Reliability of a New Classification System for Mobility and Self-Care in Spinal Cord Injury Rehabilitation: The Spinal Cord Injury-Interventions Classification System

Langeveld, Sacha A van; Post, Marcel W.M.; Asbeck, Floris W. van; Horst, Paul Ter; Leenders, Jacqueline; Postma, Karin; Lindeman, Eline

doi:10.1016/j.apmr.2008.12.026

Cited by 20 publications

(9 citation statements)

References 18 publications

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“…For example, the following variables will be recorded during each treatment provided to experimental participants: therapy time, proportion of time spent with the stimulation activated, difficulty of games played and proportion of time spent playing games. Likewise usual care provided to both control and experimental participants will be recorded using a standardised form (the Spinal Cord Injury-Interventions Classification System)[11]. …”

Section: Methodsmentioning

confidence: 99%

Early intensive hand rehabilitation after spinal cord injury ("Hands On"): a protocol for a randomised controlled trial

Harvey

Dunlop

Чурилов

et al. 2011

Trials

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BackgroundLoss of hand function is one of the most devastating consequences of spinal cord injury. Intensive hand training provided on an instrumented exercise workstation in conjunction with functional electrical stimulation may enhance neural recovery and hand function. The aim of this trial is to compare usual care with an 8-week program of intensive hand training and functional electrical stimulation.Methods/designA multicentre randomised controlled trial will be undertaken. Seventy-eight participants with recent tetraplegia (C2 to T1 motor complete or incomplete) undergoing inpatient rehabilitation will be recruited from seven spinal cord injury units in Australia and New Zealand and will be randomised to a control or experimental group. Control participants will receive usual care. Experimental participants will receive usual care and an 8-week program of intensive unilateral hand training using an instrumented exercise workstation and functional electrical stimulation. Participants will drive the functional electrical stimulation of their target hands via a behind-the-ear bluetooth device, which is sensitive to tooth clicks. The bluetooth device will enable the use of various manipulanda to practice functional activities embedded within computer-based games and activities. Training will be provided for one hour, 5 days per week, during the 8-week intervention period. The primary outcome is the Action Research Arm Test. Secondary outcomes include measurements of strength, sensation, function, quality of life and cost effectiveness. All outcomes will be taken at baseline, 8 weeks, 6 months and 12 months by assessors blinded to group allocation. Recruitment commenced in December 2009.DiscussionThe results of this trial will determine the effectiveness of an 8-week program of intensive hand training with functional electrical stimulation.Trial registrationNCT01086930 (12th March 2010)ACTRN12609000695202 (12th August 2009)

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Section: Methodsmentioning

confidence: 99%

Early intensive hand rehabilitation after spinal cord injury ("Hands On"): a protocol for a randomised controlled trial

Harvey

Dunlop

Чурилов

et al. 2011

Trials

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“…One system to classify interventions for mobility and self-care has been developed, and shown to be reliable (the SCI-Interventions Classification System 128,129 ). Another has been created as part of the SCIRehab project, 130 a large multi-centre prospective cohort study designed to follow a large number of patients longitudinally to evaluate the impact of rehabilitation interventions on outcome at discharge.…”

Section: Evaluation Of Exercise Interventions In Scimentioning

confidence: 99%

Spinal cord injury and physical activity: preservation of the body

Galea

2011

Spinal Cord

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Setting: Spinal cord injury (SCI) causes devastating loss of function and can result in serious secondary complications. Although significant advances are being made to develop cellular and molecular therapies to promote regeneration, it is important to optimize physical interventions. Objectives: The objective of this review was to examine the evidence for the effects of physical rehabilitation strategies on health and fitness, and maintenance of target systems below the level of injury (for example, muscle, bone, circulation).Results: Exercise appears to be a potent means of achieving these goals, using a variety of strategies. Conclusion: Physical rehabilitation after SCI needs to move beyond the goal of maximizing independence to focus on maintenance of optimum health and fitness as well as maintenance of target system function below the level of injury. Issues requiring further investigation include identification of the optimum dosage of interventions to achieve specific goals, for example, prevention of muscle atrophy and osteoporosis, and development and validation of simple clinical measures to monitor the changes in body composition. Adoption of a classification system for physical interventions and standardized outcome measures would facilitate large-scale observational studies to identify the critical variables contributing to better outcomes.

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“…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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Reliability of a New Classification System for Mobility and Self-Care in Spinal Cord Injury Rehabilitation: The Spinal Cord Injury-Interventions Classification System

Cited by 20 publications

References 18 publications

Early intensive hand rehabilitation after spinal cord injury ("Hands On"): a protocol for a randomised controlled trial

Early intensive hand rehabilitation after spinal cord injury ("Hands On"): a protocol for a randomised controlled trial

Spinal cord injury and physical activity: preservation of the body

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

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