title: Development of a classification of physical, occupational, and sports therapy interventions to document mobility and self-care in spinal cord injury rehabilitation.
abstract: OBJECTIVE
  To describe the development of a classification for therapeutic activities in clinical spinal cord injury (SCI) rehabilitation.
  
  
  METHODS
  Descriptive study including a modified Delphi consensus method.
  
  
  METHODS
  Specialized SCI units of 10 rehabilitation facilities.
  
  
  METHODS
  Thirty physical therapists, occupational therapists, and sports therapists from 10 Dutch and Flemish SCI centers.
  
  
  METHODS
  Identification of the levels, categories, and interventions; level of agreement among experts with (1) definitions, (2) terminology, (3) relevance, and (4) completeness of the classification (consensus considered sufficient if 80% or more agree).
  
  
  RESULTS
  The classification comprises three levels of functioning: basic functions, basic activities, and complex activities. The three levels comprise 28 categories within which interventions are listed. Sufficient consensus was obtained for the definitions of the three levels (range, 87%-100%). Percentages of consensus for the terminology used and the completeness of the categories ranged from 75% to 100%. The perceived relevance of the categories for everyday work varied per discipline.
  
  
  CONCLUSIONS
  A potentially useful classification was developed to record clinical treatment sessions in physical therapy, occupational therapy, and sports therapy for persons with SCI. The classification is currently being tested in ongoing research.
authors.affiliation: Rehabilitation Center De Hoogstraat, Utrecht, the Netherlands. s.v.langeveld@dehoogstraat.nl
authors.forename: Sacha A H B
authors.initials: SA
authors.lastname: van Langeveld
authors.forename: Marcel W M
authors.initials: MW
authors.lastname: Post
authors.forename: Floris W A
authors.initials: FW
authors.lastname: van Asbeck
authors.forename: Karin
authors.initials: K
authors.lastname: Postma
authors.forename: Dominique
authors.initials: D
authors.lastname: Ten Dam
authors.forename: Kees
authors.initials: K
authors.lastname: Pons
mesh_terms: D000203:Activities of Daily Living; D003695:Delivery of Health Care / Q000458:organization & administration*; D005081:Exercise Therapy / Q000145:classification*; D006801:Humans; D009426:Netherlands; D009788:Occupational Therapy / Q000145:classification*; D026741:Physical Therapy Modalities / Q000145:classification*; D013119:Spinal Cord Injuries / Q000534:rehabilitation*; D013177:Sports; D009626:Terminology as Topic