[Between creativity and functional use--development and determination of the status of ergotherapy in rehabilitation of the spinal cord injured patient].

In the 60s, Occupational Therapy (OT) with spinal cord injured patients had primarily been based on manual activities, aimed at improving functional levels. Gradually, attainment of the highest possible level of independence became a central emphasis of OT care. While creative development of the patient seemed to conflict with this foremost objective of independence, practical experience in the meantime has taught that creative activity can be an avenue toward independence. Also, the OT regimen for SCI patients has for several years now been extended to include computer-based technology for functional treatment as well as prevocational measures.