• Poor rehabilitation adherence may lead to sub-optimal treatment outcomes, reduced clinic efficiency and increased cost of care. But despite this knowledge, research indicates that attendance at physiotherapy departments is within 54%-94%and can be as low as 40%. Several studies confirm that adherence to a clinic-based exercise protocol is often around the 50% markand may be particularly poor for unsupervised home exercise programs.

  • Rehabilitation adherence is an outcome of a complex interaction of physical, social, therapeutic and psychological elements. This second article, based on the findings of my doctoral research, highlights the role of social support and other social influences as a determinant of rehabilitation adherence.

  • Cardiovascular diseases (CVDs) are a group of disorders of the heart and blood vessels and include coronary artery disease, cerebrovascular disease - disease of the blood vessels supplying the brain, peripheral arterial disease – disease of blood vessels supplying the arms and legs, rheumatic heart disease – damage to the heart muscle and heart valves from rheumatic fever, caused by streptococcal bacteria, congenital heart disease - malformations of heart structure existing at birth deep vein thrombosis and pulmonary embolism – blood clots in the leg veins, which can dislodge and move to the heart and lungs.

  • Every runner considers injuries to be their nemesis. These can vary from minor niggles to fractures and can side line runners from their practice, performance and passion for days, weeks or sometimes even months leading to them requiring rehabilitation and graded return to running.  

  • While objective clinical testing is important and is given a lot of focus within clincal training programs, subjective assessment and history taking is one of the key aspects of the clinical reasoning process. A detailed subjective assessment will help a physiotherapist form provisional hypotheses as to the potential causes of the patient's presentation and therefore form the basis of the subsequent objective assessment.

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