Psychologically informed physiotherapy for chronic pain: patient experiences of treatment and therapeutic process

Wilson, S.; Chaloner, N.; Osborn, M.; Gauntlett-Gilbert, J.

doi:10.1016/j.physio.2015.11.005

Cited by 69Musculoskeletal pain and rehabilitationPsychotherapy Techniques and ApplicationsPain Management and Treatment

Psychologically informed physiotherapy for chronic pain: patient experiences of treatment and therapeutic process

Wilson, S., Chaloner, N., Osborn, M., Gauntlett-Gilbert, J.·2017·Physiotherapy

DOI 10.1016/j.physio.2015.11.005

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Abstract

Objectives Psychologically informed physiotherapy is used widely with patients with chronic pain. This study aimed to investigate patients' beliefs about, and experiences of, this type of treatment, and helpful and unhelpful experiences.Design A qualitative study using Interpretative Phenomenological Analysis of semi-structured interviews.Participants Participants (n=8) were recruited within a national specialist pain centre following a residential pain management programme including 2.25hours of physiotherapy each day. Participants were eligible for inclusion if they had achieved clinically reliable improvements in physical functioning during treatment. Interviews were conducted 3 months post-treatment.Results Participants reported differing experiences of physiotherapy interventions and differences in the therapeutic relationship, valuing a more individualised approach. The themes of 'working with the whole of me', 'more than just a professional', 'awareness' and 'working through challenges in the therapeutic relationship' emerged as central to behavioural change, together with promotion of perceptions of improved capability and physical capacity.Conclusion Psychologically informed physiotherapy is an effective treatment for some patients with chronic pain. Participants experienced this approach as uniquely different from non-psychologically informed physiotherapy approaches due to its focus on working with the patient's whole experience. Therapeutic alliance and management of relationship ruptures may have more importance than previously appreciated in physiotherapy.

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The lack of clear competencies, rationale, framework, and clinical models that are feasible and acceptable makes it difficult to develop, adopt, and apply best practices for the spread and adoption of PiPT programs.
“The lack of clear competencies, rationale, framework, and clinical models that are feasible and acceptable make it difficult to develop, adopt, and apply best practices for the spread and adoption of PiPT programs.22,23,31,33,36”
From Remotely Delivered Psychologically Informed Mindful Movement Physical Therapy for Pain Care: A Framework for Operationalization (2023) · cites this paper as [36]
ACT-informed PiPT has demonstrated improvement for back-related disability, function, and pain interference, addressed barriers for engagement in physical activity, and patients report greater internal awareness that their whole being was not defined by their pain experience.
“ACT informed PiPT has demonstrated improvement for back-related disability, function, and pain-interference, addressed barriers for engagement in physical activity, and patients report the program supports greater internal awareness that their whole being was not defined by their pain experience.22,36,44,46”
From Remotely Delivered Psychologically Informed Mindful Movement Physical Therapy for Pain Care: A Framework for Operationalization (2023) · cites this paper as [36]

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Authors: Wilson, S., Chaloner, N., Osborn, M., & Gauntlett-Gilbert, J.
Affiliations: Royal United Hospital (GB)
Corresponding author: Wilson, S.
ORCID: Wilson, S.
Venue: Physiotherapy
Publisher: Elsevier BV
Published: 2017-03
Volume: 103
Issue: 1
Pages: 98-105
ISSN: 0031-9406 (ISSN-L)
DOI: 10.1016/j.physio.2015.11.005
OpenAlex: W2290104958
Cited by: 69
References: 30
Citations by year: 2026: 6 · 2025: 4 · 2024: 11 · 2023: 9 · 2022: 12 · 2021: 3 · 2020: 9 · 2019: 8 · 2018: 4 · 2017: 2
FWCI: 3.77
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Physiotherapy (publishedVersion)
PubMed (publishedVersion)
Funders: Engineering and Physical Sciences Research Council (EP/H017178/1)
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Keywords: chronic pain, patient experience, therapeutic relationship, behavior change, individualized care
MeSH terms: Adaptation, Psychological, Adult, Female, Humans, Male, Middle Aged, Cognitive Behavioral Therapy, Physical Therapy Modalities, Qualitative Research, Young Adult, Chronic Pain

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Psychologically informed physiotherapy for chronic pain: patient experiences of treatment and therapeutic process

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