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Basic Body Awareness Therapy for patients with stroke: Experiences among participating patients and physiotherapists
Örebro University, School of Health Sciences.
Örebro University, School of Health Sciences.ORCID iD: 0000-0001-7352-8234
Örebro University, School of Health Sciences.ORCID iD: 0000-0002-6768-5740
2016 (English)In: Journal of Bodywork & Movement Therapies, ISSN 1360-8592, E-ISSN 1532-9283, Vol. 20, no 1, p. 83-89Article in journal (Refereed) Published
Abstract [en]

Background: After a stroke many patients have muscle weakness, spasticity and compromised sensation leading to decreased postural stability. Basic Body Awareness Therapy includes slow movements that challenge postural control.

Aim: The aim was to describe experiences of 8 weeks of Basic Body Awareness Therapy from the perspective of both patients with stroke and physiotherapists.

Method: This study had a qualitative design. Twenty-one patients and four physiotherapists were interviewed. The interviews were analysed using manifest and latent content analysis.

Results: One overall theme emerged "Simple yet challenging" which was based on six categories: "Facing one's limitations", "Individualized movements", "A feeling of harmony", "Improved balance", "Integrated knowledge" and "Frustration and doubt". The patients described improvement in balance and stability, as well as increased wellbeing.

Conclusion: The patients and physiotherapists related that Basic Body Awareness Therapy challenges balance but also provides an opportunity to reflect on the body. (C) 2015 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Place, publisher, year, edition, pages
Elsevier, 2016. Vol. 20, no 1, p. 83-89
Keywords [en]
Basic Body Awareness Therapy, Physiotherapy, Qualitative study, Stroke
National Category
Nursing
Research subject
Rehabilitation Medicine
Identifiers
URN: urn:nbn:se:oru:diva-52163DOI: 10.1016/j.jbmt.2015.06.004ISI: 000381689000012PubMedID: 26891641Scopus ID: 2-s2.0-84958039596OAI: oai:DiVA.org:oru-52163DiVA, id: diva2:970666
Available from: 2016-09-14 Created: 2016-09-14 Last updated: 2018-05-09Bibliographically approved
In thesis
1. Physiotherapeutic perspectives on balance control after stroke: exercises, experiences and measures
Open this publication in new window or tab >>Physiotherapeutic perspectives on balance control after stroke: exercises, experiences and measures
2018 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim of this thesis was to investigate physiotherapeutic perspectives on balance after stroke, in terms of exercises, experiences and measurements. Study I was a pilot randomized controlled trial with 46 persons who had had a stroke, 24 of whom were included in the intervention group and 22 who were included in the control group. The intervention consisted of 8 weeks of body awareness therapy (BAT). There were no significant differences over time between the groups in the outcome measures of balance, walking, self-reported balance confidence and quality of life. Study II had a qualitative design using content analysis. Participants in the intervention group from Study I and the four physiotherapists who had been in charge of the BAT were interviewed. One overall theme emerged: "Simple yet challenging", which was based on six categories. Study III investigated the validity and test-retest reliability of the Six-Spot Step test (SSST), an instrument used to assess the ability to take load on each leg. A cross-sectional design with 81 persons who had had stroke was performed. The convergent validity was strong to moderate, and the test-retest reliability was good. In Study IV a mixed method design including both qualitative and quantitative data collection was used. The participants’ experiences of balance and its influence in everyday life were presented in two themes: "Feeling dizzy and unstable is a continuous challenge" and "Feeling trust and confidence despite dizziness and unsteadiness". Taken together, the different data sets provided complementary and confirmatory information about balance. All participants experienced the balance limitations as a continuous challenge in everyday life, yet they also felt trust and confidence.

In summary, BAT can be a complement in physiotherapeutic stroke rehabilitation and the SSST can be used as a measuring instrument of walking balance in persons with stroke. Living with balance limitations was experienced as a challenge but the participants were still able to manage their everyday life and activities.

Place, publisher, year, edition, pages
Örebro: Örebro University, 2018. p. 72
Series
Örebro Studies in Care Sciences, ISSN 1652-1153 ; 75
Keywords
Stroke, balance, physiotherapy, measures, experiences
National Category
Other Health Sciences
Identifiers
urn:nbn:se:oru:diva-65418 (URN)978-91-7529-247-2 (ISBN)
Public defence
2018-06-01, Örebro universitet, Campus USÖ, hörsal C3, Södra Grev Rosengatan 32, Örebro, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2018-03-02 Created: 2018-03-02 Last updated: 2018-08-08Bibliographically approved

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Lindvall, Mialinn ArvidssonAnderzen-Carlsson, AgnetaForsberg, Anette

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