However, analysis of the forms used in the PBE studies to record the treatment process shows that in most instances, the purported outcomes (community integration, gait, etc) are used to characterize or label the process, not the specific SP600125 cost methods the therapist used to achieve them. For instance, on the TBI study form for physical therapy (PT), the following

“activities” appear: bed mobility, pregait, gait, advanced gait, and stairs. How a particular patient’s training proceeded can be further qualified by listing applicable “interventions,” such as constraint-induced movement therapy, manual therapy, and treadmill. The latter list seems more appropriate in characterizing the content of the therapy. However, the checklist of “interventions” also includes BMN 673 price “ADL”

and “Perceptual training/sensory,” which in themselves say more about what impairment the therapist was addressing than what the active ingredients of the session component were.87 At best, we have here a parallel with “antidepressants”: the label points to the outcomes of interest, and an expert knows that the number of treatment alternatives captured under the label is limited. The problem is that with rehabilitation treatments aimed at, for example, gait, the number of options is much larger than the menu of a dozen choices for medication treatment of depression, especially if equipment and various behavioral

aspects that can be combined in hundreds of ways are taken into account. Other projects CYTH4 focusing on differentiating treatments offered for a particular diagnostic group and/or by a rehabilitation discipline include the recent work of van Langeveld et al88, 89, 90 and 91 in SCI rehabilitation, and Ballinger,5 Pomeroy,92 and colleagues in stroke rehabilitation. van Langeveld’s classification88, 89, 90 and 91 comprises 3 levels of functioning: body functions (eg, “practicing of sensory functions”), basic activities (eg, “wheelchair to or from car”), and complex activities (eg, “moving around indoors in one’s home”). The scheme distinguishes 25 categories within which 139 “interventions” are listed. With a number of exceptions limited to the body function level, the categories represent the objective on which treatment is focused (bodily function, activity). Ballinger5 distinguishes 12 categories of occupational therapist activities (eg, “Basic ADL,” “perception”) and 14 physical therapist activities (eg, “standing balance,” “stair,” “pain control”) used with stroke patients. Pomeroy’s study92 also involved stroke patients but included nurses in addition to physical therapists and occupational therapists.