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A qualitative study of older people’s experience of living with neurogenic claudication to inform the development of a physiotherapy intervention
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Lyle, Samantha A., Williamson , E., Darton, F., Griffiths, Frances and Lamb, Sallie E. (2017) A qualitative study of older people’s experience of living with neurogenic claudication to inform the development of a physiotherapy intervention. Disability and Rehabilitation, 39 (10). pp. 1009-1017. doi:10.1080/09638288.2016.1177611 ISSN 0963-8288.
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Official URL: http://dx.doi.org/10.1080/09638288.2016.1177611
Abstract
Purpose: The aim of this study was to explore older people’s experiences of living with neurogenic claudication (NC), their preferences for physiotherapy treatment provision and associated outcomes in order to inform an intervention to be tested in a clinical trial.
Method: Patients with a diagnosis of NC and/or lumbar spinal stenosis were recruited through a UK NHS tertiary care center. Semi-structured interviews and self-report questionnaires were used to obtain data. A thematic analysis was conducted.
Results: 15 participants were recruited; half were classed as frail older adults. Pain and the threat of pain was a prominent feature of participants’ experience of NC. This led to a loss of engagement in meaningful activities and sense of self. Discourses of ageing influenced experiences as well as treatment preferences, particularly the acceptability of walking aids. A combination of one-to-one and group setting for treatment was preferred. Outcome preferences related to re-engagement in meaningful activities and pain reduction. Limitations relate to generalisability of the findings for NC patients not under physiotherapy treatment.
Conclusion: We have obtained important findings about older people’s experiences of living with NC and preferences for physiotherapy treatment and outcomes. These will be incorporated into an evidence-based intervention and evaluated in a randomized controlled trial.
Item Type: | Journal Article | ||||||||||
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Journal or Publication Title: | Disability and Rehabilitation | ||||||||||
Publisher: | Taylor & Francis Ltd. | ||||||||||
ISSN: | 0963-8288 | ||||||||||
Official Date: | 2017 | ||||||||||
Dates: |
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Volume: | 39 | ||||||||||
Number: | 10 | ||||||||||
Page Range: | pp. 1009-1017 | ||||||||||
DOI: | 10.1080/09638288.2016.1177611 | ||||||||||
Status: | Peer Reviewed | ||||||||||
Publication Status: | Published | ||||||||||
Access rights to Published version: | Restricted or Subscription Access |
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