Physical therapists’ perceptions and experiences about barriers and facilitators of therapeutic patient-centred relationships during outpatient rehabilitation: a qualitative study

Abstract

Although being more linked towards the patients' contextual factors and needs than towards the practice of the profession, a therapeutic relationship is worth considering by physical therapists. Furthermore this study highlights the need for physical therapists and administrators to rethink the situation and propose strategies for improvement.

Conceptualisation of the therapeutic alliance in physiotherapy: is it adequate?

“…The need for a multifactorial approach in clinical practice was outlined (Crepeau, 2016;A. L. Gyllensten, Gard, Salford, & Ekdahl, 1999;Harman, Bassett, Fenety, & Hoens, 2012;Morera-Balaguer, Botella-Rico, Martinez-Gonzalez, Medina-Mirapeix, & Rodriguez-Nogueira, 2018;Tasker, Loftus, & Higgs, 2012;Wilson, Chaloner, Osborn, & Gilbert, 2017), with emphasis on greater equality within the therapeutic relationship (TR) (Bellner, 1999;Gartland, 1984;Harman, MacRae, Vallis, & Bassett, 2014;Miciak, Mayan, Brown, Joyce, & Gross, 2018a;Wilson et al, 2017).…”

Let's make pediatric physical therapy a true evidence-based field! Can we count on you?

“…We must also increase our efforts to provide multidisciplinary care, as the complex needs of children with disabilities and their families cannot be appropriately met without interaction and communication among health care professionals. 8 On the research side, there is still a long way to go. Much research is needed to increase our understanding on how to optimize the process of neuroplasticity to promote function.…”

The Influence of the Environment on the Patient-Centered Therapeutic Relationship in Physical Therapy: A Qualitative Study

“…Nonetheless, limited research has been conducted on the possible influence of the environment where treatment is administered and the perception of the quality of the therapeutic relationship between patient and professional. In a previous study [26,27], we found that some environmental aspects may act as barriers or facilitators for the establishment of a patient-centered Therapeutic Relationship. We therefore consider that environmental factors can influence the establishment and perception of the patient centered Therapeutic Relationship in physical therapy.…”