Pushing and guiding me towards home; patients’ perspectives of person-centred physiotherapy in Intensive Care

Carruthers, Helen; Derry, David and Astin, Felicity (2025). Pushing and guiding me towards home; patients’ perspectives of person-centred physiotherapy in Intensive Care. Disability and Rehabilitation (Early access).

DOI: https://doi.org/10.1080/09638288.2025.2466724

Abstract

Purpose
Person-centred physiotherapy in Intensive Care Units (ICU) supports patients’ early rehabilitation. Yet little is known about the activity required to enable person-centred physiotherapy in this setting. This study explores the experiences and interpretations of people who received physiotherapy.

Methods
A qualitative study using Interpretative Phenomenological Analysis was conducted. Eight participants, recruited from a Ventilation Unit in Northwest England, were interviewed. Data were transcribed and managed using NVivo 12 software.

Results
Participants described being ‘pushed’ and guided by physiotherapists. The ‘emotional’ pushing through motivation and encouragement, and ‘physical’ pushing through setting goals, were perceived as person-centred activities, despite physiotherapists initially directing them. Other important aspects of individualised care were feeling safe and understanding how their body had changed.

Conclusions
Patients viewed physiotherapist led rehabilitation in ICU as being person-centred, despite the lack of collaboration during early recovery, because they were too ill. Models of person-centred physiotherapy could be made more applicable to clinical settings by fully integrating the patient perspective.

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