Experiences of digital physiotherapy during pregnancy and after childbirth: A qualitative study

Frida Johnson , Sara Frygner Holm , Andrea Hess Engström
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Abstract

Background

Pelvic girdle pain, low back pain, and pelvic floor dysfunction can affect women's mobility, quality of life, and well-being during pregnancy and the postpartum period. Digital interventions for treating perinatal depression and lifestyle changes have been studied. Research on digital physiotherapy for musculoskeletal issues related to pregnancy and the postpartum period is sparse.

Methods

This qualitative study involved in-depth, semi-structured interviews with 19 participants, of whom six were pregnant and 13 had given birth. Participants were recruited from a private clinic in Sweden through convenience sampling and had received digital physiotherapy prior to the interviews. An interview guide with questions exploring participants' experiences of digital physiotherapy, including its impact on musculoskeletal issues and daily life, and their motivation for seeking digital healthcare was used. Data were analyzed using a qualitative content analysis with an inductive approach.

Results

The analysis resulted in two main categories: Finding a new way into physiotherapy treatment and Personalized progress through tailored physiotherapy. These main categories encompassed four generic categories: Convenience and dissatisfaction motivators for digital physiotherapy, A dual experience – appreciated but not always comprehensive, Being involved in the rehabilitation process, and Perceived physical and mental improvements after digital physiotherapy.

Conclusion

Digital physiotherapy was well-accepted and perceived as beneficial for managing musculoskeletal symptoms during pregnancy and after childbirth. High accessibility and flexibility were considered advantages. However, inability to undergo a physical assessment was a challenge. Digital physiotherapy may be recommended as a complement to usual care, particularly for women with limited access to a physiotherapist specialized in women's health. Future studies exploring digital physiotherapy's efficacy for musculoskeletal issues during pregnancy and after childbirth are highly recommended.

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孕期和产后数字物理治疗体验:定性研究
背景骨盆腰痛、腰痛和骨盆底功能障碍会影响妇女在孕期和产后的活动能力、生活质量和幸福感。目前已对治疗围产期抑郁症和改变生活方式的数字化干预措施进行了研究。这项定性研究对 19 名参与者进行了深入的半结构式访谈,其中 6 人怀孕,13 人已分娩。参与者是通过便利抽样从瑞典一家私人诊所招募的,在访谈前接受过数字物理治疗。访谈中使用了访谈指南,其中包含一些问题,以探讨参与者对数字化物理治疗的体验,包括数字化物理治疗对肌肉骨骼问题和日常生活的影响,以及他们寻求数字化医疗服务的动机。采用归纳法对数据进行了定性内容分析:找到物理治疗的新途径和通过量身定制的物理治疗取得个性化进展。这些主要类别包括四个一般类别:结论数字化物理治疗被广泛接受,并被认为有利于孕期和产后肌肉骨骼症状的治疗。高度的可及性和灵活性被认为是其优势所在。然而,无法进行身体评估是一项挑战。建议将数字物理治疗作为常规护理的补充,尤其是对于那些难以接触到女性健康专业物理治疗师的妇女。我们强烈建议今后开展研究,探讨数字物理治疗对孕期和产后肌肉骨骼问题的疗效。
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来源期刊
CiteScore
6.50
自引率
9.30%
发文量
94
审稿时长
6 weeks
期刊介绍: Official Journal of the European Society for Research on Internet Interventions (ESRII) and the International Society for Research on Internet Interventions (ISRII). The aim of Internet Interventions is to publish scientific, peer-reviewed, high-impact research on Internet interventions and related areas. Internet Interventions welcomes papers on the following subjects: • Intervention studies targeting the promotion of mental health and featuring the Internet and/or technologies using the Internet as an underlying technology, e.g. computers, smartphone devices, tablets, sensors • Implementation and dissemination of Internet interventions • Integration of Internet interventions into existing systems of care • Descriptions of development and deployment infrastructures • Internet intervention methodology and theory papers • Internet-based epidemiology • Descriptions of new Internet-based technologies and experiments with clinical applications • Economics of internet interventions (cost-effectiveness) • Health care policy and Internet interventions • The role of culture in Internet intervention • Internet psychometrics • Ethical issues pertaining to Internet interventions and measurements • Human-computer interaction and usability research with clinical implications • Systematic reviews and meta-analysis on Internet interventions
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