Non-pharmacological management of osteoporotic vertebral fractures: Patient perspectives and experiences

Author:

Tibert Nicholas1ORCID,Ponzano Matteo1,Brien Sheila2,Funnell Larry2,Gibbs Jenna C3,Jain Ravi4,Keller Heather15,Laprade Judi6,Morin Suzanne N37,Papaioannou Alexandra8,Weston Zach9,Wideman Timothy Howard3,Giangregorio Lora15

Affiliation:

1. Department of Kinesiology and Health Sciences, University of Waterloo, Waterloo, ON, Canada

2. Canadian Osteoporosis Patient Network, Canada

3. McGill University, Montréal, QC, Canada

4. Ontario Osteoporosis Strategy, Osteoporosis Canada, Toronto, ON, Canada

5. Schlegel-UW Research Institute for Aging, and Department of Kinesiology and Health Sciences, Waterloo, ON, Canada

6. University of Toronto, Toronto, ON, Canada

7. Research Institute of McGill University Health Centre, Montréal, QC, Canada

8. McMaster University, Hamilton, ON, Canada

9. Wilfrid Laurier University, Waterloo, ON, Canada

Abstract

Objective To understand perceptions on rehabilitation after vertebral fracture, non-pharmacological strategies, and virtual care from the perspective of individuals living with vertebral fractures. Design and setting We conducted semi-structured interviews online and performed a thematic and content analysis from a post-positivism perspective. Participants Ten individuals living with osteoporotic vertebral fractures (9F, 1 M, aged 71  ±  8 years). Results Five themes emerged: pain is the defining limitation of vertebral fracture recovery; delayed diagnosis impacts recovery trajectory; living with fear; being dissatisfied with fracture management; and “getting back into the game of life” using non-pharmacological strategies. Conclusion Participants reported back pain and an inability to perform activities of daily living, affecting psychological and social well-being. Physiotherapy, education, and exercise were considered helpful and important to patients; however, issues with fracture identification and referral limited the use of these options. Participants believed that virtual rehabilitation was a feasible and effective alternative to in-person care, but perceived experience with technology, cost, and individualization of programs as barriers.

Funder

Natural Sciences and Engineering Research Council of Canada

Publisher

SAGE Publications

Subject

Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation

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