Short Title:Archives of Physical Medicine and Rehabilitation
Year, Volume, Issue, Page(s):14, 95, 1 (Supplement 1), S33-S44
Article describes efforts underway to create a rehabilitation treatment taxonomy (RTT) for classifying rehabilitation interventions by the underlying treatment theories that explain their effects. In the RTT, treatments are grouped together according to their targets, or measurable aspects of functioning they are intended to change; ingredients, or measurable clinician decisions and behaviors responsible for effecting changes; and the hypothesized mechanisms of action by which ingredients are transformed into changes in the target. Four treatment groupings are proposed (structural tissue properties, organ functions, skilled performances, and cognitive/affective representations) that differ from one another in all aspects of treatment theory. That is, they are different in terms of the types of targets addressed, ingredients used, and mechanisms of action that account for change. The typical ingredients and examples of clinical treatments associated with each of these groupings are explored, and the challenges of further subdivision are discussed.