Communicating Standing and Walking Data after Spinal Cord Injury: A Patient-Engaged, Qualitative Study

Top Spinal Cord Inj Rehabil, 2023 · DOI: 10.46292/sci23-00019S · Published: January 1, 2023

Spinal Cord Injury Patient Experience Rehabilitation

Simple Explanation

This study explores how physical therapists communicate information about standing and walking ability to patients with spinal cord injuries during inpatient rehabilitation. The research also investigates patients' preferences for receiving feedback on their standing and walking abilities, aiming to improve communication and tailor it to individual needs. The findings suggest that a personalized approach to feedback, considering the format, frequency, and nature of information, is essential for effective patient-centered care in SCI rehabilitation.

Study Duration

Not specified

Participants

15 individuals with SCI (5 female, 10 male)

Evidence Level

Qualitative study

Key Findings

1
Participants showed varied preferences for the format, frequency, and type of feedback regarding their standing and walking ability during inpatient rehabilitation.
2
Verbal feedback was the most common method of communication, but patients preferred a hybrid approach combining verbal input with written or visual information.
3
Preexisting tools like the Standing and Walking Assessment Tool (SWAT) and Physical Therapy Report Card were perceived as potentially helpful for goal setting and monitoring progress.

Research Summary

This qualitative study examined how physical therapists communicate standing and walking ability information to SCI inpatients and explored patient preferences for receiving such feedback. The study revealed considerable variability in the format, frequency, and nature of feedback desired by patients, suggesting a need for a personalized approach. The researchers suggest a collaborative feedback plan between therapists and patients, utilizing tools like the SWAT and Physical Therapy Report Card to facilitate personalized communication.

Practical Implications

Personalized Feedback Plans

Physical therapists should collaborate with SCI patients to create individualized feedback plans that align with their preferred format, frequency, and nature of information.

Utilize Communication Tools

Implement tools like the SWAT and Physical Therapy Report Card, with necessary modifications, to enhance the communication of standing and walking abilities.

Develop a Feedback Toolkit

Create a toolkit of varied knowledge translation products that provide clinicians with a range of options to deliver personalized feedback effectively.

Study Limitations

1
Interviews were conducted over the phone, limiting observation of nonverbal cues.
2
The study sample primarily reflected ambulatory individuals with SCI.
3
The study did not collect perspectives from clinicians providing feedback.

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