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Parents' experiences of participation in physical activities for children with cerebral palsy - protecting and pushing towards independence.
CONCLUSIONS: Parents desire competent persons to be available for support in participation in physical activities. They want support in finding friends for their child to be physically active with. Family culture and attitudes affect their child's motivation for being physically active and should be taken into account when designing interventions for increased participation in physical activities and for reduced sedentary behaviour in children with disabilities. Implications for Rehabilitation Friends and competent adults facilitate participation in physical activities and reduce sedentary behaviour. Information on accessi...
Source: Disability and Rehabilitation - February 13, 2017 Category: Rehabilitation Authors: Lauruschkus K, Nordmark E, Hallström I Tags: Disabil Rehabil Source Type: research

The meanings of physiotherapy and exercise for people living with progressive cerebellar ataxia: an interpretative phenomenological analysis.
CONCLUSION: People living with ataxia recounted uniquely situated and contextualized understandings of exercise and physiotherapy that may differ significantly from the meaning of these terms to physiotherapists. Special attention should be given to patients' perspectives in order to provide services that are meaningful and valued by people living with ataxia. Implications for Rehabilitation Physiotherapists should consider exploring the meaning of exercise and physiotherapy with individual patients to inform appropriate exercise prescription and advice. Poorly managed and inexpertly prescribed home exercise programs risk ...
Source: Disability and Rehabilitation - February 6, 2017 Category: Rehabilitation Authors: Cassidy E, Naylor S, Reynolds F Tags: Disabil Rehabil Source Type: research

Balance improvement after physical therapy training using specially developed serious games for cerebral palsy children: preliminary results.
CONCLUSION: SG could therefore be an interesting option to integrate in the conventional treatment of CP children. Implication for Rehabilitation Cerebral palsy (CP) leads to balance issues. Rehabilitation exercises are not performed (enough) at home. Serious games (SG) could increase patients' motivation. SG increase balance control of CP children. PMID: 28033958 [PubMed - in process] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - January 1, 2017 Category: Rehabilitation Authors: Bonnechère B, Omelina L, Jansen B, Van Sint Jan S Tags: Disabil Rehabil Source Type: research

One size does not fit all - Stroke survivor's views on group self-management interventions.
CONCLUSION: A varied group of stroke survivors can provide valuable insight and ideas about how group SMP's should be constructed. To the best of our knowledge, this is the first patient engagement study that explores group SMPs for stroke. In future work, researchers may find it helpful to consider the findings from this study to inform the design of group SMPs. Implications for Rehabilitation There is interest in whether unmet needs after stroke could be addressed through a group self-management program (SMP). Stroke survivors can provide valuable insight and ideas about how group SMPs should be constructed. Group SMPs s...
Source: Disability and Rehabilitation - December 30, 2016 Category: Rehabilitation Authors: Clark E, Bennett K, Ward N, Jones F Tags: Disabil Rehabil Source Type: research

Comprehensive clinical sitting balance measures for individuals following stroke: a systematic review on the methodological quality.
CONCLUSIONS: This review was unable to identify measures with sufficient psychometric properties to enable recommendation as preferred tools. However, measures were identified that warrant further specific psychometric investigations to fulfil requirements for a high quality measure. Implications for Rehabilitation Fourteen clinical sitting balance scales containing dynamic tasks are available to measure sitting balance with individuals following stroke. No single scale has sufficient psychometric properties to enable recommendation as a preferred tool for measuring sitting balance with stroke survivors. Use of a balance s...
Source: Disability and Rehabilitation - December 28, 2016 Category: Rehabilitation Authors: Birnbaum M, Hill K, Kinsella R, Black S, Clark R, Brock K Tags: Disabil Rehabil Source Type: research

Ultrasound in dysphagia rehabilitation: a novel approach following partial glossectomy.
CONCLUSIONS: This study establishes that ultrasound visual feedback is feasible in dysphagia rehabilitation following partial glossectomy. In addition, the predicted therapeutic effect specifically to swallow but not speech or oromotor functions were demonstrated. Implications for Rehabilitation Partial glossectomy results in altered tongue shape, movement, and function which negatively impact on speech and swallowing There is limited research evidence to support previously used speech pathology interventions (in particular, tongue range of movement exercises) to rehabilitate dysphagia following tongue cancer surgery The t...
Source: Disability and Rehabilitation - December 28, 2016 Category: Rehabilitation Authors: Blyth KM, McCabe P, Madill C, Ballard KJ Tags: Disabil Rehabil Source Type: research

The relationship between the implementation and effectiveness of a nationwide physical activity telephone counseling service for adults with spinal cord injury.
CONCLUSIONS: This study identified intervention dose and content as key implementation variables for an LTPA telephone counseling service for adults with SCI. Implications for Rehabilitation An evidence- and theory-based telephone counseling service can effectively sustain LTPA intentions and increase LTPA behavior among adults with SCI. The first two months of the service are a critical period for enhancing LTPA participation and for minimizing dropouts. The provision of both informational and behavioral strategies is important for increasing aerobic LTPA levels among adults with SCI. PMID: 28029067 [PubMed - as supp...
Source: Disability and Rehabilitation - December 28, 2016 Category: Rehabilitation Authors: Tomasone JR, Arbour-Nicitopoulos KP, Latimer-Cheung AE, Martin Ginis KA Tags: Disabil Rehabil Source Type: research

Effectiveness of osteopathic manipulative treatment versus osteopathy in the cranial field in temporomandibular disorders - a pilot study.
CONCLUSION: Both therapeutic modalities had similar clinical results. The findings of this pilot trial support the use of osteopathic manipulative treatment and osteopathy in the cranial field as an effective treatment modality in patients with temporomandibular disorders. The positive results in both treatment groups should encourage further research on osteopathic manipulative treatment and osteopathy in the cranial field and support the importance of an interdisciplinary collaboration in patients with temporomandibular disorders. Implications for rehabilitation Temporomandibular disorders are the second most prevalent m...
Source: Disability and Rehabilitation - December 28, 2016 Category: Rehabilitation Authors: Gesslbauer C, Vavti N, Keilani M, Mickel M, Crevenna R Tags: Disabil Rehabil Source Type: research

An exploration of factors influencing physical activity levels amongst a cohort of people living in the community after stroke in the south of England.
CONCLUSIONS: Almost half of the survey cohort reported PA levels insufficient to meet current guidelines. Similar to barriers reported in previous studies in USA and other parts of the UK, numerous interlinking and overlapping personal, interpersonal, and environmental barriers to undertaking PA were identified. Implications for Rehabilitation This study found that although more than 60% of the survey population were able to ambulate >200 m, only 55.2% reported undertaking sufficient PA to meet current guidelines, putting them at increased risk of further stroke and other co-morbidities. Participants reported a number ...
Source: Disability and Rehabilitation - December 28, 2016 Category: Rehabilitation Authors: Jackson S, Mercer C, Singer BJ Tags: Disabil Rehabil Source Type: research

Tele-rehabilitation service delivery journey from prototype to robust in-home use.
CONCLUSIONS: The service appears to be feasible for people with ABI and effective in important clinical outcomes related to improvements in upper extremity function. Implications for Rehabilitation Tele-rehabilitation provided with Microsoft Kinect 3D sensor virtual reality tracking system is feasible for people with Acquired Brain Injury. People with Acquired Brain Injury in the chronic stage were satisfied with the tele-rehabilitation service and perceived it as beneficial to improve their motor and cognitive abilities The CogniMotion System service appears to be effective in important clinical outcomes related to improv...
Source: Disability and Rehabilitation - December 22, 2016 Category: Rehabilitation Authors: Kizony R, Weiss PL, Harel S, Feldman Y, Obuhov A, Zeilig G, Shani M Tags: Disabil Rehabil Source Type: research

Virtual rehabilitation in 2016 - a maturing field with a broadening horizon.
PMID: 28006964 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - December 22, 2016 Category: Rehabilitation Authors: Fluet GG, Kizony R Tags: Disabil Rehabil Source Type: research

Caregiver availability for severe stroke results in improved functional ability at discharge from inpatient rehabilitation.
CONCLUSIONS: The presence of a caregiver at time of discharge from inpatient rehabilitation is predictive of significantly higher functional ability at discharge in individuals with severe stroke. Implications for rehabilitation The availability of a caregiver at time of discharge from inpatient rehabilitation is predictive of improved functional ability at discharge in individuals with severe stroke. The presence of an available caregiver positively influences the functional recovery of individuals with severe stroke and may be an important element to successful rehabilitation. PMID: 28006999 [PubMed - as supplied by...
Source: Disability and Rehabilitation - December 22, 2016 Category: Rehabilitation Authors: Mirkowski M, Pereira S, Janzen S, Mehta S, Meyer M, McClure A, Speechley M, Teasell R Tags: Disabil Rehabil Source Type: research

"It's just so bloody hard": recommendations for improving health interventions and maternity support services for disabled women.
CONCLUSIONS: Health professionals and health systems could, and arguably should, utilise a matrix of these recommendations to facilitate a review of service responsiveness to disabled women. Implications for Rehabilitation Becoming a mother is a potentially relevant and important rehabilitation issue for women of childbearing age who come into contact with rehabilitation services. Disabled women encounter a range of economic, attitudinal and knowledge barriers in relation to becoming mothers. Centralised sites/sources of information have potential to provide accessible and useful information for disabled women and health p...
Source: Disability and Rehabilitation - December 20, 2016 Category: Rehabilitation Authors: Guerin BM, Payne DA, Roy DE, McPherson KM Tags: Disabil Rehabil Source Type: research

Graphic support resources for workers with intellectual disability engaged in office tasks: a comparison with verbal instructions from a work mate.
CONCLUSIONS: These findings are consistent with previous studies which support the possibility of generating, at low cost, iconic materials (with maps or simple graphics), which progressively facilitate workers' autonomy, without dependence or help from the job trainer. We observed that the worst performance is in the support condition with VIs, this shows the limitations of this type of natural support, which is provided on demand by work mates without specialist knowledge of work support. Implications for Rehabilitation We studied the use of various types of natural support for people with intellectual disability in thei...
Source: Disability and Rehabilitation - December 15, 2016 Category: Rehabilitation Authors: Becerra MT, Montanero M, Lucero M Tags: Disabil Rehabil Source Type: research

The discordance between subjectively and objectively measured physical function in women with fibromyalgia: association with catastrophizing and self-efficacy cognitions. The al- Ándalus project.
CONCLUSIONS: Subjective physical function is more impaired than objective physical function in fibromyalgia, yet both are markedly impaired. Catastrophizing cognitions are associated with this discordance. In particular, high catastrophizing may promote a feeling of reduced ability to do meaningful activities of daily living (i.e., restrictions) that people with fibromyalgia are actually able to. Therefore, catastrophizing should be assessed and potentially targeted when focusing on improving physical function in fibromyalgia. Implications for rehabilitation Rehabilitation should focus on physical exercise programs to help...
Source: Disability and Rehabilitation - December 15, 2016 Category: Rehabilitation Authors: Estévez-López F, Álvarez-Gallardo IC, Segura-Jiménez V, Soriano-Maldonado A, Borges-Cosic M, Pulido-Martos M, Aparicio VA, Carbonell-Baeza A, Delgado-Fernández M, Geenen R Tags: Disabil Rehabil Source Type: research

Living at a residency away from home during radiotherapy as narrated by 52 patients with breast cancer: a cage of safety and discomfort.
CONCLUSIONS: The residence becomes an interactional field with the potential to facilitate patients in resuming a new everyday life. The women who do not interact with others and/or who are stuck with feelings of anxiety should be offered the opportunity to take part in a group exclusively for "fellow sisters" in a similar situation. Implications for Rehabilitation Staying in accommodations together with other patients receiving daily radiotherapy for cancer for 5-6 weeks lends itself to personal interactions with a rehabilitative impact. Some patients take advantage of this possibility, which might facilitate the integrat...
Source: Disability and Rehabilitation - December 15, 2016 Category: Rehabilitation Authors: Lilliehorn S, Salander P Tags: Disabil Rehabil Source Type: research

Effectiveness of technology-based distance physical rehabilitation interventions on physical activity and walking in multiple sclerosis: a systematic review and meta-analysis of randomized controlled trials.
CONCLUSIONS: Technology-based distance physical rehabilitation increased physical activity among persons with MS, but further research on walking in MS is needed. Implications for Rehabilitation Technology-based distance physical rehabilitation interventions increase physical activity among persons with MS. This study was unable to identify if the technologies (Internet, telephone, or combinations) lead to differing effects on physical activity or walking in the distance physical rehabilitation interventions in MS. Further research on the effectiveness of technology-based distance physical rehabilitation interventions on w...
Source: Disability and Rehabilitation - December 15, 2016 Category: Rehabilitation Authors: Rintala A, Hakala S, Paltamaa J, Heinonen A, Karvanen J, Sjögren T Tags: Disabil Rehabil Source Type: research

How adults with cardiac conditions in Singapore understand the Patient Activation Measure (PAM-13) items: a cognitive interviewing study.
CONCLUSIONS: This study reinforces the need to culturally adapt the tool, even when language translation is not necessary. Providing Likert scales with a larger number of may widen the relevance of PAM-13 in Singapore. Implications for rehabilitation Need to culturally adapt assessment tool, even when language translation is not necessary. Consider using Likert scales with a larger number of categories when using in Asian countries such as Singapore. Caution must be taken when using PAM-13 levels to decide interventions for each individual. PMID: 27973921 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - December 15, 2016 Category: Rehabilitation Authors: Ngooi BX, Packer TL, Warner G, Kephart G, Koh KW, Wong RC, Lim SP Tags: Disabil Rehabil Source Type: research

Qualitative research in rehabilitation science: opportunities, challenges, and future directions.
CONCLUSION: Qualitative research is well established in rehabilitation and has an important place in the continued growth of this field. Ongoing development of qualitative researchers and methods are essential. Implications for Rehabilitation Qualitative research has the potential to improve rehabilitation practice by addressing some of the most pervasive concerns in the field such as practitioner-client interaction, the subjective and lived experience of disability, and clinical reasoning and decision making. This will serve to better inform those providing rehabilitation services thereby benefiting patients that are util...
Source: Disability and Rehabilitation - December 15, 2016 Category: Rehabilitation Authors: VanderKaay S, Moll SE, Gewurtz RE, Jindal P, Loyola-Sanchez A, Packham TL, Lim CY Tags: Disabil Rehabil Source Type: research

Supports and barriers to implementation of routine clinical assessment for children with cerebral palsy: A mixed-methods study.
CONCLUSIONS: Organizations experience challenges to effective and sustained implementation of routine clinical assessment. Adequate resourcing and positive, clear communication were perceived as critical for success. Implications for Rehabilitation The value of routine clinical assessment of children with cerebral palsy is undisputed. Tailored solutions to organization-specific challenges are required when implementing routine clinical assessment for children with cerebral palsy. Positive, clear communication of organizational priorities by management may assist AHPs to prioritize workload activities when changing practice...
Source: Disability and Rehabilitation - December 15, 2016 Category: Rehabilitation Authors: Kerr C, Shields N, Quarmby L, Roberts K, Imms C, ‘Best Service at the Best Time’ group * Tags: Disabil Rehabil Source Type: research

Efficacy of pulsed high-intensity laser therapy on pain, functional capacity, and gait in children with haemophilic arthropathy.
CONCLUSIONS: HILT is an effective modality in reducing pain, increasing functional capacity, and improving gait performance in children with haemophilic arthropathy. Implications for Rehabilitation Haemophilic arthropathy due to recurrent joint bleeding leads to physical, psychological, and socioeconomic problems in children with haemophilia and reduces their quality of life. Early physiotherapeutic interventions help to prevent and treat the sequelae of recurrent haemarthrosis. High-intensity laser therapy has been introduced as non-invasive and an effective physiotherapy modality for rapid pain control, with consequent i...
Source: Disability and Rehabilitation - December 15, 2016 Category: Rehabilitation Authors: El-Shamy SM, Abdelaal AA Tags: Disabil Rehabil Source Type: research

A qualitative study exploring factors that influence enrollment in outpatient cardiac rehabilitation.
CONCLUSION: The period following CR referral but prior to enrollment represents an optimal opportunity to promote in-the-moment decisions in favor of CR. Patients report both positive and negative aspects of CR, suggesting individualized efforts to resolve ambivalence may increase program participation. Implications for Rehabilitation Cardiovascular disease is a leading cause of mortality worldwide. Cardiac rehabilitation (CR) is an effective secondary prevention strategy to improve cardiovascular morbidity and mortality, but only a subset of eligible patients enroll. After referral but prior to enrollment, patients antici...
Source: Disability and Rehabilitation - December 15, 2016 Category: Rehabilitation Authors: Rouleau CR, King-Shier KM, Tomfohr-Madsen LM, Aggarwal SG, Arena R, Campbell TS Tags: Disabil Rehabil Source Type: research

Understanding informal carers' experiences of caring for older people with a hip fracture: a systematic review of qualitative studies.
CONCLUSIONS: The discussion identified a focus on carers of people suffering from a hip fracture, the willingness of informal carers to engage in caring and the intense experience of adapting to changes in relationships and dependency alongside a steep experiential learning curve. Tensions exist in negotiations with complex health care systems as carers do not feel their expertise is valued and struggle to find and understand information. Implications for Rehabilitation Including relatives/carers in the umbrella of care within a family-centred approach. Involving relatives/carers within shared decision-making about care re...
Source: Disability and Rehabilitation - December 15, 2016 Category: Rehabilitation Authors: Saletti-Cuesta L, Tutton E, Langstaff D, Willett K Tags: Disabil Rehabil Source Type: research

Quality of life for post-polio syndrome: a patient derived, Rasch standard scale.
CONCLUSION: The disease-specific PP-QoL demonstrated excellent reliability, appropriate concurrent validity, and satisfied the standards of the Rasch model. It enables examination of the impact of health status upon perceived QoL, and the impact of rehabilitation interventions. The scale is freely available for academic or not-for-profit users to improve research in this neglected, disabling condition. Implications for Rehabilitation In post-polio syndrome (PPS), existing work examines aspects of health-related quality of life (HRQoL), such as activity limitations. A disease-specific QoL measure would enable researchers to...
Source: Disability and Rehabilitation - December 15, 2016 Category: Rehabilitation Authors: Young CA, Quincey AC, Wong SM, Tennant A Tags: Disabil Rehabil Source Type: research

Experiences of using information and communication technology within the first year after stroke - a grounded theory study.
CONCLUSIONS: People with stroke had a strong drive to integrate ICT in order to manage and bring meaning to their everyday lives, although sometimes they needed support and adaptations. It is not only possible but also necessary to start using ICT in rehabilitation in order to support people's recovery and promote participation in everyday life after stroke. Implications for rehabilitation People with stroke have a strong drive for using information and communication technology in their everyday lives, although support and adaptations are needed. The recovery process of people with stroke could benefit from the use of ICT ...
Source: Disability and Rehabilitation - December 15, 2016 Category: Rehabilitation Authors: Gustavsson M, Ytterberg C, Nabsen Marwaa M, Tham K, Guidetti S Tags: Disabil Rehabil Source Type: research

Post-acute care referral and inpatient rehabilitation admission criteria for persons with brain injury across two Canadian provinces.
CONCLUSIONS: Health care providers appear to consider various factors when making decisions regarding referral and admission to rehabilitation. Variations in the perceived likelihood of referral/admission suggest a need for standardized referral/admission practices. Implications for Rehabilitation Various patient characteristics influence clinicians' decisions when selecting appropriate candidates for inpatient rehabilitation. In this study, acute care clinicians were less likely to refer patients that their rehabilitation counter parts would likely have admitted and a patient with hypoxic brain injury was less likely to b...
Source: Disability and Rehabilitation - December 15, 2016 Category: Rehabilitation Authors: Swaine B, Cullen N, Messier F, Bayley M, Lavoie A, Marshall S, Sirois MJ, Turgeon-Fournier A, Lamoureux J, Lam Wai Shun P Tags: Disabil Rehabil Source Type: research

Predicting length of stay in specialist neurological rehabilitation.
CONCLUSIONS: In conclusion, inpatient length of stay is predicted by diagnostic category, Extended Rehabilitation Complexity Scale, Northwick Park Dependency Scale and Barthel Index. The most influential predictor of rehabilitation length of stay was Northwick Park Dependency Scale score at admission. These results may help facilitate rehabilitation resource planning and implementation of effective commissioning plans. Implications for Rehabilitation The most accurate predicting variable for length of stay in inpatient neurological rehabilitation was nursing need as measured by the Northwick Park Dependency Scale score on ...
Source: Disability and Rehabilitation - December 15, 2016 Category: Rehabilitation Authors: Taiwo W, Wressle A, Bradley L Tags: Disabil Rehabil Source Type: research

Effects of controlled whole-body vibration training in improving fall risk factors among individuals with multiple sclerosis: A pilot study.
CONCLUSIONS: The 8-week vibration training was well accepted by PwMS and improved their fall risk factors. The important findings of this study were that vibration training may increase the range of motion of ankle joints on the sagittal plane, lower the fear of falling, and improve bone density. IMPLICATIONS FOR REHABILITATION An 8-week vibration training course could be well-accepted by people with multiple sclerosis (MS). Vibration training improves the risk factors of falls in people living with MS. Vibration training could be a promising rehabilitation intervention in individuals with MS. PMID: 27976932 [PubMed -...
Source: Disability and Rehabilitation - December 15, 2016 Category: Rehabilitation Authors: Yang F, Finlayson M, Bethoux F, Su X, Dillon L, Maldonado HM Tags: Disabil Rehabil Source Type: research

Treatment of pain following cancer: applying neuro-immunology in rehabilitation practice.
CONCLUSIONS: Neuro-immunology has increased our understanding of pain and can benefit conservative pain treatment for adults following cancer treatment. Implications for Rehabilitation Pain education is effective for improving cancer pain; implementation of contemporary pain neuroscience into the educational programme seems warranted. Various types of stress management are effective for treating patients following cancer treatment. Poor sleep is common in patients following cancer treatment, and rehabilitation specialists can address this by providing exercise therapy, sleep hygiene, and/or cognitive behavioural therapy. E...
Source: Disability and Rehabilitation - December 15, 2016 Category: Rehabilitation Authors: Nijs J, Leysen L, Pas R, Adriaenssens N, Meeus M, Hoelen W, Ickmans K, Moloney N Tags: Disabil Rehabil Source Type: research

Level of agreement between physical activity levels measured by ActiHeart and the International Physical Activity Questionnaire in persons with intellectual disability.
CONCLUSION: IPAQ-S is inaccurate when determining PA in persons with ID as it significantly underestimates the true levels of PA in this cohort. Implications for Rehabilitation Persons with intellectual disability (ID) report insufficient physical activity for health benefits. Physical activity is often determined by means of subjective proxy reporting. Objective physical activity measurements by means of combined heart rate and accelerometer are necessary to determine accurate levels of physical activity in persons with ID. Exercise interventions should be based on objective physical activity measurements. PMID: 2796...
Source: Disability and Rehabilitation - December 14, 2016 Category: Rehabilitation Authors: Moss SJ, Czyz SH Tags: Disabil Rehabil Source Type: research

Psychometric properties of the International Classification of Functioning, Disability and Health set for spinal cord injury nursing based on Rasch analysis.
CONCLUSIONS: The fit properties of the ICF set were satisfactory after modifications. The ICF-SCIN has the potential as a nursing assessment instrument for measuring the functioning of patients with spinal cord injury. Implications for rehabilitation The International Classification of Functioning, Disability and Health (ICF) set for spinal cord injury nursing contains a group of categories which can reflect the functioning of spinal cord injury patients from the perspective of nurses. The components body functions (BF), body structures (BS), and activities and participation (AP) of the ICF set for spinal cord injury achie...
Source: Disability and Rehabilitation - December 14, 2016 Category: Rehabilitation Authors: Li K, Yan T, You L, Xie S, Li Y, Tang J, Wang Y, Gao Y Tags: Disabil Rehabil Source Type: research

Workplace accommodations for persons with physical disabilities: evidence synthesis of the peer-reviewed literature.
CONCLUSIONS: This evidence synthesis provides an overview of the peer-reviewed literature of value to occupational rehabilitation professionals and employers seeking guidance on workplace accommodation policies and practices for persons with physical disabilities. A wide range of accommodation options is available for addressing physical, social, and attitudinal barriers to successful employment. Besides physical/technological modifications, accommodations to enhance workplace flexibility and worker autonomy and strategies to promote workplace inclusion and integration are important. More comprehensive reporting and evalua...
Source: Disability and Rehabilitation - December 10, 2016 Category: Rehabilitation Authors: Padkapayeva K, Posen A, Yazdani A, Buettgen A, Mahood Q, Tompa E Tags: Disabil Rehabil Source Type: research

The impact of stroke on female sexuality.
CONCLUSION: Stroke impacts on female sexuality through bodily alterations and their consequences and because sexuality is important to female stroke survivors, it should be addressed as part of person-centred rehabilitation. Implications for Rehabilitation Sexuality is about much more than just "having sex" and is important to female stroke survivors. Stroke impacts on female sexuality through bodily alterations and their consequences. Understanding the impact of stroke on female sexuality is a step towards more person-centred rehabilitation. PMID: 27936969 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - December 9, 2016 Category: Rehabilitation Authors: Lever S, Pryor J Tags: Disabil Rehabil Source Type: research

"Whenever I can I push myself to go to work": a qualitative study of experiences of sickness presenteeism among workers with rheumatoid arthritis.
CONCLUSION: Workplace adjustments can facilitate voluntary sickness presenteeism. To reduce work disability and sickness absence, organizational policies should be sufficiently flexible to accommodate the needs of workers with fluctuating conditions. Implications for rehabilitation Individuals with rheumatoid arthritis (RA) are at high risk of work disability. Individuals' motivation to remain in work following onset of RA remains high, yet sickness presenteeism (working while ill) has received largely negative attention. It is important to distinguish between voluntary and involuntary forms of sickness presenteeism. Workp...
Source: Disability and Rehabilitation - December 8, 2016 Category: Rehabilitation Authors: Holland P, Collins AM Tags: Disabil Rehabil Source Type: research

Global physical activity levels among people living with HIV: a systematic review and meta-analysis.
CONCLUSIONS: Our data demonstrate that a considerable proportion of PLWH are insufficiently physically active. Future lifestyle interventions specifically targeting the prevention of physical inactivity in PLWH are warranted. Implications for Rehabilitation Many people living with HIV do not comply with general health recommendations. Physical activity counseling should be key in the rehabilitation of people living with HIV. PMID: 27929355 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - December 8, 2016 Category: Rehabilitation Authors: Vancampfort D, Mugisha J, De Hert M, Probst M, Firth J, Gorczynski P, Stubbs B Tags: Disabil Rehabil Source Type: research

Equating activities of daily living outcome measures: the Functional Independence Measure and the Korean version of Modified Barthel Index.
CONCLUSIONS: The Rasch equating method successfully created three crosswalks between the FIM motor items and K-MBI, with the equated test items demonstrating good psychometrics. The crosswalks would address the incomparable scoring systems between the FIM motor items and K-MBI. Implications for Rehabilitation The three crosswalk tables (scoring tables) would allow clinicians to compare or translate a patient's motor scores between the FIM and K-MBI. The crosswalk tables would allow health-care administrators to track patients' functional status across various rehabilitation facilities that exclusively use the FIM or K-MBI....
Source: Disability and Rehabilitation - December 8, 2016 Category: Rehabilitation Authors: Hong I, Woo HS, Shim S, Li CY, Yoonjeong L, Velozo CA Tags: Disabil Rehabil Source Type: research

Within-session responses to high-intensity interval training in spinal cord injury.
CONCLUSIONS: Despite a higher intensity and peak cardiorespiratory strain, all participants preferred interval training versus moderate exercise. Examining long-term efficacy and feasibility of interval training in this population is merited, considering that exercise intensity is recognized as the most important variable factor of exercise programming to optimize maximal oxygen uptake. Implications for Rehabilitation Spinal cord injury (SCI) reduces locomotion which impairs voluntary physical activity, typically resulting in a reduction in peak oxygen uptake and enhanced chronic disease risk. In various able-bodied popula...
Source: Disability and Rehabilitation - December 8, 2016 Category: Rehabilitation Authors: Astorino TA, Thum JS Tags: Disabil Rehabil Source Type: research

Development of a measure of therapy provision for spasticity management in the paretic lower limb - the Leg Therapy recording Schedule (LegTS).
CONCLUSIONS: The LegTS is designed to record therapy interventions for the paretic lower limb in the context of spasticity intervention. Content and face validity have initially been addressed within the development process. Implications for Rehabilitation Clinicians need to understand intervention effectiveness, and to do so, it is critical to capture all the components of a complex intervention. In clinical practice or research, patient experience measures are required to capture the complexity of intervention provided and monitor intervention effectiveness on a case by case basis. Clinicians involved in rehabilitation a...
Source: Disability and Rehabilitation - December 7, 2016 Category: Rehabilitation Authors: Ashford S, Jackson D, Turner-Stokes L Tags: Disabil Rehabil Source Type: research

Explicit motor sequence learning with the paretic arm after stroke.
CONCLUSIONS: Stroke survivors can learn a movement sequence with their paretic arm, but demonstrate impairments in sequence specific learning. Implications for Rehabilitation Motor sequence learning is important for recovery of movement after stroke. Stroke survivors were found to be capable of learning a movement sequence with their paretic arm, supporting the concept of repetitive task training for recovery of movement. Stroke survivors showed impaired sequence specific learning in comparison with age-matched controls, indicating that they may need more repetitions of a sequence in order to re-learn movements. Further re...
Source: Disability and Rehabilitation - December 7, 2016 Category: Rehabilitation Authors: Fleming MK, Newham DJ, Rothwell JC Tags: Disabil Rehabil Source Type: research

Understanding disability and the 'social determinants of health': how does disability affect peoples' social determinants of health?
CONCLUSIONS: When considering changes to the social determinants of health resulting from disability acquisition, it is impractical to view these changes and those affected in isolation. Consideration of this multidimensional effect on life associated with the acquisition of disability will be useful in disability research, advocacy and support services. Implications for Rehabilitation Social determinants of health are known to have a direct influence on health status. As social determinants of health decrease, morbidity and mortality rates increase. Following the acquisition of disability, there is a decline in social det...
Source: Disability and Rehabilitation - December 7, 2016 Category: Rehabilitation Authors: Frier A, Barnett F, Devine S, Barker R Tags: Disabil Rehabil Source Type: research

Measuring wearing time of knee-ankle-foot orthoses in children with cerebral palsy: comparison of parent-report and objective measurement.
CONCLUSIONS: Parent-reported wearing time (WTparent) of a KAFO differs largely from objectively measured wearing time (WTobj) using temperature sensors. Therefore, parent-reported wearing time (WTparent) of KAFOs should be interpreted with utmost care. Implications for Rehabilitation Low wearing time of orthoses may be a cause of inefficacy of orthotic treatment and incorrect reported wearing time may bias results of efficacy studies. Results of this study show that parent-reported wearing time is not in agreement with objectively measured wearing time. Parent-reported wearing time of KAFOs should be interpreted with utmos...
Source: Disability and Rehabilitation - December 7, 2016 Category: Rehabilitation Authors: Maas JC, Dallmeijer AJ, Oudshoorn BY, Bolster EA, Huijing PA, Jaspers RT, Becher JG Tags: Disabil Rehabil Source Type: research

Falls prevention and balance rehabilitation in multiple sclerosis: a bi-centre randomised controlled trial.
CONCLUSIONS: Twenty sessions 2-3 times/week of balance specific rehabilitation did not reduce fall frequency nor improve balance suggesting the need for more frequent and challenging interventions. Implications for Rehabilitation Programs for balance rehabilitation can improve balance but their effects in fall prevention are unclear. Twenty treatments sessions 2/3 times per week did not reduced frequency of falls in MS. The comparison with similar studies suggests that higher intensity of practice of highly challenging balance activities appears to be critical to maximizing effectiveness. PMID: 27927030 [PubMed - as s...
Source: Disability and Rehabilitation - December 7, 2016 Category: Rehabilitation Authors: Cattaneo D, Rasova K, Gervasoni E, Dobrovodská G, Montesano A, Jonsdottir J Tags: Disabil Rehabil Source Type: research

Challenges for females with high functioning autism in the workplace: a systematic review.
CONCLUSION: These results should be interpreted with caution. Of the studies found, 73% were qualitative and based on small samples. Only one paper differentiated female data in analyses. These factors combined suggest large-scale mixed method research focused on females with HFA is required to gain an accurate insight into the challenges faced in the workplace, to in turn inform intervention and support. However, implications for rehabilitation based on what is known are discussed. Implication for Rehabilitation Unemployment and underemployment of persons with High Functioning Autism (HFA) poses social, health and economi...
Source: Disability and Rehabilitation - December 7, 2016 Category: Rehabilitation Authors: Hayward SM, McVilly KR, Stokes MA Tags: Disabil Rehabil Source Type: research

Effects of lateral electrical surface stimulation on scoliosis in children with severe cerebral palsy: a pilot study.
CONCLUSIONS: LESS is effective in scoliosis in children with severe CP and it may improve trunk balance. Implications for rehabilitation Scoliosis is a very complicated problem for the children with severe CP. They do not have many options for treatments and scoliosis is usually refractory. Lateral electrical surface stimulation (LESS) is effective in scoliosis in children with severe CP and it may improve trunk balance. LESS may be another option of managing stationary or progressive scoliosis in the children with severe CP who are unable to undergo surgery. PMID: 27927033 [PubMed - as supplied by publisher] (Source:...
Source: Disability and Rehabilitation - December 7, 2016 Category: Rehabilitation Authors: Ko EJ, Sung IY, Yun GJ, Kang JA, Kim J, Kim GE Tags: Disabil Rehabil Source Type: research

Addressing challenges for youths with mobility devices in winter conditions.
CONCLUSIONS: Therapists/clinicians and designers should address winter-related accessibility problems in areas with abundant snow. Implications for Rehabilitation Several studies show that current urban contexts do not necessarily respond accurately to the needs of individuals with limited mobility. Winter-related research about the experience of navigating in the urban context is limited and has mostly focused on the elderly population with physical disabilities. Our results clearly show that youth who use mobility devices want to be able to get around in the snow, wander outdoors, play and enjoy social participation in a...
Source: Disability and Rehabilitation - December 7, 2016 Category: Rehabilitation Authors: Morales E, Lindsay S, Edwards G, Howell L, Vincent C, Yantzi N, Gauthier V Tags: Disabil Rehabil Source Type: research

Integrative group-based cognitive rehabilitation efficacy in multiple sclerosis: a randomized clinical trial.
CONCLUSIONS: Patients receiving REHACOP showed improvements in several cognitive domains. This preliminary study thus provides evidence supporting the efficacy of this integrative group-based cognitive rehabilitation intervention in MS. Future research should confirm these findings, examine the impact of the treatment on everyday life functioning and explore the presence of brain changes associated with cognitive rehabilitation. Implications for rehabilitation This study provides initial evidence for integrative group-based cognitive rehabilitation efficacy in MS patients through the implementation of the REHACOP cognitive...
Source: Disability and Rehabilitation - December 7, 2016 Category: Rehabilitation Authors: Rilo O, Peña J, Ojeda N, Rodríguez-Antigüedad A, Mendibe-Bilbao M, Gómez-Gastiasoro A, DeLuca J, Chiaravalloti N, Ibarretxe-Bilbao N Tags: Disabil Rehabil Source Type: research

Reorganization of the primary motor cortex following lower-limb amputation for vascular disease: a pre-post-amputation comparison.
CONCLUSIONS: Modulation of intracortical excitability shortly following amputation indicates that the cortical environment may be optimized for reorganization in the acute post-amputation period which might be significant for learning to support prosthetic mobility. Implications for Rehabilitation Amputation of a lower-limb is associated with extensive reorganization at the level of the cortex. Reorganization occurs in the acute post-amputation period implying a favorable cortical environment for recovery. Rehabilitation or brain interventions may target the acute pre-prosthetic post-amputation period to optimize recovery....
Source: Disability and Rehabilitation - December 7, 2016 Category: Rehabilitation Authors: Hordacre B, Bradnam LV, Crotty M Tags: Disabil Rehabil Source Type: research

The role of the physical environment in conversations between people who are communication vulnerable and health-care professionals: a scoping review.
CONCLUSIONS: Relatively small and simple strategies to adjust the physical environment (such as adequate lighting, quiet environment, providing pen and paper) can support people who are communication vulnerable to be more involved in conversations. It is recommended that health-care professionals have an overall awareness of the potential influence of environmental elements on conversations. Implications for rehabilitation The physical environment is an important feature in the success or disturbance of communication. Small adjustments to the physical environment in rehabilitation can contribute to a communication-friendly...
Source: Disability and Rehabilitation - December 5, 2016 Category: Rehabilitation Authors: Stans SE, Dalemans RJ, de Witte LP, Smeets HW, Beurskens AJ Tags: Disabil Rehabil Source Type: research

Physical activity promotion for people with spinal cord injury: physiotherapists' beliefs and actions.
CONCLUSIONS: This article makes a significant contribution to the literature by identifying that although physiotherapists value PA, active promotion of PA remains largely absent from their practice. To enable physiotherapists to promote and prescribe PA as a structured and integral component of their practice, effective knowledge strategies need designing and implementing at the macro, meso, and micro levels of healthcare. Implications for Rehabilitation Physiotherapists are well placed to promote a physically active lifestyle and are perceived as valued and trusted messengers of physical activity (PA). The importance of ...
Source: Disability and Rehabilitation - December 5, 2016 Category: Rehabilitation Authors: Williams TL, Smith B, Papathomas A Tags: Disabil Rehabil Source Type: research

Congenital thumb anomalies and the consequences for daily life: patients' long-term experience after corrective surgery. A qualitative study.
CONCLUSION: The present study highlights the importance of healthcare professionals addressing appearance-related concerns which may have long-term emotional and social consequences for patients born with a thumb anomaly. Implications for Rehabilitation Appearance-related concerns and need for emotional support should be fully considered throughout the rehabilitation process to prevent distress and social withdrawal. Effective problem-solving strategies, such as compensation, change in occupational performance and support from others may reduce activity limitations and participation restriction. PMID: 27917688 [PubMed...
Source: Disability and Rehabilitation - December 5, 2016 Category: Rehabilitation Authors: Carlsson IK, Dahlin LB, Rosberg HE Tags: Disabil Rehabil Source Type: research