Physical therapists’ perceptions about patients with incomplete post-traumatic paraplegia adherence to recommended home exercises: a qualitative study

Brazilian Journal of Physical Therapy, 2019 · DOI: https://doi.org/10.1016/j.bjpt.2018.05.004 · Published: January 1, 2019

Spinal Cord Injury Rehabilitation

Simple Explanation

This study explores the perspectives of physical therapists on how well patients with incomplete paraplegia follow their prescribed home exercise programs. It aims to identify factors influencing adherence to these exercises, which are crucial for rehabilitation. The research uses qualitative content analysis, involving interviews with thirteen physical therapists to gather detailed insights into the challenges and facilitators of home exercise adherence among paraplegic patients. The study identifies several key factors, including patient motivation, family support, financial constraints, and the therapist-patient relationship, all of which play a significant role in determining whether patients stick to their home exercise routines.

Study Duration

Not specified

Participants

13 registered physical therapists

Evidence Level

Level 4, Qualitative Study

Key Findings

1
Physical therapists believe home exercises are essential for rehabilitation and health maintenance in patients with incomplete post-traumatic paraplegia.
2
Several obstacles, including patients' physical and mental status, fatigue, frustration, and hopelessness, can prevent adherence to recommended exercises.
3
Good communication between the physical therapist and the patient, along with family support, helps in overcoming obstacles and improving adherence.

Research Summary

This qualitative study explored physical therapists’ perceptions of adherence to recommended home exercises among patients with incomplete post-traumatic paraplegia. The study identified key factors influencing adherence, including patient motivation, family support, financial constraints, and the therapist-patient relationship. The findings emphasize the importance of addressing obstacles, fostering open communication, and considering individual needs to improve adherence and rehabilitation outcomes.

Practical Implications

Enhanced Communication Strategies

Develop communication strategies for physical therapists to address patient concerns, build trust, and foster active engagement in home exercise programs.

Individualized Exercise Programs

Design custom-based exercise programs that balance goals, identify limitations, and consider patient's individual needs and resources.

Family Involvement

Involve family members in the rehabilitation process to provide support and encouragement, while also addressing potential overprotection or disagreements.

Study Limitations

1
Recruitment was done via telephone, which may hide a selective bias.
2
The convenience sample does not allow for generalisation of the ﬁndings.
3
Specialisation in neurological rehabilitation was not required for the participants may have inﬂuenced the ﬁndings.

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