Perception Of Physiotherapy Research Articles

Athletes’ Expectations About Physiotherapy in Sports Injury Rehabilitation: A Literature Review of Qualitative Studies

Within the sports injury team, physiotherapists play a vital role in sports injury rehabilitation. An effective athlete-physiotherapist relationship is essential for proper treatment and achieving athletes' injury rehabilitation objectives. As a result, one of the most important considerations in designing a sports injury rehabilitation programe is to address players' expectations. The goal of this study was to investigate players' perceptions of physiotherapy in sports injury rehabilitation. Medline/PubMed, Scopus, Google Scholar, PEDro and Cochrane Library databases were electronically searched using Boolean operators and MeSH key heading to include the pertinent articles for the last 15 years .This review included 3 high quality articles identifying athletes expectations about physiotherapy in sports injury rehabilitation and need for strong athlete-physiotherapy relationship for effective treatment and return to play.

Fisioterapia em obstetrícia pelos olhos das gestantes: um estudo qualitativo

Abstract Introduction: Physiotherapy in women's health emerged with the aim of promoting and maintaining physical and emotional health from the beginning to the end of pregnancy, through preventive measures against possible injuries that may occur during pregnancy, childbirth and the postpartum. Access to knowledge about obstetric physiotherapy among pregnant women is increasing, which may contribute to a search for trained professionals. Objective: To analyze the perception of pregnant women about obstetric physiotherapy. Methods: This is a qualitative study carried out at the Materno Infantil Center, in Capanema, Parana state (PR), using a semistructured interview. Content analysis used the Bardin method to categorize the thematic axes. Results: Seven pregnant women aged between 18-24 years (57%), 23-32 weeks of gestation (42%), multiparous (71%), with secondary education (42%) and income between 1-3 monthly minimum wages (86 %) were included in the study. It was found that participants’ perception of physiotherapy was inaccurate, because none of the women had accessed this treatment. The women stated that physiotherapists reduce labor pain, but they have no knowledge of how these professionals work in the postpartum. Conclusion: It is concluded that it is necessary to increase information on the contribution of physiotherapists during prenatal care, delivery and postpartum.

Provision and Perception of Physiotherapy in the Nonoperative Management of Degenerative Cervical Myelopathy (DCM): A Cross-Sectional Questionnaire of People Living With DCM

Study Design:Cross-sectional survey.Objectives:Degenerative cervical myelopathy (DCM) is a common syndrome of acquired spinal cord impairment caused by canal stenosis secondary to arthritic changes of the spine. International guidelines consider physiotherapy an option for mild, stable DCM; however, few studies have been conducted on nonoperative management. The objective was to determine current usage and perceptions of nonoperative physiotherapy for DCM.Methods:Persons with DCM were recruited to a web-based survey. Participants with complete responses that had not received surgery were included (n = 167). Variables included symptom duration, treatment history, current disability, and demographic characteristics.Results:Disease and demographic characteristics were equivalent between those who did and did not receive physiotherapy. In all, 19.5% of physiotherapy recipients reported subjective benefit from physiotherapy. Those perceiving benefit had significantly higher mJOA (modified Japanese Orthopaedic Association) scores, lower neck pain scores, and shorter symptom duration. In multivariate logistic regression analysis, those with mild DCM were more likely to perceive benefit than those with severe DCM, as were those with moderate DCM (to a lesser extent). Individuals whose diagnosis was delayed 1 to 2 years were less likely to perceive benefit than those that waited 0 to 6 months.Conclusions:The provision of nonoperative physiotherapy in the management of DCM is inconsistent and appears to differ from international guidelines. Few patients perceived benefit from physiotherapy; however, this was more likely in those with mild DCM and in those with shorter symptom durations. Further work is needed to establish the appropriate role of physiotherapy for this population.

Knowledge and Perception of Physiotherapy among Clinical Students in Various Health Care Disciplines of a Nigerian College of Medicine and Health Sciences

Knowledge and Perception of Physiotherapy among Clinical Students in Various Health Care Disciplines of a Nigerian College of Medicine and Health Sciences

Knowledge, attitude, and perception about antenatal physiotherapy among pregnant women in Ahmedabad

Background: Antenatal physiotherapy plays a key role in the health of the fetus and the pregnant woman. Awareness regarding the same is very important to motivate women to attend antenatal classes. Objectives: The aim of this study is to assess the knowledge of antenatal physiotherapy as well as an insight into the attitude and perception of the same among pregnant women of Ahmedabad. Materials and Methods: A descriptive cross-sectional study was conducted in a semi-government hospital. A total of 100 pregnant women, in any trimester were approached with a self-administered multiple choice questionnaire. Questions regarding their knowledge, attitude, and perception regarding antenatal physiotherapy were asked. Descriptive analysis of data obtained was done. Results: Knowledge regarding antenatal exercises was fairly low. A large number of subject population (91%, n = 91) was aware of the role of physiotherapy in general health and well-being. A sufficient number of subjects (59%, n = 59) were informed regarding the uses of physiotherapy in backache. However, only 2% of the population was familiar with the role of pelvic floor muscle strengthening in urinary incontinence. The attitude of the patients toward antenatal physiotherapy was favorable (72%, n = 72), whereas the attitude toward postnatal physiotherapy was comparatively less favorable (39%, n = 39). The perception of physiotherapy was restricted to exercises (88%, n = 88), massage (63%, n = 63), and hot water fomentation (18%, n = 18). Conclusion: Knowledge and perception regarding antenatal physiotherapy were fairly low, but the attitude of the patients was favorable.

Perceptions of physiotherapy as a possible career choice among prospective university students in Nigeria.

ObjectivesThis study was carried out to determine the preferences of students in selecting physiotherapy as a career choice and the factors that play key roles in their selection.MethodsA cross-sectional study involving 297 subjects ranging from 14 to 21 years of age was conducted among prospective university students. They were recruited from seven secondary schools in selected local government areas of Lagos state using a purposive sampling technique. A 14-item questionnaire, comparing physiotherapy to 11 selected occupations on six dimensions, that is, level of physical stress, salary, usefulness to society, responsibility, social status, and personal recognition as well as investigating factors considered important in selecting a career, was adapted from relevant literature. The data was analysed using mean, standard deviation, and Kendall's coefficient of concordance.Results and discussionThe responses of 184 males (62.0%) and 113 females (38.0%) were used in the data analysis of this study. Physiotherapy was ranked fourth in terms of level of physical stress, third in terms of salary, fifth in terms of usefulness, fourth in terms of responsibility, fourth in terms of social status, and fourth in terms of personal recognition. Overall, physiotherapy was rated as the fourth-most preferred occupation. Prospective university students perceived physiotherapy as having a high level of occupational prestige, rating it fourth after medicine, engineering, and law.ConclusionsThe profession of physiotherapy is held in high esteem and is seen as a desirable career choice among Nigerian high school students.

Subacromial impingement syndrome – what does this mean to and for the patient: a qualitative study

Abstract Background Structured exercise has been reported as the current treatment of choice for patients diagnosed with subacromial impingement syndrome (SIS). However, it has been suggested that this diagnostic term and the language used to explain this condition might negatively influence patient expectations and serve as a barrier to engagement with exercise, hence compromising clinical outcomes. Aim To explore how patients rationalise their shoulder pain following a diagnosis of SIS and how this understanding might impact on their perception of physiotherapy and engagement with exercise. Design A qualitative study using semi-structured interviews and analysed using the Framework method. Setting One NHS Physiotherapy department in South Yorkshire, England. Participants Nine patients diagnosed with SIS were purposively sampled from those referred to the outpatient physiotherapy department by the orthopaedic team (consultant surgeons and registrars). Results Three main themes were generated: (1) The diagnostic experience, (2) Understanding of the problem, (3) Expectation of the treatment required; with one subtheme: (3b) Barriers to engagement with physiotherapy. Conclusion The findings from this study suggest that diagnosis of shoulder pain remains grounded in a biomedical model. Understanding and explaining pain using the subacromial impingement model seems acceptable to patients but might have significant implications for engagement with and success of physiotherapy. It is suggested that clinicians should be mindful of the terminology they use and consider its impact on the patient's treatment pathway with the aim of doing no harm with the language used.

Subacromial impingement syndrome – What does this mean to and for the patient? A qualitative study

BackgroundStructured exercise has been reported as the current treatment of choice for patients diagnosed with subacromial impingement syndrome (SIS). However, it has been suggested that this diagnostic term and the language used to explain this condition might negatively influence patient expectations and serve as a barrier to engagement with exercise, hence compromising clinical outcomes. AimTo explore how patients rationalise their shoulder pain following a diagnosis of SIS and how this understanding might impact on their perception of physiotherapy and engagement with exercise. DesignA qualitative study using semi-structured interviews and analysed using the Framework method. SettingOne NHS Physiotherapy department in South Yorkshire, England. ParticipantsNine patients diagnosed with SIS were purposively sampled from those referred to the outpatient physiotherapy department by the orthopaedic team (consultant surgeons and registrars). ResultsThree main themes were generated: (1) The diagnostic experience, (2) Understanding of the problem, (3) Expectation of the treatment required; with one subtheme: (3b) Barriers to engagement with physiotherapy. ConclusionThe findings from this study suggest that diagnosis of shoulder pain remains grounded in a biomedical model. Understanding and explaining pain using the subacromial impingement model seems acceptable to patients but might have significant implications for engagement with and success of physiotherapy. It is suggested that clinicians should be mindful of the terminology they use and consider its impact on the patient's treatment pathway with the aim of doing no harm with the language used.

Women’s perceptions of post-operative physiotherapy management at an obstetric fistula center in Eldoret, Kenya

Background: Residual Urinary incontinence persists even after successful closure of obstetric fistula that affects women following prolonged obstructed labour. Their ill health relates to reduced physical and functional activity’s to large extend of social exclusion and discrimination. Post-operative physiotherapy plays a vital role in the functional restoration of continence mechanism in order to optimise the outcome of obstetric fistula surgery. If not, this can continue to impair them leading to lower levels of role participation and restriction. Incontinence can, however, be effectively managed if women’s perceptions of physiotherapy and role of post-operative physiotherapy managements understood.Objective: To exploring women perceptions of post-operative physiotherapy management at an obstetric fistula Centre at Eldoret in Kenya.Design: An exploratory design was used to answer research questions.Settings: Gynocare Fistula Center and Maternity Home.Subjects: Thirty-two women agreed to participant in the study. Ten were interviewed and 22 participated in to 3 separate focus group discussions.Results: Lack of interdisciplinary team and patient awareness and understanding of physiotherapy management of their conditions.Conclusion: Participants’ perceptions were reported to have been interfered with by the failure of initial physiotherapy referral amongst the interdisciplinary team and lack of women understanding of the role of physiotherapy management. There is need for knowledge and awareness of physiotherapy services among patients and healthcare providers.

Parents' Perceptions of Primary Health Care Physiotherapy With Preterm Infants: Normalization, Clarity, and Trust.

Having a preterm infant is a life-altering event for parents. The use of interventions intended to support the parents is recommended. In this study, we investigated how parents' perceptions of physiotherapy in primary health care influenced their adaptation to caring for a preterm child. We conducted 17 interviews involving parents of seven infants, at infants' corrected age (CA) 3, 6, and 12 months. The analysis was a systematic text condensation, connecting to theory of participatory sense-making. The parents described a progression toward a new normalcy in the setting of persistent uncertainty. Physiotherapists can ameliorate this uncertainty and support the parents' progression toward normalization, by providing knowledge and acknowledging both the child as subject and the parent-child relationship. Via embodied interaction and the exploration of their child's capacity, the parents learn about their children's individuality and gain the confidence necessary to support and care for their children in everyday life.

Physiotherapy for vegetative and minimally conscious state patients: family perceptions and experiences

Purpose: To examine family perceptions of physiotherapy provided to relatives in vegetative or minimally conscious states. Method: Secondary thematic analysis of 65 in-depth narrative interviews with family members of people in vegetative or minimally conscious states. Results: Families place great significance on physiotherapy in relation to six dimensions: “Caring for the person”, “Maximising comfort”, “Helping maintain health/life”, “Facilitating progress”, “Identifying or stimulating consciousness” and “Indicating potential for meaningful recovery”. They can have high expectations of what physiotherapy may deliver but also, at times, express concerns about physiotherapy’s potential to cause pain or distress, or even constitute a form of torture if they believe there is no hope for “meaningful” recovery. Conclusion: Physiotherapists can make an important contribution to supporting this patient group and their families but it is vital to recognise that family understandings of physiotherapy may differ significantly from those of physiotherapists. Both the delivery and the withdrawal of physiotherapy is highly symbolic and can convey (inadvertent) messages to people about their relative’s current and future state. A genuine two-way dialogue between practitioners and families about the aims of physiotherapeutic interventions, potential outcomes and patients’ best interests is critical to providing a good service and establishing positive relationships and appropriate treatment.Implications for RehabilitationFamilies of people in PVS or MCS consider physiotherapy as a vital part of good care. Clear communication is critical if therapeutic input is withdrawn or reduced.The purpose of physiotherapy interventions can be misinterpreted by family members. Physiotherapists need to clarify what physiotherapy can, and cannot, achieve.Families can find some interventions distressing to witness – explaining to families what interventions involve, what they can expect to see (and hear) may be helpful.Physiotherapists and families can attribute different meanings to physiotherapy. Physiotherapists need to identify how families view interventions and modify their explanations accordingly to enhance information sharing.

Perception of physiotherapy amongst health care professionals in Papua New Guinea

Perception of physiotherapy amongst health care professionals in Papua New Guinea

Users' experiences of physiotherapy treatment in a semi-urban public hospital in Kenya

Physiotherapy practice in Africa faces a number of challenges, one of which is the limited number of therapists in most public hospitals. In Africa, physiotherapy is still mainly institution based with very little community-based practice, leading to lack of access to services for a large part of the population. This study explores users' perceptions of physiotherapy, challenges faced by users, possible options for management, and determines whether current physiotherapy practice in a rural Kilifi District general hospital in Kenya facilitates future self-management of chronic conditions. Eight in-depth interviews, 3 focus groups discussions and 4 participant observations were conducted for data collection. All interviews and focus group discussions were recorded using a digital recorder, transcribed into the Swahili language and then translated into English. The transcriptions were imported to NVivo 9 (www.qsrinternational.com) for management and storage. Inductive data analysis was used to generate themes from the rich-text data of the transcriptions. Many of the users perceived physiotherapy as being effective. Challenges included distance from health facilities, negative experiences with some therapists, and lack of staff and equipment. Rehabilitation options included community- and home-based programs fostering self-management of chronic conditions. Current hospital practice lacks emphasis on self-management skills for patients with chronic conditions who can do their physiotherapy at home. Users' experiences of physiotherapy treatment in this rural hospital indicate that a host of challenges exist. In the face of these challenges, the needs of the users seemed to be compromised, especially those with chronic conditions<b><i>. </i></b>Rehabilitation services that are accessible and affordable would be better options in rural and low-resource settings. There is therefore need for community-based services that place emphasis on self-management of chronic conditions for fostering better health outcomes in rural communities.

190 Patient perceptions of physiotherapy and the role of airway clearance techniques within an adult cystic fibrosis clinic

Introduction: Nowadays modern physiotherapy has proven to be an effective approach to Cystic Fibrosis treatment although many patients still had a tendency to continue with conventional therapies. Objective: To describe which method of the Airway Clearance Techniques (ACT) patients perform and to know if they had incorporated exercise as a part of their treatment. Methods: Cross sectional, observational study. Data of physiotherapy techniques (ACT, exercise and Inhaled Therapy) were collected. Results: There were 110 patients attended in our clinic. From these, 101 patients (92%) perform some kind of ACT. 30 (27.2%) perform MPD /C (Modified Postural Drainage and Chest Compression), 29 (26.3%) prefer PD/Pc (postural drainage and percussion), 36 (32.7%) ACBT (active cycle of breathing technique) and 12 (10.9%) PEP (Positive Expiratory Pressure) and Osc. PEP (Oscillating Positive Expiratory Pressure) with other techniques. Only 39 patients (35.4%) were daily assisted by a physiotherapist. 88 patients were able to perform exercise according to their age, although 70 (79.5%) usually do. Related to inhaled therapy, 84 of 110 patients (76.3%) use DNase and 42 (38.1%) Hypertonic Saline. Conclusions: Although many patients still prefer PD/ Pc, a considerable number of them had incorporated modern physiotherapy. A great number of patients had understood the importance of an active life and they perform some type of sport or exercise according to the child’s age and abilities.

Injury profile of musicians in the Bloemfontein-based Free State symphony orchestra: a short report

Similar to professional athletes, musicians are required to perform optimally. Few studies have been conducted to clarify the nature of injuries associated with musicians. This study aimed to determine the types of injuries and their prevalence amongst the musicians of the Free State Symphony orchestra (FSSo), contributing factors, the musicians’ response to injury, and their perception of physiotherapy. Forty-five members of the FSSO participated in this descriptive study. Analysis of data included frequencies and percentages for categorical data and percentiles for continuous data. Thirty-eight (84.4%) participants reported injuries related to playing their instruments. Insufficient resting periods during playing sessions (70.3%), continuing to play while experiencing symptoms (63.2%) and performing the same movement repetitively (64.9%) were identified as the perceived risk factors in the development of symptoms. Seventeen (44.7%) participants indicated that they did nothing to relieve their symptoms, while 34.2% sought physiotherapy treatment, 31.6% took medication to alleviate their symptoms and 31.6% reduced their playing hours. Majority of participants (75%) felt that their symptoms could be relieved by physiotherapy. Injuries amongst musicians result from a combination of factors such as posture, repetitive movements and fatigue. Possible physiotherapeutic intervention identified included educating musicians on the advantages of early management of injuries in extending their professional careers.

Comparison of the Knowledge and Perception of Physiotherapy by Medical Students of the Institutions with and without Physiotherapy Training Programme

To compare the knowledge and perception of physiotherapy by medical students of two institutions, one (i.e. University of Lagos - UL) with and the other (i.e. Lagos State University - LSU) without physiotherapy training programme. A total of 193 undergraduate medical students (UL = 96, LSU = 97) participated in this survey by completing a 26-item closed-ended questionnaire with a response rate of 96%. The questionnaire included information on personal characteristics, general knowledge and perception of physiotherapy. Chi-square statistics, t-test and Mann-Whitney U test were used to determine significant differences between variables at 95% confident interval. Respondents from UL (medical school with physiotherapy training facility) were significantly knowledgeable (p<0.05) and at all Levels of the clinical years (p<0.05) than those from LSU (medical school with no physiotherapy training facility). Also their perception of physiotherapy was significantly (p<0.05) better than those from LSU, particularly in the 600Level (i.e. final year). While there was no gender difference in knowledge, the males from UL had significantly better perception of Physiotherapy (p<0.05). Medical students from UL had better knowledge and perception of physiotherapy than those from LSU. The low level of knowledge and perception of medical students of LSU about physiotherapy may be due to the absence of physiotherapy training in LSU.

Clinical physiotherapy documentation in stroke rehabilitation: an ICIDH-2 Beta-2 based analysis

Purpose: To explore the focus of physiotherapists practising in stroke rehabilitation, through identification of central elements in clinical physiotherapy documentation. Method: A descriptive study in which the Motor Assessment Scale for Stroke (MAS) and 20 physiotherapy records were collected from the stroke unit of a rehabilitation hospital and classified according to the ICIDH-2 Beta-2. The text was broken down into single units of functional descriptions and assigned classification codes. The coded units were counted and the distribution of the units on the ICIDH-2 Beta-2 examined. Results: In the physiotherapy records the majority of coded units belonged to the dimension of Body Functions, particularly to b7 Neuromusculoskeletal and movement related functions. In the MAS two thirds of the units belonged to Activities, with a3 Movement activities as the major group. There were no units related to Participation or Environmental Factors. Conclusions: Physical functioning and movement were the central elements in this sample of clinical documentation, thus confirming earlier perception of physiotherapy. Lack of documented information on participation and environment could have several reasons. However, physiotherapists in stroke rehabilitation may consider if patients' environment and participation in life situations should have a larger place in clinical physiotherapy.

Changing the public perception of physiotherapeutic treatment.

Market research was undertaken to establish the public perception of physiotherapy. Using this market research strategic recommendations for the future marketing of physiotherapy are made within the professional context. Marketing will be used to contribute to changing the public perception of physiotherapy. The market research involved a qualitative study of five focus groups of the general public and one focus group of physiotherapists. The responses from the focus groups were used to construct an appropriate questionnaire for the qualitative study. A random sample of 510 members of the general public were then surveyed. The market research results yielded the following key features: The best known conditions treated by physiotherapists are musculoskeletal. The least known are women and children. Client-centered care is sought. The importance of location gives potential for physiotherapists to capitalise on tailoring to clients in their area. Doctors are important for referral and communication about physiotherapy. Marketing should be used to inform doctors of what physiotherapy has to offer. A marketing orientation has begun within physiotherapy; however, it must 'fit' the culture initially to be successful. A marketing strategy should be developed on national, state and individual levels based on a strategic intent. At the state level, strategies must be responsive to area or regional needs. Marketing needs to target identified market segments such as workers compensation organisations. Individual physiotherapists must promote themselves within their region, particularly to doctors and clients with the use of relationship marketing. Informal presentations to community groups and school students about physiotherapy will increase their profile.

Attitudes Don't Just Hang in the Air …': Disabled People's Perceptions of Physiotherapists

Summary This study investigates and describes disabled people's perceptions of physiotherapy and the attitudes of physiotherapists towards them. There is concern that social discrimination against disabled people is reinforced by the attitudes of health care workers. These attitudes have been poorly researched, especially within the physiotherapy profession. Informal interviews were conducted with four disabled people who live in the community. The interviews revealed a high level of dissatisfaction with physiotherapy. Although good personal relationships developed with some physiotherapists, insensitive and condescending attitudes were a common experience. Physiotherapy was perceived as ‘problem-centred’ rather than ‘client-centred’, with little relevance to independent living. The findings of this study have significant implications for clinical practice and give rise to recommendations for further research.

Physiotherapy: Where are the men?

<h2>Summary</h2> This study investigates the reasons for the low proportion of men in physiotherapy and considers the desirability of increasing the number of men, particularly in terms of improving recruitment and retention in the NHS. Third-year male and female students were surveyed in order to identify how these students were introduced to physiotherapy as a career. and their attitudes and career intentions. Associations with a female nursing' image, poor pay and inadequate careers information were considered to be the main reasons for men not entering physiotherapy. There were significant differences between the male and female students' perceptions of physiotherapy and career intentions. It is concluded that increasing the number of men in the profession would seem to be desirable. However, in tandem, equal opportunities for women in the Health Service must be promoted. Active marketing strategies would need to be developed to attract men into the profession.