Document Detail

Motivating patients with shoulder and back pain to self-care: can a videotape of exercise support physiotherapy?
MedLine Citation:
PMID:  19627683     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: The National Health Service is developing an ethos of self-care. Patients are being encouraged to become proficient in helping themselves. This has long been a philosophy of the physiotherapy profession, where self-care between consultations has been an integral part of the treatment process through encouraging the uptake of self-care skills training. This study explored how patients with shoulder and back pain perceived videotaped exercises and instructions to support their routine physiotherapy, and how the videotape was used.
DESIGN: A videotape, developed by physiotherapists for patients with musculoskeletal problems, of exercises to view at home was given to patients by their physiotherapists to support their routine physiotherapy consultations. A qualitative methodology was used to examine how patients responded to being given a videotape of exercises and instructions between consultations. Data were collected through semi-structured interviews.
SETTING: The study was based in 26 general practices that had access to practice-based physiotherapists in two primary care trusts in the north-west of England.
PARTICIPANTS: Thirty-three patients with shoulder and back pain who received a videotape of exercises and advice were interviewed.
RESULTS: Three themes emerged from the data: finding space for exercise; remembering and doing exercises; and supporting the physiotherapy-patient relationship. Patients discussed aspects of motivation, and described how a videotape of exercises might support or inhibit the performance of exercises prescribed by physiotherapists. Patients identified a range of different ways in which they derived support from the videotape.
CONCLUSIONS: The videotape supported patients with a variety of different needs as it enhanced their ability to complete exercises correctly. Videotapes (or DVDs) are useful for patients and could be adopted as a tool to support treatment.
J S Miller; A Litva; M Gabbay
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2007-11-09
Journal Detail:
Title:  Physiotherapy     Volume:  95     ISSN:  1873-1465     ISO Abbreviation:  Physiotherapy     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-07-24     Completed Date:  2009-10-08     Revised Date:  2012-11-20    
Medline Journal Info:
Nlm Unique ID:  0401223     Medline TA:  Physiotherapy     Country:  England    
Other Details:
Languages:  eng     Pagination:  29-35     Citation Subset:  IM    
Halton & St Helens Primary Care Trust, R&D Department, Suite 2 Unit 1H, Midwood House, Widnes WA8 6BH, UK.
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MeSH Terms
Aged, 80 and over
Attitude to Health
Back Pain / therapy*
Exercise Therapy*
Middle Aged
Patient Education as Topic
Professional-Patient Relations
Self Care*
Shoulder Pain / therapy*
Videotape Recording*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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