Everyday life in older men living alone - a complex view needing a biopsychosocial perspective.
CONCLUSIONS: The results generate a complex view of older men's everyday life. It is important for older men's independence that health care and rehabilitation staff adopt a comprehensive view and work from a biopsychosocial (BPS) perspective. Implications for rehabilitation To be an older man living alone might mean a decreased health and good health is a strong predictor for increased abilities in everyday activities. The living situation of older men living alone is not well studied and needs to be explored to a greater extend, especially from their own perspective. An interaction of biological, psychological, and socia...
Source: Disability and Rehabilitation - July 16, 2018 Category: Rehabilitation Authors: von Heideken Wågert P, Nygård S, Cederbom S Tags: Disabil Rehabil Source Type: research
Preferred posture in lying and its association with scoliosis and windswept hips in adults with cerebral palsy.
CONCLUSIONS: The "preferred" habitual posture frequently observed in immobile adults with CP, leads to established distortion of their body shape. The results indicate the need for early introduction of appropriate posture control, in immobile individuals with CP, from a young age. Implications for rehabilitation The preferred posture, observed in immobile adults with cerebral palsy, leads to a distortion of their body shape. One in four adults with cerebral palsy use only one position when in bed. The results indicate the need for early introduction of appropriate posture control in individuals unable to change ...
Source: Disability and Rehabilitation - July 16, 2018 Category: Rehabilitation Authors: Ágústsson A, Sveinsson T, Pope P, Rodby-Bousquet E Tags: Disabil Rehabil Source Type: research
Listening in noise training in children with auditory processing disorder: exploring group and individual data.
CONCLUSIONS: Listening in noise can improve with training for children with auditory processing disorder. However, this training program might be beneficial for some, but not all, children with auditory processing disorder. More data are needed to verify individual data trends. Implication for rehabilitation A structured program was developed to improve the ability of children with auditory processing disorder to listen in noise. Intervention can be beneficial for improving auditory behaviors in some children with auditory processing disorder. A limited number of questions on children's auditory behaviors asked to teachers...
Source: Disability and Rehabilitation - July 10, 2018 Category: Rehabilitation Authors: Jutras B, Lafontaine L, East MP, Noël M Tags: Disabil Rehabil Source Type: research
Effects of rehabilitation exercise on coronary artery after percutaneous coronary intervention in patients with coronary heart disease: a systematic review and meta-analysis.
Abstract PURPOSE: The purpose of this study is to evaluate the effects of rehabilitation exercise on coronary artery of the patients with coronary heart disease (CHD) after percutaneous coronary intervention (PCI). METHODS: We searched Medline, EMBASE, Cochrane CENTRAL databases, ISI Web of Science databases, Chinese Biological Medicine Data Base, Chinese knowledge resources, and Wan Fang database. Two researchers independently screened the literature databases, and assessed methodological qualities using the Physiotherapy Evidence Database scale and extracted data. RESULTS: The coronary restenosis rate ...
Source: Disability and Rehabilitation - July 10, 2018 Category: Rehabilitation Authors: Fu C, Wang H, Wei Q, He C, Zhang C Tags: Disabil Rehabil Source Type: research
The use of the international classification of functioning, disability and health in an interactive perspective: the assessment and intervention of students' additional support needs in Portugal.
CONCLUSIONS: Code-relations consisted in 6.1% out of the total of meaning units found in textual segments concerning assessment and intervention processes. Code-relations were chiefly focused on mental functions, learning and applying knowledge, and products and technology. Intervention plans were predominantly presented as separate lists of goals and strategies, focusing Activities and Participation (67.8%), Body Functions (16.1%) and Environmental Factors (16.2%). Within the reduced amount of contents in which there was a match between goals and strategies, only 8.2% were directly connected with assessment data. Recommen...
Source: Disability and Rehabilitation - July 10, 2018 Category: Rehabilitation Authors: Silveira-Maia M, Lopes-Dos-Santos P, Sanches-Ferreira M, Alves S, Silveira-Maia C Tags: Disabil Rehabil Source Type: research
Rasch analysis of the Lower Extremity Functional Scale for foot and ankle patients.
CONCLUSIONS: This study provides a new 15-item LEFS with four response categories for clinicians and researchers to measure function in foot and ankle patients in a relevant way. Implications for rehabilitation Assessing foot and ankle function and rehabilitation effectiveness is of high importance. The Lower Extremity Functional Scale (LEFS) is a widely used 20-item patient-reported outcome instrument with five response categories. The Finnish LEFS was revised to better fit into the Rasch model. The new LEFS with 15 items and four response categories for foot and ankle patients is a psychometrically sound, meaningful, and...
Source: Disability and Rehabilitation - July 10, 2018 Category: Rehabilitation Authors: Repo JP, Tukiainen EJ, Roine RP, Sampo M, Sandelin H, Häkkinen AH Tags: Disabil Rehabil Source Type: research
Siblings' experiences of their relationship with a brother or sister with a pediatric acquired brain injury.
CONCLUSIONS: The siblings in this study experienced a high level of distress with the near loss of their brother or sister. This was followed by difficulty in adjusting to the physical and psychological changes in their injured sibling and the impact on their sibling role and relationship. The changes were experienced alongside disruption to family relationships. Important clinical implications include the inclusion of siblings in their injured sibling's care and the provision of information and support for this group. Implications for Rehabilitation Siblings of children with an acquired brain injury experience significant...
Source: Disability and Rehabilitation - July 10, 2018 Category: Rehabilitation Authors: Tyerman E, Eccles FJR, Gray V, Murray CD Tags: Disabil Rehabil Source Type: research
Is quality of life reduced in people with patellofemoral osteoarthritis and does it improve with treatment? A systematic review, meta-analysis and regression.
CONCLUSIONS: Individuals with patellofemoral osteoarthritis had worse knee-related and health-related quality of life compared to those without knee osteoarthritis. Non-surgical and surgical interventions may be effective in improving knee-related quality of life in individuals with patellofemoral osteoarthritis, but the intervention results are based on limited studies, and further research is needed to determine optimal strategies. Implications for rehabilitation Clinicians and researchers should consider knee-related and health-related quality of life when developing treatment strategies for patellofemoral osteoarthriti...
Source: Disability and Rehabilitation - July 10, 2018 Category: Rehabilitation Authors: Hart HF, Filbay SR, Coburn S, Charlton JM, Sritharan P, Crossley KM Tags: Disabil Rehabil Source Type: research
Analyzing walking speeds with ankle and wrist worn accelerometers in a cohort with myotonic dystrophy.
t M Abstract BACKGROUND: Accelerometers are accurate tools to assess movement and physical activity. However, interpreting standardly used outputs is not straightforward for populations with impaired mobility. METHODS: The applicability of GENEActiv was explored in a group of 30 participants with myotonic dystrophy and compared to a group of 14 healthy-controls. All participants performed a set of tests while wearing four different accelerometers (wrists and ankles):  standing still;  ten-meters walk test;  six-minutes walking test; and,  ten-meters walk/run test. RESULTS: Relevant findings w...
Source: Disability and Rehabilitation - July 10, 2018 Category: Rehabilitation Authors: Jimenez-Moreno AC, Charman SJ, Nikolenko N, Larweh M, Turner C, Gorman G, Lochmüller H, Catt M Tags: Disabil Rehabil Source Type: research
Sustained participation in community-based physical activity by adolescents with cerebral palsy: a qualitative study.
CONCLUSIONS: The Framework for Sustained Participation highlights strategies that may be useful for adolescents, parents, sports facilitators, clinicians and researchers to help ambulatory male adolescents with cerebral palsy continue to participate in physical activity. Implications for rehabilitation Sustaining participation in physical activity has the potential to enhance long-term health benefits of young people with cerebral palsy. Key facilitators of sustained physical activity in adolescents with cerebral palsy included tailoring the activity, getting the right coach and the adolescents' desire for health and fitne...
Source: Disability and Rehabilitation - July 10, 2018 Category: Rehabilitation Authors: Morris A, Imms C, Kerr C, Adair B Tags: Disabil Rehabil Source Type: research
Effectiveness of psychosocial treatments on symptoms and functional domains in schizophrenia spectrum disorders: a prospective study in a real-world setting.
CONCLUSIONS: Both interventions, in spite of some differences of efficacy, can be considered an important contribution to improve the patients' real-world functioning. Implications for rehabilitation Our study confirmed the need to include a set of psychosocial interventions for patients with schizophrenia spectrum disorders among usual treatment modalities. Techniques such as Befriending and Art therapy can be considered an important contribution to the treatment instruments required by the new community model for mental health. Befriending was found superior to Art therapy (between group effect) in improving psychosocial...
Source: Disability and Rehabilitation - July 9, 2018 Category: Rehabilitation Authors: Bozzatello P, Bellino S, De Marzi G, Macrì A, Piterà R, Montemagni C, Rocca P Tags: Disabil Rehabil Source Type: research
Translation, cross-cultural adaptation, reliability, and validity of the Identification of Functional Ankle Instability questionnaire in Persian speaking participants with a history of ankle sprain.
Abstract PURPOSE: To cross-culturally translate the Identification of Functional Ankle Instability (IdFAI) questionnaire into Persian and to assess its psychometric properties and factor structure. METHODS: The Persian version of IdFAI questionnaire was prepared after a forward-backward translation and cultural adaptation process. One hundred and twenty patients with a history of lateral ankle sprain completed the Persian version of this questionnaire and the Cumberland Ankle Instability Tool (CAIT), Foot and Ankle Ability Measure, Foot and Ankle Outcome Score, Fear Avoidance Belief questionnaire and the Tamp...
Source: Disability and Rehabilitation - July 9, 2018 Category: Rehabilitation Authors: Mohamadi S, Dadgoo M, Ebrahimi I, Salavati M, Saeedi A, Valiollahi B Tags: Disabil Rehabil Source Type: research
A scoping review of rehabilitation interventions for survivors of head and neck cancer.
CONCLUSION: This review has provided an overview of the scope of rehabilitation interventions available for survivors of head and neck cancer and preliminary information about their efficacy. This is foundational information for the development and refinement of rehabilitation interventions and programs for head and neck cancer survivors. Implications for Rehabilitation The existing evidence suggests that survivors of head and neck cancer can benefit from early screening of potential rehabilitation needs and being involved in preventive rehabilitation programs pre-surgery when possible. Rehabilitation programs should consi...
Source: Disability and Rehabilitation - July 6, 2018 Category: Rehabilitation Authors: Rodriguez AM, Komar A, Ringash J, Chan C, Davis AM, Jones J, Martino R, McEwen S Tags: Disabil Rehabil Source Type: research
Longitudinal analysis of statistical and clinically significant psychosocial change following mental health rehabilitation.
CONCLUSIONS: Rehabilitation can produce statistically and clinically significant immediate improvement in psychosocial function for a sub-set of consumers with elevated scores at admission. The durability of any gains is less clear, and strategies promoting longer-term maintenance are encouraged. Furthermore, currently mandated outcome measures are confounded by issues of sensitivity and reporting compliance, and exploration of alternative instruments for assessing recovery is recommended. Implications for Rehabilitation Routinely collected standardized outcome measures can be used to investigate the effectiveness of menta...
Source: Disability and Rehabilitation - July 6, 2018 Category: Rehabilitation Authors: Maxwell A, Tsoutsoulis K, Menon Tarur Padinjareveettil A, Zivkovic F, Rogers JM Tags: Disabil Rehabil Source Type: research
Disability and corporeal (im)mobility: how interstate variation in Medicaid impacts the cross-state plans and pursuits of personal care attendant service users.
CONCLUSION: Interstate variation in Medicaid PCA policy impedes program users' ability to pursue educational and occupational advancement, and leads to feelings of second-class citizenship. Policy changes should be explored to affirm the autonomy of Medicaid PCA service users. Implications for Rehabilitation Interstate variation in Medicaid PCA services and cross-state moves • Medicaid personal care assistance service users desire and pursue cross-state moves, especially when drawn by educational or employment opportunities. • Interstate variation in Medicaid policy negatively impact...
Source: Disability and Rehabilitation - July 2, 2018 Category: Rehabilitation Authors: Grossman BR Tags: Disabil Rehabil Source Type: research
Experiences of participating in a client-centred ADL intervention after stroke.
CONCLUSION: The intervention contributed to transparency, which appeared to enable and support the client's sense of ownership of daily activities and rehabilitation after stroke. Implications for rehabiliation A client-centred activities of daily living intervention seems to contribute to transparency, where persons with stroke can discover and understand their new ability and situation after stroke. A client-centred rehabilitation situation seems to enable clients to actively engage in their own rehabilitation process. Inviting clients to participate in goal-setting seems to be important in order to create the experience...
Source: Disability and Rehabilitation - July 1, 2018 Category: Rehabilitation Authors: Ranner M, Guidetti S, von Koch L, Tham K Tags: Disabil Rehabil Source Type: research
A path analysis model for grooming performance in stroke patients.
CONCLUSIONS: Our results suggest that interventions targeting balance and unaffected upper limb function could be effective in rehabilitation to improve grooming performance in survivors of stroke. Implications for rehabilitation Balance and unaffected upper limb function have a strong effect on grooming independence in survivors of stroke. Balance is most influenced by affected lower limb function, and unaffected upper limb function is equally influenced by balance, visuospatial perception, and grip strength. Interventions targeting balance and unaffected upper limb function can improve grooming performance in survivors o...
Source: Disability and Rehabilitation - June 30, 2018 Category: Rehabilitation Authors: Fujita T, Sato A, Iokawa K, Yamane K, Yamamoto Y, Tsuchiya K, Ohira Y, Otsuki K Tags: Disabil Rehabil Source Type: research
Oxygen uptake on-kinetics before and after aerobic exercise training in individuals with traumatic brain injury.
CONCLUSIONS: Faster oxygen uptake on-kinetics following aerobic exercise training suggests an attenuated decline in physical performance during a standardized walking bout and improved performance fatigability in these individuals with TBI. Implications for rehabilitation Severe fatigue is a common complaint among persons with traumatic brain injury (TBI). Oxygen uptake on-kinetics may be used as an objective physiological measure of performance fatigability in persons with TBI. Faster oxygen uptake on-kinetics following aerobic exercise training suggests improved performance fatigability in these individuals with TBI. Aer...
Source: Disability and Rehabilitation - June 30, 2018 Category: Rehabilitation Authors: Chin LMK, Chan L, Drinkard B, Keyser RE Tags: Disabil Rehabil Source Type: research
Turning problems and freezing of gait in Parkinson's disease: a systematic review and meta-analysis.
CONCLUSIONS: Both step and rotational parameters differed in freezers compared to non-freezers while turning. These differences increased with increasing task complexity (i.e., larger turning angle or spatial confounds during turning). The results suggest that improving axial rotation could be a valuable rehabilitation target to ameliorate freezing. Implications for rehabilitation Patients with freezing of gait turn with a larger arc and a smaller angle compared to non-freezing patients Freezing-related turning deficits have both spatiotemporal and rotational motor control components Improving axial rotation could be a nov...
Source: Disability and Rehabilitation - June 30, 2018 Category: Rehabilitation Authors: Spildooren J, Vinken C, Van Baekel L, Nieuwboer A Tags: Disabil Rehabil Source Type: research
Employers' views on disability, employability, and labor market inclusion: a phenomenographic study.
CONCLUSIONS: The study presents a framework for understanding employers' different views of employability for people with disabilities as a complex internal relationship between conceived individual-, workplace-, and authority-related aspects. Knowledge of the variation in conceptions of employability for people with disability may facilitate for rehabilitation professionals to tailor their support for building trustful partnerships with employers, which may enhance the inclusion of people with disabilities on the labor market. Implications for rehabilitation Employers' views on employing people with disabilities vary with...
Source: Disability and Rehabilitation - June 30, 2018 Category: Rehabilitation Authors: Strindlund L, Abrandt-Dahlgren M, Ståhl C Tags: Disabil Rehabil Source Type: research
Age and health-related quality of life, general self-efficacy, and functional level 12 months following dysvascular major lower limb amputation: a prospective longitudinal study.
CONCLUSIONS: Special attention should be given to the oldest patients need for rehabilitation so that they gain higher quality of life. Implications for rehabilitation Psychosocial problems persist and fluctuate throughout the first 12 months after major LLAs in all age groups and rehabilitation services should include psychosocial support throughout the first year to all patients independent of age. Waiting for an unnecessarily long period of time for a prosthesis can negatively impact both physical and psychosocial aspects of health-related QOL, and interventions to reduce waiting time are warranted. Differences bet...
Source: Disability and Rehabilitation - June 29, 2018 Category: Rehabilitation Authors: Madsen UR, Baath C, Berthelsen CB, Hommel A Tags: Disabil Rehabil Source Type: research
The perceived needs-access gap for health services among persons with disabilities in a rural area within South Africa.
CONCLUSION: This study found that persons with disabilities have poorer reported health outcomes than persons with no disabilities. There is also an association between disability severity and mental health issues as assessed by the GHQ-12. A significantly higher percentage of persons with disability did not get health care when needed. Persons with disabilities also have less favorable attitudes toward competence of health care workers. This study has shown greater health needs and less satisfaction with services, which strongly indicates insufficient access for persons with disabilities in a rural impoverished are within...
Source: Disability and Rehabilitation - June 29, 2018 Category: Rehabilitation Authors: Vergunst R, Swartz L, Hem KG, Eide AH, Mannan H, MacLachlan M, Mji G, Schneider M Tags: Disabil Rehabil Source Type: research
The psychometric properties of the toe tap test in people with stroke.
CONCLUSIONS: Toe tap test count on the affected side is a simple and reliable tool for assessing ankle control in people with stroke. Implications for rehabilitation Toe Tap Test counts have excellent intra-rater, inter-rater, and test-retest reliabilities in people with stroke. Toe Tap Test counts on the affected side were significantly associated with Fugl-Meyer Assessment of Lower Extremity scores, ankle muscle strength, Berg Balance Scale scores, and timed Up and Go test completion times. The 95% Minimal Detectable Change for the Toe Tap Test counts was 8.7 counts of the affected side and 12.6 of the unaffected side. T...
Source: Disability and Rehabilitation - June 29, 2018 Category: Rehabilitation Authors: Ng SSM, Tse MMY, Tam EWC, Lai CYY Tags: Disabil Rehabil Source Type: research
Can scuba diving offer therapeutic benefit to military veterans experiencing physical and psychological injuries as a result of combat? A service evaluation of Deptherapy UK.
CONCLUSION: Scuba diving can offer significant therapeutic benefits, particularly for ex-military amputees experiencing co-morbid anxiety and/or chronic psychological adjustment disorders, notably in terms of improvements in social dysfunction and symptomology of depression. Implications for Rehabilitation Scuba Diving as a Therapy Military combat can result in devastating, chronic physical and/or psychological injury. Current research suggests that a combination of medical and psychological therapy may prove to be the most beneficial for military veterans. Scuba diving has the potential to benefit injured veterans due the...
Source: Disability and Rehabilitation - June 29, 2018 Category: Rehabilitation Authors: Morgan A, Sinclair H, Tan A, Thomas E, Castle R Tags: Disabil Rehabil Source Type: research
Development of a toileting performance assessment test for patients in the early stroke phase.
CONCLUSIONS: The toileting performance assessment test has acceptable psychometric properties and proved useful in assessing toileting performance ability of patients in the early phase after stroke. Implications for rehabilitation Toileting performance assessment test demonstrated acceptable psychometric properties, and it can be useful for assessing the toileting ability of patients in the early phase after stroke. Toileting performance assessment test should provide information that leads to lowered risk of falls while toileting, and the information gathered can assist patients in achieving early toileting independence ...
Source: Disability and Rehabilitation - June 29, 2018 Category: Rehabilitation Authors: Takeda E, Yamaguchi T, Mizuguchi H, Fujitani J, Liu M Tags: Disabil Rehabil Source Type: research
A concerns report survey of physical activity support needs of people with moderate-to-severe MS disability and family caregivers.
CONCLUSIONS: The findings highlight the complexity of developing community resources that target physical activity promotion in MS dyads. Importantly, our findings suggest that resources designed to influence dyadic physical activity participation need to include content that are responsive and tailored to both the needs of the person with MS and the unique needs of the family caregiver. The results also underscore the importance of reinforcing physical activity as a shared behavior and providing information about affordable options for exercising together to the benefit of each individual and the dyad (i.e., partnership)....
Source: Disability and Rehabilitation - June 29, 2018 Category: Rehabilitation Authors: Fakolade A, Latimer-Cheung A, Parsons T, Finlayson M Tags: Disabil Rehabil Source Type: research
Barriers and solutions to participation in exercise for moderately disabled people with multiple sclerosis not currently exercising: a consensus development study using nominal group technique.
CONCLUSIONS: People with MS should be provided with information on how to manage their fatigue alongside any exercise prescription. Information and support should be given on how to personalize exercise to suit individual needs and abilities to overcome some of the barriers suggested within this study. Implications for rehabilitation More exercise opportunities are required. Exercise should be personalized to address the individual needs of the person with MS. Any identified barriers to exercise should be addressed. PMID: 29958016 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - June 29, 2018 Category: Rehabilitation Authors: Moffat F, Paul L Tags: Disabil Rehabil Source Type: research
Responsiveness and predictive validity of the computerized digit vigilance test in patients with stroke.
CONCLUSIONS: Our results showed that the C-DVT had adequate responsiveness and sufficient predictive validity in inpatients receiving rehabilitation following stroke. Implications for rehabilitation The computerized digit vigilance test (C-DVT) had adequate responsiveness to be an outcome measure for assessing the sustained attention in inpatients receiving rehabilitation after stroke. The C-DVT had sufficient predictive validity to predict daily function in inpatients receiving rehabilitation after stroke. PMID: 29954229 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - June 28, 2018 Category: Rehabilitation Authors: Huang SL, Chen TT, Lin GH, Wu CT, Hsueh IP, Hsieh CL Tags: Disabil Rehabil Source Type: research
Unmoving and unmoved: experiences and consequences of impaired non-verbal expressivity in Parkinson's patients and their spouses.
CONCLUSIONS: The results indicate masking can have an adverse impact on close relationships and psychological well-being. This study presents an initial basis for clinicians working with Parkinson's populations to recognize of the needs of people who experience masking and better support such individuals and their families to live satisfying social and emotional lives. Implications for Rehabilitation People who have Parkinson's and their families are often unaware facial masking is a symptom of Parkinson's disease. Masking may be confused with negative affect and become a barrier to satisfying close relationships. Masking ...
Source: Disability and Rehabilitation - June 28, 2018 Category: Rehabilitation Authors: Wootton A, Starkey NJ, Barber CC Tags: Disabil Rehabil Source Type: research
The methodological application of goal attainment scaling in pediatric rehabilitation research: a systematic review.
CONCLUSIONS: GAS is a clinically useful tool for measuring progress toward goals, but has not been utilized with a high level of methodological rigor in research. Emphasis on reduced variation in administration and interpretation will strengthen the utility of GAS for efficacy and program evaluation in future research. Implications for rehabilitation Goal Attainment Scaling (GAS) can be used across a diversity of interventions and diagnoses as an outcome measure in pediatric rehabilitation. Careful consideration should be used in the study design to standardize administration and scoring of GAS to strengthen the study. Goa...
Source: Disability and Rehabilitation - June 28, 2018 Category: Rehabilitation Authors: Harpster K, Sheehan A, Foster EA, Leffler E, Schwab SM, Angeli JM Tags: Disabil Rehabil Source Type: research
The effectiveness of multi-dimensional resilience rehabilitation programs after traumatic physical injuries: a systematic review and meta-analysis.
Abstract OBJECTIVE: To synthesize evidence of the effectiveness of socio-ecological resilience rehabilitation programs on returning to work (RTW), self-efficacy, and stress mitigation following traumatic physical injuries. METHODS: PubMed, Scopus, Proquest, Cinahl, Web of Science, Clinical Trials Database, and the Cochrane Central Register of Controlled Trials databases were searched. Methodological quality was assessed using the PEDro tool. STUDY SELECTION: Randomized interventions aimed at promoting resilience. DATA EXTRACTION: Twenty one studies were reviewed (11,904 participants). Data from 19 s...
Source: Disability and Rehabilitation - June 22, 2018 Category: Rehabilitation Authors: Heathcote K, Wullschleger M, Sun J Tags: Disabil Rehabil Source Type: research
Myalgic encephalomyelitis/chronic fatigue syndrome and the biopsychosocial model: a review of patient harm and distress in the medical encounter.
CONCLUSION: The biopsychosocial framework currently applied to ME/CFS is too narrow in focus and fails to adequately incorporate the patient narrative. Misdiagnosis, conflict, and harm are observable outcomes where doctors' and patients' perspectives remain incongruent. Biopsychosocial practices should be scrutinized for potential harms. Clinicians should consider adopting alternative patient-centred approaches. Implications for rehabilitation Patients with ME/CFS may report or experience one or more of the modalities of harms and distress identified in this review. It is important health and rehabilitation professionals s...
Source: Disability and Rehabilitation - June 21, 2018 Category: Rehabilitation Authors: Geraghty KJ, Blease C Tags: Disabil Rehabil Source Type: research
"The whole perimeter is difficult": Parkinson's disease and the conscious experience of walking in everyday environments.
CONCLUSION: Perceptual challenges, visual flow and the dynamic valence of features in the patient's surroundings may have important effects upon the gait stability of patients with Parkinson's disease and warrant further attention in planning rehabilitation interventions. Implications for rehabilitation Walking abilities of patients with Parkinson's disease should be conceptualized in terms of perceptuomotor coupling to a given environment. The functional significance of a patient's environment is dynamic and might be seen to vary in accordance with their physical capacities. Valency, or the subjective relationship between...
Source: Disability and Rehabilitation - June 19, 2018 Category: Rehabilitation Authors: Parry R, Buttelli O, Riff J, Sellam N, Vidailhet M, Welter ML, Lalo E Tags: Disabil Rehabil Source Type: research
Patient reported experiences of using community rehabilitation and/or support services whilst living with a long-term neurological condition: a qualitative systematic review and meta-aggregation.
CONCLUSION: Patient reported experiences identified common factors associated with process quality (respect, choice, autonomy, information provision, communication) and activities of patient centered care (personalized care, shared decision-making, self-management support) despite heterogeneity of neurological conditions, service configurations, and geographical location. These factors impact quality of life. Implications for Rehabilitation Patient reported experiences provide useful information about courtesy, respect, choice, autonomy, information provision, and communication. Outcomes of self-efficacy and self-managemen...
Source: Disability and Rehabilitation - June 18, 2018 Category: Rehabilitation Authors: Jackson K, Hamilton S, Jones S, Barr S Tags: Disabil Rehabil Source Type: research
Parents' perceptions of power wheelchair prescription for children with a neuromuscular disorder: a scoping review.
CONCLUSION: Parents' experiences of initial wheelchair prescription have not been explored in existing literature. Clinicians' understanding of the benefits of power wheelchair equipment, particularly in the context of progression of neuromuscular disorders, is critical to facilitating timely wheelchair prescription with children. Condition-specific evidence is urgently needed to inform and support multidisciplinary management of children and their families. Implications for Rehabilitation It is important that rehabilitation professionals recognize parental barriers to initial power wheelchair prescription, such as strong ...
Source: Disability and Rehabilitation - June 18, 2018 Category: Rehabilitation Authors: Paguinto SG, Kasparian NA, Bray P, Farrar M Tags: Disabil Rehabil Source Type: research
A Rasch analysis of the Conley Scale in patients admitted to a general hospital.
CONCLUSION: The results of this study suggested that the CS, although unidimensional, could not provide interval-scale measurement of the risk of falling, had a measurement range that mismatched the ability range of the population being measured, and had a reliability inadequate for individual person measurements. Given these findings, the use of the CS to identify inpatients at risk of falling is not recommended. Implications for rehabilitation The Conley Scale is a unidimensional tool according to Confirmatory Factor Analysis. However, Rasch analysis demonstrated that the tool could not provide interval-scale measurement...
Source: Disability and Rehabilitation - June 18, 2018 Category: Rehabilitation Authors: Pellicciari L, Piscitelli D, Caselli S, La Porta F Tags: Disabil Rehabil Source Type: research
"Knocking on Doors that Don't Open": experiences of caregivers of children living with disabilities in Iquitos and Lima, Peru.
CONCLUSIONS: The main findings were the lack of emotional, informational, and tangible support available to caregivers of people with disabilities, often exacerbated by lower socio-economic status; a lack of transparency of care pathways available to people with disabilities; and a lack of visibility of people with disability in both Lima and Iquitos. Implications for Rehabilitation Support groups could offer additional support to caregivers of people with disabilities in Lima, mitigating existing gaps in services for people with disabilities, and their families. Education campaigns implemented on a community level could s...
Source: Disability and Rehabilitation - June 17, 2018 Category: Rehabilitation Authors: Aguerre IM, Riley-Powell AR, Weldon CT, Pajuelo MJ, Celis Nacimento RA, Puente-Arnao A, Cabrera L, Oberhelman RA, Paz-Soldan VA Tags: Disabil Rehabil Source Type: research
Views of healthcare professionals on training for and delivery of a fatigue self-management program for persons with multiple sclerosis.
CONCLUSION: This study suggests that multidimensional patient centered interventions also benefit the healthcare professionals who provide them because it expands their practice. Healthcare professionals who recognize the benefits of innovative and patient-centered interventions, supports both the patients with whom they work, and adds value to the health services they provide. Implications for rehabilitation Healthcare professionals who undergo training to facilitate delivery of self-management programs, which are based in an empowerment model, report an enhancement or expansion of their traditional practice. An empowerme...
Source: Disability and Rehabilitation - June 17, 2018 Category: Rehabilitation Authors: Peters S, Wilkinson A, Mulligan H Tags: Disabil Rehabil Source Type: research
Authors: PMID: 29902940 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - June 14, 2018 Category: Rehabilitation Tags: Disabil Rehabil Source Type: research
Traumatic brain injury resiliency model: a conceptual model to guide rehabilitation research and practice.
Abstract There is a growing trend in traumatic brain injury (TBI) rehabilitation, and research, to focus on the processes of adaptation following the injury. Resiliency is an umbrella term describing the range of personal protective factors, environmental supports and resources, as well as self-regulatory processes, engaged in response to adversity. An affective, cognitive, and behavioural self-regulatory process model of resiliency in the workplace was adapted to suit the TBI context. Through a narrative review of the literature pertaining to brain injury rehabilitation, participation, and resilience, we substant...
Source: Disability and Rehabilitation - June 12, 2018 Category: Rehabilitation Authors: Nalder E, Hartman L, Hunt A, King G Tags: Disabil Rehabil Source Type: research
Severe-to-profound hearing impairment: demographic data, gender differences and benefits of audiological rehabilitation.
CONCLUSIONS: The study emphasizes the importance of being given the opportunity to participate in group rehabilitation and meet a hearing rehabilitation educator to experience the benefits of hearing rehabilitation. There is a need to offer extended audiological rehabilitation, especially in terms of gender differences, to provide the same impact for women and men. Implications for Rehabilitation Significantly more women than men with severe-to-profound hearing impairment receive audiological rehabilitation. Hearing impairment appears to have a significantly more negative impact on women's quality of life than men's. It is...
Source: Disability and Rehabilitation - June 12, 2018 Category: Rehabilitation Authors: Turunen-Taheri S, Carlsson PI, Johnson AC, Hellström S Tags: Disabil Rehabil Source Type: research
Key factors for the bicycle use of visually impaired people: a Delphi study.
CONCLUSIONS: The factors provided by this study can be used to optimise the independent cycling mobility of visually impaired people. More research is needed to investigate, both, how and to what extent the mentioned factors influence the cycling behaviour. Implications for rehabilitation The results of this study can be used to set priorities during the rehabilitation and training of visually impaired people who wish to cycle independently. Visually impaired cyclists may compensate for the consequences of their visual impairments by taking alternative routes that suit their individual abilities and limitations. Since gain...
Source: Disability and Rehabilitation - June 12, 2018 Category: Rehabilitation Authors: Jelijs B, Heutink J, de Waard D, Brookhuis KA, Melis-Dankers BJM Tags: Disabil Rehabil Source Type: research
Evaluating pain in cerebral palsy: comparing assessment tools using the International Classification of Functioning, Disability and Health.
CONCLUSIONS: Functional dimensions are poorly represented in pain measures. Our findings may guide the selection of measures for research and clinical needs for comprehensive chronic pain management in children with CP. Implications for Rehabilitation Chronic pain is prevalent among children with cerebral palsy and significantly interfere with functional activities. To effectively manage chronic pain in children with cerebral palsy, measures capturing functional-based information need to be part of routine chronic pain assessment. PMID: 29888977 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - June 11, 2018 Category: Rehabilitation Authors: Schiariti V, Oberlander TF Tags: Disabil Rehabil Source Type: research
Longitudinal changes in activity participation in the first year post-stroke and association with depressive symptoms.
Abstract RESEARCH QUESTION: 1. Does activity participation improve over time in the first year after stroke? 2. What is the association of depressive symptoms on retained activity participation 12-months post-stroke adjusting for neurological stroke severity and age? 3. Is an improvement in activity participation associated with a decrease in depressive symptoms between 3- and 12-months post-stroke? DESIGN: Longitudinal observational study of activity participation and depressive symptoms in ischemic stroke survivors. PARTICIPANTS: A total of 100 stroke survivors with mild neurological stroke severity. ...
Source: Disability and Rehabilitation - June 11, 2018 Category: Rehabilitation Authors: Tse T, Linden T, Churilov L, Davis S, Donnan G, Carey LM Tags: Disabil Rehabil Source Type: research
A pilot test of the GoWoman weight management intervention for women with mobility impairments in the online virtual world of Second Life ®.
CONCLUSION: Findings suggest that a disability- and gender-responsive weight management intervention with peer group support delivered in an online virtual world is feasible, meaningful and may assist with weight management for mobility impaired women. Implications for Rehabilitation This study addresses a gap in the general and rehabilitation research literature by addressing the disproportionately high rates of obesity among women with mobility impairments, who are generally excluded from tests of weight management interventions if they have limited ability to engage in vigorous physical activity. The GoWoman program is ...
Source: Disability and Rehabilitation - June 11, 2018 Category: Rehabilitation Authors: Nosek MA, Robinson-Whelen S, Ledoux TA, Hughes RB, O'Connor DP, Lee RE, Goe R, Silveira SL, Markley R, Nosek TM, GoWoman Consortium Tags: Disabil Rehabil Source Type: research
Screening and assessment of chronic pain among children with cerebral palsy: a process evaluation of a pain toolbox.
Abstract PURPOSE: Though high numbers of children with cerebral palsy experience chronic pain, it remains under-recognized. This paper describes an evaluation of implementation supports and adoption of the Chronic Pain Assessment Toolbox for Children with Disabilities (the Toolbox) to enhance pain screening and assessment practices within a pediatric rehabilitation and complex continuing care hospital. METHODS: A multicomponent knowledge translation strategy facilitated Toolbox adoption, inclusive of a clinical practice guideline, cerebral palsy practice points and assessment tools. Across the hospital, seven...
Source: Disability and Rehabilitation - June 8, 2018 Category: Rehabilitation Authors: Orava T, Provvidenza C, Townley A, Kingsnorth S Tags: Disabil Rehabil Source Type: research
The relationship between post-traumatic growth and return to work following mild traumatic brain injury.
CONCLUSIONS: Results of this study suggest that there is evidence for the development of PTG among individuals with mTBI. These findings have important implications for rehabilitation planning, individual and family adjustment, and the prediction of long-term outcome as it pertains to return to work in particular. Implications for Rehabilitation Return to work is an integral component of rehabilitation following mild traumatic brain injury (mTBI) and should not be overlooked. Results of this study indicate that post-traumatic growth (PTG) can be used to inform intervention approaches that seek to promote growth and resilie...
Source: Disability and Rehabilitation - May 31, 2018 Category: Rehabilitation Authors: Sekely A, Zakzanis KK Tags: Disabil Rehabil Source Type: research
Authors: PMID: 29852787 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - May 31, 2018 Category: Rehabilitation Tags: Disabil Rehabil Source Type: research
Target population's requirements on a community-based intervention for stimulating physical activity in hard-to-reach physically disabled people: an interview study.
CONCLUSIONS: An intervention to stimulate physical activity in hard-to-reach physically disabled people should be individualized, include personal support, and should include marketing to improve image of physical activity of physically disabled people. The intervention that fulfills these requirements should be developed and tested for effects in future research. Implications for rehabilitation An intervention to stimulate physical activity in physically disabled people should aim to raise awareness for the health effects of physical activity, stimulate intrinsic motivation, offer diverse activities, increase the visibili...
Source: Disability and Rehabilitation - May 31, 2018 Category: Rehabilitation Authors: Krops LA, Folkertsma N, Hols DHJ, Geertzen JHB, Dijkstra PU, Dekker R Tags: Disabil Rehabil Source Type: research
The need for additional care in patients with classical galactosaemia.
CONCLUSIONS: Apart from the diet all patients need, classical galactosaemia leads to the need for additional care mainly in the domains of mental functions and speech and voice functions. Implications for rehabilitation The Capacity Profile is a useful tool to demonstrate additional care needs in classical galactosaemia. In classical galactosaemia additional care is mostly indicated by mental impairments and speech and voice functions. One-fifth of patients have impairment of speech and voice functions at time of the study, and half of all patients had received speech therapy in childhood. Over 70% of patients need additio...
Source: Disability and Rehabilitation - May 31, 2018 Category: Rehabilitation Authors: Welling L, Meester-Delver A, Derks TG, Janssen MCH, Hollak CEM, de Vries M, Bosch AM Tags: Disabil Rehabil Source Type: research