Anton Westman, Johanna Björnstig
A retrospective analysis of mission reports in the national Swedish Police Registry on mountain rescue 2018-2022: here be snowmobiles
Scandinavian journal of trauma, resuscitation and emergency medicine
background cognitive muscular therapytm cmt integrated behavioural intervention developed knee osteoarthritiscmt teaches patients reconceptualise condition integrates muscle biofeedback aims reduce muscle overactivity response pain daily activitiesthis nested qualitative study explored patient physiotherapist perspectives experiences cmtmethods five physiotherapists trained follow welldefined protocol delivered cmt least two patients knee osteoarthritiseach patient received seven individual clinical sessions provided access online learning materials incorporating animated videossemistructured interviews took place deliverycompletion intervention data analysed patient physiotherapist levelresults five physiotherapists five patients interviewedall described process changing beliefs throughout engagement cmta framework three phases developed organise data according osteoarthritis conceptualised changed throughout interactions cmtfirstly identification pain beliefs challenged recognition current beliefs misalign daily experiencessecondly process challenging changing beliefs validated new experiencesfinally embedding changed beliefs selfmanagement continue activities conclusionthis study identified range psychological changes occur exposure cmtthese changes enabled patients reconceptualise condition develop new understanding body understand psychological processes make sense knee pain