Mechanically assisted walking training during inpatient rehabilitation after stroke: perceptions of physiotherapists

Background and Purpose:
Despite evidence supporting the use of mechanically assisted walking training in stroke rehabilitation, it is not extensively used. The purpose of this study was to explore the perceptions of physiotherapists regarding their use of mechanically assisted walking training, specifically treadmill training, during inpatient rehabilitation after stroke. Better understanding of physiotherapists’ perceptions can inform the development of translation strategies.

Methods:
A qualitative study using focus groups comprising 14 physiotherapists (including students) working in stroke inpatient rehabilitation at two sites was conducted. Transcripts were analysed using an inductive approach to thematic analysis.

Results:
Physiotherapists perceived two main themes related to using mechanically assisted walking training during inpatient rehabilitation: therapeutic consequences (eg, patients able to walk earlier, further, longer; less fatiguing for therapist, ability to manipulate walking parameters) and practical considerations (eg, safety, efficiency, staff skill, access to equipment, weight and level of disability of patient, fear of treadmill).

Discussion:
Therapists’ perceptions of using mechanically assisted walking training during inpatient rehabilitation after stroke were mixed. There is a need to educate physiotherapy staff about the evidence of therapeutic value as well as how to perform mechanically assisted walking training.