University of Florida, Department of Sociology, Criminology, and Law, 3219 Turlington Hall, PO Box 117330, Gainesville, FL 32611, USA.
Qual Health Res. 2013 Aug;23(8):1027-41. doi: 10.1177/1049732313494119. Epub 2013 Jun 17.
In this article we explore how people with incomplete spinal cord injury (iSCI) create meaning out of their changing bodies as they undergo a therapeutic intervention called locomotor training (LT). Therapeutic interventions like LT are used to promote the recovery of walking ability among individuals with iSCI. The chronological nature of this study--interviews at three points throughout the 12-week intervention--enhances understanding of the recovering self after spinal cord injury. Drawing on a constructivist theoretical framework, we organize data according to three narrative frames. Participants interpreted LT as (a) a physical change that was meaningful because of its social significance, (b) a coping strategy for dealing with the uncertainty of long-term recovery, and (c) a moral strategy to reconstitute the self. We offer findings that lay the conceptual groundwork for generating new knowledge about what is important to people with iSCI as they relearn how to walk.
在本文中，我们探讨了不完全性脊髓损伤（iSCI）患者在接受一种名为运动训练（LT）的治疗干预时，如何从他们不断变化的身体中创造意义。LT 等治疗干预措施被用于促进 iSCI 患者行走能力的恢复。这项研究的时间顺序性质——在 12 周干预过程中的三个时间点进行访谈——增强了对脊髓损伤后恢复自我的理解。本研究以建构主义理论框架为基础，根据三个叙事框架组织数据。参与者将 LT 解释为 (a) 一种有意义的身体变化，因为它具有社会意义，(b) 应对长期康复不确定性的应对策略，以及 (c) 重建自我的道德策略。我们提供的研究结果为生成关于 iSCI 患者重新学习行走时对他们重要的知识奠定了概念基础。
