New Approach to Study the Contents and Outcomes of Spinal Cord Injury Rehabilitation: The SCIRehab Project
Open accessAbstract
BACKGROUND/OBJECTIVE: Limited research evidence is available to show the effectiveness of the many specific interventions provided in spinal cord injury (SCI) rehabilitation; what is available typically focuses on effects of the full rehabilitation package but not specific therapy interventions, medical procedures, patient education, or counseling. Given the problems of conducting randomized controlled trials (RCTs) in rehabilitation, practice-based evidence (PBE) research has been suggested as an alternative methodology for identifying which rehabilitation interventions are associated most strongly with positive outcomes, after controlling for patient differences. Using the PBE research methodology, the SCIRehab project attempts to "open the black box" of acute SCI rehabilitation, provide detailed information on treatments delivered by all rehabilitation disciplines, and contribute to outcomes-based guidelines for clinical decision-making. METHODS: The SCIRehab project includes 1,500 patients with acute SCI, consecutively admitted to 1 of 6 US inpatient rehabilitation facilities. Details of the rehabilitation process are captured by clinicians from multiple disciplines documenting their interventions in handheld personal digital assistants after sessions with their patients. Outcome data are abstracted from medical records (clinical outcomes data) and obtained from patient interviews at 6 and 12 months after injury. Extensive patient, injury, and other treatment characteristics are abstracted from medical records. SCIRehab is the first research project to collect detailed information on individual interventions offered by the full rehabilitation team. RESULTS: SCIRehab is the first research project to collect detailed information on individual interventions offered by the full rehabilitation team. These findings are presented in a series of 9 articles. CONCLUSIONS: To date, SCIRehab's major contribution is a system for categorizing specific contributions of each discipline and a technology for documenting that detail. After data collection is complete, future manuscripts will relate those process elements to outcomes. The SCIRehab Project is an important step toward establishing outcomes-based guidelines for SCI rehabilitation.
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Individuals with cervical SCI typically have more complications, a longer hospital stay and substantial multidisciplinary treatments.
“Individuals with cervical SCI typically have more complications, a longer hospital stay and substantial multidisciplinary treatments [30,32].”
From Association of mindfulness to resilience, anxiety, and depressive symptoms after spinal cord injury-a correlational study (2020) · cites this paper as [30]
The Effectiveness of SCI Rehabilitation section says SCI often affects multiple body systems, requires lengthy rehabilitation, and involves multidisciplinary care. It does not say that people with cervical SCI typically have more complications or longer hospital stays than people with other SCI levels; its discussion of length of stay concerns rehabilitation generally. (LLM, conf=0.82)
Experimental — accuracy not yet measuredThe higher mindfulness in traumatic SCI may be due to extensive rehabilitation therapy regimens associated with survival of traumatic SCI, which may include fostering self-awareness and reflection.
“This may be due to the extensive rehabilitation therapy regimens associated with survival of traumatic SCI, which may include fostering self-awareness and reflection Significant, p < 0.05.[30].”
From Association of mindfulness to resilience, anxiety, and depressive symptoms after spinal cord injury-a correlational study (2020) · cites this paper as [30]
The “Effectiveness of SCI Rehabilitation” section says that SCI can require a lengthy rehabilitation program to develop remaining abilities and support adjustment to a changed life. It does not say that rehabilitation fosters self-awareness or reflection, or link rehabilitation to higher mindfulness in people with traumatic SCI. Page numbers are unavailable in our copy. (LLM, conf=0.84)
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References 79 · Cited by 96
Research works printed but not linked: 5
- [10]10. Johnson K, Bailey J, Rundquist J, et al. SCIRehab Project Series: the supplemental nursing taxonomy. J Spinal Cord Med. 2009;32(3):329-335.
- [28]28. Pagliacci MC, Celani MG, Zampolini M, et al. An Italian survey of traumatic spinal cord injury. The Gruppo Italiano Studio Epidemiologico Mielolesioni study. Arch Phys Med Rehabil. 2003;84(9):1266-1275.
- [48]48. New P. Functional outcomes and disability after non- traumatic spinal cord injury rehabilitation: results from a retrospective study. Arch Phys Med Rehabil. 2005;86(2): 250-261.
- [73]73. DeJong G, Horn S, Gassaway J, Stam HJ. Practice-based evidence for post-acute policy and practice: the case of joint replacement rehabilitation. Paper presented at: Annual Conference of the American Congress of Rehabil- itation Medicine; October 5, 2007; Washington, DC.
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- Authors
- Whiteneck, G., Cassaway, J., Dijkers, M., & Jha, A.
- Affiliations
- Craig Hospital (US)
- Icahn School of Medicine at Mount Sinai (US)
- Corresponding author
- Cassaway, Julie
- Venue
- The Journal of Spinal Cord Medicine
- Publisher
- Informa UK Limited
- Published
- 2009-01
- Volume
- 32
- Issue
- 3
- Pages
- 251-259
- ISSN
- 1079-0268 (ISSN-L)
- 2045-7723
- PMC
- PMC2718827
- OpenAlex
- W2199745654
- Cited by
- 96
- References
- 79
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 3 · 2023: 5 · 2022: 4 · 2021: 6 · 2020: 4 · 2019: 3 · 2018: 4 · 2017: 5 · 2016: 7 · 2014: 3 · 2013: 14 · 2012: 10
- FWCI
- 8.24
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Spinal Cord Medicine (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Australian Government
- National Institute on Disability and Rehabilitation Research (H133N060005, H133A060103, H133N060027)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Spinal Cord Injury Research
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Keywords
- spinal cord injury, rehabilitation therapy, practice-based evidence, inpatient rehabilitation, intervention documentation, rehabilitation outcomes, patient education, counseling
- MeSH terms
- Humans, Quality Assurance, Health Care, Retrospective Studies, Spinal Cord Injuries, Databases, Factual, Outcome Assessment, Health Care, Evidence-Based Medicine, Physical Therapy Modalities
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