Working with Joanne Elphinston Movement Systems - physiotherapists' experiences in primary health care. A focus group study.

BACKGROUND

JEMS (Joanne Elphinston Movement Systems) described as a systematic, holistic approach to analyze and create sound foundations for movement, is increasing in popularity among physiotherapists. The aim of this study was to investigate and capture the experiences and narratives of physiotherapists (PTs) using JEMS for rehabilitation with patients in primary healthcare.

MATERIALS AND METHODS

In this qualitative description study, we invited 13 PTs to focus group discussions (FGD). Four groups were conducted, three FGD at different locations in Region Västra Götaland, Sweden, and one FGD using Skype. The groups met on one occasion. The FGD method has a qualitative semi-structured research design based on a social constructivist tradition of research. Data were analyzed using the Kreuger method, considering the content of the discussion in a collective understanding of the subject and the interaction taking place among participants.

RESULTS

Three themes were identified: how the PTs describe their practical and emotional experiences, and how JEMS has changed their clinical work. Most clearly emerged subjects considering the interaction and communication with the patient, about finding a structure in clinical practice and about the development the informants experience in their role as a physiotherapist and as an individual.

CONCLUSIONS

The FGD was chosen to capture the variety and width of experiences of the PTs using JEMS. The opportunity for learning and reflecting in the FGDs was appreciated by the PTs. The interaction between the patient and the PT was described as fundamental in establishing foundations for movement. Opportunities to meet and treat patients regardless of functional limitations elaborated and were in that way applicable in primary healthcare where patients seek a physiotherapist for a variety of reasons.