Once these cycle goals were defined by the team, the process moved on to the identification of the intervention targets. Appropriate targets for each cycle goal were selected. The cycle goal of self-care incorporated targets focusing on balance, washing, bladder and bowel management, muscle stiffness, and knee mobility. The cycle goal for mobility consisted of targets relating to back pain, limitations in changing body position and transferring, balance, and overcoming barriers with a wheelchair. Furthermore, trials of different kinds of sports were planned as the intervention for the cycle goal of sports.
Self-care incorporated targets focusing on balance, washing, bladder and bowel management, muscle stiffness, and knee mobility.
Interventions corresponding to each of the targets were assigned to the appropriate members of the health care team. In addition to the standard SCI health care team (physician, nurse, physical therapist, etc.), a sports therapist was included to focus on Michael’s athletic activities. The initial intervention lasted three months and after four weeks an evaluation was undertaken to determine Michael’s progress. See table 3.
Table 3: ICF Intervention Table; The values are rated using ICF qualifiers; ICF Qualifier rate the extent of problems (0 = no problem to 4 = complete problem) in the components of body functions (b), body structures (s), activities and participation (d) and the extent of positive (+) or negative impact (-) of environmental (e) and personal factors (pf); First value refers to the rating at the initial assessment; Goal value refers to the rating to achieve after an intervention; Final value refers to the actual rating at the second assessment or evaluation.
In table 2 ICF Categorical Profile b415 Blood vessel functions and b7603 Supportive functions of the arms were not depicted. However, since an intervention was provided addressing these aspects of functioning, they are included here.