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 would last three months and an assessment at the end of four weeks would be undertaken to determine Michael’s progress. (Table 1)

Table 1: Intervention Table

Once these cycle goals had been defined by the team, the process moved on to the identification of the intervention targets. Appropriate targets for each cycle goal were selected. 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 transference; balance; and overcoming barriers with a wheelchair. Furthermore, trials of different kinds of sports were planned as the intervention for the cycle goal sports activities.