Janelle Unger1,2,3, Hardeep Singh1,2,4, Avril Mansfield2,5,6, Kei Masani2,7, Kristin E Musselman8,9,10. 1. Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, M5G 1V7, Canada. 2. KITE, Toronto Rehabilitation Institute - University Health Network, Toronto, M4G 3V9, Canada. 3. School of Physical Therapy, Faculty of Health Sciences, Western University, London, N6G 1H1, Canada. 4. Department of Occupational Science & Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, M5G 1V7, Canada. 5. Evaluative Clinical Sciences, Hurvitz Brain Sciences Program, Sunnybrook Research Institute, Toronto, M4N 3M5, Canada. 6. Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, M5G 1V7, Canada. 7. Institute of Biomedical Engineering, University of Toronto, Toronto, M5S 3G9, Canada. 8. Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, M5G 1V7, Canada. kristin.musselman@utoronto.ca. 9. KITE, Toronto Rehabilitation Institute - University Health Network, Toronto, M4G 3V9, Canada. kristin.musselman@utoronto.ca. 10. Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, M5G 1V7, Canada. kristin.musselman@utoronto.ca.
Abstract
STUDY DESIGN: Qualitative descriptive study. OBJECTIVES: To gain insight into if and how participation in intensive balance training impacted the daily lives and risk of falling of people living with incomplete spinal cord injury or disease (SCI/D), as well as to understand what motivated participation and what benefits and challenges, if any, they experienced while completing training. SETTING: Tertiary rehabilitation hospital. METHODS: Semi-structured interviews were conducted three to four months after 20 participants with incomplete SCI/D completed either Perturbation-based Balance Training or Conventional Intensive Balance Training as part of a randomized clinical trial. Interviews were transcribed verbatim and coded using conventional content analysis by two researchers. Codes were discussed for consensus, and subcategories and categories were created, which were confirmed by another two researchers. RESULTS: The following categories were identified: 1) goals of balance training, 2) valuable components of balance training, 3) physical gains from balance training, 4) psychosocial gains from participating in balance training, and 5) unique aspects of Perturbation-based Balance Training. Each category consisted of several subcategories. CONCLUSIONS: Collecting qualitative data facilitated the evaluation of the meaningfulness of the balance training programs to the participants. These findings demonstrate that balance training was perceived as beneficial and enjoyable for individuals with incomplete SCI/D, and that these programs provided challenge and educational opportunities for the participants while improving balance confidence and reducing perceived fall risk. These findings have implications to direct future research studies or implementation of balance training in rehabilitation.
STUDY DESIGN: Qualitative descriptive study. OBJECTIVES: To gain insight into if and how participation in intensive balance training impacted the daily lives and risk of falling of people living with incomplete spinal cord injury or disease (SCI/D), as well as to understand what motivated participation and what benefits and challenges, if any, they experienced while completing training. SETTING: Tertiary rehabilitation hospital. METHODS: Semi-structured interviews were conducted three to four months after 20 participants with incomplete SCI/D completed either Perturbation-based Balance Training or Conventional Intensive Balance Training as part of a randomized clinical trial. Interviews were transcribed verbatim and coded using conventional content analysis by two researchers. Codes were discussed for consensus, and subcategories and categories were created, which were confirmed by another two researchers. RESULTS: The following categories were identified: 1) goals of balance training, 2) valuable components of balance training, 3) physical gains from balance training, 4) psychosocial gains from participating in balance training, and 5) unique aspects of Perturbation-based Balance Training. Each category consisted of several subcategories. CONCLUSIONS: Collecting qualitative data facilitated the evaluation of the meaningfulness of the balance training programs to the participants. These findings demonstrate that balance training was perceived as beneficial and enjoyable for individuals with incomplete SCI/D, and that these programs provided challenge and educational opportunities for the participants while improving balance confidence and reducing perceived fall risk. These findings have implications to direct future research studies or implementation of balance training in rehabilitation.
Authors: Avril Mansfield; Elizabeth L Inness; Janice Komar; Louis Biasin; Karen Brunton; Bimal Lakhani; William E McIlroy Journal: Phys Ther Date: 2011-04-21
Authors: Alia Khan; Clara Pujol; Mark Laylor; Nikola Unic; Maureen Pakosh; Jaclyn Dawe; Kristin E Musselman Journal: Spinal Cord Date: 2019-04-09 Impact factor: 2.772
Authors: Janelle Unger; Katherine Chan; Carol Y Scovil; B Catharine Craven; Avril Mansfield; Kei Masani; Kristin E Musselman Journal: Phys Ther Date: 2019-04-01
Authors: Laura Teeter; Julie Gassaway; Sally Taylor; Jacqueline LaBarbera; Shari McDowell; Deborah Backus; Jeanne M Zanca; Audrey Natale; Jordan Cabrera; Randall J Smout; Scott E D Kreider; Gale Whiteneck Journal: J Spinal Cord Med Date: 2012-11 Impact factor: 1.985
Authors: Avril Mansfield; Alison Schinkel-Ivy; Cynthia J Danells; Anthony Aqui; Raabeae Aryan; Louis Biasin; Vincent G DePaul; Elizabeth L Inness Journal: J Stroke Cerebrovasc Dis Date: 2017-06-01 Impact factor: 2.136