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Development of a framework for person-centred physiotherapy

Killingback, Clare; Green, Angela; Naylor, John


Angela Green

John Naylor


There is a growing call for healthcare to focus on person-centred practice. This can lead to improved outcomes for patients in terms of physical and psychological health. Challenges exist around how person-centredness is understood in physiotherapy. Having a physiotherapy framework would help support a shared understanding of the meaning of person-centred physiotherapy.
The aim of this study was to locate and synthesise studies which have a conceptualisation of person-centred physiotherapy practice. These were used to develop an overarching conceptual framework for person-centred physiotherapy practice.
The framework was developed through a systematic process involving a systematic literature search, screening studies against eligibility criteria, data extraction, data synthesis, naming and defining core constructs of person-centred physiotherapy practice, and generation of a pictorial representation of an overarching conceptual framework.
The person-centred physiotherapy framework is comprised of four constructs: physiotherapist characteristics, which focuses on the knowledge and skills for clinical proficiency, attributes of the physiotherapist, reflection and self-awareness; person-physiotherapist interaction(s), which focuses on partnership, empowerment and self-management; the environment, which focuses on coordinated healthcare delivery, culture of the organisation and practice environment, and the physical environment; and the ongoing unique journey of the person and self-management. The relationships between the constructs reflect the complex nature of person-centred practice.
The framework presented can be used to better understand person-centred physiotherapy with a view to enhancing practice. The framework needs to be tested further through empirical research to establish its utility.


Killingback, C., Green, A., & Naylor, J. (2022). Development of a framework for person-centred physiotherapy. Physical Therapy Reviews,

Journal Article Type Article
Acceptance Date Sep 20, 2022
Online Publication Date Oct 4, 2022
Publication Date 2022
Deposit Date Oct 4, 2022
Publicly Available Date Oct 5, 2022
Journal Physical Therapy Reviews
Print ISSN 1083-3196
Publisher Taylor and Francis
Peer Reviewed Peer Reviewed
Keywords Physiotherapy; Person-centred practice; Patient-centred practice; Framework
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Copyright Statement
© 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group
This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (, which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.

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