Table 5 Original quotes as example for the indicator recreational needs

Recreational needs were identified when Nina, a physiotherapist, described the following situation: “Not every patient says, ‘I am tired’ or ‘I can’t go on any longer’. Yet we do sometimes even hear such statements. (…) When a patient climbs on the exercise bike we very frequently hear ‘I have already done so much today, who knows if I’ll still be able to get anything else done.’” (Nina, 43, physiotherapist, 22 y, 1: 365). Another example is the experience from an occupational therapist called Irma: “There was a patient who had suffered a stroke and slept all day long. I knew he was willing to participate [in the therapy], but he was so tired. The more demanding it [the therapy] was, the more tired he got. You just have to accept that he needs to get some rest. You can get him involved as soon as he is ready” (Irma, 37, occupational therapist, 15 y, 6: 212–214). This quotation is consistent with the following statement from Thomas, a patient with sensorimotor impairment: “And then you’re not productive during the session and you get such situations when you think ‘It’s really just not the right time. I could have done a relaxation session instead’” (Thomas, 50, patient, 2 y, 3: 404).