The practices of body in rehabilitation after stroke: a qualitative study of how physiotherapy affects identity reconstruction

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Background: The rehabilitation process after a stroke transits through different treatment options organised in different settings, which thereby structure the patient’s possibilities for constructing identity. Aim: To investigate how physiotherapy located in hospitals, municipal rehabilitation, and private clinics during rehabilitation after stroke provide different practices related to the patient body and how this creates different and opposed positions for construction identity after stroke. Design and methods: A qualitative longitudinal study based on empirical data that followed 12 patients with stroke through their rehabilitation, consisted of observations of interactions between physiotherapists and patients, as well as individual in-depth interviews with physiotherapists and patients. Result: Building on Bourdieu’s notions of field, capital, and habitus, different bodily habitus seemed to work as capital throughout the rehabilitation process. Positions available for habitus were around the disembodied body, the malfunctioning body, the defective body, the remodelled body, and the body altered. These different bodies interwove and shifted across the different sites and phases of the patient’s rehabilitation. Conclusion: The relations between patients, physiotherapists and field constructed different bodily positions in the physiotherapeutic practice, where some bodies were included while other bodies were excluded. This shaped varying practices and different potentials for the patients’ identity reconstruction.

OriginalsprogEngelsk
TidsskriftEuropean Journal of Physiotherapy
Vol/bind23
Udgave nummer5
Sider (fra-til)270-278
Antal sider9
ISSN2167-9169
DOI
StatusUdgivet - 2021
Eksternt udgivetJa

Bibliografisk note

Funding Information:
This study was funded by Aalborg University, Hammel Neurorehabilitation and Research Centre, and VIA University College, Denmark. A word of special thanks goes to the patients, their families, and the health professionals who took the time and trouble to participate in this research.

Publisher Copyright:
© 2020 Informa UK Limited, trading as Taylor & Francis Group.

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