Inspiratory muscle training for people with spinal cord injury: An implementation study

Abstract

Objective: Australian and New Zealand Guidelines for the Physiotherapy Management of People with Spinal Cord Injury recommend the use of inspiratory muscle training for people with spinal cord injury and respiratory muscle weakness. The aim of this study was to evaluate if tailored implementation strategies increased provision of inspiratory muscle training by physiotherapists. Design: A pre–post implementation study with baseline, post and follow-up measures. Setting: Three spinal units in Sydney, Australia. Participants: Twenty-one physiotherapist-participants and 68 patient-participants across three spinal units. Intervention: Tailored, evidence-based, multi-faceted implementation strateg..