Evaluating the validity of a functional electrical stimulation clinical decision making tool: A qualitative study

Area of Science:

• Neurorehabilitation
• Clinical decision-making
• Functional electrical stimulation (FES)

Background:

• Motor function recovery is crucial after central nervous system (CNS) damage.
• Functional electrical stimulation (FES) is recommended for neurorehabilitation but its clinical application is limited by a lack of knowledge.
• A Functional Electrical Stimulation (FES) Clinical Decision Making Tool was developed to aid clinicians.

Purpose of the Study:

• To evaluate the content validity of the FES Clinical Decision Making Tool.
• To assess the tool's appropriateness, comprehensibility, and comprehensiveness from the perspective of Canadian therapists.
• To gather feedback for improving FES application resources in neurorehabilitation.

Main Methods:

• Qualitative conventional content analysis using the DEPICT model.
• Individual semi-structured interviews with thirteen Canadian physical and occupational therapists.
• Exploration of clinical decision-making experiences and tool evaluation.

Main Results:

• Clinician context and treatment goals influence FES usage.
• Challenges in parameter selection for FES application were identified.
• The tool was deemed valid with suggested modifications for enhanced comprehensiveness and comprehensibility.

Conclusions:

• The FES Clinical Decision Making Tool, after revisions, is a valid resource for guiding FES application.
• The tool can improve the translation of FES into clinical neurorehabilitation practice.
• Further development, including an appendix, is recommended to enhance the tool's utility.