Physiotherapists’ Perception of Patient Compliance to Home Exercises in Chronic Musculoskeletal Physiotherapy
Physiotherapists’ Perception of Patient Compliance to Home Exercises
DOI:
https://doi.org/10.70284/njirm.v3i2.2013Keywords:
Rehabilitation, Chronic Musculoskeletal Conditions, Home Based ExerciseAbstract
Background: Disorders of the musculoskeletal system are common, are responsible for a considerable amount of disability, impairment, and handicap, and are associated with high economic costs. Rehabilitation of chronic musculoskeletal conditions necessitates long-term home-based exercise programs. Exercises have been shown to alleviate pain, improve joint mobility and stability, allow faster return to work and 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 Indian physiotherapists’ perception of exercise adherence and their interventions to tackle it in clinical practice. Methods: A convenience sample of fifteen experienced physiotherapists from Saurashtra region of Gujarat was interviewed. Interviews were recorded and analysed. Results: The identified themes revolved around issues of patient-therapist collaboration in chronic rehabilitation. The subordinate themes were: negotiating ownership and self management, education and pain, 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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