title: Relationship of physical therapy inpatient rehabilitation interventions and patient characteristics to outcomes following spinal cord injury: the SCIRehab project.
abstract: OBJECTIVE
  Examine associations of type and quantity of physical therapy (PT) interventions delivered during inpatient spinal cord injury (SCI) rehabilitation and patient characteristics with outcomes at the time of discharge and at 1 year post-injury.
  
  
  METHODS
  Physical therapists delivering routine care documented details of PT interventions provided. Regression modeling was used to predict outcomes at discharge and 1 year post-injury for a 75% subset; models were validated with the remaining 25%. Injury subgroups also were examined: motor complete low tetraplegia, motor complete paraplegia, and American Spinal Injury Association (ASIA) Impairment Scale (AIS) D motor incomplete tetra-/paraplegia.
  
  
  RESULTS
  PT treatment variables explain more variation in three functionally homogeneous subgroups than in the total sample. Among patients with motor complete low tetraplegia, higher scores for the transfer component of the discharge motor Functional Independence Measure () are strongly associated with more time spent working on manual wheelchair skills. Being male is the most predictive variable for the motor FIM score at discharge for patients with motor complete paraplegia. Admission ASIA lower extremity motor score (LEMS) and change in LEMS were the factors most predictive for having the primary locomotion mode of "walk" or "both (walk and wheelchair)" on the discharge motor FIM for patients with AIS D injuries.
  
  
  CONCLUSIONS
  Injury classification influences type and quantity of PT interventions during inpatient SCI rehabilitation and is a strong predictor of outcomes at discharge and 1 year post-injury. The impact of PT treatment increases when patient groupings become more homogeneous and outcomes become specific to the groupings. Note: This is the second of nine articles in the SCIRehab series.
authors: Shepherd Center, Atlanta, Georgia, GA, USA.
authors: Laura
authors: L
authors: Teeter
authors: Julie
authors: J
authors: Gassaway
authors: Sally
authors: S
authors: Taylor
authors: Jacqueline
authors: J
authors: LaBarbera
authors: Shari
authors: S
authors: McDowell
authors: Deborah
authors: D
authors: Backus
authors: Jeanne M
authors: JM
authors: Zanca
authors: Audrey
authors: A
authors: Natale
authors: Jordan
authors: J
authors: Cabrera
authors: Randall J
authors: RJ
authors: Smout
authors: Scott E D
authors: SE
authors: Kreider
authors: Gale
authors: G
authors: Whiteneck
mesh_terms: D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D000368:Aged; D001213:Asian; D004185:Disability Evaluation; D055317:Evidence-Based Practice; D005260:Female; D006801:Humans; D007297:Inpatients / Q000523:psychology; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D019964:Mood Disorders / Q000209:etiology; D010264:Paraplegia / Q000209:etiology* / Q000534:rehabilitation; D010351:Patient Discharge; D017060:Patient Satisfaction; D026741:Physical Therapy Modalities; D011782:Quadriplegia / Q000209:etiology / Q000534:rehabilitation; D012044:Regression Analysis; D012047:Rehabilitation Centers; D012720:Severity of Illness Index; D013119:Spinal Cord Injuries / Q000150:complications* / Q000534:rehabilitation*; D016896:Treatment Outcome; D055815:Young Adult