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Pilot evaluation of a coping-oriented supportive program for people with spinal cord injury during inpatient rehabilitation.
CONCLUSIONS: Our findings support the feasibility and acceptability of the COSP, and suggest that this intervention is a promising psychosocial care program to enhance people's life satisfaction and well-being as well as the satisfaction of social support after SCI. Further testing of this program with a larger-sized and diverse sample of people with SCI is needed. Implications for Rehabilitation The Chinese culturally-sensitive psychosocial care program (coping-oriented supportive program) is feasible, and has the potential to enhance people's self-efficacy in coping with spinal cord injury, and improve their psychosocial...
Source: Disability and Rehabilitation - October 10, 2017 Category: Rehabilitation Authors: Li Y, Bressington D, Chien WT Tags: Disabil Rehabil Source Type: research

Characteristics and correlates of coping with multiple sclerosis: a systematic review.
CONCLUSIONS: The findings of this review suggest that considering individual or disease-related factors could help healthcare professionals in identifying those less likely to adapt to multiple sclerosis. This information could also be used to provide client-centered rehabilitation for people living with multiple sclerosis based on their individual responses and perceptions for coping. Implications for rehabilitation Engagement in coping with multiple sclerosis has been associated with individual factors and neuropsychological functions. Considering individual and disease-related factors would allow healthcare professional...
Source: Disability and Rehabilitation - October 10, 2017 Category: Rehabilitation Authors: Keramat Kar M, Whitehead L, Smith CM Tags: Disabil Rehabil Source Type: research

Exploring functional outcomes and allied health staffing levels in an inpatient paediatric rehabilitation unit.
CONCLUSIONS: This review from a tertiary hospital-based inpatient paediatric rehabilitation service provides information regarding the length of stay, functional change and allied health workload for children and adolescents on active inpatient rehabilitation programs. As expected, total and rehabilitation episode length of stay, functional improvement and allied health contact and input varied according to diagnostic groups. This information is likely to be of value to other Paediatric Rehabilitation Medicine inpatient units when developing staffing for services and benchmarking service delivery. Implications for Rehabili...
Source: Disability and Rehabilitation - October 10, 2017 Category: Rehabilitation Authors: Ireland PJ, Francis A, Jackman S, McLennan K Tags: Disabil Rehabil Source Type: research

The measurement of functioning using the International Classification of Functioning, Disability and Health: comparing qualifier ratings with existing health status instruments.
Abstract BACKGROUND: The International Classification of Functioning, Disability and Health is the international standard for describing and monitoring functioning. While the categories, the units of the classification, were not designed with measurement in mind, the hierarchical structure of the classification lends itself to the possibility of summating categories into some higher order domain. Focusing on the chapters of d4 Mobility, d5 Self-Care and d6 Domestic Life, this study seeks to ascertain if qualifiers rating of categories (0-No problem to 4-Complete problem) within those chapters can be summated, and ...
Source: Disability and Rehabilitation - October 8, 2017 Category: Rehabilitation Authors: Prodinger B, Stucki G, Coenen M, Tennant A, ; on behalf of the ICF INFO Network Tags: Disabil Rehabil Source Type: research

Defining and measuring recovery from myalgic encephalomyelitis and chronic fatigue syndrome: the physician perspective.
CONCLUSIONS: Our findings provide recommendations and approaches for measuring: daily functioning, symptomatology, quality of life, and physical functioning. Implications for rehabilitation Physicians viewed recovery as complete symptom remission and a return to premorbid functioning (adjusted for with age). Recovery from myalgic encephalomyelitis and chronic fatigue syndrome should be viewed as multidimensional, considering patients' daily life, psychosocial functioning, and overall physical functioning. These findings can improve practitioner-client interactions, as they provide recommendations for measuring recovery in ...
Source: Disability and Rehabilitation - October 5, 2017 Category: Rehabilitation Authors: Devendorf AR, Jackson CT, Sunnquist M, A Jason L Tags: Disabil Rehabil Source Type: research

The conceptualization of stigma within a rehabilitation framework using HIV as an example.
This article enables rehabilitation professionals to better understand stigma as it relates to rehabilitation and human immunodeficiency virus. Rehabilitation professionals have the important job of allies and advocates for persons experiencing restrictions in these domains as a result of stigma. PMID: 28978242 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - October 4, 2017 Category: Rehabilitation Authors: Stevens ME, Parsons JA, Read SE, Nixon SA Tags: Disabil Rehabil Source Type: research

Polio survivors perceptions of a multi-disciplinary rehabilitation programme.
CONCLUSIONS: Our research identified that participants experienced long term positive benefits from attending a rehabilitation programme. Strategies that users found helpful that explored the effectiveness of interventions to manage polio are not cited within a Cochrane review. If we are to recognise the lived experience and service user empowerment within a model of co- production it is essential that patient preferences are evaluated and used as evidence to justify service provision. Further research is required with polio survivors to explore how best rehabilitation programmes can adopt the principles of co-production. ...
Source: Disability and Rehabilitation - October 3, 2017 Category: Rehabilitation Authors: Atwal A, Duncan H, Queally C, Cedar SH Tags: Disabil Rehabil Source Type: research

Measurement of post-stroke spasticity based on tonic stretch reflex threshold: implications of stretch velocity for clinical practice.
CONCLUSIONS: The results showed that the stretch protocols were not all the same and that the method of increasing was most suitable for performing manual passive stretches to evaluate TSRT in these patients. Another analysis was the correlation between MAS and tonic stretch reflex threshold; a weak correlation was observed between the increasing and decreasing methods, and moderate correlation was observed between the random methods. Implications for Rehabilitation We demonstrated that the protocol of execution of passive stretches influences in the measurement of the tonic stretch reflex threshold (TSRT). We recommend th...
Source: Disability and Rehabilitation - October 2, 2017 Category: Rehabilitation Authors: Marques IA, Silva MB, Silva AN, Luiz LMD, Soares AB, Naves ELM Tags: Disabil Rehabil Source Type: research

Patterns of sedentary time and ambulatory physical activity in a Danish population of girls and women with Rett syndrome.
CONCLUSIONS: This study demonstrated high levels of sedentary time and low daily step counts in a Danish population of females with RTT. Advancing age and lower walking skills were associated with higher levels of sedentary time. Implications for Rehabilitation Sedentary lifestyles in individuals with disabilities have a negative impact on health and quality of life. High levels of sedentary time and low daily step counts were demonstrated in a Danish population of females with Rett syndrome. Advancing age and inability to walk independently were strongly associated with higher levels of sedentary time in females with Rett...
Source: Disability and Rehabilitation - October 2, 2017 Category: Rehabilitation Authors: Stahlhut M, Downs J, Aadahl M, Leonard H, Bisgaard AM, Nordmark E Tags: Disabil Rehabil Source Type: research

Educational content related to postcolonialism and indigenous health inequities recommended for all rehabilitation students in Canada: a qualitative study.
CONCLUSION: Results call for reflection on assumptions underpinning the rehabilitation professions that may unintentionally reinforce health inequities. A postcolonial lens can help rehabilitation educators promote culturally safe services for people whose ill health and disability are linked to the effects of colonization. Implications for Rehabilitation Given the powerful, ongoing effects of colonization and racialization on health and disability, recommendation #24 from the Truth and Reconciliation Commission of Canada calls for the education of health professionals related to Indigenous history, rights, and anti-racism...
Source: Disability and Rehabilitation - October 2, 2017 Category: Rehabilitation Authors: Hojjati A, Beavis ASW, Kassam A, Choudhury D, Fraser M, Masching R, Nixon SA Tags: Disabil Rehabil Source Type: research

Presenting the model of risk, disability and hard-to-reach families to inform early intervention services.
CONCLUSION: Service providers can apply the Model of Risk, Disability and Hard-to-Reach Families to consider each family's unique strengths and challenges, and use those individual elements to influence service recommendations and anticipate service use. Implications for rehabilitation The concepts of risk, resilience, and hard-to-reach families are poorly defined in the literatures, but have important implications with respect to early childhood intervention services. Family Stress Theory can help to identify high-risk families and account for family resilience It is important for clinicians, researchers and policy makers...
Source: Disability and Rehabilitation - September 29, 2017 Category: Rehabilitation Authors: Phoenix M, Rosenbaum P Tags: Disabil Rehabil Source Type: research

The process of becoming a user of an osseointegrated prosthesis following transfemoral amputation: a qualitative study.
CONCLUSION: All the participants experienced increased action space and a more positive outlook on life. However, it took determination and stamina to become a user of an osseointegrated prosthesis, and participants faced several challenges throughout this process. Consequently, it remains important to raise awareness of the difficulties faced during this process. Implications for Rehabilitation The findings from this study suggest an increased healthcare support to users of an transfemoral osseointegrated prosthesis in the period of rehabilitation and adjustment, as the results of being able to use the osseointegrated pro...
Source: Disability and Rehabilitation - September 29, 2017 Category: Rehabilitation Authors: Hansen CH, Hansen RL, Jørgensen PH, Petersen KK, Norlyk A Tags: Disabil Rehabil Source Type: research

Work, organisational practices, and margin of manoeuver during work reintegration.
CONCLUSIONS: Work qualities and organisational resources establish a margin of manoeuver for work reintegration efforts. Practitioners need to inform themselves of the constraints on work accommodation imposed by work organisation and collective agreements. Organisations and labour need to reconsider policies and practices that creates unequal accommodation conditions for disabled workers. Implications for rehabilitation Margin of manoeuvre offers a framework for evaluating and structuring work reintegration programmes. Assessing initial conditions for productivity expectations, context and ways and means to support work r...
Source: Disability and Rehabilitation - September 29, 2017 Category: Rehabilitation Authors: O'Hagan F Tags: Disabil Rehabil Source Type: research

Communication access on trains: a qualitative exploration of the perspectives of passengers with communication disabilities.
CONCLUSIONS: For transport to be accessible to people with communication disabilities many different types of adjustment are required. Using multiple modes of communication with attention to understandability and consistent responses from public contact staff skilled to interact in multiple ways, may be the most flexible and effective means of responding to difficulties posed by the complex and unpredictable nature of train services. Implications for Rehabilitation People with communication disabilities are a diverse group which includes people with physical, sensory, speech, language, and cognitive impairments. Public tra...
Source: Disability and Rehabilitation - September 26, 2017 Category: Rehabilitation Authors: Bigby C, Johnson H, O'Halloran R, Douglas J, West D, Bould E Tags: Disabil Rehabil Source Type: research

The experience of recurrent fallers in the first year after stroke.
CONCLUSIONS: Stroke survivors' assessment of their own falls-risk and their individual priorities contribute to their decisions around activity participation. "Being careful" could be described as a form of self-managing falls-risk. The inclusion of self-management principles, peer-educators, and education to rise from the floor in falls-management programmes warrants investigation. Not all falls were considered equally important by participants. This could be considered when defining falls-related outcomes. Implications for Rehabilitation Healthcare professionals may be able to offer an increased sense of contro...
Source: Disability and Rehabilitation - September 26, 2017 Category: Rehabilitation Authors: Walsh ME, Galvin R, Williams DJP, Harbison JA, Murphy S, Collins R, McCabe DJH, Crowe M, Horgan NF Tags: Disabil Rehabil Source Type: research

Influence of trunk control and lower extremity impairments on gait capacity in children with cerebral palsy.
Abstract PURPOSE: We investigated the combined impact of trunk control and lower extremities impairments on predicting gait capacity in children with cerebral palsy (CP) and evaluated relationships between trunk control and lower extremities impairments. METHODS: Data of 52 children with CP [29 boys, mean age 11 years 9 months (±4 years 6 months)] were included in this observational study. Gait capacity was measured by the "modified Time Up and Go test". Experienced therapists performed the "Modified Ashworth Scale", "Manual Muscle Test", the "Sele...
Source: Disability and Rehabilitation - September 24, 2017 Category: Rehabilitation Authors: Balzer J, Marsico P, Mitteregger E, van der Linden ML, Mercer TH, van Hedel HJA Tags: Disabil Rehabil Source Type: research

Participation restrictions among adolescents and adults with neonatal brachial plexus palsy: the patient perspective.
CONCLUSIONS: Although their overall HRQoL was not impaired, a substantial proportion of adolescent/adult patients reported that NBPP had an impact on choices regarding education and profession, as well as on work-performance. Restrictions in participation, especially in work and education were also reported. Guiding patients in making choices on education and work at an early stage and providing tailored physical as well as psychosocial care may prevent or address restrictions, which may improve participation. Implications for Rehabilitation Adolescent and adult patients with neonatal brachial plexus palsy perceive restric...
Source: Disability and Rehabilitation - September 24, 2017 Category: Rehabilitation Authors: van der Holst M, Groot J, Steenbeek D, Pondaag W, Nelissen RG, Vliet Vlieland TP Tags: Disabil Rehabil Source Type: research

The factor structure of the Disability Rating Scale in individuals with traumatic brain injury.
CONCLUSION: Each factor of the Disability Rating Scale may independently serve as a clinically useful outcome predictor after traumatic brain injury. Implications for rehabilitation The Disability Rating Scale is a measure used in brain injury rehabilitation that generates a total score indicating level of disability. This study confirmed a three-factor structure and showed that the individual factor scores provide unique information in predicting rehabilitation outcomes at one year post-injury. PMID: 28942681 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - September 23, 2017 Category: Rehabilitation Authors: Krch D, Lequerica AH Tags: Disabil Rehabil Source Type: research

Compiling standardized information from clinical practice: using content analysis and ICF Linking Rules in a goal-oriented youth rehabilitation program.
CONCLUSIONS: The ICF Linking Rules can be used to compile standardized health information from narrative reports if prior structured. The process requires time and expertise. To implement the ICF into common practice, the findings provide the starting point for reporting rehabilitation that builds upon existing practice and adheres to international standards. Implications for Rehabilitation This study provides evidence that routinely collected health information from rehabilitation practice can be transformed to the International Classification of Functioning, Disability and Health by using the "ICF Linking Rules"...
Source: Disability and Rehabilitation - September 23, 2017 Category: Rehabilitation Authors: Lustenberger NA, Prodinger B, Dorjbal D, Rubinelli S, Schmitt K, Scheel-Sailer A Tags: Disabil Rehabil Source Type: research

Validating the UNICEF/Washington Group Child Functioning Module for Fijian schools to identify seeing, hearing and walking difficulties.
CONCLUSIONS: The diagnostic accuracy of the Module seeing, hearing and walking questions appears acceptable with either parents or teachers as proxy respondents. For education systems, use of the cut-off "some difficulty" with accompanying clinical assessment may be important to capture children who require services and learning supports and avoid potentially misleading categorization. Given the high proportion of the sample from special schools research is required to further test the Module in mainstream schools. Implications for rehabilitation Identification of children who are at risk of disability in Fiji is...
Source: Disability and Rehabilitation - September 20, 2017 Category: Rehabilitation Authors: Sprunt B, Hoq M, Sharma U, Marella M Tags: Disabil Rehabil Source Type: research

Validation of the Test of Visual Perceptual Skills-Third Edition in patients with stroke.
Abstract PURPOSE: The Test of Visual Perceptual Skills-Third Edition (TVPS-3) with seven subscales has been used to assess visual perception in patients with stroke. The purpose of this study was to investigate ecological validity, convergent validity, and discriminative validity of the TVPS-3 in patients with stroke. METHODS: One hundred patients were assessed with the TVPS-3, two measures of activities of daily living, and two cognitive measures. To examine ecological validity, we calculated correlations (Pearson's r) among the TVPS-3 and two measures of activities of daily living. To examine convergent val...
Source: Disability and Rehabilitation - September 19, 2017 Category: Rehabilitation Authors: Chiu EC, Yu MY, Wu WC, Chou CX, Hung JW, Chen PC Tags: Disabil Rehabil Source Type: research

Psychometric evaluation of the Scandinavian version of the caregiver priorities and child health index of life with disabilities.
t E Abstract PURPOSE: To examine test-retest reliability and construct validity of the Scandinavian version of the caregiver priorities and child health index of life with disabilities (CPCHILD) questionnaire for children with cerebral palsy (CP). METHODS: Families were recruited in Sweden and Norway and stratified according to the gross motor function classification system levels I-V for children born 2000-2011, mean age 7.9 (SD 3.2). Construct validity based on the first questionnaire (n = 106) was evaluated for known groups, using linear regression analysis. Intraclass correlation coefficient...
Source: Disability and Rehabilitation - September 19, 2017 Category: Rehabilitation Authors: Pettersson K, Bjerke KM, Jahnsen R, Öhrvik J, Rodby-Bousquet E Tags: Disabil Rehabil Source Type: research

Timely access to inpatient rehabilitation after stroke: a qualitative study of perceived barriers and potential solutions in Ontario, Canada.
CONCLUSIONS: The structure of Ontario's health care system presents challenges to early transfer of stroke patients to inpatient rehabilitation, yet the stakeholders consulted in this study felt that these could be addressed with proper planning, improved coordination and targeted investment. Implications for rehabilitation Stroke units are a well-established best practice in stroke care and timely access to rehabilitation is a key component of their effectiveness. Stroke experts in Ontario, Canada recommend transfer of suitable patients to inpatient rehabilitation on day 5 and day 7, on average, after ischemic and hemorrh...
Source: Disability and Rehabilitation - September 18, 2017 Category: Rehabilitation Authors: Meyer MJ, Teasell R, Kelloway L, Meyer SB, Willems D, O'Callaghan C Tags: Disabil Rehabil Source Type: research

Transitions that matter: life course differences in the employment of adults with arthritis.
CONCLUSION: Transitions related to health, career progression and social role involvement shaped employment experiences, and represent opportunities for future research and practice that is tailored to life course issues. Implications for rehabilitation Little is known about the work experiences of young- and middle-aged adults with arthritis and how they compare to their older counterparts. Life course theory offers an important framework for research and practice by providing a perspective to enhance our understanding of how employment participation differs across phases of life. Salient and diverse changes related to he...
Source: Disability and Rehabilitation - September 18, 2017 Category: Rehabilitation Authors: Jetha A, Bowring J, Tucker S, Connelly CE, Martin Ginis KA, Proulx L, Gignac MAM Tags: Disabil Rehabil Source Type: research

Erognomic education on housework for women with upper limb repetitive strain injury (RSI): a conceptual representation of therapists' clinical reasoning.
CONCLUSIONS: The present study indicates the importance of therapists' understanding of the meanings that their clients attach to housework. Further research needs to address how to achieve this in a time-pressured clinical environment. Implications for Rehabilitation This study used qualitative research to demonstrate the process of translating therapists' tacit knowledge into an explicit form. It elucidates the following major implications for practice when therapists conduct ergonomic education to facilitate behavior change in housework for female homemakers with upper limb RSI:The conceptual framework of clinical reaso...
Source: Disability and Rehabilitation - September 18, 2017 Category: Rehabilitation Authors: Cheung TWC, Clemson L, O' Loughlin K, Shuttleworth R Tags: Disabil Rehabil Source Type: research

European validation of The Comprehensive International Classification of Functioning, Disability and Health Core Set for Osteoarthritis from the perspective of patients with osteoarthritis of the knee or hip.
CONCLUSIONS: This study supports the validity of the International Classification of Functioning, Disability and Health Comprehensive Core Set for Osteoarthritis. Implications for Rehabilitation Comprehensive International Classification of Functioning, Disability and Health Core Sets were developed as practical tools for application in multidisciplinary assessments. The validity of the Comprehensive International Classification of Functioning, Disability and Health Core Set for Osteoarthritis in this study supports its application in European patients with osteoarthritis. The differences in results between this Europe val...
Source: Disability and Rehabilitation - September 15, 2017 Category: Rehabilitation Authors: Weigl M, Wild H Tags: Disabil Rehabil Source Type: research

Exploring strategies used to deliver physical activity experiences to Veterans with a physical disability.
CONCLUSIONS: The study provides researchers and practitioners (e.g., rehabilitation professionals, program facilitators, coaches) with evidence of strategies for delivering physical activity programming for Veterans post-injury, thus assisting with future program development and evaluation. The findings also provide preliminary insight regarding the potential relationships between physical activity programming and elements of quality participation. Implications for Rehabilitation Physical activity is a popular method of rehabilitation for military personnel post-injury. Findings highlight four strategies used to deliver ph...
Source: Disability and Rehabilitation - September 15, 2017 Category: Rehabilitation Authors: Shirazipour CH, Aiken AB, Latimer-Cheung AE Tags: Disabil Rehabil Source Type: research

Reconsideration ICF scheme.
PMID: 28903603 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - September 13, 2017 Category: Rehabilitation Authors: Heerkens YF, de Weerd M, Huber M, de Brouwer CPM, van der Veen S, Perenboom RJM, van Gool CH, Ten Napel H, van Bon-Martens M, Stallinga HA, van Meeteren NLU Tags: Disabil Rehabil Source Type: research

A survey to explore what information, advice and support community-dwelling people with stroke currently receive to manage instability and falls.
CONCLUSIONS: Findings suggest that the majority of people with stroke who have experienced instability and falls did not receive any information and support, with very few referred on to falls clinics. Health professionals play a key role in information provision and facilitating access to falls prevention programs. Further research is required to determine the most effective ways to implement current guidelines to manage instability and falls in this high-risk group. Implications for rehabilitation: Many community-dwelling people with stroke did not receive any information, help or support after experiencing instability a...
Source: Disability and Rehabilitation - September 13, 2017 Category: Rehabilitation Authors: Shovlin E, Kunkel D Tags: Disabil Rehabil Source Type: research

Cross-cultural adaptation, reliability, and validation of the Korean version of the identification functional ankle instability (IdFAI).
Abstract PURPOSE: To cross-culturally adapt the Identification Functional Ankle Instability for use with Korean-speaking participants. METHODS: The English version of the IdFAI was cross-culturally adapted into Korean based on the guidelines. The psychometric properties in the Korean version of the IdFAI were measured for test-retest reliability, internal consistency, criterion-related validity, discriminative validity, and measurement error 181 native Korean-speakers. RESULTS: Intra-class correlation coefficients (ICC2,1) between the English and Korean versions of the IdFAI for test-retest reliability w...
Source: Disability and Rehabilitation - September 12, 2017 Category: Rehabilitation Authors: Ko J, Rosen AB, Brown CN Tags: Disabil Rehabil Source Type: research

A serial mediation model of workplace social support on work productivity: the role of self-stigma and job tenure self-efficacy in people with severe mental disorders.
CONCLUSIONS: Continued work in this area can provide guidance for organizations in the open labor market addressing the challenges posed by the work integration of people with severe mental illness. Implications for Rehabilitation: Work integration of people with severe mental disorders is difficult because of limited access to supportive and nondiscriminatory workplaces. Social enterprise represents an effective model for supporting people with severe mental disorders to integrate the labor market. In the social enterprise workplace, social support yields better perceptions of work productivity through lower levels of int...
Source: Disability and Rehabilitation - September 12, 2017 Category: Rehabilitation Authors: Villotti P, Corbière M, Dewa CS, Fraccaroli F, Sultan-Taïeb H, Zaniboni S, Lecomte T Tags: Disabil Rehabil Source Type: research

Factor validation and Rasch analysis of the individual recovery outcomes counter.
CONCLUSIONS: A modified tool worked well for many, but not all, service users. The study suggests specific developments are required if the I.ROC is to maximise its' utility for service users and provide meaningful data for service providers. Implications for Rehabilitation Agencies and services working with people with mental health problems aim to help them with their recovery. The individual recovery outcomes counter has been developed and is used widely in Scotland to help service users track their progress to recovery. Using a large sample of routinely collected data we have demonstrated that a number of modifications...
Source: Disability and Rehabilitation - September 11, 2017 Category: Rehabilitation Authors: Dickens GL, Rudd B, Hallett N, Ion RM, Hardie SM Tags: Disabil Rehabil Source Type: research

Imaging and imagining chronic obstructive pulmonary disease (COPD): Uruguayans draw their lungs.
CONCLUSIONS: Medical technology and images impact patients' embodiment. Understanding this is important for rehabilitation practitioners who work in a challenging space created by potentially conflicting medical narratives: on the one hand, chronic obstructive pulmonary disease is incurable permanent damage, and on the other, improvement is possible through rehabilitation. Drawing could be integrated into pulmonary rehabilitation and may help identify perceptions of the body that could hinder the rehabilitation process. Implications for rehabilitation Drawings, when combined with interviews, can lead to a deeper and more c...
Source: Disability and Rehabilitation - September 11, 2017 Category: Rehabilitation Authors: Wainwright M Tags: Disabil Rehabil Source Type: research

Development of an observational measure of therapy engagement for pediatric rehabilitation.
CONCLUSIONS: The PRIME-O provides a multifaceted view of affective, cognitive and behavioral components of engagement in pediatric rehabilitation. The PRIME-O has potential utility for research, clinical practice and continuing education. Implications for Rehabilitation Measures of engagement in therapy are needed to identify factors associated with successful therapy sessions and positive client outcomes. The PRIME-O is an observational measure that captures indicators of affective, cognitive and behavioral components of engagement for both clients and service providers. The PRIME-O may further help in understanding of th...
Source: Disability and Rehabilitation - September 10, 2017 Category: Rehabilitation Authors: King G, Chiarello LA, Thompson L, McLarnon MJW, Smart E, Ziviani J, Pinto M Tags: Disabil Rehabil Source Type: research

Comparison of the sensitivity to change of the Functional Independence Measure with the Assessment of Motor and Process Skills within different rehabilitation populations.
CONCLUSIONS: The Functional Independence Measure is a mandated measure for all rehabilitation units in Canada. As the cognitive subscale of the Assessment of Motor and Process Skills is more sensitive to change than the Functional Independence Measure, we recommend also administering the Assessment of Motor and Process Skills to better detect changes in the cognitive aspect of function. Implications for rehabilitation When deciding between the Functional Independence Measure or the Assessment of Motor and Process Skills, it is important to consider whether patients' functional status is expected to change similarly or diff...
Source: Disability and Rehabilitation - September 10, 2017 Category: Rehabilitation Authors: Choo SX, Stratford P, Richardson J, Bosch J, Pettit SM, Ansley BJ, Harris JE Tags: Disabil Rehabil Source Type: research

Development of the Italian version of the trunk impairment scale in subjects with acute and chronic stroke. Cross-cultural adaptation, reliability, validity and responsiveness.
Abstract PURPOSE: To cross-culturally adapt and psychometrically analyse the Italian version of the Trunk Impairment Scale on acute (cohort 1) and chronic stroke patients (cohort 2). METHODS: The Trunk Impairment Scale was culturally adapted in accordance with international standards. The psychometric testing included: internal consistency (Cronbach's alpha), inter- and intra-rater reliability (intraclass correlation coefficient; standard error of measurement and minimal detectable change), construct validity by comparing Trunk Impairment Scale score with Barthel Index, motor subscale of Functional Independen...
Source: Disability and Rehabilitation - September 10, 2017 Category: Rehabilitation Authors: Monticone M, Ambrosini E, Verheyden G, Brivio F, Brunati R, Longoni L, Mauri G, Molteni A, Nava C, Rocca B, Ferrante S Tags: Disabil Rehabil Source Type: research

Validity, reliability and minimal detectable change of the balance evaluation systems test (BESTest), mini-BESTest and brief-BESTest in patients with end-stage renal disease.
CONCLUSIONS: All tests are valid and reliable to assess balance in patients with end-stage renal disease. Nevertheless, based on the minimal detectable changes found, BESTest and Mini-BESTest may be the most recommended tests for this specific population. Implications for Rehabilitation Balance evaluation systems test (BESTest), mini-balance evaluation systems test (Mini-BESTest) and brief-balance evaluation systems test (Brief-BESTest) are reliable and valid in patients with end stage renal disease (ESRD). The minimal detectable changes of 10.8 for the BESTest, 5.3 for the Mini-BESTest and 5.6 for the Brief-BESTest can be...
Source: Disability and Rehabilitation - September 8, 2017 Category: Rehabilitation Authors: Jácome C, Flores I, Martins F, Castro C, McPhee CC, Shepherd E, Demain S, Figueiredo D, Marques A Tags: Disabil Rehabil Source Type: research

Understanding allied health practitioners' use of evidence-based assessments for children with cerebral palsy: a mixed methods study.
CONCLUSIONS: "Engagement in" assessment appears to require a conceptual shift by therapists and organisations to understanding assessment as part of, not an adjunct to, therapy. The Cultural Cone framework may assist therapists and services in designing strategies to promote evidence-based assessment behaviours. Implications for rehabilitation Therapists' can reflect on where they are positioned on the "use continuum" in the Cultural Cone framework, and consider the contextual influences contained in this framework to understand their motivation to use evidence-based assessments. Routine use of evidence...
Source: Disability and Rehabilitation - September 6, 2017 Category: Rehabilitation Authors: O'Connor B, Kerr C, Shields N, Imms C Tags: Disabil Rehabil Source Type: research

The dual task effect on gait in adults with intellectual disabilities: is it predictive for falls?
CONCLUSIONS: Dual tasking affects gait in adults with intellectual disabilities. This is an important finding for safe community participation, and must be considered while interacting with adults with intellectual disabilities during daily activities. Possible negative consequences of distractors should be kept in mind. More research is needed to better understand the predictive value of gait for falls. Implications for Rehabilitation Having a conversation while walking affects the gait pattern of adults with intellectual disabilities, possible negative consequences of distractors should be kept in mind. The dual task eff...
Source: Disability and Rehabilitation - September 3, 2017 Category: Rehabilitation Authors: Oppewal A, Hilgenkamp TIM Tags: Disabil Rehabil Source Type: research

Art participation for psychosocial wellbeing during stroke rehabilitation: a feasibility randomised controlled trial.
CONCLUSIONS: Undertaking a RCT of art participation within stroke rehabilitation was feasible. Art participation may enhance self-efficacy and positively influence emotional wellbeing. These should be outcomes in a future definitive trial. A cluster RCT would ensure art groups could be reliably convened. Fewer measures, and better retention strategies are required. Implications for Rehabilitation This feasibility randomised controlled trial (RCT) showed that recruiting and retaining stroke survivors in an RCT of a visual arts participation intervention within stroke rehabilitation was feasible. Preference to participate in...
Source: Disability and Rehabilitation - August 30, 2017 Category: Rehabilitation Authors: Morris JH, Kelly C, Joice S, Kroll T, Mead G, Donnan P, Toma M, Williams B Tags: Disabil Rehabil Source Type: research

(Unpacking) father involvement in the context of childhood neurodisability research: a scoping review.
CONCLUSIONS: Fathers are generally underrepresented in research in the context of childhood neurodisability. While there is a lack of depth in this area of research, granular analyses revealed important and unique differences about fathers' parenting experiences. Recommendations for research and practice are provided. Implications for rehabilitation Fathers are underrepresented in the parenting in childhood neurodisability literature. Fathers who report feeling competent in parenting and connected to their child also report less parenting distress and more satisfaction in their couple relationship and family environment. R...
Source: Disability and Rehabilitation - August 30, 2017 Category: Rehabilitation Authors: Bogossian A, King G, Lach LM, Currie M, Nicholas D, McNeill T, Saini M Tags: Disabil Rehabil Source Type: research

Beyond memory problems: multiple obstacles to health and quality of life in older people seeking help for subjective memory complaints.
This study aims to: (1) further investigate bio-psycho-social characteristics, participation in personally meaningful activities and QoL of help-seekers; and (2) examine the relationship of these characteristics to QoL, and explore the unique contribution of participation to QoL. METHODS: Cognitive, meta-cognitive, emotional, social, participation, and QoL measures were used to compare 51 help-seekers referred from geriatric clinics to 40 age-matched controls who did not seek help for memory problems. RESULTS: Help-seekers exhibited lower participation and QoL, had lower mean cognitive scores, reported more memor...
Source: Disability and Rehabilitation - August 29, 2017 Category: Rehabilitation Authors: Rotenberg Shpigelman S, Sternberg S, Maeir A Tags: Disabil Rehabil Source Type: research

Investigating the driving performance of drivers with and without autism spectrum disorders under complex driving conditions.
CONCLUSIONS: The performances of licensed drivers with autism spectrum disorders appeared to be safer in respect to car-following distance but were poorer in their response to challenging traffic situations. Driver education for individuals with autism spectrum disorders should focus on quick identification of hazards, prompt execution of responses, and effective allocation of attention to reduce lapses in driving. Implications for rehabilitation Drivers with autism spectrum disorders reported significantly more lapses during driving. Drivers with autism spectrum disorders were observed to be poorer in traffic scenarios re...
Source: Disability and Rehabilitation - August 28, 2017 Category: Rehabilitation Authors: Chee DYT, Lee HCY, Patomella AH, Falkmer T Tags: Disabil Rehabil Source Type: research

How do line managers experience and handle the return to work of employees on sick leave due to work-related stress? A one-year follow-up study.
CONCLUSION: Organizations should aim to provide support for line managers. Research-based knowledge and guidelines on work-related stress and return to work process are essential, as is the involvement of coworkers. A commonly accepted definition of stress and a systematic risk assessment is also important. Cross-pressure on line managers should be minimized and room for adequate preventive actions should be provided as such an approach could support both the return to work process and the implementation of important interventions in the work environment. Implication for rehabilitation Organizations should aim to provide s...
Source: Disability and Rehabilitation - August 28, 2017 Category: Rehabilitation Authors: Ladegaard Y, Skakon J, Elrond AF, Netterstrøm B Tags: Disabil Rehabil Source Type: research

Adding insult to brain injury: young adults' experiences of residing in nursing homes following acquired brain injury.
CONCLUSION: It is hoped that this study will provide relevant professionals, services and policy-makers with insight into the challenges and needs of young adults with brain injury facing these circumstances. Implications for rehabilitation This study supports the contention that more home-like and age-appropriate residential rehabilitation services for young adults with acquired brain injury are needed. As development of alternative accommodation is a lengthy process, the study findings suggest that the interim implementation of rehabilitative care in nursing homes should be considered. Taken together with existing resear...
Source: Disability and Rehabilitation - August 28, 2017 Category: Rehabilitation Authors: Dwyer A, Heary C, Ward M, MacNeela P Tags: Disabil Rehabil Source Type: research

Assessing work disability for social security benefits: international models for the direct assessment of work capacity.
CONCLUSIONS: Direct disability assessment within social security is not just theoretically desirable, but can be implemented in practice. We have shown that there are three distinct ways that this can be done, each with different strengths and weaknesses. Further research is needed to clarify the costs, validity/legitimacy, and consequences of these different models. Implications for rehabilitation It has recently been argued that social security disability assessments should directly assess work capacity rather than simply assessing functioning - but we have no understanding about how this can be done in practice. Based o...
Source: Disability and Rehabilitation - August 25, 2017 Category: Rehabilitation Authors: Geiger BB, Garthwaite K, Warren J, Bambra C Tags: Disabil Rehabil Source Type: research

Adaptation to a changed body. Experiences of living with long-term pelvic girdle pain after childbirth.
CONCLUSION: The participants' narratives highlighted that the pain led to severe functional limitations that threatened their capability to perform meaningful daily activities, and interfered with their sense of identity. It appears essential to meet with each patient individually and to manage long-term pregnancy-related pelvic girdle pain as a pain syndrome. IMPLICATIONS FOR REHABILITATION Chronic pregnancy-related pelvic girdle pain • Pregnancy-related pelvic girdle pain impairs women's capacity to perform meaningful activities of daily life for many years after pregnancy. • The participants' narrati...
Source: Disability and Rehabilitation - August 23, 2017 Category: Rehabilitation Authors: Gutke A, Bullington J, Lund M, Lundberg M Tags: Disabil Rehabil Source Type: research

Clinical relevance of the modified physical performance test versus the short physical performance battery for detecting mobility impairments in older men with peripheral arterial disease.
Abstract PURPOSE: The study is to compare the Modified Physical Performance Test (MPPT) and Short Physical Performance Battery (SPPB) as metrics of mobility and function in older men with peripheral arterial disease (PAD). MATERIALS AND METHODS: A total of 51 men (55-87 years) with PAD underwent functional testing including the SPPB, MPPT, Walking Impairment Questionnaire (WIQ), stair ascent, and 6-min walk distance. Individuals were grouped according to SPPB and MPPT scores as not limited on either, limited only on the MPPT, or limited on both. RESULTS: The MPPT identified a higher proportion of ...
Source: Disability and Rehabilitation - August 23, 2017 Category: Rehabilitation Authors: Addison O, Kundi R, Ryan AS, Goldberg AP, Patel R, Lal BK, Prior SJ Tags: Disabil Rehabil Source Type: research

Determinants of participating in life after spinal cord injury - advice for health professionals arising from an examination of shared narratives.
CONCLUSION: The proposed participation promotion framework is grounded in the narratives of the research group but needs to be tested before it can be endorsed for practice. Implications for Rehabilitation In order to promote participation in life after spinal cord injury rehabilitation professionals can help people with spinal cord injury to negotiate the world, build and maintain a support crew and access equipment and technology. Spinal cord injury rehabilitation professionals can encourage people with spinal cord injury to push themselves, be assertive and be flexible, as these attributes can assist participation in li...
Source: Disability and Rehabilitation - August 23, 2017 Category: Rehabilitation Authors: Amsters D, Duncan J, Field V, Smales A, Zillmann L, Kendall M, Kuipers P Tags: Disabil Rehabil Source Type: research

Effectiveness of 7-day versus weekday-only rehabilitation for stroke patients in an acute-care hospital: a retrospective cohort study.
We examined the association between training frequency and activities of daily living improvements, as indicated by the Barthel Index (BI) effectiveness. RESULTS: In total, 661 patients with cerebral infarctions and 245 with intracerebral hemorrhages (ICHs) were analyzed. The BI effectiveness was highest for patients receiving high-frequency therapy following cerebral infarction. In addition, multiple linear regression analysis indicated that BI effectiveness was significantly and positively correlated with high-frequency therapy (coefficient, 0.072; 95% confidence interval, 0.019-0.126; p 
Source: Disability and Rehabilitation - August 21, 2017 Category: Rehabilitation Authors: Nakazora T, Iwamoto K, Kiyozuka T, Arimoto H, Shirotani T, Domen K Tags: Disabil Rehabil Source Type: research