Patient Care

Mistakes to Avoid with Exercise Prescription

The 2 Mistakes To Avoid With Exercise Prescription (& the Surprising Solution)

Therapeutic exercise. It’s a staple of a physiotherapist’s toolbox. No other intervention has as much research supporting it. As movement clinicians, we know this. That’s why we’re always keen to learn a new exercise or identify a fresh twist on the tried and true exercises. Prescribing the right exercise is important, but there are two …

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Using Metaphors & Analogies to Improve Patient Education in Physiotherapy

If there’s one thing that is the bedrock in our care of patients as physiotherapists it is patient education. We educate our patients about a lot of things. Here’s just a short list: patient’s condition our assessment findings treatment plan anatomy and physiology specific treatments and their rationale referral to another healthcare provider diagnostic report …

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Finding Freud in Physiotherapy-Part 3

Reconsidering Boundaries Moves Us Forward (Read Part 1 & Part 2 here) Are physiotherapists doing psychotherapy? Applying Frank and Frank’s descriptions, I say yes, physiotherapy treatment can be psychotherapeutic. In my view, psychotherapy is not solely contingent upon the treatment of psychological diagnoses; rather, it is a form of therapy that addresses the psychological factors of a person’s experience. Of …

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Finding Freud in Physiotherapy-Part 2

Contextual Theory –An Unexpected Ally Although physiotherapy supports models that acknowledge psychological elements of rehabilitation, it may be surprising that support also comes from psychiatry. American psychiatrists Jerome and Julia Frank broadened the definition of psychotherapy by arguing that it is the healing relationship between a healing agent (therapist) and a sufferer (patient).1 The sufferer, wanting to alleviate disability, …

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Finding Freud in Physiotherapy: Part 1

Visioning Practice Through a Psychotherapeutic Lens M.A.S.H. is a 1970’s television show about people serving in a mobile army surgical hospital during the Korean War. The quality of writing and acting impeccably combine dramatic and comedic flare to address weighty social issues and complex interpersonal relationships. Some of these storylines relate to the scope of …

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Getting Through The Dip

When Things Get Tough Whenever I need a little perspective, I’ll often look to find a good book and a good one I did find. It’s a little gem by Seth Godin called “The Dip”. It doesn’t break a 100 pages, but it’s message (as is often the case with Godin’s books) is an insightful one. He …

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Unmotivated Patient? A New Perspective on Goal Setting

In this blog entry we’ll continue to delve into insights shared in the book The Switch by the Heath brothers. Their general insights into personal change could prove beneficial in our work as physiotherapists. I believe that refining our change behavior skills can make us more effective in helping our patients become healthier and more resilient. And …

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Shrink the Change!

In my last blog entry I talked about the reality that self-control (the much needed resource for change behaviour) is a limited resource. And so what we as therapists can perceive in our patients as resistance, laziness or discontent can really be a lack of the much needed energy to engage in change behaviour. The …

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