Activity-based therapy for individuals with spinal cord injury/disease: perspectives of acute care therapists

This study explores how therapists in acute care hospitals use activity-based therapy (ABT) for patients with spinal cord injury or disease (SCI/D). ABT aims to improve motor function through task-specific exercises and neuromuscular activation. The research involved interviews with physical and occupational therapists in Canada to understand their experiences and challenges in implementing ABT in the acute care setting. The study found that implementing ABT in acute care is challenging due to patient acuity, the unique nature of acute care, and the work environment. Dosage of movement practice was identified as a limiting factor.

• 1
  Patient acuity significantly impacts ABT participation, with safety, tolerance, and the complexity of the injury influencing a patient's ability to engage in ABT.
• 2
  The approach to ABT in acute care is unique, focusing on preparing patients for later ABT through education and physical conditioning, often utilizing portable technology.
• 3
  The acute care work environment and therapy practice influence ABT delivery, with personnel structure, goal balance, caseload management, and lack of continuity of care posing challenges.