98 CHAPTER 5 MR as well (T2, 18 weeks after start MR and 36 weeks post baseline). Following T1 (MR group) and T2 (UC group), all patients were asked to complete all questionnaires by e-mail another 18 weeks later (36 weeks after start MR) as a final follow-up assessment (see flow chart in Figure 1). Physical outcome measures (dynamometry; 3D-reachable workspace) were not included in the follow-up assessments due to practical constraints. Interventions The MR started with a diagnostic visit at our outpatient Plexus Clinic for patients with NA. During this visit they were examined by a multidisciplinary team consisting of a specialized neurologist, rehabilitation physician, physical therapist and occupational therapist. This visit resulted in an individualized (confirmation of the) NA diagnosis, assessment of the resulting impairments, and a personalized rehabilitation treatment advice. 124 This diagnostic outpatient visit was followed by a 16-week outpatient multidisciplinary rehabilitation program that translated the individual treatment advice provided at the diagnostic visit into a personalized treatment plan in a shared decision making approach. This intervention was then carried out in 4 weekly treatment sessions followed by 2 sessions every other week and two monthly sessions. Each of these 8 treatment sessions involved 1 hour of physical therapy and 1 hour of occupational therapy, with both disciplines working closely together, exchanging clinical findings and strategies when Figure 1 Flowchart of the study design and measurements
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