目的:同时探讨不同投资参与者群体对制定最佳脑卒中后上肢运动恢复的上肢行为干预措施的重要考虑因素的观点和意见。
方法:建构主义认识论中的定性描述性研究。
方法:有目的地选择参与者组(临床前研究n=9,临床研究n=9,临床经验n=9,生活经验n=10)。
方法:研究参与者选自国际上发表的顶尖作者。有经验的参与者是在国际上招募的,通过网络。
结果:四个主题被确定为嵌入的子主题。主题1:“临床相关性应该是一个“好”研究问题的核心,有两个子主题:“打破孤岛:锻造跨学科研究团队”,和\“超越管道:从板凳到床边和背部\”;主题2:“平衡恢复原状和补偿以最大化结果\”,具有三个子主题:\“好结果:超越结果衡量标准\”,\'恢复是一个难题:测量所有的碎片\',和\'优化容量:知道何时和如何\';主题3:\'笔触需要个性化解决方案\',具有两个子主题:\'条件特定考虑因素\',和\“特定于人的考虑因素\”;主题4:\“上肢恢复需要复杂的干预措施\”,包括四个子主题:\“加油参与”,\'内容至关重要\',\'多维剂量\',和“治疗师摇摆”。
结论:这项研究表明,中风后上肢运动干预是由不同背景因素(例如中风和个人因素)形成的多种干预因素(例如剂量和内容)的相互作用。制定此类干预措施可能需要考虑干预措施的内容和背景,以推动最佳恢复。
OBJECTIVE: To simultaneously explore the perspectives and opinions of different invested participant groups on the important considerations for development of upper limb behavioural interventions that drive optimal post-stroke upper limb motor recovery.
METHODS: A qualitative descriptive study in a constructivist epistemology.
METHODS: Purposively selected participant groups (preclinical research n = 9, clinical research n = 9, clinical experience n = 9 and lived experience n = 10).
METHODS: Research participants were selected from top internationally published authors. Experiential participants were recruited internationally, through networks.
RESULTS: Four themes were identified with embedded subthemes. Theme 1: \'Clinical relevance should be the core of a \"good\" research question\' with two subthemes: \'Breaking down silos: forging interdisciplinary research teams\', and \'Beyond the pipeline: bench to bedside and back\'; theme 2: \'Balance restitution and compensation to maximise outcomes\' with three subthemes: \'Good outcome: going beyond an outcome measure\', \'Recovery is a puzzle: measure all the pieces\', and \'Optimising capacity: knowing when and how\'; theme 3: \'Stroke demands personalised solutions\' with two subthemes: \'Condition-specific considerations\', and \'Person-specific considerations\'; theme 4: \'Upper limb recovery requires complex interventions\' with four subthemes: \'Fuelling engagement\', \'Content is crucial\', \'Multidimensional dose\', and \'Therapist sway\'.
CONCLUSIONS: This study suggests that post-stroke upper limb motor interventions are the interactions of multiple intervention elements (e.g. dose and content) shaped by different contextual considerations (e.g. stroke and personal factors). Development of such interventions may need to consider both content and context of the intervention to drive optimal recovery.