The study is a multicenter longitudinal observational study. The therapy content and the therapy dosage of arm/skill training for patients with cervical spinal cord injury (SCI) will be observed for the primary objective. The aim is to get insight into the current therapy content and the current therapy dosage in arm/hand skill training, with the overall aim to optimize the arm/hand skill training. For the secondary objective, in addition to the patients with cervical SCI also, patients with paraplegia as a result of SCI are included. The aim is to assess the difference between the patient's perceived dose and the therapist's estimation of the therapy dose. This will give insight into the patient's and therapist's views on therapy dose; this information will contribute to optimizing therapy dose in exercise therapy in SCI. The third aim is a pilot study to explore the usability of evening reports in SCI rehabilitation.
Study Type
OBSERVATIONAL
Enrollment
47
There will be an observation of the usual care; no intervention will be added.
UZ Gent
Ghent, Belgium
RECRUITINGUZ Leuven - Campus Pellenberg
Leuven, Belgium
RECRUITINGZorggroep Adelante
Hoensbroek, Netherlands
RECRUITINGTask-oriented and therapy dose dimensions and the change in time of these components in arm/hand skill training in usual care in cervical SCI during subacute rehabilitation
* An observer reports the therapy content (endurance training, strength training and skill training) on a data report * Active training time is measured with accelerometers on both wrists * An observer with a hand counter measures movement repetitions * The prescribed, planned and given therapy hours are reported on a data form
Time frame: Patients will be observed for three weeks between 4 and 20 weeks post-injury. There will be three random days of observations. Data will be collected from every therapy session with at least 50% arm/hand skill training
Perceived dose in spinal cord injury in the subacute rehabilitation
Patients and therapists answers questions before and after the sessions Patients get questions on: * Fatigue * Pain * Difficulty * Physical fatigue * Motivation Therapists get questions on: * Estimation of active training time * Estimation of patient's fatigue * Estimation of the patient's perceived difficulty of the session * Estimation of the patient's perceived physical fatigue of the session * Estimation of the patient's perceived motivation of the session
Time frame: Patients will be observed for three weeks between 4 and 20 weeks post-injury. There will be three random days of observations. Data will be collected before and after every active therapy session.
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