Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
KITE Research Institute, Toronto Rehabilitation Institute - University Health Network, Toronto, ON, Canada.
Spinal Cord Ser Cases. 2024 Mar 21;10(1):14. doi: 10.1038/s41394-024-00619-4.
Qualitative exploratory OBJECTIVES: Rehabilitation following spinal cord injury (SCI) is a life-long process involving healthcare in a variety of settings, including facilities lacking SCI-specific services (i.e., non-SCI-specialized centers). Activity-based therapy (ABT) is a neurorestorative approach involving intensive, task-specific movement practice below the injury level. This study explored the existing knowledge, perceptions, and implementation of ABT among physical and occupational therapists working in non-SCI-specialized centers.
Canadian hospitals and community clinics DESIGN/METHODS: Semi-structured interviews were conducted with Canadian therapists who worked at non-SCI-specialized centers and treated at least one patient with SCI within the last 18 months. The Theoretical Domains Framework was used to develop interview questions that queried therapists' experiences in delivering SCI rehabilitation, their understanding of ABT and experience with its implementation. Interviews were audio-recorded, transcribed verbatim and analyzed using interpretive description.
Four physical therapists and three occupational therapists, from diverse settings (i.e., acute care, inpatient rehabilitation, long-term care, outpatient rehabilitation, rural outpatient clinic) participated. Three themes were identified: (1) Available knowledge, resources and therapy time in non-SCI-specialized centers challenge ABT implementation, (2) How current therapy practices in non-SCI-specialized centers align with ABT and (3) Desire for ABT knowledge. Although participants were not familiar with the term ABT, it was identified that they were unknowingly incorporating some components of ABT into their practice. Participants expressed a keenness to learn more about ABT.
Current knowledge and implementation of ABT in non-SCI-specialized centers is limited. Tailoring ABT education to therapists at non-SCI-specialized centers may increase ABT implementation.
定性探索性研究
目的：脊髓损伤（SCI）后的康复是一个终身的过程，涉及各种环境中的医疗保健，包括缺乏 SCI 特定服务的设施（即，非 SCI 专业中心）。基于活动的治疗（ABT）是一种神经修复方法，涉及在损伤水平以下进行强化、特定任务的运动练习。本研究探讨了在非 SCI 专业中心工作的物理治疗师和职业治疗师对 ABT 的现有知识、看法和实施情况。
背景：加拿大医院和社区诊所
设计/方法：对在非 SCI 专业中心工作且在过去 18 个月内至少治疗过一名 SCI 患者的加拿大治疗师进行了半结构化访谈。理论领域框架用于制定访谈问题，以询问治疗师在提供 SCI 康复方面的经验、他们对 ABT 的理解以及实施 ABT 的经验。采访进行了录音，逐字转录，并使用解释性描述进行分析。
结果：来自不同环境（即急性护理、住院康复、长期护理、门诊康复、农村门诊诊所）的 4 名物理治疗师和 3 名职业治疗师参与了研究。确定了三个主题：（1）非 SCI 专业中心的可用知识、资源和治疗时间对 ABT 的实施构成挑战，（2）非 SCI 专业中心当前的治疗实践如何与 ABT 保持一致，以及（3）对 ABT 知识的渴望。尽管参与者对 ABT 这个术语并不熟悉，但发现他们在不知不觉中将 ABT 的一些成分纳入了他们的实践中。参与者表示渴望了解更多关于 ABT 的知识。
结论：非 SCI 专业中心对 ABT 的现有知识和实施有限。针对非 SCI 专业中心的治疗师量身定制 ABT 教育可能会增加 ABT 的实施。
