Department of Rehabilitation Medicine, Mount Sinai School of Medicine, 1425 Madison Avenue, New York, NY 10029, USA.
Phys Ther. 2011 Dec;91(12):1877-91. doi: 10.2522/ptj.20100392. Epub 2011 Oct 14.
Inpatient rehabilitation for spinal cord injury (SCI) includes the use of both individual and group physical therapy sessions. A greater understanding of group physical therapy use will help in the evaluation of the appropriateness of its use and contribute to the development of standards of practice.
This report describes the extent to which group physical therapy is being used in inpatient rehabilitation for SCI, identifies group physical therapy interventions being delivered, and examines patterns in the types of activities being used for people with different levels and completeness of injury (ie, injury groups).
The SCIRehab Study is a 5-year, multicenter investigation that uses practice-based evidence research methodology.
Data on characteristics of participants and treatments provided were collected through detailed chart review and customized research documentation completed by clinicians at the point of care. The analyses described here included data from 600 participants enrolled during the first year of the project.
Most of the participants (549/600) spent time in group physical therapy, and 23% of all documented physical therapy time was spent in group sessions. The most common group physical therapy activities were strengthening, manual wheelchair mobility, gait training, endurance activities, and range of motion/stretching. Time spent in group physical therapy and the nature of activities performed varied among the injury groups.
Physical therapy use patterns observed in the 6 participating centers may not represent all facilities providing inpatient rehabilitation for SCI. Research documentation did not include all factors that may affect group physical therapy use, and some sessions were not documented.
The majority of physical therapy was provided in individual sessions, but group physical therapy contributed significantly to total physical therapy time. Group physical therapy time and activities differed among the injury groups in patterns consistent with clinical goals.
脊髓损伤（SCI）患者的住院康复治疗包括个体物理治疗和集体物理治疗。深入了解集体物理治疗的应用情况有助于评估其应用的适宜性，并有助于制定实践标准。
本报告描述了在 SCI 住院康复治疗中集体物理治疗的应用程度，确定了所提供的集体物理治疗干预措施，并研究了不同损伤程度和损伤完整性（即损伤组）患者所使用的活动类型模式。
SCIRehab 研究是一项为期 5 年的多中心研究，采用基于实践的证据研究方法。
通过详细的图表审查和临床医生在护理点完成的定制研究文档收集参与者特征和治疗方法的数据。此处描述的分析包括项目第一年入组的 600 名参与者的数据。
大多数参与者（600 名中的 549 名）接受了集体物理治疗，所有记录的物理治疗时间中有 23%是在集体治疗中度过的。最常见的集体物理治疗活动是力量训练、手动轮椅移动、步态训练、耐力活动和关节活动度/伸展运动。集体物理治疗时间和所进行活动的性质因损伤组而异。
参与的 6 个中心观察到的物理治疗使用模式可能无法代表所有提供 SCI 住院康复治疗的设施。研究文件并未包括可能影响集体物理治疗使用的所有因素，并且有些治疗课程未被记录。
大多数物理治疗是在个体治疗中进行的，但集体物理治疗对总物理治疗时间有显著贡献。集体物理治疗时间和活动在不同损伤组中的模式与临床目标一致。
