Singh Hardeep, Shah Meeral, Flett Heather M, Craven B Catherine, Verrier Mary C, Musselman Kristin E
a Toronto Rehabilitation Institute, University Health Network , Toronto , Canada.
b Rehabilitation Sciences Institute, University of Toronto , Toronto , Canada.
Disabil Rehabil. 2018 Apr;40(7):820-828. doi: 10.1080/09638288.2016.1277395. Epub 2017 Jan 13.
Locomotor training after incomplete spinal cord injury can improve walking function, and cardiovascular and muscle health. Participants' perspectives about locomotor training, however, have not been extensively studied. This study describes the experiences of individuals with sub-acute incomplete spinal cord injury who completed personalized adapted locomotor training; a locomotor-focused rehabilitation tailored to individual goals. Specifically, we examined how participation in this training impacted their lives and what challenges they encountered.
Following inpatient rehabilitation, seven participants completed 74-197 h of personalized adapted locomotor training. Using conventional content analysis, themes were identified from post-training interviews. Trustworthiness was enhanced through analysis trials, verbatim quotes, and triangulation.
Three themes emerged: motives for participating, perceived benefits, and perceived challenges. Beliefs that higher intensity leads to quicker recovery of prior function motivated participation. Physical and psychological health improvements, favorable training structure, and empowerment to self-manage their rehabilitation were perceived benefits. Neglect of other commitments, acquiring extra services to participate (e.g. accessible transportation), limited transferability to daily walking, and a rigid training structure were perceived challenges. Program recommendations were formed from the perceived challenges.
Personalized adapted locomotor training was positively regarded by participants. Addressing the perceived challenges may improve the training experience. Implications for Rehabilitation Personalized adapted locomotor training (PALT) is a high-intensity locomotor therapy tailored to an individual's goals. The experiences of individuals with iSCI highlight the impact of PALT on physical and psychological well-being. PALT has the potential to improve physical functioning and facilitate transitions from inpatient rehabilitation to community living. Findings suggest the need for adaptation of PALT to suit the unique needs of each individual.
不完全性脊髓损伤后的运动训练可改善步行功能以及心血管和肌肉健康。然而，尚未对参与者对运动训练的看法进行广泛研究。本研究描述了完成个性化适应性运动训练的亚急性不完全性脊髓损伤患者的经历；这是一种针对个人目标的以运动为重点的康复训练。具体而言，我们研究了参与该训练如何影响他们的生活以及他们遇到了哪些挑战。
在住院康复后，7名参与者完成了74 - 197小时的个性化适应性运动训练。采用传统内容分析法，从训练后的访谈中确定主题。通过分析试验、逐字引用和三角验证提高了可信度。
出现了三个主题：参与动机、感知到的益处和感知到的挑战。认为更高强度会导致先前功能更快恢复的信念促使他们参与。身体和心理健康的改善、良好的训练结构以及自我管理康复的能力被视为益处。忽视其他事务、为参与获取额外服务（如无障碍交通）、向日常步行的有限可转移性以及僵化的训练结构被视为挑战。根据感知到的挑战形成了项目建议。
参与者对个性化适应性运动训练给予了积极评价。解决感知到的挑战可能会改善训练体验。对康复的启示个性化适应性运动训练（PALT）是一种针对个人目标的高强度运动疗法。不完全性脊髓损伤患者的经历突出了PALT对身心健康的影响。PALT有潜力改善身体功能并促进从住院康复向社区生活的转变。研究结果表明需要调整PALT以适应每个人的独特需求。
