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Vol. 23. Num. 1.
Pages 1-76 (01 January 2019)
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Vol. 23. Num. 1.
Pages 1-76 (01 January 2019)
Original Research
DOI: 10.1016/j.bjpt.2018.05.004
Physical therapists’ perceptions about patients with incomplete post-traumatic paraplegia adherence to recommended home exercises: a qualitative study
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Ismini Serpanoua, Evanthia Sakellarib,c,
Corresponding author
sakellari@teiath.gr

Corresponding author at: Nikopoleos 39, 112-53 Athens, Greece.
, Maria Psychogioud, Sofia Zygae, Despina Sapountzi-Krepiaf
a Medical School, University of Thessaly, Thessaly, Greece
b Department of Public and Community Health, University of West Attica, Athens, Greece
c Department of Nursing Science, University of Turku, Turku, Finland
d Department of Nursing Science, University of Eastern Finland, Joensuu, Kuopio, Finland
e School of Human Movement and Quality of Life Sciences, Faculty of Nursing, University of Peloponnese, Sparta, Greece
f Nursing Department, Frederick University, Nicosia, Cyprus
Highlights

  • Obstacles during rehabilitation need to be faced in order to promote adherence.

  • Financial crisis has an impact in adherence to recommended home exercises.

  • Communication, individual's needs, capacities, and resources are essential for adherence.

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Table 1. Interview questions.
Table 2. Participants demographic data.
Table 3. Participants’ perceptions about patients with incomplete post-traumatic paraplegia adherence to recommended home exercises.
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Abstract
Background

The overall purpose of physical therapy for patients with spinal cord injury is to improve health-related quality of life. However, poor adherence is a problem in physical therapy and may have negative impact on outcomes.

Objectives

To explore the physical therapists’ perspectives about patients with incomplete post-traumatic paraplegia adherence to recommended home exercises.

Methods

A qualitative content analysis was conducted. Data were collected in a convenience sample using semi-structured interviews. Thirteen registered physical therapists in Athens area participated in the study.

Results

Five categories emerged from the data: (1) reasons to recommend home exercise by the physical therapist; (2) obstacles to recommend home exercise by the physical therapist; (3) methods addressing these obstacles; (4) the family's role in the adherence to recommended home exercise; and (5) the impact of financial crisis in adherence to recommended home exercise. All participants found the recommended home exercises essential to rehabilitation and health maintenance, and they value their benefits. They also expressed the obstacles that need to be faced during rehabilitation process in order to promote adherence.

Conclusion

Physical therapists should take into account the different obstacles that may prevent patients with incomplete post-traumatic paraplegia adherence to recommended home exercises. These involve the patients and their families, while, financial crisis has also an impact in adherence. In order to overcome these obstacles and increase adherence, communication with patient and family while taking into account the individual's needs, capacities, and resources are essential.

Keywords:
Spinal paraplegia
Home rehabilitation
Compliance
Physical therapists

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