Why Is Communication Vital In Physical Therapy?

Communication and the Patient-Therapist Relationship

The outcome of physical therapy care depends on the interplay between the therapist’s technological skill, communication abilities, and reflective ability to respond to the needs of the patient. In previous posts, we explored how increased satisfaction and care results are correlated with a supportive patient-therapist relationship. In an outpatient physical therapy setting, we now turn to which particular variables affect this relationship.

A recent research by O’Keefe & colleagues explored which factors in outpatient physical therapy affect patient-therapist interactions. Four main themes emerged from the study:

1. The interpersonal and communication skills of the physical therapist
2. The practical skills of the physical therapist
3. Providing individualized patient-centered treatment (individualization of counseling and consideration in the care plan of patient opinions)
4. Factors in the company or setting (time with the therapist and appointment flexibility)

The remainder of this paper goes into more detail regarding the value of the physical therapist’s communication and realistic abilities.

Interpersonal & Communication Skills of the Physical Therapist

Communication-related factors associated with favorable patient-therapist experiences include active listening, empathy, friendliness, trust, and motivation. Without being disturbed or rushed, patients want to share their story. They feel heard and respected when physical therapists listen to their patients, which improves the relationship. Patients tend to empathize with what they are facing with their physical therapist to understand how this affects their lives.

A stronger relationship with their patients is formed by physical therapists who communicate in a relaxed manner and incorporate humor. Therapists providing personal support and motivation are more likely to encourage their patients to comply with guidelines for treatment. Finally, patients who feel secure in their therapist are more likely to trust their views and advice and respect them. Physical therapists that possess and have developed these interpersonal abilities cultivate a supportive partnership between patient and therapist that leads to improved treatment outcomes.

Practical Skills of the Physical Therapist

The two most important practical skills which lead to improved patient-therapist relationships have been shown to be patient education and physical therapist expertise. Interestingly, patient education is only viewed by patients, not most physical therapists, as essential. This may be due to the concept that many physical therapists see themselves as “healers” passively delivering a procedure vs. a “teacher” who teaches the patient how to solve their own problem actively. Patients choose the latter when a sense of control over their pain or concern is offered to them.

Patients also want straightforward descriptions of their condition or problem. They want to know if it will help with physical therapy. Patients want to know the reason behind particular exercises being used. It is necessary to avoid medical technical terminology. By using analogies and metaphors, patients also believe like they understand better. Patients often feel it is important that their physical therapist has exceptional professional abilities and expertise, which are also exemplified by advanced qualifications or degrees.

Conclusion

A mixture of interpersonal and functional skills are essential factors affecting their working relationship, both patients and physical therapists agree. The importance of this relationship affects treatment satisfaction and outcome has been shown by studies. Therefore, it is recommended for those considering outpatient physical therapy as a therapeutic choice to seek help from physical therapists who recognize and practice these abilities.

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