Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2009;32(3):283-97.
doi: 10.1080/10790268.2009.11760782.

SCIRehab Project series: the occupational therapy taxonomy

Rebecca Ozelie  1 , Catherine Sipple, Teresa Foy, Kara Cantoni, Katherine Kellogg, Jennifer Lookingbill, Deborah Backus, Julie Gassaway
Affiliations

SCIRehab Project series: the occupational therapy taxonomy

Rebecca Ozelie et al. J Spinal Cord Med. 2009.

Abstract

Background/objective: Lack of a classification system for occupational therapy (OT) rehabilitation interventions for traumatic spinal cord injury (SCI) rehabilitation in the United States makes conducting outcomes research difficult. This article describes an OT SCI rehabilitation taxonomy (system to categorize and classify treatments).

Methods: OT clinicians and researchers from 6 SCI rehabilitation centers developed a taxonomy to describe details of each OT session. This effort is part of the SCIRehab study, which uses the practice-based evidence, observational research methodology to examine current treatment processes without changing existing practice.

Results: The OT taxonomy consists of 26 OT activities (eg, training on activities of daily living, communication, home management skills, wheelchair mobility, bed mobility, transfers, balance, strengthening, stretching, equipment evaluation, and community reintegration). Time spent on each activity is documented along with therapeutic interventions used to facilitate the activity. Treatment descriptions are enhanced further with identification of assistance needs, patient direction of care, and family involvement, which help to describe and guide OT activity selection. The OT taxonomy documentation process includes all OT rehabilitation interventions for patients with SCI while maintaining efficiency in data collection.

Conclusion: The electronic documentation system is being used at 6 centers for all OT sessions with 1,500 patients with acute traumatic SCI. It is the largest known attempt to document details of the comprehensive OT rehabilitation process for patients with SCI in the United States.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Bennett S, Bennett J. The process of evidence-based practice in occupational therapy: informing clinical decisions. Austr Occup Ther. 2000;47(4):171–180.
    1. Sonn U, Törnquist K, Svensson E. The ADL taxonomy: from individual categorical data to ordinal categorical data. Scand J Occup Ther. 1999;6(1):11–20.
    1. American Occupational Therapy Association. Occupational therapy practice framework: domain and process. Am J Occup Ther. 2002;56(6):609–639. - PubMed
    1. Keith R. Treatment strength in rehabilitation. Arch Phys Med Rehabil. 1997;78(12):1298–1304. - PubMed
    1. DeJong G, Horn S, Gassaway J, Slavin M, Dijkers M. Toward a taxonomy of rehabilitation interventions: using an inductive approach to examine the “black box” of rehabilitation. Arch Phys Med Rehabil. 2004;85(4):678–686. - PubMed

Publication types

MeSH terms