Manipulating practices: A critical physiotherapy reader

Gibson, Barbara E.; Nicholls, David A.; Groven, Karen Synne; Setchell, Jenny

doi:10.23865/noasp.29

Cited by 31 publications

(3 citation statements)

References 216 publications

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“…In line with published research on telerehabilitation, physiotherapists perceived the loss of touch and reliance on verbal communication to be potentially problematic and less effective (Lawford et al, 2019). This view reflects the historical underpinnings of physiotherapy practice, something that continues to be reinforced in education and practice (Moffatt and Kerry, 2018). Physiotherapists had to enhance their communication skills rapidly, and appreciate and attend to the therapeutic relationship.…”

Section: Discussionmentioning

confidence: 73%

Implementation of telerehabilitation in response to COVID-19: Lessons learnt from neurorehabilitation clinical practice and education

Signal

Martin²,

Leys

et al. 2023

NZJP

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The health response to the COVID-19 pandemic has had significant impacts on neurorehabilitation provision both internationally and in New Zealand. Telerehabilitation, the delivery of rehabilitation at a distance using information and communication technologies, was advocated as a means of addressing the rehabilitation needs of our patients while maintaining physical distancing and reducing the risk of viral transmission. Despite research evidence indicating that telerehabilitation is as effective as in-person rehabilitation for people with neurological conditions, there were significant challenges in delivering and sustaining telerehabilitation practice. We draw upon our experiences in delivering telerehabilitation in neurorehabilitation clinical practice and education to reflect on the process of practice change and to consider how these experiences can inform practice development in the future. We propose that rehabilitation organisations and physiotherapists continue to develop capability to provide telerehabilitation; that physiotherapists and the physiotherapy profession focus on translating their communicative, relational and clinical skills to the digital space to ensure they are competent in telerehabilitation; and that, as a profession, we focus on what constitutes "best practice" in telerehabilitation, and how in-person and telerehabilitation can be integrated to provide engaging, evidence-based and person-centred rehabilitation.

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Section: Discussionmentioning

confidence: 73%

Implementation of telerehabilitation in response to COVID-19: Lessons learnt from neurorehabilitation clinical practice and education

Signal

Martin²,

Leys

et al. 2023

NZJP

View full text Add to dashboard Cite

show abstract

“…1,2 Today's health professionals working in rehabilitation face many challenges, including working with people who will likely be living longer and have increased comorbidity, the rise of technologically mediated medicine, the blurring of professional boundaries and inter-professional competition, resource constraints, and public distrust of orthodox medicine. 3 Many rehabilitation health professionals, trained in traditional models, find themselves inadequately prepared for the complex array of cultural, economic, political, and social issues that they face in their work. Holding onto the scaffolds that define rehabilitation, while embracing rapid transformation in health care, may be causing anxiety for some.…”

Section: Why Critical? Why Now?mentioning

confidence: 99%

“…For example, Rita Struhkamp 7 highlighted potentially problematic assumptions underlying the common practice of ''goal setting'' in rehabilitation; Thomas Abrams 8 explored the ingrained notion that upright postures are necessarily superior and its negative effects on wheelchair users and others; and Bettine Pluut 9 highlighted the problems and potential of divergent perceptions of ''patient-centred care.'' Our own work also considers numerous critical issues across rehabilitation: problems associated with standardised guidelines (such as those of the National Institute for Health and Care Excellence), 10 the unintended stigmatising practices of clinicians, 11,12 the need for a reconfiguration of ethics in childhood rehabilitation, 13 and the assumptions that underpin exercise as medical intervention. 14 This growing pool of researchers is seeking avenues for dissemination of this type of work.…”

Section: Are We Already Doing Critical Work?mentioning

confidence: 99%

Infusing Rehabilitation with Critical Research and Scholarship: A Call to Action

Setchell

Nicholls

Wilson

et al. 2018

Physiotherapy Canada

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‘Getting them on board’: Musculoskeletal physiotherapists conceptions of management of persons with low back pain

Cosgrove

Hebron

2020

Musculoskeletal Care

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Objective Low back pain (LBP) is the leading cause of disability worldwide; however, the majority of LBP is non‐specific in nature with no clearly identifiable source of pain. Contemporary understanding of LBP highlights the multidimensional nature of LBP and as a result clinical practice and guidelines have evolved and advocate a multidimensional approach to managing persons with LBP. This change in understanding and practice provides challenges for physiotherapists and persons with LBP, many who have biomedical views. The aim of this study was to explore musculoskeletal physiotherapists conceptions towards the management of LBP. Method The research employed a phenomenographic inspired approach which aims to explore variations in conceptions, beliefs and understanding of a phenomenon. Six participants (physiotherapists) were interviewed via semi‐structured interviews to explore their experiences of managing persons with LBP and the data was analysed using a phenomenographic framework. Results Three main categories emerged from the participants descriptions: the perceived role of preferences and expectations, therapeutic alliance development and getting the person “on board”. Conclusion Participants descriptions implied a therapist centred view towards the care they provided for persons with LBP. The perceived role of expectations was a significant aspect within the participants descriptions of the management of LBP. Last, the participants described the perceived development of a therapeutic alliance. These categories suggest how the physiotherapists interviewed in this study conceive the management of LBP, and these findings will provide a greater understanding around the physiotherapy management of LBP.

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Manipulating practices: A critical physiotherapy reader

Cited by 31 publications

References 216 publications

Implementation of telerehabilitation in response to COVID-19: Lessons learnt from neurorehabilitation clinical practice and education

Implementation of telerehabilitation in response to COVID-19: Lessons learnt from neurorehabilitation clinical practice and education

Infusing Rehabilitation with Critical Research and Scholarship: A Call to Action

‘Getting them on board’: Musculoskeletal physiotherapists conceptions of management of persons with low back pain

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