A Holistic Approach That Aims the Unity of Mind and Body in Physiotherapy: Basic Body Awareness Therapy–Narrative Review

Öz

Objective: In Northern European countries, Basic Body Awareness Therapy which is frequently used in the rehabilitation of patients with chronic musculoskeletal problems and psychiatric disorders and aimed at mind-body unity is a bio-psycho-social and existential movement therapy. This review aims to analyze in which patient groups the Basic Body Awareness Therapy was evaluated, with which variables it was studied, and which effects were documented. Material and Method: MEDLINE/PubMed and PEDro databases were searched between January 2000 and December 2020. The search resulted in a total of 19 studies using the Basic Body Awareness Therapy method, and 13 research articles were selected according to inclusion criteria. The methodological quality of the included studies was also assessed using the Physiotherapy Evidence Database Scale. Results: Basic Body Awareness Therapy had an effect on body awareness, quality of movement, quality of life, self-efficacy, body dissatisfaction, physical coping resources, anxiety, pain severity, and scoliosis findings. Conclusion: The evidence supports the use of Basic Body Awareness Therapy to alleviate symptoms both for patients with musculoskeletal problems and mental health/ psychiatric disorders. In addition to studies with long-term follow-up, randomized controlled studies with a high level of evidence are needed.

Anahtar Kelimeler

• Holistic therapy
• awareness
• physiotherapy
• rehabilitation

Fizyoterapide Zihin-Beden Birlikteliğini Amaçlayan Bütüncül Bir Yaklaşım: Temel Beden Farkındalık Terapisi–Literatür Derlemesi

Öz

Amaç: Kuzey Avrupa ülkelerinde, kronik kas iskelet problemleri ve psikiyatrik bozukluğu olan hastaların rehabilitasyonunda sıklıkla kullanılan ve zihin-beden bütünlüğünü hedefleyen Temel Beden Farkındalık Terapisi biyo-psiko-sosyal ve varoluşçu bir hareket terapisidir. Bu derleme Temel Beden Farkındalık Terapisi’nin hangi hasta grupları için değerlendirildiğini, hangi değişkenler ile çalışıldığını ve hangi etkilerinin belgelendiğini incelemeyi amaçlamaktadır. Gereç ve Yöntem: MEDLINE/PubMed ve PEDro veri tabanlarında Ocak 2000-Aralık 2020 tarihleri arasında tarama yapıldı. Tarama, Temel Beden Farkındalık Terapisi yönteminin kullanıldığı toplam 19 çalışma ile sonuçlandı ve 13 araştırma makalesi dâhil edilme kriterlerine göre seçildi. Dahil edilen çalışmaların metodolojik kalitesi Fizyoterapi Kanıt Veri Tabanı Ölçeği kullanılarak da değerlendirildi. Bulgular: Temel Beden Farkındalık Terapisi’nin beden farkındalığı, hareket kalitesi, yaşam kalitesi, öz-yeterlilik, beden memnuniyetsizliği, fiziksel baş etme kaynakları, anksiyete, ağrı şiddeti ve skolyoz bulguları üzerinde etkisi vardı. Sonuç: Kanıtlar, hem kas-iskelet sistemi sorunları hem de akıl sağlığı/psikiyatrik bozuklukları olan hastalarda semptomları hafifletmek için Temel Beden Farkındalık Terapisinin kullanımını desteklemektedir. Uzun vadeli takipli çalışmaların yanı sıra, yüksek kanıt düzeyine sahip randomize kontrollü çalışmalara ihtiyaç vardır.

Anahtar Kelimeler

• Rehabilitasyon
• Bütüncül terapi
• farkındalık
• fizyoterapi

Kaynakça

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