Evidence map›Paper›PMID 38514640›Full record

ArticleSpinal cord series and cases2024

Exploring knowledge and implementation gaps of activity-based therapy in centers lacking specialized spinal cord injury services: understanding therapists' perspectives.

Nicole Cesca, Chantal Lin, Zeina Abu-Jurji, Aaron Wexler, Jonas Mark, Shane McCullum, Rija Kamran, Brian Chan, Kristin E Musselman

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Spinal cord series and cases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Nicole CescaRehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Chantal LinDepartment of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Zeina Abu-JurjiFaculty of Health Sciences, Masters of Physiotherapy, McMaster University, Hamilton, ON, Canada.
Aaron WexlerDepartment of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Jonas MarkFirst Steps Wellness Centre, Winnipeg, MB, Canada.
Shane McCullumStan Cassidy Centre for Rehabilitation, Horizon Health Network, Fredericton, NB, Canada.
Rija KamranRehabilitation Science, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, Canada.
Brian ChanKITE Research Institute, Toronto Rehabilitation Institute - University Health Network, Toronto, ON, Canada.ORCID 0000-0001-5037-0446
Kristin E MusselmanRehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada. kristin.musselman@utoronto.ca.ORCID 0000-0001-8336-8211
University Health Network · CAUniversity of Toronto · CAHorizon Health Network · CAMcMaster University · CAUniversity of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designQualitative exploratory

objectivesRehabilitation 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.

settingCanadian hospitals and community clinics DESIGN/

methodsSemi-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.

resultsFour 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.

conclusionCurrent 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.

Indexed as

Physical TherapistsSpinal Cord InjuriesCanadaDelivery of Health CareHumansPhysical Therapy Modalities

Identifiers

PMID38514640
PMCPMC10957876
OpenAlexW4393045283

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.