Computer Assisted Robotic Therapy for Incomplete Spinal Cord Injury: Can it work in the acute setting?

Abstract

Problem: Computer assistive robotic therapy is an innovative treatment offering an interactive experience that may benefit individuals with spinal cord injury, however it is not known if such a treatment is feasible in the acute setting. Aims: To assess the experience of individuals and practitioners during the process of implementing computer assisted robotic therapy and to determine the feasibility of using such a therapy during acute rehabilitation. Methods: To accomplish the aims of this study a qualitative feasibility study was carried out, consisting of semi-structured interviews (N=4) with a participant, their partner and the administering practitioners at a public hospital in a metropolitan area of Australia. These interviews were conducted using a guide created to ensure comprehensive and rich responses. These responses were then transcribed verbatim and thematic analysis was completed using NVIVO 11. Established feasibility constructs were then related to the exposed themes. Results: This study provided qualitative findings on the implementation of computer assisted robotic therapy with a patient with cervical spinal cord injury and interrelated these findings with theoretical constructs relating to feasibility. Conclusion: High demand for computer assisted robotic therapy both from patients and practitioners was reported along with many potential benefits especially regarding participant immersion, motivation and engagement. However, the practicality of such a treatment is complicated by prohibitive costs, time constraints and the vulnerable state of patients. Consequently, when considering current protocol, computer assisted robotic therapy may not be feasible in acute spinal cord rehabilitation. More rigorous research is suggested to support this therapy given the context.