Patient education and basic body awareness therapy in hip osteoarthritis – a qualitative study of patients’ movement learning experiences

Olsen, Aarid Liland; Strand, Liv Inger; Skjærven, Liv Helvik; Sundal, Mary-Anne; Magnussen, Liv Heide

doi:10.1080/09638288.2016.1209578

Cited by 24 publications

(14 citation statements)

References 45 publications

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“…Sub Theme 1: Enablement/Motivation This sub-theme was defined as a patient's willingness to pursue the management of their condition and possessed the highest quality of evidence for the patient confidence theme. Ten studies support this code [28,29,31,35,[37][38][39][40]42,43]. This included a total of four studies that reported on physiotherapy interactions [31,37,39,42].…”

Section: The Positive Impactmentioning

confidence: 99%

The Impact of Reassurance on Musculoskeletal (MSK) Pain: A Qualitative Review

Cheung

Soundy

2021

Behavioral Sciences

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Background: The reassurance provided during patient-therapist interactions is significantly associated with psychosocial outcomes, including fear and increased confidence. Currently, there are no available reviews that discuss the impact of reassurance for patients with musculoskeletal (MSK) pain. The aim of the present review was to qualitatively synthesize themes around reassurance mechanisms, and the impact during the interaction between patients with MSK pain and therapists. A systematic search strategy was undertaken. Studies were included if they were qualitative or mixed methods studies, examining the patient-therapist consultation, in any MSK clinical setting, with any health care professional, for adult patients with acute to chronic MSK pain. A thematic synthesis was conducted and supported by a particular assessment using CERQual. Results: Twenty-four studies were included (451 patients). Certain themes that related to both positive and negative outcomes of reassurance were identified as well as themes that illustrate the mechanisms causative of the outcomes. Using CerQual, we identified the most supported outcomes. Conclusions: Effective reassurance includes affectionate interactions such as therapeutic relationship building and interpersonal skills, an individualized patient-centered approach, education and the provision of self-management strategies. It should be noted that some interactions that use pathoanatomic models led patients to misinterpret the information provided, this created feelings of fear.

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Section: The Positive Impactmentioning

confidence: 99%

The Impact of Reassurance on Musculoskeletal (MSK) Pain: A Qualitative Review

Cheung

Soundy

2021

Behavioral Sciences

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“…The second expressive perspective emphasizes movement improvisation (Parviainen, 2018;Pylvänäinen, 2018). The third stresses the technical approach to increase movements' perfection and repetition (Ketelaar et al, 2001;Stephenson and Stephens, 2018) using tools (Thomas et al, 2001), and the fourth perspective explores the movement experience itself (Ahola, Piirainen, and Skjaerven, 2017;Blaauwendraat, Levy Berg, and Gyllensten, 2017;Olsen et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Physiotherapists’ conceptions of movement awareness– A phenomenographic study

Ahola

Skjærven

Piirainen

2021

Physiotherapy Theory and Practice

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The phenomenon of movement awareness requires more attention to make it explicit in physiotherapy. The aim of this study was to explore the variation in physiotherapists' conceptions of movement quality, focusing on movement awareness. The informants were 15 physiotherapists from a variety of physiotherapy fields. We collected data through two group interviews and used the phenomenographic method to analyze them. Four themes emerged from the data: 1) Being in contact with one's own moving body; 2) Increased awareness of movement experiences; 3) Interrelationship between physiotherapist and patient; and 4) Better understanding of movement awareness. These themes varied by four descriptive categories of the movement awareness phenomenon: (I) Hesitation regarding own movement experiences; (II) Momentary contact with own movement experiences; (III) Presence in movement awareness and (IV) Better understanding of others' movement awareness. The physiotherapists' understanding of the movement awareness phenomenon widened through three critical aspects in the descriptive categories: Recognizing one's own movement awareness, Distinguishing one's own and others' movement awareness and New insights into implementing actions related to movement awareness in physiotherapy. These results can expand the understanding of the phenomenon of movement awareness among physiotherapists, although further research is needed.

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“…In patients with long-term pain, BBAT produced greater improvement in both physical and mental health compared with traditional physiotherapy treatment (Malmgren-Olsson et al, 2001). BBAT has also shown positive effects for patients with fibromyalgia, psychiatric diagnosis, osteoarthritis, irritable bowel syndrome (IBS) and eating disorders (Bravo et al, 2018;Catalan Matamoros et al, 2011;Eriksson et al, 2002;Gyllensten et al, 2003a;Olsen et al, 2017). In psychiatric care there has been a growing interest in the experience of BBAT.…”

Section: Introductionmentioning

confidence: 99%

Pain requires processing – How the experience of pain is influenced by Basic Body Awareness Therapy in patients with long-term pain

Lundwall

Ryman

Sellius

et al. 2019

Journal of Bodywork and Movement Therapies

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a b s t r a c tBackground and purpose: Long-term pain is common and entails large costs to society. One physiotherapy treatment with documented positive effects for patients with long-term pain is Basic Body Awareness therapy (BBAT). However, studies are lacking about patients' experience of BBAT's influence on their pain. Therefore, the aim of this study was to investigate how patients experience BBAT's influence on their long-term pain. Methods: For this qualitative interview study, participants were selected from two supervised BBAT groups. To qualify for the study, participants had to meet two inclusion criteria: having pain for at least 6 months, and attending BBAT for at least 6 months. Six females between the ages of 25 and 61 years were included. Pain duration ranged from 9 to 20 years, and duration of practicing BBAT ranged from 8 to 120 months. Semi-structured interviews were conducted and qualitative content analysis was performed. Results: The analysis revealed four main categories of BBAT experience: increases motivation, requires processing, increases control over pain and changes attitude to oneself, body and pain. Discussion: Patients with long-term pain experienced BBAT as being helpful in processing their pain because they were forced to face the pain instead of trying to ignore it. Participants experienced a decrease in pain through development of an increased sense of control as well as a changed attitude to themselves, their bodies and their pain. It is important for physiotherapists to understand that pain can increase during BBAT and to support the patients in this process during the therapy.

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Patient education and basic body awareness therapy in hip osteoarthritis – a qualitative study of patients’ movement learning experiences

Cited by 24 publications

References 45 publications

The Impact of Reassurance on Musculoskeletal (MSK) Pain: A Qualitative Review

The Impact of Reassurance on Musculoskeletal (MSK) Pain: A Qualitative Review

Physiotherapists’ conceptions of movement awareness– A phenomenographic study

Pain requires processing – How the experience of pain is influenced by Basic Body Awareness Therapy in patients with long-term pain

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