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Physiotherapists’ experiences of the meaning of movement quality in autism: a descriptive phenomenological study

Bertilsson, Ingrid LU orcid ; Gard, Gunvor LU and Sjödahl Hammarlund, Catharina LU (2022) In Physiotherapy Theory and Practice 38(2). p.299-308
Abstract
Introduction: Movement quality, represented in unrestricted movements, flow and pleasure, is often lacking in people with autism. One aspect is the non-verbal expression of the present emotional and psychological state of an individual. Purpose: To describe the meaning of movement quality in autism, as experienced by specialized physiotherapists. Method: Ten physiotherapists were interviewed. The data were recorded, transcribed verbatim, and analyzed using Giorgi᾽s descriptive phenomenological method. Findings: The general structure of movement quality in people with autism included eight key constituents: 1) reduced postural control; 2) deviant muscle tone and tension; 3) deviant sensory processing; 4) a lack of conscious awareness; 5)... (More)
Introduction: Movement quality, represented in unrestricted movements, flow and pleasure, is often lacking in people with autism. One aspect is the non-verbal expression of the present emotional and psychological state of an individual. Purpose: To describe the meaning of movement quality in autism, as experienced by specialized physiotherapists. Method: Ten physiotherapists were interviewed. The data were recorded, transcribed verbatim, and analyzed using Giorgi᾽s descriptive phenomenological method. Findings: The general structure of movement quality in people with autism included eight key constituents: 1) reduced postural control; 2) deviant muscle tone and tension; 3) deviant sensory processing; 4) a lack of conscious awareness; 5) difficulties with body boundaries; 6) coordinating movements (including breathing); 7) lack of anticipatory preparations of movements; and 8) need of cognitive thoughts to control movements. Conclusions: This study provide an understanding of how movement quality in people with autism is expressed. Their lived bodies constantly need to protect themselves from sensory impressions from within or the surroundings, causing emotional distress and obscuring the meaning of their movements. Their bodily expression becomes restrained, fragmented, and hesitant. Understanding movement patterns and emotional reactions following their struggle with movements may facilitate constructive interaction and communication, which give important implications when designing physiotherapy interventions. (Less)
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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Physiotherapy Theory and Practice
volume
38
issue
2
pages
299 - 308
publisher
Taylor & Francis
external identifiers
  • pmid:32351158
  • scopus:85084317915
ISSN
0959-3985
DOI
10.1080/09593985.2020.1759166
language
English
LU publication?
yes
id
ffd4a7ca-6ec6-45ec-b12e-6c4b1d313c13
date added to LUP
2020-06-05 14:45:27
date last changed
2024-06-12 14:30:33
@article{ffd4a7ca-6ec6-45ec-b12e-6c4b1d313c13,
  abstract     = {{Introduction: Movement quality, represented in unrestricted movements, flow and pleasure, is often lacking in people with autism. One aspect is the non-verbal expression of the present emotional and psychological state of an individual. Purpose: To describe the meaning of movement quality in autism, as experienced by specialized physiotherapists. Method: Ten physiotherapists were interviewed. The data were recorded, transcribed verbatim, and analyzed using Giorgi᾽s descriptive phenomenological method.  Findings: The general structure of movement quality in people with autism included eight key constituents: 1) reduced postural control; 2) deviant muscle tone and tension; 3) deviant sensory processing; 4) a lack of conscious awareness; 5) difficulties with body boundaries; 6) coordinating movements (including breathing); 7) lack of anticipatory preparations of movements; and 8) need of cognitive thoughts to control movements. Conclusions: This study provide an understanding of how movement quality in people with autism is expressed. Their lived bodies constantly need to protect themselves from sensory impressions from within or the surroundings, causing emotional distress and obscuring the meaning of their movements. Their bodily expression becomes restrained, fragmented, and hesitant. Understanding movement patterns and emotional reactions following their struggle with movements may facilitate constructive interaction and communication, which give important implications when designing physiotherapy interventions.}},
  author       = {{Bertilsson, Ingrid and Gard, Gunvor and Sjödahl Hammarlund, Catharina}},
  issn         = {{0959-3985}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{299--308}},
  publisher    = {{Taylor & Francis}},
  series       = {{Physiotherapy Theory and Practice}},
  title        = {{Physiotherapists’ experiences of the meaning of movement quality in autism: a descriptive phenomenological study}},
  url          = {{http://dx.doi.org/10.1080/09593985.2020.1759166}},
  doi          = {{10.1080/09593985.2020.1759166}},
  volume       = {{38}},
  year         = {{2022}},
}