Progression
Task-specific training needs to be progressed [The progression of task-specific training is critical to the SCI-MT Trial. Therapists increase the difficulty of the training as soon as an exercise can be successfully performed. The progression can be done in many ways. Examples of progression include increasing the number of repetitions, changing the environmental set-up to increase the challenge, or manipulating the difficulty of the task. Physiotherapists typically select new or additional exercises every few days or weeks and constantly modify existing exercises to ensure the training is challenging and progressed. Exercise selection is highly reliant on the therapists’ ongoing analysis of patients’ attempts at movement as well as therapists’ decision-making and clinical expertise. Appropriate progression is also reliant on careful and detailed recording of what a person does today in order to ensure they do more tomorrow. For this reason, Practice Sheets will be used for all training sessions in the SCI-MT Trial (see Fig. 