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管风琴脚踏键盘作为一种康复工具:对医疗服务提供者认知与建议的定性探索性研究

Organ pedalboard as a rehabilitation tool: A qualitative exploratory study of healthcare providers' perceptions and recommendations.

作者信息

Kan Mandy M P, Kwok Wai Hang, Fan Eric C, Al Zoubi Fadi M

机构信息

Department of Rehabilitation Sciences, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China.

School of Nursing and Midwifery, Edith Cowan University, Western Australia, Australia.

出版信息

PLoS One. 2024 Dec 19;19(12):e0314147. doi: 10.1371/journal.pone.0314147. eCollection 2024.

Abstract

OBJECTIVE

This qualitative study explored healthcare providers' perceptions and attitudes regarding the use of organ pedalboards as a rehabilitation tool, particularly for lower extremity conditions. The study also sought to identify the perceived barriers and facilitators to adopting organ pedalboards within rehabilitation settings, as well as gather healthcare providers' recommendations for integrating this tool into clinical practice.

METHOD

Healthcare providers, including physiotherapists, occupational therapists, music therapists, and sports therapists, were recruited for focus group interviews using purposive and snowball sampling. At the outset of the interview, participants watched an organist playing musical notes on a pedalboard and had the opportunity to try on the pedalboard. A researcher then modulated the group discussion with the organist and asked questions following a semi-structured interview guide. The guided questions concern the perceptions of using organ pedal training for patients, as well as participants' attitudes and perceived barriers towards it. Verbatim transcription and content analysis were performed on qualitative data.

FINDINGS

Seventeen healthcare providers were interviewed in four focus groups. Healthcare providers perceive music as a motivator in rehabilitation, aiding in natural movement through rhythm and beats. Music intervention, particularly training on the pedalboard, is seen as beneficial for lower extremity rehabilitation, improving range of motion, balance, and coordination. It also offers cognitive benefits and enhances patient engagement and psychosocial well-being. Its safety concerns were addressed and discussed.

CONCLUSION

Our study is the first to explore the feasibility of using a pedalboard as a rehabilitation tool. Healthcare providers identify the circumstances and potential therapeutic benefits of the use of organ pedal training in the management of lower extremity problems. This will assist in the development of a lower extremity training protocol that can accommodate all the physiological hip, knee, ankle, and foot movements in the future.

摘要

目的

本定性研究探讨了医疗保健提供者对使用管风琴踏板作为康复工具的看法和态度,特别是针对下肢疾病。该研究还试图确定在康复环境中采用管风琴踏板的感知障碍和促进因素,并收集医疗保健提供者将该工具纳入临床实践的建议。

方法

采用目的抽样和滚雪球抽样方法,招募了包括物理治疗师、职业治疗师、音乐治疗师和运动治疗师在内的医疗保健提供者进行焦点小组访谈。在访谈开始时,参与者观看了一位管风琴演奏者在踏板上弹奏音符,并有机会试用踏板。然后,一名研究人员与管风琴演奏者一起引导小组讨论,并按照半结构化访谈指南提问。引导性问题涉及对患者使用管风琴踏板训练的看法,以及参与者对其的态度和感知障碍。对定性数据进行逐字转录和内容分析。

结果

在四个焦点小组中对17名医疗保健提供者进行了访谈。医疗保健提供者认为音乐是康复中的一种激励因素,通过节奏和节拍有助于自然运动。音乐干预,特别是踏板训练,被认为对下肢康复有益,可以改善活动范围、平衡和协调能力。它还具有认知益处,可增强患者的参与度和心理社会幸福感。同时讨论了其安全性问题。

结论

我们的研究首次探讨了使用踏板作为康复工具的可行性。医疗保健提供者确定了在下肢问题管理中使用管风琴踏板训练的情况和潜在治疗益处。这将有助于制定未来能够适应髋、膝、踝和足部所有生理运动的下肢训练方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eee3/11658632/52dcd46cd230/pone.0314147.g001.jpg

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