Foredrag NFF 16. jan11.pdf - Norsk Fysioterapeutforbund

Hvordan hjelper det – og hvem
Kvalitative empiriske studier ()
Øien, Råheim, Iversen og Steihaug (2009)
The study's purpose was to explore change and perception of change related
to patients with chronic back and/or neck pain through treatment courses
of Norwegian psychomotor physiotherapy.
A multiple case synthesis of nine cases, nine patients and five
physiotherapists, was based on in-depth interviews and repeated videorecordings.
Patients wrote reflective notes.
In order to study changing processes within and over sessions a two-step
procedure was applied: identifying main changing patterns, and
identifying patient groups concerning similarities and varieties of main
changing patterns.
Five changing patterns were identified: (i) to move restricted and nonrestricted;
(ii) to breathe restricted and non-restricted; (iii) to reflect in a
non-exploring and exploring way; (iv) to not transfer and transfer
experience from treatment to daily life; and (v) to be detached from and
to be in touch with the body.
Two patient groups were identified: the limited and the considerable
change groups.
The process of self-perception seemed to be integrated in all the
changing patterns, and to be a basis for reducing pain, and
changing movement, breath and expression within and outside
therapy. Self-perception appeared as a process of varying acts
and self-knowledge.
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