Perspectives of individuals with chronic spinal cord injury following novel balance training involving functional electrical stimulation with visual feedback: a qualitative exploratory study.
David J Houston, Janelle Unger, Jae W Lee and 2 others
PMID 33794948WHAT IT FOUND
Five people with incomplete spinal cord injury described a balance program using electrical stimulation and visual feedback as helping them feel stronger and more stable.
They reported doing more household tasks and going out in the community. They wanted more sessions to keep improving.
Key findings
01Participants reported perceived improvements in body function, activity, and participation, such as increased strength, better standing endurance, and greater independence in daily tasks.
02All participants expressed feeling more confident in their balance abilities, even though previous quantitative testing showed little change in standardized balance confidence scores.
03Participants desired to continue the intervention because they felt they had not reached a plateau and would benefit from additional sessions.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
The sample size was very small (five participants), so the findings are not generalizable to the wider spinal cord injury population. Data saturation may not have been reached due to the small, purposeful sample. The participants were heterogeneous in terms of time post-injury, ranging from one to eight years. One interview was conducted over the phone, which prevented the observation of non-verbal cues. The study relied on self-reported perceptions, which may be subject to recall bias or social desirability bias. The intervention was a combination of FES and visual feedback training, so it is not possible to determine which component drove the perceived benefits.
Declared interests
The study was funded by the University of Toronto. The authors declared no conflicts of interest.
The easy way to misread this
Do not interpret these perceived benefits as proof that the specific combination of electrical stimulation and visual feedback is superior to other balance training methods. The study describes the subjective experiences of only five people who also received standard care or other therapies, and it did not compare this intervention to any control group.