Physiotherapy support for self-management of persisting musculoskeletal pain disorders

Building bespoke exercise: The clinical reasoning processes of physiotherapists when prescribing exercise for persons with musculoskeletal disorders

“…However, in our study participants did not talk about giving the person receiving care options to contact them for further support if needed following discharge which has been recognised as an important component of care by patients in previous research (Holopainen et al., 2018). The perceived importance of self‐management found in this study aligns with many current discussions (Diener, 2021; Hutting et al., 2020). What was missing from the data was recognition of the neoliberal rhetoric related to self‐care or an appreciation that not all person's desire or are able to self‐manage for numerous reasons such as not having sufficient agency or conducive social circumstances (Nicholls, 2021).…”

Supported self-management in long-term conditions in an African context

“…Relationship development includes improving communication between patients and healthcare providers and deepening the understanding and acknowledgement of peoples’ situations and wider contexts by healthcare providers. Being patient- or person-centred is identified as facilitating supported self-management (Chala et al 2022 ; Diener 2021 ). However, healthcare providers’ attitudes towards and communication styles with patients impact relationships (Angwenyi et al 2019 ; Dube et al 2017 ; Masupe et al 2022 ) with ‘victim blaming’ noted as being unhelpful with people not being able to ‘self-manage by following a set of instructions.…”

“…the healthcare provider) about health are suggested to facilitate interpersonal relationship development, with development of communication skills (listening, reflecting, i.e. therapeutic alliance) highlighted as a priority (Diener 2021 ).…”

“…Positive patient–provider (patient- or person-centred) interactions and communication provide an atmosphere whereby patients can engage with the healthcare provider (Angwenyi et al 2019 ). Such positive interactions are also suggested to be built on understanding the patient and their wider situation (Diener 2021 ; Dube et al 2017 ; Gumede et al 2022 ; Masupe et al 2022 ). An acknowledgement by healthcare providers is needed of peoples’ capability to take care of themselves and their family, despite the lack of resources available to them (insufficient healthcare coverage, lack of consistency of access to medications, food, shelter and income) (Angwenyi et al 2018 , 2019 ; Dube et al 2017 ; Masupe et al 2022 ).…”

Editorial: “A Touch of Physiotherapy”—The significance and meaning of touch in the practice of physiotherapy

“…We can see this happening again today with widespread concerns about the rising cost of publicly funded health care, the constant strain being felt by public health services, and a 50-year project to open the protective enclosures surrounding public health services to market competition and neoliberal health-care reforms. It is perhaps no surprise then that many of the modalities that are becoming popular in physiotherapy today explicitly encourage individuals to take more personal responsibility for their own health ( 22 , 23 ).…”