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Cognitive Orientation to (Daily) Occupational Performance intervention leads to improvements in impairments, activity and participation in children with Developmental Coordination Disorder.
CONCLUSION: The strategies implemented by children in the CO-OP treatment group, targeted towards individualised goal attainment, show that CO-OP, when run in a group environment, can lead to improvements across all levels of the ICF. Implications for Rehabilitation Development Coordination Disorder is a condition which has significant physical, academic and social impacts on a child and can lead to activity limitations and participation restrictions. Cognitive Orientation to Daily Occupational Performance is an approach which uses cognitive-based strategies to improve performance of specific tasks based on child chosen go...
Source: Disability and Rehabilitation - July 27, 2015 Category: Rehabilitation Authors: Thornton A, Licari M, Reid S, Armstrong J, Fallows R, Elliott C Tags: Disabil Rehabil Source Type: research

Return to work for severely injured survivors of the Christchurch earthquake: influences in the first 2 years.
CONCLUSION: The consequences of the earthquake impacted on experience, process and outcome of RTW for those injured in the Christchurch Earthquake. Work and RTW appeared key tools to enhance recovery after serious injury following the earthquake. Implications for Rehabilitation The altered physical, social and economic environment must be considered when working on the return to work (RTW) of individuals with earthquake injuries. Providing tangible emotional and social support so injured earthquake survivors feel safe in their workplace may facilitate RTW. Engaging early with employers may assist the RTW of injured earthqu...
Source: Disability and Rehabilitation - July 27, 2015 Category: Rehabilitation Authors: Nunnerley J, Dunn J, McPherson K, Hooper G, Woodfield T Tags: Disabil Rehabil Source Type: research

Work-related problems in multiple sclerosis: a literature review on its associates and determinants.
DISCUSSION: Most of the variables identified as associated to or determinants of work-related difficulties can be treated through rehabilitative interventions. It is important that future research addresses not only unemployment issues in MS, but also the amount and severity of problems affecting work-related tasks relying on specific assessment instruments. Implications for Rehabilitation Multiple sclerosis (MS) affects young persons of working age and limitation in work activities is part of MS-related disability, but they are not consistently addressed in MS research: EDSS, MS duration, patients' age, fatigue, walking p...
Source: Disability and Rehabilitation - July 27, 2015 Category: Rehabilitation Authors: Raggi A, Covelli V, Schiavolin S, Scaratti C, Leonardi M, Willems M Tags: Disabil Rehabil Source Type: research

Reliably estimating ambulatory activity in youth with arthrogryposis.
CONCLUSIONS: Due to relatively greater variability in step counts across days of the week, a longer monitoring period was required for youth with arthrogryposis. Implication for Rehabilitation Large proportion of variance in daily step counts was attributable to unidentifiable sources of variance, suggesting further exploration of factors that influence on the walking activity in youth with arthrogryposis. Step activity monitoring of youth with arthrogryposis should occur over a 9-day period to reliably capture their habitual level of ambulation. Rehabilitation programs aimed to promote increased stepping in youth with art...
Source: Disability and Rehabilitation - July 24, 2015 Category: Rehabilitation Authors: Braun S, Dillon E, Sheiko M, Kang M, Bjornson K, Song K Tags: Disabil Rehabil Source Type: research

Optimizing social participation in community-dwelling older adults through the use of behavioral coping strategies.
CONCLUSIONS: Our study helped to identify useful behavioral coping strategies that should be incorporated in disability prevention programs designed to promote community-dwelling seniors' social participation. However, the appropriateness of these strategies depends on whether they are used in relevant contexts and tailored to specific needs. Implications for Rehabilitation Our results support the relevance of including behavioral coping strategies related to cooking and transportation in disability prevention programs designed to promote community-dwelling seniors' social participation in the domains of nutrition and comm...
Source: Disability and Rehabilitation - July 24, 2015 Category: Rehabilitation Authors: Provencher V, Desrosiers J, Demers L, Carmichael PH Tags: Disabil Rehabil Source Type: research

Optimising leisure participation: a pilot intervention study for adolescents with physical impairments.
CONCLUSIONS: The intervention model was applicable and practical to use in a community therapy setting and the majority of the participation goals set were achieved. Implications for Rehabilitation This ICF-based intervention model was applicable and practical to use in a community therapy setting. The majority of the adolescent's leisure participation goals were achieved following engagement in the multi-strategy intervention. Adolescents with sufficient communication skills (CFCS Levels I-III) benefited from a group-based intervention in addition to individualised support. PMID: 26208244 [PubMed - as supplied by publ...
Source: Disability and Rehabilitation - July 24, 2015 Category: Rehabilitation Authors: Imms C, Mathews S, Nicola Richmond K, Law M, Ullenhag A Tags: Disabil Rehabil Source Type: research

Feasibility and results of a case study of yoga to improve physical functioning in people with chronic traumatic brain injury.
CONCLUSIONS: Yoga, delivered in a one-to-one setting, appears to be feasible and beneficial to people with chronic TBI. Implications for Rehabilitation Chronic traumatic brain injury (TBI) leads to many aspects of physical functioning impairment. Yoga delivered in a one-to-one setting may be feasible and beneficial for people with chronic TBI. PMID: 26208245 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - July 24, 2015 Category: Rehabilitation Authors: Schmid AA, Miller KK, Van Puymbroeck M, Schalk N Tags: Disabil Rehabil Source Type: research

Assessing the impact of upper limb disability following stroke: a qualitative enquiry using internet-based personal accounts of stroke survivors.
CONCLUSIONS: A range of impacts was identified, some of which (such as use of information technology and alienation from the upper limb) are not addressed in current assessment instruments. They should be considered in post-stroke assessments. Blogs may help in the development of more comprehensive assessments. Implications for Rehabilitation A comprehensive assessment of the upper limb following stroke should include the impact of upper limb problems on social participation, as well as associated emotional, cognitive and behavioural changes. Using personalised assessment instruments alongside standardised measures may hel...
Source: Disability and Rehabilitation - July 22, 2015 Category: Rehabilitation Authors: Poltawski L, Allison R, Briscoe S, Freeman J, Kilbride C, Neal D, Turton AJ, Dean S Tags: Disabil Rehabil Source Type: research

Choral singing therapy following stroke or Parkinson's disease: an exploration of participants' experiences.
CONCLUSIONS: Choral singing was perceived by people with stroke and PD to help them self-manage some of the consequences of their condition, including social isolation, low mood and communication difficulties. Implications for Rehabilitation Choral singing therapy (CST) is sought out by people with stroke and PD to help self-manage symptoms of their condition. Participation is perceived as an enjoyable activity which improves mood, voice and language symptoms. CST may enable access to specialist music therapy and speech language therapy protocols within community frameworks. PMID: 26200449 [PubMed - as supplied by publ...
Source: Disability and Rehabilitation - July 22, 2015 Category: Rehabilitation Authors: Fogg-Rogers L, Buetow S, Talmage A, McCann CM, Leão SH, Tippett L, Leung J, McPherson KM, Purdy SC Tags: Disabil Rehabil Source Type: research

Does spirituality facilitate adjustment and resilience among individuals and families after SCI?
CONCLUSIONS: Spirituality is an important factor in adjustment after SCI. Further research into the relationship between spirituality, family adjustment and resilience is needed. Implications for Rehabilitation Higher levels of spirituality were associated with improved quality of life, life satisfaction, mental health, and resilience for individuals affected by spinal cord injury. Health professionals can enhance the role that spirituality plays in spinal rehabilitation by incorporating the spiritual beliefs of individuals and their family members into assessment and intervention. By drawing upon meaning-making tools, suc...
Source: Disability and Rehabilitation - July 20, 2015 Category: Rehabilitation Authors: Jones K, Simpson GK, Briggs L, Dorsett P Tags: Disabil Rehabil Source Type: research

Speech pathologists' experience of involving people with stroke-induced aphasia in clinical decision making during rehabilitation.
CONCLUSIONS: There is a need for greater emphasis on how to involve people with severe aphasia in goal setting and treatment planning, and frameworks made to enhance collaboration could preferably be used. Participants reported use of next of kin as proxies in goal-setting and clinical decision making for people with moderate-to-severe aphasia, indicating the need for awareness towards maintaining the clients' autonomy and addressing the goals of next of kin. Implications for Rehabilitation Speech pathologists, and most likely other professionals, should place greater emphasis on client participation to ensure active invol...
Source: Disability and Rehabilitation - July 15, 2015 Category: Rehabilitation Authors: Berg K, Rise MB, Balandin S, Armstrong E, Askim T Tags: Disabil Rehabil Source Type: research

Exercise and comorbidity: the i3-S strategy for developing comorbidity-related adaptations to exercise therapy.
CONCLUSION: In view of the general effectiveness of exercise therapy and the high prevalence of comorbidity in older people, there is a great need for comorbidity-related adaptations to exercise therapy. We recommend to use and evaluate the i3-S strategy in future research. Implications for Rehabilitation Exercise therapy is effective in a wide range of chronic diseases. Comorbid disease necessitates adaptations to exercise therapy. Guidance on how to develop such adaptations is currently not available. We present an innovative strategy for the development of comorbidity-related adaptations to exercise therapy in an index ...
Source: Disability and Rehabilitation - July 15, 2015 Category: Rehabilitation Authors: Dekker J, de Rooij M, van der Leeden M Tags: Disabil Rehabil Source Type: research

Women's perceived work environment after stress-related rehabilitation: experiences from the ReDO project.
CONCLUSION: It seems important to consider the work environment in rehabilitation for stress-related problems, and a follow-up appears warranted to detect changes and associations not visible immediately after rehabilitation. Implications for Rehabilitation Work environment Perceptions of the work environment seem important for return to work, although other factors are likely to contribute as well. Perceptions of the work environment are associated with several aspects of well-being. When developing rehabilitation interventions a focus on the clients' perceptions of their work environment seems vital. PMID: 26171915 [...
Source: Disability and Rehabilitation - July 14, 2015 Category: Rehabilitation Authors: Wästberg BA, Erlandsson LK, Eklund M Tags: Disabil Rehabil Source Type: research

Psychometric validation of the Core Self-Evaluations Scale in people with spinal cord injury.
CONCLUSIONS: The CSES demonstrated acceptable psychometric properties, and its use as a brief, cost-effective measure of CSE in rehabilitation research and practice is supported. Implications for Rehabilitation Core self-evaluations (CSE) are the perceptions that people have about their overall worth and capability, and the construct has promise as a global indicator of adaptation to disability and subjective well-being in rehabilitation research and practice. The Core Self-Evaluations Scale (CSES) is a brief, valuable and cost-effective instrument that can be easily used in both rehabilitation research and practice and ha...
Source: Disability and Rehabilitation - July 13, 2015 Category: Rehabilitation Authors: Smedema SM, Morrison B, Yaghmaian RA, Deangelis J, Aldrich H Tags: Disabil Rehabil Source Type: research

Lessons from the 2015 earthquake(s) in Nepal: implication for rehabilitation.
CONCLUSIONS: Rehabilitation serves an important role across the continuum in post-disaster relief from the initial stages to the months and years following an event. Implications for Rehabilitation Driven by medical advances in acute field medicine, the relative proportion of casualties following natural disasters is decreasing, while relative rates of disability are rising among survivors. In post-disaster settings, the growing number of people with newly acquired disabilities will be added to the existing proportion of the population who lived with disabilities, creating a significant growth in the total number of people...
Source: Disability and Rehabilitation - July 13, 2015 Category: Rehabilitation Authors: Sheppard PS, Landry MD Tags: Disabil Rehabil Source Type: research

Distance and proximity: research on social media connections in the field of communication disability.
PMID: 26160143 [PubMed - in process] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - July 12, 2015 Category: Rehabilitation Authors: Hemsley B, Murray J Tags: Disabil Rehabil Source Type: research

Accessing disability services by people from culturally and linguistically diverse backgrounds in Australia.
CONCLUSIONS: The paper reveals a substantial gap in specialist disability services between people from CALD and the broader community. This cannot be explained by the difference in the level of need for assistance between Australia-born and overseas-born populations, therefore raises some policy questions as to the barriers to the use of such services and how to effectively narrow the service access gap and improve utilisation rates. Implications for Rehabilitation The paper reveals a substantial accessibility gap in specialist disability services between people from culturally and linguistically diverse (CALD) backgrounds...
Source: Disability and Rehabilitation - July 9, 2015 Category: Rehabilitation Authors: Zhou Q Tags: Disabil Rehabil Source Type: research

What pilot studies tell us!
PMID: 26152759 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - July 7, 2015 Category: Rehabilitation Authors: Figueiredo S, Mayo NE Tags: Disabil Rehabil Source Type: research

An exploratory analysis of the self-reported goals of individuals with chronic upper-extremity paresis following stroke.
CONCLUSIONS: Individuals with chronic UE paresis had specific goals that were not influenced by age or hand dominance, but partially influenced by severity. General UE movement goals were identified less than goals related to specific activities. Implications for Rehabilitation Considering the specificity of individual goals following stroke, it is recommended that clinicians regularly utilize a goal setting tool to help establish client goals. It is recommended that clinicians further inquire about general goals in order to link upper extremity deficits to functional activity limitations. Age, upper extremity functional c...
Source: Disability and Rehabilitation - July 6, 2015 Category: Rehabilitation Authors: Waddell KJ, Birkenmeier RL, Bland MD, Lang CE Tags: Disabil Rehabil Source Type: research

Does muscle size matter?
PMID: 26146965 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - July 6, 2015 Category: Rehabilitation Authors: Reid S Tags: Disabil Rehabil Source Type: research

"Better safe than sorry": a qualitative content analysis of participant's perspectives of fall-related concerns and balance in older women with osteoporosis after balance training.
CONCLUSION: To cope with the fragility caused by osteoporosis informants had an internalized risk perception that protected them against possible threats and harm. Informants perceived improved empowerment and self-efficacy after participation in balance training. They resumed activities and became more active and independent in daily life using safety precautions and fall-prevention strategies. Depending on contextual factors, some situations still invoked fear and led to avoidance. Implication for Rehabilitation Risk awareness protecting against possible threats and harms seems to be internalized in older women living wi...
Source: Disability and Rehabilitation - July 3, 2015 Category: Rehabilitation Authors: Halvarsson A, Ståhle A, Halén C, Roaldsen KS Tags: Disabil Rehabil Source Type: research

Living Labs: overview of ecological approaches for health promotion and rehabilitation.
CONCLUSIONS: Current technological solutions that may provide clinicians with objective, unobtrusive measurements of health and function, as well as tools that support rehabilitation on an individual basis in natural environments provide an important asset to standard clinical measures. Implications for Rehabilitation Until recently objective clinical assessment could not be readily performed in a client's daily functional environment. Novel technologies enable health care sensing and monitoring devices that enable direct, objective and accurate capture of real-world functioning. Such technologies are referred to as a "Liv...
Source: Disability and Rehabilitation - July 3, 2015 Category: Rehabilitation Authors: Korman M, Weiss PL, Kizony R Tags: Disabil Rehabil Source Type: research

Prognostic factors of return to work after traumatic or non-traumatic acquired brain injury.
CONCLUSIONS: This study confirms earlier findings that after both traumatic and non-traumatic ABI injury related factors in the Emergency Department are not associated with RTW. In addition, it provides further evidence that personal factors after traumatic ABI and activity-related factors after non-traumatic ABI are strongly associated with RTW. Implications for Rehabilitation We found strong evidence for a significant association between RTW and personal factors (education level, unemployment) after traumatic ABI, and activities of daily living (ADL) after non-traumatic ABI. We advise to focus on work-related activities ...
Source: Disability and Rehabilitation - July 3, 2015 Category: Rehabilitation Authors: Donker-Cools BH, Wind H, Frings-Dresen MH Tags: Disabil Rehabil Source Type: research

The effects of an individual, multistep intervention on adherence to treatment in hemodialysis patients.
CONCLUSIONS: Adherence to treatment is one of the major problems in hemodialysis patients; however, comprehensive interventions are required in view of individual condition. Implications for Rehabilitation Adherence to treatment means that all patients' behaviors (diet, fluids and drugs intake) should be in line with the recommendations given by healthcare professionals. There is evidence on the association between adherence to treatment and decreased risk of hospitalization in dialysis patients. Individual structured programs are most likely to be successful in encouraging adherence to treatment. PMID: 26122544 [PubMe...
Source: Disability and Rehabilitation - June 30, 2015 Category: Rehabilitation Authors: Rafiee Vardanjani L, Parvin N, Mahmoodi Shan G Tags: Disabil Rehabil Source Type: research

What are the perceived barriers, facilitators and attitudes to exercise for women with rheumatoid arthritis? A qualitative study.
CONCLUSION: Among those interviewed, walking was considered an acceptable form of exercise for people with RA. Many of the barriers to exercise identified by participants could be alleviated by detailed instructions on the type and duration of exercise recommended. These findings inform the development of walking interventions. Implications for Rehabilitation People with RA and various other chronic illnesses have previously been found to request more specific guidance for incorporating physical activity into their treatment. There was a willingness to participate in physical activity among our participants with RA. Activi...
Source: Disability and Rehabilitation - June 30, 2015 Category: Rehabilitation Authors: Baxter S, Smith C, Treharne G, Stebbings S, Hale L Tags: Disabil Rehabil Source Type: research

Health-related quality of life improvements among women with chronic pain: comparison of two multidisciplinary interventions.
CONCLUSIONS: Our non-randomized study suggests that both NEM and TMP programs improve pain and HRQL among women with chronic pain. Sleep quality showed more improvements in NEM while pain intensity in TMP. Longer-term follow-ups are needed to address whether improvements sustain. Implications for Rehabilitation Chronic pain is a debilitating condition affecting quality of life and restricting societal participation. Intensive multidisciplinary bio-psycho-social rehabilitation is essential for this patient group. This study shows improvement in health-related quality of life and pain intensity following such rehabilitation....
Source: Disability and Rehabilitation - June 30, 2015 Category: Rehabilitation Authors: Björnsdóttir SV, Arnljótsdóttir M, Tómasson G, Triebel J, Valdimarsdóttir UA Tags: Disabil Rehabil Source Type: research

The experiences of everyday activities post-stroke.
CONCLUSIONS: Stroke survivors' lived experiences of pleasure, productivity and restoration in the context of everyday activities yields insight into the survivors' recovery and adjustment processes and into their quality of life. Practitioners should therefore incorporate stroke survivors' experiences as they facilitate goal setting and plan interventions. Implications for Rehabilitation Understanding stroke survivors' lived experiences provides practitioners valuable information to assist with goal setting and intervention planning. A sense of accomplishment may be gained outside of work in home management and high demand...
Source: Disability and Rehabilitation - June 30, 2015 Category: Rehabilitation Authors: Atler K Tags: Disabil Rehabil Source Type: research

The lived experience of parents enabling participation of their child with a physical disability at home, at school and in the community.
CONCLUSIONS: In-depth exploration and understanding of parents' articulated matters must be shared and taken seriously by policymakers and service providers. Parents' knowledge and experiences should be of major relevance to improve paediatric rehabilitation and other services for children with a physical disability. Implications for Rehabilitation To achieve tailored pediatric rehabilitation, involvement and needs of parents in enhancing their child's participation ought to be acknowledged. Active use of parents' experiences and knowledge regarding the participation of their child on different levels of decision making ma...
Source: Disability and Rehabilitation - June 29, 2015 Category: Rehabilitation Authors: Piškur B, Meuser S, Jongmans MJ, Ketelaar M, Smeets RJ, Casparie BM, Haarsma FA, Beurskens AJ Tags: Disabil Rehabil Source Type: research

Quality of life of Finnish children with cerebral palsy.
CONCLUSIONS: QOL of children with CP is quite good in Finland. However, barriers to participation and the impact of disability and pain impair QOL. The Finnish version of the CP QOL-Child questionnaire is an appropriate clinical tool to assess QOL. Implications for Rehabilitation The used questionnaire provides an effective tool to identify areas for targeting support actions and to set goals for rehabilitation plans. The study brings forward the voices of children. It was found that pain has a great role in QOL, which should be taken into account when making rehabilitation plans. The participation of children with CP shou...
Source: Disability and Rehabilitation - June 29, 2015 Category: Rehabilitation Authors: Böling S, Varho T, Kiviranta T, Haataja L Tags: Disabil Rehabil Source Type: research

Cultural influences on exercise participation and fall prevention: a systematic review and narrative synthesis.
CONCLUSION: Exercise and fall prevention interventions need to be culturally appropriate and utilise the positive influences of social support, especially from physicians and family. While these findings can be used to inform the delivery of programs to these population groups, future studies should focus specifically on experiences and perceptions of older CALD people of fall prevention programs as well as the perspectives of program providers. Implications for Rehabilitation Program participation is influenced by cultural values and motivational, social and environmental factors. The meaning and importance of exercise ca...
Source: Disability and Rehabilitation - June 29, 2015 Category: Rehabilitation Authors: Jang H, Clemson L, Lovarini M, Willis K, Lord SR, Sherrington C Tags: Disabil Rehabil Source Type: research

Screening and facilitating further assessment for cognitive impairment after stroke: application of a shortened Montreal Cognitive Assessment (miniMoCA).
CONCLUSIONS: This study extends the utility of the miniMoCA as an optimal brief screening tool for cognitive impairment in stroke patients. Further research is needed to determine the validity of the miniMoCA against a neuropsychological test. Implications for Rehabilitation Although the Montreal Cognitive Assessment (MoCA) is a recommended tool to screen for cognitive impairment in stroke patients, its lengthy administration can lead to inconsistent screening of patients for post-stroke cognitive function. In the current work, a shortened version of the MoCA (miniMoCA) was administered in a sample of stoke inpatients, uti...
Source: Disability and Rehabilitation - June 29, 2015 Category: Rehabilitation Authors: Campbell N, Rice D, Friedman L, Speechley M, Teasell RW Tags: Disabil Rehabil Source Type: research

The effect of adaptive sports on employment among people with disabilities.
CONCLUSIONS: This result indicates that a substantial economic benefit would result from increased participation in adaptive sport, and therefore may justify additional funding to expand adaptive sport programs. Implications for Rehabilitation Employment rates are very low among individuals with physical disabilities, despite research indicating extensive benefits from employment. Participation in adaptive sport is associated with a higher likelihood of employment. Efforts to increase participation in adaptive sport could have a large economic benefit. PMID: 26114627 [PubMed - as supplied by publisher] (Source: Disabil...
Source: Disability and Rehabilitation - June 26, 2015 Category: Rehabilitation Authors: Lastuka A, Cottingham M Tags: Disabil Rehabil Source Type: research

Facilitating employment opportunities for adults with intellectual and developmental disability through parents and social networks.
CONCLUSION: Practitioners must understand how to support parents to be effective advocates for their adult children with IDD, assist them to develop and maintain their social networks and help them to avoid caregiver burnout. Implications for Rehabilitation People with intellectual and developmental disability (IDD) face numerous challenges in indentifying work options and overcoming barriers to employment. Parents and other non-paid support members of social networks can be instrumental in ensuring that persons with IDD not only secure initial job placements, but also sustain employment and employment alternatives. Profes...
Source: Disability and Rehabilitation - June 26, 2015 Category: Rehabilitation Authors: Petner-Arrey J, Howell-Moneta A, Lysaght R Tags: Disabil Rehabil Source Type: research

Delivery of high quality stroke and vision care: experiences of UK services.
CONCLUSIONS: Practical elements for improved stroke and vision care provision are highlighted which can be implemented with relatively little financial inputs. Implications for Rehabilitation Integrated vision services within stroke units can improve the detection of visual problems in stroke survivors leading to earlier visual rehabilitation. Orthoptists within core stroke teams are beneficial to the delivery of a high quality service. This study illustrates clear practical elements to support the provision of high quality integrated stroke and vision services. Relatively little financial inputs are required to fund such ...
Source: Disability and Rehabilitation - June 26, 2015 Category: Rehabilitation Authors: Rowe F, Walker M, Rockliffe J, Pollock A, Noonan C, Howard C, Currie J Tags: Disabil Rehabil Source Type: research

Long-term effects of cardiac rehabilitation in elderly individuals with stable coronary artery disease.
CONCLUSIONS: Elderly individuals with CAD participating in maintenance CR have similar exercise capacity and cardiorespiratory response to exercise compared to their age- and gender-matched less active healthy peers. The findings support referral of elderly patients to community-based CR. Implications for Rehabilitation Fitness benefits of long-term maintenance cardiac rehabilitation (CR) programs remain unknown. Elderly individuals with coronary artery disease participating in maintenance CR have exercise capacity and cardiorespiratory response to exercise similar to their less active healthy peers. Maintenance CR may pla...
Source: Disability and Rehabilitation - June 25, 2015 Category: Rehabilitation Authors: Mandic S, Stevens E, Hodge C, Brown C, Walker R, Body D, Barclay L, Nye ER, Williams MJ Tags: Disabil Rehabil Source Type: research

A systematic review of studies investigating the care of stroke survivors in long-term care facilities.
CONCLUSIONS: The care of stroke survivors in LTC facilities is lacking in rehabilitation, stroke specific care and secondary stroke prevention. This needs to be addressed through conducting further research to build a strong body of evidence to influence change in the care of this vulnerable group of patients. Implications for Rehabilitation Care of stroke survivors in long-term care facilities Stroke survivors make up almost a quarter of residents in long-term care facilities. They suffer from functional impairments and many other disabilities as a result of more severe stroke, precluding them from living in their own hom...
Source: Disability and Rehabilitation - June 24, 2015 Category: Rehabilitation Authors: Teo K, Slark J Tags: Disabil Rehabil Source Type: research

Psychosocial factors associated with physical activity in ambulatory and manual wheelchair users with spinal cord injury: a mixed-methods study.
CONCLUSIONS: Poorer attitudes towards LTPA may partially explain why ambulatory individuals are less active. The qualitative and quantitative data suggest ambulators are an often-overlooked subgroup in need of targeted resources to enhance their attitudes, wheelchair skill self-efficacy and awareness of LTPA opportunities. Implications for Rehabilitation Rehabilitation practitioners must be sensitive to the unique needs of spinal cord injured individuals who are ambulatory, and tailor physical activity promotional strategies to suit the needs of this distinct group. Lack of wheelchair skills is a participation barrier for ...
Source: Disability and Rehabilitation - June 24, 2015 Category: Rehabilitation Authors: Martin Ginis KA, Papathomas A, Perrier MJ, Smith B, SHAPE-SCI Research Group Tags: Disabil Rehabil Source Type: research

The impact of care on family and health-related quality of life of parents with chronically ill and disabled children.
CONCLUSIONS: Future interventions should focus not only on the affected child but also on the whole family system and its social integration, as this seems likely to relief parents from burden of care. Therefore, a sustainable cooperation of health care institutions and professionals with self-help groups and parental initiatives is recommended. Implications for Rehabilitation Parents of disabled and chronically ill children are a vulnerable group regarding their health-related quality of life. A higher burden of care is associated with less social contacts, higher financial burden and higher help-needs in the household, w...
Source: Disability and Rehabilitation - June 23, 2015 Category: Rehabilitation Authors: Vonneilich N, Lüdecke D, Kofahl C Tags: Disabil Rehabil Source Type: research

A community living management program for people with disabilities who have moved out of nursing homes: a pilot study.
CONCLUSIONS: Preliminary findings suggest that the Stepping Stones program is beneficial to the target group. The study indicates that application of social learning and self-efficacy theories is effective to empower and enable people with disabilities to manage their lives in the community. The Stepping Stones program may be provided as a risk management intervention after individuals' transition into the community. Implications for Rehabilitation Long-term institutionalization negatively influences people with disabilities' self-esteem, autonomy and ability to independently live in the community. Successful community liv...
Source: Disability and Rehabilitation - June 22, 2015 Category: Rehabilitation Authors: Lee D, Hammel J, Wilson T Tags: Disabil Rehabil Source Type: research

Feasibility of a home-based program to improve handwriting after stroke: a pilot study.
CONCLUSIONS: Delivery of a four-week handwriting intervention with eight supervised sessions in the community was feasible; however, recruitment of an adequate sample size would require greater investment than the single site used in this pilot. Implications for Rehabilitation Handwriting difficulty is common following hemiparesis after stroke, however research addressing handwriting retraining for adults with stroke is lacking. A four-week home-based handwriting program using task-specific practice and feedback was feasible to deliver and appropriate for adults with stroke. Improving handwriting legibility and neatness ac...
Source: Disability and Rehabilitation - June 22, 2015 Category: Rehabilitation Authors: Simpson B, McCluskey A, Lannin N, Cordier R Tags: Disabil Rehabil Source Type: research

A grounded theory of Internet and social media use by young people who use augmentative and alternative communication (AAC).
CONCLUSION: The conceptual grounded theory supports understanding of facilitators and challenges to use of the Internet and social media by young people with a diagnosis of cerebral palsy who use AAC. The grounded theory illustrates how the desire to use the Internet and social media is based upon perceived benefits for enriching social relationships and enhancing opportunities for self-representation and self-determination that are synonymous with identified antecedents for community-based social inclusion. Some of the participants are engaging with the Internet and social media through collaborative practice and the impl...
Source: Disability and Rehabilitation - June 19, 2015 Category: Rehabilitation Authors: Hynan A, Goldbart J, Murray J Tags: Disabil Rehabil Source Type: research

Muscle function and body composition profile in adolescents with restrictive anorexia nervosa: does resistance training help?
CONCLUSIONS: SMM gain is linked to an increased relative strength when resistance training is prescribed. Although FM, relative body fat (%BF), BMI and body weight (BW) are used to monitor nutritional progress. Based on our results, we suggest to monitor SMM and relative strength ratios for a better estimation of body composition profile and muscle function recovery. Implications for Rehabilitation Anorexia Nervosa Restricting Type (AN-R) AN-R is a psychiatric disorder that has a major impact on muscle mass content and function. However, little or no attention has been paid to muscle recovery. High intensity resistance tra...
Source: Disability and Rehabilitation - June 18, 2015 Category: Rehabilitation Authors: Fernández-Del-Valle M, Larumbe-Zabala E, Morande-Lavin G, Perez Ruiz M Tags: Disabil Rehabil Source Type: research

Use of the ICF to investigate impairment, activity limitation and participation restriction in people using ankle-foot orthoses to manage mobility disabilities.
CONCLUSION: Health professionals need to ensure whether patients understand the recommendations for use of their AFO. Additionally, the results of the study support the value of evaluating patients' psychological well-being to gain a better understanding of AFO use. Implications for Rehabilitation Participants who reported using AFOs as recommended had significantly lower levels of impairment, activity limitations and anxiety compared to those who did not use their AFO as recommended. In this study, 27% of participants did not know recommendations for use of AFOs. Health professionals should give consideration as to how in...
Source: Disability and Rehabilitation - June 18, 2015 Category: Rehabilitation Authors: McMonagle C, Rasmussen S, Elliott MA, Dixon D Tags: Disabil Rehabil Source Type: research

Social context, art making processes and creative output: a qualitative study exploring how psychosocial benefits of art participation during stroke rehabilitation occur.
CONCLUSION: This study provides a model of intervention components, mechanisms of action and outcome mediators to explain how art participation may work. Findings suggest that art may influence important psychosocial outcomes that other rehabilitation approaches do not typically address. The study paves the way for a future effectiveness trial. Implications for Rehabilitation Participation in an art programme during rehabilitation appears to improve stroke survivors' mood, confidence and self-esteem and enhances perceptions of hope and control over recovery. Social interactions, the processes of art making and review and a...
Source: Disability and Rehabilitation - June 18, 2015 Category: Rehabilitation Authors: Morris J, Toma M, Kelly C, Joice S, Kroll T, Mead G, Williams B Tags: Disabil Rehabil Source Type: research

Aspects of learning from the perspective of people with Alström syndrome.
CONCLUSION: Based on the levels of functioning, i.e. personal resources, revealed in the interviews, supervisors, caregivers, and teachers are encouraged to allow people with AS to be their own advocates, as they know best how, what, and with whom they learn, and what type of sensory material - tactile, auditory, visual, or a combination - is most helpful. Implications for Rehabilitation Individuals with AS strive for independence, and to be independent they need to continue to learn throughout their lives. Individuals with AS know best how they learn, and should be asked what modalities are the most effective for them. Th...
Source: Disability and Rehabilitation - June 18, 2015 Category: Rehabilitation Authors: Rönnåsen B, Möller K, Möller C, Lyxell B, Anderzen-Carlsson A Tags: Disabil Rehabil Source Type: research

A multidimensional measure of participation for adults with serious mental illnesses.
CONCLUSIONS: The CPDM is a validated measure that can be used to assess levels of participation in adults with SMI. Implications for Rehabilitation Participation is an important goal and rehabilitation outcome indicator for individuals with serious mental illnesses (SMI). Participation is a multidimensional concept, which includes three distinct domains: Productive Activities, Social Participation and Community Activities. The Community Participation Domains Measure (CPDM) is a valid measure that can be used to assess the multidimensional construct of participation in adults with SMI. PMID: 26079634 [PubMed - as suppli...
Source: Disability and Rehabilitation - June 16, 2015 Category: Rehabilitation Authors: Chang FH, Coster WJ, Salzer MS, Brusilovskiy E, Ni P, Jette AM Tags: Disabil Rehabil Source Type: research

Keeping up appearances: the role of identity concealment in the workplace among adults with degenerative eye conditions and its relationship with wellbeing and career outcomes.
CONCLUSIONS: Patterns characterized by less planning and more identity concealment were associated with more stress and lower levels of self-acceptance, while patterns characterized by more planning for vision deterioration and less passing behavior were associated with higher levels self-acceptance and fewer obstacles over the course of an individual's career. The study's findings can serve as a guide for health professionals. Implications for Rehabilitation Many individuals with degenerative eye conditions try to conceal their identity as visually impaired in the professional setting. Different aspects of career outcomes...
Source: Disability and Rehabilitation - June 16, 2015 Category: Rehabilitation Authors: Spiegel T, De Bel V, Steverink N Tags: Disabil Rehabil Source Type: research

Combined transcranial direct current stimulation and home-based occupational therapy for upper limb motor impairment following intracerebral hemorrhage: a double-blind randomized controlled trial.
CONCLUSIONS: Five consecutive days of tDCS combined with occupational therapy provided greater improvements in grip strength compared with occupational therapy alone. tDCS is a promising add-on intervention regarding training of upper limb motor impairment. It is well tolerated by patients and can easily be applied for home-based training. Larger studies with long-term follow-up are needed to further explore possible effects of tDCS in patients with ICH. Implications for Rehabilitation Five consecutive days of tDCS combined with occupational therapy provided greater improvements in grip strength compared with occupational ...
Source: Disability and Rehabilitation - June 16, 2015 Category: Rehabilitation Authors: Mortensen J, Figlewski K, Andersen H Tags: Disabil Rehabil Source Type: research

Multiple factors, including non-motor impairments, influence decision making with regard to exercise participation in Parkinson's disease: a qualitative enquiry.
CONCLUSION: Complex and interacting issues, including non-motor impairments, need to be considered in order to enhance the development and ongoing implementation of effective exercise programmes for people with PD. Implications for Rehabilitation Exercise participation can assist individuals to reframe their identity as they are faced with losses associated with Parkinson's disease and ageing. Non-motor impairments of apathy and fatigue may influence exercise participation in people with Parkinson's disease. Particular attention needs to be paid to the provision of feedback in exercise programs for people with Parkinson's ...
Source: Disability and Rehabilitation - June 11, 2015 Category: Rehabilitation Authors: O'Brien C, Clemson L, Canning CG Tags: Disabil Rehabil Source Type: research

Teachers' perceptions of virtual worlds as a medium for social inclusion for adults with intellectual disability.
CONCLUSIONS: Some people with intellectual disability can use virtual worlds but the skills required need additional research. Virtual worlds may provide a stimulating, safe, and exciting context for a range of activities but the level of support required by many people is high and consequently expensive. Implications for Rehabilitation Educators can use virtual worlds such as Second LifeTM with people with intellectual disability as an enjoyable medium to experience new activities and gain feelings of independence. People with intellectual disability can use Second Life with support and those with good literacy and comput...
Source: Disability and Rehabilitation - June 11, 2015 Category: Rehabilitation Authors: Balandin S, Molka-Danielsen J Tags: Disabil Rehabil Source Type: research