Understanding of people with spinal cord injury about the performance of transfers for their daily activities
DOI:
https://doi.org/10.21527/2176-7114.2026.51.15777Keywords:
Assistive Technology, Daily Activities, Spinal Cord Injury, International Classification of Functioning, Disability and Health, Rehabilitation NursingAbstract
Objective: to understand, based on the Adaptation Model, how people with spinal cord injury perceive and perform safe transfers in their daily activities. Methodology: qualitative study, based on the Adaptation Model. A total of 17 paraplegics with post-traumatic spinal cord injury were interviewed. The participants’ information was analyzed in light of content analysis. Results: of the 17 participants, 15 men and 2 women, only 11 declared themselves as rehabilitated; in fact, eight stated that they had not received training to perform transfers. The analysis of the raw data was decoded into recording units, which gave rise to two thematic categories: “Essential adaptive skills that distinguish them as dependent or independent for the performance of daily activities” and “Activities that promote autonomy and restore self-confidence, either from the received training or through peer sharing.” Final Considerations: the participants stated that performing transfers safely and independently is crucial for them to carry out their daily activities with autonomy, functional independence, leave the house, and achieve full social inclusion. They also reported that they share experiences with peers and use resources of new learning available on social networks. In this way, nurses specialized in rehabilitation, based on the Adaptation Model, can invest in guidance, training, and periodic assessment of transfers, to minimize the daily difficulties of people with spinal cord injury, since they work in the direct care of these people in the various spheres of health care, aiming at the promotion of their self-esteem, adaptation, and independent life.
References
1. Curi HT, Lima J, Ferretti EC. Factors related to propulsion efficiency in manual wheelchair users with paraplegia due to spinal cord injury. Cad Bras Ter Ocup. 2020;28(3):999-1019. DOI: https://doi.org/10.4322/2526-8910.ctoAR1935
2. Finley MA, Euiler E. Association of musculoskeletal pain, fear-avoidance factors, and quality of life in active manual wheelchair users with SCI: a pilot study. J Spinal Cord Med. 2020;43(4):497-504. DOI: https://doi.org/10.1080/10790268.2019.1565717
3. Lopes JEA, Santos KAP, Machado CC, Borges MC, Coelho EF, Simões ILK, et al. Epidemiological study with spinal cord injury treated in POLEM, a specialized clinic in São Paulo State Brazil. Arq Bras Neuro. 2021;40(2):125-9. DOI: https://doi.org/10.1055/s-0040-1719009
4. Barbareschi G, Cheng TJ, Holloway C. Effect of technique and transfer board use on the performance of wheelchair transfers. Healthc Technol Lett. 2018;5(2):76-80. DOI: https://doi.org/10.1049/htl.2017.0075
5. World Health Organization (WHO). Assistive technology [Internet]. 2023 [cited Sep 14, 2023]. Available from: https://www.who.int/news-room/fact-sheets/detail/assistive-technology
6. Widehammar C, Lidström H, Hermansson L. Environmental barriers to participation and facilitators for use of three types of assistive technology devices. Assist Technol. 2019;31(2):68-76. DOI: https://doi.org/10.1080/10400435.2017.1363828
7. Tsai CY, Boninger ML, Bass SR, Koontz AM. Upper-limb biomechanical analysis of wheelchair transfer techniques in two toilet configurations. Clin Biomech. 2018;55:79-85. DOI: https://doi.org/10.1016/j.clinbiomech.2018.04.008
8. Worobey LA, Rigot SK, Boninger ML, Huzinec R, Sung JH, DiGiovine K, Rice LA. Concurrent validity and reliability of the transfer assessment instrument Questionnaire as a Self-Assessment Measure. Arch Rehabil Res Clin Transl. 2020;2:100088. DOI: https://doi.org/10.1016/j.arrct.2020.100088
9. Barbareschi G, Holloway C, Bianchi-Berthouze N, Sonenblum S, Sprigle S. Use of a Low-Cost, Chest-Mounted Accelerometer to Evaluate Transfer Skills of Wheelchair Users During Everyday Activities: Observational Study. JMIR Rehabil Assist Technol. 2018;5:e11748. DOI: https://doi.org/10.2196/11748
10. Jahanian O, Van Straaten MG, Goodwin BM, Cain SM, Lennon RJ, Barlow JD, et al. Inertial measurement unit-derived ergonomic metrics for assessing arm use in manual wheelchair users with spinal cord injury: a preliminary report. Top Spinal Cord Inj Rehabil. 2021;27(3):12-25. DOI: https://doi.org/10.46292/sci20-00059
11. Roy C. The Roy Adaptation Model. Upper Saddle River, New Jersey: Prentice Hall Health; 2009.
12. Figueiredo NMA, Machado WCA, Martins MM (Org). Reabilitação: nômades em busca de sentido para o cuidado da pessoa com deficiência adquirida. Curitiba: CRV; 2018.
13. Clares JWB, Guedes MVC, Freitas MC. Construction of nursing diagnoses for people with spinal cord injury in rehabilitation. Rev Esc Enferm USP. 2021;55:e03750. DOI: https://doi.org/10.1590/S1980-220X2020038403750
14. Machado WCA, Pereira JS, Schoeller SD, Júlio LC, Martins MMFPS, Figueiredo NMA. Comprehensiveness in the care network regarding the care of the disabled person. Texto Contexto Enferm. 2018;27:e4480016. DOI: https://doi.org/10.1590/0104-07072018004480016
15. Kirchherr J, Charles K. Enhancing the sample diversity of snowball samples: Recommendations from a research project on anti-dam movements in Southeast Asia. PLoS One. 2018;13:e0201710. DOI: https://doi.org/10.1371/journal.pone.0201710
16 Santos JLG, Cunha KS, Adamy EK, Backes MTS, Leite JL, Sousa FGM. Data analysis: comparison between the different methodological perspectives of the Grounded Theory. Rev Esc Enferm USP. 2018;52:e03303. DOI: https://doi.org/10.1590/S1980-220X2017021803303
17. Qrs. Nvivo. Versão Nvivo Pro 12 for Windows 2018 [Software][Internet]. 2018 [cited 2023 Oct 25] Available from: http://www.qsrinternational. com/nvivo-portuguese
18. Bardin, L. Análise de conteúdo. São Paulo: Edições 70; 2016.
19. Rigot SK, DiGiovine KM, Boninger ML, Hibbs R, Smith I, Worobey LA. Effectiveness of a web-based direct-to-user transfer training program: a randomized controlled trial. Arch Phys Med Rehabil. 2022;103(4):807-15. DOI: https://doi.org/10.1016/j.apmr.2021.05.007
20. Bigras C, Kairy D, Archambault PS. Augmented feedback for powered wheelchair training in a virtual environment. J Neuroeng Rehabil. 2019;16:1-12. DOI: https://doi.org/10.1186/s12984-019-0482-3
21. Mason B, Warner M, Briley S, Goosey-Tolfrey V, Vegter R. Managing shoulder pain in manual wheelchair users: a scoping review of conservative treatment interventions. Clin Rehabil. 2020;34(6):741-53. DOI: https://doi.org/10.1177/0269215520917437
22. Castro FFS, Bimbatti K de F, Carvalho AAG de, Gonçalves ML, Lopes FG, Schutt W. Satisfação e o sentido da vida para pessoas com lesão medular traumática. Acta Fisiátr. 2020; 27(4):213-9. DOI: https://doi.org/10.11606/issn.2317-0190.v27i4a177134
23. Caro CC e Cruz DMC. A mobilidade funcional com cadeiras de rodas em sujeitos com lesão medular. Cadernos Brasileiros de Terapia Ocupacional [online]. 2020; 28(4): 1133-50. DOI: https://doi.org/10.4322/2526-8910.ctoAO1984
24. Rice LA, Sung JH, Keane K, Peterson E, Sosnoff JJ. A brief fall prevention intervention for manual wheelchair users with spinal cord injuries: a pilot study. J Spinal Cord Med. 2020;43(5):607-15. DOI: https://doi.org/10.1080/10790268.2019.1643070
25. Canori A, Amiri AM, Thapa-Chhetry B, Finley MA, Schmidt-Read M, Lamboy MR, et al. Relationship between pain, fatigue, and physical activity levels during a technology-based physical activity intervention. J Spinal Cord Med. 2021;44(4):549-56. DOI: https://doi.org/10.1080/10790268.2020.1766889
26. Arriola M, Lopez L, Camarit T. Perfil epidemiológico, clínico y funcionalidad alcanzada de la población con lesión medular traumática asistida en el Servicio de Rehabilitación y Medicina Física en el Hospital Universitario. Rev Méd Urug. 2021;37:e207. DOI: https://doi.org/10.29193/rmu.37.2.7
27. Machado WCA, Figueiredo NMA de, Martina MM, Rezende LK. (Org). REABILITAÇÃO III - A EX‘‘PRESSÃO” DA DOR EM PESSOAS COM NECESSIDADES DE CUIDADOS ESPECIAIS: Uma linguagem signica e interdisciplinar. Curitiba: CRV; 2024.
28. Alve YA, Bontje P. Factors Influencing Participation in Daily Activities by Persons With Spinal Cord Injury: Lessons Learned From an International Scoping Review. Top Spinal Cord Inj Rehabil. 2019;25(1):41-61. DOI: https://doi.org/10.1310/sci2501-41
29. Yamaguchi T, Sakai I. The unlearning process of senior clinical nurses in rehabilitation wards. J Adv Nurs. 2019;75(11):2659-72. DOI: https://doi.org/10.1111/jan.14050
30. Machado WCA, Silva HF, Almeida WG, Figueiredo NMA, Martins MM, Henriques FMD, et al. Autocuidado para pessoas com deficiência adquirida: reflexão sobre intervenções de enfermagem frente aos enfrentamentos da reabilitação. Enferm Foco. 2019;10(5):109-16. DOI: https://doi.org/10.21675/2357-707X.2019.v10.n5.2578
31. Brasil SS, Silva HF, Balonecker AFC, Xavier ASMC, Cruz VV, Figueiredo NMA, et al. Perfil dos enfermeiros que cuidam de pessoas com sequelas de acidente vascular cerebral na comunidade. Enferm Bras. 2023;22(4):463-78. DOI: https://doi.org/10.33233/eb.v22i4.5498
32. Conselho Federal de Enfermagem. Resolução COFEN nº 728/2023. Normatiza a atuação da Equipe de Enfermagem de Reabilitação [on-line]. Disponível em: https://www.cofen.gov.br/resolucao-cofen-no-728-de-09-de-novembro-de-2023/
33. Correia N, Bernardes R, Parola V, Neves H, Gonçalves A, Queirós P. A Formação sobre Cuidados de Reabilitação na Enfermagem de 1881 a 1966 – Enquadramento Legislativo. Rev. Port Enf Reab. 2022; 5(2).1-18. DOI: https://doi.org/10.33194/rper.2022.260
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Copyright (c) 2026 Hilmara Ferreira da Silva, Vanessa Vianna Cruz, Nébia Maria Almeida de Figueiredo, Aline Coutinho Sento Sé, Olga Maria Pimenta Lopes Ribeiro, Amanda Sarkis Moor Santos Xavier, Wiliam César Alves Machado
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