Feasibility of a Classification System for Physical Therapy, Occupational Therapy, and Sports Therapy Interventions for Mobility and Self-Care in Spinal Cord Injury Rehabilitation

Langeveld, Sacha A van; Post, Marcel W.M.; Asbeck, Floris W. van; Postma, Karin; Leenders, Jacqueline; Pons, Kees

doi:10.1016/j.apmr.2007.12.044

Cited by 22 publications

(16 citation statements)

References 20 publications

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“…These taxonomies serve as the basis for a integrated personal digital assistant documentation system at the POC that will provide the first detailed examination of the SCI rehabilitation process. Except for recently published work by van Langeveld et al (82,83), this is the first attempt to describe systematically and comprehensively what therapists and nurses do for and with their patients with SCI to make possible ''life after rehabilitation.'' van Langeveld et al (82,83) limited their focus to occupational, physical, and ''sports'' therapy interventions targeting mobility and activities of daily living.…”

Section: Discussionmentioning

confidence: 99%

New Approach to Study the Contents and Outcomes of Spinal Cord Injury Rehabilitation: The SCIRehab Project

Whiteneck

Gassaway

Dijkers³

et al. 2009

The Journal of Spinal Cord Medicine

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Background/Objective: Limited research evidence is available to show the effectiveness of the many specific interventions provided in spinal cord injury (SCI) rehabilitation; what is available typically focuses on effects of the full rehabilitation package but not specific therapy interventions, medical procedures, patient education, or counseling. Given the problems of conducting randomized controlled trials (RCTs) in rehabilitation, practice-based evidence (PBE) research has been suggested as an alternative methodology for identifying which rehabilitation interventions are associated most strongly with positive outcomes, after controlling for patient differences. Using the PBE research methodology, the SCIRehab project attempts to ''open the black box'' of acute SCI rehabilitation, provide detailed information on treatments delivered by all rehabilitation disciplines, and contribute to outcomes-based guidelines for clinical decision-making. Methods: The SCIRehab project includes 1,500 patients with acute SCI, consecutively admitted to 1 of 6 US inpatient rehabilitation facilities. Details of the rehabilitation process are captured by clinicians from multiple disciplines documenting their interventions in handheld personal digital assistants after sessions with their patients. Outcome data are abstracted from medical records (clinical outcomes data) and obtained from patient interviews at 6 and 12 months after injury. Extensive patient, injury, and other treatment characteristics are abstracted from medical records. SCIRehab is the first research project to collect detailed information on individual interventions offered by the full rehabilitation team. Results: SCIRehab is the first research project to collect detailed information on individual interventions offered by the full rehabilitation team. These findings are presented in a series of 9 articles. Conclusions: To date, SCIRehab's major contribution is a system for categorizing specific contributions of each discipline and a technology for documenting that detail. After data collection is complete, future manuscripts will relate those process elements to outcomes. The SCIRehab Project is an important step toward establishing outcomes-based guidelines for SCI rehabilitation.

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Section: Discussionmentioning

confidence: 99%

New Approach to Study the Contents and Outcomes of Spinal Cord Injury Rehabilitation: The SCIRehab Project

Whiteneck

Gassaway

Dijkers³

et al. 2009

The Journal of Spinal Cord Medicine

View full text Add to dashboard Cite

show abstract

“…The results of a feasibility [12] and a reliability [13] study on the SCI-ICS have been published. These three studies [11][12][13] provided evidence for (1) high levels of consensus on the SCI-ICS amongst Dutch therapists, (2) the completeness, and mutually exclusiveness of the categories, (3) the feasibility of the system for use by therapists of different disciplines and in different centres and (4) good intra-rater and inter-rater agreement. Results of these studies led to some modifications of the SCI-ICS and the final version is presented in Appendices 1-3.…”

Section: Introductionmentioning

confidence: 99%

“…There was, therefore, need for a detailed classification system. Since no such classification system was available for therapeutic interventions in SCI rehabilitation, we developed the Spinal Cord Injury-Interventions Classification System (SCI-ICS) for the main domains of SCI rehabilitation, namely mobility and self-care [11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Contents of physical therapy, occupational therapy, and sports therapy sessions for patients with a spinal cord injury in three Dutch rehabilitation centres

Langeveld¹,

Post²,

Asbeck³

et al. 2011

Disability and Rehabilitation

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“…This includes classifications to describe interventions provided to patients with stroke (4,10-12) and joint replacement (5). In SCI, van Langeveld et al (13,14) has published a bottom-up taxonomy developed for occupational therapy (OT), physical therapy (PT), and ''sports therapy'' treatments.…”

Section: Need For Sci Rehabilitation Taxonomymentioning

confidence: 99%

Clinical Taxonomy Development and Application in Spinal Cord Injury Research: The SCIRehab Project

Gassaway

Whiteneck

Dijkers³

2009

The Journal of Spinal Cord Medicine

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Background/Objective: Applying practice-based evidence research methodology to spinal cord injury (SCI) rehabilitation requires taxonomy (typology or classification) of rehabilitation interventions provided by every discipline contributing to SCI rehabilitation. The rehabilitation field currently lacks such taxonomy. Methods: SCIRehab project researchers and clinicians representing 7 rehabilitation disciplines from 6 US inpatient SCI rehabilitation facilities worked in discipline groups during 2 face-to-face meetings and weekly discipline-specific teleconferences for 9 months to identify key contributions of each discipline to SCI rehabilitation and to develop a classification of treatment interventions used by each discipline. These clinician groups were charged with designing documentation systems that collected enough details to describe treatment adequately while not imposing an unrealistic data collection burden on clinicians. Completed documentation systems were programmed onto handheld personal digital assistants (PDAs) to facilitate data entry by clinicians at the point of care. Results: Seven discipline-specific SCI rehabilitation taxonomies were developed that describe and quantify intervention activities (major categories of treatment offered by the discipline) and the activity-specific details (variables deemed important to fully describe the interventional process). Much treatment information is unique to each discipline; some is common across disciplines. Conclusions: The taxonomies provide a format with which clinicians document actual interventions performed with or for patients. The SCIRehab project has developed the first comprehensive multidisciplinary taxonomy for describing the details of the SCI rehabilitation process and designed a PDA-based documentation system based on that taxonomy that allows clinicians to describe the specifics of their interactions with their patients.

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Feasibility of a Classification System for Physical Therapy, Occupational Therapy, and Sports Therapy Interventions for Mobility and Self-Care in Spinal Cord Injury Rehabilitation

Cited by 22 publications

References 20 publications

New Approach to Study the Contents and Outcomes of Spinal Cord Injury Rehabilitation: The SCIRehab Project

New Approach to Study the Contents and Outcomes of Spinal Cord Injury Rehabilitation: The SCIRehab Project

Contents of physical therapy, occupational therapy, and sports therapy sessions for patients with a spinal cord injury in three Dutch rehabilitation centres

Clinical Taxonomy Development and Application in Spinal Cord Injury Research: The SCIRehab Project

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