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Communication is essential to physiotherapy practice. While verbal communication has been a primary focus in research, less is known about body communication. Body communication refers to communication achieved by means other than words, such as touch, eye contact, prosody, and proxemics. This review aims to provide detailed knowledge of the roles and functions of body communication in physiotherapy practice and identify areas for future research. We undertook a systematic search and thematic synthesis of published qualitative literature in October 2022. Four databases were searched with results screened to identify articles providing insight into the roles and functions of body communication. Quality appraisal of included studies was completed. Thematic synthesis was used to generate findings. Thirty-three studies met the inclusion criteria. Four themes were constructed to reflect the roles and functions of body communication in physiotherapy practice: conveying the physiotherapist’s attention and interest; enabling patients to contribute to care; guiding physiotherapy intervention through bodily dialogue; and building the therapeutic relationship. The findings demonstrate how body communication shapes the therapeutic process and how sensitive and responsive body communication supports a more reciprocal and person-centred approach to care. Research is needed to obtain more in-depth and nuanced accounts of body communication to support the clinical application of findings.

Background:The modern management of chronic pain is largely focused on improving functional capacity (often despite ongoing pain) by using graded activation and exposure paradigms. However, many people with chronic pain find functional activation programs aversive, and dropout rates are high. Modern technologies such as virtual reality (VR) could provide a more enjoyable and less threatening way for people with chronic pain to engage in physical activity. Although VR has been successfully used for pain relief in acute and chronic pain settings, as well as to facilitate rehabilitation in conditions such as stroke and cerebral palsy, it is not known whether VR can also be used to improve functional outcomes in people with chronic pain.Objective:This study aimed to assess the feasibility of conducting an adequately powered randomized controlled trial (RCT) to test the efficacy of VR in a chronic pain treatment center and assess the acceptability of an active VR treatment program for patients in this setting.Methods:For this mixed methods pilot study, which was designed to test the feasibility and acceptability of the proposed study methods, 29 people seeking treatment for chronic pain were randomized to an active VR intervention or physiotherapy treatment as usual (TAU). The TAU group completed a 6-week waitlist before receiving standard treatment to act as a no-treatment control group. The VR intervention comprised twice-weekly immersive and embodied VR sessions using commercially available gaming software, which was selected to encourage movement. A total of 7 VR participants completed semistructured interviews to assess their perception of the intervention.Results:Of the 99 patients referred to physiotherapy, 53 (54%) were eligible, 29 (29%) enrolled, and 17 (17%) completed the trial, indicating that running an adequately powered RCT in this setting would not be feasible. Despite this, those in the VR group showed greater improvements in activity levels, pain intensity, and pain interference and reported greater treatment satisfaction and perceived improvement than both the waitlist and TAU groups. Relative effect sizes were larger when VR was compared with the waitlist (range small to very large) and smaller when VR was compared with TAU (range none to medium). The qualitative analysis produced the following three themes: VR is an enjoyable alternative to traditional physiotherapy, VR has functional and psychological benefits despite continued pain, and a well-designed VR setup is important.Conclusions:The active VR intervention in this study was highly acceptable to participants, produced favorable effects when compared with the waitlist, and showed similar outcomes as those of TAU. These findings suggest that a confirmatory RCT is warranted; however, substantial barriers to recruitment indicate that incentivizing participation and using a different treatment setting or running a multicenter trial are needed.

Iran's Foreign policy 1941-1973: A Study of Foreign Policy in Modernizing Nations. By Rouhollah K. Ramazani. Charlottesville, Virginia: University Press of Virginia, 1975. xiv + 507pp. $20. Israel and Iran: Bilateral Relationships and Effect on the Indian Ocean Basin. By Robert B. Reppa, Sr. New York: Praeger, 1974. 187pp. $16.50. Iran at the End of the Century: A Hegelian Forecast. By Robert E. Looney. Lexington, Massachusetts: Lexington Books, D. C. Heath, 1977. 155pp. Mirza Malkum Khan: A Biographical Study in Iranian Modernism. By Hamid Algar. Berkeley and Los Angeles: University of California Press, 1973. 327pp. From Darkness into Light: Women's Emancipation in Iran. By Badr ol-Moluk Bamdad. Edited and translated by F. R. C. Bagley. Hicksville, New York: Exposition Press, 1977. 140pp. $8.00. Love and War: Adventures from the Firuz Shah Nama of Sheikh Bighami. Translated from the Persian by William L. Hanaway, Jr. Persian Heritage Series No. 19. Delmar, New York: Scholars' Facsimiles and Reprints, 1974. 208pp. Malayer und sein Umland: Entwicklung, Structur und Funk-tionen einer Kleinstadt in Iran. By Mostafa Momeni. Marburg/Lahn: Marburger Geographische Schriften, Heft 68, 1976. 208pp. The Qashqa'i Nomads of Fars. By Pierre Oberling. The Hague: Mouton, 1974. 277pp.