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

IF 1.6 4区医学 Q2 REHABILITATION

Physiotherapy Theory and Practice Pub Date : 2025-01-01 Epub Date: 2024-02-19 DOI:10.1080/09593985.2024.2315520

Linda K Truong, Amber D Mosewich, Maxi Miciak, Justin M Losciale, Linda C Li, Jackie L Whittaker

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Abstract

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.

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社会支持和治疗关系交织在一起，影响着运动相关膝伤患者的锻炼行为。

目的：探讨社会支持如何影响运动疗法的参与度和坚持度：探索社会支持如何影响运动疗法的参与度以及参加教育和运动疗法干预（Stop OsteoARthritis, SOAR）前后的坚持情况：研究设计：研究设计：解释性描述。我们从 SOAR 随机对照试验中抽取了与运动相关的膝关节损伤参与者。SOAR是一项虚拟的、由理疗师指导的、以教育和运动疗法为基础的膝关节健康计划，主要针对有早期骨关节炎风险的人群。研究人员完成了一对一的半结构式访谈，并以布劳恩和克拉克的反思性主题分析法为指导进行了归纳：结果：15 位参与者（67% 为女性，中位年龄为 26 [19-35] 岁）接受了访谈。结果：15 名参与者（67% 为女性，中位年龄为 26 [19-35] 岁）接受了访谈：1）把我当作一个完整的人来对待，这代表了社会支持的价值超越了参与者的生理需求；2）与我一起工作，这强调了临床医生和参与者之间的工作伙伴关系；3）与我同行，这表明参与者的膝关节健康长期管理需要持续的支持。在所有研究结果中，治疗关系这一主题非常明显：结论：研究人员深入了解了感知到的支持如何以及为何与运动行为相关，其中治疗关系与感知到的支持有潜在联系。在教育和运动治疗计划中嵌入社会支持策略，可提高运动相关膝关节损伤后的运动坚持率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physiotherapy Theory and Practice REHABILITATION-

CiteScore

3.40

自引率

10.00%

发文量

300

期刊介绍： The aim of Physiotherapy Theory and Practice is to provide an international, peer-reviewed forum for the publication, dissemination, and discussion of recent developments and current research in physiotherapy/physical therapy. The journal accepts original quantitative and qualitative research reports, theoretical papers, systematic literature reviews, clinical case reports, and technical clinical notes. Physiotherapy Theory and Practice; promotes post-basic education through reports, reviews, and updates on all aspects of physiotherapy and specialties relating to clinical physiotherapy.