Social support and therapeutic relationships intertwine to influence exercise behavior in people with sport-related knee injuries.

Autor: Truong LK; Department of Physical Therapy, Faculty of Medicine, University of British Columbia, Vancouver, Canada.; Arthritis Research Canada, Vancouver, Canada., Mosewich AD; Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Canada., Miciak M; College of Health Sciences, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada., Losciale JM; Department of Physical Therapy, Faculty of Medicine, University of British Columbia, Vancouver, Canada.; Arthritis Research Canada, Vancouver, Canada., Li LC; Department of Physical Therapy, Faculty of Medicine, University of British Columbia, Vancouver, Canada.; Arthritis Research Canada, Vancouver, Canada., Whittaker JL; Department of Physical Therapy, Faculty of Medicine, University of British Columbia, Vancouver, Canada.; Arthritis Research Canada, Vancouver, Canada.; College of Health Sciences, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada.
Jazyk: angličtina
Zdroj: Physiotherapy theory and practice [Physiother Theory Pract] 2024 Feb 19, pp. 1-14. Date of Electronic Publication: 2024 Feb 19.
DOI: 10.1080/09593985.2024.2315520
Abstrakt: Objective: Explore how social support influences exercise therapy participation and adherence before and after enrolling in an education and exercise therapy intervention (Stop OsteoARthritis, SOAR).
Methods: Study design : Interpretative description. We sampled participants with sport-related knee injuries from the SOAR randomized controlled trial. SOAR is a virtual, physiotherapist-guided, education and exercise therapy-based knee health program that targets individuals at risk of early osteoarthritis. One-on-one semi-structured interviews were completed, and an inductive approach was guided by Braun & Clarke's reflexive thematic analysis.
Results: Fifteen participants (67% female, median age 26 [19-35] years) were interviewed. Three themes were generated that encapsulated participants' social support experiences that fostered exercise participation: 1) Treat me as a whole person represented the value of social support that went beyond participants' physical needs, 2) Work with me highlighted the working partnership between the clinician and the participant, and 3) Journey with me indicated a need for on-going support is necessary for the long-term management of participants' knee health. A theme of the therapeutic relationship was evident across the findings.
Conclusions: Insight was gained into how and why perceived support may be linked to exercise behavior, with the therapeutic relationship being potentially linked to perceived support. Social support strategies embedded within an education and exercise therapy program may boost exercise adherence after sport-related knee injuries.
Databáze: MEDLINE