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To describe and elucidate skilled practices by which physiotherapists communicate with patients about problems of ongoing or recent performance of physical treatment activities; to offer a sociological perspective on this area of practice; to examine relations between actual communication practice and official (Chartered Society of Physiotherapy) recommendations; to explore problems associated with formulating standards pertaining to communication and suggest how these might be addressed.

Video recordings of physiotherapy treatment sessions (n=74) were analysed using conversation analysis—an observational, inductive, social science methodology.

Inpatient rehabilitation units in four English hospitals.

Twenty-one stroke patients aged 52–86 years and 10 senior physiotherapists with 3–23 years of postqualification experience.