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Disability and Rehabilitation

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Client-centred coaching in the paediatric health professions: a critical scoping review.
Conclusion: To advance the field, a list of components that foster client engagement was developed along with a comprehensive definition of coaching involving affective, behavioural and cognitive components and a path of research necessary to evaluate this complex intervention. Implications for Rehabilitation A comprehensive approach to coaching involves consideration of multiple components. A coaching approach can enhance engagement in rehabilitation interventions. The operationalization of holistic ABC coaching that encapsulates the important components, which are affective, behavioural and cognitive in nature. PMID:...
Source: Disability and Rehabilitation - October 7, 2014 Category: Rehabilitation Authors: Schwellnus H, King G, Thompson L Tags: Disabil Rehabil Source Type: research

Long-term community reintegration: concepts, outcomes and dilemmas in the case of a military service member with a spinal cord injury.
Conclusions: Jake's case challenges existing models of rehabilitation predominantly focused on physical capacity building. Study findings point to the need for rehabilitation to invest more resources in efforts to address the existential and social elements of long-term social reintegration. Implications for Rehabilitation Both the veteran with SCI and their meaningful support network face challenges socially reintegrating after injury and rehabilitation. Empowering clients to envision future possibilities in terms of family, intimate relationships, and meaningful work are important to successful long-term social reintegra...
Source: Disability and Rehabilitation - October 1, 2014 Category: Rehabilitation Authors: Fritz HA, Lysack C, Luborsky MR, Messigner SD Tags: Disabil Rehabil Source Type: research

The effect of dual-task functional exercises on postural balance in adolescents with intellectual disability - a preliminary report.
Conclusions: A distinctly positive effect of unstable-surface dual-task functional exercises on postural stability in individuals with ID was also revealed in our tests. Implications for Rehabilitation Rehabilitation of intellectually disabled persons should be carried out individually and contain ADL-based exercises. The use of unstable surfaces, making the above training more difficult, naturally stimulates the trainee to focus more closely on the task being performed. Implementation of dual-task exercises, consisting in compiling functional tasks with balance training, in the intervention programme for adolescents with ...
Source: Disability and Rehabilitation - October 1, 2014 Category: Rehabilitation Authors: Mikolajczyk E, Jankowicz-Szymanska A Tags: Disabil Rehabil Source Type: research

Upper limb function in everyday life of children with cerebral palsy: description and review of parent report measures.
Conclusions: Understanding upper limb performance in everyday life, as perceived by children with cerebral palsy and their families, informs a comprehensive assessment and acknowledges the importance of the perspectives of child and family. Implications for Rehabilitation Cerebral palsy-specific self- or parent-report measures of upper limb performance in everyday life complement observational assessments in understanding upper limb performance CHEQ provides clinical information, ABILHAND-Kids is validated for children with unilateral and bilateral cerebral palsy and possesses the most robust psychometric properties, Revis...
Source: Disability and Rehabilitation - September 29, 2014 Category: Rehabilitation Authors: Wallen M, Stewart K Tags: Disabil Rehabil Source Type: research

Early rehabilitation in patients with acute aneurysmal subarachnoid hemorrhage.
Conclusions: Early rehabilitation in aSAH patients is feasible from the first day after securing the aneurysm. The rehabilitation content varied according to the patient's clinical grade. Implications for Rehabilitation Early rehabilitation is feasible from the first day after securing the ruptured aneurysm in patients with aneurysmal subarachnoid hemorrhage (aSAH). Early rehabilitation requires close monitoring and continuous adjustment for the content and amount according to the patient's clinical condition. Interdisciplinary collaboration is recommended to match the rehabilitation needs to the medical condition on a dai...
Source: Disability and Rehabilitation - September 29, 2014 Category: Rehabilitation Authors: Karic T, Sorteberg A, Haug Nordenmark T, Becker F, Roe C Tags: Disabil Rehabil Source Type: research

Mastery motivation: a way of understanding therapy outcomes for children with unilateral cerebral palsy.
Conclusions: Children's bimanual performance and persistence with object-oriented tasks significantly impact occupational performance outcomes following UL training. Predetermining children's mastery motivation along with bimanual ability may assist in tailoring of intervention strategies and models of service delivery to improve effectiveness. Implications for Rehabilitation Children's object persistence and bimanual performance both impact upper limb training outcomes Working with children's motivational predispositions may optimize engagement and therapy outcomes. Supporting positive parenting styles may enhance a child...
Source: Disability and Rehabilitation - September 26, 2014 Category: Rehabilitation Authors: Miller L, Ziviani J, Ware RS, Boyd RN Tags: Disabil Rehabil Source Type: research

A qualitative study on the use of personal information technology by persons with spinal cord injury.
Conclusions: The findings suggest that IT use by people with SCI contributes to general health and well-being, by increasing access to SCI-related health information and opportunity for social participation. Despite the benefits offered by IT, persons with SCI have identified a degree of skepticism about the reliability and applicability of the health information they find online. Future work on developing and implementing IT for health and well-being post-SCI should take into account consumers' perspectives to facilitate uptake. Implications for Rehabilitation There is a need for a more refined understanding of how people...
Source: Disability and Rehabilitation - September 26, 2014 Category: Rehabilitation Authors: Mattar AA, Hitzig SL, McGillivray CF Tags: Disabil Rehabil Source Type: research

Development of a family-based pulmonary rehabilitation programme: an exploratory study.
Conclusions: PR programmes, if inclusive of family members, may enhance the skills of the whole family to manage COPD. Implications for Rehabilitation Patients with chronic obstructive pulmonary disease (COPD) and their family members have similar expectations and needs about a family-based pulmonary rehabilitation (PR) programme. A family-based PR programme is feasible to implement within primary care. PR programmes, if inclusive of family members, may enhance the skills of the whole family to manage COPD. PMID: 25255297 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - September 25, 2014 Category: Rehabilitation Authors: Marques A, Gabriel R, Jácome C, Cruz J, Brooks D, Figueiredo D Tags: Disabil Rehabil Source Type: research

A narrative review of turning deficits in people with Parkinson's disease.
Conclusion: Specific movement deficits in turning in people with PD can be categorised into axial and perpendicular deficits. Synthesis of the literature suggests the possibility of axial deficits driving secondary responses in the perpendicular segments. This should be explored when designing rehabilitation aimed at improving turning performance, as current therapy guidelines focus on exercises emphasising perpendicular aspects. Implications for Rehabilitation Turning performance is compromised in people with PD, which can lead to significant disability, falls and loss of function. Specific movement deficits can be catego...
Source: Disability and Rehabilitation - September 25, 2014 Category: Rehabilitation Authors: Hulbert S, Ashburn A, Robert L, Verheyden G Tags: Disabil Rehabil Source Type: research

Oral health, medical diagnoses, and functioning profiles in children with disabilities receiving paediatric specialist dental care - a study using the ICF-CY.
Conclusion: It was possible to identify profiles of functioning in children with disabilities receiving specialist dental care. Despite complex disabilities, the children had good oral health. Neither medical diagnosis nor functioning was found to have a clear relationship with oral health. To understand the environmental context leading to high-quality oral health, further studies of dental management in relation to medical and oral diagnoses and child functioning are needed. [Box: see text]. PMID: 25250806 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - September 24, 2014 Category: Rehabilitation Authors: Norderyd J, Lillvist A, Klingberg G, Faulks D, Granlund M Tags: Disabil Rehabil Source Type: research

A systematic review of studies reporting multivariable models to predict functional outcomes after post-stroke inpatient rehabilitation.
Conclusions: Only a selected group of variables have repeatedly proven to be significant predictors of functional ability after post-stroke inpatient rehabilitation. [Box: see text]. PMID: 25250807 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - September 24, 2014 Category: Rehabilitation Authors: Meyer MJ, Pereira S, McClure A, Teasell R, Thind A, Koval J, Richardson M, Speechley M Tags: Disabil Rehabil Source Type: research

Communication intervention in Rett syndrome: a survey of speech language pathologists in Swedish health services.
Conclusions: Communication aids were reported to have a positive influence on communicative functions. Swedish SLP services followed best practice in several aspects, but there are areas with potential for development. Tools and best practice guidelines are needed to support SLPs in the AAC process for clients with Rett syndrome. [Box: see text]. PMID: 25250808 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - September 24, 2014 Category: Rehabilitation Authors: Wandin H, Lindberg P, Sonnander K Tags: Disabil Rehabil Source Type: research

Life goals and social identity in people with severe acquired brain injury: an interpretative phenomenological analysis.
Conclusions: This study suggests that social identity and social connectedness ought to be primary foci of rehabilitation rather than matters only of secondary concern. Consideration needs to be given to both the environmental contexts and the intrapersonal strategies that support people who require residential rehabilitation services to achieve social connection, and thus their life goals, following a severe acquired brain injury. Implications for Rehabilitation There is a need to better support people with severe acquired brain injury (ABI) in terms of their social relationships and social identity during the delivery of...
Source: Disability and Rehabilitation - September 24, 2014 Category: Rehabilitation Authors: Martin R, Levack WM, Sinnott KA Tags: Disabil Rehabil Source Type: research

Prognostic factors for discharge destination after acute stroke: a comprehensive literature review.
Conclusion: Patient initial medical care, age and sex, neurological and medical complications and environmental/socio-economic factors should be considered in the decision-making process for discharge destination. [Box: see text]. PMID: 25250810 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - September 24, 2014 Category: Rehabilitation Authors: Van der Cruyssen K, Vereeck L, Saeys W, Remmen R Tags: Disabil Rehabil Source Type: research

Reablement in a community setting.
Conclusion: A 12-weeks home-based reablement program was found to improve ADL ability among older adults regardless of whether they previously received help. This implies that receiving home care services should not be considered a barrier to participation in a reablement program. [Box: see text]. PMID: 25250811 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - September 24, 2014 Category: Rehabilitation Authors: Winkel A, Langberg H, Wæhrens EE Tags: Disabil Rehabil Source Type: research

Systematic review and meta-analysis of effects of foot orthoses on pain and disability in rheumatoid arthritis patients.
Conclusions: FO may improve pain in RA patients, but their impact on disability remains undetermined. Additional large RCTs are needed to investigate the effects of these devices in RA patients. Implications for Rehabilitation The use of foot orthoses (FO) often part of the conservative treatment of patients with rheumatoid arthritis (RA). However, the indication of these devices is usually empiric. Thus, the results of this meta-analysis can provide guidance to rehabilitation professionals to undertake these devices to therapeutic programs. There is no consensus among rehabilitation professionals regarding the efficacy of...
Source: Disability and Rehabilitation - September 23, 2014 Category: Rehabilitation Authors: Conceição CS, Gomes Neto M, Mendes SM, Sá KN, Baptista AF Tags: Disabil Rehabil Source Type: research

Exploring the decision-making process in the delivery of physiotherapy in a stroke unit.
Conclusions: The study has generated insight into the reality of decision-making in the planning and delivery of physiotherapy post-stroke. Further research involving other stroke units is required to gain a greater understanding of this aspect of physiotherapy. Implications for Rehabilitation Physiotherapists need to consider multiple patient, therapist and organisational factors when planning and delivering physiotherapy in a stroke unit. Physiotherapists should continually reflect upon how they provide physiotherapy, with respect to the duration, frequency and time of day sessions are delivered, in order to guide curren...
Source: Disability and Rehabilitation - September 22, 2014 Category: Rehabilitation Authors: McGlinchey MP, Davenport S Tags: Disabil Rehabil Source Type: research

The role of occupational therapy in vision rehabilitation of individuals with glaucoma.
Conclusion: The prevalence of eye diseases is increasing; knowledge of how visual impairment affects disability will inform resource allocation and development of rehabilitation programs that address the unique needs of individuals with glaucoma. Rehabilitation specialists are key members of the healthcare team aligned to proactively recognize and develop comprehensive rehabilitation programs to maximize individuals' function, quality of life and independence in everyday living. Implications for Rehabilitation: Glaucoma is one of the four major eye diseases that may result in visual impairment leading to disability. Resear...
Source: Disability and Rehabilitation - September 22, 2014 Category: Rehabilitation Authors: Livengood HM, Baker NA Tags: Disabil Rehabil Source Type: research

Engaging stakeholders in rehabilitation research: a scoping review of strategies used in partnerships and evaluation of impacts.
Conclusions: There is a great interest in rehabilitation to engage stakeholders in the research process. However, further evidence is needed to identify effective strategies for meaningful stakeholder engagement that leads to more useful research that positively impacts practice. Implications for Rehabilitation Using several strategies to engage various stakeholders throughout the research process is thought to increase the quality of the research and the rehabilitation process by developing proposals and programs responding better to their needs. Engagement strategies need to be better reported and evaluated in the litera...
Source: Disability and Rehabilitation - September 22, 2014 Category: Rehabilitation Authors: Camden C, Shikako-Thomas K, Nguyen T, Graham E, Thomas A, Sprung J, Morris C, Russell DJ Tags: Disabil Rehabil Source Type: research

Responsiveness and minimally important differences for selected Persian-version of outcome measures used in patients with patellofemoral pain syndrome.
Conclusions: The Persian-versions of all outcome measures are responsive for evaluating change following physiotherapy intervention. The MID values obtained in this study will help the clinicians and researchers to determine if a patient with PFPS has experienced a true change following a physiotherapy intervention. Implications for Rehabilitation Persian-versions of the KPS, LEFS, and FIQ can be used as three "responsive" outcome measures in clinical studies of patients with patellofemoral pain syndrome (PFPS). These assessment tools have clinical relevance for rehabilitation specialists working on patients with PFPS. The...
Source: Disability and Rehabilitation - September 22, 2014 Category: Rehabilitation Authors: Negahban H, Mostafaee N, Sohani SM, Hessam M, Tabesh H, Montazeri A Tags: Disabil Rehabil Source Type: research

Goal setting practice in services delivering community-based stroke rehabilitation: a United Kingdom (UK) wide survey.
Conclusions: Goal setting is embedded within community-based stroke rehabilitation; however, practice varies and is potentially sub-optimal. Further evaluation of the G-AP framework is warranted to inform optimal practice. Evaluation design will take account of the diverse service models that exist. Implications for Rehabilitation Community-based stroke rehabilitation services across the UK are diverse and tend to see a mixed diagnostic group of patients. Goal setting is implemented routinely within community-based stroke rehabilitation services; however, practice is variable and potentially sub-optimal. Further evaluation...
Source: Disability and Rehabilitation - September 22, 2014 Category: Rehabilitation Authors: Scobbie L, Duncan EA, Brady MC, Wyke S Tags: Disabil Rehabil Source Type: research

Vigorous exercises in the management of primary dysmenorrhea: a feasibility study.
Conclusions: Results demonstrated that the intervention is applicable and feasible. In addition, the preliminary results show evidence of positive changes after the intervention. The intervention programme's effectiveness will be studied further, in a future RCT. Implications for Rehabilitation There is a lack of available evidence from randomized controlled trials regarding the use of exercise in alleviating the symptoms associated with primary dysmenorrhea (PD). The preliminary results of this study shows that exercises may be effective in reducing the pain associated with PD indicated by a large effect size. The prelimi...
Source: Disability and Rehabilitation - September 22, 2014 Category: Rehabilitation Authors: Kannan P, Claydon LS, Miller D, Chapple CM Tags: Disabil Rehabil Source Type: research

Dilemmas of participation in everyday life in early rheumatoid arthritis: a qualitative interview study (The Swedish TIRA Project).
Conclusions: Participation restrictions in today's RA patients are complex. Our results underline that the health care needs to be aware of the patients' own preferences and goals to support the early multi-professional interventions in clinical practice. Implications of Rehabilitation Today's rheumatoid arthritis (RA) patients experience participation restrictions in activities not included in International Classification of Functioning, Disability and Health (ICF) core set for RA or in traditionally questionnaires with predefined activities. The health care need to be aware of the patients' own preferences and goals to m...
Source: Disability and Rehabilitation - September 22, 2014 Category: Rehabilitation Authors: Sverker A, Ostlund G, Thyberg M, Thyberg I, Valtersson E, Björk M Tags: Disabil Rehabil Source Type: research

What communication strategies do AAC users want their communication partners to use? A preliminary study.
Conclusions: These results underlined the significant responsibility of communication partners and revealed the need for AAC user interventions to help them be active communicators. More research needs to emphasise AAC users' opinions about communication partner strategies to improve the communication processes for AAC-users and thereby promote social inclusion in natural environment. Implications for Rehabilitation Communication partner strategies can affect communication as well as personal development and life quality for augmentative and alternative communication (AAC) users. In AAC-users opinion, their communication p...
Source: Disability and Rehabilitation - September 22, 2014 Category: Rehabilitation Authors: Midtlin HS, Næss KA, Taxt T, Karlsen AV Tags: Disabil Rehabil Source Type: research

Short stick exercises for fall prevention among older adults: a cluster randomized trial.
Conclusion: The SSEs appeared effective for fall prevention and improvement of physical function in older adults. Implications for Rehabilitation The newly developed short stick exercises appear an effective means of reducing falls among older adults in residential care facilities. The short stick exercises seem to have an immediate effect on improving physical functions. Effects gained by performing the short stick exercises, such as static balance, flexibility and agility may last for six months. The short stick exercises were found to be easy for older adults to practice continuously in residential care facilities. ...
Source: Disability and Rehabilitation - September 22, 2014 Category: Rehabilitation Authors: Yokoi K, Yoshimasu K, Takemura S, Fukumoto J, Kurasawa S, Miyashita K Tags: Disabil Rehabil Source Type: research

Clinical psychology and disability studies: bridging the disciplinary divide on mental health and disability.
Conclusion: Perspectives from both disability studies and clinical psychology can be usefully combined to bring important new perspectives; combined, these perspectives should help - on theoretical, service and social levels - to improve the mental health of disabled people. Implications for Rehabilitation Mental health is an important determinant of overall health-related quality of life and psychological therapy should be available for those disabled people who would value it. Psychological therapists working with disabled people should be more aware of the challenging social context in which disabled people live. Unders...
Source: Disability and Rehabilitation - September 22, 2014 Category: Rehabilitation Authors: Simpson J, Thomas C Tags: Disabil Rehabil Source Type: research

Predictors of multidisciplinary treatment outcome in patients with chronic musculoskeletal pain.
Conclusions: No strong predictors of treatment outcome were found other than the baseline scores of the respective outcome variables. More disabled patients and patients with more pain benefitted more from the rehabilitation program. Other predictors improved the prediction models slightly. Implications for Rehabilitation It remains challenging to correctly predict the outcome of treatment from patients' baseline sociodemographic and psychological characteristics; predictors other than baseline scores of the outcome variables are only slightly associated with treatment outcome. Patients with chronic musculoskeletal pain an...
Source: Disability and Rehabilitation - September 17, 2014 Category: Rehabilitation Authors: Boonstra AM, Reneman MF, Waaksma BR, Schiphorst Preuper HR, Stewart RE Tags: Disabil Rehabil Source Type: research

Announcing the upcoming publication of a virtual special issue of Disability and Rehabilitation.
PMID: 25198670 [PubMed - in process] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - September 15, 2014 Category: Rehabilitation Authors: Muller D Tags: Disabil Rehabil Source Type: research

Tablet technology during stroke recovery: a survivor's perspective.
Conclusions: Incorporating tablet technology into the delivery of stroke rehabilitation appears to be feasible and acceptable at a patient level. This process has the potential to improve participation in therapeutic and or leisure; however further evaluation towards the impact of tablet technology on patient outcome and quality of life is required. Implications for Rehabilitation The use of tablet technology provides a platform to increase the variety and intensity of stroke therapy, both in the hospital setting and following discharge from hospital, facilitating physical, cognitive and social activity. Stroke survivors e...
Source: Disability and Rehabilitation - September 12, 2014 Category: Rehabilitation Authors: White J, Janssen H, Jordan L, Pollack M Tags: Disabil Rehabil Source Type: research

A pilot mixed methods investigation of the use of Oswestry standing frames in the homes of nine people with severe multiple sclerosis.
Conclusion: This study provides preliminary evidence of the effectiveness of regular frame-standing in improving strength, function, spasms, continence and fall-rate in people with severe MS. Standing reinstated a sense of belonging and optimism by restoring important life-roles and feelings of normality as participants regained previously valued activities. Implications for Rehabilitation Regular standing in an Oswestry frame may improve functional ability in people with severe MS. Regular frame standing may have a positive psychological effect on people with severe MS. Self-management of a standing regime may be feasible...
Source: Disability and Rehabilitation - September 10, 2014 Category: Rehabilitation Authors: Hendrie WA, Watson MJ, McArthur MA Tags: Disabil Rehabil Source Type: research

Perceived confidence relates to driving habits post-stroke.
Conclusion: Findings indicate a relationship between confidence and driving behaviours post-stroke. Early recognition of driving confidence will help professionals target specific strategies, encouraging stroke survivors to return to full driving potential, access activities and positively influence quality of life. Implications for Rehabilitation Findings indicate a relationship between confidence and driving behaviours post-stroke. Early recognition of driving confidence will help professionals target specific strategies, encouraging stroke survivors to return to full driving potential, access activities and positively i...
Source: Disability and Rehabilitation - September 9, 2014 Category: Rehabilitation Authors: McNamara A, Walker R, Ratcliffe J, George S Tags: Disabil Rehabil Source Type: research

Disability correlates in Canadian Armed Forces Regular Force Veterans.
Conclusions: Disability, measured as activity limitation, was associated with a range of personal and environmental factors and health conditions, indicating multifactorial and multidisciplinary approaches to disability mitigation. Implications for Rehabilitation Consider activity limitations in all veterans with health problems, particularly women or veterans with current or lost marital relationship; post-secondary non-degree education; low income; junior non-commissioned member rank; high life stress; chronically painful conditions; musculoskeletal disorders; or mental health conditions. Comorbidity indicates the need f...
Source: Disability and Rehabilitation - September 9, 2014 Category: Rehabilitation Authors: Thompson JM, Pranger T, Sweet J, VanTil L, McColl MA, Besemann M, Shubaly C, Pedlar D Tags: Disabil Rehabil Source Type: research

A thematic framework of illness narratives produced by stroke patients.
Conclusions: The results suggest that the analysis of non-guided illness narratives can be effectively used to identify the thematic areas important to individual stroke patients. The thematic content analysis of stroke stories can allow health professionals to better understand the patient's state of knowledge related to illness as well as his or her socio-psychological functioning which may be useful in the course of planning further assessment and rehabilitation of patients with stroke. Implications for Rehabilitation Experience of illness and life changes following stroke should be recognized as central to the provisio...
Source: Disability and Rehabilitation - September 8, 2014 Category: Rehabilitation Authors: Pluta A, Ulatowska H, Gawron N, Sobanska M, Lojek E Tags: Disabil Rehabil Source Type: research

Transitioning to adulthood with a progressive condition: best practice assumptions and individual experiences of young men with Duchenne muscular dystrophy.
Conclusions: Normal developmental progression towards typical adult roles constitutes the generally accepted aims of transitions practices. Such aims may not be appropriate for all youth with disabilities. We suggest that alternative understandings of the life course and approaches to care need to be considered alongside dominant practices. Implications for Rehabilitation Children and youth with progressive conditions, such as DMD, are living longer and there is increased interest in designing programs that will assist them with "transitioning" to adulthood. Transitions best practices reflect dominant social values and ass...
Source: Disability and Rehabilitation - September 5, 2014 Category: Rehabilitation Authors: Hamdani Y, Mistry B, Gibson BE Tags: Disabil Rehabil Source Type: research

Disability in post-earthquake Haiti: prevalence and inequality in access to services.
Conclusion: Further focus is needed to improve inclusion of people with disabilities in post-earthquake Haiti to ensure that their rights are fulfilled. Implications for Rehabilitation Almost one in six households in this region of Haiti included a person with a disability, and the earthquake was the second leading cause of disability. Fewer than half of people who reported needing medical rehabilitation had received this service. The leading reported barriers to the uptake of health services included financial constraints (50%) and difficulties with transport (40%). People with disabilities did not participate equally in ...
Source: Disability and Rehabilitation - September 2, 2014 Category: Rehabilitation Authors: Danquah L, Polack S, Brus A, Mactaggart I, Houdon CP, Senia P, Gallien P, Kuper H Tags: Disabil Rehabil Source Type: research

Changes in self-reported disability after performance-based tests in obese and non-obese individuals diagnosed with osteoarthritis of the knee.
Conclusion: Obese individuals with knee OA may over-estimate their ability to perform physical activities, and may under-estimate their level of disability compared to non-obese individuals with knee OA. In addition, self-reported physical activity seems to be a strong indicator of disability in individuals with knee OA, particularly for individuals with a sedentary life style. Implications for Rehabilitation Osteoarthritis is a progressive joint disabling condition that restricts physical function and participation in daily activities, particularity in elderly individuals. Obesity is a comorbidity commonly associated with...
Source: Disability and Rehabilitation - September 1, 2014 Category: Rehabilitation Authors: Coriolano K, Aiken A, Pukall C, Harrison M Tags: Disabil Rehabil Source Type: research

Negotiating identity: a qualitative analysis of stigma and support seeking for individuals with cerebral palsy.
Conclusions: As has been observed in many fields, stigma can complicate identity. In this domain, people with cerebral palsy face a number of threats in how they construe their identity, both in navigating stigma and maintaining access to needed support. Implications for Rehabilitation Stigma in help and support settings remains a significant problem for adults with cerebral palsy (CP). This creates dilemmas regarding how they view and construct their identity in the contexts of stigma and support-seeking. It is important for specialists to recognize that the needs of adults with CP are unique, and so provided services sho...
Source: Disability and Rehabilitation - September 1, 2014 Category: Rehabilitation Authors: Read SA, Morton TA, Ryan MK Tags: Disabil Rehabil Source Type: research

The 6-minute walk distance cannot be accurately assessed at home in people with COPD.
Conclusions: The 6MWD underestimates exercise capacity when conducted at home in COPD. Alternative tests suitable for the home environment should be considered if a comprehensive assessment is to be performed at home. Implications for Rehabilitation The 6-minute walk test is commonly used to assess change in exercise capacity following pulmonary rehabilitation in patients with chronic obstructive pulmonary disease, and may be conducted on varying track lengths, indoors or outdoors. When conducted at home, the 6-minute walk test underestimates exercise capacity in chronic obstructive pulmonary disease, due to a shorter trac...
Source: Disability and Rehabilitation - September 1, 2014 Category: Rehabilitation Authors: Holland AE, Rasekaba T, Fiore JF, Burge AT, Lee AL Tags: Disabil Rehabil Source Type: research

Predicting sickness impact profile at six months after stroke: further results from the European multi-center CERISE study.
Conclusions: A combination of variables was found in the prognostic models of the three dimensions of the SIP at six months after stroke. Already from the early beginning of stroke rehabilitation it seems important to focus on personal activities of daily living as well as caregivers' strain. Implications for Rehabilitation Prognostic factors predicting participation, measured by the three dimensions of the Sickness Impact Profile at six months post stroke include demographic variables, post-stroke complications, diagnostic parameters and disability measures. Significant prognostic variables for all three dimensions of the...
Source: Disability and Rehabilitation - August 29, 2014 Category: Rehabilitation Authors: Stummer C, Verheyden G, Putman K, Jenni W, Schupp W, De Wit L Tags: Disabil Rehabil Source Type: research

Place attachment in stroke rehabilitation: a transdisciplinary encounter between cultural geography, environmental psychology and rehabilitation medicine.
Conclusions: Rehabilitation should put greater effort into supporting stroke survivors and their families in home-making and community reintegration processes, and help them to re-own and renegotiate their disabled bodies and changed identities in real life. Implications for Rehabilitation The experienced self-body split, identity confusion and related mourning process should be foregrounded in the post-discharge phase rather than functional recovery, in order to help stroke survivors understand and come to terms with their changed bodies and selves. In the post-discharge and reintegration phases stroke survivors should be...
Source: Disability and Rehabilitation - August 29, 2014 Category: Rehabilitation Authors: Nanninga CS, Meijering L, Schönherr MC, Postema K, Lettinga AT Tags: Disabil Rehabil Source Type: research

Crosswalk of participation self-report measures for aphasia to the ICF: what content is being measured?
Conclusions: Few instruments solely assessed participation according to our operationalisation. This study provides a list of possible measures for use in assessing participation. Implications for Rehabilitation Participation restriction, as defined by the International Classification of Functioning, Disability and Health, is a key concern for people with aphasia. By conducting the crosswalk, we have identified that self-report measures of participation vary widely in content and response metrics, and often include activity, body function, environmental and quality of life items. This review may assist rehabilitation resea...
Source: Disability and Rehabilitation - August 28, 2014 Category: Rehabilitation Authors: Brandenburg C, Worrall L, Rodriguez A, Bagraith K Tags: Disabil Rehabil Source Type: research

Implementing a novel dance intervention in rehabilitation: perceived barriers and facilitators.
Conclusion: The identification of the barriers and facilitators to implementing dance in rehabilitation is the first step to support the translation of knowledge about dance. A tailored approach designed for clinicians and managers should address the main barriers to knowledge use about dance, as a potential rehabilitation modality for individuals with disabilities. Implications for Rehabilitation Personal and organizational factors can act simultaneously as barriers and facilitators to the implementation of a dance intervention. Lack of time for professional development and lack of support from the organization are the ma...
Source: Disability and Rehabilitation - August 28, 2014 Category: Rehabilitation Authors: Demers M, Thomas A, Wittich W, McKinley P Tags: Disabil Rehabil Source Type: research

Bridging the goal intention-action gap in rehabilitation: a study of if-then implementation intentions in neurorehabilitation.
Conclusion: If-then plans were feasible and acceptable in bridging the goal intention-action gap in rehabilitation with people with MS and stroke, who are experiencing difficulties with mobility. This approach can now be adapted and trialled further in a definitive study. Implications for Rehabilitation Goal planning in rehabilitation necessitates specific strategies that help people engage in goal-related tasks. If-then plans aim to support people to deal more effectively with self-regulatory problems that might undermine goal striving and have been found to be effective in health promotion and health behaviour change. Th...
Source: Disability and Rehabilitation - August 28, 2014 Category: Rehabilitation Authors: Kersten P, McPherson KM, Kayes NM, Theadom A, McCambridge A Tags: Disabil Rehabil Source Type: research

Client-centred practices and work in inpatient rehabilitation teams: results from four case studies.
Conclusion: CC is not a "one size fits all". It is affected by similar factors that affect work in teams such as organizational policies, team characteristics and culture. CC can be seen as an outcome of team performance. Implications for Rehabilitation Client-centred practice (CCP) is influenced by client, provider and organizational factors. CCP is not just about client-provider communication. How inter-professional teams work together is an important aspect of CCP. Shared knowledge, shared goals and mutual respect characterize the relationships among members in a team. These three dimensions influence, and are influence...
Source: Disability and Rehabilitation - August 28, 2014 Category: Rehabilitation Authors: Papadimitriou C, Cott C Tags: Disabil Rehabil Source Type: research

Separation from supported employment: a retrospective chart review study.
Conclusions: The findings of this study illustrate the need to address job retention issues during the job development process, finding the most appropriate person-job fit and workplace culture for each client. The findings also support the need for vigilant and regular communication between the SE program and employers to intervene quickly when problems arise. Implications for Rehabilitation Separation from Supported Employment (SE) SE is an evidence-based employment practice that has been shown effective across multiple disability groups. Studying job separations can provide valuable information for improving service. Lo...
Source: Disability and Rehabilitation - August 27, 2014 Category: Rehabilitation Authors: West M, Targett P, Wehman P, Cifu G, Davis J Tags: Disabil Rehabil Source Type: research

The therapeutic relationship in telephone-delivered support for people undertaking rehabilitation: a mixed-methods interaction analysis.
Conclusion: It is possible for rehabilitation therapists to build a strong therapeutic relationship very quickly and over the telephone. Person-centred communication is important for the development of the therapeutic relationship during telephone-delivered support. This research suggests how person-centred communicative behaviours, such as reassurance, encouragement and approval could be incorporated into practice. Implications for Rehabilitation Person-centred communication is important for the development of a strong therapeutic relationship during support for self-directed rehabilitation. It is possible for rehabilitat...
Source: Disability and Rehabilitation - August 26, 2014 Category: Rehabilitation Authors: Muller I, Kirby S, Yardley L Tags: Disabil Rehabil Source Type: research

Establishing the reliability and concurrent validity of physical performance tests using virtual reality equipment for community-dwelling healthy elders.
Conclusions: This study supports the use of VR equipment for measuring physical performance tests in the clinic for healthy community-dwelling elders. Implications for Rehabilitation Virtual reality equipment is not only used to treat balance impairments but it is also used to measure and determine physical impairments through the use of physical performance tests. Virtual reality equipment is a reliable and valid tool for collecting physical performance data for the 5 × STS, FFR, TUG and 30-s stand test for healthy community-dwelling elders. PMID: 25151998 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - August 25, 2014 Category: Rehabilitation Authors: Griswold D, Rockwell K, Killa C, Maurer M, Landgraff N, Learman K Tags: Disabil Rehabil Source Type: research

ICF-CY code set for infants with early delay and disabilities (EDD Code Set) for interdisciplinary assessment: a global experts survey.
Conclusions: The EDD Code Set of 82 ICF-CY categories could be useful in multidisciplinary team evaluations to describe functioning of infants younger than three years of age with DD, in a holistic manner. Future validation of the EDD Code Set and examination of its clinical utility are needed. Implications for Rehabilitation The EDD Code Set with 82 essential ICF-CY categories could be useful in the initial team evaluation as a common language to describe functioning of infants less than three years of age with developmental delay/disabilities, with a more holistic view. The EDD Code Set including essential categories in ...
Source: Disability and Rehabilitation - August 21, 2014 Category: Rehabilitation Authors: Pan YL, Hwang AW, Simeonsson RJ, Lu L, Liao HF Tags: Disabil Rehabil Source Type: research

Response to Gladwell et al.: concerns about safety for GET.
PMID: 25144829 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - August 21, 2014 Category: Rehabilitation Authors: Sheridan A Tags: Disabil Rehabil Source Type: research

Determination of the minimal clinically important difference on the Australian Therapy Outcome Measures for Occupational Therapy (AusTOMs - OT).
Conclusion: Using both criterion and distribution-based approaches, this research empirically demonstrated that a change on the four domains of the AusTOMs - OT of between 0.51 and 1 point shows MCID. Considering these findings, and for ease of clinical interpretation, it is recommended that a one-point shift be adopted as the MCID across all domains. Implications for Rehabilitation The AusTOMs - OT have been previously shown to be valid and reliable outcome measures for use with all client groups across all settings including rehabilitation. So that rehabilitation professionals can interpret outcomes data from AusTOMs - O...
Source: Disability and Rehabilitation - August 21, 2014 Category: Rehabilitation Authors: Unsworth CA, Coulson M, Swinton L, Cole H, Sarigiannis M Tags: Disabil Rehabil Source Type: research