Getting in touch: Communication in physical therapy practice and the multiple functions of language.
Birgitte Ahlsen, Anne Birgitta Nilsen
PMID 36189038WHAT IT FOUND
During a single first physical therapy encounter, a patient with chronic neck pain appeared to participate more while the therapist repeated his words, left sentences unfinished, accepted interruptions, used gaze, and touched his neck and shoulder.
Key findings
01The therapist’s verbal and non-verbal communication appeared to encourage the patient to become more relaxed and participate more actively.
02The therapist used a rich repertoire of verbal and non-verbal resources, illustrated through interruptions, repetitions, unfinished sentences, touch, and gaze.
03The therapist’s touch was described as having both physiotherapeutic and relational or meaning-making functions.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
The findings come from a single patient and a single therapist, selected from nine encounters because the patient became more engaged, so they may not reflect typical encounters. The study did not compare patients or outcomes, so it cannot show that the therapist’s communication caused participation. The encounter included interview, examination, speech, gaze, touch, and note-taking, so the contribution of any single component cannot be separated. The interpretations were made by the authors, including a physical therapist who was also a researcher, so the analysis may reflect their perspective. All participants were Norwegian, and the therapists were experienced specialists, so applicability to other settings is limited. The patient had chronic neck pain and sought psychomotor physical therapy, so it says little about other pain conditions or other treatment approaches.
Declared interests
The study was funded by the Norwegian Fund for Post-Graduate Training in Physiotherapy. The authors declared no commercial financial relationships.
The easy way to misread this
Do not conclude that these communication behaviours reliably increase patient participation. The study analysed a single encounter chosen because the patient became more engaged, and the authors state that generalizations cannot be made from a single case.