Poster (Knowledge Generation) ID 1985172

IF 2.4 Q1 REHABILITATION Topics in Spinal Cord Injury Rehabilitation Pub Date : 2023-09-01 DOI:10.46292/sci23-1985172s
Merna Seliman, Julianne W. Y. Hong, Stephanie Marrocco, Erica Lo, K. Walden, Andrea Chase, Jean François Lemay, Sarah Donkers, D. Wolfe
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Abstract

Rehabilitation approaches after Spinal Cord Injury (SCI) differ across rehabilitation centres and between therapists. Differences may be influenced by factors such as therapeutic approaches, equipment availability, training provided for therapists, or demographics of admitted patients. A measure of physical function that is widely used within Canadian rehabilitation centres is the Standing and Walking Assessment Tool (SWAT). It is not clear what factors or therapeutic approaches lead to optimal standing and walking outcomes in the SCI population. To explore the perspectives of physio-therapists on factors that affect standing and walking outcomes in inpatient SCI rehabilitation. Three focus groups were conducted with nine physiotherapists representing seven inpatient rehabilitation centres across Canada to provide their perspectives on current practices and to gain in-depth insights into centre-specific factors that may influence standing and walking outcomes. Thematic analysis was used to analyze the focus group data. Thematic analysis revealed that high treatment intensity and frequency are needed for optimal standing and walking outcomes. Physiotherapists emphasized that appropriate length of stay was essential to deliver an effective treatment plan. They noted, however, that there is pressure to discharge patients quickly leading to shorter length of stays and a perceived compromise in outcomes. Physiotherapists emphasized the importance of building rapport with patients, creating an exciting therapeutic environment, and the availability of enough staff for optimal recovery. The findings of this qualitative study will inform the implementation and development of opportunities to optimize standing and walking outcomes across rehabilitation centres in Canada.
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海报(知识生成) ID 1985172
脊髓损伤(SCI)后的康复方法因康复中心和治疗师而异。差异可能受到治疗方法、设备可用性、为治疗师提供的培训或入院患者人口统计学等因素的影响。加拿大康复中心广泛使用的身体功能测量方法是站立和行走评估工具(SWAT)。目前尚不清楚哪些因素或治疗方法可使 SCI 患者获得最佳的站立和行走效果。 旨在探讨理疗师对影响 SCI 住院康复患者站立和行走效果的因素的看法。 我们与代表加拿大七家住院康复中心的九名理疗师进行了三次焦点小组讨论,以提供他们对当前做法的看法,并深入了解可能影响站立和行走效果的特定中心因素。专题分析法用于分析焦点小组的数据。 主题分析表明,要达到最佳的站立和行走效果,需要高强度和高频率的治疗。物理治疗师强调,适当的住院时间对于提供有效的治疗计划至关重要。然而,他们也注意到,患者出院的压力很大,导致住院时间缩短,治疗效果大打折扣。物理治疗师强调了与患者建立融洽关系、创造令人兴奋的治疗环境以及配备足够的工作人员以实现最佳康复效果的重要性。 这项定性研究的结果将为加拿大各康复中心实施和发展优化站立和行走效果的机会提供参考。
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来源期刊
CiteScore
3.20
自引率
3.40%
发文量
33
期刊介绍: Now in our 22nd year as the leading interdisciplinary journal of SCI rehabilitation techniques and care. TSCIR is peer-reviewed, practical, and features one key topic per issue. Published topics include: mobility, sexuality, genitourinary, functional assessment, skin care, psychosocial, high tetraplegia, physical activity, pediatric, FES, sci/tbi, electronic medicine, orthotics, secondary conditions, research, aging, legal issues, women & sci, pain, environmental effects, life care planning
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