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Discourse analytic study of counseling sessions in stroke physiotherapy
1Department of Health Sciences, University of Jyvaskyla, Jyvaskyla, Finland. talvitie@sport.jyu.fi
Health Communication
|September 13, 2006
Summary
Physiotherapists need better communication skills to involve stroke patients and caregivers in developing home exercises. This improves patient participation and treatment outcomes in rehabilitation.
Area of Science:
- Rehabilitation Medicine
- Clinical Communication
Background:
- Patient participation in physiotherapy is often low.
- Patients have limited influence on treatment content.
Purpose of the Study:
- To analyze communication during physiotherapy counseling sessions.
- To explore patient and caregiver involvement in discussing rehabilitation progress.
Main Methods:
- Conducted 7 counseling sessions with physiotherapists, stroke patients, and caregivers.
- Discussed patient postural control and balance using videotaped test performances.
Main Results:
- Physiotherapist communication included brief comments, critical appraisals, and rhetorical questions.
- Patients and caregivers initiated conversations about patient problems.
- Patient understanding of test significance for home life varied.
Conclusions:
- Successful counseling requires physiotherapists to use dialogic communication.
- Co-constructing home exercises with patients and their social network is crucial.
- Enhanced communication can improve patient engagement in stroke rehabilitation.
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