Exploring perspectives of geriatric rehabilitants and their informal caregivers on physical activity during the non-weight-bearing period, a qualitative study

Background Older adults in inpatient rehabilitation often struggle to remain physically active, especially when they are restricted from bearing weight on a lower extremity. Given the negative consequences of inactivity, it is important to provide and encourage physical activities, as well as include the input and views of rehabilitants’ and their informal caregivers’ in this process. This qualitative study explores the perspectives of non-weight-bearing rehabilitants and their informal caregivers regarding the content and frequency of physical activities, and the motivational factors for performing such physical activities. Methods Semi-structured interviews were conducted with geriatric rehabilitants restricted from bearing weight on a lower extremity and their informal caregivers. The interviews were thematically analyzed using the framework method. Results Eleven ICF-related themes emerged from the interviews. The participants reported what they consider to be physical activity during the non-weight-bearing period, their preferences regarding the frequency and content of physical therapy sessions and patient-regulated exercises, and the importance of incorporating multiple elements into physical activity, which makes being physical active more enjoyable. They also mentioned the limited involvement of informal caregivers and disciplines other than physiotherapist, and they shared their coping strategies and goals to stay physically active. Conclusion Physical activity during the non-weight-bearing (NWB) period should be tailored to the rehabilitant and their informal caregivers. It is important to inform and discuss the possibilities for being physically active with the rehabilitant. The most important goals for engaging in physical activity were regaining the ability to walk and returning home.