Article

PURPOSE: To describe the contents of interventions to improve self-care and
mobility for patients with spinal cord injury (SCI) in early post-acute
rehabilitation, using the Spinal Cord Injury-Interventions Classification System
(SCI-ICS), and to compare these interventions between rehabilitation centres. The
SCI-ICS describes therapy to improve self-care and mobility at three levels of
functioning and consists of 25 categories with a total of 139 different
interventions. METHODS: Fifty-three physical therapists, occupational therapists
and sports therapists of three Dutch SCI rehabilitation centres recorded
interventions with the SCI-ICS for patients with SCI in early post-acute
rehabilitation for four consecutive weeks. RESULTS: Therapists recorded 1640
treatment sessions of 48 patients with a SCI. The mean number of treatment
sessions per patient per week (8.9 overall) differed between centres (p < 0.05),
unlike the mean therapy time in minutes per patient per week (259 overall).
Highest frequencies for individual categories were found for 'Muscle Power',
'Walking', and 'Hand rim wheelchair propulsion'. CONCLUSIONS: We described the
specific contents of therapy of patients with a SCI in three Dutch rehabilitation
centres. The largest proportion of time was spent on interventions to improve
muscle power, walking, and hand rim wheelchair propulsion.

Langue : ANGLAIS