Deans' stroke musings: Patients’ experiences of involvement, motivation and coping with physiotherapists during subacute stroke rehabilitation

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Thursday, March 3, 2022

Patients’ experiences of involvement, motivation and coping with physiotherapists during subacute stroke rehabilitation – a qualitative study

You're thinking about motivation all wrong. Provide 100% recovery protocols and even if they require millions of repetitions, survivors will gladly do them because they know the outcome.

Patients’ experiences of involvement, motivation and coping with physiotherapists during subacute stroke rehabilitation – a qualitative study

Liss Marita Solbakken, Marita Nordhaug & Kristin Halvorsen To cite this article: Liss Marita Solbakken, Marita Nordhaug & Kristin Halvorsen (2022): Patients’ experiences of involvement, motivation and coping with physiotherapists during subacute stroke rehabilitation – a qualitative study, European Journal of Physiotherapy, DOI: 10.1080/21679169.2022.2032825 To link to this article: https://doi.org/10.1080/21679169.2022.2032825 © 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. Published online: 23 Feb 2022. Submit your article to this journal Article views: 57 View related articles View Crossmark data ORIGINAL ARTICLE Patients’ experiences of involvement, motivation and coping with physiotherapists during subacute stroke rehabilitation – a qualitative study Liss Marita Solbakken , Marita Nordhaug and Kristin Halvorsen Department of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway

ABSTRACT

Purpose:

Physiotherapy is an important, integral part of rehabilitation after stroke. The study aim was to explore and describe patients’ experiences of involvement, motivation, and coping in interaction with physiotherapists during subacute stroke rehabilitation. Methods: The data derive from qualitative semi-structured interviews of six patients following subacute stroke rehabilitation. The interviews were analysed using systematic text condensation.

Results:

Two categories were identified: (1) ‘The physiotherapist’s contribution’, including the themes of motivation through goal attainment, transferring knowledge, and building self-efficacy through a good relationship; (2) ‘The patient’s internal process’, including the themes of attitude and determination, comparison, the importance of feeling well and fending off passivity.

Conclusion:

This study shows that increased knowledge and a good relationship with the physiotherapist were important for the participants’ involvement, motivation, and coping. Experiencing ownership of the rehabilitation process made the patients accountable, affected their activity level positively, and helped them cope with their challenges.