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A fight on your own: experiences of rehabilitation after traumatic brachial plexus injuries
Department of Hand Surgery, Södersjukhuset, Stockholm, Sweden; Department of Clinical Science and Education, Karolinska Institutet, Södersjukhuset, Stockholm, Sweden.
Umeå universitet, Medicinska fakulteten, Institutionen för diagnostik och intervention. Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering. Hand and Plastic Surgery Clinic, University hospital Umeå, Umeå, Sweden.
Department of Hand Surgery, Södersjukhuset, Stockholm, Sweden.
School of Health and Welfare, Department of Rehabilitation, Jönköping University, Jönköping, Sweden; Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Karolinska Institutet, Stockholm, Sweden.
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2025 (Engelska)Ingår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 47, nr 17, s. 4506-4514Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Purpose: Individuals with traumatic brachial plexus injuries (TBPI) may experience lifelong physical and psychosocial consequences. With or without surgical treatment, the rehabilitation is considered important. Physiotherapists and occupational therapists face challenges due to the scarcity of evidence-based rehabilitation protocols after TBPI. There is limited knowledge about patients’ experiences with rehabilitation. This study aims to explore and describe patients’ experiences of rehabilitation after a TBPI.

Method: Transcripts from five focus groups with 21 participants after TBPI and rehabilitation were coded and analysed with a qualitative content analysis. The discussion guide contained questions regarding experience of rehabilitation.

Results: The analysis revealed one overarching theme: “A fight on your own”, and three themes that include 1) Lack of tailored rehabilitation in a life-changing situation, 2) Crucial prerequisites for engagement in rehabilitation, and 3) Life will never be the same. The results highlighted the importance of healthcare professionals engaging with patients and advocates for comprehensive, person-centred rehabilitation programs across healthcare levels. Furthermore, participants value peer interaction, psychosocial support and up-to-date technology.

Conclusion: Patients struggle to access person-centred rehabilitation from engaged and knowledgeable occupational and physiotherapists. Addressing both psychosocial and physical aspects and daily activities is crucial.

Ort, förlag, år, upplaga, sidor
Taylor & Francis Group, 2025. Vol. 47, nr 17, s. 4506-4514
Nyckelord [en]
occupational therapy, patient experiences, person-centred rehabilitation, physiotherapy, psychosocial support, TBPI, traumatic BPI, Traumatic brachial plexus injury
Nationell ämneskategori
Fysioterapi Arbetsterapi Rehabiliteringsmedicin
Identifikatorer
URN: urn:nbn:se:umu:diva-234653DOI: 10.1080/09638288.2025.2452371ISI: 001399669900001PubMedID: 39819272Scopus ID: 2-s2.0-85215311679OAI: oai:DiVA.org:umu-234653DiVA, id: diva2:1936476
Tillgänglig från: 2025-02-11 Skapad: 2025-02-11 Senast uppdaterad: 2025-09-22Bibliografiskt granskad

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Millkvist, HelenaNilsson, Ingeborg

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