From sceptic to believer: Acceptability of cognitive muscular therapyTM, a new intervention for knee osteoarthritis

Daniela Ghio; Nathan Brookes; Stephen Preece; Nicola Walsh

doi:10.1002/msc.1842

journal article Open Access Nov 16, 2023

From sceptic to believer: Acceptability of cognitive muscular therapyTM, a new intervention for knee osteoarthritis

Daniela Ghio

Nathan Brookes Stephen Preece Nicola Walsh

Musculoskeletal Care Vol. 21 No. 4 pp. 1639-1650 · Wiley

View at Publisher Save 10.1002/msc.1842

Abstract

AbstractBackgroundCognitive Muscular TherapyTM (CMT) is an integrated behavioural intervention developed for knee osteoarthritis. CMT teaches patients to reconceptualise the condition, integrates muscle biofeedback and aims to reduce muscle overactivity, both in response to pain and during daily activities. This nested qualitative study explored patient and physiotherapist perspectives and experiences of CMT.MethodsFive physiotherapists were trained to follow a well‐defined protocol and then delivered CMT to at least two patients with knee osteoarthritis. Each patient received seven individual clinical sessions and was provided with access to online learning materials incorporating animated videos. Semi‐structured interviews took place after delivery/completion of the intervention and data were analysed at the patient and physiotherapist level.ResultsFive physiotherapists and five patients were interviewed. All described a process of changing beliefs throughout their engagement with CMT. A framework with three phases was developed to organise the data according to how osteoarthritis was conceptualised and how this changed throughout their interactions with CMT. Firstly, was an identification of pain beliefs to be challenged and recognition of how current beliefs can misalign with daily experiences. Secondly was a process of challenging and changing beliefs, validated through new experiences. Finally, there was an embedding of changed beliefs into self‐management to continue with activities.ConclusionThis study identified a range of psychological changes which occur during exposure to CMT. These changes enabled patients to reconceptualise their condition, develop a new understanding of their body, understand psychological processes, and make sense of their knee pain.

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Details

Published: Nov 16, 2023
Vol/Issue: 21(4)
Pages: 1639-1650
License: View

Authors

D

Daniela Ghio

Division of Psychology and Mental Health Faculty of Biology School of Health Sciences Medicine and Health University of Manchester Manchester UK

N

Nathan Brookes

School of Health and Society Health Sciences University of Salford Manchester UK

S

Stephen Preece

School of Health and Society Health Sciences University of Salford Manchester UK

N

Nicola Walsh

Centre for Health and Clinical Research University of the West of England Bristol UK

Cite This Article

Daniela Ghio, Nathan Brookes, Stephen Preece, et al. (2023). From sceptic to believer: Acceptability of cognitive muscular therapyTM, a new intervention for knee osteoarthritis. Musculoskeletal Care, 21(4), 1639-1650. https://doi.org/10.1002/msc.1842

From sceptic to believer: Acceptability of cognitive muscular therapyTM, a new intervention for knee osteoarthritis

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