Janelle Unger1,2, Hardeep Singh1,2, Avril Mansfield2,3,4, Sander L Hitzig1,2,3,5, Erica Lenton6, Kristin E Musselman1,2,4. 1. a Rehabilitation Sciences Institute , University of Toronto , Toronto , Canada. 2. b Toronto Rehabilitation Institute , University Health Network , Toronto , Canada. 3. c Evaluative Clinical Sciences, Hurvitz Brain Sciences Program, Sunnybrook Research Institute , Sunnybrook Health Sciences Centre , Toronto , Canada. 4. d Department of Physical Therapy, Faculty of Medicine , University of Toronto , Toronto , Canada. 5. e Department of Occupational Science & Occupational Therapy , University of Toronto , Toronto , Canada. 6. f Gerstein Science Information Centre , University of Toronto , Toronto , Canada.
Abstract
PURPOSE: The purpose of this thematic synthesis review was to identify and synthesise published qualitative research on the perspectives of individuals with spinal cord injuries with respect to physical rehabilitation interventions. MATERIALS AND METHODS: The peer-reviewed literature was searched across seven databases and identified abstracts were independently screened by two reviewers. A thematic synthesis methodology was used to code and synthesise the results from the included studies. RESULTS: In total, 7233 abstracts were identified; 31 articles were selected for inclusion, representing 26 physical rehabilitation interventions. The methodological quality of studies was moderate (Standards for Reporting Qualitative Research mean ± standard deviation = 14.39 ± 3.61). The four main themes developed were: (1) Benefits of physical rehabilitation, (2) Challenges of physical rehabilitation, (3) Need for support, and (4) Issue of control. CONCLUSIONS: This qualitative thematic synthesis provides key insights into the experiences of individuals with spinal cord injuries who received physical rehabilitation. Recommendations for practice, based on the findings, include creating a diverse, encouraging, and educational physical rehabilitation experience with supportive staff who focus on communication and person-centred care. Implications for Rehabilitation Physical rehabilitation provides psychological as well as physical benefits to people with spinal cord injuries, including motivation, hope, improved self-confidence, and acceptance. Challenges identified during physical rehabilitation for people with spinal cord injuries, such as comparisons, negative emotions, recovery expectations, and slow progress, should be addressed by healthcare professionals to ensure person-centred care. People with spinal cord injuries identified a need for support from health care professionals, family, and friends, as well other people with spinal cord injuries. There is an issue of control in physical rehabilitation for people with spinal cord injuries, which can result in a fight with oneself or with healthcare professionals to regain the control that has been lost.
PURPOSE: The purpose of this thematic synthesis review was to identify and synthesise published qualitative research on the perspectives of individuals with spinal cord injuries with respect to physical rehabilitation interventions. MATERIALS AND METHODS: The peer-reviewed literature was searched across seven databases and identified abstracts were independently screened by two reviewers. A thematic synthesis methodology was used to code and synthesise the results from the included studies. RESULTS: In total, 7233 abstracts were identified; 31 articles were selected for inclusion, representing 26 physical rehabilitation interventions. The methodological quality of studies was moderate (Standards for Reporting Qualitative Research mean ± standard deviation = 14.39 ± 3.61). The four main themes developed were: (1) Benefits of physical rehabilitation, (2) Challenges of physical rehabilitation, (3) Need for support, and (4) Issue of control. CONCLUSIONS: This qualitative thematic synthesis provides key insights into the experiences of individuals with spinal cord injuries who received physical rehabilitation. Recommendations for practice, based on the findings, include creating a diverse, encouraging, and educational physical rehabilitation experience with supportive staff who focus on communication and person-centred care. Implications for Rehabilitation Physical rehabilitation provides psychological as well as physical benefits to people with spinal cord injuries, including motivation, hope, improved self-confidence, and acceptance. Challenges identified during physical rehabilitation for people with spinal cord injuries, such as comparisons, negative emotions, recovery expectations, and slow progress, should be addressed by healthcare professionals to ensure person-centred care. People with spinal cord injuries identified a need for support from health care professionals, family, and friends, as well other people with spinal cord injuries. There is an issue of control in physical rehabilitation for people with spinal cord injuries, which can result in a fight with oneself or with healthcare professionals to regain the control that has been lost.
Authors: Kristin E Musselman; Jean-François Lemay; Kristen Walden; Anne Harris; Dany H Gagnon; Molly C Verrier Journal: J Spinal Cord Med Date: 2019-10 Impact factor: 1.985
Authors: Min Young Lee; Ye Ji Choi; Eun Young Lee; Dong A Kim; Seung Hee Ho Journal: Int J Environ Res Public Health Date: 2020-12-09 Impact factor: 3.390
Authors: Jacqueline A Krysa; Marianne Pearl Gregorio; Kiran Pohar Manhas; Rob MacIsaac; Elizabeth Papathanassoglou; Chester H Ho Journal: Front Rehabil Sci Date: 2022-05-31