” ▁occup ying ▁b eds ▁at ▁major ▁tra uma ▁cent res . ▁It ▁was ▁suggested ▁that ▁N HS ▁England ’ s ▁special ised ▁commission ing ▁division ▁would ▁be ▁unable ▁to ▁fund ▁the ▁recommend ations . ▁According ▁to ▁the ▁Sp inal ▁In j uries ▁Association , ▁of ▁ 2 , 4 9 4 ▁refer r als ▁in ▁ 2 0 1 7 - 1 8 ▁to ▁special ist ▁sp inal ▁cord ▁injury ▁cent res , ▁only ▁ 8 0 0 ▁were ▁admitted ▁and ▁many ▁more ▁patients ▁were ▁not ▁referred ▁at ▁all . ▁ ▁Post - d isch ar ge ▁re h abil itation ▁ther apy ▁ ▁Though ▁re h abil itation ▁inter vent ions ▁are ▁performed ▁during ▁the ▁ac ute ▁phase , ▁recent ▁literature ▁suggests ▁that ▁ 4 4 % ▁of ▁the ▁total ▁hours ▁spent ▁on ▁re h abil itation ▁during ▁the ▁first ▁year ▁after ▁sp inal ▁cord ▁injury , ▁occur ▁after ▁dis charge ▁from ▁in pat ient ▁re h abil itation . ▁Part icip ants ▁in ▁this ▁study ▁received ▁ 5 6 % ▁of ▁their ▁total ▁physical ▁ther apy ▁hours ▁and ▁ 5 2 % ▁of ▁their ▁total ▁occup ational ▁ther apy ▁hours ▁after ▁dis charge . ▁This ▁suggests ▁that ▁in pat ient ▁re h abil itation ▁lengths ▁of ▁stay ▁are ▁reduced ▁and ▁that ▁post - d isch ar ge ▁ther apy ▁may ▁replace ▁some ▁of ▁the ▁in pat ient ▁treatment . ▁ ▁Function al ▁independence ▁ ▁Whether ▁patients ▁are ▁placed ▁in ▁in pat ient ▁re h abil itation ▁or ▁dis charg ed