Evidence map›Paper›PMID 40498781›Full record

ArticlePloS one2025

Exploring physiotherapists' knowledge and perception of exercise intensity in outpatient stroke rehabilitation: A qualitative study.

Félix Nindorera, Bénédicte Jean-Michel, Noémie C Duclos, Krista L Best, Stéphane Mandigout, Stéphanie Goncalves

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Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Félix NindoreraCenter for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris), Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale (CIUSSS-CN), Quebec City, Canada.
Bénédicte Jean-MichelHAVAE UR 20217, University of Limoges, F-87000 Limoges, France.
Noémie C DuclosUniversité of Bordeaux, INSERM, BPH, U1219, Bordeaux, France.ORCID https://orcid.org/0000-0003-1579-9823
Krista L BestCenter for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris), Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale (CIUSSS-CN), Quebec City, Canada.
Stéphane MandigoutHAVAE UR 20217, University of Limoges, F-87000 Limoges, France.ORCID https://orcid.org/0000-0003-2072-3022
Stéphanie GoncalvesHAVAE UR 20217, University of Limoges, F-87000 Limoges, France.ORCID https://orcid.org/0009-0001-1237-2683

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo explore physiotherapists' knowledge and perception of exercise intensity and to identify factors influencing the attainment of recommended exercise intensity during rehabilitation sessions.

methodsA qualitative study was conducted using semi-structured, face-to-face interviews with physiotherapists (PTs) who provide stroke rehabilitation within outpatient private settings. Data were audio-recorded, transcribed, and analysed using an inductive content analysis approach.

resultsTwelve physiotherapists (five women; median age: 44.5 years; median experience: 20 years) who routinely provide stroke rehabilitation participated in the study. Three overarching themes emerged: knowledge about exercise intensity, perception of provided exercise intensity and factors influencing the achievement of recommended intensity. Although 92% of PTs recognized the importance of exercise intensity, only 33% were aware of exercise intensity guidelines. A lack of knowledge regarding exercise intensity assessment, grading, and monitoring was commonly reported. Nearly half (41%) of the PTs reported providing moderate-to-vigorous intensity exercise to stroke survivors. Limiting factors to achieving recommended exercise intensity included patient-related factors (e.g., stroke severity, motivation, cognitive impairments, fatigue), work environment constraints (e.g., limited space), and PT-related challenges (e.g., lack of knowledge, limited contact with doctors). On the other hand, facilitators included high motivation among stroke survivors, large workspace, equipment availability, and the use of group-based training modalities.

conclusionAchieving the recommended exercise intensity in outpatient stroke rehabilitation is influenced by personal, environmental, and PT-related barriers. Multifactorial facilitators, such as improved knowledge, enhanced workspaces, interdisciplinary collaboration, and group-based training approaches, should be considered by stakeholders to ensure the effective implementation of evidence-based stroke rehabilitation practices in private settings. Future research involving PTs with diverse educational backgrounds are needed to strengthen the transferability of these findings.

Indexed as

ExerciseExercise TherapyHealth Knowledge, Attitudes, PracticePhysical TherapistsStrokeStroke RehabilitationAdultFemaleHumansMaleMiddle AgedOutpatientsPerceptionQualitative Research

Identifiers

PMID40498781
PMCPMC12157079

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.