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Physical/Occupational Therapy Workshop:

Tracks
Risso 7
Tuesday, November 5, 2019
12:05 PM - 1:35 PM
Risso 7

Overview

The International Spinal Cord Injury Physical Therapy - Occupational Therapy Basic Data Set: Rationale, Evidence, and Vetting


Speaker

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Prof Edelle Field-Fote
Director Of Spinal Cord Research
Shepherd Center

The International Spinal Cord Injury Physical Therapy - Occupational Therapy Basic Data Set: Rationale, Evidence, and Vetting

Abstract

Nearly all interventional trials use the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) as the primary or secondary endpoint of neurologic recovery. Since physical and occupational therapies (PT-OT) promote use-dependent plasticity that has the potential to impact the ISNCSCI scores, it is important to consider the influence of these therapies when provided in conjunction with clinical interventional trials. To facilitate efficient tracking of therapy content and dose (time), an international workgroup developed a standardized collection and reporting tool and accompanying syllabus: The International Spinal Cord Injury PT-OT Basic Data Set. During the process of developing the data set, the workgroup solicited input from numerous sources including from PTs and OTs at the institutions where the workgroup members are affiliated, and at the 2017 ISCoS meeting. Taking all feedback into consideration, the workgroup modified the data set over multiple iterations. By the time of the ISCoS 2019 meeting, the data set is expected to be at the stage of development where it has received approval from the ISCoS Data Set Committee, ASIA Board of Directors, and ISCoS Scientific Committee and will be posted for public comment. As the intent of the PT-OT Basic Data Set is to provide a uniform mechanism to efficiently track the content and dosing of PT-OT sessions without undue burden on the therapist, international audience feedback about how the data set and the syllabus meet this goal is invaluable. This workshop will be an interactive session to present the updated data set and provide a forum for discussion. Participation will be encouraged throughout the workshop, and feedback will be incorporated into the dataset refinement process.
Outline:
1) Evidence for the influence of PT-OT interventions on strength–20 Mins (Lisa Harvey)
2) Development of the The International Spinal Cord Injury PT-OT Data Set–20 Mins (Kim Anderson)
3) Using the data set in the clinic–15 Mins (Edelle Field-Fote)
4) Vetting process to date and plans for reliability/validity testing–15 Mins (Marcel Post)
5) Stakeholder feedback–25 Mins

Biography

In her role the Director of SCI Research at Shepherd Center, Dr. Field-Fote leads a team dedicated to improving motor function in persons with SCI through the development of neuro modulation and neurorehabilitation approaches informed by the latest neuroscience research and guided by outcomes that have meaning for persons with SCI. Her contributions to the SCI literature include the largest study to date of locomotor training for persons with chronic, motor-incomplete SCI, and the first-ever study of a rehabilitation intervention to promote neuroplasticity for improved hand function in persons with tetraplegia. With a clinical background as a physical therapist and PhD training in a pre-clinical model of SCI, her 20+ years of SCI research has spanned the breadth of basic and clinical research related to SCI. Dr. Field-Fote currently serves on the NIH National Advisory Board on Medical Rehabilitation Research, and her work has been funded by the NIH since 1997; other projects in her lab are funded by the Department of Defense, and the National Institute on Independent Living Disability and Rehabilitation Research. Dr. Field-Fote is the editor/chapter author of the textbook Spinal Cord Injury Rehabilitation (FA Davis Publishers), associate editor/chapter author of textbook Spinal Cord Medicine (Kirshblum & Lin, eds; Demos Medical Publishers). She currently serves as Editor-in-Chief of the Journal of Neurologic Physical Therapy, and as Project Director of the Southeastern Regional Spinal Cord Injury Model System.
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