The SCIRehab project: treatment time spent in SCI rehabilitation. Occupational therapy treatment time during inpatient spinal cord injury rehabilitation.

Content Provider	Europe PMC
Author	Foy, Teresa Perritt, Ginger Thimmaiah, Deepa Heisler, Lauren Offutt, Jennifer Lookingbill Cantoni, Kara Hseih, Ching-Hui Gassaway, Julie Ozelie, Rebecca Backus, Deborah
Copyright Year	2011
Abstract	Background Occupational therapy (OT) is a critical component of the rehabilitation process after spinal cord injury (SCI), the constitution of which has not been studied or documented in full detail previously. Objective To describe the type and distribution of SCI rehabilitation OT activities, including the amount of time spent on evaluation and treatment, and to discuss predictors (patient and injury characteristics) of the amount of time dedicated to OT treatment activities. Methods Six inpatient rehabilitation centers enrolled 600 patients with traumatic SCI in the first year of the SCIRehab. Occupational therapists documented 32 512 therapy sessions including time spent and specifics of each therapeutic activity. Analysis of variance and contingency tables/chi-square tests were used to test differences across neurologic injury groups for continuous and categorical variables. Results SCIRehab patients received a mean total of 52 hours of OT over the course of their rehabilitation stay. Statistically significant differences among four neurologic injury groups were seen in time spent on each OT activity. The activities that consumed the most OT time (individual and group sessions combined) were strengthening/endurance exercises, activities of daily living (ADLs), range of motion (ROM)/stretching, education, and a grouping of ‘therapeutic activities’ that included tenodesis training, fine motor activities, manual therapy, vestibular training, edema management, breathing exercise, cognitive retraining, visual/perceptual training desensitization, and don/doff adaptive equipment. Seventy-seven percent of OT work occurred in individual treatment sessions, with the most frequent OT activity involving ADLs. The variation in time (mean minutes per week) spent on OT ROM/stretching, ADLs, transfer training, assessment, and therapeutic activities can be explained in part by patient and injury characteristics, such as admission Functional Independence Measure (FIM) score, neurologic injury group, and the medical severity of illness score. Conclusion OT treatment patterns for patients with traumatic SCI show much variation in activity selection and time spent on activities, within and among neurologic level of injury groups. Some of the variation can be explained by patient and injury characteristics. Almost all patients with SCI participated in strengthening/endurance and ROM/stretching exercises during OT treatment and these two activities are where the most time was spent when therapy provided in individual and group settings was combined. ADL work consumed the most time in individual therapy sessions.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC3066503&blobtype=pdf
ISSN	10790268
Volume Number	34
PubMed Central reference number	PMC3066503
Issue Number	2
PubMed reference number	21675355
Journal	The Journal of Spinal Cord Medicine [J Spinal Cord Med]
e-ISSN	20457723
DOI	10.1179/107902611x12971826988093
Language	English
Publisher	Maney Publishing
Publisher Date	2011-01-01
Access Restriction	Open
Rights License	© The Academy for Spinal Cord Injury Professionals, Inc. 2011
Subject Keyword	Activities of daily living Spinal cord injuries Rehabilitation Occupational therapy Paraplegia Tetraplegia
Content Type	Text
Resource Type	Article
Subject	Neurology (clinical)