Physiotherapists' use of aerobic exercise during stroke rehabilitation: a qualitative study using chart-stimulated recall.

IF 2 4区医学 Q1 REHABILITATION Disability and Rehabilitation Pub Date : 2025-10-01 Epub Date: 2025-03-25 DOI:10.1080/09638288.2025.2482841

Azadeh Barzideh, Augustine Joshua Devasahayam, Ada Tang, Elizabeth Inness, Susan Marzolini, Sarah Munce, Kathryn M Sibley, Avril Mansfield

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Abstract

Purpose: We aimed to explore the factors that affected physiotherapists' use of aerobic exercise during stroke rehabilitation for people with stroke.

Material and methods: We conducted a qualitative descriptive study using thematic analysis informed by a pragmatic worldview. Physiotherapists attended one on one semi-structured interviews to answer some general questions about aerobic exercise and then discussed the charts of their four most recently discharged clients with stroke. Both deductive and inductive coding were used for analysis.

Results: Ten physiotherapists participated. Healthcare policies and limited resources were mostly discussed in general questions while specific profiles of clients with stroke, their goals and preferences were mostly discussed in patient specific questions. Three themes were identified: (1) physiotherapists' perspectives and practices regarding aerobic exercise; (2) profiles of people with stroke, as well as their goals and their exercise modality preferences; and (3) influence of health system priorities, rehabilitation intensity policy, and resources.

Conclusions: Physiotherapists' behaviours regarding use of aerobic exercise for people with stroke are not a binary behaviour of prescribing or not prescribing aerobic exercise. Their behaviours are better understood on a continuum; between two ends of not prescribing aerobic exercise, and prescribing aerobic exercise with defined intensity, duration, and frequency.

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物理治疗师在中风康复过程中使用有氧运动的情况：一项使用图表刺激回忆的定性研究。

目的：我们旨在探讨影响物理治疗师在中风患者康复过程中使用有氧运动的因素：我们以实用主义世界观为指导，采用主题分析法进行了一项定性描述性研究。物理治疗师参加了一对一的半结构化访谈，回答了一些关于有氧运动的一般性问题，然后讨论了他们最近出院的四名中风患者的病历。研究采用了演绎法和归纳法进行编码分析：结果：10 位物理治疗师参加了访谈。在一般性问题中主要讨论了医疗政策和有限的资源，而在针对患者的问题中主要讨论了中风患者的具体情况、目标和偏好。确定了三个主题(1) 物理治疗师对有氧运动的看法和实践；(2) 中风患者的概况、目标及其对运动方式的偏好；(3) 医疗系统优先事项、康复强度政策和资源的影响：结论：物理治疗师对脑卒中患者进行有氧运动的行为并不是开具或不开具有氧运动处方的二元行为。物理治疗师的行为最好被理解为一个连续统一体；介于不开具有氧运动处方和开具有氧运动处方的两端，有明确的强度、持续时间和频率。

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来源期刊

Disability and Rehabilitation 医学-康复医学

CiteScore

5.00

自引率

9.10%

发文量

415

审稿时长

3-6 weeks

期刊介绍： Disability and Rehabilitation along with Disability and Rehabilitation: Assistive Technology are international multidisciplinary journals which seek to encourage a better understanding of all aspects of disability and to promote rehabilitation science, practice and policy aspects of the rehabilitation process.