Applications of complementary therapies during rehabilitation for individuals with traumatic Spinal Cord Injury: Findings from the SCIRehab Project.
Author: Taylor SM1,2, Cheung EO3,4, Sun R5, Grote V6, Marchlewski A7, Addington EL3,4
Affiliation:
1a Shirley Ryan Abilitylab , Chicago , Illinois , USA.
2b Department of Physical Therapy & Human Movement Sciences , Northwestern University Feinberg School of Medicine , Chicago , Illinois , USA.
3c Osher Center for Integrative Medicine at Northwestern University , Chicago , Illinois , USA.
4d Department of Medical Social Sciences , Northwestern University Feinberg School of Medicine , Chicago , Illinois , USA.
5e Department of Psychology , Syracuse University , Syracuse , New York , USA.
6f Indiana University , Bloomington , Indiana , USA.
7g Northwestern University , Evanston , Illinois , USA.
Conference/Journal: J Spinal Cord Med.
Date published: 2018 Jun 8
Other:
Volume ID: 1-8 , Special Notes: doi: 10.1080/10790268.2018.1481693. [Epub ahead of print] , Word Count: 237
OBJECTIVE: Evaluate the use of complementary therapies during rehabilitation for patients with traumatic spinal cord injury (SCI).
DESIGN: Secondary analyses were conducted to identify the use and associated outcomes of complementary therapies provided by occupational therapists (OTs) and physical therapists (PTs) during rehabilitation from a public dataset.
SETTING: Inpatient rehabilitation.
PARTICIPANTS: A public dataset composed of 1376 patients with SCI that were enrolled in a five-year, multi-center investigation, the SCIRehab Project. Secondary analyses focused on a subset of 93 patients (47 who received complementary therapy during treatment and 46 case-matched controls who received no complementary therapy).
INTERVENTIONS: OTs and PTs recorded use of complementary therapies during sessions, including yoga, Pilates, tai chi, aromatherapy, relaxation techniques, imagery and other.
OUTCOME MEASURES: Pain interference, pain severity, mobility, and social integration.
RESULTS: Three percent of participants received any complementary therapies. Patients who received complementary therapies showed greater reductions in pain severity from 6 months to 12 months relative to matched controls. Furthermore, the amount of time that patients received complementary therapies during physical therapy sessions was associated with reduced pain interference at 6 months and with reduced pain severity at the 6-month and 12-month follow-ups. Complementary therapy use was not associated with mobility or social integration.
CONCLUSION: The current study provides preliminary evidence documenting the limited use of complementary therapies in rehabilitation settings and highlights the opportunity for further research, particularly regarding pain-related outcomes.
KEYWORDS: Complementary Therapies; Occupational Therapy; Physical Therapy; Rehabilitation; Spinal Cord Injuries
PMID: 29883300 DOI: 10.1080/10790268.2018.1481693
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