RESUMEN
OBJECTIVES: This study sought to develop a tool for evaluating person-centered therapeutic relationships within physiotherapy services, and to examine the content validity of the same. METHODS: A mixed qualitative and quantitative study was performed in three distinct phases: 1) the items were generated based on a literature review and a content analysis of focus groups of patients and physiotherapists; 2) an e-Delphi survey process was performed based on three rounds to select and refine the proposed questionnaire; 3) two rounds of cognitive interviews were conducted to evaluate the comprehension of items, the clarity of language and the appropriateness and relevance of content. RESULTS: Thirty-one items were generated based on the seven domains identified after the analysis of four focus groups of physiotherapists and four patient focus groups. Nine experts participated in the e-Delphi survey. Fifty-five patients participated in the two rounds of the cognitive pre-tests. Participating patients were from public and private physical therapy services. Based on the participants' suggestions, four items were removed, and four were added, whereas 16 were reworded. CONCLUSIONS: The final tool comprised 31 items divided into seven domains. The response format was based on a 5-point Likert frequency scale. The response options ranged from "strongly agree" to "strongly disagree".
Asunto(s)
Fisioterapeutas/psicología , Modalidades de Fisioterapia , Relaciones Médico-Paciente , Adulto , Anciano , Técnica Delphi , Femenino , Humanos , Masculino , Persona de Mediana Edad , Especialidad de Fisioterapia , Encuestas y Cuestionarios , Alianza TerapéuticaRESUMEN
En este artículo se pretende presentar de una forma simple y clara el método Reeducación Postural Global (RPG) creado por Ph. E. Souchard, orientándolo a su aplicación a los problemas de la columna cervical.Las bases filosóficas de la RPG son la individualidad, la causalidad y la globalidad. Las bases fisiológicas, el alargamiento de los músculos estáticos acortados para corregir la postura.Las patologías del raquis cervical se clasifican en: hiperlordosis, hipercifosis, 'jesús' y 'esterno'. La exploración consiste en: anamnesis, examen morfológico y palpación. El tratamiento se realiza por medio de una postura global incidiendo en las partes que más nos interesan (AU)