Lee D J, Gambale A, Nisani M, Miller C, Leung E, Rodgers M, Chilianis D, Marra M
Department of Physical Therapy, Stony Brook University, Stony Brook, NY, USA.
Department of Physical Therapy, Philadelphia College of Osteopathic Medicine, GA, USA.
Can Prosthet Orthot J. 2023 Dec 22;6(1):42093. doi: 10.33137/cpoj.v6i1.42093. eCollection 2023.
Effective rehabilitation after limb loss is necessary to maximize function and promote independence. Physical therapists (PT) are one of the primary drivers of the rehabilitation process. While general physical therapy knowledge and abilities have been shown to be important to the rehabilitation process, it is unclear what individuals with limb loss value in their PT's.
The purpose of this study was to understand the elements that define an ideal PT from the perspective of individuals with limb loss.
Mixed-method design consisting of a 20-item web-based survey and semi-structured interviews that were administered to individuals 18 years or older, who spoke English, and had a history of lower limb loss.
Individuals with limb loss describe an ideal PT as promoting a therapeutic alliance, having specialized knowledge, and collaborating with a prosthetist. Knowledge of the PT as it relates to limb loss was found to be both the greatest facilitator and barrier to the rehabilitation process.
From the perspective of those with limb loss, an ideal PT promotes a strong therapeutic alliance through communication, has specialized knowledge when it comes to the limb loss rehabilitation process, and collaborates with the prosthetist to problem-solve throughout the rehabilitation process.
肢体缺失后进行有效的康复对于最大化功能和促进独立至关重要。物理治疗师（PT）是康复过程的主要推动者之一。虽然一般的物理治疗知识和能力已被证明对康复过程很重要，但尚不清楚肢体缺失者看重其物理治疗师的哪些方面。
本研究的目的是从肢体缺失者的角度了解定义理想物理治疗师的要素。
采用混合方法设计，包括一项基于网络的20项调查和对18岁及以上、讲英语且有下肢缺失史的个体进行的半结构化访谈。
肢体缺失者将理想的物理治疗师描述为促进治疗联盟、拥有专业知识并与假肢师合作。发现物理治疗师与肢体缺失相关的知识既是康复过程的最大促进因素，也是最大障碍。
从肢体缺失者的角度来看，理想的物理治疗师通过沟通促进强大的治疗联盟，在肢体缺失康复过程方面拥有专业知识，并在整个康复过程中与假肢师合作解决问题。
