Introduktion: En främre korsbandsskada är en vanlig idrottsskada där många efter rehabiliteringen inte återgår till sin tidigare aktivitetsnivå. Förutom nedsatt knäfunktion kan många faktorer spela in i valet att återgå eller inte exempelvis motivation, rädsla och identitetsförlust. Studiens syfte var att utforska fysioterapeuters tankar, erfarenheter och rutiner kring psykosocial hälsa hos patienter med en främre korsbandsskada med målet om att återgå till tidigare idrott. Metod: Studien har genomförts genom en kvalitativ intervjustudie med en induktiv ansats samt en semistrukturerad intervjuguide. Fem fysioterapeuter som aktivt arbetade med främre korsbandsskador inkluderades. Intervjuerna analyserades utifrån innehållsanalys enligt Graneheim och Lundman. Resultat: Innehållsanalysen resulterade i ett tema; Psykosocial hälsa, en gråzon för fysioterapeuter med tre kategorier; Psykosociala faktorer påverkar patientens rehabilitering, En god rehabilitering kräver engagemang och ett helhetsperspektiv, Delad syn på betydelsen av psykosocial hälsa inom rehabilitering. Resultatet visar på en medvetenhet om att en korsbandsskada kan påverka patientens psykosociala hälsa negativt, men hur fysioterapeuterna arbetar med psykosocial hälsa skiljer sig åt. Slutsats: Psykosocial hälsa är en synlig faktor i rehabiliteringen av en främre korsbandsskada och är ett område där fysioterapeuterna saknar rutiner, resurser och tillräcklig kunskap. Det lyfts en delad åsikt hos fysioterapeuterna kring vem som ansvarar för patientens psykosociala hälsa. Den här studien illustrerar en brist på tydlighet kring fysioterapeutens roll vid psykosocial hälsa i rehabiliteringen och kan ligga till grund för framtida forskning.

Background: Only few studies deal with the workload of physical therapists and the health consequences, although this occupational group is quite important for the health care system in many industrialized countries (e.g. ca. 136 000 people are currently employed as physical therapists in Germany). Therefore, the current state of knowledge of work-related diseases and disorders of physical therapists is insufficient. The aim of the "Physical Therapist Cohort" (PTC) study is to analyze the association between work-related exposures and diseases among physical therapists in Germany. This article describes the protocol of the baseline assessment of the PTC study. Methods/Design: A cross-sectional study will be conducted as baseline assessment and will include a representative random sample of approximately 300 physical therapists employed in Germany (exposure group), and a population-based comparison group (n = 300). The comparison group will comprise a sample of working aged (18–65 years) inhabitants of a German city. Variables of interest will be assessed using a questionnaire manual including questions regarding musculoskeletal, dermal, and infectious diseases and disorders as well as psychosocial exposures, diseases and disorders. In addition to subjective measures, a clinical examination will be used to objectify the questionnaire-based results (n = 50). Discussion: The study, which includes extensive data collection, provides a unique opportunity to study the prospective association of work-related exposures and associated complaints of physical therapists. Baseline results will give first clues with regard to whether and how prevalent main exposures of physiotherapeutic work and typical work areas of physical therapists are associated with the development of work-related diseases. Thereby, this baseline assessment provides the basis for further investigations to examine causal relationships in accordance with a longitudinal design.

Made available in DSpace on 2016-08-03T16:34:26Z (GMT). No. of bitstreams: 1 LUANA YEHIA DE LA BARRA.pdf: 647369 bytes, checksum: 5ed787f9c3f80662f9156a0374495f95 (MD5) Previous issue date: 2006-02-08 / The biopsychosocial approach is very important for physical therapists to enabling them to act with human beings, in a global way, not only focusing their attention only on the pathology, but also on the ill person as a whole. The comprehension of the profession and the concepts of health illness, and patient, are also needed for the physical therapists to consider their intervention on a more extended basis than only on the rehabilitation one. The purpose of this study is to investigate the comprehension of the last year´s Physical therapy students from a private University in São Paulo about health illness, patient, Physical therapy and the relationship between physical therapist and their patients, associating the understanding to the existent health models. In order to achieve these objectives it uses authors of the Health Psychology who defend the biopsychosocial approach, and also authors of Physical therapy and Medicine who write about the models for graduation curriculae of health professionals. Ten semi-structured interviews were led with students, asking about the subjects of the study. The results were analyzed qualitatively, using the construction of analysis categories to answer the objectives of the research. In conclusion, the students noticed some phsychological and social aspects of patients, but not in a clear way and in most of the students, this knowledge was adquired outside the University. Eventhough, the topics on humanities are included in their course, but at the time of the graduation, students don´t reach the objectives of a human comprehension of patient, and oscillate between the biomedical and biopsychosocial model / A visão biopsicossocial de homem é de fundamental importância para que os fisioterapeutas sejam capazes de atuar com seus pacientes, de forma global, sem focar a atenção apenas à doença, mas sim à pessoa doente. A compreensão acerca da profissão e dos conceitos de saúde-doença e paciente, também se faz necessária para que esses profissionais possam considerar sua intervenção num âmbito mais amplo do que a reabilitação. O objetivo deste trabalho é investigar a compreensão que os alunos do último ano de Fisioterapia de uma Universidade privada de São Paulo têm sobre saúde-doença, paciente, Fisioterapia e relacionamento fisioterapeuta-paciente e como associam estas compreensões aos modelos de saúde existentes. Para isso toma por base autores da Psicologia da Saúde que defendem uma visão biopsicossocial de homem, assim como autores da Fisioterapia e Medicina que escrevem sobre os modelos adotados nos currículos de formação dos profissionais da saúde. Foram realizadas 10 entrevistas semi-dirigidas com os alunos, apresentando questões a respeito dos temas em questão. Os resultados foram analisados de forma qualitativa através da construção de categorias de análise visando responder aos objetivos da pesquisa. Conclui-se que os alunos percebem alguns aspectos psicológicos e sociais do paciente, mas não de forma clara e, na maioria dos casos, este conhecimento se dá através de conhecimentos que não foram adquiridos na Universidade. Esta, apesar de fornecer os conteúdos para a formação mais humana do fisioterapeuta, não alcança os objetivos ao final do curso, já que os alunos oscilam entre os modelos biomédico e biopsicossocial

Background: Only few studies deal with the workload of physical therapists and the health consequences, although this occupational group is quite important for the health care system in many industrialized countries (e.g. ca. 136 000 people are currently employed as physical therapists in Germany). Therefore, the current state of knowledge of work-related diseases and disorders of physical therapists is insufficient. The aim of the 'Physical Therapist Cohort' (PTC) study is to analyze the association between work-related exposures and diseases among physical therapists in Germany. This article describes the protocol of the baseline assessment of the PTC study. Methods/Design: A cross-sectional study will be conducted as baseline assessment and will include a representative random sample of approximately 300 physical therapists employed in Germany (exposure group), and a population-based comparison group (n = 300). The comparison group will comprise a sample of working aged (18–65 years) inhabitants of a German city. Variables of interest will be assessed using a questionnaire manual including questions regarding musculoskeletal, dermal, and infectious diseases and disorders as well as psychosocial exposures, diseases and disorders. In addition to subjective measures, a clinical examination will be used to objectify the questionnaire-based results (n = 50). Discussion: The study, which includes extensive data collection, provides a unique opportunity to study the prospective association of work-related exposures and associated complaints of physical therapists. Baseline results will give first clues with regard to whether and how prevalent main exposures of physiotherapeutic work and typical work areas of physical therapists are associated with the development of work-related diseases. Thereby, this baseline assessment provides the basis for further investigations to examine causal relationships in accordance with a longitudinal design.

Made available in DSpace on 2016-04-04T18:28:20Z (GMT). No. of bitstreams: 1 NADINI BRANDAO DE SOUSA.pdf: 1145016 bytes, checksum: 139b21e96126cbd97f2d9e247d8f4201 (MD5) Previous issue date: 2015-02-11 / Pontif?cia Universidade Cat?lica de Campinas / Inspired by the biomedical health model, the practice of physical therapy has specific characteristics with regard to patient care. Physical contact between therapist and patient and the frequency of the assistance involves the development of a peculiar type of interpersonal relationship. This research aimed to grasp, phenomenologically, the experience of the physical therapy trainees regarding their relationship with outpatients at a university clinic. It is an exploratory qualitative research, phenomenologically inspired. Eight individual encounters were carried out with undergraduates who are in their seventh, ninth and tenth semesters. After each of the encounters, the researcher wrote a first-person narrative, based on her impressions of the meaning of the lived experience of the participants. A narrative synthesis was then developed in order to capture the meaning of the experience as such. The analysis made it possible to conclude that trainees strive to offer a treatment that includes, not only technique but also attitudes of respect, warmth and welcome. Caring for patients with neurological problems, especially those involving progressive degeneration, is signified by the interns as unrewarding since recovery is impossible and verbal communication is difficult. They also feel distressed, as they perceive themselves emotionally involved with the patients, despite the attempt to maintain a strictly professional approach. On the other hand, in a broad way, this relationship is referred to as an opportunity for new learnings and psychological maturity with a potential for growth both in personal and professional life. / Inspirada no modelo biom?dico de sa?de, a pr?tica da fisioterapia possui caracter?sticas espec?ficas no que se refere ao atendimento aos pacientes do ponto de vista psicol?gico. O contato f?sico e a frequ?ncia das sess?es acarretam o desenvolvimento de um relacionamento interpessoal que esta pesquisa objetivou apreender fenomenologicamente a partir da experi?ncia de alunos de uma faculdade de Fisioterapia. Foram realizados encontros individuais com oito graduandos que cursavam o s?timo, nono e d?cimo per?odos do Curso com foco em suas atividades como estagi?rios no ambulat?rio de uma cl?nica universit?ria. Ap?s cada um desses encontros, a pesquisadora construiu uma narrativa a partir de sua compreens?o sobre os significados da experi?ncia para o participante. Ap?s concluir esta fase, elaborou uma narrativa-s?ntese contendo o conjunto de significados relatados pelos participantes a fim de interpretar o sentido da experi?ncia como tal. Este processo de an?lise possibilitou concluir que os alunos empenham-se em oferecer um tratamento que inclua, al?m das t?cnicas, atitudes de respeito, cordialidade e acolhimento. Desenvolvem uma vis?o do paciente como pessoa e n?o apenas como caso cl?nico, embora tenham sido treinados para um desempenho t?cnico. Por outro lado, sentem-se angustiados ao se perceberem envolvidos emocionalmente, a despeito da inten??o inicial de manterem uma postura estritamente profissional. Atender pessoas que apresentam problemas neurol?gicos, em especial aqueles que implicam progressiva degenera??o, ? significado pelos participantes como pouco gratificante, em fun??o da impossibilidade de recupera??o dos movimentos e da dificuldade de comunica??o verbal. Consideram que os atendimentos possibilitam uma aprendizagem necess?ria e importante que promove amadurecimento psicol?gico com potencial transformador, tanto para a vida pessoal quanto profissional.