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The influence of psychological factors on the results of physiotherapy

Welcome to my blog about physiotherapy! Today we will delve into the world of psychological factors and how they can affect the results of physical rehabilitation in physiotherapy. You may be surprised to find that the mind and body are more connected than you think. Stress, anxiety and depression play a significant role in the success of your rehabilitation journey.


Connecting mind and body

First, let's talk briefly about the mind-body connection. This term refers to the relationship between our mental and emotional states and our physical health. It is important to realize that these two aspects are interconnected and can influence each other in different ways. Stress, anxiety, and depression are common psychological factors that can negatively impact physical rehabilitation, making it more challenging for individuals to achieve their physical therapy goals.


Effect of stress

Stress is a significant obstacle to successful rehabilitation. When we are stressed, our bodies respond by releasing cortisol, a hormone that can cause inflammation and weaken our immune system. This slows down the healing process and makes recovery from injuries or surgeries more difficult.

Additionally, stress leads to muscle tension, which can worsen pain and limit our range of motion. This, in turn, can hinder progress in physical therapy sessions, making it more difficult for patients to achieve their rehabilitation goals.


The role of anxiety

Anxiety affects physical rehabilitation in several ways. People with high levels of anxiety have a heightened perception of pain, which can make physical therapy exercises more challenging or uncomfortable. Anxiety can also cause physical symptoms such as rapid heart rate, shortness of breath, and muscle tension that interfere with the rehabilitation process.

In addition, anxiety affects a person's ability to follow their physical therapy program. Patients may feel threatened by the prospect of attending sessions, completing exercises, or committing to long-term therapy, causing them to avoid or disengage from the process altogether.


Impact of depression

Depression can significantly affect the results of physical rehabilitation by influencing motivation, energy level and adherence to physiotherapy programs. Individuals with depression have trouble finding the motivation to attend therapy sessions or complete prescribed exercises, resulting in a slower recovery process.

In addition, depression affects the perception of pain, which makes it difficult to fully engage in physical therapy exercises.




Resolving psychological factors in physiotherapy


In order to optimize the results, it is necessary to address these psychological factors together with the physical components of physiotherapy. Here are some strategies that can help you:

Patient Education: Educate patients about the mind-body connection and the importance of addressing psychological factors to improve rehabilitation outcomes.

Mindfulness and relaxation techniques: Teach patients techniques such as deep breathing, progressive muscle relaxation, and mindfulness meditation to help manage stress and anxiety.

Cognitive Behavioral Therapy (CBT): Encourage patients to seek professional help from a mental health professional trained in CBT, which has been shown to be effective in managing stress, anxiety and depression.

Goal setting and monitoring: Work with patients to set realistic and achievable goals for their rehabilitation journey and regularly review and adjust these goals as needed.

Social support: Encourage patients to seek support from friends, family members or support groups to help them through the rehabilitation process.

By recognizing and addressing the role that psychological factors play in physical rehabilitation, physical therapists and patients can work together to optimize the recovery process and achieve better overall outcomes. Remember that a healthy mind is as important as a healthy body for successful rehabilitation.

Physical activity: Encourage patients to engage in regular physical activity that is appropriate for their individual situation. Exercise has been shown to have a number of mental health benefits, including reducing stress, anxiety and depression symptoms.

Communication: Create open communication between the patient, physical therapist, and other healthcare professionals involved in the patient's care. This helps ensure that psychological factors are consistently addressed and managed during the rehabilitation process.

Stimulation and graded exposure: Gradually introduce and increase the intensity of physical therapy exercises, allowing patients to build confidence and develop coping strategies, strategies to manage pain, stress, and anxiety. This approach can help alleviate the fear and avoidance behaviors associated with rehabilitation exercises.

Positive Reinforcement: Provide positive reinforcement and encouragement to help build patients' self-esteem and confidence in their ability to achieve rehabilitation goals. Celebrate milestones and progress, no matter how small they may seem.

Self-care: Encourage patients to prioritize self-care, including getting enough sleep, eating a balanced diet, and participating in activities they enjoy. Taking care of your overall well-being has a positive effect on mental health, which in turn leads to better rehabilitation results.



Using a holistic approach to physical rehabilitation, physical therapists can address both the physical and psychological aspects of recovery. It is essential to understand that each patient's journey is unique and individual experiences of stress, anxiety and depression may vary. By working closely with patients and addressing these psychological factors, physical therapists can help create an environment that promotes healing, resilience, and long-term success in physical rehabilitation.


In conclusion, it is important to recognize the influence of psychological factors on the results of physiotherapy. Stress, anxiety and depression can hinder the recovery process, so it is imperative that patients and physical therapists address these factors as part of a comprehensive rehabilitation plan. By implementing strategies to manage stress, anxiety and depression, patients can improve their overall well-being and increase their chances of achieving successful rehabilitation outcomes.


Mgr. Daniela Dvorská

physiotherapist / expert advisor



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