Use of physical activity by occupational therapists and speech-language therapists in KwaZulu-Natal

Physical activity (PA) plays an important role in rehabilitation by promoting emotional well-being, functional independence, and both physical and cognitive recovery. Although its application in rehabilitation varies, both occupational therapists and speech and language therapists incorporate PA to address individualised patient needs.

We explored the use of PA by occupational therapists and speech and language therapists in the integration of PA in treatment.

Ten therapists participated in virtual semi-structured interviews to explore their use of PA in patient treatment. A directed content analysis guided by the International Classification of Functioning, Disability and Health (ICF) framework was employed. NVivo software facilitated the coding of data into pre-established ICF categories: body structures and functions, activities and participation, and environmental factors.

Therapists used PA to achieve endurance, strength and cognitive recovery (body structures and functions); promote engagement in meaningful tasks (activities and participation); and identify environmental barriers and facilitators, such as resource constraints and interdisciplinary collaboration (environmental factors).

PA is regarded as a valuable therapeutic tool across ICF domains, with its optimal use in public sector facilities being hindered by institutional challenges, including staff shortages and limited resources.Contribution: This study contributes to the understanding of how occupational therapists and speech and language therapists integrate PA into rehabilitation, capturing practical clinical strategies aligned with the ICF framework.