{"paper_id":"28a683d6-c6fb-4368-a010-abed7bdd585d","body_text":"How much and what type of exercises and training were provided to people with spinal cord injury as part of usual physiotherapy and occupational therapy in the SCI-MT Trial? | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article How much and what type of exercises and training were provided to people with spinal cord injury as part of usual physiotherapy and occupational therapy in the SCI-MT Trial? Jackie Chu, Joanne V Glinsky, Hueiming Liu, Sharon Roberts, Christine Rimmer, and 20 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-8275987/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Study Design : A quantitative study. Objectives : To determine how much and what type of exercises and training were provided as part of usual physiotherapy and occupational therapy to participants of the SCI-MT Trial (the Early and Intensive Motor Training for People with Spinal Cord Injuries Trial). This information is important because the SCI-MT Trial concluded that additional motor training is redundant if people with SCI receive equivalent usual care as what was provided to participants of the SCI-MT Trial. Settings : Fifteen spinal injury units across Europe and Australia. Methods : Data were collected on the time participants of both groups of the SCI-MT Trial (n = 220) attended physiotherapy and occupational therapy provided as part of usual care over the 10-week intervention period. The International Spinal Cord Injury Physical Therapy and Occupational Therapy Basic Data Set was used to capture time spent on activity and impairment directed categories of exercises and training. Results : Participants attended a median (interquartile range) of 8.3 (6.2 to 11.4) hours of physiotherapy and occupational therapy per week. Approximately 70% of therapy time was spent actively exercising or training with a median of 3.8 hours per week spent on activity directed and 1.9 hours per week spent on impairment directed exercises and training. Conclusions : The results of this study detail the amount and type of physiotherapy and occupational therapy that needs to be provided as part of usual rehabilitation care to render additional motor training redundant. INTRODUCTION We recently conducted a large international trial designed to determine the effects of 10 weeks of intensive motor training provided soon after spinal cord injury (SCI). It was called The Early and Intensive Motor Training for people with Spinal Cord Injuries Trial (the SCI-MT Trial) and was conducted in 15 sites across Europe and Australia [ 1 ]. The primary outcome was total motor scores of the International Standards for the Neurological Classification of SCI and there were a range of other measures of neurological status and function [ 1 ]. The results of the trial indicated no benefit on any outcome (except one psychological secondary outcome) from an additional 12 hours per week for 10 weeks of motor training targeting muscles at or below the level of injury provided in addition to usual inpatient physiotherapy and occupational (the exception was one psychological secondary outcome) [ 2 ]. These results challenge the long-held beliefs about activity-dependent spinal plasticity [ 3 ]. However, the interpretation of the results rely on a good understanding of the therapy provided to both groups as part of usual inpatient rehabilitation care [ 4 , 5 ], and specifically the amount and type of exercises and training provided as part of physiotherapy and occupational therapy. For example, the 12 hours per week of motor training may have been ineffective because of large amounts of therapy both groups received as part of usual care rendering the additional motor training redundant. If this is the case, then the results may not be applicable in situations where patients are receiving less therapy or a different type of therapy than provided to participants in the SCI-MT Trial. The primary purpose therefore of this study was to quantify the amount and type of exercises and training provided as part of usual physiotherapy and occupational therapy to both groups of the SCI-MT Trial to help with the interpretation of the SCI-MT Trial results. The SCI-MT Trial also provided a unique opportunity to attain data from 15 rehabilitation units across Europe and Australia on the amount and type of exercises and training typically delivered as part of usual inpatient physiotherapy and occupational therapy. These data are important to help others benchmark against because there is surprisingly little comparable data. Furthermore, there are ongoing concerns that people with SCI do not receive enough opportunity for active exercise [ 6 , 7 ]. Most data on the amount and type of physiotherapy and occupational therapy provided soon after SCI comes from work done by different groups nearly 15 years ago [ 8 – 12 ]. It is not clear how relevant these data are today. Therefore, a secondary purpose of this study was to describe the amount and type of exercises and training provided as part of usual inpatient physiotherapy and occupational therapy across Europe and Australia. METHODS Two hundred and twenty people with recent SCI were recruited from 15 sites across Europe and Australia. Participants were eligible for inclusion if they had sustained a SCI within the preceding 10 weeks, were likely to remain in hospital for another 10 weeks and had some motor function below the neurological level (i.e., AIS C or D lesions, and AIS A with motor function more than 3 levels below the motor level). Participants were randomised to either usual care (Usual Care group) or usual care plus 12 hours per week of intensive motor training (Intervention group). The motor training provided to participants in the Intervention group focused on task-specific training but was supplemented with strength training [ 13 ]. It was provided on a one-to-one basis and directed at muscles at, or below, the level of the injury. For the 10-week intervention period, the sites provided comprehensive rehabilitation to all participants of both groups including physiotherapy and occupational therapy. They were instructed not to change their usual rehabilitation practices in response to the trial. The physiotherapy and occupational therapy provided as part of usual rehabilitation included exercises and training as well as other interventions such as stretch, passive movements, equipment prescription, pain management, education and planning for home/work modifications. The start and finish times of all physiotherapy and occupational therapy sessions that were scheduled and delivered over the 10-week intervention period were recorded, irrespective of whether exercises and training were provided. In addition, the following details were recorded: the discipline of the therapist that provided the session and the reasons for any missed session. Therapists were also asked to record in 5-minute blocks any time devoted to exercises and training that fell into one of the 7 categories of the International Spinal Cord Injury Physical Therapy-Occupational Therapy Basic Data Set - v.1.2 (ISCI PT-OT BDS) [ 14 ]. Five of the categories of the ISCI PT-OT BDS capture activity directed exercises and training, and include (i) bed/seated control activities, (ii) standing control activities, (iii) walking, moving up/down stairs, (iv) gross motor upper extremity activities and (v) fine motor upper extremity activities. The other two categories of the ISCI PT-OT BDS capture impairment directed exercises and training, and include (i) strength training and (ii) endurance training (see Supplementary file: Table 1 ). All data were manually recorded in written format by the treating therapist during each session. The exception was one site in which the details of all occupational therapy sessions were self-reported by participants to a research staff member within a day or two of receiving the therapy. All data were double data entered onto a REDCap Database with resolution of all discrepancies and checks for out-of-range data. Table 1 The characteristics of participants. Data are presented by groups and combined. Usual Care group (n = 111) Intervention group (n = 109) All participants (n = 220) Age, median (IQR) 54 (42 to 64) 59 (43 to 68) 57 (43 to 67) Gender Female, n (%) 23 (21%) 28 (26%) 51 (23%) Male, n (%) 88 (79%) 81 (74%) 169 (77%) Country of recruitment Australia, Princess Alexandra Hospital, n (%) 5 (5%) 6 (6%) 11 (5%) Australia, Royal North Shore Hospital, n (%) 8 (11%) 8 (7%) 16 (7%) Australia, Royal Rehab, n (%) 1 (1%) 2 (2%) 3 (1%) Australia, Prince of Wales Hospital, n (%) 8 (7%) 9 (8%) 17 (8%) Australia, Royal Talbot Rehabilitation Centre, n (%) 7 (6%) 7 (6%) 14 (6%) Australia, Repat Health Precinct, n (%) 5 (5%) 4 (4%) 9 (4%) Australia, Fiona Stanley Hospital, n (%) 16 (14%) 16 (15%) 32 (15%) Scotland, Queen Elizabeth National Spinal Injuries Unit, n (%) 7 (6%) 10 (9%) 17 (8%) Italy, Foundation Santa Lucia, n (%) 14 (13%) 17 (16%) 31 (14%) Norway, Sunnaas Rehabilitation Hospital, n (%) 9 (8%) 6 (6%) 15 (7%) England, Royal National Orthopaedic Hospital NHS Trust, n (%) 7 (6%) 4 (4%) 11 (5%) Belgium, University Hospital Leuven, n (%) 4 (4%) 2 (2%) 6 (3%) Belgium, Ghent University Hospital, n (%) 3 (3%) 5 (5%) 8 (4%) Netherlands, Adelante Hospital, n (%) 8 (7%) 7 (6%) 15 (7%) Netherlands, Dehoogstraat, n (%) 9 (8%) 6 (6%) 15 (7%) Level of injury Tetraplegia, n (%) 66 (60%) 68 (62%) 134 (61%) Paraplegia, n (%) 45 (41%) 41 (38%) 86 (39%) Type of injury (AIS) * AIS A, n (%) 8 (7%) 4 (4%) 12 (5%) AIS B, n (%) 1 (1%) 0 (0%) 1 (1%) AIS C, n (%) 35 (32%) 40 (37%) 75 (34%) AIS D, n (%) 67 (60%) 65 (60%) 132 (60%) Time since injury (months), median (IQR) 1.5 (1.0 to 1.9) 1.4 (1.2 to 1.8) 1.5 (1.1 to 1.9) Time since first sat out of bed (days), median (IQR) 31 (18 to 48) 32 (21 to 43) 31.5 (20 to 45) ∗ ASIA impairment scale (AIS) Quantitative data are presented descriptively using means (SD), medians (interquartile ranges), percentages and counts as appropriate. All statistical analyses were performed using Stata Statistical Software V16 [ 15 ]. Data are presented for the two groups of the trial as well as for both groups combined. RESULTS A total of 220 participants were recruited and randomised to the SCI-MT Trial. 77% were male and the median (interquartile, IQR) age was 57 years (43 to 67). 60% of participants had American Spinal Injury Association Impairment Scale (AIS) D and 39% of participants had paraplegia (see Table 1 for details). The median (IQR) intervention period over which usual care data were collected was 10.0 weeks (9.3 to 10.3). Four participants were withdrawn from the trial (2 participants from the Intervention group died and 2 participants from the Usual Care group withdrew without explanation). Their data were excluded from this study. There was little differences in the amount and type of therapy provided as part of usual care to the Usual Care group and the Intervention group for any measures of the amount and type of therapy provided as part of usual care so the data of the two groups are presented together unless otherwise stated (See Table 3 for details). Table 3 The details of the amount and type of exercises and training provided during all physiotherapy and occupational therapy sessions as captured with the ISCI PT-OT BDS. Data are presented by groups and combined (n = 220). Data are presented as mean (SD) and median (IQR). Usual care group (n = 109) Intervention group (n = 107) All participants (n = 216) Activity-directed exercises Per week Over the intervention period Per week Over the intervention period Per week Over the intervention period Bed/ seated control activities 0.4 (0.0 to 0.9) 0.9 (1.5) 4.5 (1.3 to 11.2) 10.1 (14.3) 0.3 (0.0 to 1.2) 0.9 (1.2) 4.7 (1.8 to 12.3) 9.4 (11.3) 0.3 (0.0 to 1.0) 0.9 (1.3) 4.6 (1.8 to 11.3) 9.8 (12.9) Standing control activities 0.9 (0.5 to 1.5) 1.0 (0.8) 8.9 (5.0 to 15.5) 10.5 (7.3) 0.7 (0.3 to 1.3) 0.8 (0.7) 7.3 (3.2 to 12.3) 8.5 (6.9) 0.8 (0.3 to 1.4) 0.9 (0.8) 7.8 (4.2 to 13.6) 9.5 (7.2) Walking, stairs 0.7 (0.0 to 1.4) 0.8 (0.9) 7.3 (2.1 to 13.2) 8.6 (7.4) 0.5 (0.0 to 0.9) 0.6 (0.6) 5.2 (1.3 to 10.1) 6.1 (5.5) 0.5 (0.0 to 1.2) 0.7 (0.7) 6.4 (1.5 to 11.4) 7.4 (6.7) Gross motor upper extremity 0.3 (0.0 to 0.7) 0.5 (0.6) 3.7 (1.1 to 7.1) 5.5 (6.1) 0.3 (0.0 to 0.8) 0.4 (0.5) 4.1 (1.3 to 8.0) 5.3 (4.8) 0.3 (0.0 to 0.8) 0.5 (0.6) 3.9 (1.3 to 7.6) 5.4 (5.5) Fine motor upper extremity 0.0 (0.0 to 1.2) 0.6 (0.9) 2.2 (0.3 to 11.6) 6.1 (7.8) 0.0 (0.0 to 1.0) 0.6 (0.8) 2.3 (0.2 to 9.9) 6.1 (7.4) 0.0 (0.0 to 1.1) 0.6 (0.8) 2.2 (0.3 to 10.9) 6.1 (7.6) Total time (hours) 4.2 (2.8 to 5.7) 4.2 (2.1) 38.8 (25.8 to 56.7) 40.8 (19) 3.6 (2.5 to 4.9) 3.7 (1.6) 33.8 (24.7 to 46.2) 35.4 (14.5) 3.8 (2.6 to 5.3) 3.9 (1.8) 36.8 (25.5 to 51.3) 38.1 (17.1) Impairment-directed exercises Strength training 0.4 (0.0 to 0.9) 0.9 (1.5) 14.3 (7.8 to 24.5) 16.7 (12.4) 0.3 (0.0 to 1.2) 0.9 (1.2) 13.8 (6.3 to 21.8) 15.0 (11.9) 0.3 (0.0 to 1.0) 0.9 (1.3) 13.9 (7.0 to 22.8) 15.9 (12.1) Endurance training 0.9 (0.5 to 1.5) 1.0 (0.8) 4.0 (0.8 to 8.9) 5.7 (5.8) 0.7 (0.3 to 1.3) 0.8 (0.7) 2.6 (0.8 to 7.7) 5.1 (6.3) 0.8 (0.3 to 1.4) 0.9 (0.8) 3.4 (0.8 to 8.6) 5.4 (6.0) Total time (hours) 2.0 (0.9 to 3.3) 2.3 (1.8) 19.2 (9.4 to 32.8) 22.4 (16.5) 1.8 (0.8 to 2.8) 2.0 (1.7) 18.2 (7.9 to 26.8) 20.2 (16.4) 1.9 (0.9 to 2.9) 2.2 (1.8) 18.7 (8.7 to 29.5) 21.3 (16.4) Activity-directed and Impairment-directed exercises Total time (hours) 6.2 (4.5 to 8.3) 6.7 (3.2) 61.1(44.2 to 80.0) 63.2 (29.6) 5.3 (3.9 to 7.2) 5.8 (2.7) 52.2 (38.9 to 68.3) 55.6 (25.2) 5.7(4.3 to 7.8) 6.2 (3.0) 55.5 (39.9 to 75.1) 59.4 (27.7) Number of therapy sessions A median (IQR) of 85.0 (63.0 to 111.5) physiotherapy and occupational therapy sessions were recorded (See Table 2 for details). Physiotherapists provided 65% of all therapy sessions (See Table 2 for details). Participants were scheduled to receive a median (IQR) of 9.8 sessions per week (7.2 to 12.5) but attended a median (IQR) of 8.6 sessions per week (6.4 to 11.4) (See Table 2 for details). Therapy sessions were most commonly missed because of appointments (16%), illness (11%) or bladder/bowel problems (9%) (See Table 2 for details). Table 2 The details of therapy scheduled and attended by participants and reasons for missed sessions. Data are presented by and combined. Data are presented as medians (IQR) unless otherwise stated. Usual care group (n = 109) Intervention group (n = 107) All participants (n = 216) Scheduled Attended Scheduled Attended Scheduled Attended Total number of sessions over intervention period 98 (68 to 126) 87 (64 to 115) 92 (72 to 118) 83 (63 to 107) 92.5 (69 to 122) 85 (63 to 111.5) Total number of sessions per week 10.4 (7.3 to 12.8) 9.4 (6.6 to 11.8) 9.5 (7.2 to 11.6) 8.5 (6.2 to 10.5) 9.8 (7.2 to 12.5) 8.6 (6.4 to 11.4) Time (hours) spent in therapy sessions over the intervention period 91.8 (71 to 128) 83 (64.6 to 116) 90.2 (65.2 to 114.8) 76.1 (58.4 to 98) 91.5 (67.2 to 121.8) 80.7 (60.0 to 107.7) Time (hours) spent in therapy sessions per week 9.5 (7.2 to 14) 8.4 (6.5 to 12.5) 9.3 (6.2 to 12) 7.8 (5.8 to 10.8) 9.3 (6.7 to 12.7) 8.3 (6.2 to 11.4) Proportion (%) of therapy sessions provided by Physiotherapists 62% (51 to 78) 65% (52 to 78) 65% (51 to 79) 65% (52 to 80) 64% (51 to 79) 65% (52 to 80) Occupational therapists 28% (16 to 37) 28% (16 to 36) 28% (15 to 44) 28% (16 to 44) 28% (16 to 40) 28% (16 to 39) Other 0% (0 to 14) 0% (0 to 11) 0% (0 to 8) 0% (0 to 8) 0% (0 to 10) 0% (0 to 9) No discipline specified 0% (0 to 0) 0% (0 to 0) 0% (0 to 0) 0% (0 to 0) 0% (0 to 0) 0% (0 to 0) Total number of therapy sessions missed over the intervention period 6 (1 to 16) NA 8 (2 to 13) NA 7 (2 to 13.5) NA No. of therapy sessions missed per week 0.6 (0.1 to 1.5) NA 0.8 (0.2 to 1.4) NA 0.7 (0.2 to 1.4) NA Proportion (%) of therapy sessions missed per week 6% (2 to 12) NA 8% (3 to 13) NA 7 (2 to 13) NA Causes of missed therapy sessions (expressed as proportion of all causes) Appointments NA 16% NA 15% NA 16% Unwell NA 9% NA 13% NA 11% Bladder/bowel NA 8% NA 9% NA 9% Medical tests NA 7% NA 7% NA 7% Staffing issues NA 6% NA 6% NA 6% Pain NA 5% NA 6% NA 5% Fatigue NA 5% NA 6% NA 5% Nursing issues NA 4% NA 4% NA 4% Public holiday** NA 4% NA 3% NA 4% Miscellaneous NA 5% NA 4% NA 4% UTI NA 3% NA 4% NA 3% Hospital admissions NA 3% NA 4% NA 3% Outings/ on leave pass NA 3% NA 3% NA 3% COVID related NA 2% NA 3% NA 3% Social commitment/ visitors NA 3% NA 4% NA 3% Declined NA 2% NA 2% NA 2% Mental health issues NA 3% NA 1% NA 2% Skin issues NA 1% NA 1% NA 1% Awaiting on wards for nursing/medical consults or procedures NA 1% NA 0% NA 1% Asleep NA 1% NA 1% NA 1% Serious/ adverse events NA 1% NA 0% NA 0% Not specified NA 10% NA 4% NA 7% *** This reason was probably underestimated as not all sites scheduled therapy sessions on public holidays. Time devoted to exercises and training Participants spent a median (IQR) of 5.7 hours (4.3 to 7.8) per week performing exercises or training as captured on the ISCI PT-OT BDS. A median (IQR) of 3.8 (2.6 to 5.3) hours per week was spent on activity-directed exercises and training, and 1.9 (0.9 to 2.9) hours per week on impairment-directed exercises and training (See Table 3 for details). This equated to a median (IQR) of 36.8 hours (25.5 to 51.3) and 18.7 hours (8.7 to 29.5) in total over the intervention period, respectively (see Table 3 for details). DISCUSSION This study describes the amount and type of exercises and training that were provided as part of usual physiotherapy and occupational therapy to participants of the SCI-MT Trial. This information is important because the SCI-MT Trial found no effect from the intensive motor training provided in addition to usual inpatient rehabilitation care. However, these results cannot be generalised to situations in which the amount and type of physiotherapy and occupational therapy provided to patients is different to that provided in the SCI-MT Trial [ 4 , 11 , 16 ]. For example, additional motor training may be effective in situations where the physiotherapy and occupational therapy is less or different to that provided in the SCI-MT Trial. It is important to understand the usual therapy provided to both groups in the SCI-MT Trial to explain the results of the trial. For instance, our failure to demonstrate a treatment effect could be explained by therapists inadvertently providing more therapy or a different type of therapy to participants in the Usual Care group than participants in the Intervention group in response to the trial. However, there was no indication that this was the case. The amount and type of exercises and training provided in physiotherapy and occupational therapy as part of usual care were similar for both groups, and participants of both groups spent comparable amounts of time attending therapy. The results of this study not only help with the interpretation of the SCI-MT Trial but they also provide rare recent data on the amount of physiotherapy and occupational therapy provided to people with SCI. For example, our results indicate that participants spent a median of 8.3 hours per week in physiotherapy and occupational therapy. These results suggest an increase in the amount of therapy to what was reported in 2011 at which time people from SCI units in the Netherlands, Norway and Australia were reportedly receiving approximately 4 to 6 hours per week [ 10 , 11 ]. However, another study also done in 2011 suggested that people with SCI in the USA were receiving substantially more time in physiotherapy and occupational therapy. Namely 14.1 hours per week of physiotherapy and occupational therapy [ 8 , 9 ] (compared to our 8.3 hours). We don’t know if and how the amount of therapy provided in 2011 in the USA has changed over the last 15 years although lengths of hospital stay in the USA are generally shorter than lengths of hospital stay in Australia and European countries [ 17 – 19 ]. So possibly the total time in physiotherapy and occupational therapy over the course of a patient’s hospital stay is similar. It is surprising that 25% of participants attended physiotherapy and occupational therapy for less than 6.2 hours per week and only spent 4.3 hours per week on any exercises or training captured on the ISCI PT-OT BDS (see Tables 2 and 3 for details). This is a small amount of therapy particularly considering that these were people with recent SCI undergoing specialist rehabilitation. While these figures justify the recent concern that people with SCI are not receiving sufficient therapy [ 17 ], it could also be argued that these concerns are not justified because the results of the SCI-MT Trial indicate no benefit from additional therapy time. However, it is important to recognise that the additional therapy provided as part of the SCI-MT Trial was only motor training directed at, or below the level of the injury [ 1 , 13 ]. The results of the SCI-MT Trial do not tell us about the possible benefits of additional time spent in physiotherapy and occupational therapy that is not specifically focused on the type of motor training provided in the SCI-MT Trial. For example, patients may benefit from more than 6.2 hours per week of physiotherapy and occupational therapy that focuses on other aspects of rehabilitation including learning independence and skills associated with seated and/or upright mobility. There is clearly a need for clarity around optimal amounts of therapy for people with recent SCI, and this needs to be underpinned by high quality clinical trials. In the meantime, it may also be worthwhile to explore ways to minimise the number of missed therapy sessions. Some missed sessions are clearly unavoidable (e.g. 11% of missed sessions were due to participants being unwell). However, 16% of missed sessions were because of conflicting appointments. This may also be unavoidable but it would be worth investigating further to see if anything could be done to minimise these. It is often assumed that there is a lot of wasted time in therapy [ 6 , 7 ]. However, to the contrary, our data indicates that participants spent 70% of their time in physiotherapy or occupational therapy engaged in exercises that were captured on the ISCI PT-OT BDS. This was equivalent to 5.7 hours per week (IQR, 4.3 to 7.8). This leaves 30% of time in physiotherapy and occupational therapy on all the many other aspects of therapy including assessments, equipment prescription, revision of home and work environments, treatments for pain and range of motion, and time spent on goal setting. It therefore appears that therapists and people with SCI are using their time in therapy productively with very little “down time”. Participants devoted more time per week on exercises and training classified as activity-directed than impairment-directed (3.8 hours versus 1.9 hours), even though more time (0.3 hours per week) was spent on strength training than any other type of intervention captured on the ISCI PT-OT D BDS. This emphasis on activity-directed rather than impairment-directed interventions reflects the current focus on the practice of functional activities [ 20 – 22 ]. This seems reasonable and justified. However, it does raise questions about the amount of strength training provided each week (0.3 hours per week; i.e., 18 minutes) and how this could be sufficient and effective particularly when people often have weakness in a lot of different muscles, and current guidelines indicate that strength training needs to be conducted at least two times, and preferably three times per week [ 23 , 24 ]. There could be little doubt that strength is a key impairment limiting people’s abilities to move. So whilst the practice of functional activities may have carryover effects on strength, it would seem prudent to also be directing concentrated effort on strength training (particularly for those with grade 3 or greater strength in view of the evidence about the effectiveness of progressive resistance training in these muscles) [ 23 , 25 ]. Whilst the results of this study could (and should) be used by SCI units around the world to reflect on and benchmark the therapy they provide, care needs to be taken before generalising the results of this study to all SCI units around the world. The results may not reflect usual physiotherapy and occupational therapy everywhere. So even though we included 15 different sites from 6 countries across Europe and Australia, these SCI units may not be representative of all SCI units around the world. The SCI units included in the SCI-MT Trial were selected because they had similar approaches to rehabilitation (and similar lengths of hospital stay). This was done in an attempt to minimise differences between sites; an important consideration for a trial in which all participants received usual care. However, if we had set out to determine usual care around the world then it would have been better if we either randomly selected SCI units from around the world or selected sites with different approaches to rehabilitation. This would have provided a more representative sample. Nonetheless, our data provides useful data for SCI units that are similar to those included in the SCI-MT Trial. We did not distinguish between exercises and training directed at, above or below the level of injury even though this information may have been helpful. Similarly, we did not collect data on all the different interventions provided as part of physiotherapy and occupational therapy that were not captured on the ISCI PT-OT BDS. We were aware of these limitations prior to the commencement of the SCI-MT Trial but we needed to weigh up the possible benefits of these data with the associated time and cost of collecting them. Ultimately, we decided that these costs were too high and we were more likely to get better and more accurate data if we minimised the burden of data collection on therapists. Even still, the data collection was an additional task for busy therapists and consequently they may not have always accurately recorded the therapy they provided despite their best attempts. In addition, some sites also provided group exercise sessions that were not always recorded. So, our data may underestimate the therapy that was provided but nonetheless provides the most comprehensive recent data on current practices. In all, the results of this study are not only important for the interpretation of the SCI-MT Trial but they also provide useful data about the amount and type of physiotherapy and occupational therapy typically provided by SCI units across Europe and Australia. We hope that these data will prompt SCI units and researchers to reflect on the optimal amount and combination of different types of therapies provided to people with recent SCI. More work in this area will lead to a better understanding of what should be provided to lead to better outcomes for people with SCI. Declarations DATA AVAILABILITY STATEMENT Data are available upon reasonable request. Deidentified participant data may be accessed by researchers who provide a methodological proposal directed to the corresponding author, LAH. Approval for data access will be granted on a case-by-case basis at the discretion of the principal investigator, LAH. The data will be accessible from the date of this article’s publication and will be available for a period of 5 years thereafter. ACKNOWLEDGEMENTS The authors would like to acknowledge the assistance of all participants and clinicians from involved 15 sites across Europe and Australia. AUTHOR CONTRIBUTIONS LAH, JVG, JC, MB and KET were responsible for overall trial design, day-to-day overall trial management and intervention development. JC, JVG and LAH were responsible for the first draft of this manuscript. SR, CR, FT, CL, FDN, LWC, DR, VJ, JVDL, CCMVL, MM, EJG, SP, CB, KO, LVR, GS, AIS and JMS were responsible for the sites. JVG, LAH, AIS, GS, HL, SP, VJ and CL were responsible for securing funding. All authors have read and approved the final manuscript. FUNDING This project received funding from New South Wales Ministry of Health, Australia (grant number: N/A) and Wings for Life – Spinal Cord Research Foundation, Austria (grant number: N/A). ETHICAL APPROVAL Ethical approval was obtained from the ethics committees representing the Northern Sydney Local Health District (for the Australia sites, 2020/ETH02540), Fondazione Santa Lucia IRCCS (for the Italian site; Prot. CE/PROG.928), Medical Ethics Committee of Maxima Medical Centre, Veldhoven (for the Adelante site and De Hoogstraat Rehabilitation Site in The Netherlands: CCMO code: NL78377.015.21), Central Committee on Medical Research Involving Human Subjects, Norway (for the Norwegian site, 278129), Yorkshire and The Humber – Bradford Leeds Research Ethics Committee (for the UK sites: 21/YH/0306) and Ethische Commissie Onderzoek UZ/KULeuven (for the Belgium sites: S65931). COMPETING INTERESTS None declared. References Harvey LA, Glinsky JV, Chu J, Herbert RD, Liu H, Jan S et al (2023) Early and intensive motor training to enhance neurological recovery in people with spinal cord injury: trial protocol. Spinal Cord 61:521–527 Glinsky JV, Chu J, Rimmer C, Roberts S, Scivoletto G, Tamburella F et al Intensive task-specific training following recent spinal cord injury to promote neurological recovery. A randomised, open-label, phase 3 superiority trial. The Lancet. (in press). Dunlop SA (2008) Activity-dependent plasticity: implications for recovery after spinal cord injury. Trends Neurosci 31:410–418 Smelt AF, van der Weele GM, Blom JW, Gussekloo J, Assendelft WJ (2010) How usual is usual care in pragmatic intervention studies in primary care? An overview of recent trials. Br J Gen Pract 60:e305–318 Zuidgeest MGP, Welsing PMJ, van Thiel G, Ciaglia A, Alfonso-Cristancho R, Eckert L et al (2017) Series: Pragmatic trials and real world evidence: Paper 5. Usual care and real life comparators. J Clin Epidemiol 90:92–98 Zbogar D, Eng JJ, Miller WC, Krassioukov AV, Verrier MC (2016) Physical activity outside of structured therapy during inpatient spinal cord injury rehabilitation. Journal. http://doi.org/10.1186/s12984-016-0208-8 Zbogar D, Eng JJ, Miller WC, Krassioukov AV, Verrier MC (2017) Movement repetitions in physical and occupational therapy during spinal cord injury rehabilitation. Spinal Cord 55:172–179 Foy T, Perritt G, Thimmaiah D, Heisler L, Offutt JL, Cantoni K et al (2011) The SCIRehab project: treatment time spent in SCI rehabilitation. Occupational therapy treatment time during inpatient spinal cord injury rehabilitation. J Spinal Cord Med 34:162–175 Taylor-Schroeder S, LaBarbera J, McDowell S, Zanca JM, Natale A, Mumma S et al (2011) The SCIRehab project: treatment time spent in SCI rehabilitation. Physical therapy treatment time during inpatient spinal cord injury rehabilitation. J Spinal Cord Med 34:149–161 van Langeveld SA, Post MW, van Asbeck FW, Gregory M, Halvorsen A, Rijken H et al (2011) Comparing content of therapy for people with a spinal cord injury in postacute inpatient rehabilitation in Australia, Norway, and The Netherlands. Phys Ther 91:210–224 van Langeveld SA, Post MW, van Asbeck FW, ter Horst P, Leenders J, Postma K et al (2011) Contents of physical therapy, occupational therapy, and sports therapy sessions for patients with a spinal cord injury in three Dutch rehabilitation centres. Disabil Rehabil 33:412–422 Whiteneck G, Gassaway J, Dijkers M, Backus D, Charlifue S, Chen D et al (2011) The SCIRehab project: treatment time spent in SCI rehabilitation. Inpatient treatment time across disciplines in spinal cord injury rehabilitation. J Spinal Cord Med 34:133–148 Ben M, Glinsky JV, Spooren AI, Roberts S, Chen LW, Denis S et al (2023) Early and Intensive Motor Training Trial for People with Spinal Cord Injuries: Description of the Intervention. Spinal Cord 61:600–607 Anderson KD, Field-Fote EC, Biering-Sørensen F, Bryden A, Harvey LA, Jones L et al (2020) Spinal Cord Ser Cases 6:74–81International Spinal Cord Injury Physical Therapy–Occupational Therapy Basic Data Set (Version 1.2) StatCorp (2019) S tata Statistical Sofrware: Release 16. College Station. StataCorp LLC, TX Mant D (2008) The problem with usual care. Br J Gen Pract 58:755–756 Bryden AM, Gran B (2024) Seeking sufficient and appropriate care during the first year after spinal cord injury: a qualitative study. Spinal Cord 62:241–248 Burns AS, Marino RJ, Kalsi-Ryan S, Middleton JW, Tetreault LA, Dettori JR et al (2017) Type and Timing of Rehabilitation Following Acute and Subacute Spinal Cord Injury: A Systematic Review. Global Spine J 7:175s–194s Whiteneck GG, Gassaway J, Dijkers MP, Lammertse DP, Hammond F, Heinemann AW et al (2011) Inpatient and postdischarge rehabilitation services provided in the first year after spinal cord injury: findings from the SCIRehab Study. Arch Phys Med Rehabil 92:361–368 Dobkin BH (2005) Rehabilitation and functional neuroimaging dose-response trajectories for clinical trials. Neurorehabil Neural Repair 19:276–282 Lotter JK, Henderson CE, Plawecki A, Holthus ME, Lucas EH, Ardestani MM et al (2020) Task-Specific Versus Impairment-Based Training on Locomotor Performance in Individuals With Chronic Spinal Cord Injury: A Randomized Crossover Study. Neurorehabilit Neural Repair 34:627–639 Tse CM, Chisholm AE, Lam T, Eng JJ (2018) A systematic review of the effectiveness of task-specific rehabilitation interventions for improving independent sitting and standing function in spinal cord injury. J Spinal Cord Med 41:254–266 Glinsky JV, Harvey LA, Tranter KE, Rees L, McDonald M, Wadsworth B et al (2025) An Australian and New Zealand clinical practice guideline for the physiotherapy management of people with spinal cord injuries. Spinal Cord 63:470–476 Martin Ginis KA, van der Scheer JW, Latimer-Cheung AE, Barrow A, Bourne C, Carruthers P et al (2018) Evidence-based scientific exercise guidelines for adults with spinal cord injury: an update and a new guideline. Spinal Cord 56:308–321 Aravind N, Harvey LA, Glinsky JV (2019) Physiotherapy interventions for increasing muscle strength in people with spinal cord injuries: a systematic review. Spinal Cord 57:449–460 Additional Declarations The authors declare no competing interests. Supplementary Files SupplementaryFile20250919.docx Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {\"props\":{\"pageProps\":{\"initialData\":{\"identity\":\"rs-8275987\",\"acceptedTermsAndConditions\":true,\"allowDirectSubmit\":true,\"archivedVersions\":[],\"articleType\":\"Research Article\",\"associatedPublications\":[],\"authors\":[{\"id\":555059203,\"identity\":\"51a72738-0067-47ef-bd6b-4579c4fc4958\",\"order_by\":0,\"name\":\"Jackie Chu\",\"email\":\"\",\"orcid\":\"\",\"institution\":\"\",\"correspondingAuthor\":false,\"prefix\":\"\",\"firstName\":\"Jackie\",\"middleName\":\"\",\"lastName\":\"Chu\",\"suffix\":\"\"},{\"id\":555059204,\"identity\":\"01206f02-4edd-4d24-ae31-c864c588fee6\",\"order_by\":1,\"name\":\"Joanne V 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16:50:04\",\"extension\":\"docx\",\"order_by\":1,\"title\":\"\",\"display\":\"\",\"copyAsset\":false,\"role\":\"supplement\",\"size\":112273,\"visible\":true,\"origin\":\"\",\"legend\":\"\",\"description\":\"\",\"filename\":\"SupplementaryFile20250919.docx\",\"url\":\"https://assets-eu.researchsquare.com/files/rs-8275987/v1/2ce7540c4671ed920fe3197c.docx\"}],\"financialInterests\":\"The authors declare no competing interests.\",\"formattedTitle\":\"\\u003cp\\u003eHow much and what type of exercises and training were provided to people with spinal cord injury as part of usual physiotherapy and occupational therapy in the SCI-MT Trial?\\u003c/p\\u003e\",\"fulltext\":[{\"header\":\"INTRODUCTION\",\"content\":\"\\u003cp\\u003eWe recently conducted a large international trial designed to determine the effects of 10 weeks of intensive motor training provided soon after spinal cord injury (SCI). It was called The Early and Intensive Motor Training for people with Spinal Cord Injuries Trial (the SCI-MT Trial) and was conducted in 15 sites across Europe and Australia [\\u003cspan citationid=\\\"CR1\\\" class=\\\"CitationRef\\\"\\u003e1\\u003c/span\\u003e]. The primary outcome was total motor scores of the International Standards for the Neurological Classification of SCI and there were a range of other measures of neurological status and function [\\u003cspan citationid=\\\"CR1\\\" class=\\\"CitationRef\\\"\\u003e1\\u003c/span\\u003e]. The results of the trial indicated no benefit on any outcome (except one psychological secondary outcome) from an additional 12 hours per week for 10 weeks of motor training targeting muscles at or below the level of injury provided in addition to usual inpatient physiotherapy and occupational (the exception was one psychological secondary outcome) [\\u003cspan citationid=\\\"CR2\\\" class=\\\"CitationRef\\\"\\u003e2\\u003c/span\\u003e]. These results challenge the long-held beliefs about activity-dependent spinal plasticity [\\u003cspan citationid=\\\"CR3\\\" class=\\\"CitationRef\\\"\\u003e3\\u003c/span\\u003e]. However, the interpretation of the results rely on a good understanding of the therapy provided to both groups as part of usual inpatient rehabilitation care [\\u003cspan citationid=\\\"CR4\\\" class=\\\"CitationRef\\\"\\u003e4\\u003c/span\\u003e, \\u003cspan citationid=\\\"CR5\\\" class=\\\"CitationRef\\\"\\u003e5\\u003c/span\\u003e], and specifically the amount and type of exercises and training provided as part of physiotherapy and occupational therapy. For example, the 12 hours per week of motor training may have been ineffective because of large amounts of therapy both groups received as part of usual care rendering the additional motor training redundant. If this is the case, then the results may not be applicable in situations where patients are receiving less therapy or a different type of therapy than provided to participants in the SCI-MT Trial. The primary purpose therefore of this study was to quantify the amount and type of exercises and training provided as part of usual physiotherapy and occupational therapy to both groups of the SCI-MT Trial to help with the interpretation of the SCI-MT Trial results.\\u003c/p\\u003e\\u003cp\\u003eThe SCI-MT Trial also provided a unique opportunity to attain data from 15 rehabilitation units across Europe and Australia on the amount and type of exercises and training typically delivered as part of usual inpatient physiotherapy and occupational therapy. These data are important to help others benchmark against because there is surprisingly little comparable data. Furthermore, there are ongoing concerns that people with SCI do not receive enough opportunity for active exercise [\\u003cspan citationid=\\\"CR6\\\" class=\\\"CitationRef\\\"\\u003e6\\u003c/span\\u003e, \\u003cspan citationid=\\\"CR7\\\" class=\\\"CitationRef\\\"\\u003e7\\u003c/span\\u003e]. Most data on the amount and type of physiotherapy and occupational therapy provided soon after SCI comes from work done by different groups nearly 15 years ago [\\u003cspan additionalcitationids=\\\"CR9 CR10 CR11\\\" citationid=\\\"CR8\\\" class=\\\"CitationRef\\\"\\u003e8\\u003c/span\\u003e\\u0026ndash;\\u003cspan citationid=\\\"CR12\\\" class=\\\"CitationRef\\\"\\u003e12\\u003c/span\\u003e]. It is not clear how relevant these data are today. Therefore, a secondary purpose of this study was to describe the amount and type of exercises and training provided as part of usual inpatient physiotherapy and occupational therapy across Europe and Australia.\\u003c/p\\u003e\"},{\"header\":\"METHODS\",\"content\":\"\\u003cp\\u003eTwo hundred and twenty people with recent SCI were recruited from 15 sites across Europe and Australia. Participants were eligible for inclusion if they had sustained a SCI within the preceding 10 weeks, were likely to remain in hospital for another 10 weeks and had some motor function below the neurological level (i.e., AIS C or D lesions, and AIS A with motor function more than 3 levels below the motor level). Participants were randomised to either usual care (Usual Care group) or usual care plus 12 hours per week of intensive motor training (Intervention group). The motor training provided to participants in the Intervention group focused on task-specific training but was supplemented with strength training [\\u003cspan citationid=\\\"CR13\\\" class=\\\"CitationRef\\\"\\u003e13\\u003c/span\\u003e]. It was provided on a one-to-one basis and directed at muscles at, or below, the level of the injury. For the 10-week intervention period, the sites provided comprehensive rehabilitation to all participants of both groups including physiotherapy and occupational therapy. They were instructed not to change their usual rehabilitation practices in response to the trial. The physiotherapy and occupational therapy provided as part of usual rehabilitation included exercises and training as well as other interventions such as stretch, passive movements, equipment prescription, pain management, education and planning for home/work modifications.\\u003c/p\\u003e\\u003cp\\u003eThe start and finish times of all physiotherapy and occupational therapy sessions that were scheduled and delivered over the 10-week intervention period were recorded, irrespective of whether exercises and training were provided. In addition, the following details were recorded: the discipline of the therapist that provided the session and the reasons for any missed session. Therapists were also asked to record in 5-minute blocks any time devoted to exercises and training that fell into one of the 7 categories of the International Spinal Cord Injury Physical Therapy-Occupational Therapy Basic Data Set - v.1.2 (ISCI PT-OT BDS) [\\u003cspan citationid=\\\"CR14\\\" class=\\\"CitationRef\\\"\\u003e14\\u003c/span\\u003e]. Five of the categories of the ISCI PT-OT BDS capture activity directed exercises and training, and include (i) bed/seated control activities, (ii) standing control activities, (iii) walking, moving up/down stairs, (iv) gross motor upper extremity activities and (v) fine motor upper extremity activities. The other two categories of the ISCI PT-OT BDS capture impairment directed exercises and training, and include (i) strength training and (ii) endurance training (see Supplementary file: Table\\u0026nbsp;\\u003cspan refid=\\\"Tab1\\\" class=\\\"InternalRef\\\"\\u003e1\\u003c/span\\u003e). All data were manually recorded in written format by the treating therapist during each session. The exception was one site in which the details of all occupational therapy sessions were self-reported by participants to a research staff member within a day or two of receiving the therapy. All data were double data entered onto a REDCap Database with resolution of all discrepancies and checks for out-of-range data.\\u003c/p\\u003e\\u003cp\\u003e\\u003cdiv class=\\\"gridtable\\\"\\u003e\\u003ctable float=\\\"Yes\\\" id=\\\"Tab1\\\" border=\\\"1\\\"\\u003e\\u003ccaption language=\\\"En\\\"\\u003e\\u003cdiv class=\\\"CaptionNumber\\\"\\u003eTable 1\\u003c/div\\u003e\\u003cdiv class=\\\"CaptionContent\\\"\\u003e\\u003cp\\u003eThe characteristics of participants. Data are presented by groups and combined.\\u003c/p\\u003e\\u003c/div\\u003e\\u003c/caption\\u003e\\u003ccolgroup cols=\\\"4\\\"\\u003e\\u003cdiv align=\\\"left\\\" class=\\\"colspec\\\" colname=\\\"c1\\\" colnum=\\\"1\\\"\\u003e\\u003c/div\\u003e\\u003cdiv align=\\\"left\\\" class=\\\"colspec\\\" colname=\\\"c2\\\" colnum=\\\"2\\\"\\u003e\\u003c/div\\u003e\\u003cdiv align=\\\"left\\\" class=\\\"colspec\\\" colname=\\\"c3\\\" colnum=\\\"3\\\"\\u003e\\u003c/div\\u003e\\u003cdiv align=\\\"left\\\" class=\\\"colspec\\\" colname=\\\"c4\\\" colnum=\\\"4\\\"\\u003e\\u003c/div\\u003e\\u003cthead\\u003e\\u003ctr\\u003e\\u003cth align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u0026nbsp;\\u003c/th\\u003e\\u003cth align=\\\"left\\\" colname=\\\"c2\\\"\\u003e\\u003cp\\u003eUsual Care group\\u003c/p\\u003e\\u003cp\\u003e(n\\u0026thinsp;=\\u0026thinsp;111)\\u003c/p\\u003e\\u003c/th\\u003e\\u003cth align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003eIntervention group\\u003c/p\\u003e\\u003cp\\u003e(n\\u0026thinsp;=\\u0026thinsp;109)\\u003c/p\\u003e\\u003c/th\\u003e\\u003cth align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003eAll participants\\u003c/p\\u003e\\u003cp\\u003e(n\\u0026thinsp;=\\u0026thinsp;220)\\u003c/p\\u003e\\u003c/th\\u003e\\u003c/tr\\u003e\\u003c/thead\\u003e\\u003ctbody\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eAge, median (IQR)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c2\\\"\\u003e\\u003cp\\u003e54 (42 to 64)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e59 (43 to 68)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e57 (43 to 67)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eGender\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c2\\\"\\u003e\\u0026nbsp;\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u0026nbsp;\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u0026nbsp;\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eFemale, n (%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c2\\\"\\u003e\\u003cp\\u003e23 (21%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e28 (26%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e51 (23%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eMale, n (%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c2\\\"\\u003e\\u003cp\\u003e88 (79%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e81 (74%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e169 (77%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eCountry of recruitment\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c2\\\"\\u003e\\u0026nbsp;\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u0026nbsp;\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u0026nbsp;\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eAustralia, Princess Alexandra Hospital, n (%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c2\\\"\\u003e\\u003cp\\u003e5 (5%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e6 (6%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e11 (5%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eAustralia, Royal North Shore Hospital, n (%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c2\\\"\\u003e\\u003cp\\u003e8 (11%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e8 (7%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e16 (7%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eAustralia, Royal Rehab, n (%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c2\\\"\\u003e\\u003cp\\u003e1 (1%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e2 (2%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e3 (1%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eAustralia, Prince of Wales Hospital, n (%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c2\\\"\\u003e\\u003cp\\u003e8 (7%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e9 (8%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e17 (8%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eAustralia, Royal Talbot Rehabilitation Centre, n (%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c2\\\"\\u003e\\u003cp\\u003e7 (6%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e7 (6%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e14 (6%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eAustralia, Repat Health Precinct, n (%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c2\\\"\\u003e\\u003cp\\u003e5 (5%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e4 (4%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e9 (4%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eAustralia, Fiona Stanley Hospital, n (%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c2\\\"\\u003e\\u003cp\\u003e16 (14%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e16 (15%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e32 (15%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eScotland, Queen Elizabeth National Spinal Injuries Unit, n (%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c2\\\"\\u003e\\u003cp\\u003e7 (6%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e10 (9%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e17 (8%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eItaly, Foundation Santa Lucia, n (%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c2\\\"\\u003e\\u003cp\\u003e14 (13%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e17 (16%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e31 (14%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eNorway, Sunnaas Rehabilitation Hospital, n (%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c2\\\"\\u003e\\u003cp\\u003e9 (8%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e6 (6%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e15 (7%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eEngland, Royal National Orthopaedic Hospital NHS Trust, n (%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c2\\\"\\u003e\\u003cp\\u003e7 (6%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e4 (4%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e11 (5%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eBelgium, University Hospital Leuven, n (%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c2\\\"\\u003e\\u003cp\\u003e4 (4%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e2 (2%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e6 (3%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eBelgium, Ghent University Hospital, n (%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c2\\\"\\u003e\\u003cp\\u003e3 (3%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e5 (5%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e8 (4%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eNetherlands, Adelante Hospital, n (%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c2\\\"\\u003e\\u003cp\\u003e8 (7%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e7 (6%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e15 (7%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eNetherlands, Dehoogstraat, n (%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c2\\\"\\u003e\\u003cp\\u003e9 (8%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e6 (6%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e15 (7%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eLevel of injury\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c2\\\"\\u003e\\u0026nbsp;\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u0026nbsp;\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u0026nbsp;\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eTetraplegia, n (%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c2\\\"\\u003e\\u003cp\\u003e66 (60%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e68 (62%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e134 (61%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eParaplegia, n (%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c2\\\"\\u003e\\u003cp\\u003e45 (41%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e41 (38%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e86 (39%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eType of injury (AIS) *\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c2\\\"\\u003e\\u0026nbsp;\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u0026nbsp;\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u0026nbsp;\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eAIS A, n (%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c2\\\"\\u003e\\u003cp\\u003e8 (7%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e4 (4%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e12 (5%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eAIS B, n (%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c2\\\"\\u003e\\u003cp\\u003e1 (1%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e0 (0%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e1 (1%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eAIS C, n (%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c2\\\"\\u003e\\u003cp\\u003e35 (32%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e40 (37%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e75 (34%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eAIS D, n (%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c2\\\"\\u003e\\u003cp\\u003e67 (60%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e65 (60%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e132 (60%)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eTime since injury (months), median (IQR)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c2\\\"\\u003e\\u003cp\\u003e1.5 (1.0 to 1.9)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e1.4 (1.2 to 1.8)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e1.5 (1.1 to 1.9)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eTime since first sat out of bed (days), median (IQR)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c2\\\"\\u003e\\u003cp\\u003e31 (18 to 48)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e32 (21 to 43)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e31.5 (20 to 45)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003c/tbody\\u003e\\u003c/colgroup\\u003e\\u003ctfoot\\u003e\\u003ctr\\u003e\\u003ctd colspan=\\\"4\\\"\\u003e\\u0026lowast; ASIA impairment scale (AIS)\\u003c/td\\u003e\\u003c/tr\\u003e\\u003c/tfoot\\u003e\\u003c/table\\u003e\\u003c/div\\u003e\\u003c/p\\u003e\\u003cp\\u003eQuantitative data are presented descriptively using means (SD), medians (interquartile ranges), percentages and counts as appropriate. All statistical analyses were performed using Stata Statistical Software V16 [\\u003cspan citationid=\\\"CR15\\\" class=\\\"CitationRef\\\"\\u003e15\\u003c/span\\u003e]. Data are presented for the two groups of the trial as well as for both groups combined.\\u003c/p\\u003e\"},{\"header\":\"RESULTS\",\"content\":\"\\u003cp\\u003eA total of 220 participants were recruited and randomised to the SCI-MT Trial. 77% were male and the median (interquartile, IQR) age was 57 years (43 to 67). 60% of participants had American Spinal Injury Association Impairment Scale (AIS) D and 39% of participants had paraplegia (see Table\\u0026nbsp;\\u003cspan refid=\\\"Tab1\\\" class=\\\"InternalRef\\\"\\u003e1\\u003c/span\\u003e for details). The median (IQR) intervention period over which usual care data were collected was 10.0 weeks (9.3 to 10.3). Four participants were withdrawn from the trial (2 participants from the Intervention group died and 2 participants from the Usual Care group withdrew without explanation). Their data were excluded from this study. There was little differences in the amount and type of therapy provided as part of usual care to the Usual Care group and the Intervention group for any measures of the amount and type of therapy provided as part of usual care so the data of the two groups are presented together unless otherwise stated (See Table\\u0026nbsp;\\u003cspan refid=\\\"Tab2\\\" class=\\\"InternalRef\\\"\\u003e3\\u003c/span\\u003e for details).\\u003c/p\\u003e\\u003cp\\u003e\\u003cdiv class=\\\"gridtable\\\"\\u003e\\u003ctable float=\\\"Yes\\\" id=\\\"Tab2\\\" border=\\\"1\\\"\\u003e\\u003ccaption language=\\\"En\\\"\\u003e\\u003cdiv class=\\\"CaptionNumber\\\"\\u003eTable 3\\u003c/div\\u003e\\u003cdiv class=\\\"CaptionContent\\\"\\u003e\\u003cp\\u003eThe details of the amount and type of exercises and training provided during all physiotherapy and occupational therapy sessions as captured with the ISCI PT-OT BDS. Data are presented by groups and combined (n\\u0026thinsp;=\\u0026thinsp;220). Data are presented as mean (SD) and median (IQR).\\u003c/p\\u003e\\u003c/div\\u003e\\u003c/caption\\u003e\\u003ccolgroup cols=\\\"8\\\"\\u003e\\u003cdiv align=\\\"left\\\" class=\\\"colspec\\\" colname=\\\"c1\\\" colnum=\\\"1\\\"\\u003e\\u003c/div\\u003e\\u003cdiv align=\\\"left\\\" class=\\\"colspec\\\" colname=\\\"c2\\\" colnum=\\\"2\\\"\\u003e\\u003c/div\\u003e\\u003cdiv align=\\\"left\\\" class=\\\"colspec\\\" colname=\\\"c3\\\" colnum=\\\"3\\\"\\u003e\\u003c/div\\u003e\\u003cdiv align=\\\"left\\\" class=\\\"colspec\\\" colname=\\\"c4\\\" colnum=\\\"4\\\"\\u003e\\u003c/div\\u003e\\u003cdiv align=\\\"left\\\" class=\\\"colspec\\\" colname=\\\"c5\\\" colnum=\\\"5\\\"\\u003e\\u003c/div\\u003e\\u003cdiv align=\\\"left\\\" class=\\\"colspec\\\" colname=\\\"c6\\\" colnum=\\\"6\\\"\\u003e\\u003c/div\\u003e\\u003cdiv align=\\\"left\\\" class=\\\"colspec\\\" colname=\\\"c7\\\" colnum=\\\"7\\\"\\u003e\\u003c/div\\u003e\\u003cdiv align=\\\"left\\\" class=\\\"colspec\\\" colname=\\\"c8\\\" colnum=\\\"8\\\"\\u003e\\u003c/div\\u003e\\u003cthead\\u003e\\u003ctr\\u003e\\u003cth align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u0026nbsp;\\u003c/th\\u003e\\u003cth align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c4\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003eUsual care group\\u003c/p\\u003e\\u003cp\\u003e(n\\u0026thinsp;=\\u0026thinsp;109)\\u003c/p\\u003e\\u003c/th\\u003e\\u003cth align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c6\\\" namest=\\\"c5\\\"\\u003e\\u003cp\\u003eIntervention group\\u003c/p\\u003e\\u003cp\\u003e(n\\u0026thinsp;=\\u0026thinsp;107)\\u003c/p\\u003e\\u003c/th\\u003e\\u003cth align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c8\\\" namest=\\\"c7\\\"\\u003e\\u003cp\\u003eAll participants\\u003c/p\\u003e\\u003cp\\u003e(n\\u0026thinsp;=\\u0026thinsp;216)\\u003c/p\\u003e\\u003c/th\\u003e\\u003c/tr\\u003e\\u003c/thead\\u003e\\u003ctbody\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c2\\\" namest=\\\"c1\\\"\\u003e\\u003cp\\u003eActivity-directed exercises\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e\\u003cb\\u003ePer week\\u003c/b\\u003e\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e\\u003cb\\u003eOver the intervention period\\u003c/b\\u003e\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c5\\\"\\u003e\\u003cp\\u003e\\u003cb\\u003ePer week\\u003c/b\\u003e\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c6\\\"\\u003e\\u003cp\\u003e\\u003cb\\u003eOver the intervention period\\u003c/b\\u003e\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c7\\\"\\u003e\\u003cp\\u003e\\u003cb\\u003ePer week\\u003c/b\\u003e\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c8\\\"\\u003e\\u003cp\\u003e\\u003cb\\u003eOver the intervention period\\u003c/b\\u003e\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c2\\\" namest=\\\"c1\\\"\\u003e\\u003cp\\u003eBed/ seated control activities\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e0.4 (0.0 to 0.9)\\u003c/p\\u003e\\u003cp\\u003e0.9 (1.5)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e4.5 (1.3 to 11.2)\\u003c/p\\u003e\\u003cp\\u003e10.1 (14.3)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c5\\\"\\u003e\\u003cp\\u003e0.3 (0.0 to 1.2)\\u003c/p\\u003e\\u003cp\\u003e0.9 (1.2)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c6\\\"\\u003e\\u003cp\\u003e4.7 (1.8 to 12.3)\\u003c/p\\u003e\\u003cp\\u003e9.4 (11.3)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c7\\\"\\u003e\\u003cp\\u003e0.3 (0.0 to 1.0)\\u003c/p\\u003e\\u003cp\\u003e0.9 (1.3)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c8\\\"\\u003e\\u003cp\\u003e4.6 (1.8 to 11.3)\\u003c/p\\u003e\\u003cp\\u003e9.8 (12.9)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c2\\\" namest=\\\"c1\\\"\\u003e\\u003cp\\u003eStanding control activities\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e0.9 (0.5 to 1.5)\\u003c/p\\u003e\\u003cp\\u003e1.0 (0.8)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e8.9 (5.0 to 15.5)\\u003c/p\\u003e\\u003cp\\u003e10.5 (7.3)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c5\\\"\\u003e\\u003cp\\u003e0.7 (0.3 to 1.3)\\u003c/p\\u003e\\u003cp\\u003e0.8 (0.7)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c6\\\"\\u003e\\u003cp\\u003e7.3 (3.2 to 12.3)\\u003c/p\\u003e\\u003cp\\u003e8.5 (6.9)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c7\\\"\\u003e\\u003cp\\u003e0.8 (0.3 to 1.4)\\u003c/p\\u003e\\u003cp\\u003e0.9 (0.8)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c8\\\"\\u003e\\u003cp\\u003e7.8 (4.2 to 13.6)\\u003c/p\\u003e\\u003cp\\u003e9.5 (7.2)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c2\\\" namest=\\\"c1\\\"\\u003e\\u003cp\\u003eWalking, stairs\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e0.7 (0.0 to 1.4)\\u003c/p\\u003e\\u003cp\\u003e0.8 (0.9)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e7.3 (2.1 to 13.2)\\u003c/p\\u003e\\u003cp\\u003e8.6 (7.4)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c5\\\"\\u003e\\u003cp\\u003e0.5 (0.0 to 0.9)\\u003c/p\\u003e\\u003cp\\u003e0.6 (0.6)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c6\\\"\\u003e\\u003cp\\u003e5.2 (1.3 to 10.1)\\u003c/p\\u003e\\u003cp\\u003e6.1 (5.5)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c7\\\"\\u003e\\u003cp\\u003e0.5 (0.0 to 1.2)\\u003c/p\\u003e\\u003cp\\u003e0.7 (0.7)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c8\\\"\\u003e\\u003cp\\u003e6.4 (1.5 to 11.4)\\u003c/p\\u003e\\u003cp\\u003e7.4 (6.7)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c2\\\" namest=\\\"c1\\\"\\u003e\\u003cp\\u003eGross motor upper extremity\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e0.3 (0.0 to 0.7)\\u003c/p\\u003e\\u003cp\\u003e0.5 (0.6)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e3.7 (1.1 to 7.1)\\u003c/p\\u003e\\u003cp\\u003e5.5 (6.1)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c5\\\"\\u003e\\u003cp\\u003e0.3 (0.0 to 0.8)\\u003c/p\\u003e\\u003cp\\u003e0.4 (0.5)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c6\\\"\\u003e\\u003cp\\u003e4.1 (1.3 to 8.0)\\u003c/p\\u003e\\u003cp\\u003e5.3 (4.8)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c7\\\"\\u003e\\u003cp\\u003e0.3 (0.0 to 0.8)\\u003c/p\\u003e\\u003cp\\u003e0.5 (0.6)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c8\\\"\\u003e\\u003cp\\u003e3.9 (1.3 to 7.6)\\u003c/p\\u003e\\u003cp\\u003e5.4 (5.5)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c2\\\" namest=\\\"c1\\\"\\u003e\\u003cp\\u003eFine motor upper extremity\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e0.0 (0.0 to 1.2)\\u003c/p\\u003e\\u003cp\\u003e0.6 (0.9)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e2.2 (0.3 to 11.6)\\u003c/p\\u003e\\u003cp\\u003e6.1 (7.8)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c5\\\"\\u003e\\u003cp\\u003e0.0 (0.0 to 1.0)\\u003c/p\\u003e\\u003cp\\u003e0.6 (0.8)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c6\\\"\\u003e\\u003cp\\u003e2.3 (0.2 to 9.9)\\u003c/p\\u003e\\u003cp\\u003e6.1 (7.4)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c7\\\"\\u003e\\u003cp\\u003e0.0 (0.0 to 1.1)\\u003c/p\\u003e\\u003cp\\u003e0.6 (0.8)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c8\\\"\\u003e\\u003cp\\u003e2.2 (0.3 to 10.9)\\u003c/p\\u003e\\u003cp\\u003e6.1 (7.6)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c2\\\" namest=\\\"c1\\\"\\u003e\\u003cp\\u003e\\u003cem\\u003eTotal time (hours)\\u003c/em\\u003e\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e\\u003cem\\u003e4.2 (2.8 to 5.7)\\u003c/em\\u003e\\u003c/p\\u003e\\u003cp\\u003e\\u003cem\\u003e4.2 (2.1)\\u003c/em\\u003e\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e\\u003cem\\u003e38.8 (25.8 to 56.7)\\u003c/em\\u003e\\u003c/p\\u003e\\u003cp\\u003e\\u003cem\\u003e40.8 (19)\\u003c/em\\u003e\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c5\\\"\\u003e\\u003cp\\u003e\\u003cem\\u003e3.6 (2.5 to 4.9)\\u003c/em\\u003e\\u003c/p\\u003e\\u003cp\\u003e\\u003cem\\u003e3.7 (1.6)\\u003c/em\\u003e\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c6\\\"\\u003e\\u003cp\\u003e\\u003cem\\u003e33.8 (24.7 to 46.2)\\u003c/em\\u003e\\u003c/p\\u003e\\u003cp\\u003e\\u003cem\\u003e35.4 (14.5)\\u003c/em\\u003e\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c7\\\"\\u003e\\u003cp\\u003e\\u003cem\\u003e3.8 (2.6 to 5.3)\\u003c/em\\u003e\\u003c/p\\u003e\\u003cp\\u003e\\u003cem\\u003e3.9 (1.8)\\u003c/em\\u003e\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c8\\\"\\u003e\\u003cp\\u003e\\u003cem\\u003e36.8 (25.5 to 51.3)\\u003c/em\\u003e\\u003c/p\\u003e\\u003cp\\u003e\\u003cem\\u003e38.1 (17.1)\\u003c/em\\u003e\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"8\\\" nameend=\\\"c8\\\" namest=\\\"c1\\\"\\u003e\\u003cp\\u003eImpairment-directed exercises\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c2\\\" namest=\\\"c1\\\"\\u003e\\u003cp\\u003eStrength training\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e0.4 (0.0 to 0.9)\\u003c/p\\u003e\\u003cp\\u003e0.9 (1.5)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e14.3 (7.8 to 24.5)\\u003c/p\\u003e\\u003cp\\u003e16.7 (12.4)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c5\\\"\\u003e\\u003cp\\u003e0.3 (0.0 to 1.2)\\u003c/p\\u003e\\u003cp\\u003e0.9 (1.2)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c6\\\"\\u003e\\u003cp\\u003e13.8 (6.3 to 21.8)\\u003c/p\\u003e\\u003cp\\u003e15.0 (11.9)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c7\\\"\\u003e\\u003cp\\u003e0.3 (0.0 to 1.0)\\u003c/p\\u003e\\u003cp\\u003e0.9 (1.3)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c8\\\"\\u003e\\u003cp\\u003e13.9 (7.0 to 22.8)\\u003c/p\\u003e\\u003cp\\u003e15.9 (12.1)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c2\\\" namest=\\\"c1\\\"\\u003e\\u003cp\\u003eEndurance training\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e0.9 (0.5 to 1.5)\\u003c/p\\u003e\\u003cp\\u003e1.0 (0.8)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e4.0 (0.8 to 8.9)\\u003c/p\\u003e\\u003cp\\u003e5.7 (5.8)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c5\\\"\\u003e\\u003cp\\u003e0.7 (0.3 to 1.3)\\u003c/p\\u003e\\u003cp\\u003e0.8 (0.7)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c6\\\"\\u003e\\u003cp\\u003e2.6 (0.8 to 7.7)\\u003c/p\\u003e\\u003cp\\u003e5.1 (6.3)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c7\\\"\\u003e\\u003cp\\u003e0.8 (0.3 to 1.4)\\u003c/p\\u003e\\u003cp\\u003e0.9 (0.8)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c8\\\"\\u003e\\u003cp\\u003e3.4 (0.8 to 8.6)\\u003c/p\\u003e\\u003cp\\u003e5.4 (6.0)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c2\\\" namest=\\\"c1\\\"\\u003e\\u003cp\\u003e\\u003cem\\u003eTotal time (hours)\\u003c/em\\u003e\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e\\u003cem\\u003e2.0 (0.9 to 3.3)\\u003c/em\\u003e\\u003c/p\\u003e\\u003cp\\u003e\\u003cem\\u003e2.3 (1.8)\\u003c/em\\u003e\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e\\u003cem\\u003e19.2 (9.4 to 32.8)\\u003c/em\\u003e\\u003c/p\\u003e\\u003cp\\u003e\\u003cem\\u003e22.4 (16.5)\\u003c/em\\u003e\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c5\\\"\\u003e\\u003cp\\u003e\\u003cem\\u003e1.8 (0.8 to 2.8)\\u003c/em\\u003e\\u003c/p\\u003e\\u003cp\\u003e\\u003cem\\u003e2.0 (1.7)\\u003c/em\\u003e\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c6\\\"\\u003e\\u003cp\\u003e\\u003cem\\u003e18.2 (7.9 to 26.8)\\u003c/em\\u003e\\u003c/p\\u003e\\u003cp\\u003e\\u003cem\\u003e20.2 (16.4)\\u003c/em\\u003e\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c7\\\"\\u003e\\u003cp\\u003e\\u003cem\\u003e1.9 (0.9 to 2.9)\\u003c/em\\u003e\\u003c/p\\u003e\\u003cp\\u003e\\u003cem\\u003e2.2 (1.8)\\u003c/em\\u003e\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c8\\\"\\u003e\\u003cp\\u003e\\u003cem\\u003e18.7 (8.7 to 29.5)\\u003c/em\\u003e\\u003c/p\\u003e\\u003cp\\u003e\\u003cem\\u003e21.3 (16.4)\\u003c/em\\u003e\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"8\\\" nameend=\\\"c8\\\" namest=\\\"c1\\\"\\u003e\\u003cp\\u003eActivity-directed and Impairment-directed exercises\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c2\\\" namest=\\\"c1\\\"\\u003e\\u003cp\\u003e\\u003cem\\u003eTotal time (hours)\\u003c/em\\u003e\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c3\\\"\\u003e\\u003cp\\u003e\\u003cem\\u003e6.2 (4.5 to 8.3)\\u003c/em\\u003e\\u003c/p\\u003e\\u003cp\\u003e\\u003cem\\u003e6.7 (3.2)\\u003c/em\\u003e\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c4\\\"\\u003e\\u003cp\\u003e\\u003cem\\u003e61.1(44.2 to 80.0)\\u003c/em\\u003e\\u003c/p\\u003e\\u003cp\\u003e\\u003cem\\u003e63.2 (29.6)\\u003c/em\\u003e\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c5\\\"\\u003e\\u003cp\\u003e\\u003cem\\u003e5.3 (3.9 to 7.2)\\u003c/em\\u003e\\u003c/p\\u003e\\u003cp\\u003e\\u003cem\\u003e5.8 (2.7)\\u003c/em\\u003e\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c6\\\"\\u003e\\u003cp\\u003e\\u003cem\\u003e52.2 (38.9 to 68.3)\\u003c/em\\u003e\\u003c/p\\u003e\\u003cp\\u003e\\u003cem\\u003e55.6 (25.2)\\u003c/em\\u003e\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c7\\\"\\u003e\\u003cp\\u003e\\u003cem\\u003e5.7(4.3 to 7.8)\\u003c/em\\u003e\\u003c/p\\u003e\\u003cp\\u003e\\u003cem\\u003e6.2 (3.0)\\u003c/em\\u003e\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c8\\\"\\u003e\\u003cp\\u003e\\u003cem\\u003e55.5 (39.9 to 75.1)\\u003c/em\\u003e\\u003c/p\\u003e\\u003cp\\u003e\\u003cem\\u003e59.4 (27.7)\\u003c/em\\u003e\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003c/tbody\\u003e\\u003c/colgroup\\u003e\\u003c/table\\u003e\\u003c/div\\u003e\\u003c/p\\u003e\\n\\u003ch3\\u003eNumber of therapy sessions\\u003c/h3\\u003e\\n\\u003cp\\u003eA median (IQR) of 85.0 (63.0 to 111.5) physiotherapy and occupational therapy sessions were recorded (See Table\\u0026nbsp;\\u003cspan refid=\\\"Tab3\\\" class=\\\"InternalRef\\\"\\u003e2\\u003c/span\\u003e for details). Physiotherapists provided 65% of all therapy sessions (See Table\\u0026nbsp;\\u003cspan refid=\\\"Tab3\\\" class=\\\"InternalRef\\\"\\u003e2\\u003c/span\\u003e for details). Participants were scheduled to receive a median (IQR) of 9.8 sessions per week (7.2 to 12.5) but attended a median (IQR) of 8.6 sessions per week (6.4 to 11.4) (See Table\\u0026nbsp;\\u003cspan refid=\\\"Tab3\\\" class=\\\"InternalRef\\\"\\u003e2\\u003c/span\\u003e for details). Therapy sessions were most commonly missed because of appointments (16%), illness (11%) or bladder/bowel problems (9%) (See Table\\u0026nbsp;\\u003cspan refid=\\\"Tab3\\\" class=\\\"InternalRef\\\"\\u003e2\\u003c/span\\u003e for details).\\u003c/p\\u003e\\u003cp\\u003e\\u003cdiv class=\\\"gridtable\\\"\\u003e\\u003ctable float=\\\"Yes\\\" id=\\\"Tab3\\\" border=\\\"1\\\"\\u003e\\u003ccaption language=\\\"En\\\"\\u003e\\u003cdiv class=\\\"CaptionNumber\\\"\\u003eTable 2\\u003c/div\\u003e\\u003cdiv class=\\\"CaptionContent\\\"\\u003e\\u003cp\\u003eThe details of therapy scheduled and attended by participants and reasons for missed sessions. Data are presented by and combined. Data are presented as medians (IQR) unless otherwise stated.\\u003c/p\\u003e\\u003c/div\\u003e\\u003c/caption\\u003e\\u003ccolgroup cols=\\\"12\\\"\\u003e\\u003cdiv align=\\\"left\\\" class=\\\"colspec\\\" colname=\\\"c1\\\" colnum=\\\"1\\\"\\u003e\\u003c/div\\u003e\\u003cdiv align=\\\"left\\\" class=\\\"colspec\\\" colname=\\\"c2\\\" colnum=\\\"2\\\"\\u003e\\u003c/div\\u003e\\u003cdiv align=\\\"left\\\" class=\\\"colspec\\\" colname=\\\"c3\\\" colnum=\\\"3\\\"\\u003e\\u003c/div\\u003e\\u003cdiv align=\\\"left\\\" class=\\\"colspec\\\" colname=\\\"c4\\\" colnum=\\\"4\\\"\\u003e\\u003c/div\\u003e\\u003cdiv align=\\\"left\\\" class=\\\"colspec\\\" colname=\\\"c5\\\" colnum=\\\"5\\\"\\u003e\\u003c/div\\u003e\\u003cdiv align=\\\"left\\\" class=\\\"colspec\\\" colname=\\\"c6\\\" colnum=\\\"6\\\"\\u003e\\u003c/div\\u003e\\u003cdiv align=\\\"left\\\" class=\\\"colspec\\\" colname=\\\"c7\\\" colnum=\\\"7\\\"\\u003e\\u003c/div\\u003e\\u003cdiv align=\\\"left\\\" class=\\\"colspec\\\" colname=\\\"c8\\\" colnum=\\\"8\\\"\\u003e\\u003c/div\\u003e\\u003cdiv align=\\\"left\\\" class=\\\"colspec\\\" colname=\\\"c9\\\" colnum=\\\"9\\\"\\u003e\\u003c/div\\u003e\\u003cdiv align=\\\"left\\\" class=\\\"colspec\\\" colname=\\\"c10\\\" colnum=\\\"10\\\"\\u003e\\u003c/div\\u003e\\u003cdiv align=\\\"left\\\" class=\\\"colspec\\\" colname=\\\"c11\\\" colnum=\\\"11\\\"\\u003e\\u003c/div\\u003e\\u003cdiv align=\\\"left\\\" class=\\\"colspec\\\" colname=\\\"c12\\\" colnum=\\\"12\\\"\\u003e\\u003c/div\\u003e\\u003cthead\\u003e\\u003ctr\\u003e\\u003cth align=\\\"left\\\" colname=\\\"c1\\\" morerows=\\\"1\\\" rowspan=\\\"2\\\"\\u003e\\u0026nbsp;\\u003c/th\\u003e\\u003cth align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c4\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003eUsual care group\\u003c/p\\u003e\\u003cp\\u003e(n\\u0026thinsp;=\\u0026thinsp;109)\\u003c/p\\u003e\\u003c/th\\u003e\\u003cth align=\\\"left\\\" colspan=\\\"4\\\" nameend=\\\"c8\\\" namest=\\\"c5\\\"\\u003e\\u003cp\\u003eIntervention group\\u003c/p\\u003e\\u003cp\\u003e(n\\u0026thinsp;=\\u0026thinsp;107)\\u003c/p\\u003e\\u003c/th\\u003e\\u003cth align=\\\"left\\\" colspan=\\\"4\\\" nameend=\\\"c12\\\" namest=\\\"c9\\\"\\u003e\\u003cp\\u003eAll participants\\u003c/p\\u003e\\u003cp\\u003e(n\\u0026thinsp;=\\u0026thinsp;216)\\u003c/p\\u003e\\u003c/th\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003cth align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003e\\u003cb\\u003eScheduled\\u003c/b\\u003e\\u003c/p\\u003e\\u003c/th\\u003e\\u003cth align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003e\\u003cb\\u003eAttended\\u003c/b\\u003e\\u003c/p\\u003e\\u003c/th\\u003e\\u003cth align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003e\\u003cb\\u003eScheduled\\u003c/b\\u003e\\u003c/p\\u003e\\u003c/th\\u003e\\u003cth align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003e\\u003cb\\u003eAttended\\u003c/b\\u003e\\u003c/p\\u003e\\u003c/th\\u003e\\u003cth align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003e\\u003cb\\u003eScheduled\\u003c/b\\u003e\\u003c/p\\u003e\\u003c/th\\u003e\\u003cth align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003e\\u003cb\\u003eAttended\\u003c/b\\u003e\\u003c/p\\u003e\\u003c/th\\u003e\\u003c/tr\\u003e\\u003c/thead\\u003e\\u003ctbody\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eTotal number of sessions over intervention period\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003e98 (68 to 126)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003e87 (64 to 115)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003e92 (72 to 118)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003e83 (63 to 107)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003e92.5 (69 to 122)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003e85 (63 to 111.5)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eTotal number of sessions per week\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003e10.4 (7.3 to 12.8)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003e9.4 (6.6 to 11.8)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003e9.5 (7.2 to 11.6)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003e8.5 (6.2 to 10.5)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003e9.8 (7.2 to 12.5)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003e8.6 (6.4 to 11.4)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eTime (hours) spent in therapy sessions over the intervention period\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003e91.8 (71 to 128)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003e83 (64.6 to 116)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003e90.2 (65.2 to 114.8)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003e76.1 (58.4 to 98)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003e91.5 (67.2 to 121.8)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003e80.7 (60.0 to 107.7)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eTime (hours) spent in therapy sessions per week\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003e9.5 (7.2 to 14)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003e8.4 (6.5 to 12.5)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003e9.3 (6.2 to 12)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003e7.8 (5.8 to 10.8)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003e9.3 (6.7 to 12.7)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003e8.3 (6.2 to 11.4)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eProportion (%) of therapy sessions provided by\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u0026nbsp;\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u0026nbsp;\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u0026nbsp;\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u0026nbsp;\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u0026nbsp;\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u0026nbsp;\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003ePhysiotherapists\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003e62% (51 to 78)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003e65% (52 to 78)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003e65% (51 to 79)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003e65% (52 to 80)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003e64% (51 to 79)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003e65% (52 to 80)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eOccupational therapists\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003e28% (16 to 37)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003e28% (16 to 36)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003e28% (15 to 44)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003e28% (16 to 44)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003e28% (16 to 40)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003e28% (16 to 39)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eOther\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003e0% (0 to 14)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003e0% (0 to 11)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003e0% (0 to 8)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003e0% (0 to 8)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003e0% (0 to 10)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003e0% (0 to 9)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eNo discipline specified\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003e0% (0 to 0)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003e0% (0 to 0)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003e0% (0 to 0)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003e0% (0 to 0)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003e0% (0 to 0)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003e0% (0 to 0)\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eTotal number of therapy sessions missed over the intervention period\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003e6 (1 to 16)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003e8 (2 to 13)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003e7 (2 to 13.5)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eNo. of therapy sessions missed per week\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003e0.6 (0.1 to 1.5)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003e0.8 (0.2 to 1.4)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003e0.7 (0.2 to 1.4)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eProportion (%) of therapy sessions missed per week\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003e6% (2 to 12)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003e8% (3 to 13)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003e7 (2 to 13)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c2\\\" namest=\\\"c1\\\"\\u003e\\u003cp\\u003eCauses of missed therapy sessions\\u003c/p\\u003e\\u003cp\\u003e(expressed as proportion of all causes)\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"4\\\" nameend=\\\"c6\\\" namest=\\\"c3\\\"\\u003e\\u0026nbsp;\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c9\\\" namest=\\\"c7\\\"\\u003e\\u0026nbsp;\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c12\\\" namest=\\\"c10\\\"\\u003e\\u0026nbsp;\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eAppointments\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003e16%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003e15%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003e16%\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eUnwell\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003e9%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003e13%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003e11%\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eBladder/bowel\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003e8%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003e9%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003e9%\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eMedical tests\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003e7%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003e7%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003e7%\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eStaffing issues\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003e6%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003e6%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003e6%\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003ePain\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003e5%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003e6%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003e5%\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eFatigue\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003e5%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003e6%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003e5%\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eNursing issues\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003e4%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003e4%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003e4%\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003ePublic holiday**\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003e4%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003e3%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003e4%\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eMiscellaneous\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003e5%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003e4%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003e4%\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eUTI\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003e3%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003e4%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003e3%\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eHospital admissions\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003e3%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003e4%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003e3%\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eOutings/ on leave pass\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003e3%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003e3%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003e3%\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eCOVID related\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003e2%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003e3%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003e3%\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eSocial commitment/ visitors\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003e3%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003e4%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003e3%\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eDeclined\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003e2%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003e2%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003e2%\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eMental health issues\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003e3%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003e1%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003e2%\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eSkin issues\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003e1%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003e1%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003e1%\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eAwaiting on wards for nursing/medical consults or procedures\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003e1%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003e0%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003e1%\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eAsleep\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003e1%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003e1%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003e1%\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eSerious/ adverse events\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003e1%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003e0%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003e0%\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003ctr\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c1\\\"\\u003e\\u003cp\\u003eNot specified\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c3\\\" namest=\\\"c2\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c5\\\" namest=\\\"c4\\\"\\u003e\\u003cp\\u003e10%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"2\\\" nameend=\\\"c7\\\" namest=\\\"c6\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colspan=\\\"3\\\" nameend=\\\"c10\\\" namest=\\\"c8\\\"\\u003e\\u003cp\\u003e4%\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c11\\\"\\u003e\\u003cp\\u003eNA\\u003c/p\\u003e\\u003c/td\\u003e\\u003ctd align=\\\"left\\\" colname=\\\"c12\\\"\\u003e\\u003cp\\u003e7%\\u003c/p\\u003e\\u003c/td\\u003e\\u003c/tr\\u003e\\u003c/tbody\\u003e\\u003c/colgroup\\u003e\\u003ctfoot\\u003e\\u003ctr\\u003e\\u003ctd colspan=\\\"12\\\"\\u003e*** This reason was probably underestimated as not all sites scheduled therapy sessions on public holidays.\\u003c/td\\u003e\\u003c/tr\\u003e\\u003c/tfoot\\u003e\\u003c/table\\u003e\\u003c/div\\u003e\\u003c/p\\u003e\\n\\u003ch3\\u003eTime devoted to exercises and training\\u003c/h3\\u003e\\n\\u003cp\\u003eParticipants spent a median (IQR) of 5.7 hours (4.3 to 7.8) per week performing exercises or training as captured on the ISCI PT-OT BDS. A median (IQR) of 3.8 (2.6 to 5.3) hours per week was spent on activity-directed exercises and training, and 1.9 (0.9 to 2.9) hours per week on impairment-directed exercises and training (See Table\\u0026nbsp;\\u003cspan refid=\\\"Tab2\\\" class=\\\"InternalRef\\\"\\u003e3\\u003c/span\\u003e for details). This equated to a median (IQR) of 36.8 hours (25.5 to 51.3) and 18.7 hours (8.7 to 29.5) in total over the intervention period, respectively (see Table\\u0026nbsp;\\u003cspan refid=\\\"Tab2\\\" class=\\\"InternalRef\\\"\\u003e3\\u003c/span\\u003e for details).\\u003c/p\\u003e\"},{\"header\":\"DISCUSSION\",\"content\":\"\\u003cp\\u003eThis study describes the amount and type of exercises and training that were provided as part of usual physiotherapy and occupational therapy to participants of the SCI-MT Trial. This information is important because the SCI-MT Trial found no effect from the intensive motor training provided in addition to usual inpatient rehabilitation care. However, these results cannot be generalised to situations in which the amount and type of physiotherapy and occupational therapy provided to patients is different to that provided in the SCI-MT Trial [\\u003cspan citationid=\\\"CR4\\\" class=\\\"CitationRef\\\"\\u003e4\\u003c/span\\u003e, \\u003cspan citationid=\\\"CR11\\\" class=\\\"CitationRef\\\"\\u003e11\\u003c/span\\u003e, \\u003cspan citationid=\\\"CR16\\\" class=\\\"CitationRef\\\"\\u003e16\\u003c/span\\u003e]. For example, additional motor training may be effective in situations where the physiotherapy and occupational therapy is less or different to that provided in the SCI-MT Trial. It is important to understand the usual therapy provided to both groups in the SCI-MT Trial to explain the results of the trial. For instance, our failure to demonstrate a treatment effect could be explained by therapists inadvertently providing more therapy or a different type of therapy to participants in the Usual Care group than participants in the Intervention group in response to the trial. However, there was no indication that this was the case. The amount and type of exercises and training provided in physiotherapy and occupational therapy as part of usual care were similar for both groups, and participants of both groups spent comparable amounts of time attending therapy.\\u003c/p\\u003e\\u003cp\\u003eThe results of this study not only help with the interpretation of the SCI-MT Trial but they also provide rare recent data on the amount of physiotherapy and occupational therapy provided to people with SCI. For example, our results indicate that participants spent a median of 8.3 hours per week in physiotherapy and occupational therapy. These results suggest an increase in the amount of therapy to what was reported in 2011 at which time people from SCI units in the Netherlands, Norway and Australia were reportedly receiving approximately 4 to 6 hours per week [\\u003cspan citationid=\\\"CR10\\\" class=\\\"CitationRef\\\"\\u003e10\\u003c/span\\u003e, \\u003cspan citationid=\\\"CR11\\\" class=\\\"CitationRef\\\"\\u003e11\\u003c/span\\u003e]. However, another study also done in 2011 suggested that people with SCI in the USA were receiving substantially more time in physiotherapy and occupational therapy. Namely 14.1 hours per week of physiotherapy and occupational therapy [\\u003cspan citationid=\\\"CR8\\\" class=\\\"CitationRef\\\"\\u003e8\\u003c/span\\u003e, \\u003cspan citationid=\\\"CR9\\\" class=\\\"CitationRef\\\"\\u003e9\\u003c/span\\u003e] (compared to our 8.3 hours). We don\\u0026rsquo;t know if and how the amount of therapy provided in 2011 in the USA has changed over the last 15 years although lengths of hospital stay in the USA are generally shorter than lengths of hospital stay in Australia and European countries [\\u003cspan additionalcitationids=\\\"CR18\\\" citationid=\\\"CR17\\\" class=\\\"CitationRef\\\"\\u003e17\\u003c/span\\u003e\\u0026ndash;\\u003cspan citationid=\\\"CR19\\\" class=\\\"CitationRef\\\"\\u003e19\\u003c/span\\u003e]. So possibly the total time in physiotherapy and occupational therapy over the course of a patient\\u0026rsquo;s hospital stay is similar.\\u003c/p\\u003e\\u003cp\\u003eIt is surprising that 25% of participants attended physiotherapy and occupational therapy for less than 6.2 hours per week and only spent 4.3 hours per week on any exercises or training captured on the ISCI PT-OT BDS (see Tables\\u0026nbsp;\\u003cspan refid=\\\"Tab3\\\" class=\\\"InternalRef\\\"\\u003e2\\u003c/span\\u003e and \\u003cspan refid=\\\"Tab2\\\" class=\\\"InternalRef\\\"\\u003e3\\u003c/span\\u003e for details). This is a small amount of therapy particularly considering that these were people with recent SCI undergoing specialist rehabilitation. While these figures justify the recent concern that people with SCI are not receiving sufficient therapy [\\u003cspan citationid=\\\"CR17\\\" class=\\\"CitationRef\\\"\\u003e17\\u003c/span\\u003e], it could also be argued that these concerns are not justified because the results of the SCI-MT Trial indicate no benefit from additional therapy time. However, it is important to recognise that the additional therapy provided as part of the SCI-MT Trial was only motor training directed at, or below the level of the injury [\\u003cspan citationid=\\\"CR1\\\" class=\\\"CitationRef\\\"\\u003e1\\u003c/span\\u003e, \\u003cspan citationid=\\\"CR13\\\" class=\\\"CitationRef\\\"\\u003e13\\u003c/span\\u003e]. The results of the SCI-MT Trial do not tell us about the possible benefits of additional time spent in physiotherapy and occupational therapy that is not specifically focused on the type of motor training provided in the SCI-MT Trial. For example, patients may benefit from more than 6.2 hours per week of physiotherapy and occupational therapy that focuses on other aspects of rehabilitation including learning independence and skills associated with seated and/or upright mobility. There is clearly a need for clarity around optimal amounts of therapy for people with recent SCI, and this needs to be underpinned by high quality clinical trials. In the meantime, it may also be worthwhile to explore ways to minimise the number of missed therapy sessions. Some missed sessions are clearly unavoidable (e.g. 11% of missed sessions were due to participants being unwell). However, 16% of missed sessions were because of conflicting appointments. This may also be unavoidable but it would be worth investigating further to see if anything could be done to minimise these.\\u003c/p\\u003e\\u003cp\\u003eIt is often assumed that there is a lot of wasted time in therapy [\\u003cspan citationid=\\\"CR6\\\" class=\\\"CitationRef\\\"\\u003e6\\u003c/span\\u003e, \\u003cspan citationid=\\\"CR7\\\" class=\\\"CitationRef\\\"\\u003e7\\u003c/span\\u003e]. However, to the contrary, our data indicates that participants spent 70% of their time in physiotherapy or occupational therapy engaged in exercises that were captured on the ISCI PT-OT BDS. This was equivalent to 5.7 hours per week (IQR, 4.3 to 7.8). This leaves 30% of time in physiotherapy and occupational therapy on all the many other aspects of therapy including assessments, equipment prescription, revision of home and work environments, treatments for pain and range of motion, and time spent on goal setting. It therefore appears that therapists and people with SCI are using their time in therapy productively with very little \\u0026ldquo;down time\\u0026rdquo;.\\u003c/p\\u003e\\u003cp\\u003eParticipants devoted more time per week on exercises and training classified as activity-directed than impairment-directed (3.8 hours versus 1.9 hours), even though more time (0.3 hours per week) was spent on strength training than any other type of intervention captured on the ISCI PT-OT D BDS. This emphasis on activity-directed rather than impairment-directed interventions reflects the current focus on the practice of functional activities [\\u003cspan additionalcitationids=\\\"CR21\\\" citationid=\\\"CR20\\\" class=\\\"CitationRef\\\"\\u003e20\\u003c/span\\u003e\\u0026ndash;\\u003cspan citationid=\\\"CR22\\\" class=\\\"CitationRef\\\"\\u003e22\\u003c/span\\u003e]. This seems reasonable and justified. However, it does raise questions about the amount of strength training provided each week (0.3 hours per week; i.e., 18 minutes) and how this could be sufficient and effective particularly when people often have weakness in a lot of different muscles, and current guidelines indicate that strength training needs to be conducted at least two times, and preferably three times per week [\\u003cspan citationid=\\\"CR23\\\" class=\\\"CitationRef\\\"\\u003e23\\u003c/span\\u003e, \\u003cspan citationid=\\\"CR24\\\" class=\\\"CitationRef\\\"\\u003e24\\u003c/span\\u003e]. There could be little doubt that strength is a key impairment limiting people\\u0026rsquo;s abilities to move. So whilst the practice of functional activities may have carryover effects on strength, it would seem prudent to also be directing concentrated effort on strength training (particularly for those with grade 3 or greater strength in view of the evidence about the effectiveness of progressive resistance training in these muscles) [\\u003cspan citationid=\\\"CR23\\\" class=\\\"CitationRef\\\"\\u003e23\\u003c/span\\u003e, \\u003cspan citationid=\\\"CR25\\\" class=\\\"CitationRef\\\"\\u003e25\\u003c/span\\u003e].\\u003c/p\\u003e\\u003cp\\u003eWhilst the results of this study could (and should) be used by SCI units around the world to reflect on and benchmark the therapy they provide, care needs to be taken before generalising the results of this study to all SCI units around the world. The results may not reflect usual physiotherapy and occupational therapy everywhere. So even though we included 15 different sites from 6 countries across Europe and Australia, these SCI units may not be representative of all SCI units around the world. The SCI units included in the SCI-MT Trial were selected because they had similar approaches to rehabilitation (and similar lengths of hospital stay). This was done in an attempt to minimise differences between sites; an important consideration for a trial in which all participants received usual care. However, if we had set out to determine usual care around the world then it would have been better if we either randomly selected SCI units from around the world or selected sites with different approaches to rehabilitation. This would have provided a more representative sample. Nonetheless, our data provides useful data for SCI units that are similar to those included in the SCI-MT Trial.\\u003c/p\\u003e\\u003cp\\u003eWe did not distinguish between exercises and training directed at, above or below the level of injury even though this information may have been helpful. Similarly, we did not collect data on all the different interventions provided as part of physiotherapy and occupational therapy that were not captured on the ISCI PT-OT BDS. We were aware of these limitations prior to the commencement of the SCI-MT Trial but we needed to weigh up the possible benefits of these data with the associated time and cost of collecting them. Ultimately, we decided that these costs were too high and we were more likely to get better and more accurate data if we minimised the burden of data collection on therapists. Even still, the data collection was an additional task for busy therapists and consequently they may not have always accurately recorded the therapy they provided despite their best attempts. In addition, some sites also provided group exercise sessions that were not always recorded. So, our data may underestimate the therapy that was provided but nonetheless provides the most comprehensive recent data on current practices.\\u003c/p\\u003e\\u003cp\\u003eIn all, the results of this study are not only important for the interpretation of the SCI-MT Trial but they also provide useful data about the amount and type of physiotherapy and occupational therapy typically provided by SCI units across Europe and Australia. We hope that these data will prompt SCI units and researchers to reflect on the optimal amount and combination of different types of therapies provided to people with recent SCI. More work in this area will lead to a better understanding of what should be provided to lead to better outcomes for people with SCI.\\u003c/p\\u003e\"},{\"header\":\"Declarations\",\"content\":\"\\u003cp\\u003eDATA AVAILABILITY STATEMENT\\u003c/p\\u003e\\n\\u003cp\\u003eData are available upon reasonable request. Deidentified participant data may be accessed by researchers who provide a methodological proposal directed to the corresponding author, LAH. Approval for data access will be granted on a case-by-case basis at the discretion of the principal investigator, LAH. The data will be accessible from the date of this article\\u0026rsquo;s publication and will be available for a period of 5 years thereafter.\\u003c/p\\u003e\\n\\u003cp\\u003eACKNOWLEDGEMENTS\\u003c/p\\u003e\\n\\u003cp\\u003eThe authors would like to acknowledge the assistance of all participants and clinicians from involved 15 sites across Europe and Australia.\\u0026nbsp;\\u003c/p\\u003e\\n\\u003cp\\u003eAUTHOR CONTRIBUTIONS\\u003c/p\\u003e\\n\\u003cp\\u003eLAH, JVG, JC, MB and KET were responsible for overall trial design, day-to-day overall trial management and intervention development. JC, JVG and LAH were responsible for the first draft of this manuscript. SR, CR, FT, CL, FDN, LWC, DR, VJ, JVDL, CCMVL, MM, EJG, SP, CB, KO, LVR, GS, AIS and JMS were responsible for the sites. JVG, LAH, AIS, GS, HL, SP, VJ and CL were responsible for securing funding. All authors have read and approved the final manuscript.\\u003c/p\\u003e\\n\\u003cp\\u003eFUNDING\\u003c/p\\u003e\\n\\u003cp\\u003eThis project received funding from New South Wales Ministry of Health, Australia (grant number: N/A) and Wings for Life \\u0026ndash; Spinal Cord Research Foundation, Austria (grant number: N/A).\\u003c/p\\u003e\\n\\u003cp\\u003eETHICAL APPROVAL\\u003c/p\\u003e\\n\\u003cp\\u003eEthical approval was obtained from the ethics committees representing the Northern Sydney Local Health District (for the Australia sites, 2020/ETH02540), Fondazione Santa Lucia IRCCS (for the Italian site; Prot. CE/PROG.928), Medical Ethics Committee of Maxima Medical Centre, Veldhoven (for the Adelante site and De Hoogstraat Rehabilitation Site in The Netherlands: CCMO code: NL78377.015.21), Central Committee on Medical Research Involving Human Subjects, Norway (for the Norwegian site, 278129), Yorkshire and The Humber \\u0026ndash; Bradford Leeds Research Ethics Committee (for the UK sites: 21/YH/0306) and Ethische Commissie Onderzoek UZ/KULeuven (for the Belgium sites: S65931).\\u0026nbsp;\\u003c/p\\u003e\\n\\u003cp\\u003eCOMPETING INTERESTS\\u003c/p\\u003e\\n\\u003cp\\u003eNone declared.\\u003c/p\\u003e\"},{\"header\":\"References\",\"content\":\"\\u003col\\u003e\\u003cli\\u003e\\u003cspan\\u003eHarvey LA, Glinsky JV, Chu J, Herbert RD, Liu H, Jan S et al (2023) Early and intensive motor training to enhance neurological recovery in people with spinal cord injury: trial protocol. Spinal Cord 61:521\\u0026ndash;527\\u003c/span\\u003e\\u003c/li\\u003e\\u003cli\\u003e\\u003cspan\\u003eGlinsky JV, Chu J, Rimmer C, Roberts S, Scivoletto G, Tamburella F et al Intensive task-specific training following recent spinal cord injury to promote neurological recovery. A randomised, open-label, phase 3 superiority trial. The Lancet. (in press).\\u003c/span\\u003e\\u003c/li\\u003e\\u003cli\\u003e\\u003cspan\\u003eDunlop SA (2008) Activity-dependent plasticity: implications for recovery after spinal cord injury. Trends Neurosci 31:410\\u0026ndash;418\\u003c/span\\u003e\\u003c/li\\u003e\\u003cli\\u003e\\u003cspan\\u003eSmelt AF, van der Weele GM, Blom JW, Gussekloo J, Assendelft WJ (2010) How usual is usual care in pragmatic intervention studies in primary care? An overview of recent trials. Br J Gen Pract 60:e305\\u0026ndash;318\\u003c/span\\u003e\\u003c/li\\u003e\\u003cli\\u003e\\u003cspan\\u003eZuidgeest MGP, Welsing PMJ, van Thiel G, Ciaglia A, Alfonso-Cristancho R, Eckert L et al (2017) Series: Pragmatic trials and real world evidence: Paper 5. Usual care and real life comparators. J Clin Epidemiol 90:92\\u0026ndash;98\\u003c/span\\u003e\\u003c/li\\u003e\\u003cli\\u003e\\u003cspan\\u003eZbogar D, Eng JJ, Miller WC, Krassioukov AV, Verrier MC (2016) Physical activity outside of structured therapy during inpatient spinal cord injury rehabilitation. Journal. \\u003cspan class=\\\"ExternalRef\\\"\\u003e\\u003cspan class=\\\"RefSource\\\"\\u003ehttp://doi.org/10.1186/s12984-016-0208-8\\u003c/span\\u003e\\u003cspan address=\\\"10.1186/s12984-016-0208-8\\\" targettype=\\\"DOI\\\" class=\\\"RefTarget\\\"\\u003e\\u003c/span\\u003e\\u003c/span\\u003e\\u003c/span\\u003e\\u003c/li\\u003e\\u003cli\\u003e\\u003cspan\\u003eZbogar D, Eng JJ, Miller WC, Krassioukov AV, Verrier MC (2017) Movement repetitions in physical and occupational therapy during spinal cord injury rehabilitation. Spinal Cord 55:172\\u0026ndash;179\\u003c/span\\u003e\\u003c/li\\u003e\\u003cli\\u003e\\u003cspan\\u003eFoy T, Perritt G, Thimmaiah D, Heisler L, Offutt JL, Cantoni K et al (2011) The SCIRehab project: treatment time spent in SCI rehabilitation. Occupational therapy treatment time during inpatient spinal cord injury rehabilitation. J Spinal Cord Med 34:162\\u0026ndash;175\\u003c/span\\u003e\\u003c/li\\u003e\\u003cli\\u003e\\u003cspan\\u003eTaylor-Schroeder S, LaBarbera J, McDowell S, Zanca JM, Natale A, Mumma S et al (2011) The SCIRehab project: treatment time spent in SCI rehabilitation. Physical therapy treatment time during inpatient spinal cord injury rehabilitation. J Spinal Cord Med 34:149\\u0026ndash;161\\u003c/span\\u003e\\u003c/li\\u003e\\u003cli\\u003e\\u003cspan\\u003evan Langeveld SA, Post MW, van Asbeck FW, Gregory M, Halvorsen A, Rijken H et al (2011) Comparing content of therapy for people with a spinal cord injury in postacute inpatient rehabilitation in Australia, Norway, and The Netherlands. Phys Ther 91:210\\u0026ndash;224\\u003c/span\\u003e\\u003c/li\\u003e\\u003cli\\u003e\\u003cspan\\u003evan Langeveld SA, Post MW, van Asbeck FW, ter Horst P, Leenders J, Postma K et al (2011) Contents of physical therapy, occupational therapy, and sports therapy sessions for patients with a spinal cord injury in three Dutch rehabilitation centres. Disabil Rehabil 33:412\\u0026ndash;422\\u003c/span\\u003e\\u003c/li\\u003e\\u003cli\\u003e\\u003cspan\\u003eWhiteneck G, Gassaway J, Dijkers M, Backus D, Charlifue S, Chen D et al (2011) The SCIRehab project: treatment time spent in SCI rehabilitation. Inpatient treatment time across disciplines in spinal cord injury rehabilitation. J Spinal Cord Med 34:133\\u0026ndash;148\\u003c/span\\u003e\\u003c/li\\u003e\\u003cli\\u003e\\u003cspan\\u003eBen M, Glinsky JV, Spooren AI, Roberts S, Chen LW, Denis S et al (2023) Early and Intensive Motor Training Trial for People with Spinal Cord Injuries: Description of the Intervention. Spinal Cord 61:600\\u0026ndash;607\\u003c/span\\u003e\\u003c/li\\u003e\\u003cli\\u003e\\u003cspan\\u003eAnderson KD, Field-Fote EC, Biering-S\\u0026oslash;rensen F, Bryden A, Harvey LA, Jones L et al (2020) Spinal Cord Ser Cases 6:74\\u0026ndash;81International Spinal Cord Injury Physical Therapy\\u0026ndash;Occupational Therapy Basic Data Set (Version 1.2)\\u003c/span\\u003e\\u003c/li\\u003e\\u003cli\\u003e\\u003cspan\\u003eStatCorp (2019) S\\u003cem\\u003etata Statistical Sofrware: Release 16.\\u003c/em\\u003e College Station. StataCorp LLC, TX\\u003c/span\\u003e\\u003c/li\\u003e\\u003cli\\u003e\\u003cspan\\u003eMant D (2008) The problem with usual care. Br J Gen Pract 58:755\\u0026ndash;756\\u003c/span\\u003e\\u003c/li\\u003e\\u003cli\\u003e\\u003cspan\\u003eBryden AM, Gran B (2024) Seeking sufficient and appropriate care during the first year after spinal cord injury: a qualitative study. Spinal Cord 62:241\\u0026ndash;248\\u003c/span\\u003e\\u003c/li\\u003e\\u003cli\\u003e\\u003cspan\\u003eBurns AS, Marino RJ, Kalsi-Ryan S, Middleton JW, Tetreault LA, Dettori JR et al (2017) Type and Timing of Rehabilitation Following Acute and Subacute Spinal Cord Injury: A Systematic Review. Global Spine J 7:175s\\u0026ndash;194s\\u003c/span\\u003e\\u003c/li\\u003e\\u003cli\\u003e\\u003cspan\\u003eWhiteneck GG, Gassaway J, Dijkers MP, Lammertse DP, Hammond F, Heinemann AW et al (2011) Inpatient and postdischarge rehabilitation services provided in the first year after spinal cord injury: findings from the SCIRehab Study. Arch Phys Med Rehabil 92:361\\u0026ndash;368\\u003c/span\\u003e\\u003c/li\\u003e\\u003cli\\u003e\\u003cspan\\u003eDobkin BH (2005) Rehabilitation and functional neuroimaging dose-response trajectories for clinical trials. Neurorehabil Neural Repair 19:276\\u0026ndash;282\\u003c/span\\u003e\\u003c/li\\u003e\\u003cli\\u003e\\u003cspan\\u003eLotter JK, Henderson CE, Plawecki A, Holthus ME, Lucas EH, Ardestani MM et al (2020) Task-Specific Versus Impairment-Based Training on Locomotor Performance in Individuals With Chronic Spinal Cord Injury: A Randomized Crossover Study. Neurorehabilit Neural Repair 34:627\\u0026ndash;639\\u003c/span\\u003e\\u003c/li\\u003e\\u003cli\\u003e\\u003cspan\\u003eTse CM, Chisholm AE, Lam T, Eng JJ (2018) A systematic review of the effectiveness of task-specific rehabilitation interventions for improving independent sitting and standing function in spinal cord injury. J Spinal Cord Med 41:254\\u0026ndash;266\\u003c/span\\u003e\\u003c/li\\u003e\\u003cli\\u003e\\u003cspan\\u003eGlinsky JV, Harvey LA, Tranter KE, Rees L, McDonald M, Wadsworth B et al (2025) An Australian and New Zealand clinical practice guideline for the physiotherapy management of people with spinal cord injuries. Spinal Cord 63:470\\u0026ndash;476\\u003c/span\\u003e\\u003c/li\\u003e\\u003cli\\u003e\\u003cspan\\u003eMartin Ginis KA, van der Scheer JW, Latimer-Cheung AE, Barrow A, Bourne C, Carruthers P et al (2018) Evidence-based scientific exercise guidelines for adults with spinal cord injury: an update and a new guideline. Spinal Cord 56:308\\u0026ndash;321\\u003c/span\\u003e\\u003c/li\\u003e\\u003cli\\u003e\\u003cspan\\u003eAravind N, Harvey LA, Glinsky JV (2019) Physiotherapy interventions for increasing muscle strength in people with spinal cord injuries: a systematic review. Spinal Cord 57:449\\u0026ndash;460\\u003c/span\\u003e\\u003c/li\\u003e\\u003c/ol\\u003e\"}],\"fulltextSource\":\"\",\"fullText\":\"\",\"funders\":[],\"hasAdminPriorityOnWorkflow\":false,\"hasManuscriptDocX\":true,\"hasOptedInToPreprint\":true,\"hasPassedJournalQc\":\"\",\"hasAnyPriority\":true,\"hideJournal\":true,\"highlight\":\"\",\"institution\":\"\",\"isAcceptedByJournal\":false,\"isAuthorSuppliedPdf\":false,\"isDeskRejected\":\"\",\"isHiddenFromSearch\":false,\"isInQc\":false,\"isInWorkflow\":false,\"isPdf\":false,\"isPdfUpToDate\":true,\"isWithdrawnOrRetracted\":false,\"journal\":{\"display\":true,\"email\":\"info@researchsquare.com\",\"identity\":\"researchsquare\",\"isNatureJournal\":false,\"hasQc\":true,\"allowDirectSubmit\":true,\"externalIdentity\":\"\",\"sideBox\":\"\",\"snPcode\":\"\",\"submissionUrl\":\"/submission\",\"title\":\"Research Square\",\"twitterHandle\":\"researchsquare\",\"acdcEnabled\":true,\"dfaEnabled\":false,\"editorialSystem\":\"\",\"reportingPortfolio\":\"\",\"inReviewEnabled\":false,\"inReviewRevisionsEnabled\":true},\"keywords\":\"\",\"lastPublishedDoi\":\"10.21203/rs.3.rs-8275987/v1\",\"lastPublishedDoiUrl\":\"https://doi.org/10.21203/rs.3.rs-8275987/v1\",\"license\":{\"name\":\"CC BY 4.0\",\"url\":\"https://creativecommons.org/licenses/by/4.0/\"},\"manuscriptAbstract\":\"\\u003cp\\u003e\\u003cb\\u003eStudy Design\\u003c/b\\u003e: A quantitative study.\\u003c/p\\u003e\\u003cp\\u003e\\u003cb\\u003eObjectives\\u003c/b\\u003e: To determine how much and what type of exercises and training were provided as part of usual physiotherapy and occupational therapy to participants of the SCI-MT Trial (the Early and Intensive Motor Training for People with Spinal Cord Injuries Trial). This information is important because the SCI-MT Trial concluded that additional motor training is redundant if people with SCI receive equivalent usual care as what was provided to participants of the SCI-MT Trial.\\u003c/p\\u003e\\u003cp\\u003e\\u003cb\\u003eSettings\\u003c/b\\u003e: Fifteen spinal injury units across Europe and Australia.\\u003c/p\\u003e\\u003cp\\u003e\\u003cb\\u003eMethods\\u003c/b\\u003e: Data were collected on the time participants of both groups of the SCI-MT Trial (n\\u0026thinsp;=\\u0026thinsp;220) attended physiotherapy and occupational therapy provided as part of usual care over the 10-week intervention period. The International Spinal Cord Injury Physical Therapy and Occupational Therapy Basic Data Set was used to capture time spent on activity and impairment directed categories of exercises and training.\\u003c/p\\u003e\\u003cp\\u003e\\u003cb\\u003eResults\\u003c/b\\u003e: Participants attended a median (interquartile range) of 8.3 (6.2 to 11.4) hours of physiotherapy and occupational therapy per week. Approximately 70% of therapy time was spent actively exercising or training with a median of 3.8 hours per week spent on activity directed and 1.9 hours per week spent on impairment directed exercises and training.\\u003c/p\\u003e\\u003cp\\u003e\\u003cb\\u003eConclusions\\u003c/b\\u003e: The results of this study detail the amount and type of physiotherapy and occupational therapy that needs to be provided as part of usual rehabilitation care to render additional motor training redundant.\\u003c/p\\u003e\",\"manuscriptTitle\":\"How much and what type of exercises and training were provided to people with spinal cord injury as part of usual physiotherapy and occupational therapy in the SCI-MT Trial?\",\"msid\":\"\",\"msnumber\":\"\",\"nonDraftVersions\":[{\"code\":1,\"date\":\"2025-12-15 07:51:27\",\"doi\":\"10.21203/rs.3.rs-8275987/v1\",\"editorialEvents\":[{\"type\":\"communityComments\",\"content\":0}],\"status\":\"published\",\"journal\":{\"display\":true,\"email\":\"info@researchsquare.com\",\"identity\":\"researchsquare\",\"isNatureJournal\":false,\"hasQc\":true,\"allowDirectSubmit\":true,\"externalIdentity\":\"\",\"sideBox\":\"\",\"snPcode\":\"\",\"submissionUrl\":\"/submission\",\"title\":\"Research Square\",\"twitterHandle\":\"researchsquare\",\"acdcEnabled\":true,\"dfaEnabled\":false,\"editorialSystem\":\"\",\"reportingPortfolio\":\"\",\"inReviewEnabled\":false,\"inReviewRevisionsEnabled\":true}}],\"origin\":\"\",\"ownerIdentity\":\"0ef2551f-05ab-4e97-a338-c230a2615158\",\"owner\":[],\"postedDate\":\"December 15th, 2025\",\"published\":true,\"recentEditorialEvents\":[],\"rejectedJournal\":[],\"revision\":\"\",\"amendment\":\"\",\"status\":\"posted\",\"subjectAreas\":[],\"tags\":[],\"updatedAt\":\"2025-12-15T07:51:28+00:00\",\"versionOfRecord\":[],\"versionCreatedAt\":\"2025-12-15 07:51:27\",\"video\":\"\",\"vorDoi\":\"\",\"vorDoiUrl\":\"\",\"workflowStages\":[]},\"version\":\"v1\",\"identity\":\"rs-8275987\",\"journalConfig\":\"researchsquare\"},\"__N_SSP\":true},\"page\":\"/article/[identity]/[[...version]]\",\"query\":{\"redirect\":\"/article/rs-8275987\",\"identity\":\"rs-8275987\",\"version\":[\"v1\"]},\"buildId\":\"8U1c8b4HqxoKbykW_rLl7\",\"isFallback\":false,\"isExperimentalCompile\":false,\"dynamicIds\":[84888],\"gssp\":true,\"scriptLoader\":[]}","source_license":"CC-BY-4.0","license_restricted":false}