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

OLSEN AL; STRAND LI; SKJAERVEN LH; SUNDAL MA; MAGNUSSEN LH
DISABIL REHABIL , 2017, vol. 39, n° 16, p. 1631-1638
Doc n°: 184728
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1080/09638288.2016.1209578
Descripteurs : DE35 - PATHOLOGIE - HANCHE, HF2 - EDUCATION THERAPEUTIQUE

Osteoarthritis (OA) is associated with pain, dysfunction and reduced
quality of life. Patient education (PE) followed by 12 weekly sessions of Basic
Body Awareness Therapy (BBAT) was offered to patients with hip OA, aiming to
strengthen their ability to move and act functionally in daily life. AIM: To
explore how patients described their experiences and outcome from participating
in PE and BBAT. METHOD: Individual, semi-structured interviews with five
patients, aged 52-78 years, were performed after PE and BBAT at four and ten
months. Interview data were analyzed by systematic text condensation. RESULTS:
Three main themes emerged. "Becoming motivated and involved" reflected
experiences of encouragement and support from information given and communication
with group members. In "Movement awareness learning" patients described becoming
aware of and improving functional movement, alleviating symptoms and increasing
daily functioning. "Movement and disease in a long-term perspective" reflected
patients experience of increased self-awareness and taking better care of
themselves at 10 months after baseline. Practicing basic movement principles,
they felt empowered to handle daily life challenges in more functional and
energy-economical ways. CONCLUSION: PE followed by BBAT in groups may be
beneficial to patients with hip OA, and provide lasting benefits regarding daily
life function. Implications for Rehabilitation Insight into disease process and
relationship to functional movement gained through patient education may empower
patients with hip osteoarthritis in management of daily life Movement awareness
and exploration of movement quality using principles from Basic Body Awareness
Therapy was found to support patients in finding resources for functional
movement, implemented in daily actions Movement strategies characterized by
adjustment rather than force was experienced by the patients to support their
general functioning, despite of prevailing hip pain Implementing group
therapeutic factors (Yalom) in physiotherapy was found to strengthen patients'
motivation and belief in functional improvement.

Langue : ANGLAIS

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