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Clinical reasoning-embodied meaning-making in physiotherapy.

Anoop Chowdhury1,2, Wenche Schrøder Bjorbækmo2

  • 1a MSK Physiotherapy , Halden , Norway.

Physiotherapy Theory and Practice
|May 17, 2017
PubMed
Summary

Physiotherapists

Area of Science:

  • Physiotherapy
  • Clinical Reasoning
  • Phenomenology

Background:

  • Focuses on physiotherapists' lived experiences in primary care.
  • Examines clinical reasoning and decision-making with patients experiencing chronic neck and shoulder pain.

Purpose of the Study:

  • To explore the complexity of integrating multiple theoretical perspectives in clinical decision-making.
  • To understand the significance of phenomenological perspective in recognizing embodied knowledge within clinical encounters.

Main Methods:

  • Phenomenological analysis of videotaped physiotherapy sessions.
  • In-depth examination of one particularly stressful patient-therapist interaction.
  • Inclusion of reflective notes from the physiotherapist.
Keywords:
Clinical reasoningembodied meaningphenomenology

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Main Results:

  • Clinical decision-making is complex, involving the integration of diverse theoretical approaches.
  • A phenomenological perspective offers valuable insights into embodied knowledge during patient encounters.
  • Effective physiotherapy requires tact, sensitivity, and a collaborative patient-therapist relationship.

Conclusions:

  • Physiotherapy practice benefits from integrating theoretical knowledge with practical, embodied experience.
  • Patient management can transcend routine protocols through a nuanced understanding of the clinical encounter.
  • Emphasizes the importance of relational aspects in successful physiotherapy outcomes.