Locomotor Training Post SCI & Stroke: Bridging Basic Science with Clinical Research and Practice

Duncan PW, Thompson F, Behrman AL, Kautz SA, Hannold EM. Locomotor Training Post SCI & Stroke: Bridging Basic Science with Clinical Research and Practice. Paper presented at: Evidence-Based Rehabilitation Joint Annual Conference; 2004 Sep 11; Ponte Vedra, FL.

This presentation demonstrated the value of using qualitative methods to assess the psychosocial impact of exercise programs to improve walking. Methodologies and selected findings from a qualitative study of locomotor training (LT) were reviewed. The study explored the experiences and perceptions of eight persons with incomplete spinal cord injury who completed 45 sessions of LT. Grounded theory methods were used to collect and analyze data from 14 semi-structured participant interviews and 60+ observations of LT sessions. Findings revealed that the locomotor training therapeutic process empowered participants on several levels, including engaging them as 'equal' team members by encouraging their active decision making. Participants perceived LT to be physically and cognitively demanding, but well worth the effort. Participants identified functional progress, ambulation knowledge, hope, and the social support of the training team as benefits of LT. Participants also reported that LT increased self-esteem, confidence, and motivation for recovery. Data suggest some participants experienced a renewed sense of self due to their increased ability to engage in activities with their families and within their communities. It was concluded that qualitative methods are a valuable tool for assessing the psychosocial impact of exercise programs and are uniquely suited to capture information regarding what participants/patients view as meaningful treatment outcomes.