Feasibility of a classification system for physical therapy, occupational therapy, and sports therapy interventions for mobility and self-care in spinal cord injury rehabilitation.
OBJECTIVE
To test the feasibility of a classification system developed to record the contents of treatment sessions intended to improve mobility and self-care by persons with a spinal cord injury (SCI) in clinical rehabilitation.


METHODS
Descriptive study.


METHODS
Three Dutch SCI facilities.


METHODS
Participants (N=36) as well as physical therapists (n=20), occupational therapists (n=14), and sports therapists (n=2).


METHODS
Not applicable.


METHODS
Questionnaires to assess the clarity of the classification system, time needed to record 1 treatment session, and the distribution of categories and interventions. The classification system consisted of 28 categories at 3 levels of functioning: basic functions (eg, muscle power), basic activities (eg, transfers), and complex activities (eg, walking and moving around outside).


RESULTS
Therapists used 1625 codes to record 856 treatment sessions of 142 patients. For 93% of the treatment sessions, the coding caused little or no doubt. The therapists were able to classify 86.3% of the treatment sessions within 3 minutes. The classification system was rated as useful and easy to use.


CONCLUSIONS
The findings support the suitability of our classification system as a tool to record the contents of SCI treatment sessions in different settings and by different therapists.
van Langeveld
Sacha A
SA
Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, The Netherlands. s.v.langeveld@dehoogstraat.nl
Post
Marcel W
MW
van Asbeck
Floris W
FW
Postma
Karin
K
Leenders
Jacqueline
J
Pons
Kees
K
D000203:Activities of Daily Living / Q000145:classification*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D009788:Occupational Therapy / Q000145:classification* / Q000379:methods; D026741:Physical Therapy Modalities / Q000145:classification; D026761:Physical Therapy Specialty / Q000145:classification* / Q000379:methods; D020127:Recovery of Function; D012648:Self Care / Q000379:methods*; D013119:Spinal Cord Injuries / Q000534:rehabilitation*; D013178:Sports Medicine / Q000145:classification* / Q000379:methods