From sceptic to believer: Acceptability of cognitive muscular therapyTM, a new intervention for knee osteoarthritis.
| Title: | From sceptic to believer: Acceptability of cognitive muscular therapyTM, a new intervention for knee osteoarthritis. |
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| 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] |
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| Items | – Name: Title Label: Title Group: Ti Data: From sceptic to believer: Acceptability of cognitive muscular therapy<superscript>TM</superscript>, a new intervention for knee osteoarthritis. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Ghio%2C+Daniela%22">Ghio, Daniela</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Brookes%2C+Nathan%22">Brookes, Nathan</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Preece%2C+Stephen%22">Preece, Stephen</searchLink><relatesTo>2</relatesTo> (AUTHOR)<i> s.preece@salford.ac.uk</i><br /><searchLink fieldCode="AR" term="%22Walsh%2C+Nicola%22">Walsh, Nicola</searchLink><relatesTo>3</relatesTo> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Musculoskeletal+Care%22">Musculoskeletal Care</searchLink>. Dec2023, Vol. 21 Issue 4, p1639-1650. 12p. – Name: Subject Label: Subject Terms Group: Su Data: *<searchLink fieldCode="DE" term="%22KNEE+osteoarthritis%22">KNEE osteoarthritis</searchLink><br />*<searchLink fieldCode="DE" term="%22RESEARCH+methodology%22">RESEARCH methodology</searchLink><br />*<searchLink fieldCode="DE" term="%22BIOFEEDBACK+training%22">BIOFEEDBACK training</searchLink><br />*<searchLink fieldCode="DE" term="%22INTERVIEWING%22">INTERVIEWING</searchLink><br />*<searchLink fieldCode="DE" term="%22PATIENTS'+attitudes%22">PATIENTS' attitudes</searchLink><br />*<searchLink fieldCode="DE" term="%22QUALITATIVE+research%22">QUALITATIVE research</searchLink><br />*<searchLink fieldCode="DE" term="%22CONCEPTUAL+structures%22">CONCEPTUAL structures</searchLink><br />*<searchLink fieldCode="DE" term="%22RESEARCH+funding%22">RESEARCH funding</searchLink><br />*<searchLink fieldCode="DE" term="%22COGNITIVE+therapy%22">COGNITIVE therapy</searchLink><br />*<searchLink fieldCode="DE" term="%22PHYSICAL+therapists'+attitudes%22">PHYSICAL therapists' attitudes</searchLink><br />*<searchLink fieldCode="DE" term="%22HEALTH+self-care%22">HEALTH self-care</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: 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] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>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.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1002/msc.1842 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 12 StartPage: 1639 Subjects: – SubjectFull: KNEE osteoarthritis Type: general – SubjectFull: RESEARCH methodology Type: general – SubjectFull: BIOFEEDBACK training Type: general – SubjectFull: INTERVIEWING Type: general – SubjectFull: PATIENTS' attitudes Type: general – SubjectFull: QUALITATIVE research Type: general – SubjectFull: CONCEPTUAL structures Type: general – SubjectFull: RESEARCH funding Type: general – SubjectFull: COGNITIVE therapy Type: general – SubjectFull: PHYSICAL therapists' attitudes Type: general – SubjectFull: HEALTH self-care Type: general Titles: – TitleFull: From sceptic to believer: Acceptability of cognitive muscular therapyTM, a new intervention for knee osteoarthritis. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Ghio, Daniela – PersonEntity: Name: NameFull: Brookes, Nathan – PersonEntity: Name: NameFull: Preece, Stephen – PersonEntity: Name: NameFull: Walsh, Nicola IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 12 Text: Dec2023 Type: published Y: 2023 Identifiers: – Type: issn-print Value: 14782189 Numbering: – Type: volume Value: 21 – Type: issue Value: 4 Titles: – TitleFull: Musculoskeletal Care Type: main |
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