{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T07:05:51Z","timestamp":1784099151033,"version":"3.55.0"},"reference-count":32,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T00:00:00Z","timestamp":1768262400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T00:00:00Z","timestamp":1768262400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Sunnybrook Research Institute\u2019s Practice Based Research and Innovation (PBRI) Grant"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore physiotherapists\u2019 experiences with and perspectives on providing care to acute mechanically ventilated spinal cord injury patients in intensive care units to better understand physiotherapy practice with this patient population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Qualitative descriptive study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Level 1 intensive care units in hospitals across Ontario.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Eleven physiotherapists working in level 1 intensive care units who had experience treating at least one mechanically ventilated spinal cord injury patients within the year prior to recruitment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Semistructured interviews were conducted with participants. Interviews lasted approximately 60\u2005minutes, were transcribed verbatim and anonymised. Interview transcripts were analyzed using an inductive thematic analysis approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three overarching themes with several subthemes were identified: (1) spinal cord injury care provision is improved by physiotherapist presence and collaboration with patients\u2019 circle of care in the intensive care unit; (2) increased access to resources, specialized education and training could address challenges in physiotherapist treatments and assessments; and (3) physiotherapist involvement in acute spinal cord injury patients\u2019 care can optimize safety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our findings suggest that integrating physiotherapist into intensive care unit spinal cord injury care may support early mobilization and improved patient outcomes. Physiotherapist presence enhanced interprofessional collaboration and communication. Physiotherapists faced challenges such as training gaps and limited autonomy, but informal mentorship improved physiotherapist integration. This qualitative study of 11 intensive care unit physiotherapists from one region suggests that greater physiotherapist involvement may improve care processes and warrants larger multisite studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692155251413203","type":"journal-article","created":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T18:36:20Z","timestamp":1768329380000},"page":"816-826","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Physiotherapy practice with mechanically ventilated spinal cord injury patients in the intensive care unit (ICU): A qualitative study of physiotherapists\u2019 experiences and perspectives"],"prefix":"10.1177","volume":"40","author":[{"given":"Sabrina Massoni","family":"Camilo","sequence":"first","affiliation":[{"name":"Sunnybrook Health Sciences Centre, North York, ON, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Winnie","family":"La","sequence":"additional","affiliation":[{"name":"Sunnybrook Health Sciences Centre, North York, ON, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaghayegh","family":"Mirbaha","sequence":"additional","affiliation":[{"name":"St. John's Rehab Research Program, Sunnybrook Research Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Cooper","sequence":"additional","affiliation":[{"name":"Sunnybrook Health Sciences Centre"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracy","family":"Anthony","sequence":"additional","affiliation":[{"name":"Sunnybrook Health Sciences Centre"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1198-2292","authenticated-orcid":false,"given":"Marina B.","family":"Wasilewski","sequence":"additional","affiliation":[{"name":"St. John's Rehab Research Program, Sunnybrook Research Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,13]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1159\/000336014"},{"key":"e_1_3_2_3_2","unstructured":"National Institute of Neurological Disorders and Stroke. https:\/\/www.ninds.nih.gov\/health-information\/patient-caregiver-education\/hope-through-research\/spinal-cord-injury-hope-through-research."},{"key":"e_1_3_2_4_2","unstructured":"World Health Organization. Spinal Cord Injury. https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/spinal-cord-injury (2024)."},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.46292\/sci23-00031S"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1080\/10790268.2017.1329076"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41393-019-0242-z"},{"key":"e_1_3_2_8_2","unstructured":"American College of Surgeons. Spine Injury Guidelines. American College of Surgeons https:\/\/www.facs.org\/media\/k45gikqv\/spine_injury_guidelines.pdf (accessed March 28 2024)."},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2008.100"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2016.95"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2011.62"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jphys.2015.11.004"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2011.63"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1310\/sci1301-1"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/2192568217701910"},{"key":"e_1_3_2_16_2","unstructured":"KITE - Toronto Rehabilitation Institute University Health Network. Guideline Overview. https:\/\/kite-uhn.com\/can-scip\/en\/scope-and-purpose (accessed March 29 2024)."},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/nur.20362"},{"key":"e_1_3_2_19_2","doi-asserted-by":"crossref","unstructured":"Green J Thorogood N. Qualitative methods for health research. 2018.","DOI":"10.4135\/9781036234386"},{"key":"e_1_3_2_20_2","first-page":"7187","volume-title":"Encyclopedia of quality of life and well-being research","author":"Braun V","year":"2024","unstructured":"Braun V, Clarke V. Thematic analysis. Encyclopedia of quality of life and well-being research. Dordrecht, Netherlands: Springer, 2024, pp.7187\u20137193."},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1179\/108331906X98921"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.118.6.1801"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e318180b90e"},{"key":"e_1_3_2_24_2","first-page":"8","article-title":"Pushing mobility can reduce costs, deaths in ICU patients mortality falls by 25% after protocol introduced, $3 million in annual savings projected","volume":"37","author":"Wild D","year":"2011","unstructured":"Wild D. Pushing mobility can reduce costs, deaths in ICU patients mortality falls by 25% after protocol introduced, $3 million in annual savings projected. Clin Anesthesiol Issue 2011; 37: 8.","journal-title":"Clin Anesthesiol Issue"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1441-2772(23)01292-9"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.3389\/fresc.2022.904716"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S195366"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.3138\/ptc.2015-52"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.JAT.0000436268.12583.4f"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269215514567156"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000003259"},{"key":"e_1_3_2_32_2","unstructured":"Elearnsci.org. eLearnSCI:: Modules. http:\/\/www.elearnsci.org\/intro.aspx?id=4&category=Physiotherapists (accessed 19 February 2020)."},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20150261"}],"container-title":["Clinical Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02692155251413203","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02692155251413203","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02692155251413203","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T09:48:48Z","timestamp":1779443328000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02692155251413203"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,13]]},"references-count":32,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1177\/02692155251413203"],"URL":"https:\/\/doi.org\/10.1177\/02692155251413203","relation":{},"ISSN":["0269-2155","1477-0873"],"issn-type":[{"value":"0269-2155","type":"print"},{"value":"1477-0873","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,13]]}}}