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Group dynamics in a group-based, individualized physiotherapy intervention for people with multiple sclerosis: A
Andreas Falck Lahelle1, Gunn Kristin Øberg1, Britt Normann2,3
1Department of Health and Care Sciences, University of Tromsø, The Artic University of Norway, Tromsø, Norway.
Summary
Individualized physiotherapy groups for multiple sclerosis (MS) enhance group dynamics. Combining tailored exercises with shared experiences boosts patient support and perceived success in neurological physiotherapy.
Area of Science:
- Neurological physiotherapy
- Rehabilitation science
- Group dynamics
Background:
- Group-based physiotherapy is widely used for multiple sclerosis (MS) but often lacks individual adaptation.
- There is limited evidence on integrating individualized approaches within group settings for MS.
- Understanding group dynamics in individualized interventions is crucial for optimizing rehabilitation.
Purpose of the Study:
- To investigate group dynamics in a group-based, individualized physiotherapy intervention for people with MS.
- To explore how individualization and group elements can be synergistically combined in clinical practice.
- To expand knowledge in neurological physiotherapy regarding tailored group interventions.
Main Methods:
- Qualitative study involving 13 video observations of physiotherapy sessions and 13 interviews with physiotherapists.
- Included 40 participants with MS (EDSS 1.0-6.5) and six expert physiotherapists.
- Data analyzed using systematic text condensation within an enactive theoretical framework.
Main Results:
- Individualized approaches and embodied exercises positively influenced group dynamics.
- Peer support and social connection emerged as significant benefits from group processes.
- Physiotherapists' focus on shared experiences enhanced social support among participants.
Conclusions:
- Group dynamics are positively impacted by individualization and physiotherapists facilitating experience sharing.
- Individualization and group-based interventions are not mutually exclusive for MS rehabilitation.
- Findings suggest incorporating both tailored approaches and peer support in group physiotherapy for MS.
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