کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3448884 1595713 2013 9 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Group Therapy Utilization in Inpatient Spinal Cord Injury Rehabilitation
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پزشکی و دندانپزشکی (عمومی)
پیش نمایش صفحه اول مقاله
Group Therapy Utilization in Inpatient Spinal Cord Injury Rehabilitation
چکیده انگلیسی

ObjectiveTo describe group therapy utilization in spinal cord injury (SCI) inpatient rehabilitation.DesignProspective observational study.SettingSix inpatient rehabilitation facilities.ParticipantsPatients (N=1376) receiving initial rehabilitation after traumatic SCI.InterventionsNot applicable.Main Outcome MeasureTime spent in group versus individual therapy for physical therapy (PT), occupational therapy (OT), therapeutic recreation (TR), and psychology (PSY) therapies.ResultsThe majority (98%) of patients participated in at least 1 group therapy session, with 83%, 81%, 80%, and 54% of patients receiving group PT, OT, TR, and PSY, respectively. On average, 24% of treatment sessions and 27% of treatment time was provided in group sessions, with TR providing the greatest percent of its time in groups. Group therapy time and time spent in specific activities varied among patient subgroups with different injury characteristics. Group therapy time also varied widely among centers (range, 1.2–6.6h/wk). Across all injury subgroups, individual and group therapy hours per week were negatively correlated for OT and positively correlated for TR. Patient characteristics, clinician experience, and treatment center predicted 32% of variance in group hours per week. PT and OT strengthening/endurance interventions and TR outings were the most common group activities overall.ConclusionsWhile the majority of inpatient SCI rehabilitation consists of individual sessions, most patients participate in group therapy, which contributes significantly to total therapy time. Patterns of group utilization fit with functional expectations and clinical goals. A trade-off between group and individual therapy may occur in some disciplines. Utilization of group therapy varies widely among centers, and further study is needed to identify optimal patterns of group therapy utilization.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Archives of Physical Medicine and Rehabilitation - Volume 94, Issue 4, Supplement, April 2013, Pages S145–S153
نویسندگان
, , , , , , ,