabilitation: First year of observation , Monaldi Archives for Chest Disease: Vol. 88 No. 1 (2018)
<< < 1 2 3 4 5 6 7 8 9 10 > >>
You may also start an advanced similarity search for this article.
