32.5: Conclusion
- Page ID
- 112182
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The objective of the physiotherapist is primarily to facilitate recovery from injury through movement and exercise, manual therapy, education and advice. It is apparent that, within their advice and support particularly around self-administered rehabilitation they simultaneously meet and nurture the basic psychological needs of their patients. Consequently, in accordance with Deci and Ryan’s (1985; 2000) SDT, the benefit to patients of, for example, shared decision-making, feedback, resource support,and ongoing communication, is that in addition to directly facilitating recovery, there are wider and simultaneous benefits for patient psychological wellbeing. This chapter has sought to illustrate these benefits and provide some guidance on how these widely used strategies may be more effectively framed to satisfy the basic needs. We have also discussed a number of moderating factors that may influence the relationship between physiotherapy support and adherence to rehabilitation.
Developing a consistent and strategic-based approach to supporting rehabilitation adherence explicitly grounded in motivational theory, empiricism, and descriptions of strategy use by physiotherapists can go a considerable way to help to facilitate patient adherence, promote adaptive behaviours and cognitions, and more broadly enhance patient wellbeing.


