Non-pharmacological management of osteoporotic vertebral fractures: Patient perspectives and experiences.

exercise experiences healthcare lived experience non-pharmacological osteoporosis patients physiotherapy qualitative rehabilitation remote care semi-structured interviews vertebral fractures virtual care

Journal

Clinical rehabilitation
ISSN: 1477-0873
Titre abrégé: Clin Rehabil
Pays: England
ID NLM: 8802181

Informations de publication

Date de publication:
May 2023
Historique:
pubmed: 14 12 2022
medline: 28 3 2023
entrez: 13 12 2022
Statut: ppublish

Résumé

To understand perceptions on rehabilitation after vertebral fracture, non-pharmacological strategies, and virtual care from the perspective of individuals living with vertebral fractures. We conducted semi-structured interviews online and performed a thematic and content analysis from a post-positivism perspective. Ten individuals living with osteoporotic vertebral fractures (9F, 1 M, aged 71  ±  8 years). Five themes emerged: pain is the defining limitation of vertebral fracture recovery; delayed diagnosis impacts recovery trajectory; living with fear; being dissatisfied with fracture management; and "getting back into the game of life" using non-pharmacological strategies. Participants reported back pain and an inability to perform activities of daily living, affecting psychological and social well-being. Physiotherapy, education, and exercise were considered helpful and important to patients; however, issues with fracture identification and referral limited the use of these options. Participants believed that virtual rehabilitation was a feasible and effective alternative to in-person care, but perceived experience with technology, cost, and individualization of programs as barriers.

Identifiants

pubmed: 36510450
doi: 10.1177/02692155221144370
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

713-724

Auteurs

Nicholas Tibert (N)

Department of Kinesiology and Health Sciences, 8430University of Waterloo, Waterloo, ON, Canada.

Matteo Ponzano (M)

Department of Kinesiology and Health Sciences, 8430University of Waterloo, Waterloo, ON, Canada.

Sheila Brien (S)

Canadian Osteoporosis Patient Network, Canada.

Larry Funnell (L)

Canadian Osteoporosis Patient Network, Canada.

Jenna C Gibbs (JC)

5620McGill University, Montréal, QC, Canada.

Ravi Jain (R)

Ontario Osteoporosis Strategy, Osteoporosis Canada, Toronto, ON, Canada.

Heather Keller (H)

Department of Kinesiology and Health Sciences, 8430University of Waterloo, Waterloo, ON, Canada.
Schlegel-UW Research Institute for Aging, and Department of Kinesiology and Health Sciences, Waterloo, ON, Canada.

Judi Laprade (J)

7938University of Toronto, Toronto, ON, Canada.

Suzanne N Morin (SN)

5620McGill University, Montréal, QC, Canada.
Research Institute of McGill University Health Centre, Montréal, QC, Canada.

Alexandra Papaioannou (A)

McMaster University, Hamilton, ON, Canada.

Zach Weston (Z)

8431Wilfrid Laurier University, Waterloo, ON, Canada.

Timothy Howard Wideman (TH)

5620McGill University, Montréal, QC, Canada.

Lora Giangregorio (L)

Department of Kinesiology and Health Sciences, 8430University of Waterloo, Waterloo, ON, Canada.
Schlegel-UW Research Institute for Aging, and Department of Kinesiology and Health Sciences, Waterloo, ON, Canada.

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