Rehabilitation and dosing practice for individuals with cerebral palsy in Indonesia: a survey of physiotherapists and occupational therapists.

IF 2.2 4区医学 Q1 REHABILITATION

Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-04-16 DOI:10.1080/09638288.2026.2647439

Suci Anatasia Nazier, Elizabeth Maus, Sara Tafone, Satria Ardianuari, Jill Heathcock

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引用次数: 0

Abstract

Purpose: Although rehabilitation is vital for cerebral palsy (CP), in Indonesia, where the prevalence is high, practices are understudied. This study aimed to describe rehabilitation practice, explore perceptions of service delivery, and examine how dosage correlated with perceptions to inform strategies.

Methods: A total of 233 Indonesian therapists (83% physiotherapists; 17% occupational therapists) completed an anonymous online survey between February and April 2025. Survey developed from existing literature and validated through expert review. The survey captured dosage and perceptions of service-related factors (Likert scale). Data were analyzed using descriptive statistics and correlations.

Results: Therapists reported using both recommended evidence-based practices (e.g., mobility training) and non‑recommended practices (e.g., neurodevelopmental therapy). Rehabilitation typically lasted 30-45 min, 1-2 times/week, with limited agreement on strong evidence-based practice (EBP) exposure, adequate workforce, and families' financial readiness. Therapy time correlated with positive perceptions of EBP exposure (p < 0.001, r = 0.305), skill set (p = 0.001, r = 0.244), infrastructure (p = 0.001, r = 0.239), and workforce (p = 0.002, r = 0.231). Moreover, institutional support for training showed the strongest association with greater EBP exposure (p < 0.001, r = 0.700).

Conclusion: In Indonesia, rehabilitation practice stays below recommended dosages, mirroring trends elsewhere. Barriers include families' financial constraints, limited workforce, and insufficient exposure to EBP. Institutional support for training is vital for improving therapy and EBP adoption. Increasing the therapist workforce through new programs could enhance the delivery of CP services.

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印度尼西亚脑瘫患者的康复和给药实践：对物理治疗师和职业治疗师的调查。

目的：尽管康复对脑瘫（CP）至关重要，但在发病率高的印度尼西亚，康复实践尚未得到充分研究。本研究旨在描述康复实践，探索服务提供的感知，并检查剂量如何与感知相关，以告知策略。方法：在2025年2月至4月期间，共有233名印度尼西亚治疗师（83%物理治疗师，17%职业治疗师）完成了一项匿名在线调查。调查从现有文献发展，并通过专家评审验证。调查捕获剂量和感知服务相关因素（李克特量表）。使用描述性统计和相关性分析数据。结果：治疗师报告使用推荐的循证实践（例如，活动能力训练）和非推荐的实践（例如，神经发育治疗）。康复通常持续30-45分钟，每周1-2次，在强循证实践（EBP）暴露、充足的劳动力和家庭经济准备方面的共识有限。治疗时间与EBP暴露（p = 0.305）、技能组合（p = 0.001, r = 0.244）、基础设施（p = 0.001, r = 0.239）和劳动力（p = 0.002, r = 0.231）的积极感知相关。此外，机构对培训的支持与更多的EBP暴露表现出最强的关联（p r = 0.700）。结论：在印度尼西亚，康复实践低于推荐剂量，反映了其他地方的趋势。障碍包括家庭经济拮据、有限的劳动力和对EBP的接触不足。机构对培训的支持对于改善治疗和EBP的采用至关重要。通过新项目增加治疗师队伍可以提高CP服务的提供。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Disability and Rehabilitation 医学-康复医学

CiteScore

5.00

自引率

9.10%

发文量

415

审稿时长

3-6 weeks

期刊介绍： Disability and Rehabilitation along with Disability and Rehabilitation: Assistive Technology are international multidisciplinary journals which seek to encourage a better understanding of all aspects of disability and to promote rehabilitation science, practice and policy aspects of the rehabilitation process.