Department of Welfare and Participation, Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Sogndal, Norway.
Department of Health and Function, Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway.
Physiother Theory Pract. 2024 Jan 2;40(1):42-55. doi: 10.1080/09593985.2022.2100298. Epub 2022 Jul 14.
The aim is to identify and synthesize qualitative research findings about patients with chronic musculoskeletal pain in long-term Norwegian psychomotor physiotherapy, in connection to their voices of meaning of embodied experiences of change and the possible influence on their identities.
We systematically searched for qualitative studies in English in ten databases: AMED, Cinahl, Cochrane, Embase, Medline, PsychInfo, Scopus, SportDiscus, Svemed, and Web of Science. We included and analyzed nine publications using meta-ethnography. Bachtin's polyphonic voice perspective influenced the analysis.
Three overarching themes emerged: 1) voices of body and mind as disconnected and connected; 2) ambiguous voices in the therapeutic relationship; and 3) identification of embodied voices of constraint and freedom influence identity.
The patients' polyphonic voices of ambiguous and contrasting expressions of embodied sensations and the therapeutic relationship in inner and external dialog seemed to facilitate the choices of change and the creation of new identities. In practice, the physiotherapists' consciousness of the patients' concurrent polyphonic voices may improve change in treatment.
本研究旨在确定并综合关于慢性肌肉骨骼疼痛患者在挪威长期心理运动物理治疗中的质性研究结果，重点关注他们对体验变化的身体意义的声音以及这对其身份认同可能产生的影响。
我们系统地在十个英文数据库中搜索定性研究：AMED、Cinahl、Cochrane、Embase、Medline、PsychInfo、Scopus、SportDiscus、Svemed 和 Web of Science。我们使用元民族志方法纳入并分析了 9 篇出版物。巴赫金的复调声音视角影响了分析。
出现了三个总体主题：1）身心声音的脱节与连接；2）治疗关系中的模棱两可的声音；3）身体束缚和自由声音对身份认同的影响。
患者对身体感觉和内在与外在对话中的治疗关系的复调声音表达出模棱两可和对比的表达，似乎促进了改变的选择和新身份的创造。在实践中，物理治疗师对患者同时存在的复调声音的意识可能会改善治疗中的改变。
