ArticleThe journal of spinal cord medicine2012
Team size in spinal cord injury inpatient rehabilitation and patient participation in therapy sessions: the SCIRehab project.
Article in The journal of spinal cord medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Patient engagement in inpatient rehabilitation: A scoping review of measures and evolving conceptualizations.Rehabilitation psychology · 2026Article
- Patient Effort in Traumatic Brain Injury Inpatient Rehabilitation: Course and Associations With Age, Brain Injury Severity, and Time Postinjury.Archives of physical medicine and rehabilitation · 2015Observational
- Buyang Huanwu decoction up-regulates Notch1 gene expression in injured spinal cord.Neural regeneration research · 2015Article
Corrections and comments
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Authors and funding
2 authors.
Funding
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Abstract
CONTEXT/
objectiveRehabilitation teams generally are described as consisting of a single representative of 6-8 disciplines, but research suggests that the number of individuals involved may be much larger. This study aimed to determine the size of teams in spinal cord injury (SCI) rehabilitation, and the effect of team size on patients' active participation in their treatment sessions.
designProspective observational study.
settingSix SCI rehabilitation centers.
participantsA total of 1376 patients with traumatic SCI admitted for first rehabilitation.
interventionsNot applicable. OUTCOME MEASURES: Number of treatment sessions, by discipline and overall clinician rating of active participation of the patient; Treatment Concentration Index (TCI) calculated as Σp(k)(2) (where p refers to the proportion of treatment sessions delivered by team member k).
resultsThe average patient was treated by 39.3 different clinicians. The numbers were especially high for physical therapy (mean: 8.8), occupational therapy (7.2), and nursing (16.1). TCI was 0.08 overall; it varied by discipline. TCI was negatively correlated with length of stay, except for psychology. Participation ratings were minimally affected by the number of sessions the patient and the therapist had worked together.
conclusionsIn SCI rehabilitation, teams are at least as large as suggested by previous research. However, this may not mean lack of familiarity of patient and therapist with one another, or alternatively, the possibly weak therapeutic alliance does not affect the patients' active participation in their sessions. Further research is needed to determine whether there are negative effects on rehabilitation outcomes.
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