From sceptic to believer: Acceptability of cognitive muscular therapyTM , a new intervention for knee osteoarthritis.

IF 1.5 Q3 RHEUMATOLOGY Musculoskeletal Care Pub Date : 2023-12-01 Epub Date: 2023-11-16 DOI:10.1002/msc.1842
Daniela Ghio, Nathan Brookes, Stephen Preece, Nicola Walsh
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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.

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从怀疑到相信:认知肌肉疗法tm的可接受性,膝关节骨关节炎的一种新干预。
背景:认知肌肉疗法(CMT)是一种针对膝骨关节炎的综合行为干预。CMT教导患者重新认识病情,整合肌肉生物反馈,旨在减少肌肉过度活动,无论是对疼痛的反应还是在日常活动中。这个嵌套的定性研究探讨了患者和物理治疗师对CMT的观点和经验。方法:五名物理治疗师接受培训,遵循明确的方案,然后向至少两名膝关节骨关节炎患者提供CMT。每位患者接受了七次单独的临床治疗,并提供了包含动画视频的在线学习材料。半结构化访谈在干预交付/完成后进行,并在患者和物理治疗师层面对数据进行分析。结果:对5名物理治疗师和5名患者进行了访谈。所有人都描述了在他们参与CMT的过程中改变信念的过程。一个有三个阶段的框架被开发出来,根据骨关节炎是如何概念化的,以及在与CMT的相互作用中是如何变化的,来组织数据。首先,是对疼痛信念的挑战,以及对当前信念如何与日常经历不一致的认识。其次是一个挑战和改变信念的过程,通过新的经历得到验证。最后,将改变的信念嵌入到自我管理中,以继续进行活动。结论:本研究确定了暴露于CMT期间发生的一系列心理变化。这些变化使患者能够重新认识自己的病情,对自己的身体有了新的认识,了解了心理过程,并弄清楚了膝盖疼痛的原因。
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来源期刊
Musculoskeletal Care
Musculoskeletal Care RHEUMATOLOGY-
CiteScore
2.30
自引率
7.70%
发文量
88
期刊介绍: Musculoskeletal Care is a peer-reviewed journal for all health professionals committed to the clinical delivery of high quality care for people with musculoskeletal conditions and providing knowledge to support decision making by professionals, patients and policy makers. This journal publishes papers on original research, applied research, review articles and clinical guidelines. Regular topics include patient education, psychological and social impact, patient experiences of health care, clinical up dates and the effectiveness of therapy.
期刊最新文献
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