Singh Hardeep, Sam Jaya, Verrier Mary C, Flett Heather M, Craven B Catharine, Musselman Kristin E
1Toronto Rehabilitation Institute-University Health Network, Toronto, Canada.
2Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada.
Spinal Cord Ser Cases. 2018 Jan 18;4:6. doi: 10.1038/s41394-018-0037-z. eCollection 2018.
Qualitative follow-up study.
Intensive locomotor training can improve physical and psychological functioning for individuals with spinal cord injury. Few studies have examined long-term effects of locomotor training. Specifically, there is a lack of qualitative follow-up that provide insight into participants' perceptions of the effects of locomotor training on level of function and daily life. This study aimed to gain insight into participants' perceptions of intensive locomotor training and whether participation influenced the level of function and community living 1-2 years after training.
Tertiary rehabilitation facility in Ontario, Canada.
Participants were six individuals who had lived with spinal cord injury between 1.9 and 2.7 years at the time of the interviews and had completed locomotor training during the subacute phase of injury. Semi-structured interviews explored participants' daily experiences and level of function after locomotor training. Interviews were analyzed using thematic analysis.
Three themes were identified. (1) Outcomes: Personalized Adapted Locomotor Training led to transferable gains from the program to daily functioning and eased transitions out of the rehabilitation hospital. (2) Continuing the rehabilitation journey: following disappointment after training ended, recovery was perceived incomplete regardless of current functional status. Endeavors were now directed to maintaining gains achieved during the program. (3) Challenges: since discharge from Personalized Adapted Locomotor Training, participants identified changes in their psychological well-being and the risk of falls as challenges.
Personalized Adapted Locomotor Training was a positive experience. The identified challenges present future opportunities for the improved delivery of intensive locomotor training programs.
定性随访研究。
强化运动训练可改善脊髓损伤患者的身体和心理功能。很少有研究探讨运动训练的长期效果。具体而言，缺乏定性随访来深入了解参与者对运动训练对功能水平和日常生活影响的看法。本研究旨在深入了解参与者对强化运动训练的看法，以及参与训练是否会在训练后1至2年影响功能水平和社区生活。
加拿大安大略省的三级康复机构。
参与者为6名在访谈时脊髓损伤已达1.9至2.7年且在损伤亚急性期完成运动训练的个体。半结构化访谈探讨了参与者在运动训练后的日常经历和功能水平。采用主题分析法对访谈进行分析。
确定了三个主题。（1）结果：个性化适应性运动训练使训练项目的成果能够转化到日常功能中，并缓解了从康复医院出院的过渡过程。（2）继续康复之旅：训练结束后感到失望，无论当前功能状态如何，都认为恢复不完全。现在的努力方向是维持训练期间取得的成果。（3）挑战：自个性化适应性运动训练出院后，参与者将心理健康的变化和跌倒风险视为挑战。
个性化适应性运动训练是一次积极的体验。所确定的挑战为改进强化运动训练项目的实施提供了未来的机会。
