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Lived experiences of physical therapists treating traumatic knee injury using integrated psychological training (MOTIFS): a qualitative interview study

Cederström, Niklas LU orcid ; Ageberg, Eva LU orcid and Granér, Simon LU (2023) In Physiotherapy Theory and Practice
Abstract
Background
The novel Motor Imagery to Facilitate Sensorimotor Re-Learning (MOTIFS) training model, which began development in 2018, integrates psychological training into physical rehabilitation in knee-injured people.

Objective
This qualitative interview study aims to understand, interpret, and describe how physical therapists perceive using the MOTIFS Model.

Methods
One-on-one semi-structured interviews were conducted with six physical therapists familiar with the MOTIFS model and eight with experience with care-as-usual training only, analyzed using Interpretive Phenomenological Analysis.

Results
Two major themes were generated in the MOTIFS group: 1) “MOTIFS increases psychological focus... (More)
Background
The novel Motor Imagery to Facilitate Sensorimotor Re-Learning (MOTIFS) training model, which began development in 2018, integrates psychological training into physical rehabilitation in knee-injured people.

Objective
This qualitative interview study aims to understand, interpret, and describe how physical therapists perceive using the MOTIFS Model.

Methods
One-on-one semi-structured interviews were conducted with six physical therapists familiar with the MOTIFS model and eight with experience with care-as-usual training only, analyzed using Interpretive Phenomenological Analysis.

Results
Two major themes were generated in the MOTIFS group: 1) “MOTIFS increases psychological focus during rehabilitation training”; and 2) “Care-as-Usual training is mainly physical, and lacks the necessary psychological focus.” Physical therapists perceived structured methods of addressing psychological factors, such as using imagery to influence patients’ motivation, fear, and preparation for return to activity. Three major themes were generated in the Care-as-Usual group: 1) “Rehabilitation is mainly to restore physical function”; 2) “Rehabilitation training includes a biopsychosocial interaction”; and 3) “Psychological factors are important to address, but strategies are lacking.”

Conclusion
Physical therapists perceive MOTIFS as a method of consciously shifting perspective toward an increased focus on psychological factors in knee-injury rehabilitation. Results indicate that a training model with integrated psychological strategies to create more holistic rehabilitation may be beneficial. (Less)
Please use this url to cite or link to this publication:
author
; and
organization
publishing date
type
Contribution to journal
publication status
epub
subject
in
Physiotherapy Theory and Practice
publisher
Taylor & Francis
external identifiers
  • scopus:85148206942
  • pmid:36779818
ISSN
1532-5040
DOI
10.1080/09593985.2023.2176729
project
Motor Imagery to Facilitate Sensorimotor Relearning (MOTIFS): Integrating dynamic motor imagery in current treatment of knee injury
language
English
LU publication?
yes
id
82bda722-bfc1-41cf-8cb5-9d953035fc16
date added to LUP
2023-02-24 14:31:53
date last changed
2023-05-27 03:00:05
@article{82bda722-bfc1-41cf-8cb5-9d953035fc16,
  abstract     = {{Background<br/>The novel Motor Imagery to Facilitate Sensorimotor Re-Learning (MOTIFS) training model, which began development in 2018, integrates psychological training into physical rehabilitation in knee-injured people.<br/><br/>Objective<br/>This qualitative interview study aims to understand, interpret, and describe how physical therapists perceive using the MOTIFS Model.<br/><br/>Methods<br/>One-on-one semi-structured interviews were conducted with six physical therapists familiar with the MOTIFS model and eight with experience with care-as-usual training only, analyzed using Interpretive Phenomenological Analysis.<br/><br/>Results<br/>Two major themes were generated in the MOTIFS group: 1) “MOTIFS increases psychological focus during rehabilitation training”; and 2) “Care-as-Usual training is mainly physical, and lacks the necessary psychological focus.” Physical therapists perceived structured methods of addressing psychological factors, such as using imagery to influence patients’ motivation, fear, and preparation for return to activity. Three major themes were generated in the Care-as-Usual group: 1) “Rehabilitation is mainly to restore physical function”; 2) “Rehabilitation training includes a biopsychosocial interaction”; and 3) “Psychological factors are important to address, but strategies are lacking.”<br/><br/>Conclusion<br/>Physical therapists perceive MOTIFS as a method of consciously shifting perspective toward an increased focus on psychological factors in knee-injury rehabilitation. Results indicate that a training model with integrated psychological strategies to create more holistic rehabilitation may be beneficial.}},
  author       = {{Cederström, Niklas and Ageberg, Eva and Granér, Simon}},
  issn         = {{1532-5040}},
  language     = {{eng}},
  month        = {{02}},
  publisher    = {{Taylor & Francis}},
  series       = {{Physiotherapy Theory and Practice}},
  title        = {{Lived experiences of physical therapists treating traumatic knee injury using integrated psychological training (MOTIFS): a qualitative interview study}},
  url          = {{http://dx.doi.org/10.1080/09593985.2023.2176729}},
  doi          = {{10.1080/09593985.2023.2176729}},
  year         = {{2023}},
}