A Review of Emerging Tools and Techniques in Physiotherapy

Abstract

Objective: To test families’ perceptions of physical therapy provided to loved ones in a vegetative or minimally conscious state. Methods: Secondary thematic analysis of 65 in-depth narrative interviews with family members of those in a vegetative or minimally conscious state. Results: Families value physical therapy in six aspects: “Caring for people”, “Maximizing comfort”, “Helping to maintain health/life”, and “Creating conditions”. Favorable conditions for progress”, “Identify or stimulate perception” and “Indicate potential recovery significance”. They may have high expectations of what physical therapy can bring, but at times expressed concern about the possibility that physical therapy could cause pain or suffering, or even become a form of trauma. torture mode if they believe there is no hope of a “meaningful” recovery. Conclusion: Physiotherapists can make an important contribution to supporting this group of patients and their families, but it is important to realize that families’ understanding of physical therapy may differ. significantly different from the understanding of physiotherapists. Both giving and withdrawing physical therapy is highly symbolic and can (unintentionally) send a message to people about the current and future condition of their loved one. True two-way dialogue between practitioner and family about the goals of physical therapy intervention, potential outcomes, and patient best interests is essential to providing good service, establishing rapport positive system, and appropriate treatment.