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Exercise dependence: a problem for sports physiotherapists.

Jeremy Adams1, Robert Kirkby

  • 1School of Behavioural Health Sciences, La Trobe University, VIC, Australia.

The Australian Journal of Physiotherapy
|January 1, 1997
PubMed
Summary
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Sports physiotherapists encounter challenges managing exercise-dependent patients, who often exhibit anxiety and obsession with physical activity. They utilize various strategies, including education and psychological approaches, to address compliance issues in these individuals.

Area of Science:

  • Sports physiotherapy
  • Clinical psychology
  • Exercise science

Background:

  • Exercise dependence is characterized by continued physical activity despite injury.
  • Patients may display traits like anxiety, obsession, and perfectionism.
  • Managing these patients presents communication and compliance challenges for physiotherapists.

Purpose of the Study:

  • To investigate the experiences of sports physiotherapists with exercise-dependent patients.
  • To identify common characteristics and challenges associated with exercise dependence in sports settings.
  • To explore the treatment strategies employed by physiotherapists for this patient group.

Main Methods:

  • Qualitative study involving interviews with 24 postgraduate-trained sports physiotherapists.

Related Experiment Videos

  • Exploration of physiotherapists' perceptions and management techniques for exercise-dependent individuals.
  • Analysis of reported communication and compliance issues.

    • Main Results:

    • Physiotherapists described exercise-dependent patients as anxious, obsessive, overachieving, and addicted to feelings.
    • A significant majority (71%) reported difficulties in communication and achieving patient compliance.
    • Commonly employed strategies included education, activity modification, referral, and psychological interventions, often in combination.

    Conclusions:

    • Sports physiotherapists recognize the complexities of treating exercise-dependent patients.
    • They have developed and utilize specific techniques to manage the challenges posed by these individuals.
    • Further research may be needed to generalize findings beyond the current sample.