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Using the benefit-harm trade-off method to determine the smallest worthwhile effect of intensive motor training on strength for people with spinal cord injury.
Tranter, Keira E; Glinsky, Joanne V; Ben, Marsha; Patterson, Helen; Blecher, Lynn; Chu, Jackie; Harvey, Lisa A.
Afiliación
  • Tranter KE; John Walsh Centre for Rehabilitation Research, University of Sydney, Kolling Institute, Sydney, NSW, Australia.
  • Glinsky JV; John Walsh Centre for Rehabilitation Research, University of Sydney, Kolling Institute, Sydney, NSW, Australia.
  • Ben M; John Walsh Centre for Rehabilitation Research, University of Sydney, Kolling Institute, Sydney, NSW, Australia.
  • Patterson H; Royal North Shore Hospital, Sydney, NSW, Australia.
  • Blecher L; Prince of Wales Hospital, Sydney, NSW, Australia.
  • Chu J; John Walsh Centre for Rehabilitation Research, University of Sydney, Kolling Institute, Sydney, NSW, Australia.
  • Harvey LA; John Walsh Centre for Rehabilitation Research, University of Sydney, Kolling Institute, Sydney, NSW, Australia. l.harvey@usyd.edu.au.
Spinal Cord ; 62(6): 314-319, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38570578
ABSTRACT
STUDY

DESIGN:

Interviews using the benefit-harm trade-off method and an online survey.

OBJECTIVES:

To determine the smallest worthwhile effect (SWE) of motor training on strength for people with spinal cord injury (SCI).

SETTING:

SCI units, Australia.

METHODS:

Forty people with recent SCI who had participated in motor training as part of their rehabilitation program (patient participants) and 37 physiotherapists (physiotherapist participants) working in SCI were recruited. The patient participants underwent an iterative process using the benefit-harm trade-off method to determine the SWE of motor training on strength. The physiotherapist participants were given an online survey to determine the SWE for five different scenarios. Both groups considered the SWE of a physiotherapy intervention involving an additional 12 h of motor training for 10 weeks on top of usual care. They were required to estimate the smallest improvement in strength (points on the Total Motor Score of the International Standards for Neurological Classification of SCI) to justify the effort and associated costs, risks or inconveniences of the motor training.

RESULTS:

The median (interquartile range) smallest improvement in strength that patient and physiotherapist participants deemed worth the effort and associated costs, risks or inconveniences of the motor training was 3 (1-5) points, and 9 (7-13) points, respectively.

CONCLUSIONS:

People with recent SCI are willing to devote 12 h a week for 10 weeks to motor training in addition to their usual care to gain small changes in strength. Physiotherapists wanted to see greater improvements to justify the intervention.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Traumatismos de la Médula Espinal / Fuerza Muscular Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Oceania Idioma: En Revista: Spinal Cord Asunto de la revista: NEUROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Traumatismos de la Médula Espinal / Fuerza Muscular Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Oceania Idioma: En Revista: Spinal Cord Asunto de la revista: NEUROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido