Embodiment, tailoring, and trust are important for co-construction of meaning in physiotherapy after stroke: A qualitative study.

Background and Purpose: Physiotherapy, with an emphasis on high intensity, individually tailored, and person-centered treatment, is an effective route for recovery after a stroke. No single approach, however, has been deemed paramount, and there is limited knowledge about the patient experience of a...

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Autores: Sivertsen, Marianne, De Jaegher, Hanneke, Arntzen, Ellen Christin, Alstadhaug, Karl Bjornar, Normann, Britt
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universidad del País Vasco
Repositorio:Addi. Archivo Digital para la Docencia y la Investigación
OAI Identifier:oai:addi.ehu.eus:10810/57902
Acceso en línea:http://hdl.handle.net/10810/57902
Access Level:acceso abierto
Palabra clave:enactive theory
interaction
physiotherapy
qualitative research
stroke
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spelling Embodiment, tailoring, and trust are important for co-construction of meaning in physiotherapy after stroke: A qualitative study.Sivertsen, MarianneDe Jaegher, HannekeArntzen, Ellen ChristinAlstadhaug, Karl BjornarNormann, Brittenactive theoryinteractionphysiotherapyqualitative researchstrokeBackground and Purpose: Physiotherapy, with an emphasis on high intensity, individually tailored, and person-centered treatment, is an effective route for recovery after a stroke. No single approach, however, has been deemed paramount, and there is limited knowledge about the patient experience of assessment, goal-setting, and treatment in physiotherapy. In this study, we seek to report patient experiences of I-CoreDIST-a new physiotherapy intervention that targets recovery-and those of usual care. The purpose is to investigate how individuals with stroke experience the bodily and interactive course of physiotherapy during their recovery process. Methods: A qualitative study, nested within a randomized controlled trial, consisting of in-depth interviews with 19 stroke survivors who received either I-CoreDIST or usual care. Data were analyzed using systematic text condensation, and this analysis was informed by enactive theory. Results: Interaction with the physiotherapist, which was guided by perceived bodily changes, fluctuated between being, on the one hand, formal/explicit and, on the other, tacit/implicit. The experiences of participants in the intervention group and the usual care group differed predominantly with regards to the content of therapy sessions and the means of measuring progress; divergences in levels of satisfaction with the treatment were less pronounced. The perception of positive bodily changes, as well as the tailoring of difficulty and intensity, were common and essential features in generating meaning and motivation. An embodied approach seemed to facilitate sense-making in therapy situations. In the interaction between the participants and their physiotherapists, trust and engagement were important but also multifaceted, involving both interpersonal skills and professional expertise. Conclusion: The embodied nature of physiotherapy practice is a source for sense-making and meaning-construction for patients after a stroke. Trust in the physiotherapist, along with emotional support, is considered essential. Experiencing progress and individualizing approaches are decisive motivators.The study was funded by the Northern Norway Regional Health Authority.Wiley202220222022info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10810/57902reponame:Addi. Archivo Digital para la Docencia y la Investigacióninstname:Universidad del País VascoIngléshttps://onlinelibrary.wiley.com/doi/10.1002/pri.1948info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by/3.0/es/© 2022 The Authors. Physiotherapy Research International published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.Atribución 3.0 Españaoai:addi.ehu.eus:10810/579022026-06-18T09:23:17Z
dc.title.none.fl_str_mv Embodiment, tailoring, and trust are important for co-construction of meaning in physiotherapy after stroke: A qualitative study.
title Embodiment, tailoring, and trust are important for co-construction of meaning in physiotherapy after stroke: A qualitative study.
spellingShingle Embodiment, tailoring, and trust are important for co-construction of meaning in physiotherapy after stroke: A qualitative study.
Sivertsen, Marianne
enactive theory
interaction
physiotherapy
qualitative research
stroke
title_short Embodiment, tailoring, and trust are important for co-construction of meaning in physiotherapy after stroke: A qualitative study.
title_full Embodiment, tailoring, and trust are important for co-construction of meaning in physiotherapy after stroke: A qualitative study.
title_fullStr Embodiment, tailoring, and trust are important for co-construction of meaning in physiotherapy after stroke: A qualitative study.
title_full_unstemmed Embodiment, tailoring, and trust are important for co-construction of meaning in physiotherapy after stroke: A qualitative study.
title_sort Embodiment, tailoring, and trust are important for co-construction of meaning in physiotherapy after stroke: A qualitative study.
dc.creator.none.fl_str_mv Sivertsen, Marianne
De Jaegher, Hanneke
Arntzen, Ellen Christin
Alstadhaug, Karl Bjornar
Normann, Britt
author Sivertsen, Marianne
author_facet Sivertsen, Marianne
De Jaegher, Hanneke
Arntzen, Ellen Christin
Alstadhaug, Karl Bjornar
Normann, Britt
author_role author
author2 De Jaegher, Hanneke
Arntzen, Ellen Christin
Alstadhaug, Karl Bjornar
Normann, Britt
author2_role author
author
author
author
dc.subject.none.fl_str_mv enactive theory
interaction
physiotherapy
qualitative research
stroke
topic enactive theory
interaction
physiotherapy
qualitative research
stroke
description Background and Purpose: Physiotherapy, with an emphasis on high intensity, individually tailored, and person-centered treatment, is an effective route for recovery after a stroke. No single approach, however, has been deemed paramount, and there is limited knowledge about the patient experience of assessment, goal-setting, and treatment in physiotherapy. In this study, we seek to report patient experiences of I-CoreDIST-a new physiotherapy intervention that targets recovery-and those of usual care. The purpose is to investigate how individuals with stroke experience the bodily and interactive course of physiotherapy during their recovery process. Methods: A qualitative study, nested within a randomized controlled trial, consisting of in-depth interviews with 19 stroke survivors who received either I-CoreDIST or usual care. Data were analyzed using systematic text condensation, and this analysis was informed by enactive theory. Results: Interaction with the physiotherapist, which was guided by perceived bodily changes, fluctuated between being, on the one hand, formal/explicit and, on the other, tacit/implicit. The experiences of participants in the intervention group and the usual care group differed predominantly with regards to the content of therapy sessions and the means of measuring progress; divergences in levels of satisfaction with the treatment were less pronounced. The perception of positive bodily changes, as well as the tailoring of difficulty and intensity, were common and essential features in generating meaning and motivation. An embodied approach seemed to facilitate sense-making in therapy situations. In the interaction between the participants and their physiotherapists, trust and engagement were important but also multifaceted, involving both interpersonal skills and professional expertise. Conclusion: The embodied nature of physiotherapy practice is a source for sense-making and meaning-construction for patients after a stroke. Trust in the physiotherapist, along with emotional support, is considered essential. Experiencing progress and individualizing approaches are decisive motivators.
publishDate 2022
dc.date.none.fl_str_mv 2022
2022
2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/10810/57902
url http://hdl.handle.net/10810/57902
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv https://onlinelibrary.wiley.com/doi/10.1002/pri.1948
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/3.0/es/
Atribución 3.0 España
eu_rights_str_mv openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/3.0/es/
Atribución 3.0 España
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Wiley
publisher.none.fl_str_mv Wiley
dc.source.none.fl_str_mv reponame:Addi. Archivo Digital para la Docencia y la Investigación
instname:Universidad del País Vasco
instname_str Universidad del País Vasco
reponame_str Addi. Archivo Digital para la Docencia y la Investigación
collection Addi. Archivo Digital para la Docencia y la Investigación
repository.name.fl_str_mv
repository.mail.fl_str_mv
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