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- Title
Non-pharmacological management of osteoporotic vertebral fractures: Patient perspectives and experiences.
- Authors
Tibert, Nicholas; Ponzano, Matteo; Brien, Sheila; Funnell, Larry; Gibbs, Jenna C; Jain, Ravi; Keller, Heather; Laprade, Judi; Morin, Suzanne N; Papaioannou, Alexandra; Weston, Zach; Wideman, Timothy Howard; Giangregorio, Lora
- Abstract
Objective: To understand perceptions on rehabilitation after vertebral fracture, non-pharmacological strategies, and virtual care from the perspective of individuals living with vertebral fractures. Design and setting: We conducted semi-structured interviews online and performed a thematic and content analysis from a post-positivism perspective. Participants: Ten individuals living with osteoporotic vertebral fractures (9F, 1 M, aged 71 ± 8 years). Results: 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. Conclusion: 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.
- Subjects
CANADA; OSTEOPOROSIS diagnosis; BONE fractures -- Psychological aspects; DIAGNOSIS of bone fractures; THERAPEUTICS; TELEREHABILITATION; DELAYED diagnosis; X-rays; HEALTH services accessibility; ATTITUDE (Psychology); RESEARCH methodology; CONVALESCENCE; ANALGESICS; INTERVIEWING; FEAR; PATIENT satisfaction; ACTIVITIES of daily living; BACKACHE; OSTEOPOROSIS; PATIENTS' attitudes; EXPERIENCE; QUALITATIVE research; DESCRIPTIVE statistics; RESEARCH funding; SOUND recordings; HEALTH attitudes; THEMATIC analysis; CONTENT analysis; DATA analysis software; PATIENT education; BONE fractures; VERTEBRAL fractures; DISEASE risk factors; SYMPTOMS
- Publication
Clinical Rehabilitation, 2023, Vol 37, Issue 5, p713
- ISSN
0269-2155
- Publication type
Article
- DOI
10.1177/02692155221144370