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Musselman KE, Walden K, Noonan VK, Jervis-Rademeyer H, Thorogood N, Bouyer L, Chan B, Donkers S, Ho C, Jeji T, Kaiser A, Klassen TD, Zariffa J, Grant C, Masani K, Zbogar D, Athanasopoulous P. Development of priorities for a Canadian strategy to advance activity-based therapies after spinal cord injury. Spinal Cord 2021; 59:874-884. [PMID: 34099881 PMCID: PMC8338546 DOI: 10.1038/s41393-021-00644-2] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2020] [Revised: 05/14/2021] [Accepted: 05/18/2021] [Indexed: 11/12/2022]
Abstract
Study Design Participatory design. Objectives Activity-based therapies (ABT) have physical and psychosocial benefits for individuals with spinal cord injury (SCI). A Canadian ABT summit was held to: (1) identify methods used in stroke rehabilitation that may be appropriate for SCI; (2) understand the current state of ABT activities in Canada; and (3) identify priorities for ABT research and care for the next five years. Setting Stakeholder-engaged meeting at a tertiary rehabilitation hospital. Methods Thirty-nine stakeholders, including individuals with SCI, frontline clinicians, healthcare administrators, researchers, funders and health policy experts, attended. Two participants were note-takers. Priority identification occurred through input from stakeholder groups, followed by individual voting. Conventional content analysis was used to synthesize the information in the meeting notes. Results The strengths of ABT in stroke rehabilitation included clear and clinically feasible definitions, measurements and interventions, and recognized requirements for implementation (e.g. behavior change, partnerships). Knowledge gaps concerning ABT activities in Canada were identified for acute and community settings, non-traumatic populations, and the interventions, equipment and standardized measures (i.e. upper limb, activity levels) used. Five priorities for ABT across the continuum of care were identified: (1) Identify current ABT activities; (2) Create a network to facilitate dialog; (3) Track engagement in ABT activities; (4) Develop and implement best practice recommendations; and (5) Study optimal timing, methods, and dose of ABT. Working groups were formed to address priorities 1–3. Conclusions The priorities will guide SCI research and care activities in Canada over the next five years. Sponsorship Praxis Spinal Cord Institute.
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Affiliation(s)
- Kristin E Musselman
- Department of Physical Therapy, University of Toronto, Toronto, ON, Canada. .,KITE, Toronto Rehabilitation Institute-University Health Network, Toronto, ON, Canada. .,Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada.
| | | | | | - Hope Jervis-Rademeyer
- KITE, Toronto Rehabilitation Institute-University Health Network, Toronto, ON, Canada.,Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada
| | | | - Laurent Bouyer
- Department of Rehabilitation, Laval University, Quebec City, QC, Canada.,Center for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec City, QC, Canada
| | - Brian Chan
- KITE, Toronto Rehabilitation Institute-University Health Network, Toronto, ON, Canada.,Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada
| | - Sarah Donkers
- School of Rehabilitation Science, University of Saskatchewan, Saskatoon, SK, Canada
| | - Chester Ho
- Department of Medicine, University of Alberta, Edmonton, AB, Canada.,Physical Medicine and Rehabilitation, Glenrose Rehabilitation Hospital, Edmonton, AB, Canada
| | - Tara Jeji
- Ontario Neurotrauma Foundation, Toronto, ON, Canada
| | - Anita Kaiser
- KITE, Toronto Rehabilitation Institute-University Health Network, Toronto, ON, Canada.,Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada.,Canadian Spinal Research Organization, Toronto, ON, Canada
| | - Tara D Klassen
- Department of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.,GF Strong Rehabilitation Centre, Vancouver, BC, Canada
| | - José Zariffa
- KITE, Toronto Rehabilitation Institute-University Health Network, Toronto, ON, Canada.,Institute of Biomedical Engineering, University of Toronto, Toronto, ON, Canada
| | - Christopher Grant
- Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.,Foothills Medical Centre, Calgary, AB, Canada
| | - Kei Masani
- KITE, Toronto Rehabilitation Institute-University Health Network, Toronto, ON, Canada.,Institute of Biomedical Engineering, University of Toronto, Toronto, ON, Canada
| | - Dominik Zbogar
- Spinal Cord Injury Rehabilitation Evidence, Vancouver, BC, Canada
| | - Peter Athanasopoulous
- Spinal Cord Injury Ontario, Toronto, ON, Canada.,SCI Solutions Alliance, Toronto, ON, Canada
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