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Validity of the Dutch modified painDETECT questionnaire for patients with hip or knee osteoarthritis.
CONCLUSIONS: This study is the first to assess structural and construct validity of the modified PDQ knee/hip by using factor analysis and hypothesis-testing. This questionnaire seems to reflect neuropathic-like pain symptoms experienced by hip/knee OA-patients with adequate validity. The item on pain pattern might not reflect the construct. More than 75% of the predefined hypotheses regarding the modified PDQ and the other questionnaires were met. Only 50% of the hypotheses on PPTs measurements were met, probably due to heterogeneity and limited size of this subsample. Implications for rehabilitation Pain in osteoarthriti...
Source: Disability and Rehabilitation - December 8, 2017 Category: Rehabilitation Authors: Rienstra W, Blikman T, Dijkstra B, van Raay J, Slager G, Bulstra S, Stevens M, van den Akker-Scheek I Tags: Disabil Rehabil Source Type: research

A mysterious case of complex regional pain syndrome in a 9-year-old girl.
CONCLUSIONS: The case report illustrates that peripheral nerve compression or injuries specifically, complex regional pain syndrome type II, should be taken into consideration when evaluating children with weakness and pain of the lower or upper limb. Implication of rehabilitation Raising the awareness of complex regional pain syndrome in the childhood is essential for an early diagnosis and appropriate treatment. The treatment options include early and adequate pain management inclusive electrical therapy and physiotherapy. Psychological therapy helps to avoid psychological stress reaction and the disease negative impact ...
Source: Disability and Rehabilitation - December 7, 2017 Category: Rehabilitation Authors: Burian A, Schuhfried O, Crevenna R Tags: Disabil Rehabil Source Type: research

Effectiveness of psycho-educational interventions with telecommunication technologies on emotional distress and quality of life of adult cancer patients: a systematic review.
os IM Abstract PURPOSE: To provide a comprehensive review of psycho-educational interventions using telecommunication technologies developed for adult cancer patients, assessing their effectiveness in reducing emotional distress and improving quality of life (QoL). MATERIALS AND METHODS: A narrative approach was used for extraction and synthesis of the data. Relevant studies were identified through the electronic databases PubMed, Scopus, Web of Science, ProQuest, Psychology & Behavioral Sciences Collection (through EBSCOhost), and CENTRAL. RESULTS: Eight studies involving 1016 participants met inclu...
Source: Disability and Rehabilitation - December 7, 2017 Category: Rehabilitation Authors: Bártolo A, Pacheco E, Rodrigues F, Pereira A, Monteiro S, Santos IM Tags: Disabil Rehabil Source Type: research

Provision of rehabilitation services for children with disabilities living in low- and middle-income countries: a scoping review.
CONCLUSIONS: A number of rehabilitation strategies are available that have the potential to improve the identification of and outcomes for children with disabilities in low and middle income countries. Future research ought to advance the development, implementation, and evaluation of training programs for non-rehabilitation specialists (e.g., doctors, nurses, and teachers), non-specialist community members (e.g., community health workers), and caregivers in the area of rehabilitation, and evaluate the effectiveness of rehabilitation interventions in improving participatory outcomes and quality of life for children with di...
Source: Disability and Rehabilitation - December 7, 2017 Category: Rehabilitation Authors: Magnusson D, Sweeney F, Landry M Tags: Disabil Rehabil Source Type: research

Employee experience of workplace supervisor contact and support during long-term sickness absence.
CONCLUSIONS: Employees on long-term sickness absence appreciate contact from their supervisors and this is associated with perceived workplace support. However, the amount and employee experience of this contact is important. It needs to be perceived by employees as supportive, which includes a focus on strategies (e.g., work adjustment) to facilitate a return to work. Supervisor training is required in this area to support the return to work process. Implications for Rehabilitation Contact and support from workplace supervisors is important to workers on long-term sickness absence. Employees appreciate frequent contact fr...
Source: Disability and Rehabilitation - December 7, 2017 Category: Rehabilitation Authors: Buys NJ, Selander J, Sun J Tags: Disabil Rehabil Source Type: research

The effectiveness of walking versus exercise on pain and function in chronic low back pain: a systematic review and meta-analysis of randomized trials.
CONCLUSIONS: Pain, disability, quality of life and fear-avoidance similarly improve by walking or exercise in chronic low back pain. Walking may be considered as an alternative to other physical activity. Further studies with larger samples, different walking dosages, and different walking types should be conducted. Implications for Rehabilitation Walking is commonly recommended as an activity in chronic low back pain. Pain, disability, and fear-avoidance similarly improve by walking or exercise. Adding walking to exercise does not induce greater improvement in the short-term. Walking may be a less-expensive alternative to...
Source: Disability and Rehabilitation - December 5, 2017 Category: Rehabilitation Authors: Vanti C, Andreatta S, Borghi S, Guccione AA, Pillastrini P, Bertozzi L Tags: Disabil Rehabil Source Type: research

An exploratory study of the long-term impact of difficulty kneeling after total knee replacement.
This study provides an initial insight into how difficulty kneeling after knee replacement impacts upon patientsand the need for better healthcare provision. Implications for rehabilitation Rehabilitation professionals should be aware that many patients experience difficulty with kneeling after total knee replacement and that this has a long-term impact upon patients. There is a need for rehabilitation after knee replacement to address kneeling difficulties. It is suggested that this rehabilitation should be delivered early in the postoperative recovery phase and designed to address the multifactorial reasons that patients...
Source: Disability and Rehabilitation - December 3, 2017 Category: Rehabilitation Authors: Fletcher D, Moore AJ, Blom AW, Wylde V Tags: Disabil Rehabil Source Type: research

Perceptions about participation in a 12-week walking program for people with severe knee osteoarthritis: a qualitative analysis.
CONCLUSIONS: Even when patients with severe osteoarthritis of the knee report other benefits from participating in a walking program, the core theme to emerge was their preoccupation with knee pain, knee damage and the view that they needed a knee replacement. Implications for Rehabilitation Patients with severe osteoarthritis of the knee and moderate cardiovascular risk reported functional, cardiovascular and psychosocial benefits from participating in a walking program. Despite patients reporting functional, cardiovascular and psychosocial benefits, the core theme to emerge was their preoccupation with knee pain, knee da...
Source: Disability and Rehabilitation - November 30, 2017 Category: Rehabilitation Authors: Wallis JA, Webster KE, Levinger P, Singh PJ, Fong C, Taylor NF Tags: Disabil Rehabil Source Type: research

Effectiveness of physiotherapy in elderly patients with dementia: a prospective, comparative analysis.
CONCLUSION: Understanding the role of dementia in the rehabilitation process is important for care planning. More research is required to ascertain the efficacy of physiotherapy in people with moderate to severe dementia, including the best strategies to improve their functional status. Implications for Rehabilitation The level of cognitive function is important in the rehabilitation process, and it influences effectiveness of physiotherapy. Physiotherapy efficacy in the group of patients with coexisting dementia is lower than that in patients without dementia. Regular physiotherapy can also improve functional status in pa...
Source: Disability and Rehabilitation - November 30, 2017 Category: Rehabilitation Authors: Kowalska J, Mazurek J, Kubasik N, Rymaszewska J Tags: Disabil Rehabil Source Type: research

Intra- and interpersonal effects of coping on the psychological well-being of adults with sensory loss and their spouses.
CONCLUSION: The results highlight the need to support the well-being of adults with sensory loss and their spouses in rehabilitation, and the importance of both intra- and interpersonal coping in the adjustment process. Implications for rehabilitation Rehabilitation specialists and social workers working with adults with sensory loss should, where possible, incorporate family members into support plans. Rehabilitation specialists and social workers working in sensory rehabilitation should be mindful of how the coping styles of one partner can impact the well-being of their significant other. In addition to promoting positi...
Source: Disability and Rehabilitation - November 30, 2017 Category: Rehabilitation Authors: Lehane CM, Dammeyer J, Wittich W Tags: Disabil Rehabil Source Type: research

Living with incurable cancer: what are the rehabilitation needs in a palliative setting?
DISCUSSION: Participants valued a change in terminology away from "palliative" towards more positive language in line with enhanced supportive care movements. Validated tools such as the Palliative Care Therapy Outcome Measure, which align with the ICF, would allow rehabilitation professionals to demonstrate maintenance or improvement in participation and wellbeing. Implications for Rehabilitation Incurable cancer leads to a fluctuating multifactorial disability. People living with incurable cancer can benefit from rehabilitation input throughout their illness. Offering flexible and varied rehabilitation options ...
Source: Disability and Rehabilitation - November 29, 2017 Category: Rehabilitation Authors: Loughran K, Rice S, Robinson L Tags: Disabil Rehabil Source Type: research

The Dutch version of the self-report Child Activity and Limitations Interview in adolescents with chronic pain.
CONCLUSION: The Dutch version can be used to assess pain-related disability in Dutch-speaking adolescents comparable to the study sample. Scores on both subscales provide insight into the severity of the pain-related disability in both daily routine and more physically vigorous activities. Implications for Rehabilitation Chronic pain is a disabling disorder which not only impacts physically but restricts quality of life. This study provides clinicians a questionnaire to measure pain-related disability and quantify the impact of pain on the daily living of adolescents. The advantage of the Dutch version of the Child Activit...
Source: Disability and Rehabilitation - November 29, 2017 Category: Rehabilitation Authors: de Vries JE, Dekker C, Bastiaenen CHG, Goossens MEJB, Engelbert RHH, Verbunt JAMCF Tags: Disabil Rehabil Source Type: research

Ultrabilitation: beyond recovery-oriented rehabilitation.
CONCLUSIONS: By expanding the scope of disability management, ultrabilitation could inform therapy selection and facilitate human flourishing. Empirical research is needed to test our ideas. Implications for rehabilitation Despite significant progress, rehabilitation limits some people with disabilities. Modern health systems still benchmark therapy for rehabilitation against "normal" or species-typical standards to aid recovery. "Ultrabilitation", meaning "beyond fitness", promotes flourishing, either without an interest in recovery or in moving toward, beyond or around recovery. Biological, ...
Source: Disability and Rehabilitation - November 28, 2017 Category: Rehabilitation Authors: Buetow SA, Martínez-Martín P, McCormack B Tags: Disabil Rehabil Source Type: research

Strategies to keep working among workers with common mental disorders - a grounded theory study.
CONCLUSIONS: The results can deepen understanding among rehabilitation professionals about different work-related strategies in depressed and anxious workers. Increased awareness of the meaning and characteristics of strategies can inform a person-oriented approach in rehabilitation. The knowledge can be used in clinical encounters to reflect together with the patient, exploring present options and introducing modifications to their particular work and life context. Implications for rehabilitation Self-managed work functioning in common mental disorders involves diverse strategies. Strategies interpreted as sustainable ove...
Source: Disability and Rehabilitation - November 28, 2017 Category: Rehabilitation Authors: Danielsson L, Elf M, Hensing G Tags: Disabil Rehabil Source Type: research

Influence of physical activity on the health-related quality of life of young adults with and without autism spectrum disorder.
CONCLUSION: Practitioners should recognize the limitations that individuals with autism spectrum disorder may experience regarding their health-related quality of life, and utilize physical activity as a tool for improving health-related quality of life. Implications for Rehabilitation In order to address an individual's overall health, practitioners must consider multiple dimensions of health-related quality of life. Autism spectrum disorders influence how people perceive multiple dimensions of their health. Physical activity is a tool for improving perceptions of the multiple dimensions of health for individuals with and...
Source: Disability and Rehabilitation - November 28, 2017 Category: Rehabilitation Authors: Hamm J, Yun J Tags: Disabil Rehabil Source Type: research

Parallel short forms for the assessment of activities of daily living in cardiovascular rehabilitation patients (PADL-cardio): development and validation.
CONCLUSION: PADL-cardio provides a short and psychometrically sound option for the assessment of activities of daily living in cardiovascular rehabilitation patients. The two versions of PADL-cardio are equivalent. Hence, they can be used to reduce practice and retest effects in repeated measurement, facilitating the longitudinal assessment of activities of daily living. Implications for Rehabilitation New parallel test forms for the assessment of activities of daily living in cardiac rehabilitation (PADL-cardio I & PADL-cardio II) are available. PADL-cardio I & II consist of 10 items and are therefore especially t...
Source: Disability and Rehabilitation - November 26, 2017 Category: Rehabilitation Authors: Schmucker A, Abberger B, Boecker M, Baumeister H Tags: Disabil Rehabil Source Type: research

"This one will delay us": barriers to accessing health care services among persons with disabilities in Malawi.
CONCLUSION: There is a need to address these challenges through the expansion of the provision of assistive devices, implementing comprehensive outreach services targeting people with disabilities and strengthening the links between key component of access to quality health care. Attitudinal barriers and lack of resources remain major challenges. Implications for rehabilitation Though people with disabilities face challenges accessing health care world-wide, the challenges are greater in low-income countries. The current study in Malawi confirms this. Major challenges include costs of care, transport costs, and inaccessibl...
Source: Disability and Rehabilitation - November 26, 2017 Category: Rehabilitation Authors: Munthali AC, Swartz L, Mannan H, MacLachlan M, Chilimampunga C, Makupe C Tags: Disabil Rehabil Source Type: research

The experience of parents of adult sons with Duchenne muscular dystrophy regarding their prolonged roles as primary caregivers: a serial qualitative study.
CONCLUSION: Practical support for parental caregivers, who experience a marked increase in the duration of their caregiving role while facing their own aging-related challenges, are required. Implications for Rehabilitation Children with DMD are living longer and are transitioning into adulthood; a successful transition involves becoming as independent as possible and maintaining a positive sense of personal identity. Despite entering adulthood, the parental caregiver's caregiving role continues. Rehabilitation professionals, who are able to provide long-term, continued support from childhood into adulthood, should be awar...
Source: Disability and Rehabilitation - November 26, 2017 Category: Rehabilitation Authors: Yamaguchi M, Sonoda E, Suzuki M Tags: Disabil Rehabil Source Type: research

The efficacy of problem solving therapy to reduce post stroke emotional distress in younger (18-65) stroke survivors.
CONCLUSION: The between-subject results suggest that there was no significant difference between those that received problem solving therapy and a waitlist control group between baseline and post-waitlist/post-therapy. The within-subject design suggests that problem solving therapy may be beneficial for younger stroke survivors when they are given some time to learn and implement the skills into their day to day life. However, additional research with a control group is required to investigate this further. This study provides limited evidence for the provision of support groups for younger stroke survivors post stroke, ho...
Source: Disability and Rehabilitation - November 26, 2017 Category: Rehabilitation Authors: Chalmers C, Leathem J, Bennett S, McNaughton H, Mahawish K Tags: Disabil Rehabil Source Type: research

Correction to: Loft et  al., Call for human contact and support: an interview study exploring patients' experiences with inpatient stroke rehabilitation and their perception of nurses' and nurse assistants' roles and functions.
Correction to: Loft et al., Call for human contact and support: an interview study exploring patients' experiences with inpatient stroke rehabilitation and their perception of nurses' and nurse assistants' roles and functions. Disabil Rehabil. 2017 Nov 24;:1 Authors: PMID: 29172752 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - November 24, 2017 Category: Rehabilitation Tags: Disabil Rehabil Source Type: research

Self-efficacy in Activities of daily living and symptom management in people with dizziness: a focus group study.
CONCLUSIONS: People with dizziness describe how self-efficacy for specific activities varies according to the perceived difficulty of the task, the context of the activity, and day-to-day variations in general wellbeing. The results underscore the importance of targeting self-efficacy in the rehabilitation of people with dizziness. Our findings can guide the rehabilitation process by providing a deeper understanding of self-efficacy judgements in relation to Activities of daily living and symptom management in people with dizziness. Implication for rehabilitation This study adds important in-depth knowledge to the rehabili...
Source: Disability and Rehabilitation - November 24, 2017 Category: Rehabilitation Authors: Fridberg H, Gustavsson C Tags: Disabil Rehabil Source Type: research

Pre-injury job characteristics and return to work among injured workers in South Korea: differences by socio-demographic and injury-related characteristics.
CONCLUSIONS: Our results showed a need to develop differential RTW strategies for injured workers in insecure jobs at the time of injury. Implications for rehabilitation Policymakers and rehabilitation practitioners need to take into account not only socio-demographic or injury-related characteristics but also working conditions at the time of injury when designing return-to-work programs for injured workers in South Korea. Injured employees in poor working conditions are relatively more vulnerable in the return-to-work process and deserve special attention and supports from the Korean government. The Korean government nee...
Source: Disability and Rehabilitation - November 24, 2017 Category: Rehabilitation Authors: Park SK, Lee CK Tags: Disabil Rehabil Source Type: research

Family-directed approach to brain injury (FAB) model: a preliminary framework to guide family-directed intervention for individuals with brain injury.
CONCLUSIONS: The family-directed approach to brain injury model provides a theoretical framework for educating and training family members as facilitators in the management process: promoting competence rather than dependency on service systems. Guiding recommendations encourage professionals to reflect on the importance of their therapeutic relationships and their capacity to positively impact rehabilitation outcomes beyond the technical aspects of health care and treatment. Implications for Rehabilitation Training family members as facilitators in the rehabilitation process is suggested to reduce dependency on the servic...
Source: Disability and Rehabilitation - November 24, 2017 Category: Rehabilitation Authors: Fisher A, Bellon M, Lawn S, Lennon S, Sohlberg M Tags: Disabil Rehabil Source Type: research

Staff views on supporting evidence based practice for children with ASD.
CONCLUSIONS: The findings suggest that an organisational-wide model to support engagement in EBP, with peer-to-peer mentoring at its foundation, may provide a desirable, ecologically valid, and acceptable model. Implications for Rehabilitation Clinicians and educators recognise the importance of evidence-based practice. Efforts to support evidence-based practice have focused mostly on access to research evidence. Clinicians and educators in this study were developing their own strategies based on intuition. They identified a need for organisation-wide approaches to supporting evidence-based practice. Peer-to-peer mentoring...
Source: Disability and Rehabilitation - November 22, 2017 Category: Rehabilitation Authors: Trembath D, Sulek R, Paynter J, Simpson K, Keen D Tags: Disabil Rehabil Source Type: research

Patients' needs during a surgical intervention process for Dupuytren's disease.
CONCLUSIONS: Clients' needs during a surgical intervention process include needs for improvement of hand function, knowledge, and support during treatment, and participation in evaluation. Clients' needs change during the care process and can be influenced by their life situation or their character. The identified needs ought to be included in quality assessments from the carers' perspective, to ensure that important needs of the clients are met by the surgical intervention process. Communication and interaction between client and health care provider is a key aspect of fulfilling clients' needs. Implications for rehabilit...
Source: Disability and Rehabilitation - November 21, 2017 Category: Rehabilitation Authors: Turesson C, Kvist J, Krevers B Tags: Disabil Rehabil Source Type: research

Non-pharmacological rehabilitation interventions for concussion in children: a scoping review.
CONCLUSIONS: The literature describing interventions following concussion in children is scarce. While both positive and negative results were obtained, there were methodological concerns in most studies limiting the ability to draw conclusions. Interventions incorporating aerobic exercise show promise as a concussion management strategy. Implications for rehabilitation Few studies have examined rehabilitation interventions for youth following concussion. Research ranging from rest to exercise highlights the uncertainty of the field. Low quality research limits the generalizability of results. The use of physical activity ...
Source: Disability and Rehabilitation - November 20, 2017 Category: Rehabilitation Authors: Dobney DM, Miller MB, Tufts E Tags: Disabil Rehabil Source Type: research

Longitudinal study of the activities of daily living and quality of life in Japanese patients with Fibrodysplasia ossificans progressiva.
CONCLUSIONS: We obtained longitudinal information relating to natural history on Fibrodysplasia ossificans progressiva patients. Implications for rehabilitation Fibrodysplasia ossificans progressiva is a rare congenital disease that causes heterotopic ossification of muscle tissue throughout the body, leading to systemic ankyloses and mobility losses. When the Barthel Index was high and the activities of daily living were relatively stable, the items on the Health Assessment Questionnaire that are related to arm function began to show impairment. Early focus on upper extremity function that includes the use of assistive de...
Source: Disability and Rehabilitation - November 16, 2017 Category: Rehabilitation Authors: Nakahara Y, Kitoh H, Nakashima Y, Toguchida J, Haga N Tags: Disabil Rehabil Source Type: research

Fair or square? Experiences of introducing a new method for assessing general work ability in a sickness insurance context.
CONCLUSIONS: The perceived fairness and social validity of the assessment depended on how it was carried out; organisational conditions and priorities; communication skills; and decision outcomes. Professionals have an important pedagogical task in explaining the purpose and procedure of the assessment in order for the sick-listed to perceive it as fair rather than square, i.e., too standardised and not considering individual conditions. If the assessment could be used also for rehabilitative purposes, it could possibly be perceived as more acceptable also in cases where it leads to denied benefits. Implications for rehabi...
Source: Disability and Rehabilitation - November 16, 2017 Category: Rehabilitation Authors: Ståhl C, Seing I, Gerdle B, Sandqvist J Tags: Disabil Rehabil Source Type: research

Understanding posttraumatic growth of paratriathletes with acquired disability.
CONCLUSIONS: Analysis identified themes largely consistent with the main tenets of organismic valuing theory of growth through adversity, supporting its utility in understanding response to a traumatic event and subsequent growth. These findings also suggest that para sport may be an efficacious means for promoting posttraumatic growth, especially for individuals with severe initial reactions to their disability. Lastly, findings suggest that fostering perceptions of competence, autonomy, and social connection may promote posttraumatic growth. Implications for Rehabilitation Acquiring a physical disability may have a detri...
Source: Disability and Rehabilitation - November 15, 2017 Category: Rehabilitation Authors: Hammer C, Podlog L, Wadey R, Galli N, Forber-Pratt AJ, Newton M, Hall M, Greviskes L Tags: Disabil Rehabil Source Type: research

Abandoned to the strains of daily life: a qualitative study of the long-term experiences in partners to persons after a mild to moderate stroke.
CONCLUSION: This study shows that the everyday lives of partners to people who have had a stroke are characterised by feelings of strain and anxiety and that they need possibilities for different kinds of long-term support. Our findings may contribute to increased knowledge among health workers and increased readiness to offer support or referral to other meeting places such as peer support groups. Implications for rehabilitation The everyday lives of partners to people who have had a stroke are characterised by feelings of strain and anxiety. Partners to people who have had a stroke need possibilities for different kinds ...
Source: Disability and Rehabilitation - November 13, 2017 Category: Rehabilitation Authors: Ytterberg C, von Koch L, Erikson A Tags: Disabil Rehabil Source Type: research

The influence of Pilates exercises on body balance in the standing position of hearing impaired people.
CONCLUSIONS: The modified Pilates program was more effective in improving body balance control in the hearing impaired people than standard physical education classes. Modification of physical activity recommendations for hearing impaired students may be considered; however, further research is required. Implications for Rehabilitation Hearing impairment impacts the mental, social and, physical spheres of life as well as deteriorates equivalent reactions and the way body posture is maintained. In hearing impaired people, control of body balance and muscle coordination is often disturbed, thus more attention should be paid ...
Source: Disability and Rehabilitation - November 13, 2017 Category: Rehabilitation Authors: Walowska J, Bolach B, Bolach E Tags: Disabil Rehabil Source Type: research

Using the International Classification of Functioning, Disability, and Health to identify outcome domains for a core outcome set for aphasia: a comparison of stakeholder perspectives.
CONCLUSIONS: Core aphasia outcomes include: language, emotional wellbeing, communication, patient-reported satisfaction with treatment and impact of treatment, and quality of life. International Classification of Functioning, Disability, and Health coding can be used to compare stakeholder perspectives and identify domains for core outcome sets. Pairing coding with qualitative data may ensure important nuances of meaning are retained. Implications for rehabilitation The outcomes measured in treatment research should be relevant to stakeholders and support health care decision making. Core outcome sets (agreed, minimum set ...
Source: Disability and Rehabilitation - November 12, 2017 Category: Rehabilitation Authors: Wallace SJ, Worrall L, Rose T, Le Dorze G Tags: Disabil Rehabil Source Type: research

Return-to-work success despite conflicts: an exploration of decision-making during a work rehabilitation program.
CONCLUSION: These results support the possibility of return-to-work success despite conflictual decision-making processes. In addition to facilitating consensual decisions, future studies should be aimed at facilitating negotiated decisions. Implications for rehabilitation Facilitating decision-making, with the aim of obtaining agreement from all stakeholders on a return-to-work goal and their acceptance of an intervention plan that respects the worker's capacities, is important for return-to-work success. Rehabilitation professionals should constantly be on the lookout for potential conflicts, which may either complicate ...
Source: Disability and Rehabilitation - November 12, 2017 Category: Rehabilitation Authors: Gouin MM, Coutu MF, Durand MJ Tags: Disabil Rehabil Source Type: research

The role of perceived family social support and parental solicitous responses in adjustment to bothersome pain in young people with physical disabilities.
CONCLUSIONS: The findings provide new information regarding the role that psychosocial factors have in predicting function and adjustment, and have important implications as to how youth with physical disabilities with pain might be most effectively treated. Implications for rehabilitation Little is known about the role of perceived family social support or parental solicitous responses in the adjustment to chronic pain in young people with physical disabilities. This study provides new and important findings that have significant theoretical and practical implications that could help to understand and manage function in t...
Source: Disability and Rehabilitation - November 12, 2017 Category: Rehabilitation Authors: Miró J, de la Vega R, Gertz KJ, Jensen MP, Engel JM Tags: Disabil Rehabil Source Type: research

A survey of the current practice of intramuscular Botulinum toxin injections for hemiplegic shoulder pain in the UK.
CONCLUSIONS: Current UK practice of Botulinum Toxin type A injections for hemiplegic shoulder pain associated with spasticity is highly variable. There are large gaps between current practice and available evidence with regards to muscle selection and doses used. A number of areas for further investigation have been identified to progress current understanding of this intervention. Implications for rehabilitation There are wide variations in practice for this complex intervention and clinicians should consider that their individual decision-making could be based on their own beliefs rather than available evidence. Pectoral...
Source: Disability and Rehabilitation - November 10, 2017 Category: Rehabilitation Authors: Holmes RJ, Connell LA Tags: Disabil Rehabil Source Type: research

Media portrayal of elite athletes with disability - a systematic review.
CONCLUSION: Although there has been a positive shift in the narrative around elite athletes with disability in media, relative absence and differing portrayal is present. Considering the power of media shaping society's perceptions of disability, further investigation is warranted. Implications for Rehabilitation Media has a role in how elite athletes with disability are portrayed and consequently perceived by the public. Elite athletes with disability rarely feature in media. Images of disability are minimized, and certain types of disabilities are favored. An athletic narrative is emerging; however, a medicalised descrip...
Source: Disability and Rehabilitation - November 10, 2017 Category: Rehabilitation Authors: Rees L, Robinson P, Shields N Tags: Disabil Rehabil Source Type: research

Exercise beliefs and behaviours of individuals with Joint Hypermobility syndrome/Ehlers-Danlos syndrome - hypermobility type.
Abstract PURPOSE: To explore exercise beliefs and behaviours of individuals with Joint Hypermobility syndrome/Ehlers-Danlos syndrome - hypermobility type and to explore patient experiences of physiotherapy. METHODS: A cross sectional questionnaire survey design was used to collect quantitative and qualitative data from adult members of the Hypermobility Syndromes Association and Ehlers-Danlos Syndrome Support UK. Descriptive and inferential statistics were used to analyse the data. Qualitative data was analysed thematically. RESULTS: About 946 questionnaires were returned and analysed. Participants who r...
Source: Disability and Rehabilitation - November 10, 2017 Category: Rehabilitation Authors: Simmonds JV, Herbland A, Hakim A, Ninis N, Lever W, Aziz Q, Cairns M Tags: Disabil Rehabil Source Type: research

Construct validity of the Eating Assessment Tool (EAT-10).
CONCLUSIONS: Our analyses identified deficits in the construct validity of the EAT-10 suggestive of a need to improve the EAT-10 to support its frequent use in clinical practice and research. Implications for Rehabilitation Swallowing disorders are associated with severe complications, such as pneumonia and malnutrition, and impose both social and psychological burdens on patients. The Eating Assessment Tool is a self-report instrument developed to estimate initial dysphagia severity and monitor change in patient-reported dysphagia symptoms as a response to treatment. This study shows that the Eating Assessment Tool has de...
Source: Disability and Rehabilitation - November 9, 2017 Category: Rehabilitation Authors: Wilmskoetter J, Bonilha H, Hong I, Hazelwood RJ, Martin-Harris B, Velozo C Tags: Disabil Rehabil Source Type: research

Difficulty and independence in shopping among older Americans: more than just leaving the house.
CONCLUSIONS: Overall, results suggest that factors in the outdoor and local neighborhood environment influence the ability to shop independently for older adults, but that it also may depend on the socioeconomic context of the neighborhood. Interventions aimed at improving the built environment directly outside of older adults' homes and helping increase social cohesion among neighbors, has the potential to reduce difficulty in carrying out this important activity. Implications for rehabilitation Built features of the outdoor home environment including sidewalks and broken steps influence whether older adults are able to s...
Source: Disability and Rehabilitation - November 9, 2017 Category: Rehabilitation Authors: Brenner AB, Clarke PJ Tags: Disabil Rehabil Source Type: research

Adding high-frequency transcutaneous electrical nerve stimulation to the first phase of post anterior cruciate ligament reconstruction rehabilitation does not improve pain and function in young male athletes more than exercise alone: a randomized single-blind clinical trial.
CONCLUSION: The findings of the present trial shows that adding TENS to a specific protocol of semi-supervised exercise in the first phase of rehabilitation after ACL reconstruction is not efficient on improving knee function and pain more than exercise alone. Implications for Rehabilitation Injury to the anterior cruciate ligament of the knee is a common injury specifically in athletes. Incorporating effective pain relieving strategies during the post anterior cruciate ligament reconstruction surgery rehabilitation could lead to improvement in regaining the range of motion and function of the knee which is of crucial impo...
Source: Disability and Rehabilitation - November 9, 2017 Category: Rehabilitation Authors: Forogh B, Aslanpour H, Fallah E, Babaei-Ghazani A, Ebadi S Tags: Disabil Rehabil Source Type: research

Robotic exoskeletons for reengaging in everyday activities: promises, pitfalls, and opportunities.
DISCUSSION: Available devices appear to be better suited for rehabilitation settings than for home use. Device weight, the need for upper extremity supports, supervision requirements, and a limited range of movements are all issues that limit functionality and restrict opportunities for using such devices in real-world contexts. Designing the next generation of exoskeletons to be more useful in everyday life will require further collaboration among engineers, clinicians, and patients. Implications for Rehabilitation Exoskeletons offer the promise of allowing individuals with neurological injury to reengage in everyday acti...
Source: Disability and Rehabilitation - November 7, 2017 Category: Rehabilitation Authors: Fritz H, Patzer D, Galen SS Tags: Disabil Rehabil Source Type: research

Exploring barriers and facilitators to the clinical use of virtual reality for post-stroke unilateral spatial neglect assessment.
CONCLUSION: Factors identified through this study lay the foundation for the development of a knowledge translation initiative towards an implementation of a virtual assessment for hemineglect. Addressing the identified barriers/facilitators during implementation and incorporating the optimal features in the design of the virtual assessment could assist and promote its eventual adoption in clinical settings. Implications for rehabilitation A multimodal and active knowledge translation intervention built on the presently identified modifiable factors is suggested to be implemented to support the clinical integration of a vi...
Source: Disability and Rehabilitation - November 7, 2017 Category: Rehabilitation Authors: Ogourtsova T, Archambault PS, Lamontagne A Tags: Disabil Rehabil Source Type: research

The interpretation of physical activity, exercise, and sedentary behaviours by persons with multiple sclerosis.
CONCLUSIONS: Results highlight the need to provide and utilise consistent definitions for accurate understanding, proper evaluation and communication of physical activity, exercise, and sedentary behaviours among persons with multiple sclerosis. PRACTICE IMPLICATIONS: The application of consistent definitions may minimise ambiguity, alleviate the equivocality of findings in the literature, and translate into improved communication about these behaviours in multiple sclerosis. Implications for Rehabilitation The symptoms of multiple sclerosis can be managed through participation in physical activity and exercise. Perso...
Source: Disability and Rehabilitation - November 7, 2017 Category: Rehabilitation Authors: Kinnett-Hopkins D, Learmonth Y, Hubbard E, Pilutti L, Roberts S, Fanning J, Wójcicki T, McAuley E, Motl R Tags: Disabil Rehabil Source Type: research

Upper extremity impairments in type 1 diabetes with long duration; common problems with great impact on daily life.
;ngeus A Abstract PURPOSE: To investigate the prevalence, activity limitations and potential risk factors of upper extremity impairments in type 1 diabetes in comparison to controls. METHODS: In a cross-sectional population-based study in the southeast of Sweden, patients with type 1 diabetes
Source: Disability and Rehabilitation - November 5, 2017 Category: Rehabilitation Authors: Gutefeldt K, Hedman CA, Thyberg ISM, Bachrach-Lindström M, Arnqvist HJ, Spångeus A Tags: Disabil Rehabil Source Type: research

Implementation and evaluation of the Norwegian Ullevaal model as a cardiac rehabilitation model in primary care.
CONCLUSIONS: The Norwegian Ullevaal model was effective and safe, and resulted in significant and clinically meaningful improvements in cardiopulmonary fitness and quality of life. Implications for rehabilitation Cardiac rehabilitation programmes giving at least 3.5 ml/kg/min improvements of peak oxygen uptake are shown to be beneficial. The detailed description of the Norwegian Ullevaal model, applied as a cardiac rehabilitation programme in primary care, may help clinicians with planning and initiating of group-based high intensity cardiac rehabilitation, as well as implementing evidence based science into practic...
Source: Disability and Rehabilitation - November 5, 2017 Category: Rehabilitation Authors: Nilsson BB, Lunde P, Holm I Tags: Disabil Rehabil Source Type: research

Does a cycling program combined with education and followed by coaching promote physical activity in subacute stroke patients? A randomized controlled trial.
CONCLUSION: When active cycling combined with education is used in subacute patients with severe motor function deficits, more sport participation might be observed after one year. No other significant group differences were found over time. In all groups, however, patients showed significant improvement over time in physical activity measures. Future work is needed to explore the most effective coaching approach after an aerobic training program. Implications for Rehabilitation The active cycling program combined with education is applicable in subacute stroke patients as it required little stand-by assistance due to chip...
Source: Disability and Rehabilitation - November 5, 2017 Category: Rehabilitation Authors: Vanroy C, Vanlandewijck Y, Cras P, Truijen S, Vissers D, Swinnen A, Bosmans M, Wouters K, Feys H Tags: Disabil Rehabil Source Type: research

Body composition and its association with physical performance, quality of life, and clinical indictors in Charcot-Marie-Tooth disease: a pilot study.
CONCLUSION: Our study seems to suggest that assessing of body composition could assist with monitoring of disease progression in people with Charcot-Marie Tooth; however these findings need to be substantiated in a larger cohort. Implications for Rehabilitation Higher lean body mass and lower fat mass of the legs is associated with better physical performances in people with Charcot-Marie-Tooth disease. Lower fat mass is related to greater quality of life and reduced clinical symptoms in people with Charcot-Marie-Tooth disease. Optimising favorable body composition profiles (higher lean body mass and lower fat mass) in peo...
Source: Disability and Rehabilitation - November 2, 2017 Category: Rehabilitation Authors: Hackett D, Roberts-Clarke D, Jain N, Mavros Y, Wilson GC, Halaki M, Burns J, Nicholson G, Fiatarone Singh M, Fornusek C Tags: Disabil Rehabil Source Type: research

Development of the assisting hand assessment for adults following stroke: a Rasch-built bimanual performance measure.
CONCLUSION: Using two hands together is a critical aspect for performance of most daily life tasks. However, assessments of hand function commonly focus on measuring aspects of unimanual function. The Adult-Assisting Hand Assessment Stroke has the potential to contribute new and clinically important knowledge to stroke rehabilitation by providing an observation-based valid functional measure of bimanual performance. Implications for rehabilitation Hand function assessments commonly focus on unimanual aspects, although the use of two hands together is critical to perform most daily life tasks. The Adult-Assisting Hand Asses...
Source: Disability and Rehabilitation - October 31, 2017 Category: Rehabilitation Authors: Krumlinde-Sundholm L, Lindkvist B, Plantin J, Hoare B Tags: Disabil Rehabil Source Type: research

A scoping review of the working alliance in acquired brain injury rehabilitation.
CONCLUSIONS: The working alliance emerged as a complex process that interacts with many factors and processes at play in the rehabilitation environment. Notwithstanding the limitations of the research base, findings indicate that enhancement of the working alliance may indeed influence rehabilitation outcomes. Allowing time for the development of the working alliance, and consideration of factors such as therapist skill, may support therapists to strengthen their alliances in ABI rehabilitation. Implications for Rehabilitation Allowing time for the development of the working alliance has the potential to enhance the allian...
Source: Disability and Rehabilitation - October 31, 2017 Category: Rehabilitation Authors: Stagg K, Douglas J, Iacono T Tags: Disabil Rehabil Source Type: research

Impact of high-intensity concurrent training on cardiovascular risk factors in persons with multiple sclerosis - pilot study.
CONCLUSIONS: Under the conditions of this pilot study, 12 weeks of concurrent high-intense interval and strength training improved resting heart rate, 2-h glucose and insulin sensitivity in multiple sclerosis but did not affect blood C-reactive protein levels, blood pressure, body composition and blood lipid profiles. Further, larger and controlled research investigating the effects of high-intense concurrent training on cardiovascular risk factors in multiple sclerosis is warranted. Implications for rehabilitation High-intensity concurrent training improves cardiovascular fitness. This pilot study explores the impa...
Source: Disability and Rehabilitation - October 27, 2017 Category: Rehabilitation Authors: Keytsman C, Hansen D, Wens I, O Eijnde B Tags: Disabil Rehabil Source Type: research