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To employ a person-centred approach, it is essential to work with the patient in deciding the important issues that the physiotherapy intervention should target, and to develop and adjust the individual treatment accordingly. Those co-constructive processes of physiotherapy consist of several parts, aiming to improve patient involvement and to optimize intervention outcomes. This paper aims to discuss and bring forward the role of the co-constructive processes in physiotherapy, by using perspectives from learning strategies and quality improvement strategies. The conclusion is that co-constructive learning processes are useful theories, which can be used in unison with quality improvement strategies for optimal co-construction between patients and physiotherapists and thus improve results of physiotherapy interventions.