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Understanding physical activity promotion in physiotherapy practice: A qualitative study.

Anna Lowe1, Chris Littlewood2, Sionnadh McLean3

  • 1Centre for Health and Social Care Research, Sheffield Hallam University, Sheffield, S10-2BP, UK.

Musculoskeletal Science & Practice
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Summary

Physiotherapists discuss physical activity with patients but lack consistent frameworks for promotion. Current practice focuses on functional restoration over general wellbeing, indicating a need for improved strategies to combat inactivity.

Keywords:
Health promotionPhysical activityPhysiotherapy

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Area of Science:

  • Public Health
  • Physiotherapy Practice
  • Health Promotion

Background:

  • Physical inactivity is a significant public health concern.
  • Healthcare professionals are urged to promote physical activity to reduce non-communicable diseases.
  • Understanding physical activity promotion within UK physiotherapy is limited.

Purpose of the Study:

  • To explore physiotherapists' experiences with physical activity promotion in clinical settings.
  • To identify current practices, barriers, and facilitators related to physical activity promotion in physiotherapy.
  • To investigate the focus of physiotherapy interventions regarding physical activity.

Main Methods:

  • Qualitative study design.
  • 12 telephone interviews conducted with physiotherapists.
  • Thematic analysis of qualitative data, adhering to COREQ guidelines.

Main Results:

  • Physiotherapists engage in discussions about physical activity during patient contacts.
  • Interventions for physical activity promotion are not consistently applied, and a common guiding framework is absent.
  • Approaches are often informal, focusing on short-term functional restoration rather than broader health and wellbeing.

Conclusions:

  • There is potential to enhance physiotherapy practice for physical activity promotion.
  • Aligning practice with current guidance can maximize the impact on reducing physical inactivity.
  • A shift towards prioritizing health promotion alongside functional restoration is recommended.