Importance of psychological first aid in physiotherapy management: A review

Psychological First Aid (PFA) is an evidence-based, humane approach designed to reduce acute psychological distress and support adaptive functioning following crisis or health-related events. In physiotherapy practice, psychological factors such as anxiety, stress, fear avoidance, and catastrophizing increasingly influence rehabilitation outcomes after injury, surgery, or illness. This review explores the relevance of integrating PFA principles into physiotherapy education and clinical care. Existing literature from international guidelines, reviews, and empirical studies indicates that PFA is a brief, flexible intervention focusing on safety, calming, practical assistance, information provision, and linkage to support services. Evidence suggests that PFA training improves healthcare professionals’ confidence, communication skills, and supportive behaviors. Physiotherapists already employ psychologically informed strategies, and structured PFA skills can be feasibly embedded within routine sessions. Key challenges include limited training time, role clarity, and referral pathways. Integrating PFA may enhance patient engagement, emotional stability, and rehabilitation outcomes, warranting further controlled studies.