A qualitative, phenomenological approach was used to investigate the lived experiences of neurophysiotherapists. Semi-structured interviews were conducted with five physiotherapists, each with at least five years of clinical experience in neurorehabilitation. The interviews focused on their experiences treating stroke survivors with apraxia, the challenges they encountered, and the methods they employed in therapy. Data were analyzed using thematic analysis to uncover key themes related to rehabilitation practices, barriers, and treatment strategies.
A qualitative, phenomenological approach was used to investigate the lived experiences of neurophysiotherapists in Iceland. Semi-structured interviews were conducted with five physiotherapists, each with at least five years of experience in neurorehabilitation. The interviews explored their approaches to treating stroke survivors with apraxia, challenges they faced, and tools they employed in rehabilitation. Data were analyzed using thematic analysis to identify key themes related to the rehabilitation process, treatment barriers, and therapeutic techniques.
The analysis revealed several key themes: the rehabilitation process, limiting factors, adherence to treatment guidelines, and direct therapeutic techniques. All participants emphasized the importance of multidisciplinary rehabilitation, particularly the involvement of occupational therapists, when treating apraxia. Primary rehabilitation goals included improving motor function, enhancing independence, and improving quality of life.
However, several challenges were identified, including complications such as aphasia, hemiplegia, and paralysis, as well as other health conditions like infections, fatigue, and pain, which can slow the rehabilitation process. Therapists highlighted the importance of clear, simple communication with patients, using both verbal instructions and visual cues. Visual strategies, such as demonstrations, were found to stimulate automatic movements effectively. Additionally, therapists often used passive movement techniques, guiding patients through specific motor actions to assist with rehabilitation.
Despite their extensive experience, the physiotherapists found treating apraxia in stroke survivors to be highly complex and challenging. The participants stressed the need for further research and more comprehensive treatment guidelines to enhance their ability to manage apraxia effectively. Given the significant prevalence of stroke and apraxia, improving knowledge and resources for rehabilitation professionals is essential for better patient outcomes.
This study underscores the importance of advancing research and professional training in the treatment of apraxia. Developing clear, evidence-based guidelines and fostering multidisciplinary collaboration are crucial steps to improving rehabilitation outcomes. The insights gained from this research can contribute to enhancing the quality of care for stroke survivors with apraxia, improving their functional abilities and overall quality of life.
Stroke Rehabilitation
Physical Therapy Modalities
