, ▁occup ational ▁ther ap ists ▁attempt ▁to ▁maxim ize ▁functional ▁independence ▁at ▁this ▁stage . ▁Depending ▁on ▁the ▁level ▁of ▁the ▁sp inal ▁cord ▁injury , ▁whatever ▁sp aring ▁the ▁patient ▁has ▁is ▁optimized . ▁Bed ▁mob ility , ▁trans fers , ▁wheel ch air ▁mob ility ▁skills , ▁and ▁performing ▁other ▁activities ▁of ▁daily ▁living ▁( AD L s ) ▁are ▁just ▁a ▁few ▁of ▁the ▁inter vent ions ▁that ▁occup ational ▁ther ap ists ▁can ▁help ▁the ▁patient ▁with . ▁A ▁major ▁problem ▁for ▁sp inal ▁cord ▁injury ▁patients ▁is ▁restricted ▁range ▁of ▁motion . ▁ ▁Mass age ▁ther apy ▁has ▁been ▁used ▁ ▁to ▁aid ▁in ▁range ▁of ▁motion ▁re h abil itation . ▁Liter ature ▁has ▁shown ▁that ▁participants ▁with ▁sp inal ▁cord ▁inj uries ▁that ▁had ▁mass age ▁ther apy ▁added ▁into ▁their ▁re h abil itation ▁had ▁significant ▁improvement ▁observed ▁by ▁physical ▁ther ap ist ▁in ▁functional ▁living ▁activities ▁and ▁lim b ▁range ▁of ▁motion . ▁This ▁could ▁be ▁due ▁to ▁the ▁decrease ▁in ▁H - Ref lex ▁amplit udes ▁measured ▁by ▁EM G ▁that ▁is ▁critical ▁for ▁the ▁comfort ▁of ▁sp inal ▁cord ▁injury ▁patients ▁for ▁reducing ▁cr amps ▁and ▁sp as ms . ▁ ▁AD L s ▁can ▁be ▁difficult ▁for ▁an ▁individual ▁with ▁a ▁sp inal ▁cord ▁injury ; ▁however , ▁through ▁the ▁re h abil itation ▁process , ▁individuals ▁with ▁S CI ▁may ▁be ▁able ▁to ▁live ▁independently ▁in ▁the ▁community ▁with ▁or ▁without ▁full - time ▁att endant ▁care , ▁depending