A narrative review of hope after spinal cord injury: Implications for physiotherapy

Abstract

Spinal cord injury is a life-changing event that can affect both physical and psychological wellbeing. Frequently, physiotherapists working with patients with spinal cord injury are asked about prognosis and outcomes, leaving them unsure whether to be cautious in their responses or to promote hope for recovery. The purpose of this narrative review was to investigate the literature regarding the role of hope after spinal cord injury, whether hope is beneficial and if so, whether there are strategies that may be incorporated into physiotherapy practice to support or foster hope. Common themes regarding hope after spinal cord injury included the hope to walk again, that hope changed over time, images of past and present, and the power of hope. Cross-sectional studies report hope after spinal cord injury to be associated with reduced depression, improved coping, higher self-esteem and increased life satisfaction. Although no studies were located that specifically investigated either enhancing hope after spinal cord injury or how physiotherapists can support or enhance hope, strategies from other populations are discussed to illustrate how they could be utilised in a physiotherapy setting.