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Exercise therapy improves both mental and physical health in patients with major depression.
Conclusions: Physical therapists should be aware, that several characteristics of major depression (e.g. loss of interest, motivation and energy, generalised fatigue, a low self-worth and self-confidence, fear to move, and psychosomatic complaints) and physical health problems interfere with participation in exercise. Therefore, motivational strategies should be incorporated in exercise interventions to enhance the patients' motivation and adherence in exercise programs. Implications for Rehabilitation For mild to moderate depression, the effect of exercise may be comparable with antidepressant medication and psychotherapy...
Source: Disability and Rehabilitation - October 24, 2014 Category: Rehabilitation Authors: Knapen J, Vancampfort D, Moriën Y, Marchal Y Tags: Disabil Rehabil Source Type: research

To be on sick-leave due to heart failure: a qualitative perspective.
Conclusions: People who are on sick leave due to heart failure are abandoned by rehabilitation professionals and they lack opportunities to participate in their own sick leave/rehabilitation processes. Rehabilitation professionals need to take more responsibility and allow the patients to participate by connecting and recognizing patients as equal human beings. The present results can be used by rehabilitation professionals to reflect on and discuss the needs of people on sick leave due to heart failure. Implications for Rehabilitation Heart failure is a chronic condition implying a complicated life-situation. People with ...
Source: Disability and Rehabilitation - October 24, 2014 Category: Rehabilitation Authors: Lindbäck C, Nordgren L Tags: Disabil Rehabil Source Type: research

Enhanced information regarding exercise training as treatment is needed. An interview study in patients with chronic obstructive pulmonary disease.
Conclusions: Patients with COPD, with no previous experience of exercise training as treatment for their disease, describe exercise training as something unknown and unimportant for them. The results provide important knowledge for healthcare professionals regarding how to educate patients with COPD about the content and benefits of exercise training as treatment. Implications for Rehabilitation Exercise training is effective for patients with chronic obstructive pulmonary disease (COPD) with regard to dyspnea, physical capacity, health-related quality of life, and health care use. Patients with COPD perceive a lack of inf...
Source: Disability and Rehabilitation - October 22, 2014 Category: Rehabilitation Authors: Nordvall Strömberg P, Fjellman-Wiklund A, Wadell K Tags: Disabil Rehabil Source Type: research

Cross-cultural translation and validation of the Greek version of the Knee Injury and Osteoarthritis Outcome Score (KOOS) in patients with total knee replacement.
Conclusion: The Greek KOOS was found to be a practical and comprehensible self-reported measure for TKR patients with acceptable psychometric properties. It is therefore, recommendable for usage in future clinical trials and clinical practice. Implications for Rehabilitation The Greek version of KOOS is an essential assessment scale to evaluate not only acute injuries but also chronic knee associated conditions in a holistic perspective. The Greek KOOS has been found to be a practical and comprehensible self-reported measure for TKR patients with acceptable psychometric properties, recommendable for usage in future clinica...
Source: Disability and Rehabilitation - October 22, 2014 Category: Rehabilitation Authors: Moutzouri M, Tsoumpos P, Billis E, Papoutsidakis A, Gliatis J Tags: Disabil Rehabil Source Type: research

Activity engagement and health quality of life in people with Parkinson's disease.
Conclusion: This study provides preliminary evidence that regular participation in community programs like BPg may increase retention rates of activity engagement in people with PD. Participation in BPg programs, though, was not shown to improve HQoL as measured by the PDQ-39. Implications for Rehabilitation Continued participation in a wide repertoire of activities is a valuable rehabilitation goal for clients with Parkinson's disease (PD). People with PD who participate in specially designed community-based programs are more likely to retain a wide repertoire of activity and role engagement, as compared to people with PD...
Source: Disability and Rehabilitation - October 21, 2014 Category: Rehabilitation Authors: Sabari JS, Ortiz D, Pallatto K, Yagerman J, Glazman S, Bodis-Wollner I Tags: Disabil Rehabil Source Type: research

Explaining daily functioning in young adults with obstetric brachial plexus lesion.
Conclusions: Many young adults with OBPL experience limitations in daily functioning. Pain, rather than arm-hand function, seems to explain these limitations. Implications for Rehabilitation Obstetric brachial plexus lesion (OBPL) is caused by traction to the brachial plexus during labour, resulting in denervation of the muscles of the arm and shoulder girdle. Adults with OBPL are hardly seen in rehabilitation medicine. This study shows that many young adults with OBPL experience limitations in daily functioning. Pain, rather than arm-hand function, seems to explain these limitations. Fifty percent of the participants comp...
Source: Disability and Rehabilitation - October 21, 2014 Category: Rehabilitation Authors: de Heer C, Beckerman H, Groot VD Tags: Disabil Rehabil Source Type: research

Access to health and support services: perspectives of people living with a long-term traumatic spinal cord injury in rural and urban areas.
Conclusions: Maintaining health and well-being in people with tSCI demands access to both conventional health care and support services. Implications for Rehabilitation Access to both health and support services are important to maintaining the health and wellness of people with spinal cord injury. People with spinal cord injuries take an active role in coordinating their health, at times assuming various roles to compensate for perceived shortcomings of health care providers. Negotiating balances of power with gatekeepers in the health and insurance sectors was a key function of the coordinating role assumed by people wit...
Source: Disability and Rehabilitation - October 21, 2014 Category: Rehabilitation Authors: Goodridge D, Rogers M, Klassen L, Jeffery B, Knox K, Rohatinsky N, Linassi G Tags: Disabil Rehabil Source Type: research

Parental perceptions of information needs and service provision for children with developmental disabilities in rural Australia.
Conclusions: Within the constraints of limited rural service provision, there are still opportunities for considerable improvements, through focussed in-service training to narrow the information gap, improve provider-client interaction around attitudinal issues and uptake of tele-health to minimise the long waiting times and the need to regularly travel long distances to access services and setting up online support groups. Implications for Rehabilitation There is limited information on challenges faced by parents of children with developmental disabilities in rural Australia. The challenges around lack of information abo...
Source: Disability and Rehabilitation - October 21, 2014 Category: Rehabilitation Authors: Hussain R, Tait K Tags: Disabil Rehabil Source Type: research

Parental and practitioner perspectives on raising an adolescent with a disability: a focus group study.
Conclusions: These results suggest that parents of adolescents with a developmental disability could benefit from a parenting program and that an existing evidence-based parenting program should be modified. Implications for program design for this population are discussed. Implications for Rehabilitation Parents have difficulty supporting their teenagers' behaviour. Some parenting strategies that were useful for young children are no longer applicable. Parents may benefit from a parenting program tailored for teenagers. PMID: 25327771 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - October 20, 2014 Category: Rehabilitation Authors: Hamilton A, Mazzucchelli TG, Sanders MR Tags: Disabil Rehabil Source Type: research

Sit-to-stand movement changes in preschool-aged children with spastic diplegia following one neurodevelopmental treatment session - a pilot study.
Conclusions: These findings suggest that a single NDT session enables children with CP to stand from a seated position without using some atypical movement patterns. Implications for Rehabilitation Preschool-aged children with spastic diplegia, with limited ability to independently transfer from a sitting position, and dependent on a wheelchair for mobility experience obstacles to enhanced activities of daily life and social participation. A single neurodevelopmental treatment session would enable children with spastic diplegia to perform sit-to-stand movements more efficiently, with selective muscle control. Understanding...
Source: Disability and Rehabilitation - October 20, 2014 Category: Rehabilitation Authors: Yonetsu R, Iwata A, Surya J, Unase K, Shimizu J Tags: Disabil Rehabil Source Type: research

Exploring employment readiness through mock job interview and workplace role-play exercises: comparing youth with physical disabilities to their typically developing peers.
Conclusions: Youth with physical disabilities performed poorer in some areas of a job interview compared to their typically developing peers. They could benefit from further targeted employment readiness training. Implications for Rehabilitation Clinicians should: Coach youth with physical disability on how to "sell" their abilities to potential employers and encourage youth to get involved in volunteer activities and employment readiness training programs. Consider using mock job interviews and other employment role-play exercises as assessment and training tools for youth with physical disabilities. Involve speech pathol...
Source: Disability and Rehabilitation - October 17, 2014 Category: Rehabilitation Authors: Lindsay S, McDougall C, Sanford R, Menna-Dack D, Kingsnorth S, Adams T Tags: Disabil Rehabil Source Type: research

"Four legs instead of two" - perspectives on a Nordic walking-based walking programme among people with arthritis.
Conclusion: Several benefits of a NW-based walking programme from the perspectives of individuals with arthritis who engage in group-based walking programmes were identified. The benefits may encourage sustained participation and justify the promotion of NW as an intervention for people with arthritis Implications for Rehabilitation Considering how to sustain exercise participation is important to ensure continued benefits from physical activity participation A community-based Nordic walking-based walking programme for people with arthritis improved exercise knowledge and confidence to exercise Group exercise is valuable i...
Source: Disability and Rehabilitation - October 17, 2014 Category: Rehabilitation Authors: O'Donovan R, Kennedy N Tags: Disabil Rehabil Source Type: research

Maternal experiences of caring for an infant with neurological impairment after neonatal encephalopathy in Uganda: a qualitative study.
Conclusion: Mothering a child with neurological impairment after NE is emotionally, physically and financially challenging but this may be partly mitigated by good social support and opportunities to share caring experiences with similarly affected mothers. A facilitated, participatory, community-based approach to rehabilitation training may have important impacts on maximising participation and improving the quality of life of affected mothers and infants. Implications for Rehabilitation Caring for an infant with neurological impairment after NE in Uganda has substantial emotional, social and financial impacts on families...
Source: Disability and Rehabilitation - October 17, 2014 Category: Rehabilitation Authors: Nakamanya S, Siu GE, Lassman R, Seeley J, Tann CJ Tags: Disabil Rehabil Source Type: research

The roles of effective communication and client engagement in delivering culturally sensitive care to immigrant parents of children with disabilities.
Conclusions: The findings illuminate the importance of effective, two-way communication in providing the mutual understanding needed by therapists to engage parents in the intervention process. The findings also richly describe the engagement strategies used by therapists. Clinical implications include recommendations for strategies for therapists to employ to engage this group of parents. Furthermore, the findings are applicable to service provision in general, as engaging families in a collaborative relationship through attention to their specific situation is a general principle of good quality, family-centered care. Im...
Source: Disability and Rehabilitation - October 17, 2014 Category: Rehabilitation Authors: King G, Desmarais C, Lindsay S, Piérart G, Tétreault S Tags: Disabil Rehabil Source Type: research

Occupational therapists' perceptions of requirements for competent upper limb hypertonicity practice.
Conclusion: Participants perceived that there is a dynamic relationship between knowledge and skills. They also believed that competent hypertonicity practice requires a client-centred approach and individualisation of interventions. Future training needs to focus on the development of therapists' clinical reasoning, which was required to individualise interventions and promote positive client outcomes. Implications for Rehabilitation Training in upper limb hypertonicity management in a clinical setting can assist therapists to understand the factors contributing to the complexity of this practice area. Training in a clini...
Source: Disability and Rehabilitation - October 17, 2014 Category: Rehabilitation Authors: Colclough S, Copley J, Turpin M, Justins E, De Monte R Tags: Disabil Rehabil Source Type: research

Long-term recovery trajectory after stroke: an ongoing negotiation between body, participation and self.
Conclusions: This study stresses the importance of developing new forms of professional support during the long-term recovery trajectory, to stimulate and increase interaction and coherence in the relationship between the stroke survivor's bodily perception, participation in everyday life and sense of self. Implications for Rehabilitation The study deepening how the long-term recovery trajectory after stroke is about ongoing embodied, practical and socially situated negotiations. The study demonstrates that the recovery trajectory is a long term process of learning where the stroke survivor, as an embodied agent, gradually...
Source: Disability and Rehabilitation - October 16, 2014 Category: Rehabilitation Authors: Arntzen C, Borg T, Hamran T Tags: Disabil Rehabil Source Type: research

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