PT  - JOURNAL ARTICLE
AU  - van Langeveld, Sacha A.
AU  - Post, Marcel W.
AU  - van Asbeck, Floris W.
AU  - Gregory, Mel
AU  - Halvorsen, Annette
AU  - Rijken, Hennie
AU  - Leenders, Jacqueline
AU  - Postma, Karin
AU  - Lindeman, Eline
TI  - Comparing Content of Therapy for People With a Spinal Cord Injury in Postacute Inpatient Rehabilitation in Australia, Norway, and the Netherlands
AID  - 10.demo/ptj.20090417
DP  - 2011 Feb 01
TA  - Demo Journal of Physical Therapy
PG  - 210--224
VI  - 91
IP  - 2
4099  - http://demo.highwire.org/content/91/2/210.short
4100  - http://demo.highwire.org/content/91/2/210.full
AB  - Background Research reports have described the contents of therapy in spinal cord injury (SCI) rehabilitation only as the total number of therapy hours. We developed the Spinal Cord Injury–Interventions Classification System (SCI-ICS) as a tool to classify therapy to improve mobility and self-care into 3 levels (body functions, basic activities, and complex activities) and 25 categories.Objective The purposes of this study were: (1) to compare specific contents and amount of therapy provided, with the aim of improving mobility and self-care for people with SCI in Australia, Norway, and the Netherlands and (2) to evaluate the use of the SCI-ICS outside the Netherlands.Design This was a prospective, descriptive study.Methods Physical therapists, occupational therapists, and sports therapists in 6 centers recorded all therapy provided to all people with a recent SCI in inpatient rehabilitation during 4 designated weeks. Each treatment session was classified using 1 or more SCI-ICS codes. Duration of each intervention was specified.Results Seventy-three therapists recorded 2,526 treatments of 79 people with SCI (Netherlands, 48; Australia, 20; Norway, 11). Most therapy time was spent on exercises (overall mean=84%) and on categories at body function and basic activity level of the SCI-ICS. Therapy time significantly differed among countries for 13 of 25 categories. Mean time in minutes per treatment (Netherlands, 28; Australia, 43; Norway, 39) and in hours per patient per week (Netherlands, 4.3; Australia, 5.8; Norway, 6.2) differed significantly.Limitations The short period and small number of patients may have influenced the results.Conclusions Therapy in inpatient SCI rehabilitation in all 3 countries focused on mobility and self-care exercises at body function and basic activity level, but differences were present in focus on the various categories and therapy time. The SCI-ICS can be used reliably to describe therapy in different countries.