What must clients do to get a result from Physiotherapy
Motivation of clients in Physiotherapy is a key component to successful recovery. I have noticed there is a pattern for those who succeed with treatment.
Some clients come for treatment and suddenly want to run a marathon when they have not run for 2 years. There is an urgency to get better in 1 week or there is no time to exercise at home. The ability to heal and get a positive response to treatment is often hindered by these types of expectations.
I find clients will respond to Physiotherapy instructions in different ways. They may ignore instructions and continue to act in the same way each day and expect to get better. They believe going to the Physiotherapist each week should work. Others want to take control of their recovery and follow Physiotherapy instructions like a rulebook. They will email the Physiotherapist each week to check they are doing the exercises correctly. Finally there are those who live in between these two extremes and yoyo from week to week depending on what they feel is right and what they feel is working.
Is there are correct way to be as a client? Is there one way which works everytime? Should Physiotherapists have the same expectations for each client?
In 17 years of experience working in Physiotherapy I notice a clients expectations are often shaped by previous experiences. If manipulation has worked for them in the past and they like a session once per month then maybe this suits their lifestyle choice. If others like to work on prevention of injury and want rehabilitation then maybe a 6 month exercise plan is a better choice.
In my opinion the most successful approach to getting long term results and empowering clients to take care of themselves is for clients to follow instructions of the Physiotherapist to the word. The instructions have to be correct and if so the Physiotherapist can work out what to do to be effective. If clients do not follow instructions the Physiotherapist cannot give an effective home program because he/she will not know what is working and what is not working. Each treatment session then becomes a treat and hope scenario and if the Physiotherapist is fortunate and the treatment session is successful everything looks good. If the session does not work then everything starts to look bad and the Physiotherapist has no hope in working out what to do next.
Sometimes clients do not want to exercise. This has to be respected, as the Physiotherapist cannot force anyone to exercise if they will not listen. This is the most frustrating time as a Physiotherapist because results are still expected but the full effect of treatment cannot be realised.
When clients do not want to exercise it is the skill of the Physiotherapist to find another way. The expectations of treatment have to be lowered and at times Physiotherapy will appear not to work.
Another skill of the Physiotherapist is to decide when clients need to be referred to Specialists because the condition will not respond to Physiotherapy alone. Physiotherapy with Specialist intervention has been shown in the research to be very effective.
A positive outcome in Physiotherapy is a fine balance between the work of the Physiotherapist, the work of clients and the Physical state of the injury. No two clients will physically react the same to injury. If clients want to get the best results they can help by following the Physiotherapists instructions. It will make a difference to find a Physiotherapist you trust. Like any profession there are good and not so good Physiotherapists. Do your research and ask around. There are many great Physiotherapists to find.






