Narrative histories of physiotherapy in Colombia, Ecuador, and Argentina

Views of physiotherapists on factors that play a role in ethical decision-making: an international online survey study

“…However, cultural dimensions alone are not able to explain all significant differences that we identified in our study. Surprisingly, not just the participants from the ER disagreed with the statement pertaining to the influence of personal religious beliefs on their ethical decisions, but also the participants from the SAR, a region described as being historically heavily influenced by the Catholic church [ 5 ]. Although the Catholic church lost some influence more recently due to increased political stability and democratic processes [ 92 , 93 ], an explanation for this finding is not as apparent as for other items of the survey.…”

“…Ethical practice is a domain of physiotherapist practice competence, which the World Physiotherapy Association expects graduates to have after completion of the entry-level programme [3]. The educational content of entry-level programmes worldwide may differ depending on a country's basic conditions for physiotherapists to work either autonomously as first contact practitioners or based on referrals from other health professionals [4,5], the permitted scope of practice, features of healthcare systems (e.g. private/privatised, public, or fragile systems in conflicting areas) [6][7][8] or cultural dimensions [9][10][11][12].…”

Systems thinking epistemological underpinnings of practice among rehabilitation professionals: Case study of the major text of a French physiotherapy founder

“…This corpus communicates Dolto's vision of the world and allows him to develop his thinking (his knowledge, his experience, his practices and his meaning or raison d'être) which led to the genesis of the F I G U R E 6 Graph of similarity analysis of class 1 (relational theme) (word size proportional to the chi square; letters in brackets refer to a graph zone, the colour represents the links between co-occurrences of the words similar to branches of a tree) [Colour figure can be viewed at wileyonlinelibrary.com] representation (Jodelet, 2015) of physiotherapy in France. From the point of view of the socio-historical construction of rehabilitation, this shows the difficulty of introducing avant-garde philosophies of care in a predominantly anglophone context, fragmented by the medical profession where the positivist paradigm of thought is most widely represented (Conti, 2014;Freidson, 1970;Gibson, 2018;Giraldo-Pedroza et al, 2021;Jahan & Ellibidy, 2017;Pettman, 2007;Sharma, 2012). When the results of our analyses are compared with our theoretical framework, three important elements arise: systems thinking, a merged model of care and a horizontal relational model with an extended active role for the patient.…”

“…The epistemology of rehabilitation and physiotherapy in recent times has mainly developed worldwide within the western positivist biomedical paradigm (Gibson, 2018). This implies that different processes of domination (cultural, gender, colonial, and language, among others) have led to the hegemony of this paradigm (Giraldo‐Pedroza et al, 2021). Within this perspective of physiotherapy and even though its goals have a social dimension, the body is perceived as a machine, and a ‘holistic way of thinking’ is less represented (McPherson et al, 2015, p. 98).…”

“…Within this perspective of physiotherapy and even though its goals have a social dimension, the body is perceived as a machine, and a ‘holistic way of thinking’ is less represented (McPherson et al, 2015, p. 98). Recently, a current of thought has emerged that criticizes and questions these constructs through nonpositivist approaches (Barradell, 2017; Gibson et al, 2018; Giraldo‐Pedroza et al, 2021; Nicholls & GradDipPhys, 2012). Such approaches complete and strengthen the medical approach.…”