Abstract:
BACKGROUND:Obesity is regarded as a modern lifestyle problem, causing illness, stigma, discrimination, and psychological problems. To help patients avoid these problems, physiotherapists increasingly engage in lifestyle programs specialized in weight loss. OBJECTIVE:To explore how physiotherapists' encounters with patients diagnosed as "obese" acquire significance for their development as clinicians. METHOD:The material draws on semi-structured interviews with eight physiotherapists. We conducted a thematic analysis inspired by van Manen's hermeneutic-phenomenological approach combined with Kvale and Brinkman's critical approach. FINDINGS:The analysis identified the following four themes: 1) Striving to find one's own style of communication; 2) Relating to bodily discrepancies; 3) Developing clinical competence through bodily encounters; and 4) Gaining insight into the dilemmas of group-based lifestyle programs. Taken together, our findings highlight bodily encounters between patients and physiotherapists as an invaluable source of insight. Such insight can shape physiotherapists' development as clinicians inspiring them to develop their unique ways of communicating so that patients diagnosed as obese can feel empowerment rather than failure and shame. At the same time, our findings point to the need of critically reflecting on ones' own approach entering a double role of both controller and supporter. As such, our findings complicate and extend previous work on stigma and shame. CONCLUSION:Our research leads us to conclude that more emphasis on critical thinking in physiotherapy is necessary. We suggest that this should be given more priority in research, education, as well as in clinical practice.
journal_name
Physiother Theory Practjournal_title
Physiotherapy theory and practiceauthors
Groven KS,Heggen Kdoi
10.1080/09593985.2017.1400140subject
Has Abstractpub_date
2018-05-01 00:00:00pages
346-358issue
5eissn
0959-3985issn
1532-5040journal_volume
34pub_type
杂志文章abstract::The primary objective of this study was to determine the accuracy of physiotherapists' predictions of mobility for people with spinal cord injury (SCI). Five physiotherapists and 47 patients from two SCI units were recruited. Two sets of predictions about mobility at 1 year were made for each patient shortly after the...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2012.745179
更新日期:2013-07-01 00:00:00
abstract::The purpose of this investigation was to examine the intrasession and interrater reliability of rehabilitative ultrasound imaging (RUSI) to measure the deep neck flexors (DNF). Two investigators traced the DNF muscle borders in eight female subjects aged 33 ± 11.2 years. Of the eight subjects, five subjects reported a...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2010.544706
更新日期:2011-11-01 00:00:00
abstract::Background and Purpose: The Groningen Meander Walking time (GMW-sec) test has not been clinically validated as a feasible assessment to test functional mobility skills. The purpose of this study was to determine the concurrent validity of the GMW-sec test with the Timed Up and Go (TUG) test in older adults with dement...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2019.1579285
更新日期:2020-12-01 00:00:00
abstract:INTRODUCTION:Transcranial direct current stimulation (tDCS) has been explored as a neuromodulatory tool to prime motor function in several neurological disorders. Studies using tDCS in amyotrophic lateral sclerosis (ALS) are limited. We investigated the safety, feasibility and effects of long-term tDCS in an individual...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2018.1443536
更新日期:2019-05-01 00:00:00
abstract::Anterior cruciate ligament (ACL) injuries are common in sports including a significant failure rate following reconstruction. The iliotibial band (ITB) is an important stabilizer of the lateral portion of the knee and also an important lateral rotator of the tibia. Both the tensor fascia lata (TFL) and gluteus maximus...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2018.1486492
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to determine the inter-rater reliability of glenohumeral internal rotation (GIR) range of motion (ROM) and pressure measurements among four measurement methods: (1) Manual stabilization of the humeral head and coracoid process (MSHC) without applying consistent pressure (ACP) to bot...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章,随机对照试验
doi:10.1080/09593985.2018.1455121
更新日期:2019-06-01 00:00:00
abstract:PURPOSE:Our report describes the effect of repetitive transcranial magnetic stimulation (rTMS) combined with body weight-supported treadmill training (BWSTT) on independent gait recovery in a patient with incomplete spinal cord injury (iSCI). CASE DESCRIPTION:The patient was a 31-year-old male, household ambulator (ai...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2020.1802797
更新日期:2020-08-12 00:00:00
abstract::Background: Treatment of chronic pain is challenging and there is often failure of recovery, with the need to look at different approaches in its management. Central mechanisms may contribute to chronicity (i.e. disturbance in body schema). Laterality judgment is dependent on body schema and can determine affected cen...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2019.1570575
更新日期:2020-12-01 00:00:00
abstract::Background and Purpose: The Multiple sclerosis walking scale-12 (MSWS-12) and the Modified Fatigue Impact Scale (MFIS) are two popular outcome measures applied widely for assessing self-perceived walking ability and fatigue in people with multiple sclerosis (PwMS). The present study aimed to examine responsiveness and...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2020.1762267
更新日期:2020-05-20 00:00:00
abstract::Chronic pain is prevalent in the western world; however fear of pain often has a greater impact than the degree of initial injury. The aim of this study was to explore the relationship between knowledge of the neurophysiology of pain and fear avoidance in individuals diagnosed with chronic pain. Twenty-nine people wit...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2015.1138010
更新日期:2016-05-01 00:00:00
abstract::Background: Oxygen uptake (V̇O2) kinetics have been shown to be slowed in adolescents with cystic fibrosis (CF) during heavy-intensity cycling and maximal exercise testing. Objectives: This study investigated V̇O2 kinetics in adolescents with CF compared to control adolescents (CON) during a treadmill-walking exercise...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2020.1868029
更新日期:2021-01-04 00:00:00
abstract::Breathing retraining (BR) improves symptoms, psychological well-being and quality of life in adults with asthma; but there remains uncertainty as to mechanism of effect. One of the intuitively logical theories is that BR works through altering breathing pattern. There is currently no evidence, however, that BR does re...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2017.1400139
更新日期:2018-04-01 00:00:00
abstract::Background and Purpose: After stroke, asymmetric weight distribution is common with decreased balance control in standing and walking. The six-spot step test (SSST) includes a 5-m walk during which one leg shoves wooden blocks out of circles marked on the floor, thus assessing the ability to take load on each leg. The...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2018.1482511
更新日期:2020-01-01 00:00:00
abstract::Publicly funded community-based physical therapy (PT) services in Canada's most populous province of Ontario were partially delisted, or deinsured, in April 2005. Two previous studies examined the short-term effects from the client and provider perspectives; and in this study, we follow up with participants from these...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593980802278397
更新日期:2008-09-01 00:00:00
abstract::In part, this is a synopsis of a talk Professor Dean was invited to share with the physical therapy students at the University of Nigeria at Enugu in July 2005. At that time, the students honored her with an Igbo name, 'Chinere' - a true highlight of her career. ...
journal_title:Physiotherapy theory and practice
pub_type: 社论
doi:10.1080/09593980601014944
更新日期:2006-11-01 00:00:00
abstract::Some respiratory muscles work in synergy with the pelvic floor (PF). Pelvic organ prolapse (POP) is characterized by weak PF muscles and has been associated with worse pulmonary ventilation function in women. To date no studies have investigated the association between respiratory muscle strength and POP. This study a...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2019.1642428
更新日期:2019-07-11 00:00:00
abstract::Background: Chronic pain management is a challenging area of practice for new graduate physiotherapists entering the workforce. Understanding the readiness and experience of new graduates entering this area of practice is important for informing requirements for preparation for practice.Objective: The aim of this stud...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2019.1692394
更新日期:2019-12-01 00:00:00
abstract:PURPOSE:The purpose was to explore the feasibility of whole body vibration (WBV) on polio survivors with/without post-polio syndrome (PPS) by studying its effects on walking speed (10-m walk test), endurance (2-min walk test), pain severity/interference (Brief Pain Inventory [BPI]), sleep quality (Pittsburg Sleep Quali...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章,随机对照试验
doi:10.1080/09593985.2018.1454559
更新日期:2019-06-01 00:00:00
abstract::Background: This paper arises from a larger study exploring early professional socialization across five professions: physiotherapy, nursing; dentistry; pharmacy; and medicine. Purpose: To explore the process of physiotherapy student professional identity development and the evolution of expectations and views of inte...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2019.1639230
更新日期:2019-07-11 00:00:00
abstract::Provision of out of regular business hours (OBH) physiotherapy to hospital inpatients is widespread in the hospital setting. This systematic review evaluated the effect of additional OBH physiotherapy services on patient length of stay (LOS), pulmonary complications, discharge destination, discharge mobility status, q...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章,评审
doi:10.1080/09593980601023754
更新日期:2006-12-01 00:00:00
abstract:PURPOSE:This study investigates the type of shoulder conditions presenting to public physiotherapy departments and the outcomes of such presentations. METHODS:Demographic, diagnostic, and outcome data were collected from people with shoulder pain presenting to 10 public outpatient physiotherapy services in NSW, Austra...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.3109/09593985.2013.871764
更新日期:2014-07-01 00:00:00
abstract::Among older adults, low back pain (LBP) is common, costly, and disabling. Trunk muscle training (TMT) and neuromuscular electrical stimulation (NMES) have both been found to be effective in reducing LBP, but studies among older adults have been limited. An 83-year-old female with left-sided chronic LBP participated in...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2018.1457745
更新日期:2019-08-01 00:00:00
abstract:OBJECTIVE:To investigate the effect of "breathing control" on sonographic diaphragmatic excursion. METHOD:A prospective, randomized, assessor-blinded study design involving 20 physiotherapy students; ten with knowledge of the breathing control technique (Group BC) and ten without (Group CON). All participants were ask...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章,随机对照试验
doi:10.1080/09593985.2017.1323363
更新日期:2017-07-01 00:00:00
abstract::Pain perception is influenced by several cognitive and behavioral factors of which some identified as mediators are important in pain management. We studied the mediating role of control over pain and ability to decrease pain in relation to functional self-efficacy, catastrophizing, and pain-related disability in pati...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2017.1307890
更新日期:2017-05-01 00:00:00
abstract:BACKGROUND:The Figure-of-8 Walk Test (F8W) is a valid measure of walking skill in older adults with a mobility disability. Use of the F8W in assessing walking skill in persons with Parkinson's disease (PWP) is unknown. PURPOSE:We examined the validity of the F8W by associations with mobility, and cognitive and physica...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2020.1774948
更新日期:2020-06-16 00:00:00
abstract::Objective: To compare the segmental and extrasegmental hypoalgesic effects of TENS, IFC and Aussie current on pressure pain threshold (PPT) during and after stimulation in healthy subjects. The second objective was to compare the sensory comfort related to electrical stimulation. Material and Methods: 120 healthy subj...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2019.1650857
更新日期:2019-08-12 00:00:00
abstract::The Acapella is a positive pressure device designed to assist mucociliary clearance. This study investigated the effectiveness of the Acapella in comparison to PEP mask therapy. Twenty-three participants with cystic fibrosis (CF) with a median age of 12 years (range 7-18 years), who were admitted to hospital for a res...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章,随机对照试验
doi:10.3109/09593980903015268
更新日期:2010-04-22 00:00:00
abstract:OBJECTIVES:The aim of this article is to describe the delivery and acceptability of a short, structured training course for critical care physiotherapy and its effects on the knowledge and skills of the participants in Sri Lanka, a lower-middle income country. METHODS:The two-day program combining short didactic sessi...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2018.1423593
更新日期:2018-09-01 00:00:00
abstract::This study has explored the experience of body awareness in patients with chronic pain as well as possible changes in this phenomenon as a consequence of Norwegian psychomotor physiotherapy (NPMP), were explored in the present study. Four focus group interviews were performed. Two groups consisted of patients on waiti...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593980701738400
更新日期:2008-07-01 00:00:00
abstract::Background: Body mass index, pain, female sex, and age have been reported as predictors of physical activity in patients with lumbar spinal stenosis (LSS). However, no reports have examined the psychological factors associated with physical activity in people with LSS. Purpose: To use psychological assessments to iden...
journal_title:Physiotherapy theory and practice
pub_type: 杂志文章
doi:10.1080/09593985.2020.1855685
更新日期:2020-12-03 00:00:00