Prioritizing barriers and solutions to improve employment for persons with developmental disabilities.
CONCLUSIONS: Individual, environmental and societal factors all impact employment outcomes for persons with developmental disabilities. Policy and decision makers need to address barriers to employment for persons with developmental disabilities more holistically by designing policies considering employers and the workplace, persons with developmental disabilities and the broader society. Findings call for cross-sectoral collaboration using a Whole of Government approach. Implications for Rehabilitation Persons with a developmental disability face lower levels of labour force participation than any other disability group. ...
Source: Disability and Rehabilitation - March 11, 2019 Category: Rehabilitation Authors: Khayatzadeh-Mahani A, Wittevrongel K, Nicholas DB, Zwicker JD Tags: Disabil Rehabil Source Type: research

A fragile normality - illness experiences of working-age individuals with osteoarthritis in knees or hips.
CONCLUSIONS: The participants of this study adjusted and managed their daily activities to continue to live a normal life in accord with cultural norms. However, unpredictable flare ups and loss of control made their otherwise normal life somewhat fragile. Implications for rehabilitation •Osteoarthritis is a common disease which is often considered relatively stable, controllable and manageable. •This sample study highlights the participants uncertainty related to unpredictable variability in symptoms. •Appropriate management strategies for bad days need to be developed especially for those struggling at wor...
Source: Disability and Rehabilitation - March 4, 2019 Category: Rehabilitation Authors: Tollefsrud I, Mengshoel AM Tags: Disabil Rehabil Source Type: research

Problematizing 'productive citizenship' within rehabilitation services: insights from three studies.
This article draws examples from three research studies in two countries to highlight instances in which narrow understandings of productive citizenship employed in rehabilitation services can have unintended marginalizing effects. Each example is presented as a vignette. DISCUSSION: The vignettes help us reflect on marginalization at the level of individual, community and society that arises from narrow interpretations of 'productive citizenship' in rehabilitation services. They also provide clues as to how productive citizenship could be envisaged differently. We argue that rehabilitation services, because of their ...
Source: Disability and Rehabilitation - March 4, 2019 Category: Rehabilitation Authors: Fadyl JK, Teachman G, Hamdani Y Tags: Disabil Rehabil Source Type: research

Validity, responsiveness, and perceptions of clinical utility of the Canadian Occupational Performance Measure when used in a sub-acute setting.
CONCLUSIONS: This study provides evidence of the Canadian Occupational Performance Measure's validity, responsiveness and clinical utility when used in a sub-acute setting. Implications for rehabilitation The Canadian Occupational Performance Measure appears able to effectively evaluate the outcomes of occupational therapy interventions, including in sub-acute rehabilitation settings. It is an individualized outcome measure where clients are responsible for measuring their own progress and meaningful outcomes from therapy. Evidence of the Canadian Occupational Performance Measure's convergent validity, predictive validity ...
Source: Disability and Rehabilitation - March 4, 2019 Category: Rehabilitation Authors: Roe D, Brown T, Thyer L Tags: Disabil Rehabil Source Type: research

Psychometric properties of the Flemish version of the life balance inventory: a patient-reported outcome measure in the chronic stage after stroke.
CONCLUSION: In a pilot sample, the FL-LBI has satisfactory test-retest reliability, acceptable measurement error and minimal detectable difference and acceptable convergent validity. It can be used in clinical practice and research to assess life balance in chronic community-dwelling stroke survivors. Implications for rehabilitation Life balance can be a useful concept in stroke rehabilitation; it corresponds to individuals' perception of having a satisfying activity pattern tailored to their life circumstances. The Flemish version of the Life Balance Inventory can be used to evaluate life balance in community-dwelling chr...
Source: Disability and Rehabilitation - March 4, 2019 Category: Rehabilitation Authors: Van Gils A, Meyer S, Beyens H, Schillebeeckx F, Verheyden G, Kos D Tags: Disabil Rehabil Source Type: research

Is Wii-based motor training better than task-specific matched training for children with developmental coordination disorder? A randomized controlled trial.
CONCLUSIONS: Both the Wii and task-specific training improved overall motor performance and balance. On other MABC-2 component scores, treatment effects differed between groups: Task-specific training had more pronounced effects on balance skills, while Wii training had slightly stronger treatment effects than task-specific training on manual dexterity. It was concluded that task-specific training affords stronger benefits for general motor skill than Wii-based training. Whether Wii training can promote clinically significant benefits for upper-limb function remains to be seen. TRIAL REGISTRATION: This study is regist...
Source: Disability and Rehabilitation - February 22, 2019 Category: Rehabilitation Authors: Cavalcante Neto JL, Steenbergen B, Wilson P, Zamunér AR, Tudella E Tags: Disabil Rehabil Source Type: research

Test-retest reliability of the Swedish version of the Weekly Calendar Planning Activity - a performance-based test of executive functioning.
CONCLUSION: The intraclass correlation coefficients between the first two test occasions were weak (0.42-0.66), but were acceptable to excellent (0.65-0.91) between test occasions 2 and 3. There was a considerable amount of random variation in the results, but little systematic variation, indicating no or possibly a small learning effect in the total number of accurately recorded appointments. This variation indicates a need to use two consecutive baseline measurements when the Swedish version of the Weelky Calendar Planning Acitivity is used as an outcome measure. Together, our results suggest that the Swedish version of ...
Source: Disability and Rehabilitation - February 20, 2019 Category: Rehabilitation Authors: Holmqvist KL, Holmefur M, Arvidsson P Tags: Disabil Rehabil Source Type: research

Setwise comparison: efficient fine-grained rating of movement videos using algorithmic support - a proof of concept study.
CONCLUSIONS: Setwise comparison is an efficient, valid and reliable method for fine-grained rating of motor dysfunction that can be applied to larger datasets. It is substantially more efficient than pairwise comparison. Implications for rehabilitation Disability rating is crucial in clinical neurorehabilitation and in clinical trials. Humans are naturally inconsistent in rating items on ordinal scales leading to poor intra- and interrater reliability, insensitivity to subtle differences and coarse-grained ratings. Video-based setwise comparison is a new rating method enabling fine-grained, reliable and efficient ratings o...
Source: Disability and Rehabilitation - February 20, 2019 Category: Rehabilitation Authors: Steinheimer S, Dorn JF, Morrison C, Sarkar A, D'Souza M, Boisvert J, Bedi R, Burggraaff J, Kontschieder P, Dahlke F, Sellen A, Uitdehaag BMJ, Kappos L, Kamm CP Tags: Disabil Rehabil Source Type: research

Validity and reliability of the Persian ABILHAND-Kids in a sample of Iranian children with cerebral palsy.
Abstract AIM: To develop a Persian version of ABILHAND-Kids and to determine its reliability and validity in Persian-speaking children with cerebral palsy (CP). METHOD: The ABILHAND-Kids questionnaire was translated into Persian language and cross-culturally adapted following guidelines. The Persian ABILHAND-Kids was administered to 50 parents of CP children. Among the 50 parents of CP children, 30 of them participated in a test-retest reliability phase. Fifty parents of healthy children participated for discriminative validity. RESULTS: The Rasch analysis indicated the unidimensionality, reliability, an...
Source: Disability and Rehabilitation - February 19, 2019 Category: Rehabilitation Authors: Mohammadkhani-Pordanjani E, Arnould C, Raji P, Nakhostin Ansari N, Hasson S Tags: Disabil Rehabil Source Type: research

Assessing discrepancies in outcomes of pain rehabilitation: "these questionnaires don't measure results that are relevant to me".
CONCLUSION: Discrepancies occurred often. When discrepant, physiatrist-rated outcome reflects a more positive outcome compared to the other outcome measures. The results of the interviews suggest that the present outcome measures may not fully capture life domains that are relevant for patients, and may thus underestimate meaningful outcomes. IMPLICATIONS FOR REHABILITATION Present standardized outcome measures may not fully capture and may underestimate meaningful outcomes of pain rehabilitation. Outcome measures of pain rehabilitation programs should include a meaningful patient-centered measure. Development of a patient...
Source: Disability and Rehabilitation - February 19, 2019 Category: Rehabilitation Authors: Borghuis EMC, Reneman MF, Schiphorst Preuper HR Tags: Disabil Rehabil Source Type: research

Consensus-Building efforts to identify best tools for screening and assessment for supportive services in oncology.
CONCLUSIONS: Consensus reported three most highly-related measures as optimal for comprehensive screening and identification for referral by assessing multiple domains of functioning and quality of life. Implications for Rehabilitation Gaining consensus on the best patient reported outcome measures is an important step towards improving access to cancer rehabilitation services. A consensus agreed on several measures to use for cancer rehabilitation screening. Functional Assessment of Cancer Therapy-General, National Comprehensive Cancer. Network Distress Thermometer and the James Instrument. The selected measures do not pu...
Source: Disability and Rehabilitation - February 19, 2019 Category: Rehabilitation Authors: Marshall TF, Alfano CM, Sleight AG, Moser RP, Zucker DS, Rice EL, Silver JK, Raj VS, Fu JB, Padgett LS, Lyons KD, Radomski MV, McKenna R, Pergolotti M Tags: Disabil Rehabil Source Type: research

The contributions of socioeconomic status, perceived stress, and depression to disability in adults with systemic lupus erythematosus.
The objective of this study was to evaluate a model examining socioeconomic status (SES), perceived stress, and depressive symptoms as determinants of lupus-related disability. METHODS: The sample included 134 patients receiving treatment at an academic hospital. Structural equation modeling examined the direct and indirect effects of SES (income, education, and subjective social status), perceived stress (Perceived Stress Scale), and depressive symptoms (Hospital Depression Anxiety Scale depression subscale) on disability (Lupus Patient-Reported Outcome measure Physical Health and Pain-Vitality subscales). RESUL...
Source: Disability and Rehabilitation - February 18, 2019 Category: Rehabilitation Authors: Sumner LA, Ormseth R, Azizoddin DR, Ormseth SR, Draper TL, Ayeroff JR, Zamora-Racaza G, Weisman MH, Nicassio PM Tags: Disabil Rehabil Source Type: research

Scleroderma patient perspectives on social support from close social relationships.
CONCLUSIONS: Patients might benefit more from interventions aiming at coping with scleroderma as a collective. Findings from this study help better understand the unique experiences of scleroderma patients while receiving support from close relationships. Implications for Rehabilitation People with scleroderma may benefit from receiving different types of support from their close social relationships, including emotional, informational, and instrumental support. Professionals working in the area of rehabilitation should encourage patients to identify close social relationships who have specialized knowledge and skills (e.g...
Source: Disability and Rehabilitation - February 14, 2019 Category: Rehabilitation Authors: Milette K, Thombs BD, Dewez S, Körner A, Peláez S Tags: Disabil Rehabil Source Type: research

Test-retest reliability of the special interest group on amputation medicine/Dutch working group on amputations and prosthetics mobility scale, in persons wearing a prosthesis after a lower-limb amputation.
CONCLUSIONS: The Special Interest Group on Amputation Medicine Mobility Scale/Dutch Working Group on Amputations and Prosthetics had, at the outpatient departments of a rehabilitation center and a university medical center, excellent test-retest reliability in persons wearing a prosthesis after a lower-limb amputation. Implications for rehabilitation The Special Interest Group on Amputation Medicine/Dutch Working Group on Amputations and Prosthetics Mobility Scale was developed to classify mobility after a lower-limb amputation and wearing a prosthesis. The Dutch translation of this mobility scale has excellent test-retest...
Source: Disability and Rehabilitation - February 14, 2019 Category: Rehabilitation Authors: de Laat FA, Roorda LD, Geertzen JH, Rommers C Tags: Disabil Rehabil Source Type: research

A comparison of patients managed in specialist versus non-specialist inpatient rehabilitation units in Australia.
CONCLUSION: There are differences in the characteristics of patients admitted to specialist versus non-specialist rehabilitation units. Patients admitted to specialist rehabilitation units have greater functional gain. A noteworthy proportion of brain and spinal cord injury patients are not being rehabilitated in specialist rehabilitation units, particularly patients with non-traumatic injuries. Implications for rehabilitation Patients with a brain or spinal cord injury rehabilitated in specialist rehabilitation units achieve a greater functional gain than those in non-specialist units. Development of best practice admissi...
Source: Disability and Rehabilitation - February 14, 2019 Category: Rehabilitation Authors: McKechnie D, Pryor J, Fisher MJ, Alexander T Tags: Disabil Rehabil Source Type: research

Documentation of everyday life and health care following gastrostomy tube placement in children: a content analysis of medical records.
CONCLUSIONS: To some extent the medical records reflected different dimensions of everyday life, but the intervention goals clearly focused on bodily aspects. Understanding how health care for children using a gastrostomy is documented and planned by applying an ecocultural framework adds a valuable perspective and can contribute to family-centred interventions for children using a gastrostomy. Implications for Rehabilitation There is a need for increased awareness in healthcare professionals for a more consistent and holistic healthcare approach in the management of children with gastrostomy tube feeding. This study sugge...
Source: Disability and Rehabilitation - February 14, 2019 Category: Rehabilitation Authors: Backman E, Granlund M, Karlsson AK Tags: Disabil Rehabil Source Type: research

Accommodating to a troubled life - chronic obstructive pulmonary disease patients' experiences and perceptions of self-image during the course of rehabilitation.
CONCLUSIONS: Group-based pulmonary rehabilitation can support chronic pulmonary obstructive disease patients towards significant change in self-image and health behaviour, leading to improved illness management. Enlarged opportunities to benefit from peer-fellowship and enhanced focus on what is essential to the participants might expand the rehabilitation yields. PMID: 30763522 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - February 14, 2019 Category: Rehabilitation Authors: Simonÿ C, Andersen IC, Bodtger U, Birkelund R Tags: Disabil Rehabil Source Type: research

Influence of low income on return to participation following stroke.
CONCLUSION: This case study demonstrated that even in a universal healthcare system, post-stroke participation for those with low incomes was severely restricted. Changes at the clinical level and at the public policy level could facilitate participation. Implications for rehabilitation Income influenced the experience of return to participation for the low-income stroke survivors by limiting their ability to afford housing, goods, and services. The macro environment, which regulates the healthcare and social service systems, was the strongest influence on return to participation for low income stroke survivors. Findings p...
Source: Disability and Rehabilitation - February 14, 2019 Category: Rehabilitation Authors: Sauvé-Schenk KML, Egan MY, Dubouloz-Wilner CJ, Kristjansson E Tags: Disabil Rehabil Source Type: research

Comparison of immediate effects of sling-based manual therapy on specific spine levels in subjects with neck pain and forward head posture: a randomized clinical trial.
This study aimed to compare the immediate effect of upper-cervical level and cervicothoracic junction level manual therapy on head posture, cervical range of motion and muscle activity of the subjects with forward head posture. METHODS: A total 22 subjects with chronic neck pain (numeric pain rating scale>3, forward head posture: cranio-vertebral angle
Source: Disability and Rehabilitation - February 13, 2019 Category: Rehabilitation Authors: Kim DH, Kim SY Tags: Disabil Rehabil Source Type: research

Psychological approaches for the management of persistent postconcussion symptoms after mild traumatic brain injury: a systematic review.
CONCLUSION: Counselling or cognitive behaviour therapy have the most support but the evidence remains limited. We encourage further randomized controlled trials of early interventions in samples at risk for persistent symptoms, including closer study of psychological risk-factors and the 'active' ingredient. To advance the field, future trials must include additional methodological controls and improved reporting. Implications for rehabilitation Persistent symptoms following mild traumatic brain injury can be disabling and psychological management for rehabilitation may be proposed. However, Controlled trials show that whi...
Source: Disability and Rehabilitation - February 11, 2019 Category: Rehabilitation Authors: Sullivan KA, Kaye SA, Blaine H, Edmed SL, Meares S, Rossa K, Haden C Tags: Disabil Rehabil Source Type: research

Paradoxes in rehabilitation.
Abstract Paradoxical enhancement and paradoxical recovery of function after brain injury harmonize well with the concept of "ultrabilitation" and its focus on novel forms of flourishing in rehabilitation settings. I consider three sets of paradoxes which may impact on brain injury rehabilitation. Firstly, I consider post-traumatic growth after brain injury and its key determinants. Secondly, I review the role of illusions in rehabilitation and the paradox that some clinical conditions may be improved by invoking perceptual distortions. Thirdly, I consider paradoxical recovery profiles after brain injury,...
Source: Disability and Rehabilitation - February 11, 2019 Category: Rehabilitation Authors: Kapur N Tags: Disabil Rehabil Source Type: research

The American Student Placements in Rehabilitation Engineering Program (ASPIRE).
CONCLUSION: The American Student Placements and Internships in Rehabilitation Engineering program has demonstrated efficacy in preparing undergraduate students for future academic work and employment. Implications for Rehabilitation Creative researchers and designers will lead the way in advancing accessibility standards and engineering for people with disabilities. The ASPIRE program increases excitement for and interest in the fields of rehabilitation engineering among undergraduate students to positively influence academic and professional careers. Students enrolled in the ASPIRE program actively participated in a real ...
Source: Disability and Rehabilitation - February 11, 2019 Category: Rehabilitation Authors: Marino DJ, Williams R, Koontz A, Cooper RA Tags: Disabil Rehabil Source Type: research

Rehabilitation needs of youth with arthrogryposis multiplex congenita: Perspectives from key stakeholders.
CONCLUSIONS: All participants reported that early-active rehabilitation is beneficial as it helps determine future treatments. Transition times and participation need to be at the center of interventions to ensure that the needs of youth with arthrogryposis multiplex congenita are being met. The development a condition-specific outcome-measure and rehabilitation practice recommendations will assist clinicians in addressing the needs of youth with arthrogryposis multiplex congenita. Implications for rehabilitation Arthrogryposis multiplex congenita presents in at least two different areas of the body as multiple congenital ...
Source: Disability and Rehabilitation - February 11, 2019 Category: Rehabilitation Authors: Elfassy C, Darsaklis VB, Snider L, Gagnon C, Hamdy R, Dahan-Oliel N Tags: Disabil Rehabil Source Type: research

A qualitative study of LoveYourBrain Yoga: a group-based yoga with psychoeducation intervention to facilitate community integration for people with traumatic brain injury and their caregivers.
CONCLUSIONS: LoveYourBrain Yoga successfully promoted community integration for people with traumatic brain injury. It also facilitated diverse and meaningful physical, psychological, and social health benefits, which suggest that it may be an effective mode of community-based rehabilitation. Implications for rehabilitation Traumatic brain injury survivors often struggle to participate in their community, the ultimate goal of rehabilitation Yoga is a holistic therapy with many benefits, yet is not accessible to the traumatic brain injury population at the community level Participants in a community-based yoga with psychoed...
Source: Disability and Rehabilitation - February 11, 2019 Category: Rehabilitation Authors: Donnelly KZ, Goldberg S, Fournier D Tags: Disabil Rehabil Source Type: research

Determinants of quality of life in the older residents of long-term care facilities using the world health organization international classification of functioning, disability and health framework in Taiwan.
CONCLUSIONS: Activity and participation showed high explanatory power for the quality of life of older long-term care facility residents. The influence of activity and participation in the older population is an important issue, although these factors remain relatively unexplored. This exploratory study used the International Classification of Functioning, Disability and Health as a conceptual framework to provide a more sophisticated understanding of quality of life. Implications for rehabilitation Although the viewpoint of quality of life involves many more factors than an understanding of an individual disease or disabi...
Source: Disability and Rehabilitation - February 11, 2019 Category: Rehabilitation Authors: Chen YC, Lin KC, Wu CY, Chen CJ, Hsieh YW Tags: Disabil Rehabil Source Type: research

Fitness coordinators' and fitness instructors' perspectives on implementing a task-oriented community exercise program within a healthcare-recreation partnership for people with balance and mobility limitations: a qualitative study.
CONCLUSIONS: Findings clarify the role of healthcare organizations, ongoing challenges, and directions for improvement in this program delivery model. Implications for rehabilitation Community recreation centres can provide task-oriented exercise programs to help people with balance and mobility limitations safely engage in regular exercise Healthcare organizations should provide specific supports to help increase the safety and quality of task-oriented exercise programs in recreation centres Supports include providing clear exercise guidelines, and a healthcare professional who trains fitness instructors, visits the progr...
Source: Disability and Rehabilitation - February 10, 2019 Category: Rehabilitation Authors: Skrastins O, Tsotsos S, Aqeel H, Qiang A, Renton J, Howe JA, Tee A, Moller J, Salbach NM Tags: Disabil Rehabil Source Type: research

Symptom severity and quality of life in patients with concurrent neck pain and dizziness.
Abstract PURPOSE: There is little knowledge on how neck pain impacts dizzy patients, and if different diagnoses of dizziness associate with neck pain. The aim was to examine differences in dizziness severity, quality of life and demographics in dizzy patients with and without neck pain. Additionally, we examined if neck pain was associated with a non-vestibular or vestibular diagnosis. METHODS: We included 236 consecutive patients referred to an otorhinolaryngological university clinic for vertigo and balance problems. The patients were divided in two groups: Patients with and without neck pain. Patient-repor...
Source: Disability and Rehabilitation - February 10, 2019 Category: Rehabilitation Authors: Kalland Knapstad M, Goplen F, Skouen JS, Ask T, Nordahl SHG Tags: Disabil Rehabil Source Type: research

How do health and social care professionals in England and Wales assess mental capacity? A literature review.
CONCLUSIONS: This review synthesized evidence about mental capacity assessment methods and quality in England and Wales and analyzed it to suggest ways in which practice might be improved. Implications for rehabilitation Mental capacity assessment practice in England and Wales varies and is not always consistent with legal requirements, risking inconsistent and inaccurate judgements about capacity and exposure to legal action. Interventions have been developed to help professionals to engage in supported decision-making, and improve their mental capacity assessments and documentation in line with legal standards. These int...
Source: Disability and Rehabilitation - February 10, 2019 Category: Rehabilitation Authors: Jayes M, Palmer R, Enderby P, Sutton A Tags: Disabil Rehabil Source Type: research

Traumatic injury survivors' perceptions of their future: a longitudinal qualitative study.
CONCLUSION: Over time, most seriously injured people's perceptions of the future remained consistent. Some had enduring anxiety and others sustained hopeful approaches. Personalised and targeted interventions that address specific concerns could reduce anxiety and support positive adjustment following traumatic injury. Implications for rehabilitation Many seriously injured people, particularly people who sustained orthopaedic injuries, held concerns about experiencing persistent pain, physical impairment, and reduced mobility in the future. Personalised and targeted interventions that address specific concerns about future...
Source: Disability and Rehabilitation - February 10, 2019 Category: Rehabilitation Authors: Braaf S, Ameratunga S, Ponsford J, Cameron P, Collie A, Harrison J, Ekegren C, Christie N, Nunn A, Gabbe B Tags: Disabil Rehabil Source Type: research

Item reduction of the patient-rated wrist evaluation using decision tree modelling.
CONCLUSIONS: We found that the decision tree was successful at reducing the items of the Patient Rated Wrist Evaluation from fifteen to only six questions with very high similarity to the scores of the full questionnaire. Implications for rehabilitation The Patient Rated Wrist Evaluation can reliably be used with 6 instead of 15 questions. Decision trees are useful statistical tools to shorten lengthy questionnaires, especially when large amounts of data are available. Having a shortened Patient Rated Wrist Evaluation saves patients and clinicians time in answering this specific questionnaire. PMID: 30739531 [PubMed -...
Source: Disability and Rehabilitation - February 10, 2019 Category: Rehabilitation Authors: van der Oest MJW, Porsius JT, MacDermid JC, Slijper HP, Selles RW Tags: Disabil Rehabil Source Type: research

External relative to internal attentional focus enhances motor performance and learning in visually impaired individuals.
CONCLUSIONS: These findings indicate that visual information does not mediate external focus benefits for motor performance and learning. Implications for Rehabilitation Practitioners should use instructions that encourage visually impaired individuals who are going through rehabilitation to adopt an appropriate focus of attention for enhancing motor performance and learning of discrete or locomotion-based motor skills. Instructions that foster an external focus, relative to an internal focus, enhances performance of both discrete and continuous motor skills in individuals with visual impairment. PMID: 30735063 [PubMe...
Source: Disability and Rehabilitation - February 8, 2019 Category: Rehabilitation Authors: Abdollahipour R, Land WM, Cereser A, Chiviacowsky S Tags: Disabil Rehabil Source Type: research

Can clinical assessment differentiate partial thickness rotator cuff tears from full thickness rotator cuff tears? A secondary analysis.
CONCLUSIONS: Greater abduction strength (i.e., Constant Power Score) was associated with partial thickness tears. Other clinical assessment items did not differentiate between partial and full tears. Our results add to the growing body of research showing most clinical findings are not associated with a diagnosis in rotator cuff disease. Implications for Rehabilitation Greater shoulder abduction strength (as measured with the Constant Power Score) was associated with partial thickness rotator cuff tears. Most findings within our clinical assessment framework did not distinguish between partial thickness and full thickness ...
Source: Disability and Rehabilitation - February 8, 2019 Category: Rehabilitation Authors: Edwards A, Chepeha J, Jones A, Sheps DM, Beaupré L Tags: Disabil Rehabil Source Type: research

Rehabilitation culture and its impact on technology: unpacking practical conditions for ultrabilitation.
CONCLUSION: Advancing the idea and project of ultrabilitation must be grounded in a nuanced understanding of actual rehabilitation practice and the norms of broader society, which can be gained from engaging with adjacent literatures and by conducting further research on technology use in rehabilitation contexts. Implications for rehabilitation "Assistive" technologies can be conceptually re-imagined as "ultrabilitative" technologies, expanding their utility from recovery to enhancement and flourishing. Actual development and use of ultrabilitative technology is both a technical and psychosocial challen...
Source: Disability and Rehabilitation - February 7, 2019 Category: Rehabilitation Authors: Boehlen W, Sample M Tags: Disabil Rehabil Source Type: research

Identifying and validating housing adaptation client profiles - a mixed methods study.
CONCLUSIONS: The identified client profiles are a step towards a better understanding of how home-based interventions could be delivered more effectively to groups of HA clients, based on their different characteristics. Implications for rehabilitation Housing adaptations are structural modifications to the physical home environment with the purpose to enhance independence for people with disabilities. People applying for housing adaptations are a heterogeneous group with different needs. This study outlines five client profiles which can guide professionals on how to differentiate home-based interventions and follow-up pr...
Source: Disability and Rehabilitation - February 7, 2019 Category: Rehabilitation Authors: Luther A, Chiatti C, Ekstam L, Thordardottir B, Fänge AM Tags: Disabil Rehabil Source Type: research

Outcome indicators in the transitional care of people with spinal cord injury in China: a Delphi survey based on the International Classification of Functioning, Disability and Health.
CONCLUSIONS: A set of categories and concepts was identified in the Delphi survey based on the International Classification of Functioning, Disability and Health. They provided a reference and a basis for establishing a system of outcome indicators in the transitional care for patients with spinal cord injury in China. Implications for rehabilitation In China, the people with spinal cord injury who live at home after discharge urgently need professional transitional care which can be extended from medical institutions to families. The categories and concepts identified by the Delphi survey based on the International Classi...
Source: Disability and Rehabilitation - February 6, 2019 Category: Rehabilitation Authors: Li K, Xie S, Wang Y, Tang J, He X, Liu T, Yan T Tags: Disabil Rehabil Source Type: research

Which impairments, activity limitations and personal factors at hospital discharge predict walking activity across the first 6 months poststroke?
Abstract PURPOSE: To determine which impairments, activity limitations and personal factors at hospital discharge poststroke predict volume, frequency, and intensity of walking activity 1, 3, and 6 months later. MATERIALS AND METHODS: Prospective longitudinal observational study. Thirty-six people with stroke (71 SD 14 years, 69% male) were recruited at hospital discharge and predictors including fatigue, mood, executive function, walking speed, walking endurance, age, prestroke activity, self-efficacy, and perceived stroke recovery and health were collected. At 1, 3, and 6 months follow-up, participan...
Source: Disability and Rehabilitation - February 6, 2019 Category: Rehabilitation Authors: Mahendran N, Kuys SS, Brauer SG Tags: Disabil Rehabil Source Type: research

What does "engagement" mean in early speech pathology intervention? A qualitative systematised review.
CONCLUSIONS: Engagement in early speech pathology intervention is a complex, multifaceted state where parents are ready and empowered to take an active role in their child's intervention, both inside and outside intervention sessions. All parents have different journeys towards engagement, but many parents need time and support from speech-language pathologists to "become engaged" in early speech pathology intervention. Implications for rehabilitation Based on this review, engagement in early speech pathology intervention can be described as a complex, multifaceted state where parents are ready and empowered to t...
Source: Disability and Rehabilitation - February 5, 2019 Category: Rehabilitation Authors: Melvin K, Meyer C, Scarinci N Tags: Disabil Rehabil Source Type: research

Workplace accommodations for adults with autism spectrum disorder: a scoping review.
CONCLUSION: The majority of studies (21) were categorized as providing interventions related to employment support and relationships. One of the most common examples of support involved job coaching using different strategies. Technology is another area that is emerging and requires further exploration. Implications for Rehabilitation Successful workplace strategies for individuals with autism spectrum disorder were: minimizing distractions, reducing noise, and predictable job duties. Environmental considerations related to using technology could play an important role in improving performance and work experience. Employer...
Source: Disability and Rehabilitation - February 3, 2019 Category: Rehabilitation Authors: Khalifa G, Sharif Z, Sultan M, Di Rezze B Tags: Disabil Rehabil Source Type: research

Participation, supports, and barriers of Korean children and youth with and without disabilities in the school environment.
CONCLUSIONS: Findings help to better understand school participation patterns of Korean children with disabilities and environmental supports and barriers to their participation. The knowledge can be used to support collaboration among school-related professionals for successful participation of children with disabilities at school. Implications for rehabilitation Parents of children with disabilities need to focus on both how many times their children participate in school activities and how they get involved in those activities. Educators and therapists should consider in which types of change in school participation par...
Source: Disability and Rehabilitation - February 3, 2019 Category: Rehabilitation Authors: Jeong Y Tags: Disabil Rehabil Source Type: research

Reliability and validity of the Canadian-French ecological adaptation of the weighted version of the Melbourne low-vision ADL Index.
CONCLUSIONS: The MIDVAQ is highly valid and reliable. It can be useful to measure the functional impact of the visual impairment, its progression, and the outcomes of low vision rehabilitation services. Implications for rehabilitation Even if administered at home in an ecological way, this measure of the impact of the visual impairment in daily activities is very reliable. Given its good metric properties, this tool can be confidently used to assess the functional impact of visual impairment, outcomes of the low vision rehabilitation services, etc. This measurement tool provides complementary information to those obtained ...
Source: Disability and Rehabilitation - February 3, 2019 Category: Rehabilitation Authors: Duquette J, Loiselle J, Fréchette C, Déry L, Senécal MJ, Wittich W, Wanet-Defalque MC Tags: Disabil Rehabil Source Type: research

"Acquired brain injury and return to work": the feasibility of a training program for insurance physicians.
"Acquired brain injury and return to work": the feasibility of a training program for insurance physicians. Disabil Rehabil. 2019 Feb 02;:1-7 Authors: Donker-Cools BHPM, Wind H, Frings-Dresen MHW Abstract PURPOSE: To study the feasibility (limited efficacy, acceptability, and implementation) of a training program for insurance physicians. METHODS: Limited efficacy was evaluated over time (T0-T2) by conducting knowledge question tests using realistic case scenarios, analyzed by non-parametric Friedman and Wilcoxon signed-rank tests. Acceptability was evaluated by asking participants to a...
Source: Disability and Rehabilitation - February 2, 2019 Category: Rehabilitation Authors: Donker-Cools BHPM, Wind H, Frings-Dresen MHW Tags: Disabil Rehabil Source Type: research

Development of a new index of strength in adults with intellectual and developmental disabilities.
CONCLUSIONS: Based on the data analyzed above we believe that the strength index developed in this study could help to facilitate the assessment and follow-up of people with intellectual and developmental disability in the clinical setting, because it offers a broad measure of an individual's muscular response generated to the various stimuli presented by the evaluator. In addition, because it is economical, and easy and quick to administer, this index could easily be applied in clinical and research settings. Implications for rehabilitation The developed index allows to classify people with intellectual and developmental ...
Source: Disability and Rehabilitation - February 2, 2019 Category: Rehabilitation Authors: Merchán-Baeza JA, Pérez-Cruzado D, González-Sánchez M, Cuesta-Vargas A Tags: Disabil Rehabil Source Type: research

Adding meaning to physical fitness test results in individuals with intellectual disabilities.
CONCLUSIONS: The ID-fitscan can be used by researchers, physiotherapists, and other clinical practitioners to evaluate physical fitness in adults with ID. Recommendations for future research include expansion of research into psychometric properties of more fitness tests and combining physical fitness data on this population in larger datasets. Implications for rehabilitation Individuals with intellectual disabilities have low physical fitness levels, and a high risk for unnecessary functional decline and unhealthy aging. Physical fitness testing could help improve, adapt and evaluate exercise interventions, but is challen...
Source: Disability and Rehabilitation - February 2, 2019 Category: Rehabilitation Authors: Oppewal A, Hilgenkamp TIM Tags: Disabil Rehabil Source Type: research

Being the parent of a child with limb difference who has been provided with an artificial limb: an interpretative phenomenological analysis.
CONCLUSIONS: The study highlighted salient aspects to parents' experiences and sense-making that can inform clinical support. Emotional support, the management of social responses, and the holistic co-ordination of healthcare support with peer support networks are discussed. Healthcare professionals involved in the prosthetic rehabilitation process should look to explore these meanings to help support the management of the child's prosthesis use. Implications for rehabilitation Understanding the sense-making of parents is important in effective service provision for children with limb difference. Service provision for chil...
Source: Disability and Rehabilitation - February 2, 2019 Category: Rehabilitation Authors: Oliver J, Dixon C, Murray CD Tags: Disabil Rehabil Source Type: research

"I can do more than I thought I could": exploring the online blogs from the Sailing Sclerosis Oceans of Hope journey.
CONCLUSION: Numerous psychosocial benefits are achievable when individuals with multiple sclerosis are provided with opportunities and support to challenge themselves. Implications for Rehabilitation A diagnosis of multiple sclerosis does not necessarily have to mean a sedentary lifestyle and social isolation. Psychological adjustment to a diagnosis of multiple sclerosis, changes in mindset, and rediscovering hope and optimism can be achieved by adventurous means outside clinical settings. We encourage clinicians, policy makers, and funding bodies to think 'outside the box' when developing and supporting programs for indiv...
Source: Disability and Rehabilitation - February 1, 2019 Category: Rehabilitation Authors: Broadbent FJ, Swalwell JM Tags: Disabil Rehabil Source Type: research

Intervention research addressing environmental risk threatening young children with disabilities in developing countries: a systematic review.
CONCLUSIONS: Comprehensive interventions from screening services to inclusive basic services are needed and collaboration from related stakeholders, also utilization of local resources is vital. Implications for Rehabilitation Environmental risk factors threaten development of young children with disabilities in developing countries. Screening services, community-based interventions, targeted and inclusive basic services are needed to address environmental risk factors. Religious support and community education are key in addressing stigma and discrimination in developing countries. PMID: 30707628 [PubMed - as supplie...
Source: Disability and Rehabilitation - February 1, 2019 Category: Rehabilitation Authors: Kiling IY, Due C, Gyss C, Li DE, Turnbull D Tags: Disabil Rehabil Source Type: research

The Swedish version of the pelvic girdle questionnaire, cross-cultural adaptation and validation.
CONCLUSIONS: The Swedish version of the Pelvic Girdle Questionnaire has patient acceptability. It has good construct and discriminative validity for measurements of consequences of pregnancy-related pelvic girdle pain among Swedish speaking women. IMPLICATIONS FOR REHABILITATION Pregnancy-related pelvic girdle pain may be disabling and long-lasting, however treatable when identified. The Pelvic Girdle Questionnaire is the only condition-specific, reliability tested and validated questionnaire for pelvic girdle pain. The Swedish version of the Pelvic Girdle Questionnaire has patient acceptability, good construct validity fo...
Source: Disability and Rehabilitation - February 1, 2019 Category: Rehabilitation Authors: Gutke A, Stuge B, Elden H, Sandell C, Asplin G, Fagevik Olsén M Tags: Disabil Rehabil Source Type: research

Sleep disturbance and recovery during rehabilitation after traumatic brain injury: a systematic review.
CONCLUSIONS: These findings highlight the relationship between sleep disturbance and patient rehabilitation and outcomes, and therefore the importance of assessing sleep in patients following a traumatic brain injury. Further research is required with more focused patient populations that combine both subjective and objective assessments of sleep to help clarify this relationship. Implications for rehabilitation Sleep disturbance following traumatic brain injury may be related to the resolution of post-traumatic amnesia, cognitive and affective disorders, fatigue, and pain. Those with a history of traumatic brain injury an...
Source: Disability and Rehabilitation - February 1, 2019 Category: Rehabilitation Authors: Lowe A, Neligan A, Greenwood R Tags: Disabil Rehabil Source Type: research

Stroke survivor attitudes toward, and motivations for, considering experimental stem cell treatments.
CONCLUSIONS: Stroke survivors may consider undergoing experimental stem cell treatments despite uncertainty regarding the risks/benefits. Clinicians should be mindful of the factors that may increase the likelihood of patients considering these treatments and intervene, where appropriate, to clarify any misconceptions regarding the medical/financial risks. IMPLICATION FOR REHABILITATION Stem cell treatments offer a new focus for reducing stroke-related disability, although their safety and effectiveness have yet to be established. Despite uncertainty regarding the medical risks and benefits associated with stem cell inject...
Source: Disability and Rehabilitation - February 1, 2019 Category: Rehabilitation Authors: Unsworth DJ, Mathias JL, Dorstyn DS, Koblar SA Tags: Disabil Rehabil Source Type: research

Cognitive processing following acquired disability for para sport athletes: a serial mediation model.
CONCLUSIONS: As several unique paths to posttraumatic growth were found, results suggest that a multitude of paths to growth may be possible. Para sport participation may have utility in facilitating deliberate ruminations and subsequent posttraumatic growth for those unable to deliberately ruminate in the immediate disability aftermath. Implications for rehabilitation As challenges to core beliefs triggered ruminative thoughts that ultimately facilitated PTG, practitioners are encouraged to explicitly ask patients about how the adverse event might have influenced patients' self-perceptions and views about the meaning of l...
Source: Disability and Rehabilitation - January 31, 2019 Category: Rehabilitation Authors: Hammer C, Podlog L, Wadey R, Galli N, Forber-Pratt AJ, Newton M Tags: Disabil Rehabil Source Type: research