Cross-cultural adaptation and validation of the Spanish version of the Johns Hopkins Fall Risk Assessment Tool.
-Sánchez M Abstract PURPOSE: To perform a cross-cultural adaptation and validation of the Johns Hopkins Fall Risk Assessment Tool to develop its Spanish version (JHFRAT-Sp). MATERIAL AND METHODS: Two hundred eleven participants aged 60 years or older participated in this observational study. After translation and transcultural adaptation of the JHFRAT-Sp, the internal consistency, criterion validity and construct validity were calculated using the Falls Efficacy Scale International, Foot Health Status Questionnaire (FHSQ), Health Questionnaire EuroQol (5Dimensions and VAS), Short Form-12v2 and H...
Source: Disability and Rehabilitation - September 22, 2020 Category: Rehabilitation Authors: Ariza-Zafra FJ, Romero-Galisteo RP, Ruiz-Muñoz M, Cuesta-Vargas AI, González-Sánchez M Tags: Disabil Rehabil Source Type: research

In search of Kipling's six honest serving men in upper limb rehabilitation: within participant case-crossover experiment nested within a web-based questionnaire.
CONCLUSION: We need to develop an evidence base concerning Kipling's six honest serving men and equip clinicians with clinical decision-making skills aligned with this focus. IMPLICATIONS FOR REHABILITATION Most clinicians did not have access to a protocol / clinical pathway which defines when, how much and what upper limb therapy to provide after stroke, which may be improved by providing individual clinicians with organisational support to make therapy decisions. To improve the personalisation of upper limb rehabilitation in clinical practice, we need to understand when and where after stroke to begin therapy, how much a...
Source: Disability and Rehabilitation - September 22, 2020 Category: Rehabilitation Authors: Hayward KS, Jolliffe L, Churilov L, Herrmann A, Cloud GC, Lannin NA Tags: Disabil Rehabil Source Type: research

Trajectories of disability in activities of daily living in advanced cancer or respiratory disease: a systematic review.
CONCLUSIONS: Increasing disability trajectories in advanced cancer and/or respiratory disease is related to potentially modifiable personal and environmental factors. We recommend future studies using validated disability instruments. Implications for rehabilitation Disability in activities of daily living (ADL) is a common unmet need in advanced cancer or respiratory disease and represents an important outcome for patients, caregivers and health and social care services. Trajectories of ADL disability can be categorized into increasing, fluctuating, and unchanging disability, which could help planning of rehabilitation se...
Source: Disability and Rehabilitation - September 22, 2020 Category: Rehabilitation Authors: Fettes L, Neo J, Ashford S, Higginson IJ, Maddocks M Tags: Disabil Rehabil Source Type: research

Bipedal hopping as a new measure to detect subtle sensorimotor impairment in people with multiple sclerosis.
CONCLUSIONS: Testing of bipedal hopping on an instrumented walkway may detect and monitor sensorimotor control in people with MS who do not currently present with clinical deficits. Early measurement is imperative for precise rehabilitation prescription to slow disability progression prior to onset of measurable gait impairment. Implications for rehabilitation Jumping and hopping tests detect lower limb and balance impairments in children, athletes, and older adults. Bipedal hop test measures multiple domains: power, coordination, balance, and muscle timing. Bipedal hop test may expose subtle sensorimotor impairments in pe...
Source: Disability and Rehabilitation - September 21, 2020 Category: Rehabilitation Authors: Kirkland MC, Wadden KP, Ploughman M Tags: Disabil Rehabil Source Type: research

Barriers to accessing primary healthcare services for people with disabilities in low and middle-income countries, a Meta-synthesis of qualitative studies.
CONCLUSION: In order to achieve full health coverage at acceptable quality for people with disabilities, it is necessary not only to consider the different barriers, but also their combined effect on people with disabilities and their households. It is only then that more nuanced and effective interventions to improve access to primary healthcare, systematically addressing barriers, can be designed and implemented. IMPLICATIONS FOR REHABILITATION People with disabilities in both high income and low- and middle-income country settings are more likely to experience poorer general health than people without disabilities. Barr...
Source: Disability and Rehabilitation - September 21, 2020 Category: Rehabilitation Authors: Hashemi G, Wickenden M, Bright T, Kuper H Tags: Disabil Rehabil Source Type: research

Exploring the factors influencing the use of electrically assisted bikes (e-bikes) by stroke survivors: a mixed methods multiple case study.
CONCLUSION: Stroke survivors can use e-bikes although barriers exist. Electrical assistance was a positive factor in enabling some of the participants to cycle outdoors. Due to the small sample size and the number of participants who were able to loan an e-bike, further research is required to determine whether e-bikes are a feasible and effective intervention to increase physical activity for stroke survivors. IMPLICATIONS FOR REHABILITATION The assistance provided by the e-bike/e-trike could provide stroke survivors the opportunity to cycle outdoors. E-bikes/e-trikes could facilitate participation of activities of everyd...
Source: Disability and Rehabilitation - September 18, 2020 Category: Rehabilitation Authors: Boland P, Connell L, Thetford C, Janssen J Tags: Disabil Rehabil Source Type: research

Physical activity, sitting time and exercise types, and associations with symptoms in Australian people with multiple sclerosis.
CONCLUSIONS: Health promotion efforts should encourage physical activity and exercise, in particular strength training, among people with MS. People with more severe symptoms and progressive disease may require focused exercise promotion from healthcare professionals. Implications for Rehabilitation Comprehensive MS management should include strategies to increase physical activity and exercise participation, with particular focus upon people with higher MS-symptom burden (i.e., depression, fatigue and mobility and cognitive impairment), men, and those with progressive onset MS. Efforts to promote physical activity guideli...
Source: Disability and Rehabilitation - September 17, 2020 Category: Rehabilitation Authors: Marck CH, Learmonth YC, Chen J, van der Mei I Tags: Disabil Rehabil Source Type: research

Effectiveness of surgical and non-surgical interventions for managing diabetic shoulder pain: a systematic review.
CONCLUSION: Moderate- to very-low-quality evidence suggests large effects of physiotherapy modalities plus exercise and suprascapular nerve block, and trivial to small effects for surgical interventions for improving shoulder pain in patients with diabetes. Future well-designed studies are needed to provide accurate estimates of the true effects of these interventions on improving shoulder pain in patients with diabetes. Implications For Rehabilitation Shoulder pain may lead to disability in patients with diabetes. We recommend the use of physiotherapy interventions to reduce shoulder pain. Corticosteroid injections are re...
Source: Disability and Rehabilitation - September 15, 2020 Category: Rehabilitation Authors: Alsubheen SA, MacDermid JC, Faber KJ Tags: Disabil Rehabil Source Type: research

Occupation-based group programs in the inpatient hospital rehabilitation setting: a scoping review.
CONCLUSIONS: There is a dearth of evidence on the impact of occupation-based group service focus in the inpatient rehabilitation setting. Considering the importance of occupation to the profession, further investigation into the use of this approach in a group setting is required. Implications for rehabilitation Occupation-based groups are used in inpatient rehabilitation to achieve more therapy time but there is variability in group processes and outcomes measured. Patient centred occupation-based groups appear to have an influence on patient satisfaction and experience. For the occupation-based groups reviewed, providing...
Source: Disability and Rehabilitation - September 15, 2020 Category: Rehabilitation Authors: Spalding K, Gustafsson L, Di Tommaso A Tags: Disabil Rehabil Source Type: research

The importance of oral health and the value of dental care in the process of rehabilitation for people with complex neuro-disability.
PMID: 32931335 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - September 15, 2020 Category: Rehabilitation Authors: Manley MCG, Doshi M Tags: Disabil Rehabil Source Type: research

Characteristic behaviors associated with gait of individuals with Rett syndrome.
CONCLUSIONS: Results identify several gait characteristics observable during overground and treadmill walking. In general, participants behaved similarly during overground and treadmill walking. We conclude that both overground and treadmill walking are appropriate tools to evaluate gait in this population. Implications for rehabilitation Locomotor rehabilitation may increase the quantity of walking performed by the patients, which can alleviate negative effects of the sedentary lifestyle commonly observed in patients with Rett syndrome (RTT). Video analysis of natural walking can be an effective tool to characterize gait ...
Source: Disability and Rehabilitation - September 15, 2020 Category: Rehabilitation Authors: Young DR, Suter B, Levine JT, Glaze DG, Layne CS Tags: Disabil Rehabil Source Type: research

Physical inactivity during lockdown and the implications for incidence of stroke, severity, mortality, reoccurrence and rehabilitation.
PMID: 32931338 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - September 15, 2020 Category: Rehabilitation Authors: Rodgers F, Varley R, Khatoonabadi AR, Javadi AH Tags: Disabil Rehabil Source Type: research

Low back pain and sexual disability from the patient's perspective: a qualitative study.
CONCLUSION: Sexual disability in patients with subacute or chronic LBP acquires an important and individual meaning that can be investigated within the therapeutic context, especially by physical therapists. Implications for Rehabilitation Sexual disability related to low back pain is considered an important and meaningful topic from the patient's perspective. This reflects the importance of the emotional relationship with the partner. Within the therapeutic context, it is important to provide information to help manage pain during sexual activity. The physical therapist is seen to be a qualified figure to address this iss...
Source: Disability and Rehabilitation - September 15, 2020 Category: Rehabilitation Authors: Ferrari S, Vanti C, Giagio S, Anesi M, Youssef S, Bortolami A, Cedraschi C, Pillastrini P Tags: Disabil Rehabil Source Type: research

Access to and engagement with cervical and breast screening services for women with disabilities in Aotearoa New Zealand.
CONCLUSIONS: This study, unique in Aotearoa, provides insights into disabled women's access to and engagement with screening services and suggests factors that may inhibit or facilitate participation. Women with multiple disabilities may be disadvantaged in the seeking and delivery of screening. Implications for rehabilitation Rehabilitation and other practitioners need to be attuned to how women living with multiple disabilities may be disadvantaged in the seeking of, and, more importantly, the delivery of breast or cancer screening. Practitioners need to discuss with disabled women what supports or resources they need to...
Source: Disability and Rehabilitation - September 15, 2020 Category: Rehabilitation Authors: Pearson J, Payne D, Yoshida K, Garrett N Tags: Disabil Rehabil Source Type: research

Recovery after stroke: perspectives of young stroke survivors in Taiwan.
CONCLUSION: These findings provide useful insights for rehabilitation clinicians to develop culturally tailored interventions to improve poststroke recovery outcomes in young stroke survivors. Implications for rehabilitation Rehabilitation clinicians should understand stroke survivors' beliefs and goals of recovery to provide tailored services. Optimizing the goal-setting process and patient-provider communication may help clinicians and survivors examine and adjust their expectations toward recovery during rehabilitation. Interventions will be needed to address personal and environmental supports and barriers, such as mot...
Source: Disability and Rehabilitation - September 15, 2020 Category: Rehabilitation Authors: Chang FH, Lin YN, Liou TH Tags: Disabil Rehabil Source Type: research

Reliability, validity, and diagnostic accuracy of Parkinson's Disease-Cognitive Rating Scale in Iranian patients with idiopathic Parkinson's disease.
CONCLUSIONS: The results of this study showed that the Persian version of PD-CRS is a reliable and valid measure with high sensitivity and specificity to identify MCI and dementia in patients with PD. Implications for rehabilitation The PD-CRS has an excellent test-retest and inter-rater reliability and validity in Iranian patients with PD. The PD-CRS has high sensitivity and specificity for discriminating between different levels of cognitive impairment (i.e. no cognitive impairment, mild cognitive impairment, and dementia) in Iranian patients with PD. PMID: 32924645 [PubMed - as supplied by publisher] (Source: Disab...
Source: Disability and Rehabilitation - September 14, 2020 Category: Rehabilitation Authors: Mahmoudi Asl A, Mehdizadeh M, Kulisevsky J, Sabet A, Taghavi Azar Sharabiani P, Mehdizadeh H, Ashayeri H, Taghizadeh G Tags: Disabil Rehabil Source Type: research

Body image, physical activity, quality of life, and community reintegration of individuals with acquired mobility disability in a Nigerian population.
Abstract PURPOSE: To assess the quality of life (QOL), physical activity (PA), community reintegration (CR), and body image (BI) among adults with acquired mobility disabilities. Relationships between the constructs were also assessed in order to ascertain how a change in one construct could influence the other. MATERIALS AND METHODS: This cross-sectional survey involved 157 adults (mean age = 47.51 ± 21.08 years) consecutively recruited from conveniently selected centers in South-east Nigeria. The Short-Form 36-Item Health Survey, the Multidimensional Body Self Relations, the Rein...
Source: Disability and Rehabilitation - September 14, 2020 Category: Rehabilitation Authors: Okoye EC, Onwuakagba IU, Ani KU, Babatunde JK, Akosile CO, Okeke MC, Aronu AE Tags: Disabil Rehabil Source Type: research

"Earth angels" and parking spots: qualitative perspectives on healthy aging with spinal cord injury.
CONCLUSIONS: The findings from this study highlight the importance of looking beyond individual factors to consider the social and environmental factors that support continued independence and participation in society as people living with long term SCI experience their aging process. Qualitative research that delves further into the dynamics behind this process is needed to fully anticipate the needs of this growing population. IMPLICATIONS FOR REHABILITATION People aging with spinal cord injury (SCI) who are engaged in their social and physical environments have become increasingly adaptive when faced with accelerating a...
Source: Disability and Rehabilitation - September 13, 2020 Category: Rehabilitation Authors: Riedman E, Scott H, Clarke P, Meade M, Forchheimer M, Tate D Tags: Disabil Rehabil Source Type: research

Effectiveness of manual therapy in patients with tension-type headache. A systematic review and meta-analysis.
CONCLUSION: Manual therapy may have positive effects on pain intensity and frequency, but more studies are necessary to strengthen the evidence of the effects of manual therapy on subjects with tension-type headache. Implications for rehabilitation Soft tissue interventions and dry needling can be used to improve pain intensity and frequency in patients with tension type headache. High velocity and low amplitude thrust manipulations were not effective for improving pain intensity and frequency in patients with tension type headache. Manual therapy was not effective for improving the impact of headache in patients with tens...
Source: Disability and Rehabilitation - September 12, 2020 Category: Rehabilitation Authors: Kamonseki DH, Lopes EP, van der Meer HA, Calixtre LB Tags: Disabil Rehabil Source Type: research

Adults with Loeys-Dietz syndrome and vascular Ehlers-Danlos syndrome: a cross-sectional study of patient experiences with physical activity.
CONCLUSION: Many adults with Loeys-Dietz- or vascular Ehlers-Danlos syndrome may have a potential to reach more favorable physical activity levels by increasing the frequency and duration of activities. Future directions should include evaluation of effects of professional-led practical and safe physical activity sessions as well as customized multidisciplinary rehabilitation programs for these patient groups. PMID: 32915071 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - September 11, 2020 Category: Rehabilitation Authors: Johansen H, Velvin G, Lidal I Tags: Disabil Rehabil Source Type: research

Sleep, caregiver burden, and life satisfaction in Parkinson's disease caregivers: a multinational investigation.
CONCLUSIONS: PD patient sleep problems were associated with caregiver sleep problems, leading to increased burden in caregivers and poorer life satisfaction. The findings highlight a potential opportunity for empirically supported sleep interventions. Implications for rehabilitation Parkinson's disease is a progressive neurological condition that impacts patient and caregiver quality of life. Patient sleep problems contribute to greater caregiver burden, sleep problems, and reduced life satisfaction. The findings suggest patient and caregiver sleep may be a worthwhile target for intervention in order to reduce risk of care...
Source: Disability and Rehabilitation - September 11, 2020 Category: Rehabilitation Authors: Perez E, Perrin PB, Lageman SK, Villaseñor T, Dzierzewski JM Tags: Disabil Rehabil Source Type: research

Feasibility and applicability of Evenson sedentary behavior cut points applied to children with and without intellectual and developmental disabilities.
CONCLUSIONS: Evenson sedentary cut-points can be used for children with IDD. Preliminary data suggest that children with IDD do not engage in significantly different SB than children without a chronic illness. Further study is warranted. Implications for rehabilitation Objective measures of physical activity and sedentary behavior for children with Down syndrome or spina bifida are rarely used due to potential differences in body movement (e.g., gait) during ambulation compared to typically developing peers that may influence the accuracy of cut-points. This study supports that Evenson sedentary cut-points can be used in c...
Source: Disability and Rehabilitation - September 10, 2020 Category: Rehabilitation Authors: Forseth B, Papanek PE, Polfuss ML Tags: Disabil Rehabil Source Type: research

A comparison of test-retest reliability and random measurement error of the Barthel Index and modified Barthel Index in patients with chronic stroke.
CONCLUSION: The MBI, which showed excellent test-retest reliability and relatively lower random measurement error than the BI, appears to be a better ADL measure. The MDC% adjusted value is recommended to determine whether the change scores are beyond random measurement error. IMPLICATIONS FOR REHABILITATION The MBI is recommended for clinical and research applications because it has better test-retest reliability and relatively lower random measurement error than those of the original BI. The MDC% adjusted value is recommended to determine whether the change scores are beyond random measurement error when the MBI or the B...
Source: Disability and Rehabilitation - September 9, 2020 Category: Rehabilitation Authors: Yang CM, Wang YC, Lee CH, Chen MH, Hsieh CL Tags: Disabil Rehabil Source Type: research

Biophysical aspects of handcycling performance in rehabilitation, daily life and recreational sports; a narrative review.
CONCLUSION: To optimize performance in rehabilitation, daily life and recreational sports, continued and more systematic research is required. Implications for rehabilitation Handcycling allows users to travel farther distances at higher speeds and to train outdoors. It should be recognized as an alternative exercise modality for daily outdoor use, also already in early rehabilitation, while it contributes to a healthy lifestyle. To individualize handcycle performance, the user-handcycle (assistive device) interface as well as the vehicle mechanics should be optimized to minimize external power and reduce friction, so that...
Source: Disability and Rehabilitation - September 9, 2020 Category: Rehabilitation Authors: Kraaijenbrink C, Vegter R, de Groot S, Arnet U, Valent L, Verellen J, van Breukelen K, Hettinga F, Perret C, Abel T, Goosey-Tolfrey V, van der Woude L Tags: Disabil Rehabil Source Type: research

Relationship between lower limb strength and walking capacities in children with spastic bilateral cerebral palsy.
CONCLUSION: This study reports logarithmic relationship between muscle strength and walking capacities in children with BCP. The subgroup analysis implies that muscle strength has an impact on walking capacities solely in weaker children, suggesting that muscle strength must be preserved and reinforced in interventions targeting motor function in weaker children with BCP. Implications for rehabilitation In a sample of children with spastic bilateral cerebral palsy, this study shows that global muscle strength is associated with walking capacities and the relationship seems more complex than linear. Based on the results, in...
Source: Disability and Rehabilitation - September 9, 2020 Category: Rehabilitation Authors: Pouliot-Laforte A, Parent A, Hamdy R, Marois P, Lemay M, Ballaz L Tags: Disabil Rehabil Source Type: research

Income trajectories of families raising a child with a neurodisability.
CONCLUSIONS: The association between child with neurodisability and lower household income may not hold for all types of parents', working status is an important consideration. Implications for Rehabilitation Findings support the health selection hypothesis that health status shapes diverging economic conditions over time: children with a ND have lower household incomes than children without a ND child across all waves of the Canadian National Longitudinal Survey of Youth. Income gaps did not increase or decrease over time; rehabilitation services and policies must consider the lower average incomes associated with raising...
Source: Disability and Rehabilitation - September 8, 2020 Category: Rehabilitation Authors: Rothwell DW, Lach LM, Kohen DE, Findlay LC, Arim RG Tags: Disabil Rehabil Source Type: research

A sanctuary from everyday life: rheumatology patients' experiences of in-patient multidisciplinary  rehabilitation - a qualitative study.
CONCLUSION: Patients experience inpatient rehabilitation as a sanctuary, in the following three ways; through individually planned multidisciplinary interventions at the hospital; recognition and compassion from the multidisciplinary staff and through social relationships and interactions with fellow patients. There is a need for improved coordination across primary and secondary health care, to ease coherence and transfer of learning to the patients' everyday lives. IMPLICATIONS FOR REHABILITATION Patients can find peace and energy to care for themselves because they are away from everyday life when admitted for inpatient...
Source: Disability and Rehabilitation - September 8, 2020 Category: Rehabilitation Authors: Stauner M, Primdahl J Tags: Disabil Rehabil Source Type: research

How children and adolescents with juvenile idiopathic arthritis participate in their healthcare: health professionals' views.
CONCLUSIONS: HCPs encourage children and adolescents to make their views known during healthcare encounters by creating an enabling arena. Collaboration and building good relationships between the child, the parents and the HCPs, before and during the healthcare encounters, can help the child express their wishes and experiences. Clinical examinations and use of technology, such as photos, films and web-bases questionnaires can be a good start for a better child communication in healthcare encounters. IMPLICATIONS FOR REHABILITATION Healthcare professionals in JIA teams experience that they can facilitate communication and...
Source: Disability and Rehabilitation - September 2, 2020 Category: Rehabilitation Authors: Lundberg V, Sandlund M, Eriksson C, Janols R, Lind T, Fjellman-Wiklund A Tags: Disabil Rehabil Source Type: research

The development of a consensus statement for the prescription of powered wheelchair standing devices in Duchenne muscular dystrophy.
CONCLUSIONS: PWSD is a mobility option that offers choice, control and opportunity for independence. This consensus statement can assist clinicians with decision-making around factors influencing successful implementation and optimisation of PWSD for young people with DMD. Implications for Rehabilitation Tolerance and comfort in supported standing for at least 10 minutes, ankle contracture limited to less than 10 degrees and the child's goals reflecting motivation to use the standing position were agreed to be necessary considerations in guiding the decision to trial a PWSD. Trialling a PWSD when the child is predic...
Source: Disability and Rehabilitation - September 2, 2020 Category: Rehabilitation Authors: Schofield C, Evans K, Young H, Paguinto SG, Carroll K, Townsend E, Kiefer M, McGuire M, Sodhi J, Bray P, Bayley K, Vorster NM, Downs J Tags: Disabil Rehabil Source Type: research

Validation and diagnostic accuracy of coin rotation task for manual dexterity and coordination in children with specific learning disorder.
CONCLUSIONS: The present study indicated good to excellent test-retest reliability, acceptable validity, and high diagnostic accuracy for diagnosing children with SLD based on their dexterity impairment level. Implications for Rehabilitation The Coin Rotation Task (CRT) was modified and validated for use in children. The CRT is a reliable and valid tool with high diagnostic accuracy. The CRT has a good ability for discriminating children with specific learning disorder with severe dexterity impairment form typically developing children. Treatment plans and research designs can be performed by using this valid, reliable, an...
Source: Disability and Rehabilitation - September 2, 2020 Category: Rehabilitation Authors: Meimandi M, Azad A, Taghizadeh G, Mohammadi P Tags: Disabil Rehabil Source Type: research

Effects of 12-week aerobic exercise on patient-reported outcomes in women with systemic lupus erythematosus.
CONCLUSION: The results suggest that 12 weeks of progressive aerobic exercise might improve relevant dimensions of fatigue in women with SLE, despite the absence of effects on other PROs. Improvements in CRF seem to mediate the effect of exercise on general fatigue. Implications for rehabilitation Aerobic exercise could be safely introduced in rehabilitation programs for inactive patients with SLE with mild disease activity. Including physical activity recommendations as part of rehabilitation could improve relevant aspects of fatigue in women with SLE. When rehabilitation aims at reducing fatigue, cardiorespiratory...
Source: Disability and Rehabilitation - September 2, 2020 Category: Rehabilitation Authors: Gavilán-Carrera B, Vargas-Hitos JA, Morillas-de-Laguno P, Rosales-Castillo A, Sola-Rodríguez S, Callejas-Rubio JL, Sabio JM, Soriano-Maldonado A Tags: Disabil Rehabil Source Type: research

The Glittre activities of daily living as a potential test for functional evaluation of patients on hemodialysis: a validation study.
a VP Abstract PURPOSE: To investigate the validity and within-day reliability of the Glittre activities of daily living test (Glittre ADL-test) in patients on hemodialysis. METHODS: Ninety-one patients on hemodialysis were evaluated using Glittre ADL-test, functional tests, health-related quality of life, human activity profile, and social participation. Convergent validity was analyzed by the correlation analysis. The Glittre ADL-test results were compared among different levels of the functional tests, human activity profile, and participation (known-groups validity). Within-day reliability was examined by ...
Source: Disability and Rehabilitation - September 1, 2020 Category: Rehabilitation Authors: Figueiredo PHS, da Silva ACR, Costa HS, Nominato GA, Lopes PH, Campos P, Santos LMM, Alcântara MA, Alves FL, Rodrigues VGB, Maciel EHB, Prates MCSM, Lacerda ACR, Lima VP Tags: Disabil Rehabil Source Type: research

"Personal road map for recovery:" examining the therapeutic use of weblogs by stroke survivors with aphasia.
CONCLUSION: Weblog writing was therapeutic for stroke survivors with aphasia. Authors reported benefits across cognitive, psychological, emotional, and social domains. Health professionals should consider recommending weblog writing, journaling, or other methods of writing for stroke survivors with aphasia. Implications for rehabilitation Creating illness weblog posts can be therapeutically beneficial for stroke survivors with aphasia as a tool that addresses psychological, emotional, and social aspects in their recovery. Blogging appeared to offer a medium for stroke survivors with aphasia to practice writing, to express ...
Source: Disability and Rehabilitation - September 1, 2020 Category: Rehabilitation Authors: Carcello K, McLennon S Tags: Disabil Rehabil Source Type: research

Estimating domestic assistance requirements in medico-legal practice: Australian occupational therapy perspective.
CONCLUSION: Documenting all the factors influencing the occupational therapist's decision is the key to understanding clinical reasoning. Implication for rehabilitation When estimating domestic care occupational therapists should: •Provide written documentation that clearly explains the assessment methods used, the results and conclusion made regarding domestic care. •Triangulate data including claimant's statements of performance, confirmation by observation on tasks, medical report information in the context of the claimant's environmental and contextual factors. •Be aware their own years of experience do ...
Source: Disability and Rehabilitation - August 31, 2020 Category: Rehabilitation Authors: Arnold S, Mackenzie L, James C, Millington M Tags: Disabil Rehabil Source Type: research

The influence of psychological factors and mood on the course of participation up to four years after stroke.
CONCLUSIONS: Participation improves in the first 12 months after stroke and stabilizes afterwards. Mood problems and less adaptive psychological factors negatively influence the course of participation over time up to four years after stroke. Implications for rehabilitation Follow-up assessments after stroke should not only focus on cognitive and motor impairment, but also encompass screening on mood problems and adaptive psychological factors. Implementation of a routine follow-up assessment one year after stroke can be beneficial as restrictions in participation are unlikely to diminish spontaneously from then onw...
Source: Disability and Rehabilitation - August 31, 2020 Category: Rehabilitation Authors: de Graaf JA, Schepers VPM, Nijsse B, van Heugten CM, Post MWM, Visser-Meily JMA Tags: Disabil Rehabil Source Type: research

Work capacity assessments and efforts to achieve a job match for claimants in a social security setting: an international inventory.
CONCLUSION: Although a shift towards a holistic focus in work capacity assessment has been recognized, medical factors still prevail. Limited emphasis is placed on the implications of functional limitations for the possibilities of work. A holistic approach to assessment needs to be coupled with holistic support measures through provision of coordinated and high quality job matching services. IMPLICATIONS FOR REHABILITATION Besides determining eligibility for benefits the outcome of the work capacity assessment can also be used for other purposes such as reintegration and should not result in a static description of work c...
Source: Disability and Rehabilitation - August 28, 2020 Category: Rehabilitation Authors: Sengers JH, Abma FI, Ståhl C, Brouwer S Tags: Disabil Rehabil Source Type: research

Canes may not improve spatiotemporal parameters of walking  after stroke: a systematic review of cross-sectional within-group experimental studies.
CONCLUSIONS: Results showed no worthwhile improvements in spatiotemporal parameters of walking with a single-point cane and a slight reduction with a four-point cane, compared with no cane. Individuals walked slightly faster with a single-point cane compared with a four-point cane, but the evidence is insufficient to support this superiority. IMPLICATIONS FOR REHABILITATION A single-point cane may not improve spatiotemporal parameters of walking after stroke. Walking with a four-point cane may slightly decrease spatiotemporal parameters of walking. Canes may be prescribed without the fear of negatively impairing walking ki...
Source: Disability and Rehabilitation - August 28, 2020 Category: Rehabilitation Authors: Avelino PR, Nascimento LR, Menezes KKP, Ada L, Teixeira-Salmela LF Tags: Disabil Rehabil Source Type: research

Stroke rehabilitation research translation in Australia: a survey of clinical trialists.
This study aims to investigate perceptions of Australian stroke clinical trialists' about implementation of their findings into practice, and what translation activities they embedded into trial protocols. MATERIALS AND METHOD: A descriptive cohort design and electronic survey was conducted. Three databases were searched to identify Australian stroke rehabilitation trials published between 2007 and 2017. Corresponding authors of the included trials were invited to complete an anonymous online survey about implementation of their trial intervention. RESULTS: Fifty-one trialists were invited to participate and 38 c...
Source: Disability and Rehabilitation - August 27, 2020 Category: Rehabilitation Authors: Jolliffe L, Hoffmann T, Laver K, McCluskey A, Lannin NA Tags: Disabil Rehabil Source Type: research

Management of whiplash-associated disorder in the Italian emergency department: the feasibility of an evidence-based continuous professional development course provided by physiotherapists.
CONCLUSION: An updated framework increased the efficiency of ED's maintaining the same level of safety (i.e., WAD IV diagnosis). Given that, it can also be argued that, in line with other countries, the implementation of an OMPT role within the ED multidisciplinary team is advised also in Italy. Implications for rehabilitation Physiotherapists were commissioned to organize a management change of patients in an Italian Emergency Department clinical setting for the management of whiplash; Guidelines and other appropriate clinical rules facilitate the delivery of an evidence-based and more appropriate management and care plan...
Source: Disability and Rehabilitation - August 27, 2020 Category: Rehabilitation Authors: Mourad F, Patuzzo A, Tenci A, Turcato G, Faletra A, Valdifiori G, Gobbo M, Maselli F, Milano G Tags: Disabil Rehabil Source Type: research

12-Month changes of muscle strength, body composition and physical activity in adults with dystrophinopathies.
This study aims to assess 12-month changes in lower-limb strength, muscle size, body composition and physical activity in adults with Muscular Dystrophy (MD). METHODS: Adult males with Duchenne MD (DMD; N = 15) and Beckers MD (BMD; N = 12) were assessed at baseline and 12-months for body composition (Body fat and lean body mass (LBM)), Isometric maximal voluntary contraction (Knee-Extension (KEMVC) and Plantar-Flexion (PFMVC)) and physical activity (tri-axial accelerometry). RESULTS: 12-Month change in strength was found as -19% (PFMVC) and -14% (KEMVC) in DMD. 12-Month change in stren...
Source: Disability and Rehabilitation - August 27, 2020 Category: Rehabilitation Authors: Jacques MF, Onambele-Pearson GL, Reeves ND, Stebbings GK, Dawson EA, Stockley RC, Edwards B, Morse CI Tags: Disabil Rehabil Source Type: research

Catching our breath: reshaping rehabilitation services for COVID-19.
CONCLUSION: COVID-19 has challenged healthcare worldwide and has served as an amplifier for the recognised ill effects of poverty and inequality. As rehabilitation clinicians, we are in a position to continue advocating for people facing disability, and also seeking and responding to signals of COVID-19's late effects in both COVID-19 and non-COVID-19 patients alike. IMPLICATIONS FOR REHABILITATION COVID-19 has resulted in unprecedented challenges in rehabilitation service planning. Contingency rehabilitation planning can be framed in a 5-phase crisis management model of Pearson and Mitroff, including (i) signal detection;...
Source: Disability and Rehabilitation - August 27, 2020 Category: Rehabilitation Authors: Khoo TC, Jesudason E, FitzGerald A Tags: Disabil Rehabil Source Type: research

The predictors of proxy- and self-reported quality of life among individuals with acquired brain injury.
CONCLUSIONS: It is necessary to use both self- and proxy-report measures of QoL. Additionally, the identification of the variables that impact QoL permits us to modify the interventions that are offered to these individuals accordingly. Implications for rehabilitation Acquired brain injury (ABI) causes significant levels of disability and affects several domains of functioning, which in turn can adversely affect quality of life (QoL). QoL is a multidimensional construct that is affected by numerous factors: sociodemographic, clinical, personal, social, etc; and also, with aspects related to the rehabilitation they receive ...
Source: Disability and Rehabilitation - August 26, 2020 Category: Rehabilitation Authors: Aza A, Verdugo MÁ, Orgaz MB, Andelic N, Fernández M, Forslund MV Tags: Disabil Rehabil Source Type: research

The diagnostic value of Red Flags in thoracolumbar pain: a systematic review.
CONCLUSIONS: Despite the use of single RF should not be recommended for the screening process in clinical practice, the combination of multiple RFs to enhance diagnostic accuracy is promising. Moreover, the identified RFs could be a baseline to develop a screening tool for patients with TLP. Implications for rehabilitation Differential diagnosis and screening for referral are mandatory skills for each healthcare professional in direct access clinical settings, and should be the primary step for an appropriate management of a patient with signs and symptoms mimicking serious pathologies in thoracolumbar region. Clinical rea...
Source: Disability and Rehabilitation - August 19, 2020 Category: Rehabilitation Authors: Maselli F, Palladino M, Barbari V, Storari L, Rossettini G, Testa M Tags: Disabil Rehabil Source Type: research

Experience of families in accessing government-led support for children with disabilities in Bangladesh.
CONCLUSION: The results suggest that the government's commitment "on paper" is yet to meet the needs of its intended beneficiaries "in practice". There is a need for policy intervention to address barriers faced by families within the context of current access pathways. Implications for rehabilitation Shortage of rehabilitation services and limited availability of disability allowances [negatively] affect family member's access to government-led support for their CWDs in Bangladesh. The government has increased services for people with disability significantly but there is a need for it to ensure the av...
Source: Disability and Rehabilitation - August 18, 2020 Category: Rehabilitation Authors: Nuri RP, Aldersey HM, Ghahari S, Huque AS Tags: Disabil Rehabil Source Type: research

An audit of physiotherapists' documentation on physical activity assessment, promotion and prescription to older adults attending out-patient rehabilitation.
CONCLUSIONS: Evidence-practice gaps were found in physiotherapists' documentation of the promotion of physical activity to older adults attending out-patient rehabilitation, indicating a lack of assistance in the transition to an active lifestyle. These gaps were evident in the lack of; physical activity assessment, implementation of behaviour change strategies and formal referral to physical activity in the community post-discharge from out-patient rehabilitation. Implications for rehabilitation Our findings suggest that physiotherapists are not widely applying evidence-based practice to promote physical activity to older...
Source: Disability and Rehabilitation - August 18, 2020 Category: Rehabilitation Authors: Paim T, Low-Choy N, Dorsch S, Kuys S Tags: Disabil Rehabil Source Type: research

Perceptions of falls risk and falls prevention among people with osteoarthritis.
CONCLUSIONS: Falls were often seen as inevitable consequence of keeping active. Re-framing the language used to discuss falls is recommended to promote uptake of falls prevention activities. Implications for rehabilitation Despite growing evidence that osteoarthritis (OA) is an independent risk factor for falls, people with OA do not perceive themselves to be at risk and falls prevention is for those who are "old and frail". Re-framing the language used to discuss falls and falls prevention to focus on positive messages may promote the uptake of falls prevention activities in this population. Improving the awaren...
Source: Disability and Rehabilitation - August 18, 2020 Category: Rehabilitation Authors: Tsindos T, Ayton D, Soh SE, Ackerman IN Tags: Disabil Rehabil Source Type: research

"I was worried about not being good enough". Experiences and perspectives on pregnancy, childbirth and parenthood when living with a neuromuscular disorder - an exploration of everyday life challenges.
CONCLUSION: The study emphasizes the importance of the professionals providing counseling and support on pregnancy, childbirth, and parenthood either during consultations, online or in structured professional and peer-support rehabilitation groups for expecting parents or for new parents with a NMD. IMPLICATIONS FOR REHABILITATION Professionals must provide knowledge and counselling on pregnancy, childbirth, and parenthood to support families with NMD who are expecting a child or have already become parents and address the illusion of normal. Professional centralized and specialized units where people with NMD can get advi...
Source: Disability and Rehabilitation - August 17, 2020 Category: Rehabilitation Authors: Handberg C, Myrup P, Højberg AL Tags: Disabil Rehabil Source Type: research

Action Observation Treatment in a tele-rehabilitation setting: a pilot study in children with cerebral palsy.
CONCLUSIONS: Action Observation Treatment is therefore a promising approach that can be used on a large scale in a telerehabilitation setting. IMPLICATIONS FOR REHABILITATION Tele-rehabilitation has the potential to enhance early intervention service provision for children with Cerebral Palsy. Action Observation Treatment has the potential to become a routine approach in a telerehabilitation setting. PMID: 32805150 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - August 17, 2020 Category: Rehabilitation Authors: Molinaro A, Micheletti S, Pagani F, Garofalo G, Galli J, Rossi A, Fazzi E, Buccino G Tags: Disabil Rehabil Source Type: research

Goal analysis in patients with limb spasticity treated with incobotulinumtoxinA in the TOWER study.
CONCLUSIONS: The ICF offers a broad framework for setting patient-centered, easily understandable goals for patients with spasticity, including goals related to (guided) self-management activities. This analysis sheds new light on patient needs and could direct future goal-driven botulinum toxin spasticity treatment focused on enabling patients to better manage activity limitations imposed by their body function impairments. Trial registration: NCT01603459 registered with ClinicalTrials.gov (https://clinicaltrials.gov/ct2/show/NCT01603459). Implications for Rehabilitation The ICF offers a broad framework for setting patien...
Source: Disability and Rehabilitation - August 17, 2020 Category: Rehabilitation Authors: Fheodoroff K, Scheschonka A, Wissel J Tags: Disabil Rehabil Source Type: research

Rehabilitation: mobility, exercise & sports; a critical position stand on current and future research perspectives.
CONCLUSIONS: With this, we anticipate to support the development of rehabilitation sciences and technology and to stimulate the use of rehabilitation notions in general health care. We also hope to help ensure a stronger embodiment of preventive and lifestyle medicine in rehabilitation practice. Indeed, general health care and rehabilitation practice require a healthy and active lifestyle management and research agenda in the context of primary, secondary, and tertiary prevention. IMPLICATIONS FOR REHABILITATION Continued multidisciplinary (international) collaboration will stimulate the development of rehabilitation ...
Source: Disability and Rehabilitation - August 17, 2020 Category: Rehabilitation Authors: van der Woude LHV, Houdijk HJP, Janssen TWJ, Seves B, Schelhaas R, Plaggenmarsch C, Mouton NLJ, Dekker R, van Keeken H, de Groot S, Vegter RJK Tags: Disabil Rehabil Source Type: research