Abstract
Introduction
Traditionally, limb reconstruction physiotherapy consisted of face to face group rehabilitation. During the COVID-19 pandemic OP physiotherapy service provision was significantly reduced and delivery methods limited due to staff redeployment, service prioritisation and restriction of footfall within the hospital. A virtual exercise group for acute limb reconstruction patients was set up to maintain contact and clinical support.
Materials and Methods
A small single centre study was performed over two 4 week periods capturing the experience of 35 patients. A patient reported questionnaire was used and revised post-pandemic to gather quantitative and qualitative data about the patients experience of the Limb Reconstruction Physiotherapy Service at each point in time. The qualitative data was analysed using an inductive thematic analysis.
Results
Four key themes emerged from the qualitative data: Sense of community through shared experience, support & encouragement from staff and peers, increasing confidence with the frame – fostering independence, the challenging nature of the class. Recommendation of the service, positive functional impact and overall experience remained >88% of the population (face to face & virtual).
Conclusions
The results highlight the benefits of group physiotherapy (face to face & virtual) to patients recovery with improvements in confidence, mobility, function, psychosocial factors and overall QoL. Peer support is paramount in the rehabilitation and progression of limb reconstruction patients. Virtual platforms for rehabilitation are helpful in maintaining participation and should be offered where possible to facilitate ongoing inclusion, however face to face contact is preferred.
