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Physiotherapists’ perceptions on adherence to home exercises in chronic musculoskeletal rehabilitation

Author(s): Priyanka Karnad | Sionnadh M McLean

Journal: International Journal of Physiotherapy and Rehabilitation
ISSN 2041-3807

Volume: 1;
Issue: 2;
Start page: 14;
Date: 2011;
Original page

Background Rehabilitation of chronic musculoskeletal conditions usually involves long-term home-based exercise programmes.  Exercises not only allow faster return to work but also prevent progression of chronic conditions.  Non-adherence of patients to unsupervised long-term exercise is a major problem that affects treatment outcome.  This study explores UK physiotherapists’ perceptions on exercise adherence and their interventions to tackle it in clinical practice.   Method Five experienced physiotherapists were conveniently recruited from Sheffield Hallam University and interviewed.  Interviews were transcribed and analysed.  Interpretative Phenomenological Analysis (IPA) was used to analyse data transcriptions.   Results The themes revolved around issues of patient-therapist collaboration in chronic rehabilitation.  The subordinate themes were:  negotiating ownership and self management, education and pain, professional power and patient attitudes and communication.   Conclusion Experienced physiotherapists recognised barriers and often critically viewed their practice.  They undertook necessary interventions in their practice but persisting non-adherence made them question the patient’s role in the partnership.

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