The influence of the patient – physical therapist relationship on the outcomes of physical therapy: a narrative review of the literature
Journal Title: Rehabilitacja Medyczna - Year 2011, Vol 15, Issue 3
Abstract
Background: A holistic (biopsychosocial) model, widely accepted in contemporary medicine, provides a taking into account of both the physical, psychological and social aspects of a patient’s needs. Holistic rehabilitation approaches attempt to address both physical, cognitive and emotional disorders and problems. The relationship between the patient and physical therapists can be a key part of physical therapy and can be related to the outcome of physical therapy.Objective: Assessment of the influence of the patient-physical therapist relationship to the outcomes in physical therapy by a synthesizing of the published literature.Method: A rigorous search of four major databases was conducted using specified keywords and explicit inclusion and exclusion criteria.Representative literature was synthesized to indicate the scope and weight of current evidence. Conclusion: The relationship between the patient and physical therapists can have a positive influence on rehabilitation outcomes. More research is needed to determine important factors influencing a patient-physical therapists relationship, the strength of this association and guidances to clinical practice, especially within a multidisciplinary therapeutic team. Moreover there is urgent need to develop reliable instruments to measure these parameters in physical therapy settings. Because of the rapid development of telerehabilitation, the possible opportunities and dangers of a distance relationship should be assessed. The results of further research in this area can change contemporary therapy models and approaches within physical therapy, in particular those within outpatient, longterm and neurological rehabilitation.
Authors and Affiliations
Emilia Mikołajewska
Keywords
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