| The SCIRehab project: treatment time spent in SCI rehabilitation. Occupational therapy treatment time during inpatient spinal cord injury rehabilitation. | |
| | |
MedLine Citation:
|
PMID: 21675355 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
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. |
| | |
Authors:
|
Teresa Foy; Ginger Perritt; Deepa Thimmaiah; Lauren Heisler; Jennifer Lookingbill Offutt; Kara Cantoni; Ching-Hui Hseih; Julie Gassaway; Rebecca Ozelie; Deborah Backus |
Related Documents
:
|
22233115 - Physical exercise ameliorates deficits induced by traumatic brain injury. 22574765 - Optimal dose-response relationships in voice therapy. 15848125 - A discussion regarding the contribution of intrapulmonary gas mixing to o2 isotope frac... 3826415 - Effects of hypercapnia on variability of normal respiratory behavior in awake cats. 8743755 - The mechanisms responsible for lack of reproducible induction of atrioventricular nodal... 7448855 - Hemodynamic assessment of the ionescu-shiley pericardial xenograft in the mitral position. |
Publication Detail:
|
Type: Journal Article; Research Support, U.S. Gov't, Non-P.H.S. |
Journal Detail:
|
Title: The journal of spinal cord medicine Volume: 34 ISSN: 1079-0268 ISO Abbreviation: J Spinal Cord Med Publication Date: 2011 |
Date Detail:
|
Created Date: 2011-06-15 Completed Date: 2011-07-12 Revised Date: 2012-03-01 |
Medline Journal Info:
|
Nlm Unique ID: 9504452 Medline TA: J Spinal Cord Med Country: England |
Other Details:
|
Languages: eng Pagination: 162-75 Citation Subset: IM |
Affiliation:
|
Shepherd Center, Atlanta, Georgia, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Activities of Daily Living
/
psychology Adult Female Humans Inpatients Length of Stay* Male Middle Aged Motor Skills Multicenter Studies as Topic Occupational Therapy / methods* Rehabilitation Centers Retrospective Studies Severity of Illness Index Spinal Cord Injuries / classification, physiopathology, rehabilitation* Time Factors Treatment Outcome* Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The SCIRehab project: treatment time spent in SCI rehabilitation. Physical therapy treatment time du...
Next Document: The SCIRehab project: treatment time spent in SCI rehabilitation. Therapeutic recreation treatment t...