Development of a classification of physical, occupational, and sports therapy interventions to document mobility and self-care in spinal cord injury rehabilitation.
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.
van Langeveld
Sacha A H B
SA
Rehabilitation Center De Hoogstraat, Utrecht, the Netherlands. s.v.langeveld@dehoogstraat.nl
Post
Marcel W M
MW
van Asbeck
Floris W A
FW
Postma
Karin
K
Ten Dam
Dominique
D
Pons
Kees
K
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