Toronto Rehabilitation Institute, University Health Network, Toronto, Canada.
Faculty of Kinesiology, University of Toronto, Toronto, Canada.
Disabil Rehabil. 2022 Dec;44(25):7967-7973. doi: 10.1080/09638288.2021.2004246. Epub 2021 Nov 23.
Reactive balance training (RBT) aims to improve reactive balance control. However, because RBT involves clients losing balance, clinicians may view that it is unsafe or not feasible for some clients. We aimed to explore how clinicians implement RBT to treat balance and mobility issues.
Physiotherapists and kinesiologists across Canada who reported that they include RBT in their practices were invited to complete telephone interviews about their experiences with RBT. Interviews were transcribed verbatim, and analysed using a deductive thematic analysis.
Ten participants completed telephone interviews, which lasted between 30-60 min. Participants primarily worked in a hospital setting (inpatient rehabilitation ( = 3); outpatient rehabilitation ( = 2)), and were treated clients with neurological conditions ( = 5). Four main themes were identified: 1) there is variability in RBT approaches; 2) knowledge can be a barrier and facilitator to RBT; 3) reactive balance control is viewed as an advanced skill; and 4) RBT experience builds confidence.
Our findings suggest a need for resources to make clinical implementation of RBT more feasible.Implications for rehabilitationTrust between the therapist and client improves self-efficacy and feelings of apprehension/fear when conducting reactive balance training.Being creative and improvising with equipment that is readily available in clinics enables reactive balance training, without the need for high-tech equipment.Clinicians should consider using standardized tools with reactive balance control components, such as the Balance Evaluation Systems Test or Performance Oriented Mobility Assessment, to assess balance control.
反应性平衡训练（RBT）旨在改善反应性平衡控制。然而，由于 RBT 涉及客户失去平衡，临床医生可能认为它对某些客户不安全或不可行。我们旨在探讨临床医生如何实施 RBT 来治疗平衡和移动问题。
邀请加拿大各地报告在实践中包含 RBT 的物理治疗师和运动学家完成有关他们 RBT 经验的电话访谈。访谈逐字记录，并使用演绎主题分析进行分析。
10 名参与者完成了电话访谈，持续 30-60 分钟。参与者主要在医院环境中工作（住院康复（=3）；门诊康复（=2）），并治疗神经科疾病患者（=5）。确定了四个主要主题：1）RBT 方法存在差异；2）知识可能是 RBT 的障碍和促进因素；3）反应性平衡控制被视为一项高级技能；4）RBT 经验建立信心。
我们的研究结果表明，需要资源使 RBT 的临床实施更加可行。对康复的影响：治疗师和客户之间的信任可以提高反应性平衡训练时的自我效能感和不安/恐惧感。在诊所中创造性地利用现成的设备进行即兴创作，可以进行反应性平衡训练，而无需高科技设备。临床医生应考虑使用具有反应性平衡控制组件的标准化工具，例如平衡评估系统测试或性能导向的移动评估，以评估平衡控制。
