Julie Sandell Jacobsen, Michael J M O'Brien, Jeanette R Christensen, May Arna Risberg, Gitte H Madsen, Andrew K Wallis, Inger Mechlenburg, Joanne Kemp
{"title":"髋臼周围截骨治疗髋臼发育不良后的定制康复：丹麦和澳大利亚物理治疗师面临的挑战和机遇的定性访谈研究。","authors":"Julie Sandell Jacobsen, Michael J M O'Brien, Jeanette R Christensen, May Arna Risberg, Gitte H Madsen, Andrew K Wallis, Inger Mechlenburg, Joanne Kemp","doi":"10.26603/001c.140883","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Periacetabular osteotomy (PAO) surgery provides better coverage of the femoral head and alleviates symptoms of acetabular dysplasia. While guidelines on rehabilitation following PAO exist, these guidelines may not sufficiently address the challenges and opportunities in providing rehabilitation for patients with diverse needs and goals in various healthcare contexts.</p><p><strong>Purpose: </strong>The purpose was to investigate the perceived challenges and opportunities of various post-PAO rehabilitation approaches from the perspectives of physiotherapists in Denmark and Australia. Study design: Qualitative study.</p><p><strong>Methods: </strong>A hermeneutic, phenomenological approach and semi-structured interviews were applied to explore the perspectives of 18 physiotherapists (7 males), aged 29-63 years, who rehabilitate patients with acetabular dysplasia following PAO. To ensure diversity in the characteristics of physiotherapists, purposeful sampling based on age and sex was employed. The interviews were coded and analyzed using inductive content analysis.</p><p><strong>Results: </strong>The analysis revealed three themes: \"Identifying crucial factors for successful recovery\", \"Managing the recovery process through targeted rehabilitation\", and \"Building a trustworthy relationship\". Several subthemes were identified, showing consistent patterns across countries. However, the Australian physiotherapists focused more on returning to sport and related milestones and providing structure-specific exercises. In contrast, the Danish physiotherapists emphasized addressing socioeconomic backgrounds and vulnerability among their patients.</p><p><strong>Conclusion: </strong>The physiotherapists involved in the rehabilitation of patients with acetabular dysplasia shared common perspectives regarding post-PAO rehabilitation. However, the Australians prioritized returning to sport, while the Danes emphasized socio-economic background. This indicates an opportunity to leverage these insights by focusing on tailored rehabilitation strategies in future initiatives that accommodate patients' needs within their specific healthcare contexts, ultimately enhancing recovery outcomes.</p><p><strong>Level of evidence: </strong>Not applicable.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":"20 7","pages":"1006-1017"},"PeriodicalIF":1.6000,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12222038/pdf/","citationCount":"0","resultStr":"{\"title\":\"Tailoring Rehabilitation Following Periacetabular Osteotomy for Acetabular Dysplasia: A Qualitative Interview Study on Challenges and Opportunities among Physiotherapists in Denmark and Australia.\",\"authors\":\"Julie Sandell Jacobsen, Michael J M O'Brien, Jeanette R Christensen, May Arna Risberg, Gitte H Madsen, Andrew K Wallis, Inger Mechlenburg, Joanne Kemp\",\"doi\":\"10.26603/001c.140883\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Periacetabular osteotomy (PAO) surgery provides better coverage of the femoral head and alleviates symptoms of acetabular dysplasia. While guidelines on rehabilitation following PAO exist, these guidelines may not sufficiently address the challenges and opportunities in providing rehabilitation for patients with diverse needs and goals in various healthcare contexts.</p><p><strong>Purpose: </strong>The purpose was to investigate the perceived challenges and opportunities of various post-PAO rehabilitation approaches from the perspectives of physiotherapists in Denmark and Australia. Study design: Qualitative study.</p><p><strong>Methods: </strong>A hermeneutic, phenomenological approach and semi-structured interviews were applied to explore the perspectives of 18 physiotherapists (7 males), aged 29-63 years, who rehabilitate patients with acetabular dysplasia following PAO. To ensure diversity in the characteristics of physiotherapists, purposeful sampling based on age and sex was employed. The interviews were coded and analyzed using inductive content analysis.</p><p><strong>Results: </strong>The analysis revealed three themes: \\\"Identifying crucial factors for successful recovery\\\", \\\"Managing the recovery process through targeted rehabilitation\\\", and \\\"Building a trustworthy relationship\\\". Several subthemes were identified, showing consistent patterns across countries. However, the Australian physiotherapists focused more on returning to sport and related milestones and providing structure-specific exercises. In contrast, the Danish physiotherapists emphasized addressing socioeconomic backgrounds and vulnerability among their patients.</p><p><strong>Conclusion: </strong>The physiotherapists involved in the rehabilitation of patients with acetabular dysplasia shared common perspectives regarding post-PAO rehabilitation. However, the Australians prioritized returning to sport, while the Danes emphasized socio-economic background. This indicates an opportunity to leverage these insights by focusing on tailored rehabilitation strategies in future initiatives that accommodate patients' needs within their specific healthcare contexts, ultimately enhancing recovery outcomes.</p><p><strong>Level of evidence: </strong>Not applicable.</p>\",\"PeriodicalId\":47892,\"journal\":{\"name\":\"International Journal of Sports Physical Therapy\",\"volume\":\"20 7\",\"pages\":\"1006-1017\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2025-07-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12222038/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Sports Physical Therapy\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.26603/001c.140883\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"SPORT SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Sports Physical Therapy","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.26603/001c.140883","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"SPORT SCIENCES","Score":null,"Total":0}
Tailoring Rehabilitation Following Periacetabular Osteotomy for Acetabular Dysplasia: A Qualitative Interview Study on Challenges and Opportunities among Physiotherapists in Denmark and Australia.
Background: Periacetabular osteotomy (PAO) surgery provides better coverage of the femoral head and alleviates symptoms of acetabular dysplasia. While guidelines on rehabilitation following PAO exist, these guidelines may not sufficiently address the challenges and opportunities in providing rehabilitation for patients with diverse needs and goals in various healthcare contexts.
Purpose: The purpose was to investigate the perceived challenges and opportunities of various post-PAO rehabilitation approaches from the perspectives of physiotherapists in Denmark and Australia. Study design: Qualitative study.
Methods: A hermeneutic, phenomenological approach and semi-structured interviews were applied to explore the perspectives of 18 physiotherapists (7 males), aged 29-63 years, who rehabilitate patients with acetabular dysplasia following PAO. To ensure diversity in the characteristics of physiotherapists, purposeful sampling based on age and sex was employed. The interviews were coded and analyzed using inductive content analysis.
Results: The analysis revealed three themes: "Identifying crucial factors for successful recovery", "Managing the recovery process through targeted rehabilitation", and "Building a trustworthy relationship". Several subthemes were identified, showing consistent patterns across countries. However, the Australian physiotherapists focused more on returning to sport and related milestones and providing structure-specific exercises. In contrast, the Danish physiotherapists emphasized addressing socioeconomic backgrounds and vulnerability among their patients.
Conclusion: The physiotherapists involved in the rehabilitation of patients with acetabular dysplasia shared common perspectives regarding post-PAO rehabilitation. However, the Australians prioritized returning to sport, while the Danes emphasized socio-economic background. This indicates an opportunity to leverage these insights by focusing on tailored rehabilitation strategies in future initiatives that accommodate patients' needs within their specific healthcare contexts, ultimately enhancing recovery outcomes.
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