Clinical Assessment And Treatment Preferences of Physiotherapists Working in Neurorehabilitation: A Research From Turkey

Rehabilitation is a part of health services performed in many diseases and specific areas. It has four stages, and these are prevention, enhancement, treatment and protection. The main purpose of rehabilitation programs is independence in activities. It is to increase the quality of life and social adaptation of the patient by protecting the patient, minimizing pain and disability, and improving the ability to adapt to changing conditions. Neurological problems are one of the areas that often need rehabilitation. Millions of people worldwide are affected by neurodegenerative problems. According to the data shared by the World Health Organization (WHO), many of the neurological disorders are chronic and progressive, creating a global picture. Neurological problems negatively affect the health of the individual in many ways. To improve the physical and emotional functions, quality of life and social participation levels of individuals with neurological disease, it is necessary to know the limitations they experience due to neurological disease very well. The causes of neurological problems can vary from person to person and from problem to problem. These causes may include genetic disorders, congenital abnormalities or disorders, infections, lifestyle, or environmental health issues, including malnutrition, brain injury, spinal cord injury, nerve injury [8,9]. In addition, the neurological problem may begin in another system that interacts with the nervous system. For example, stroke (cerebrovascular accident), includes brain damage caused by problems with the blood vessels that feed the brain (cardiovascular system); autoimmune disorders, caused by the body's own immune system includes damage. Neurological diseases bring with them secondary problems besides primary problems. These secondary problems and deformities negatively affecting function, productivity and participation, which are essential components of their activities, restricts the independence of the individual. Pertaining to the motor and sensory systems seen in neurological diseases. The problems are often accompanied by cognitive, behavioural, sensory, communication and perception disorders. is seen. It is known that participation in daily life activities is one of the elements that increase the creativity of individuals, improve their skills and enable them to integrate into social life .By identifying the limitations experienced by individuals due to neurological disease. Improving their quality of life and social participation levels is the most basic of rehabilitation is the target. The most common neurological diseases are stroke, Multiple Sclerosis and Parkinson's. Neurorehabilitation is a process that aims to improve the quality of life by minimizing the functional disorders caused by the motor and sensory effects of the problems in the nervous system. A detailed and accurate evaluation and an effective treatment program are required for successful neurorehabilitation.There is no common perspective on evaluation and treatment methods used in the field of neurorehabilitation.The purpose of this study is to establish a standard perspective by determining the most preferred evaluation and treatment methods by physiotherapists working in the field of neurorehabilitation in our country. This perspective will help to establish a common understanding in the field of neurorehabilitation and to have knowledge of the different methods used by all physiotherapists working in this field. In this way, the treatment process of the patients will become more effective, and the results obtained from the treatment will be reflected positively. This study will be a resource showing the evaluation methods and preferences of physiotherapists working in the field of neuro rehabilitation in Turkey.

Inclusion criteria

• Having at least 3 years of patient follow-up experience in the field of neurorehabilitation
• Men and women of all age groups who are in the active working process physiotherapists
• Being a volunteer
• Speaks and understands the Turkish language (for foreign nationals)

Exclusion criteria

• Respondents who did not or incompletely answered parts of the survey