Bibliographic Details
| Title: |
From sceptic to believer: Acceptability of cognitive muscular therapyTM, a new intervention for knee osteoarthritis. |
| Authors: |
Ghio, Daniela1 (AUTHOR), Brookes, Nathan2 (AUTHOR), Preece, Stephen2 (AUTHOR) s.preece@salford.ac.uk, Walsh, Nicola3 (AUTHOR) |
| Source: |
Musculoskeletal Care. Dec2023, Vol. 21 Issue 4, p1639-1650. 12p. |
| Subject Terms: |
*KNEE osteoarthritis, *RESEARCH methodology, *BIOFEEDBACK training, *INTERVIEWING, *PATIENTS' attitudes, *QUALITATIVE research, *CONCEPTUAL structures, *RESEARCH funding, *COGNITIVE therapy, *PHYSICAL therapists' attitudes, *HEALTH self-care |
| Abstract: |
Background: Cognitive Muscular TherapyTM (CMT) is an integrated behavioural intervention developed for knee osteoarthritis. CMT teaches patients to reconceptualise the condition, integrates muscle biofeedback and aims to reduce muscle overactivity, both in response to pain and during daily activities. This nested qualitative study explored patient and physiotherapist perspectives and experiences of CMT. Methods: Five physiotherapists were trained to follow a well‐defined protocol and then delivered CMT to at least two patients with knee osteoarthritis. Each patient received seven individual clinical sessions and was provided with access to online learning materials incorporating animated videos. Semi‐structured interviews took place after delivery/completion of the intervention and data were analysed at the patient and physiotherapist level. Results: Five physiotherapists and five patients were interviewed. All described a process of changing beliefs throughout their engagement with CMT. A framework with three phases was developed to organise the data according to how osteoarthritis was conceptualised and how this changed throughout their interactions with CMT. Firstly, was an identification of pain beliefs to be challenged and recognition of how current beliefs can misalign with daily experiences. Secondly was a process of challenging and changing beliefs, validated through new experiences. Finally, there was an embedding of changed beliefs into self‐management to continue with activities. Conclusion: This study identified a range of psychological changes which occur during exposure to CMT. These changes enabled patients to reconceptualise their condition, develop a new understanding of their body, understand psychological processes, and make sense of their knee pain. [ABSTRACT FROM AUTHOR] |
|
Copyright of Musculoskeletal Care is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| Database: |
Academic Search Complete |
|
Full text is not displayed to guests. |
Login for full access.
|
