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Physiotherapy philosophy

Karen L Barker, Leila Heelas, Francine Toye
BACKGROUND: Recent developments in pain rehabilitation emphasise the importance of promoting psychological flexibility. Acceptance and Commitment Therapy (ACT) is one approach that has been shown to be effective for the treatment of chronic musculoskeletal pain. However, studies have shown that introducing innovative approaches such as ACT into established health care can cause some anxiety for professional groups. We used Action Research to evaluate the implementation of ACT to a physiotherapy-led pain rehabilitation programme...
February 2016: British Journal of Pain
Hagit Berdishevsky, Victoria Ashley Lebel, Josette Bettany-Saltikov, Manuel Rigo, Andrea Lebel, Axel Hennes, Michele Romano, Marianna Białek, Andrzej M'hango, Tony Betts, Jean Claude de Mauroy, Jacek Durmala
In recent decades, there has been a call for change among all stakeholders involved in scoliosis management. Parents of children with scoliosis have complained about the so-called "wait and see" approach that far too many doctors use when evaluating children's scoliosis curves between 10° and 25°. Observation, Physiotherapy Scoliosis Specific Exercises (PSSE) and bracing for idiopathic scoliosis during growth are all therapeutic interventions accepted by the 2011 International Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT)...
2016: Scoliosis and Spinal Disorders
Rob Stenner, Theresa Mitchell, Shea Palmer
This paper provides an overview of Philosophical Hermeneutics based on the work of German philosopher Hans Georg Gadamer. The concepts of the 'hermeneutic circle' as a vehicle for interpretation, management of the researcher's pre-understandings (prejudices), and the 'fusion of horizons' are introduced and illustrated by examples from the first author's research, before considering how rigour can be achieved in this type of research. The actual research study which aimed to explore how shared decision making and patient partnership are addressed by physiotherapists in the process of exercise prescription for patients with low back pain (LBP) is not the focus of this paper...
June 1, 2016: Physiotherapy
Sinead McMahon, Grainne O'Donoghue, Catherine Doody, Geraldine O'Neill, Tara Cusack
INTRODUCTION: The scope of contemporary physiotherapy practice is a critical factor in determining the appropriate educational preparation for physiotherapists now and into the future. The world-wide shift from secondary to primary healthcare has, and is, continuing to result in new and different ways of working. It is crucial that curricular changes reflect these developments. In this study a qualitative approach using Biggs 3P's - Pressage, Process and Product model to discuss curriculum design...
May 2016: Education for Primary Care
Chad Cook, Kenneth Learman, Chris Showalter, Bryan O'Halloran
Many musculoskeletal management philosophies advocate the exploration of the relationship between the patient's chief complaint (CC) and the physical examination findings that reproduce/reduce/change that CC. Geoffrey Maitland developed the concept "comparable sign(s) (CS), which are physical examination findings related to the CC(s) that are reproduced during an examination/treatment. These include observed abnormalities of movement, postures or motor control, abnormal responses to movement, static deformities, and abnormal joint assessment findings...
June 2015: Manual Therapy
C J Baker
The introduction of the ancient Oriental practice of acupuncture into Western medicine has caused confusion amongst the health professionals, but it has captured the interest of the public. Confronted on one hand with the philosophy, art and science of thousands of years, and on the other with modern scientific theory and medical knowledge, and finding, initially and superficially, the two in diametric conflict, it is easy to understand why acupuncture is being considered with mixed emotions. However current research has led to recognition or confirmation of many of the ancient empirical observations by the very latest scientific technology (Riddle, 1974)...
March 1977: Australian Journal of Physiotherapy
W Hubbard, D Bauer
The introduction of performance outcome measurement to Australian rehabilitation services is now on the agenda. The Functional Independence Measure (FIM) is being actively promoted as an appropriate system. This paper outlines the philosophy and evolution of the FIM in the United States of America (USA), and emphasises the positive aspects of accountability through global functional measurement. Physiotherapists are encouraged to be positive and innovative in their approach to the use of this accountability tool to ensure that physiotherapy continues to be seen as a primary discipline in the global functional context of the rehabilitation process...
1993: Australian Journal of Physiotherapy
M E Davis
For many centuries our knowledge of Chinese achievements was limited to natural silk, cloissoné, porcelain, jade, ivory and papier maché. Their philosophy and art of healing remained virtually unknown.
March 1973: Australian Journal of Physiotherapy
K Grimmer
Quality Assurance has been defined as 'looking at what we do to and for our patients, thinking about it and deciding whether it comes up to acceptable standards, and if not, doing somet hing about it' (Legge 1984). Underlying the concept of Quality Assurance is the philosophy that the patient is the focus of physiotherapy, and he therefore expects and deserves optimum care (McCoy and Grant 1988). Greater marketplace competition from fringe health sciences, the rising cost of health care and the increasing sophistication of the health...
1989: Australian Journal of Physiotherapy
Randi Sviland, Kari Martinsen, Målfrid Råheim
This study elaborates on narrative resources emerging in the treatment of longlasting musculoskeletal and psychosomatic disorders in Norwegian psychomotor physiotherapy (NPMP). Patients' experiences produced in focus group interviews were analyzed from a narrative perspective, combining common themes across groups with in depth analysis of selected particular stories. NPMP theory expanded by Løgstrup's and Ricoeur's philosophy, and Mattingly's and Frank's narrative approach provided the theoretical perspective...
November 2014: Medicine, Health Care, and Philosophy
Chris Littlewood, Peter Malliaras, Sue Mawson, Stephen May, Stephen Walters
OBJECTIVES: Evidence has emerged supporting the value of loaded exercises for rotator cuff tendinopathy but there are barriers that might prevent implementation of this intervention in the real-world. The purpose of this study was to explore these potential barriers with participants involved in a pilot randomised controlled trial (RCT) investigating a self-managed loaded exercise intervention. DESIGN: A qualitative study within the framework of a mixed methods design...
March 2014: Physiotherapy
Carolyn Roskell
OBJECTIVES: To explore whether consensus exists about content and professional identity represented within pre-registration cardiorespiratory physiotherapy (CPT) curricula, and to establish whether the curricula feature contemporary themes evident in policy and professional guidance in order to test whether CPT education is demonstrating responsiveness and relevance to practice. DESIGN: An exploratory qualitative case study design employing documentary analysis of curricula materials related to CPT...
June 2013: Physiotherapy
Barbara I Polus, Charlotte Paterson, Joan van Rotterdam, Dein Vindigni
BACKGROUND: Improving the health of Indigenous Australians remains a major challenge. A chiropractic service was established to evaluate this treatment option for musculoskeletal illness in rural Indigenous communities, based on the philosophy of keeping the community involved in all the phases of development, implementation, and evaluation. The development and integration of this service has experienced many difficulties with referrals, funding and building sustainability. Evaluation of the program was a key aspect of its implementation, requiring an appropriate process to identify specific problems and formulate solutions to improve the service...
2012: BMC Health Services Research
Naomi R Eisenberg
This paper uses a post-structuralist lens to explore the nature of power relationships within the patient-physical therapist relationship. To ground the discussion, I begin with an overview of the salient aspects of the traditional evolution of Western medicine. I then draw from the philosophy/history of Foucault to challenge traditional thinking and consider the applications to physiotherapy. The analysis reveals that the application of a Foucauldian frame of reference has the potential of modifying the therapeutic relationship to one that is more equitable as opposed to the hierarchical one...
August 2012: Physiotherapy Theory and Practice
P Tekur, R Nagarathna, S Chametcha, Alex Hankey, H R Nagendra
INTRODUCTION: Previously, outpatient Yoga programs for patients with chronic low back pain (CLBP) lasting several months have been found to reduce pain, analgesic requirement and disability, and improve spinal mobility. This study evaluated changes in pain, anxiety, depression and spinal mobility for CLBP patients on short-term, residential Yoga and physical exercise programs, including comprehensive yoga lifestyle modifications. METHODS: A seven day randomized control single blind active study in an residential Holistic Health Centre in Bangalore, India, assigned 80 patients (37 female, 43 male) with CLBP to yoga and physical exercise groups...
June 2012: Complementary Therapies in Medicine
Nicholas V Karayannis, Gwendolen A Jull, Paul W Hodges
BACKGROUND: Several classification schemes, each with its own philosophy and categorizing method, subgroup low back pain (LBP) patients with the intent to guide treatment. Physiotherapy derived schemes usually have a movement impairment focus, but the extent to which other biological, psychological, and social factors of pain are encompassed requires exploration. Furthermore, within the prevailing 'biological' domain, the overlap of subgrouping strategies within the orthopaedic examination remains unexplored...
2012: BMC Musculoskeletal Disorders
Angela Dunsford, Saravana Kumar, Sarah Clarke
Low back pain (LBP) is a major health issue with significant socioeconomic implications in most Western countries. Many forms of treatment have been proposed and investigated in the past, with exercise being a commonly prescribed intervention. Within allied health, in particular physiotherapy, there has been a growing movement that recognizes the role of the McKenzie method in treating LBP. Within the McKenzie framework, directional preference (DP) exercises are one such intervention, with preliminary data demonstrating its effectiveness in the management of LBP...
2011: Journal of Multidisciplinary Healthcare
Di Thomson
An ethnographic study was undertaken over a period of 8 months to explore the social meaning and function of humour in the practice of a team of physiotherapists in a UK National Health Service hospital. Interviews were carried out following the observations to gain the therapists' perspectives in an open critical exploration of assumptions and ideas. The analysis was iterative and followed a systematic recognised ethnographic approach. The findings revealed explicit and implicit meanings of the team's humorous interactions...
January 2010: Physiotherapy Theory and Practice
Motzi Eklöf
The international non-conformist denomination, Seventh-day Adventists, have since their foundation in 1863, had a distinctive health care model for their members. The life-style has included vegetarian diet, abstinence from alcohol, tobacco and other drugs and the observance of a day of rest once a week. The health policy has striven to care for God's creation in the hope of resurrection at the Day of Judgment and to reform the conventional medical practice. The Adventists have pursued an extensive international health care system--from the start based on dietary and physical treatment methods, such as hydrotherapy, massage and physiotherapy--in line with the Christian mission...
2008: Svensk Medicinhistorisk Tidskrift
J S Miller, A Litva, M Gabbay
OBJECTIVES: The National Health Service is developing an ethos of self-care. Patients are being encouraged to become proficient in helping themselves. This has long been a philosophy of the physiotherapy profession, where self-care between consultations has been an integral part of the treatment process through encouraging the uptake of self-care skills training. This study explored how patients with shoulder and back pain perceived videotaped exercises and instructions to support their routine physiotherapy, and how the videotape was used...
March 2009: Physiotherapy
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