Co-constructing engagement in pediatric rehabilitation: a multiple case study approach
CONCLUSIONS: The findings indicate the value of providers' awareness of the dynamics of engagement, their use of personalized strategies to engage clients, and the fundamental importance of cultivating a good relationship and monitoring client engagement during therapy.IMPLICATIONS FOR REHABILITATIONService providers may benefit from being aware of common principles underlying the co-construction of engagement between service providers and clients.Service providers can use a variety of personalized strategies to heighten client engagement, and can work to cultivate a positive relationship.It is important to monitor clients...
Source: Disability and Rehabilitation - April 19, 2021 Category: Rehabilitation Authors: Gillian King Lisa A Chiarello Michelle Phoenix Rachel D'Arrigo Madhu Pinto Source Type: research

Home modifications and repurposing: perspectives on the accessibility, affordability, and attractiveness
CONCLUSION: Overall, adoption and implementation of home modifications promote accessibility, but professionals need to consider individualized needs and preferences, before suggesting modifications.IMPLICATIONS FOR REHABILITATIONRepurposing existing spaces, features, and fixtures can serve as a method of home modification.Consumer home modification recommendations are perceived to be more effective when collaboratively and individually developed with professionals.Data gathered through focus groups can be valuable for informing practice and research in home modifications.PMID:33866906 | DOI:10.1080/09638288.2021.1910866 (...
Source: Disability and Rehabilitation - April 19, 2021 Category: Rehabilitation Authors: Linda R Struckmeyer Nichole Campbell Carlyn Ellison Sherry Ahrentzen Sherilene Classen Source Type: research

Acceptability of employment readiness measures in youth and young adults on the autism spectrum: a mixed-methods study
CONCLUSIONS: Implications are presented for clinicians and researchers, highlighting the relevance for autism-specific measurement development and acceptability.Implications for rehabilitationGiven the lower labor force participation of persons on the autism spectrum, a combination of measures should be used in the assessment of an individual's employment readiness.In youth and young adults on the spectrum, employment readiness can be measured using the Work Readiness Inventory (WRI) and a modified version of the Ansell-Casey Life Skills Assessment (ACLSA-M).In clinical practice and research, modifying the contents of thes...
Source: Disability and Rehabilitation - April 17, 2021 Category: Rehabilitation Authors: Krystle Wittevrongel Wendy Mitchell Mich èle L Hébert David B Nicholas Jennifer D Zwicker Source Type: research

Acceptability of employment readiness measures in youth and young adults on the autism spectrum: a mixed-methods study
CONCLUSIONS: Implications are presented for clinicians and researchers, highlighting the relevance for autism-specific measurement development and acceptability.Implications for rehabilitationGiven the lower labor force participation of persons on the autism spectrum, a combination of measures should be used in the assessment of an individual's employment readiness.In youth and young adults on the spectrum, employment readiness can be measured using the Work Readiness Inventory (WRI) and a modified version of the Ansell-Casey Life Skills Assessment (ACLSA-M).In clinical practice and research, modifying the contents of thes...
Source: Disability and Rehabilitation - April 17, 2021 Category: Rehabilitation Authors: Krystle Wittevrongel Wendy Mitchell Mich èle L Hébert David B Nicholas Jennifer D Zwicker Source Type: research

Physical activity correlates in children and adolescents, adults, and older adults with an intellectual disability: a systematic review
Disabil Rehabil. 2021 Apr 16:1-12. doi: 10.1080/09638288.2021.1909665. Online ahead of print.ABSTRACTPURPOSE: Understanding enablers of and barriers for physical activity (PA) participation in people with intellectual disability (ID) is an essential first step to develop effective interventions. This systematic review examined correlates of PA across the socio-ecological model (i.e., intra-personal, inter-personal, environmental and policy level) in people with ID across the lifespan.MATERIAL AND METHODS: Major electronic databases were searched from inception until 15 February 2021. Keywords included "physical activi...
Source: Disability and Rehabilitation - April 16, 2021 Category: Rehabilitation Authors: Davy Vancampfort Tine Van Damme Joseph Firth Brendon Stubbs Felipe Schuch Shuichi Suetani Anke Arkesteyn Debbie Van Biesen Source Type: research

Evidence-based stroke rehabilitation: do priorities for practice change and feasibility of implementation vary across high income, upper and lower-middle income countries?
CONCLUSION: We have identified healthcare providers' priorities for addressing international practice change across socioeconomic regions. By focusing on the most feasible key areas, we can aid the channeling of appropriate resources to bridge the disparities in stroke outcomes across HICs, UMICs and LMICs.IMPLICATIONS FOR REHABILITATIONIt is pertinent to examine the differences in priorities of stroke rehabilitation professionals and the feasibility of implementing evidence-based practice across socioeconomic regions.There is an urgent necessity for the development of clinical practice guidelines for stroke rehabilitation...
Source: Disability and Rehabilitation - April 14, 2021 Category: Rehabilitation Authors: Sanjana Gururaj Marie-Louise Bird Karen Borschmann Janice J Eng Caroline Leigh Watkins Marion F Walker John M Solomon SRRR2 KT working group Source Type: research

Evidence-based stroke rehabilitation: do priorities for practice change and feasibility of implementation vary across high income, upper and lower-middle income countries?
CONCLUSION: We have identified healthcare providers' priorities for addressing international practice change across socioeconomic regions. By focusing on the most feasible key areas, we can aid the channeling of appropriate resources to bridge the disparities in stroke outcomes across HICs, UMICs and LMICs.IMPLICATIONS FOR REHABILITATIONIt is pertinent to examine the differences in priorities of stroke rehabilitation professionals and the feasibility of implementing evidence-based practice across socioeconomic regions.There is an urgent necessity for the development of clinical practice guidelines for stroke rehabilitation...
Source: Disability and Rehabilitation - April 14, 2021 Category: Rehabilitation Authors: Sanjana Gururaj Marie-Louise Bird Karen Borschmann Janice J Eng Caroline Leigh Watkins Marion F Walker John M Solomon SRRR2 KT working group Source Type: research

Evidence-based stroke rehabilitation: do priorities for practice change and feasibility of implementation vary across high income, upper and lower-middle income countries?
CONCLUSION: We have identified healthcare providers' priorities for addressing international practice change across socioeconomic regions. By focusing on the most feasible key areas, we can aid the channeling of appropriate resources to bridge the disparities in stroke outcomes across HICs, UMICs and LMICs.IMPLICATIONS FOR REHABILITATIONIt is pertinent to examine the differences in priorities of stroke rehabilitation professionals and the feasibility of implementing evidence-based practice across socioeconomic regions.There is an urgent necessity for the development of clinical practice guidelines for stroke rehabilitation...
Source: Disability and Rehabilitation - April 14, 2021 Category: Rehabilitation Authors: Sanjana Gururaj Marie-Louise Bird Karen Borschmann Janice J Eng Caroline Leigh Watkins Marion F Walker John M Solomon SRRR2 KT working group Source Type: research

Psychometric properties of the TEMPA for the assessment of arm motor activity capacity in hemiparetic Japanese patients after stroke
CONCLUSIONS: The most aspects of the Japanese TEMPA showed acceptable levels of inter-rater reliability and validity in patients with affected upper extremities after stroke.IMPLICATIONS FOR REHABILITATIONThe TEMPA is reliable and valid in measuring activity capacity of upper extremity in patients with stroke.The functional rating score of the TEMPA is recommended to assess activities related to daily living, especially when users need to focus on bimanual activities.The TEMPA may help guide intervention that improve bimanual activity as well as the affected arm activity.PMID:33847186 | DOI:10.1080/09638288.2021.1910352 (S...
Source: Disability and Rehabilitation - April 13, 2021 Category: Rehabilitation Authors: Satoru Amano Atsushi Umeji Takashi Takebayashi Kayoko Takahashi Yuki Uchiyama Kazuhisa Domen Source Type: research

Managing shoulder pain: a meta-ethnography exploring healthcare providers' experiences
CONCLUSION: Healthcare providers working with people with shoulder pain struggle to reconcile, often conflicting, research recommendations with their own clinical experience, beliefs and patient expectations. These findings help explain the continued lack of consensus on how best to manage shoulder pain in clinical practice.IMPLICATIONS FOR REHABILITATIONHealthcare providers (HCPs) working with people with shoulder pain struggle to resolve conflicts between evidence-based recommendations, clinical experience, their own shoulder pain beliefs and patient expectations and preferences.Stronger collaboration across professional...
Source: Disability and Rehabilitation - April 13, 2021 Category: Rehabilitation Authors: Christina Maxwell Katie Robinson Karen McCreesh Source Type: research

Psychometric properties of the TEMPA for the assessment of arm motor activity capacity in hemiparetic Japanese patients after stroke
CONCLUSIONS: The most aspects of the Japanese TEMPA showed acceptable levels of inter-rater reliability and validity in patients with affected upper extremities after stroke.IMPLICATIONS FOR REHABILITATIONThe TEMPA is reliable and valid in measuring activity capacity of upper extremity in patients with stroke.The functional rating score of the TEMPA is recommended to assess activities related to daily living, especially when users need to focus on bimanual activities.The TEMPA may help guide intervention that improve bimanual activity as well as the affected arm activity.PMID:33847186 | DOI:10.1080/09638288.2021.1910352 (S...
Source: Disability and Rehabilitation - April 13, 2021 Category: Rehabilitation Authors: Satoru Amano Atsushi Umeji Takashi Takebayashi Kayoko Takahashi Yuki Uchiyama Kazuhisa Domen Source Type: research

Managing shoulder pain: a meta-ethnography exploring healthcare providers' experiences
CONCLUSION: Healthcare providers working with people with shoulder pain struggle to reconcile, often conflicting, research recommendations with their own clinical experience, beliefs and patient expectations. These findings help explain the continued lack of consensus on how best to manage shoulder pain in clinical practice.IMPLICATIONS FOR REHABILITATIONHealthcare providers (HCPs) working with people with shoulder pain struggle to resolve conflicts between evidence-based recommendations, clinical experience, their own shoulder pain beliefs and patient expectations and preferences.Stronger collaboration across professional...
Source: Disability and Rehabilitation - April 13, 2021 Category: Rehabilitation Authors: Christina Maxwell Katie Robinson Karen McCreesh Source Type: research

Towards a paradigm shift in pediatric rehabilitation: Accelerating the uptake of evidence on participation into routine clinical practice
CONCLUSIONS: The knowledge translation roadmap can assist children and families, service providers, administrators, and policymakers to bridge existing knowledge-to-practice gaps surrounding participation. Partnering and collaborating through a "family-clinician-manager-community leader-policymaker" synergy is key for achieving strategic practice change focussed on participation.Implications for RehabilitationSound evidence surrounding the topic of participation, including effective assessments and interventions, is available and ready for use.Shifting towards participation-focused practices for children and yout...
Source: Disability and Rehabilitation - April 9, 2021 Category: Rehabilitation Authors: D Anaby M Khetani B Piskur M van der Holst G Bedell F Schakel A de Kloet R Simeonsson C Imms Source Type: research

Experiences in responders and non-responders to pulmonary rehabilitation among people with chronic obstructive pulmonary disease: a clinical study with convergent mixed analysis
CONCLUSION: In this qualitative study, we found that absence of expected improvement to pulmonary rehabilitation seems to confer distress and feelings of hopelessness. The achievement of sustainable change in daily exercise behaviour appears yet to be insufficient. Thus, new and more individualized models of physiotherapists' guidance in exercise are imperative.Implications for rehabilitationIt is vital to acknowledge differential response to people with the chronic obstructive pulmonary disease following eight-week standard pulmonary rehabilitation.Especially noteworthy feelings of distress and hopelessness are prominent ...
Source: Disability and Rehabilitation - April 9, 2021 Category: Rehabilitation Authors: Charlotte Simon ÿ Claus Riber H øjfeld Brian Clausen Regner Birkelund Uffe Bodtger Source Type: research

Older adults in skilled nursing facilities demonstrate low physical activity during and after discharge
CONCLUSION: In an exploratory study, SNF residents demonstrated profoundly low levels of physical activity both during and after their SNF stay. Future studies using larger sample sizes should examine physical activity during the SNF to home transition as well as barriers and facilitators to physical activity in post-acute care environments.IMPLICATIONS FOR REHABILITATIONSNF residents in this study demonstrated low levels of physical activity and high rates of sedentary behavior that persisted after discharge home.Interventions to improve physical activity levels in the SNF are sorely needed, and those interventions should...
Source: Disability and Rehabilitation - April 9, 2021 Category: Rehabilitation Authors: Julie A Stutzbach Allison M Gustavson Danielle L Derlein Jeri E Forster Rebecca S Boxer Jennifer E Stevens-Lapsley Source Type: research

Towards a paradigm shift in pediatric rehabilitation: Accelerating the uptake of evidence on participation into routine clinical practice
CONCLUSIONS: The knowledge translation roadmap can assist children and families, service providers, administrators, and policymakers to bridge existing knowledge-to-practice gaps surrounding participation. Partnering and collaborating through a "family-clinician-manager-community leader-policymaker" synergy is key for achieving strategic practice change focussed on participation.Implications for RehabilitationSound evidence surrounding the topic of participation, including effective assessments and interventions, is available and ready for use.Shifting towards participation-focused practices for children and yout...
Source: Disability and Rehabilitation - April 9, 2021 Category: Rehabilitation Authors: D Anaby M Khetani B Piskur M van der Holst G Bedell F Schakel A de Kloet R Simeonsson C Imms Source Type: research

Experiences in responders and non-responders to pulmonary rehabilitation among people with chronic obstructive pulmonary disease: a clinical study with convergent mixed analysis
CONCLUSION: In this qualitative study, we found that absence of expected improvement to pulmonary rehabilitation seems to confer distress and feelings of hopelessness. The achievement of sustainable change in daily exercise behaviour appears yet to be insufficient. Thus, new and more individualized models of physiotherapists' guidance in exercise are imperative.Implications for rehabilitationIt is vital to acknowledge differential response to people with the chronic obstructive pulmonary disease following eight-week standard pulmonary rehabilitation.Especially noteworthy feelings of distress and hopelessness are prominent ...
Source: Disability and Rehabilitation - April 9, 2021 Category: Rehabilitation Authors: Charlotte Simon ÿ Claus Riber H øjfeld Brian Clausen Regner Birkelund Uffe Bodtger Source Type: research

Older adults in skilled nursing facilities demonstrate low physical activity during and after discharge
CONCLUSION: In an exploratory study, SNF residents demonstrated profoundly low levels of physical activity both during and after their SNF stay. Future studies using larger sample sizes should examine physical activity during the SNF to home transition as well as barriers and facilitators to physical activity in post-acute care environments.IMPLICATIONS FOR REHABILITATIONSNF residents in this study demonstrated low levels of physical activity and high rates of sedentary behavior that persisted after discharge home.Interventions to improve physical activity levels in the SNF are sorely needed, and those interventions should...
Source: Disability and Rehabilitation - April 9, 2021 Category: Rehabilitation Authors: Julie A Stutzbach Allison M Gustavson Danielle L Derlein Jeri E Forster Rebecca S Boxer Jennifer E Stevens-Lapsley Source Type: research

Towards a paradigm shift in pediatric rehabilitation: Accelerating the uptake of evidence on participation into routine clinical practice
CONCLUSIONS: The knowledge translation roadmap can assist children and families, service providers, administrators, and policymakers to bridge existing knowledge-to-practice gaps surrounding participation. Partnering and collaborating through a "family-clinician-manager-community leader-policymaker" synergy is key for achieving strategic practice change focussed on participation.Implications for RehabilitationSound evidence surrounding the topic of participation, including effective assessments and interventions, is available and ready for use.Shifting towards participation-focused practices for children and yout...
Source: Disability and Rehabilitation - April 9, 2021 Category: Rehabilitation Authors: D Anaby M Khetani B Piskur M van der Holst G Bedell F Schakel A de Kloet R Simeonsson C Imms Source Type: research

Experiences in responders and non-responders to pulmonary rehabilitation among people with chronic obstructive pulmonary disease: a clinical study with convergent mixed analysis
CONCLUSION: In this qualitative study, we found that absence of expected improvement to pulmonary rehabilitation seems to confer distress and feelings of hopelessness. The achievement of sustainable change in daily exercise behaviour appears yet to be insufficient. Thus, new and more individualized models of physiotherapists' guidance in exercise are imperative.Implications for rehabilitationIt is vital to acknowledge differential response to people with the chronic obstructive pulmonary disease following eight-week standard pulmonary rehabilitation.Especially noteworthy feelings of distress and hopelessness are prominent ...
Source: Disability and Rehabilitation - April 9, 2021 Category: Rehabilitation Authors: Charlotte Simon ÿ Claus Riber H øjfeld Brian Clausen Regner Birkelund Uffe Bodtger Source Type: research

Older adults in skilled nursing facilities demonstrate low physical activity during and after discharge
CONCLUSION: In an exploratory study, SNF residents demonstrated profoundly low levels of physical activity both during and after their SNF stay. Future studies using larger sample sizes should examine physical activity during the SNF to home transition as well as barriers and facilitators to physical activity in post-acute care environments.IMPLICATIONS FOR REHABILITATIONSNF residents in this study demonstrated low levels of physical activity and high rates of sedentary behavior that persisted after discharge home.Interventions to improve physical activity levels in the SNF are sorely needed, and those interventions should...
Source: Disability and Rehabilitation - April 9, 2021 Category: Rehabilitation Authors: Julie A Stutzbach Allison M Gustavson Danielle L Derlein Jeri E Forster Rebecca S Boxer Jennifer E Stevens-Lapsley Source Type: research

Towards a paradigm shift in pediatric rehabilitation: Accelerating the uptake of evidence on participation into routine clinical practice
CONCLUSIONS: The knowledge translation roadmap can assist children and families, service providers, administrators, and policymakers to bridge existing knowledge-to-practice gaps surrounding participation. Partnering and collaborating through a "family-clinician-manager-community leader-policymaker" synergy is key for achieving strategic practice change focussed on participation.Implications for RehabilitationSound evidence surrounding the topic of participation, including effective assessments and interventions, is available and ready for use.Shifting towards participation-focused practices for children and yout...
Source: Disability and Rehabilitation - April 9, 2021 Category: Rehabilitation Authors: D Anaby M Khetani B Piskur M van der Holst G Bedell F Schakel A de Kloet R Simeonsson C Imms Source Type: research

Experiences in responders and non-responders to pulmonary rehabilitation among people with chronic obstructive pulmonary disease: a clinical study with convergent mixed analysis
CONCLUSION: In this qualitative study, we found that absence of expected improvement to pulmonary rehabilitation seems to confer distress and feelings of hopelessness. The achievement of sustainable change in daily exercise behaviour appears yet to be insufficient. Thus, new and more individualized models of physiotherapists' guidance in exercise are imperative.Implications for rehabilitationIt is vital to acknowledge differential response to people with the chronic obstructive pulmonary disease following eight-week standard pulmonary rehabilitation.Especially noteworthy feelings of distress and hopelessness are prominent ...
Source: Disability and Rehabilitation - April 9, 2021 Category: Rehabilitation Authors: Charlotte Simon ÿ Claus Riber H øjfeld Brian Clausen Regner Birkelund Uffe Bodtger Source Type: research

Factors associated with leisure-time physical activity participation among individuals with spinal cord injury who ambulate
Disabil Rehabil. 2021 Apr 8:1-8. doi: 10.1080/09638288.2021.1904011. Online ahead of print.ABSTRACTPURPOSE: The purpose of this study was to employ the theoretical domains framework (TDF) to identify behaviour change factors related to leisure-time physical activity (LTPA) in spinal cord injury (SCI) ambulators.METHODS: A cross-sectional design was employed. Among 43 SCI ambulators, the TDF behaviour change factors were assessed, along with the duration, types, and intensities of LTPA performed over the previous week.RESULTS: The TDF behaviour change factors identified as barriers to LTPA included: knowledge, beliefs about...
Source: Disability and Rehabilitation - April 8, 2021 Category: Rehabilitation Authors: Sarah V C Lawrason Kathleen A Martin Ginis Source Type: research

Movement behaviors, comorbidities, and health-related quality of life among adults with visual impairments
CONCLUSIONS: The results demonstrate the discrete and integrative HRQoL-related benefits of meeting three movement behavior guidelines for adults with VIs. The existence of comorbid conditions did not moderate this relationship.Implications for rehabilitationAdults with visual impairments (VIs) tend to report poorer health-related quality of life (HRQoL) than those without VIs.In our sample, participants who met all three of the physical activity (PA), sitting-time, and sleep guidelines had significantly higher HRQoL than those meeting none or the sleep guideline alone.Mechanisms to disseminate movement guidelines and asso...
Source: Disability and Rehabilitation - April 8, 2021 Category: Rehabilitation Authors: Justin A Haegele Xihe Zhu Source Type: research

Community aquatic therapy for Parkinson's disease: an international qualitative study
CONCLUSION: Aquatic therapy is a popular exercise choice for people with Parkinson's disease, especially in the early to middle disease stages. Considering the views of people living with Parkinson's disease can aid the design and implementation of interventions and future aquatic research internationally.Implications for RehabilitationAquatic therapy is emerging as an effective physiotherapy approach for managing motor and non-motor symptoms in Parkinson's disease.Little is known regarding community-based aquatic therapy programs from the perspectives of people living with Parkinson's disease internationally.People with P...
Source: Disability and Rehabilitation - April 7, 2021 Category: Rehabilitation Authors: Louise M Carroll Meg E Morris William T O'Connor Amanda M Clifford Source Type: research

Impact of adherence to disease-modifying therapies on employment among veterans with multiple sclerosis
CONCLUSION: In this study veterans who adhered to their DMTs were 2.4 times more likely to be in paid-employment compared to non- or poorly-adherent patients. The clinical significance of this study is to encourage MS patients to adhere to their DMTs as a motivating factor of being in paid-employment.Implications for rehabilitationWhat is known about this subject? In the setting of a randomized controlled trial adherence rates reported for different injectable DMTs vary from 79-85% for once a week interferon beta-1a (IM IFNb-1a) to 49-78% for other injectable DMTs.•What are the new findings and/or impact on clinical p...
Source: Disability and Rehabilitation - April 7, 2021 Category: Rehabilitation Authors: Meheroz H Rabadi Kimberly Just Chao Xu Source Type: research

Participation in a rehabilitation program based on adapted physical activities in Norway: a qualitative study of experiences of immigrant parents and their children with disabilities
CONCLUSIONS: Although the beneficial aspects of the services were demonstrated, the cultural adaptation and accessibility of the services were limited. Providing flexible and culturally adapted services that meet immigrant families' needs may improve the accessibility of rehabilitation services to immigrant families.IMPLICATIONS FOR REHABILITATIONMaking information available to immigrant families, mapping their resources and needs well before the intervention may improve the accessibility of the services for these families.Rehabilitation professionals need to consider families' perceptions of their own role through the goa...
Source: Disability and Rehabilitation - April 7, 2021 Category: Rehabilitation Authors: Shahrzad Arfa Per Koren Solvang Berit Berg Reidun Jahnsen Source Type: research

Community aquatic therapy for Parkinson's disease: an international qualitative study
CONCLUSION: Aquatic therapy is a popular exercise choice for people with Parkinson's disease, especially in the early to middle disease stages. Considering the views of people living with Parkinson's disease can aid the design and implementation of interventions and future aquatic research internationally.Implications for RehabilitationAquatic therapy is emerging as an effective physiotherapy approach for managing motor and non-motor symptoms in Parkinson's disease.Little is known regarding community-based aquatic therapy programs from the perspectives of people living with Parkinson's disease internationally.People with P...
Source: Disability and Rehabilitation - April 7, 2021 Category: Rehabilitation Authors: Louise M Carroll Meg E Morris William T O'Connor Amanda M Clifford Source Type: research

Impact of adherence to disease-modifying therapies on employment among veterans with multiple sclerosis
CONCLUSION: In this study veterans who adhered to their DMTs were 2.4 times more likely to be in paid-employment compared to non- or poorly-adherent patients. The clinical significance of this study is to encourage MS patients to adhere to their DMTs as a motivating factor of being in paid-employment.Implications for rehabilitationWhat is known about this subject? In the setting of a randomized controlled trial adherence rates reported for different injectable DMTs vary from 79-85% for once a week interferon beta-1a (IM IFNb-1a) to 49-78% for other injectable DMTs.•What are the new findings and/or impact on clinical p...
Source: Disability and Rehabilitation - April 7, 2021 Category: Rehabilitation Authors: Meheroz H Rabadi Kimberly Just Chao Xu Source Type: research

Participation in a rehabilitation program based on adapted physical activities in Norway: a qualitative study of experiences of immigrant parents and their children with disabilities
CONCLUSIONS: Although the beneficial aspects of the services were demonstrated, the cultural adaptation and accessibility of the services were limited. Providing flexible and culturally adapted services that meet immigrant families' needs may improve the accessibility of rehabilitation services to immigrant families.IMPLICATIONS FOR REHABILITATIONMaking information available to immigrant families, mapping their resources and needs well before the intervention may improve the accessibility of the services for these families.Rehabilitation professionals need to consider families' perceptions of their own role through the goa...
Source: Disability and Rehabilitation - April 7, 2021 Category: Rehabilitation Authors: Shahrzad Arfa Per Koren Solvang Berit Berg Reidun Jahnsen Source Type: research

"Capturing the magic": identifying the active ingredients of a physical activity participation intervention for children and youth with disabilities
CONCLUSIONS: The role of the environment, and specifically support and relationships, may be an essential consideration for enabling physical activity participation. Outcomes may guide program design and implementation to promote and sustain physical activity behaviours for children and youth with disabilities.Implications for rehabilitationThe active ingredients identified in this study may guide the design and implementation of programs to promote and sustain physical activity behaviours of children and youth with disabilities.Leadership qualities and strength-based attitudes may be key characteristics of organisational ...
Source: Disability and Rehabilitation - April 6, 2021 Category: Rehabilitation Authors: Claire Willis Catherine Elliott Siobhan Reid Astrid Nyquist Reidun Jahnsen Sven B ölte Michael Rosenberg Sonya Girdler Source Type: research

"Capturing the magic": identifying the active ingredients of a physical activity participation intervention for children and youth with disabilities
CONCLUSIONS: The role of the environment, and specifically support and relationships, may be an essential consideration for enabling physical activity participation. Outcomes may guide program design and implementation to promote and sustain physical activity behaviours for children and youth with disabilities.Implications for rehabilitationThe active ingredients identified in this study may guide the design and implementation of programs to promote and sustain physical activity behaviours of children and youth with disabilities.Leadership qualities and strength-based attitudes may be key characteristics of organisational ...
Source: Disability and Rehabilitation - April 6, 2021 Category: Rehabilitation Authors: Claire Willis Catherine Elliott Siobhan Reid Astrid Nyquist Reidun Jahnsen Sven B ölte Michael Rosenberg Sonya Girdler Source Type: research

A Chinese version of the Participation Strategies Self Efficacy Scale (PS-SES): psychometric evaluation in stroke survivors
Disabil Rehabil. 2021 Apr 4:1-9. doi: 10.1080/09638288.2021.1907796. Online ahead of print.ABSTRACTOBJECTIVE: To cross-culturally adapt and investigate the psychometric properties of a Chinese-translated version of the Participation Strategies Self Efficacy Scale (PS-SES).MATERIALS AND METHODS: The translation/back-translation procedure was done in line with cross-cultural adaptation international guidelines. 378 stroke survivors were recruited to complete the questionnaires. The psychometric properties of the PS-SES were evaluated by determining item analysis, internal consistency, test-retest reliability, content validit...
Source: Disability and Rehabilitation - April 5, 2021 Category: Rehabilitation Authors: Wenna Wang Chaojin Luo Zhenxiang Zhang Danbi Lee Source Type: research

How active are stroke patients in physiotherapy sessions and is this associated with stroke severity?
Disabil Rehabil. 2021 Apr 1:1-7. doi: 10.1080/09638288.2021.1907459. Online ahead of print.ABSTRACTPURPOSE: Exercise improves functional outcome post-stroke, but how long patients with differing severity spend undertaking active exercise within physiotherapy sessions is unknown. We aimed to investigate if stroke severity is associated with time undertaking active exercise in physiotherapy sessions, and if any differences between planned and actual physiotherapy session length existed.MATERIALS AND METHODS: A prospective observational study of 107 stroke rehabilitation sessions in a UK acute stroke unit. Data recorded inclu...
Source: Disability and Rehabilitation - April 2, 2021 Category: Rehabilitation Authors: Jimmy James Mark P McGlinchey Source Type: research

How active are stroke patients in physiotherapy sessions and is this associated with stroke severity?
Disabil Rehabil. 2021 Apr 1:1-7. doi: 10.1080/09638288.2021.1907459. Online ahead of print.ABSTRACTPURPOSE: Exercise improves functional outcome post-stroke, but how long patients with differing severity spend undertaking active exercise within physiotherapy sessions is unknown. We aimed to investigate if stroke severity is associated with time undertaking active exercise in physiotherapy sessions, and if any differences between planned and actual physiotherapy session length existed.MATERIALS AND METHODS: A prospective observational study of 107 stroke rehabilitation sessions in a UK acute stroke unit. Data recorded inclu...
Source: Disability and Rehabilitation - April 2, 2021 Category: Rehabilitation Authors: Jimmy James Mark P McGlinchey Source Type: research

How active are stroke patients in physiotherapy sessions and is this associated with stroke severity?
Disabil Rehabil. 2021 Apr 1:1-7. doi: 10.1080/09638288.2021.1907459. Online ahead of print.ABSTRACTPURPOSE: Exercise improves functional outcome post-stroke, but how long patients with differing severity spend undertaking active exercise within physiotherapy sessions is unknown. We aimed to investigate if stroke severity is associated with time undertaking active exercise in physiotherapy sessions, and if any differences between planned and actual physiotherapy session length existed.MATERIALS AND METHODS: A prospective observational study of 107 stroke rehabilitation sessions in a UK acute stroke unit. Data recorded inclu...
Source: Disability and Rehabilitation - April 2, 2021 Category: Rehabilitation Authors: Jimmy James Mark P McGlinchey Source Type: research

How active are stroke patients in physiotherapy sessions and is this associated with stroke severity?
Disabil Rehabil. 2021 Apr 1:1-7. doi: 10.1080/09638288.2021.1907459. Online ahead of print.ABSTRACTPURPOSE: Exercise improves functional outcome post-stroke, but how long patients with differing severity spend undertaking active exercise within physiotherapy sessions is unknown. We aimed to investigate if stroke severity is associated with time undertaking active exercise in physiotherapy sessions, and if any differences between planned and actual physiotherapy session length existed.MATERIALS AND METHODS: A prospective observational study of 107 stroke rehabilitation sessions in a UK acute stroke unit. Data recorded inclu...
Source: Disability and Rehabilitation - April 2, 2021 Category: Rehabilitation Authors: Jimmy James Mark P McGlinchey Source Type: research

Exploring the lived return-to-work experience of individuals with acquired brain injury: use of vocational services and environmental, personal and injury-related influences
CONCLUSIONS: The use and effectiveness of vocational services were variable across participants and depended on insurance coverage and needs. Barriers and facilitators for RTW were affected by both the environment and the individual. Implications for vocational rehabilitation were identified.Implications for RehabilitationA supportive workplace and family, and access to appropriate vocational rehabilitation are important environmental facilitators for RTW in individuals with ABI.Workplaces with a poor understanding of ABI and employment service providers unable to find work for individuals with ABI are environmental barrie...
Source: Disability and Rehabilitation - April 1, 2021 Category: Rehabilitation Authors: Charlotte L Brakenridge Charmaine Kai Ling Leow Melissa Kendall Ben Turner Donna Valiant Ray Quinn Venerina Johnston Source Type: research

Validation of teleaudiology hearing aid rehabilitation services for adults: a systematic review of outcome measurement tools
CONCLUSION: Although there is a set of suitable tools available to validate teleaudiology hearing aid rehabilitation services, none of them cover all the seven domains of the validation model used by this review and few are focussed on a specific domain. Further improvement and/or development of new tools to comprehensively validate these services is still necessary. At this stage, this still limits clinical audiology practice research, especially in teleaudiology.IMPLICATIONS FOR REHABILITATIONOutcome measurement tools are crucial for assessing the validity of hearing rehabilitation services.Findings of this study inform ...
Source: Disability and Rehabilitation - March 31, 2021 Category: Rehabilitation Authors: Karina F M Tao Christopher G Brennan-Jones Dona M P Jayakody De Wet Swanepoel Gaetano Fava Sandra R Bellekom Robert H Eikelboom Source Type: research

Psychometric properties of the Turkish version of L'Insalata Shoulder Rating Questionnaire
Disabil Rehabil. 2021 Mar 31:1-7. doi: 10.1080/09638288.2021.1906958. Online ahead of print.ABSTRACTPURPOSE: The aim of this study was to examine the psychometric properties of the culturally adapted Turkish version of the L'Insalata Shoulder Rating Questionnaire (TrLSRQ).MATERIALS AND METHODS: Comprehensibility and content validity of the TrLSRQ were tested on 14 patients and seven physiotherapists, respectively. Subsequently, 90 volunteer patients with shoulder pain completed the TrLSRQ twice within a week for test-retest analysis. Correlations with Shoulder Pain and Disability Index (SPADI), Oxford Shoulder Score (OSS),...
Source: Disability and Rehabilitation - March 31, 2021 Category: Rehabilitation Authors: P ınar Yaşar İlkim Çıtak Karakaya Mehmet G ürhan Karakaya Source Type: research

Therapists' perspectives on fall prevention in spinal cord injury rehabilitation: a qualitative study
CONCLUSIONS: This study revealed opportunities to improve the delivery of fall prevention education and training to individuals with spinal cord injury/disease.IMPLICATIONS FOR REHABILITATIONFall prevention education should be initiated in spinal cord injury rehabilitation and then reinforced in community rehabilitation.Barriers and challenges faced by therapists when delivering fall prevention and management education/training in spinal cord injury rehabilitation include their perceptions of a patient's readiness to receive fall prevention education, short length of stay in rehabilitation, organization's expectations of z...
Source: Disability and Rehabilitation - March 31, 2021 Category: Rehabilitation Authors: Hardeep Singh Kyla Collins Heather M Flett Susan B Jaglal Kristin E Musselman Source Type: research

Prevalence, types, and combinations of multiple problems among recipients of work disability benefits
CONCLUSIONS: Clients with multiple problems face severe and intertwined problems in different domains of life, and need tailored multi-actor work disability management.Implications for rehabilitationClients with multiple problems face severe and intertwined problems in different domains of life; therefore, interventions tailored to deal with needs related to specific problems might be more effective than traditional programs.Interventions should match experienced barriers, and involve multi-actor work disability management with all the challenges of mutual cooperation.For persons with multiple problems a focus on pure medi...
Source: Disability and Rehabilitation - March 31, 2021 Category: Rehabilitation Authors: Kor A Brongers Tialda Hoekstra Pepijn D D M Roelofs Sandra Brouwer Source Type: research

Combined aerobic and strength training for fitness outcomes in heart failure: meta-analysis and meta-regression
CONCLUSIONS: CT promotes increases on quadriceps muscle strength and aerobic capacity over control and provides additional gains on quadriceps muscle strength, having the same effects on VO2 peak compared to AT. A longer time of session is associated with greater benefits to aerobic capacity.Implications for rehabilitationCombining aerobic and strength training increases the functional capacity and quadriceps muscle strength in heart failure patients.Using longer sessions of training has a greater impact on aerobic capacity.PMID:33789068 | DOI:10.1080/09638288.2021.1900411 (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - March 31, 2021 Category: Rehabilitation Authors: Geovana de Almeida Righi Felipe Barreto Schuch Tainara Tolves Ang élica Trevisan De Nardi Natiele Camponogara Righi Luis Ulisses Signori Ant ônio Marcos Vargas da Silva Source Type: research

Validation of teleaudiology hearing aid rehabilitation services for adults: a systematic review of outcome measurement tools
CONCLUSION: Although there is a set of suitable tools available to validate teleaudiology hearing aid rehabilitation services, none of them cover all the seven domains of the validation model used by this review and few are focussed on a specific domain. Further improvement and/or development of new tools to comprehensively validate these services is still necessary. At this stage, this still limits clinical audiology practice research, especially in teleaudiology.IMPLICATIONS FOR REHABILITATIONOutcome measurement tools are crucial for assessing the validity of hearing rehabilitation services.Findings of this study inform ...
Source: Disability and Rehabilitation - March 31, 2021 Category: Rehabilitation Authors: Karina F M Tao Christopher G Brennan-Jones Dona M P Jayakody De Wet Swanepoel Gaetano Fava Sandra R Bellekom Robert H Eikelboom Source Type: research

Feasibility of scaling-up a community-based exercise program for young people with disability
CONCLUSIONS: Scaling-up FitSkills is feasible, but with caveats related to communication, scheduling, and efficiency of recruitment.IMPLICATIONS FOR REHABILITATIONKey elements valued by participants as part of the successful scale-up of a community-based exercise program (FitSkills) across a large metropolitan city included a peer-mentor, tailored exercise, and organisational support structure.FitSkills can be adapted to include young people with complex disability with additional supports including screening, risk analysis, and professional support for the peer-mentor.The benefits of FitSkills, including social connectedn...
Source: Disability and Rehabilitation - March 30, 2021 Category: Rehabilitation Authors: Nora Shields Claire Willis Christine Imms Georgia McKenzie Ben van Dorsselaer Andrea M Bruder Rachel A Kennedy Yeshna Bhowon Alesha Southby Luke A Prendergast Jennifer J Watts Nicholas F Taylor Source Type: research

Perspectives of children and adolescents with cerebral palsy about involvement as research partners: a qualitative study
CONCLUSION: This study identified perspectives of children and adolescents on their involvement as research partners, and considerations for researchers to facilitate involvement of children and adolescents with cerebral palsy as partners in research.IMPLICATIONS FOR REHABILITATIONThe commitment in healthcare to client-centred practice requires that consumers, including children and young people with cerebral palsy, have opportunities to influence the direction of research which impacts them.Children and young people with cerebral palsy are interested in research partnerships and motivated to be involved in various areas o...
Source: Disability and Rehabilitation - March 29, 2021 Category: Rehabilitation Authors: C Cavens C Imms G Drake N Garrity M Wallen Source Type: research

Participation in social and leisure activities while re-constructing the self: understanding strategies used by stroke survivors from a long-term perspective
CONCLUSIONS: Strategies for SL participation involves balancing different priorities in life and can change over time as they are continuously influenced by various personal and environmental conditions. These findings contribute to an improved understanding of why and how people hold on to activities, give up activities and find new activities after a stroke. It also highlights the need for a long-term perspective on stroke rehabilitation and support.IMPLICATIONS FOR REHABILITATIONRe-engagement in social and leisure activities after stroke is a long-term process and various types of support may be needed during different ...
Source: Disability and Rehabilitation - March 29, 2021 Category: Rehabilitation Authors: Anna Norlander Susanne Iwarsson Ann-Cathrin J önsson Arne Lindgren Eva M ånsson Lexell Source Type: research

Perspectives of children and adolescents with cerebral palsy about involvement as research partners: a qualitative study
CONCLUSION: This study identified perspectives of children and adolescents on their involvement as research partners, and considerations for researchers to facilitate involvement of children and adolescents with cerebral palsy as partners in research.IMPLICATIONS FOR REHABILITATIONThe commitment in healthcare to client-centred practice requires that consumers, including children and young people with cerebral palsy, have opportunities to influence the direction of research which impacts them.Children and young people with cerebral palsy are interested in research partnerships and motivated to be involved in various areas o...
Source: Disability and Rehabilitation - March 29, 2021 Category: Rehabilitation Authors: C Cavens C Imms G Drake N Garrity M Wallen Source Type: research

Participation in social and leisure activities while re-constructing the self: understanding strategies used by stroke survivors from a long-term perspective
CONCLUSIONS: Strategies for SL participation involves balancing different priorities in life and can change over time as they are continuously influenced by various personal and environmental conditions. These findings contribute to an improved understanding of why and how people hold on to activities, give up activities and find new activities after a stroke. It also highlights the need for a long-term perspective on stroke rehabilitation and support.IMPLICATIONS FOR REHABILITATIONRe-engagement in social and leisure activities after stroke is a long-term process and various types of support may be needed during different ...
Source: Disability and Rehabilitation - March 29, 2021 Category: Rehabilitation Authors: Anna Norlander Susanne Iwarsson Ann-Cathrin J önsson Arne Lindgren Eva M ånsson Lexell Source Type: research