A scoping review of the literature on grandparents of children with disabilities.
CONCLUSION: Grandparents of children with disabilities are a heterogeneous population that experiences unique challenges in their grandparenting role. Future studies on this topic should be oriented toward high-quality, experimental study designs that take into consideration cultural, religious and demographic factors. Grandparents' involvement in healthcare should be encouraged. IMPLICATIONS FOR REHABILITATION Grandparents of children with developmental disabilities who are not primary caregivers to their grandchild(ren) are significant family members in many families. They face unique challenges in adapting to their gran...
Source: Disability and Rehabilitation - January 21, 2021 Category: Rehabilitation Authors: Novak-Pavlic M, Abdel Malek S, Rosenbaum P, Macedo LG, Di Rezze B Tags: Disabil Rehabil Source Type: research

Effect of rehabilitation on biologic and transcriptomic responses after hospital-acquired deconditioning: a prospective longitudinal feasibility study.
CONCLUSION: Transcriptomic and biologic markers paralleled the functional improvements of HAD patients during inpatient rehabilitation. Transcriptomic analyses were consistent with the cohort heterogeneity. Enrichment of the biological pathways bone morphogenesis and muscle cell development constituted evidence at the gene expression level of the effect of rehabilitation. Larger studies of various rehabilitation patient groups may increase gene expression profile homogeneity. Objective transcriptomic and biologic markers have the potential to improve the rehabilitation of HAD patients. IMPLICATIONS FOR REHABILITATION Novel...
Source: Disability and Rehabilitation - January 21, 2021 Category: Rehabilitation Authors: Laneuville O, Rocheleau L, Chan Chun Kong D, Pelchat M, Trudel G Tags: Disabil Rehabil Source Type: research

Juggling the management of everyday life activities in persons living with chronic obstructive pulmonary disease.
CONCLUSION: This study found the participants with COPD juggling the management of everyday life activities. The juggle generated a manageable daily life, which came at the expense of making deliberate choices and prioritizing everyday life activities that were necessary for participation in valued and engaging activities in order to maintain health and well-being. Implications for Rehabilitation People living with COPD experience a complex juggling between the consequences of COPD symptoms and contextual aspects when managing everyday life activities. The participants had largely accepted their disease and adjusted to the...
Source: Disability and Rehabilitation - January 20, 2021 Category: Rehabilitation Authors: Kaptain RJ, Helle T, Kottorp A, Patomella AH Tags: Disabil Rehabil Source Type: research

Short-term effects of the traction-manipulation protocol in dizziness intensity and disability in cervicogenic dizziness: a randomized controlled trial.
abanillas-Barea S Abstract PURPOSE: Analyse the short-term effects of traction-manipulation protocol in dizziness and pain intensity and disability, cervical mobility and postural instability. MATERIALS AND METHODS: Randomized controlled assessor-blind clinical trial. The traction-manipulation protocol was carried out in the intervention group and compared with a control group where the subjects were kept supine. The intervention protocol follows the IFOMPT safety recommendations. Dizziness and pain intensity, Dizziness Handicap Inventory (DHI), cervical mobility and balance were measured after 48 h an...
Source: Disability and Rehabilitation - January 20, 2021 Category: Rehabilitation Authors: Carrasco-Uribarren A, Rodriguez-Sanz J, López-de-Celis C, Pérez-Guillen S, Tricás-Moreno JM, Cabanillas-Barea S Tags: Disabil Rehabil Source Type: research

Assessment tools and factors used to predict discharge from acute general medical wards: a systematic review.
CONCLUSIONS: The large number of tools and factors found and their distribution across several WHO ICF concepts exemplifies the complexities of predicting discharge. No single assessment tool that best predicts discharge destination was identified, but rather there were a variety of potential tools identified. Further research is needed to determine the psychometric properties of the identified assessment tools as well as additional predictors of subacute care (including rehabilitation). This is important as it may allow for timely clinical decision making. TRIAL REGISTRATION: A priori, PROSPERO (CRD42017064209). IMPL...
Source: Disability and Rehabilitation - January 19, 2021 Category: Rehabilitation Authors: D'Souza AN, Said CM, Leggett NE, Tomkins MS, Kay JE, Granger CL Tags: Disabil Rehabil Source Type: research

Life is about "constant evolution": the experience of living with an acquired brain injury in individuals who report higher or lower posttraumatic growth.
CONCLUSIONS: Under certain conditions, individuals living with ABI may construe positive growth from their experiences. Practitioners can support PTG development by providing individual and family-based supports aimed at increasing acceptance, the integration of self, and social connection throughout all stages of ABI rehabilitation. IMPLICATIONS FOR REHABILITATION Internal factors such as having a flexible and positive mindset and external factors such as one's social environment can affect how individuals living with an ABI construe positive growth. Individuals with ABI and their families require access to individualised...
Source: Disability and Rehabilitation - January 18, 2021 Category: Rehabilitation Authors: Allen N, Hevey D, Carton S, O'Keeffe F Tags: Disabil Rehabil Source Type: research

A mixed-methods analysis examining child and family needs following early brain injury.
Conclusion: Early TBI can have a long-term impact on the child, caregivers, and family system. Addressing the needs of the whole family system in intervention and rehabilitation efforts may optimize outcomes following early TBI. Study results will inform intervention development to facilitate post-injury coping and positive parenting. IMPLICATIONS FOR REHABILITATION Early TBI can result in unmet needs that have a lingering impact on the child, caregiver, and family. Caregivers need information and resources that address their own distress and stressors related to changes in the child post-injury. Our study suggests that st...
Source: Disability and Rehabilitation - January 18, 2021 Category: Rehabilitation Authors: Miley AE, Fisher AP, Moscato EL, Culp A, Mitchell MJ, Hindert KC, Makoroff KL, Rhine TD, Wade SL Tags: Disabil Rehabil Source Type: research

When interactions are interruptions: an ethnographic study of information-sharing by speech and language therapists and nurses on stroke units.
CONCLUSION: The temporal-spatial context impeded information-sharing, particularly about patients' communication needs. Consideration should be given to developing relationships between SLTs and nurses as key partners for patient care and raising the profile of communication information in ways that are relevant and useful to nursing work. Implications for rehabilitation Strategic waiting for opportunities to interrupt nurses and gain their attention is central to how speech and language therapists manage their need to share information informally with nurses. The small "windows in time" available for interaction...
Source: Disability and Rehabilitation - January 17, 2021 Category: Rehabilitation Authors: Barnard R, Jones J, Cruice M Tags: Disabil Rehabil Source Type: research

What are the factors that may influence the implementation of self-managed computer therapy for people with long term aphasia following stroke? A qualitative study of speech and language therapists' experiences in the Big CACTUS trial.
CONCLUSIONS: Personalisation, feedback and volunteer/assistant support were viewed as benefits of this complex intervention. However, the same benefits required resources including therapist time in learning to use software, procuring it, personalising it, working with volunteers/assistants, and building relationships with IT departments which formed barriers to implementation. The discussion highlights the need to consider integration of computer and face-to-face therapy to support implementation and potentially optimise patient outcomes. IMPLICATIONS FOR REHABILITATION Benefits of the self-managed computer approach to wo...
Source: Disability and Rehabilitation - January 17, 2021 Category: Rehabilitation Authors: Burke J, Palmer R, Harrison M Tags: Disabil Rehabil Source Type: research

The role of theory to develop and evaluate a toolkit to increase clinical measurement and interpretation of walking speed and distance in adults post-stroke.
CONCLUSIONS: The approach may help to inform toolkit development to advance other rehabilitation practices of similar complexity. Implications for Rehabilitation Toolkits are an emerging knowledge translation intervention used to support widespread implementation of clinical practice guideline recommendations. Although experts recommend using theory to inform the development of knowledge translation interventions, there is little guidance on a suitable approach. This study describes an approach to using theories, models and frameworks to design a toolkit and implementation strategy, and a process evaluation of toolkit impl...
Source: Disability and Rehabilitation - January 16, 2021 Category: Rehabilitation Authors: Salbach NM, MacKay-Lyons M, Solomon P, Howe JA, McDonald A, Bayley MT, Veitch S, Sivarajah L, Cacoilo J, Mihailidis A Tags: Disabil Rehabil Source Type: research

Reliability, concurrent validity and minimal detectable change of the L test in patients with total knee arthroplasty.
CONCLUSION: The L test is a valid and reliable method in the assessment of functional mobility in patients with TKA. The L test can be used to quantify changes in functional mobility level in patients with TKA. Implications for rehabilitation The L test is a reliable and valid measurement tool that can be used to assess functional mobility in patients with TKA. Clinicians and researchers can use a greater change than 2.84 seconds for the L test as a meaningful change in patients with TKA. PMID: 33448883 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - January 15, 2021 Category: Rehabilitation Authors: Yuksel E, Eymir M, Unver B, Karatosun V Tags: Disabil Rehabil Source Type: research

Letter to the editor in response to the article of Sada, Abdullahi and Hassan (Hausa translation, cross-cultural adaptation, and assessment of psychometric properties of the motor activity log).
PMID: 33448904 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - January 15, 2021 Category: Rehabilitation Authors: Ibrahim AA, Kaka B Tags: Disabil Rehabil Source Type: research

Clinical outcome measures to evaluate the effects of orthotic management post-stroke: a systematic review.
CONCLUSIONS: Results suggest that outcome measures related to mobility (ICF chapter d4) are most often applied to evaluate orthotic management post-stroke. Effect sizes appear to be greatest in outcome measures related to velocity, balance, and energy expenditure. IMPLICATIONS FOR REHABILITATION The 10-meter Walk Test appears to have the greatest effect size when evaluating orthotic management post-stroke. While outcome measures related to mobility are commonly applied when evaluating orthotic management post-stroke, rehabilitation professionals should consider complementing these with measures representing the participati...
Source: Disability and Rehabilitation - January 13, 2021 Category: Rehabilitation Authors: Ramstrand N, Stevens PM Tags: Disabil Rehabil Source Type: research

Urinary incontinence and impaired physical function are associated with expiratory muscle weakness in patients with multiple sclerosis.
CONCLUSION: Patients with MS with greater deterioration in pulmonary function and respiratory muscle strength, especially expiratory muscles, showed greater deterioration in UI and physical function. Expiratory muscle weakness had a negative impact on urinary, physical and pulmonary function. Implications for rehabilitation Pulmonary function is associated with urinary incontinence and gait functionality in patients with multiple sclerosis (MS). Expiratory muscle weakness is associated with impaired urinary and physical function in patients with MS. The inclusion of respiratory muscle training to the rehabilitation program...
Source: Disability and Rehabilitation - January 11, 2021 Category: Rehabilitation Authors: Aguilar-Zafra S, Del Corral T, Montero-González N, de-Gabriel-Hierro A, López-de-Uralde-Villanueva I Tags: Disabil Rehabil Source Type: research

Effectiveness of therapeutic electromyographic biofeedback after orthopedic knee surgeries: a systematic review.
CONCLUSIONS: This systematic review shows that EMG-BF seems to control pain and improve quadriceps femoris strength and functionality. However, the results are inconclusive regarding knee ROMs. Although available high-quality evidence is limited, EMG-BF might be a part of the rehabilitation after knee surgeries. Implications for rehabilitation This paper reviews the effectiveness of the therapeutic EMG-BF as a potential option in rehabilitation after orthopedic knee surgeries. It is recommended EMG-BF can be used to control pain and to improve quadriceps strength and function. There is insufficient evidence to support EMG-...
Source: Disability and Rehabilitation - January 8, 2021 Category: Rehabilitation Authors: Karaborklu Argut S, Celik D, Yasacı Z Tags: Disabil Rehabil Source Type: research

Associations between post-traumatic growth and wisdom in people with long-term paraplegia - the role of disability appraisals and participation.
CONCLUSIONS: The relationship between PTG and wisdom is complex and indirect in people with long-term paraplegia. The mediating variables of disability appraisals and P/A explained the variance in PTG, with P/A playing a more significant role. Findings suggest that long-term SCI may correlate with experiencing high levels of PTG and wisdom, and more positive disability appraisals. Implications for rehabilitation PTG is associated with life wisdom in people with long-term SCI, with a significant contribution of disability appraisal and P/A. Therapists can increase these people's awareness about the possibility of experienci...
Source: Disability and Rehabilitation - January 8, 2021 Category: Rehabilitation Authors: Byra S Tags: Disabil Rehabil Source Type: research

Feasibility of a home-based environmental enrichment paradigm to enhance purposeful activities in adults with traumatic brain injury: a case series.
CONCLUSION: A partnership with caregivers and adults with TBI to design an EE-focused community program could improve functional activities in real life. To optimize this intervention, caregivers will likely need an alternate approach to record time spent in the harness. IMPLICATIONS FOR REHABILITATION The complexities of the real world encourage meaningful activities and participation. Autonomy in everyday activities is an important long-term objective for adults with brain injury. Community-tailored harnesses designed to prevent falls encourages physical activity and social interaction. PMID: 33417505 [PubMed - as s...
Source: Disability and Rehabilitation - January 8, 2021 Category: Rehabilitation Authors: Kumar DS, Galloway JC Tags: Disabil Rehabil Source Type: research

Response to comments.
PMID: 33406923 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - January 7, 2021 Category: Rehabilitation Authors: Abdullahi A, Sada A, Bello AH Tags: Disabil Rehabil Source Type: research

The management of patients with functional stroke: speech and language therapists' views and experiences.
CONCLUSIONS: As healthcare professionals, participants were keen to help their patients. However, they felt they did not have the skills or knowledge to help which caused professional turmoil. Reducing stigma and increasing awareness and knowledge of functional stroke are required to improve patient outcomes. PMID: 33406948 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - January 7, 2021 Category: Rehabilitation Authors: Barnett C, Mitchell C, Tyson S Tags: Disabil Rehabil Source Type: research

The potential impact of experiencing social inclusion in recreation for children with and without disabilities.
CONCLUSIONS: This study helps broaden understandings of how inclusive experiences in recreation settings impact children with and without disability. IMPLICATIONS FOR REHABILITATION Children without disabilities can develop more positive attitudes toward children with disabilities in affective and cognitive domains after participating in an inclusive recreation program. Incorporating inclusive language into program design and implementation may promote positive attitudes toward diversity in recreation settings. Children without disabilities would benefit from more opportunities to interact with children with disabilities i...
Source: Disability and Rehabilitation - January 6, 2021 Category: Rehabilitation Authors: Edwards B, Cameron D, King G, McPherson AC Tags: Disabil Rehabil Source Type: research

"It's not a simple answer." A qualitative study to explore how healthcare providers can best support families with a child with autism spectrum disorder and overweight or obesity.
CONCLUSION: This study provides a call to action for supports that ensure children with ASD and OW/OB receive integrated, individualised support to maximise their health and wellness. Implications for rehabilitation Children with autism spectrum disorder (ASD) are at high risk of developing overweight or obesity. The weight management support needs of parents of children with ASD and overweight or obesity are not being met. Support must be tailored to the child's needs, which are often complex. Health services that integrate expertise in both disability and weight management are needed for children with ASD and their famil...
Source: Disability and Rehabilitation - January 5, 2021 Category: Rehabilitation Authors: McPherson AC, Perez A, Buchholz A, Forhan M, Ball GDC Tags: Disabil Rehabil Source Type: research

"Factors influencing sedentary time and physical activity early after stroke: a qualitative study".
CONCLUSION: Stroke survivors and their carers need a clearer understanding of the role of physical activity and risks of sedentary time during stroke recovery. Physical activity enablers included consistent communication, building confidence and skills to self-manage activity before discharge. Implications for Rehabilitation Inpatient rehabilitation and early after discharge may be an important time-point to support stroke survivors to establish long term physical activity behaviours before contact with healthcare professionals reduces. To reduce sedentary behaviour, people need to understand the health benefits of breakin...
Source: Disability and Rehabilitation - January 5, 2021 Category: Rehabilitation Authors: Simpson DB, Jose K, English C, Gall SL, Breslin M, Callisaya ML Tags: Disabil Rehabil Source Type: research

Data on cerebral palsy in Vietnam will inform clinical practice and policy in low and middle-income countries.
CONCLUSION: We established hospital-based surveillance of CP in Hanoi and confirmed a high burden and severity of CP with potentially preventable risk factors. These data will inform clinician training and health policy and identify need for evidence-based care and assistive devices. IMPLICATIONS FOR REHABILITATION We identified a high number of children with severe forms of cerebral palsy (CP) in Hanoi, Vietnam through hospital-based surveillance. There is an urgent need for clinician training and access to and use of evidence-based interventions including assistive technology. This study will inform local capacity buildi...
Source: Disability and Rehabilitation - January 4, 2021 Category: Rehabilitation Authors: Karim T, Dossetor R, Huong Giang NT, Dung TQ, Son TV, Hoa NX, Tuyet NH, Van Anh NT, Chau CM, Bang NV, Badawi N, Khandaker G, Elliott E Tags: Disabil Rehabil Source Type: research

A measure of parent engagement: plan appropriateness, partnering, and positive outcome expectancy in pediatric rehabilitation sessions.
CONCLUSIONS: The PRIME-P captures parent engagement as a multifaceted construct involving appropriateness of the therapy plan, a sense of active partnership in the intervention process, and an expectation for a positive outcome. The PRIME-P has promise for research, clinical practice, and educational purposes. IMPLICATIONS FOR REHABILITATION The PRIME-P is a psychometrically sound tool that fills a gap in how researchers and practitioners can measure the engagement of parents in the therapy process. To enhance parent engagement, service providers can encourage collaboration in planning, foster a sense of working in partner...
Source: Disability and Rehabilitation - January 4, 2021 Category: Rehabilitation Authors: King G, Chiarello LA, McLarnon MJW, Ziviani J, Pinto M, Wright FV, Phoenix M Tags: Disabil Rehabil Source Type: research

Living with others with behaviours that challenge: experiences and perceptions of adults with intellectual disabilities.
CONCLUSIONS: People with an intellectual disability are knowledgeable about behaviours that challenge, have insight into potential causes, and can offer suggestions as to what might help. Results were discussed in relation to clinical implications and methodological strengths. IMPLICATIONS FOR REHABILITATION Living with others who engage in behaviours that challenge has a significant impact on the well-being of people with an intellectual disability. People with an intellectual disability need to be empowered through inclusion in the decisions that concern them, especially in relation to their living circumstances. This is...
Source: Disability and Rehabilitation - December 30, 2020 Category: Rehabilitation Authors: Gleeson G, Spies M, McDermott G Tags: Disabil Rehabil Source Type: research

The experience and perspective of people with spinal cord injury about well-being interventions: a systematic review of qualitative studies.
CONCLUSIONS: Rehabilitation interventions can influence well-being determinants. These determinants form a useful framework for the intentional design of well-being interventions, which should be informed by a broad understanding of well-being. IMPLICATIONS FOR REHABILITATION Well-being can be influenced by rehabilitation interventions, and a more explicit focus on well-being in intervention design and evaluation is recommended. Conceptual frameworks used to define and measure well-being should adopt a broad understanding of well-being. Well-being interventions should address the determinants identified by people with SCI ...
Source: Disability and Rehabilitation - December 30, 2020 Category: Rehabilitation Authors: Simpson B, Villeneuve M, Clifton S Tags: Disabil Rehabil Source Type: research

Current rates of prosthetic usage in upper-limb amputees - have innovations had an impact on device acceptance?
CONCLUSIONS: The advancements of the last decade in the arena of upper limb prosthetics have not yet achieved a significant change in prosthetic abandonment within this study cohort. Although academic solutions have been presented to tackle patient's complaints, clinical reality still shows high rejection rates of cost-intensive prosthetic devices. Implications for rehabilitation Abandonment rates in prosthetic rehabilitation after upper limb amputation have shown to be 50% and higher. The advancements of the last decade in the arena of upper limb prosthetics have not yet achieved a significant change in prosthetic abandon...
Source: Disability and Rehabilitation - December 30, 2020 Category: Rehabilitation Authors: Salminger S, Stino H, Pichler LH, Gstoettner C, Sturma A, Mayer JA, Szivak M, Aszmann OC Tags: Disabil Rehabil Source Type: research

The relevance of stroke care for living well with post-stroke aphasia: a qualitative interview study with working-aged adults.
CONCLUSIONS: The results highlight a need for equitable, transparent, responsive access to services, information and stroke liaison support. The findings extend knowledge of the importance of stroke care for supporting working-aged adults and their families to live well in the context of aphasia. Implications for rehabilitation There is a need for equitable, transparent access to a responsive integrated pathway of stroke care to support living well with aphasia. People with aphasia post-stroke and their families need access to person-centred stroke care and information responsive to their changing needs at all stages of re...
Source: Disability and Rehabilitation - December 28, 2020 Category: Rehabilitation Authors: Manning M, MacFarlane A, Hickey A, Galvin R, Franklin S Tags: Disabil Rehabil Source Type: research

An exploration of perceived social isolation among persons with spinal cord injury in Ontario, Canada: a qualitative study.
CONCLUSION: Future research should focus on the development of programs to help maintain or improve social network quality for persons with SCI to minimize the impact of perceived social isolation. IMPLICATIONS FOR REHABILITATION Perceived social isolation, resulting from physical and environmental barriers, is a challenge that is faced by many individuals who are living in the community with a spinal cord injury (SCI). Rehabilitation and community programs should utilize an individualized approach to find solutions to challenges faced by this population to prevent the effects of perceived social isolation. Education on ho...
Source: Disability and Rehabilitation - December 27, 2020 Category: Rehabilitation Authors: Cimino SR, Hitzig SL, Craven BC, Bassett-Gunter RL, Li J, Guilcher SJT Tags: Disabil Rehabil Source Type: research

A systematic review of group intervention for acquired dysarthria in adults.
CONCLUSION: There is some preliminary moderate-quality evidence to suggest that group therapy may improve speech production and in some cases communication effectiveness or wellbeing in people with dysarthria following PD, with more consistent improvements being found for loudness approaches. Singing approaches were frequently studied in PD with some improvements to intelligibility evident. Further well-designed controlled studies including individuals with non-progressive aetiologies is warranted to establish the effectiveness of group treatment. IMPLICATIONS FOR REHABILITATION Group therapy may be an effective means of i...
Source: Disability and Rehabilitation - December 27, 2020 Category: Rehabilitation Authors: Whillans C, Lawrie M, Cardell EA, Kelly C, Wenke R Tags: Disabil Rehabil Source Type: research

Multimodal exercises integrated with cognitive-behavioural therapy improve disability of patients with failed back surgery syndrome: a randomized controlled trial with one-year follow-up.
Abstract PURPOSE: To evaluate the effect of multimodal exercises integrated with cognitive-behavioural therapy on disability, pain, and quality of life in patients suffering from failed back surgery syndrome (FBSS), and to appraise its extent in the long term. METHODS: By means of a parallel-group superiority-controlled trial, 150 outpatients were randomly assigned to a 10-week individual-based multimodal programme of task-oriented exercises integrated with cognitive-behavioural therapy (experimental group, 75 patients) or individual-based general physiotherapy (control group, 75 patients). Before treatment, ...
Source: Disability and Rehabilitation - December 27, 2020 Category: Rehabilitation Authors: Monticone M, Ambrosini E, Rocca B, Cazzaniga D, Liquori V, Lovi A, Brayda-Bruno M Tags: Disabil Rehabil Source Type: research

The size and echogenicity of the tibialis anterior muscle is preserved in both limbs in young children with unilateral spastic cerebral palsy.
CONCLUSIONS: Unlike the MG, the TA volume and growth rate in children with USCP are equivalent between limbs and compared to TD children. For the more-involved limb only, TA volume, length, and echo intensity appear associated with maximal ankle dorsiflexion during walking and represent important muscle parameters that could be targeted in with early exercise therapy. Implications for rehabilitation Tibialis anterior (TA) size and echogenicity appear normal in both limbs in young children with unilateral spastic cerebral palsy (USCP); findings that could indicate sufficient mechanical stimulus and muscle anabolism to maint...
Source: Disability and Rehabilitation - December 25, 2020 Category: Rehabilitation Authors: Obst SJ, Bickell R, Florance K, Boyd RN, Read F, Barber L Tags: Disabil Rehabil Source Type: research

Let's not go back to 'normal'! lessons from COVID-19 for professionals working in childhood disability.
CONCLUSIONS: The comments from participants support the currency of the ideas that were presented, and encourage childhood disability professionals to reflect on what we are learning, so that we can seize the opportunities they afford to do things differently-and we believe better-moving forward. IMPLICATIONS FOR REHABILITATION Ideas generated by colleagues and parents suggest that there may be alternatives to "business as usual" in childhood disability services after the COVID pandemic is over. People are recognizing opportunities, and benefits, to offering services virtually, including being able to see childre...
Source: Disability and Rehabilitation - December 23, 2020 Category: Rehabilitation Authors: Rosenbaum PL, Silva M, Camden C Tags: Disabil Rehabil Source Type: research

The relationship between self-reported physical functioning, mental health, and quality of life in Service members after combat-related lower extremity amputation.
CONCLUSIONS: Physical functioning was associated with patient-reported outcomes, including QOL and mental-health screening. Screening positive for PTSD or depression was associated with worsened self-reported physical function and may outweigh the impact of amputation severity on physical functioning. Successful rehabilitation requires the integration of physical and mental health domains in order to achieve optimal functioning. Implications for rehabilitation The current study shows that physical functioning in participants with combat-related amputation is related to the amputation level, quality of life, and mental-heal...
Source: Disability and Rehabilitation - December 23, 2020 Category: Rehabilitation Authors: Eskridge SL, Watrous JR, McCabe CT, Clouser MC, Galarneau MR Tags: Disabil Rehabil Source Type: research

Delivering motivational interviewing early post stroke: standardisation of the intervention.
Abstract BACKGROUND: We applied Motivational Interviewing (MI) techniques, early after stroke, to facilitate psychological adjustment to life post-stroke. In our trial, MI-plus-usual-care increased the likelihood of normal mood at 3-months post-stroke, compared to usual-care alone. Whilst appropriate training, manuals, and supervision may increase adherence to core principles of this complex intervention, unintended variability in implementation inevitably remains. We aimed to explore the impact of variability on participant outcome. METHODS: Using our trial data (411 participants), we explored variation in M...
Source: Disability and Rehabilitation - December 23, 2020 Category: Rehabilitation Authors: Patel K, Auton MF, Watkins CL, Sutton CJ, Benedetto V, Hackett ML, Holland EJ, Lightbody CE Tags: Disabil Rehabil Source Type: research

Understanding activity participation 3-months after stroke: a mixed methodology study.
CONCLUSION: Qualitative interviews extend our understanding of the process of returning to participation in life activities and occupations following stroke to reveal that it involves the stroke survivor in a dynamic adaptation process of synchronizing personal, environmental and temporal dimensions in their daily lives. IMPLICATIONS FOR REHABILITATION Rehabilitation professionals need to recognize the unique knowledge and ability stroke survivors have to manage their capacities, activities, occupations and environments. Client-centered practice involving true collaborative partnerships are needed to ensure stroke survivor...
Source: Disability and Rehabilitation - December 22, 2020 Category: Rehabilitation Authors: Tse T, Lentin P, Douglas J, Carey LM Tags: Disabil Rehabil Source Type: research

Patients' conceptions of undergoing physiotherapy for persistent low back pain delivered in Finnish primary healthcare by physiotherapists who had participated in  brief training in cognitive functional therapy.
CONCLUSIONS: Although the participants accepted this approach to care well, there was significant variation in patients' conceptions. Restricted access to care within the healthcare system and a lack of social support led some of them to feel they had been left alone to suffer with their pain. On the other hand, based on the results of this study, positive experiences of physiotherapy and good collaboration with the physiotherapist, wider social support outside of physiotherapy, a better understanding of the multidimensional nature of pain and the acquisition of self-management skills were reported as positive aspects of u...
Source: Disability and Rehabilitation - December 22, 2020 Category: Rehabilitation Authors: Holopainen R, Vuoskoski P, Piirainen A, Karppinen J, O'Sullivan P Tags: Disabil Rehabil Source Type: research

Comparison of sports skills movement training to lower limb strength training for independently ambulatory children with cerebral palsy: a randomised feasibility trial.
CONCLUSIONS: Sports skills movement training may be an effective option to support advanced gross motor skill gains and target goals of independently ambulatory children with CP. Trial feasibility, including early evidence of effectiveness, indicates readiness for a full-scale randomised trial. Implications for rehabilitation Children with cerebral palsy have potential to improve advanced gross motor skills. Strength training is a commonly used approach in gross motor therapy programmes. Sports skill training may be an effective option that better targets children's goals. PMID: 33353440 [PubMed - as supplied by publi...
Source: Disability and Rehabilitation - December 22, 2020 Category: Rehabilitation Authors: Hilderley AJ, Fehlings D, Chen JL, Wright FV Tags: Disabil Rehabil Source Type: research

VETCOSED study: efficacy of compressive garments for patients with hypermobile Ehlers-Danlos syndrome on shoulder stability and muscles strength.
CONCLUSION: compressive CICATREX SED® jackets are well supported by patients, impact the power of external rotators at high speed (180°/s), and improve joint stability. IMPLICATIONS FOR REHABILITATION Compressive garments made to measure are beneficial to patients with hypermobile Ehlers-Danlos syndrome. Compressive CICATREX SED® jackets clearly improve shoulder stability and help to promote muscle power in shoulder external rotators during high-speed movements. One month of jacket wearing seems to bring no lasting effect on shoulder-rotator power, so the jacket needs to be kept on for the benefits to be mainta...
Source: Disability and Rehabilitation - December 22, 2020 Category: Rehabilitation Authors: Chaléat-Valayer E, Denis A, Zelmar A, Pujol A, Bernadou A, Bard-Pondarré R, Touzet S Tags: Disabil Rehabil Source Type: research

Program factors influencing parents' engagement in a friendship-making intervention for youth with disabilities.
CONCLUSIONS: This study indicates the value of including a parent component in a youth friendship-making intervention, and points to the importance of considering relevance, usefulness, behavioral involvement, and success in designing these sessions. The four themes reflect important program factors that may be broadly relevant to the design of group-based interventions for parents of youth with disabilities. IMPLICATIONS FOR REHABILITATION The findings indicate the value of including a parent component in youth interventions. Parents are engaged when they feel programs are relevant and useful, are behaviorally involved, a...
Source: Disability and Rehabilitation - December 22, 2020 Category: Rehabilitation Authors: King G, McDougall C, Kingsnorth S, Pinto M Tags: Disabil Rehabil Source Type: research

Physiotherapy in Madagascar: current challenges and opportunities for development.
CONCLUSIONS: The current practice of physiotherapy in Madagascar mirrors the challenge in low-income settings. This study highlights the ongoing needs of the profession, including increasing clinical reasoning skills, updating the physiotherapy curriculum, and further development of multidisciplinary teamwork. IMPLICATIONS FOR REHABILITATION There are approximately 300 physiotherapists in Madagascar serving 25.5 million people in a low-income country with a high prevalence of disability. Developing the core training skills of physiotherapists in areas such as clinical reasoning skills, improved multidisciplinary team worki...
Source: Disability and Rehabilitation - December 21, 2020 Category: Rehabilitation Authors: Sarobidy RR, McIvor C, Commons P, Chamberlain MA, O'Connor RJ Tags: Disabil Rehabil Source Type: research

The social construction of multiple sclerosis in Israel: a cultural reading of illness narratives.
CONCLUSIONS: MS is perceived in Israel as a form of "deviance" and as a biomedical phenomenon. Rehabilitation and healthcare staff, therefore, need to actively engage in interventions that challenge and change the ways that MS is perceived, as well as to partner with people with MS, and disability advocates to reconstruct and design policies and services that reflect a more socio-political understanding of MS. Implications for rehabilitation Illness narratives by people with multiple sclerosis (MS) can teach us about the ways though which a given society perceives and constructs MS. This study analyzed online ill...
Source: Disability and Rehabilitation - December 21, 2020 Category: Rehabilitation Authors: Soffer M Tags: Disabil Rehabil Source Type: research

Impact of visual impairment following stroke (IVIS study): a prospective clinical profile of central and peripheral visual deficits, eye movement abnormalities and visual perceptual deficits.
CONCLUSIONS: Incidence of impaired central vision, visual field loss, ocular motility disorders and visual inattention was 29.4%, 24.8%, 39.3% and 26.2% respectively. Visual impairment was more likely to occur in more severe stroke and older stroke survivors. Asymptomatic cases raise concerns for acute stroke units where robust specialist vision screening is not routine. Those with partial/no recovery require specialist follow-up and management whilst the wide range of abnormalities highlight the need for specialist visual assessment acutely. Implications for rehabilitation Visual impairment is a common consequence of stro...
Source: Disability and Rehabilitation - December 21, 2020 Category: Rehabilitation Authors: Rowe FJ, Hepworth LR, Howard C, Hanna KL, Currie J Tags: Disabil Rehabil Source Type: research

Does hospital design impact on patient activity levels and time spent alone?
Abstract PURPOSE: The aim of this study was to quantify changes in patients' activity levels, location and people present, within one acute stroke unit (ASU) and one inpatient rehabilitation unit (IRU) with respect to change in hospital design. METHODS: A prospective observational study using behavioural mapping. We observed participants from 8 am till 5 pm every 10 minutes across two days and compared participant activity (physical, social and cognitive), location and people present pre and post-transition to new units. Built design, staffing levels and models of care were contrasted. RESU...
Source: Disability and Rehabilitation - December 18, 2020 Category: Rehabilitation Authors: Rosbergen ICM, Tonello I, Clark RA, Grimley RS Tags: Disabil Rehabil Source Type: research

Perspectives on research conducted at the Paralympic Games.
CONCLUSION: Some of the projects proved high relevance and became standard Games' operations; however, generally, projects operate in isolation and could benefit from collaboration with expert-stakeholders (e.g., athletes, coaches, governing International Sport Federations, relevant IPC departments, network of academic scholars). Sport science research in the Paralympic Movement should move fast and collaborative to catch up on evolution. IMPLICATIONS FOR REHABILITATION From a health perspective, fine-tuning of the patient/athlete-equipment interface to optimize function/performance is a challenge for the rehabilitation sp...
Source: Disability and Rehabilitation - December 17, 2020 Category: Rehabilitation Authors: Thompson WR, Vanlandewijck YC Tags: Disabil Rehabil Source Type: research

Rasch analysis of the Back Pain Attitudes Questionnaire (Back-PAQ).
CONCLUSION: The ordinal-to-interval conversion algorithms presented here further enhance the precision of the scale and permit analysis of Back-PAQ-20 scores using parametric statistics. The present study provided evidence for valid and reliable assessment of the back pain recovery beliefs of both users as well as providers of health services. IMPLICATIONS FOR REHABILITATION Psychosocial factors have been recognised as significant predictors of the recovery trajectory from chronic back pain. The 34-item Back Pain Attitudes Questionnaire (Back-PAQ) was developed based on themes obtained from patient interviews, but previous...
Source: Disability and Rehabilitation - December 17, 2020 Category: Rehabilitation Authors: Krägeloh C, Medvedev ON, Dean S, Stanley J, Dowell A, Darlow B Tags: Disabil Rehabil Source Type: research

Physical performance of children with longitudinal fibular deficiency (fibular hemimelia).
This study aimed to objectively assess the physical performance of children and adolescents with LFD compared with unaffected peers, and to examine trends over age for subgroups of the LFD population. METHODS: Differences between children with LFD and unaffected peers were examined with hand-held dynamometry for lower-limb muscle strength, Six-Minute Walk Test, Timed up and down stairs test, Star Excursion Balance Test, and Standing long jump. RESULTS: Thirty-nine children with LFD and 284 unaffected peers participated. Children with LFD performed at a lower level than their unaffected peers, on all measures of p...
Source: Disability and Rehabilitation - December 17, 2020 Category: Rehabilitation Authors: Morris EJ, Tofts L, Patterson M, Birke O, Adams R, Epps A, Knox K, McKay MJ, Baldwin JN, Burns J, Pacey V Tags: Disabil Rehabil Source Type: research

Perspectives, satisfaction, self-efficacy, and barriers to aerobic exercise reported by individuals with chronic stroke in a developing country.
CONCLUSIONS: Individuals with stroke in a developing country considered aerobic exercise important. However, they perceived barriers related to safety, individual ability, social support, and aerobic exercise. It is necessary to improve education of these individuals, family members, and health care professionals regarding aerobic exercises. IMPLICATIONS FOR REHABILITATION Individuals after stroke in developing countries consider aerobic exercise important and recognized that it improves stroke recovery and health, although they perceived barriers related to safety, individual ability, social support, and aerobic exercise ...
Source: Disability and Rehabilitation - December 16, 2020 Category: Rehabilitation Authors: Aguiar LT, Nadeau S, Teixeira-Salmela LF, Reis MTF, Peniche PDC, Faria CDCM Tags: Disabil Rehabil Source Type: research

Out of sight, out of mind: long-term outcomes for people discharged home, to inpatient rehabilitation and to residential aged care after stroke.
CONCLUSIONS: Several long-term outcomes differed significantly for patients discharged to different settings after stroke. Patients discharged to IRFs reported some better outcomes than people discharge directly home despite having markers of more severe stroke. Implications for rehabilitation People with mild strokes are usually discharged directly home, people with moderate severity strokes to inpatient rehabilitation, and people with very severe strokes are usually discharged to residential aged care facilities. People discharged to inpatient rehabilitation reported fewer problems with mobility and had a reduced risk of...
Source: Disability and Rehabilitation - December 14, 2020 Category: Rehabilitation Authors: Lynch EA, Labberton AS, Kim J, Kilkenny MF, Andrew NE, Lannin NA, Grimley R, Faux SG, Cadilhac DA Tags: Disabil Rehabil Source Type: research

Improving the utility of the European Health Literacy Survey Questionnaire: a computerized adaptive test for patients with stroke.
CONCLUSIONS: Our findings indicate that the computerized adaptive test of the European Health Literacy Survey Questionnaire, which assesses 12 domains of health literacy among patients with stroke in a timely and precise fashion, is efficient and reliable. Implications for rehabilitation The computerized adaptive test of the European Health Literacy Survey Questionnaire assesses the subjective fit of personal health literacy competencies to environmental demands, providing insight into patient strengths and weaknesses when dealing with health tasks and interacting with health systems. The computerized adaptive test of the ...
Source: Disability and Rehabilitation - December 12, 2020 Category: Rehabilitation Authors: Huang YJ, Lin GH, Lee YC, Wu TY, Hou WH, Hsieh CL Tags: Disabil Rehabil Source Type: research