Comparing Rehabilitation Services and Outcomes Between Older and Younger People With Spinal Cord Injury  Ching-Hui Hsieh, PhD, OT, Gerben DeJong, PhD, Suzanne Groah, MD, MSPH, Pamela H. Ballard, MD, Susan D. Horn, PhD, Wenqiang Tian, MD, PhD  Archives of Physical Medicine and Rehabilitation  Volume 94, Issue 4, Pages S175-S186 (April 2013) DOI: 10.1016/j.apmr.2012.10.038 Copyright © 2013 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 1 AIS grades at rehabilitation admission and discharge between age groups. Abbreviations: C1-4 ABC, C1-4 AIS grades A, B, and C; C5-8 ABC, C5-8 AIS grades A, B, and C; Ds, AIS grade D; Para ABC, paraplegia AIS grades A, B, and C; y/o, years old. Archives of Physical Medicine and Rehabilitation 2013 94, S175-S186DOI: (10.1016/j.apmr.2012.10.038) Copyright © 2013 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 2 Rasch-transformed FIM at rehabilitation admission, discharge, 1 year postinjury. Abbreviations: Adm, admission; DC, discharge; 1-Yr: 1 year after SCI; y/o, years old. Archives of Physical Medicine and Rehabilitation 2013 94, S175-S186DOI: (10.1016/j.apmr.2012.10.038) Copyright © 2013 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 3 Total hours per week by disciplines during inpatient rehabilitation. Abbreviations: Psy, psychology; RN Edu, nursing education activities and care management; SLP, speech language pathology; SW, social work; TR, recreational therapy; y/o, years old. Archives of Physical Medicine and Rehabilitation 2013 94, S175-S186DOI: (10.1016/j.apmr.2012.10.038) Copyright © 2013 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 4 How patients spent their PT and OT time per week during inpatient rehabilitation across age group (% distributions, h/wk). PT preparatory activities include airway/respiratory management, aquatic exercise, complementary approaches, musculoskeletal treatment/modalities, balance, endurance, range of motion, upright, strengthening, skin management, and wound care. Balance training refers to activities that aim to gain independence with functional movements in spite of impairments in sensation and motor function among individuals with SCI. Upright training aims to increase a patient's tolerance of the upright position and to normalize blood pressure regulation. PT mobility training includes bed mobility, gait, transfers, and wheelchair mobility (manual and power) (P=.006 across age groups). PT other activities include assessment, classes and clinics, education, equipment evaluation/provision, and long and short conferences. OT preparatory activities include airway/respiratory management, modalities, balance, range of motion, strengthening/endurance, skin management, and splint/cast fabrication (P<.001 across age groups). OT functional activities—ADL include feeding, grooming, bathing, upper extremity dressing, lower extremity dressing, toileting (clothing management/hygiene), and bowel and bladder management (P<.001 across age groups). OT other functional activities include assistive technology, bed mobility, transfers, wheelchair mobility (manual and power), community reintegration outing, communication, home management, and therapeutic activities. OT other activities include assessment, classes and clinics, education, equipment evaluation, long and short conferences (P<.01 across age groups). Abbreviation: y/o, years old. Archives of Physical Medicine and Rehabilitation 2013 94, S175-S186DOI: (10.1016/j.apmr.2012.10.038) Copyright © 2013 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 5 Clinical pathway since inpatient rehabilitation discharge to 1-year follow-up. Abbreviations: A1, discharged to home → continued to receive postdischarge rehabilitation → still resided at home at 1-year follow-up; A2, discharged to home → did not receive any postdischarge rehabilitation → still resided at home at 1-year follow-up; A3, discharged to home → continued to receive postdischarge rehabilitation → resided at nursing home at 1-year follow-up; B1, discharged to nursing home → received postdischarge rehabilitation → resided at home at 1-year follow-up; B3, discharged to nursing home → received postdischarge rehabilitation → resided at nursing home at 1-year follow-up; C1, discharged to acute care hospital → received postdischarge rehabilitation → resided at home at 1-year follow-up. Archives of Physical Medicine and Rehabilitation 2013 94, S175-S186DOI: (10.1016/j.apmr.2012.10.038) Copyright © 2013 American Congress of Rehabilitation Medicine Terms and Conditions