Considering the Role of Physical Therapists Within the Treatment and Rehabilitation of Individuals With Eating Disorders: An International Survey of Expert Clinicians

Physiother Res Int. 2016 Dec;21(4):237-246. doi: 10.1002/pri.1637. Epub 2015 Aug 12.

Abstract

Purpose: Recent research has demonstrated that physical therapy may benefit the physical and mental health of people with eating disorders (EDs). Because this is a new and developing field, this study aimed to investigate the experience, practices and knowledge of international physical therapy experts to inform clinical practice, education and research.

Methods: An international cross-sectional survey design was undertaken with experienced physical therapists within the field of EDs. Physical therapist responses were analysed with descriptive statistics and thematic analysis as appropriate.

Results: Twenty-eight international physical therapists participated. On average, participants had 6.9 years (95% confidence interval: 3.1-10.7, n = 27) of clinical experience working in ED settings and devoted approximately 39.3% (95% confidence interval: 23.8-54.8, n = 27) of their time to treating individuals with EDs. Participants reported that physical therapy interventions have a diverse range of benefits on the physical, mental and disease-specific factors (e.g. binges) in people with EDs. The key role of physical therapists includes improving body awareness, especially during physical activity combined with psycho-education about healthy doses of physical activity. Physical therapists were able to identify a range of barriers and facilitators to physical activity in people with EDs.

Discussion: This paper provides a first step towards understanding the role and value of physical therapists working with individuals with EDs. Copyright © 2015 John Wiley & Sons, Ltd.

Keywords: exercise; mental health; physiotherapy; rehabilitation services.

MeSH terms

  • Combined Modality Therapy
  • Cross-Sectional Studies
  • Feeding and Eating Disorders / diagnosis
  • Feeding and Eating Disorders / psychology
  • Feeding and Eating Disorders / rehabilitation*
  • Female
  • Humans
  • Male
  • Mental Health*
  • Physical Fitness / physiology
  • Physical Therapists / statistics & numerical data*
  • Physical Therapy Modalities*
  • Pilot Projects
  • Prognosis
  • Risk Assessment
  • Role
  • Severity of Illness Index
  • Surveys and Questionnaires*
  • Treatment Outcome