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Accessing rehabilitation after stroke - a guessing game?
CONCLUSION: Whilst further research is required to assist in determining the right time for people to benefit from formal rehabilitation this gives the impression that one dose of rehabilitation at a specific time will meet all needs. It is likely that a rehabilitation pathway identifying features required in the early stages following stroke as well as that required over many years in order to prevent readmission, maintain fitness and prevent secondary sequelae such as depression and social isolation would be beneficial. Implications for Rehabilitation The potential of a patient to benefit from rehabilitation may be overl...
Source: Disability and Rehabilitation - April 30, 2016 Category: Rehabilitation Authors: Enderby P, Pandyan A, Bowen A, Hearnden D, Ashburn A, Conroy P, Logan P, Thompson C, Winter J Tags: Disabil Rehabil Source Type: research

Exergaming for individuals with neurological disability: a systematic review.
CONCLUSION: Preliminary cross-sectional evidence in this review suggested that exergames have the potential to provide moderate intensity physical activity as recommended by ACSM™ or WHO in populations with neurological disabilities. However, more research is needed to document exergaming's efficacy from longitudinal observations before definitive conclusions can be drawn. Implications for Rehabilitation Exergaming can be deployed as physical activity or exercise using commercially available game consoles for neurologically disabled individuals in the convenience of their home environment and at a relatively inexpensive ...
Source: Disability and Rehabilitation - April 25, 2016 Category: Rehabilitation Authors: Mat Rosly M, Mat Rosly H, Davis Oam GM, Husain R, Hasnan N Tags: Disabil Rehabil Source Type: research

Assessment of the relationship of spiritual well-being to depression and quality of life for persons with spinal cord injury.
CONCLUSION: The findings support that spirituality, as measured by the FACIT-Sp, is strongly associated with QOL and likelihood of MDD. Assessment of spirituality should be included along with more traditional psychological measurements to better inform treatment. Implications for Rehabilitation Spiritual beliefs can contribute to quality of life and may help moderate depressive symptoms that accompany chronic illness and disability, suggesting that rehabilitation professionals should address spirituality in working with their patients with spinal cord injury (SCI). While spiritual issues are often deferred to pastoral cou...
Source: Disability and Rehabilitation - April 25, 2016 Category: Rehabilitation Authors: Wilson CS, Forchheimer M, Heinemann AW, Warren AM, McCullumsmith C Tags: Disabil Rehabil Source Type: research

"A life of living death": the experiences of people living with chronic low back pain in rural Nigeria.
CONCLUSIONS: CLBP-related disability in rural Nigeria is strongly influenced by beliefs that facilitate coping strategies that either enhance or inhibit recovery. Interventions should therefore target maladaptive beliefs while emphasizing behavioural modification. Implications for Rehabilitation Non-specific chronic low back pain (CLBP) is highly prevalent and responsible for much pain and disability in rural Nigeria. No qualitative study has investigated the experiences of people living with CLBP in rural Nigeria or any other rural African context. Qualitative study of peoples' experiences of living with CLBP in rural Nig...
Source: Disability and Rehabilitation - April 25, 2016 Category: Rehabilitation Authors: Igwesi-Chidobe CN, Kitchen S, Sorinola IO, Godfrey EL Tags: Disabil Rehabil Source Type: research

Outcomes and impact of community-based rehabilitation programmes in Chinese communities.
CONCLUSIONS: CBR practice in Chinese communities remains orientated towards an approach of functional rehabilitation rather than community-based inclusive development. Implications for rehabilitation Community-based rehabilitation is a strategy for community-based inclusive development. Commonly reported significant outcomes of community-based rehabilitation programmes in China focus on changes in psychosocial and physical status of people with disabilities and family participation. Community-based rehabilitation in China continues to focus on traditional rehabilitation. New efforts and directions are needed to also includ...
Source: Disability and Rehabilitation - April 25, 2016 Category: Rehabilitation Authors: Chung EY, Packer TL Tags: Disabil Rehabil Source Type: research

Interrater reliability of Algo used by non-occupational therapist members of homecare interdisciplinary teams.
CONCLUSIONS: Non-OTs using Algo in the same simulated clinical scenarios recommend clinically equivalent bathroom adaptations, increasing the confidence regarding the interrater reliability of Algo used by non-OT members of homecare interdisciplinary teams Implications for Rehabilitation In homecare services, non-occupational therapists from different health care disciplines (e.g., homecare aides, social workers, physical rehabilitation therapists) may be asked to select assistive devices for the hygiene care of clients living at home. Algo was designed to guide non-occupational therapists in the selection of assistive dev...
Source: Disability and Rehabilitation - April 25, 2016 Category: Rehabilitation Authors: Guay M, Gagnon M, Ruest M, Bourget A Tags: Disabil Rehabil Source Type: research

Barriers and facilitators associated with return to work after stroke: a qualitative meta-synthesis.
CONCLUSION: Return to work after stroke is a complex process which can be facilitated or impeded by organizational, social or personal factors, as well as accessibility to appropriate services. Implications for Rehabilitation Following a period of dedicated inpatient rehabilitation, there is a need to integrate community-support services to optimize return to work among stroke survivors. A dedicated community stroke support liaison officer may help to facilitate the transition between the hospital and the community and workplace environment. Education provided by healthcare professionals is necessary in the community and t...
Source: Disability and Rehabilitation - April 21, 2016 Category: Rehabilitation Authors: Brannigan C, Galvin R, Walsh ME, Loughnane C, Morrissey EJ, Macey C, Delargy M, Horgan NF Tags: Disabil Rehabil Source Type: research

Effectiveness of an integrated care intervention on supervisor support and work functioning of workers with rheumatoid arthritis.
CONCLUSION: We found a small positive effect of the intervention on supervisor support, but did not find any effects on work instability and at-work productivity loss. Future research should establish whether this significant but small increase in supervisor support leads to improved work functioning in the long run. This study shows clinicians that patients with RA are in need of efforts to support them in their work functioning. Implications for Rehabilitation Rheumatoid arthritis (RA) is a chronic inflammatory disease with a severe impact on work functioning, even when a patient is still working. It is important to invo...
Source: Disability and Rehabilitation - April 21, 2016 Category: Rehabilitation Authors: van Vilsteren M, Boot CR, Twisk JW, van Schaardenburg D, Steenbeek R, Voskuyl AE, Anema JR Tags: Disabil Rehabil Source Type: research

Predictors of adherence to home-based physical therapies: a systematic review.
CONCLUSIONS: This review has identified a range of factors that appear to be related to patients' adherence to their self-managed physical rehabilitation therapies. Awareness of these factors may inform design of interventions to improve adherence. Implications for Rehabilitation Non-adherence to physical rehabilitation therapies is often high - particularly in self-managed, home-based programmes, despite good adherence being important in achieving positive outcomes. The findings of this systematic review indicate that greater self-efficacy, self-motivation, social support, intentions and previous adherence to physical the...
Source: Disability and Rehabilitation - April 21, 2016 Category: Rehabilitation Authors: Essery R, Geraghty AW, Kirby S, Yardley L Tags: Disabil Rehabil Source Type: research

Assessment of breast cancer disability: agreement between expert assessment and patient reports.
CONCLUSION: Clinicians usually underestimate the symptoms and impairments of the patients, leading to a greater proportion of poor agreement. PRO's provide valuable information on impairments at the mental function level and pain. ClinRO's provide more valuable information on physically assessed impairments (oedema). Activity limitations and participation restrictions, excluding reporting the difficulty aspect of various life situations, can be either SRO or ObsRO. Implications for rehabilitation Impairments, activity limitation and participation restrictions are common sequelae of breast cancer treatment, which ultimately...
Source: Disability and Rehabilitation - April 21, 2016 Category: Rehabilitation Authors: Letellier ME, Mayo N Tags: Disabil Rehabil Source Type: research

The Fugl-Meyer assessment of the upper extremity: reliability, responsiveness and validity of the Danish version.
CONCLUSION: The FMA-UE was successfully translated into Danish. An MCID ≥ 4 was found. This study provides evidence that the FMA-UE is a reliable, responsive and valid instrument for measuring upper limb impairment after stroke. Implications for rehabilitation One of the most widely recognized measures of upper extremity motor impairment post-stroke is the Fugl-Meyer Assessment of the Upper Extremity (FMA-UE). The psychometric properties of a measurement depends on the population and setting in which it is used. In this study, the FMA-UE is translated into Danish and the psychometric properties of FMA-UE is determine...
Source: Disability and Rehabilitation - April 10, 2016 Category: Rehabilitation Authors: Lundquist CB, Maribo T Tags: Disabil Rehabil Source Type: research

The challenges of screening pre-school children for autism spectrum disorders in Iran.
CONCLUSION: The feasibility of undertaking a screening programme for ASD with Iranian preschoolers has been demonstrated although further research is needed to refine the screening and diagnostic tools, monitor assessors and promote greater engagement of families. Implications for Rehabilitation Sizeable numbers of postgraduate students and practitioners were recruited to assist with the screening and assessments of preschoolers. The uptake of screening was highest among parents of four and five years olds but much less so for younger children and in bringing children for further assessments. Further research is needed int...
Source: Disability and Rehabilitation - April 6, 2016 Category: Rehabilitation Authors: Samadi SA, Mohammad MP, Ghanimi F, McConkey R Tags: Disabil Rehabil Source Type: research

Greek cultural adaption and validation of the Kujala anterior knee pain scale in patients with patellofemoral pain syndrome.
CONCLUSIONS: This study has shown that the Greek KAKPS has good internal consistency, test-retest reliability and concurrent validity when correlated with the PFPS severity scale in adult patients with AKP for at least four weeks. Implications for rehabilitation The Greek version of the KAKPS has been found to be reliable and valid when used in adult patients with AKP for at least four weeks. The results of the psychometric characteristics were compatible with those of the original English version. The KAKPS could be applied in a Greek-speaking population to assess functional limitations and symptoms in patients aged 18-45...
Source: Disability and Rehabilitation - April 6, 2016 Category: Rehabilitation Authors: Papadopoulos C, Constantinou A, Cheimonidou AZ, Stasinopoulos D Tags: Disabil Rehabil Source Type: research

The relationship between physical activity and health status in patients with chronic obstructive pulmonary disease following pulmonary rehabilitation.
CONCLUSION: The associations between increased levels of PA and quality of life, respiratory function and dyspnoea are largely based on 6MWD and PA questionnaires. Objective measurement of free living activity in exercise maintenance phase is required along with participants' views. Implications for rehabilitation Pulmonary rehabilitation (PR) is a non-therapeutic intervention in which a team of multidisciplinary health care professionals use individually tailored supervised exercise training, self-management education, psychological and social support to optimize the physical and social performance and autonomy of patient...
Source: Disability and Rehabilitation - April 6, 2016 Category: Rehabilitation Authors: Meshe OF, Claydon LS, Bungay H, Andrew S Tags: Disabil Rehabil Source Type: research

A combined surveillance program and quality register improves management of childhood disability.
CONCLUSIONS: Through multidisciplinary follow-up and early detection of emerging complications individuals with CP or MMC can receive less complex and more effective interventions than if treatment is implemented at a later stage. Possibilities and challenges to design, implement and continuously run multidisciplinary secondary prevention follow-up programmes and quality registries for individuals with CP or MMC are described and discussed. Implications for rehabilitation Individuals with disabilities such as cerebral palsy or myelomeningocele are at risk of developing secondary conditions. Multidisciplinary population-bas...
Source: Disability and Rehabilitation - April 4, 2016 Category: Rehabilitation Authors: Alriksson-Schmidt AI, Arner M, Westbom L, Krumlinde-Sundholm L, Nordmark E, Rodby-Bousquet E, Hägglund G Tags: Disabil Rehabil Source Type: research

Factors associated with ADL/IADL disability in community dwelling older adults in the Irish longitudinal study on ageing (TILDA).
CONCLUSIONS: Awareness of sociodemographics and early interventions for pain and cognitive deficits could reduce ADL/IADL disability and promote successful ageing. Identification of variables that influence ADL/IADLs can be used to inform policy and practice. Implications for rehabilitation After age, pain and taking five or more medications were the strongest factors associated with difficulty in ADL/IADL combined and ADL alone. Practice therefore needs to be cognizant that it is not the disease label but the symptoms of a disease that affect ADL and IADL activities. Given the strong influence of pain on difficulties with...
Source: Disability and Rehabilitation - April 4, 2016 Category: Rehabilitation Authors: Connolly D, Garvey J, McKee G Tags: Disabil Rehabil Source Type: research

Systematic review of factors affecting driving and motor vehicle transportation among people with autism spectrum disorder.
CONCLUSION: Our findings highlight several gaps in the research and an urgent need for further transportation-related training and supports for people with ASD. Implications for rehabilitation Many people with ASD encounter challenges in obtaining a driver's licence, driving confidence and driving performance compared to those without ASD. Several strategies can be useful when teaching people with ASD to drive including direct communication, encouraging coping mechanisms, breaking down tasks and providing regular and consistent driving lessons. Clinicians and educators should advocate for further transportation-related tra...
Source: Disability and Rehabilitation - April 4, 2016 Category: Rehabilitation Authors: Lindsay S Tags: Disabil Rehabil Source Type: research

Self-efficacy, disability level and physical strength in the injured workers: findings from a major factory disaster in Bangladesh.
CONCLUSIONS: There is an immense need to develop and deliver effective post-injury recovery, rehabilitation and return-to-work programs for injured workers in resource poor countries. Implications for Rehabilitation The study findings suggest that one year after the factory disaster in Bangladesh, the injured workers are suffering from a high degree of disability, low physical performance and reporting low self-efficacy. The national and international stakeholders including Western buyers, aid agencies, NGOs, worker advocacy groups, consumer associations and the government of Bangladesh can be updated on the progress made ...
Source: Disability and Rehabilitation - April 4, 2016 Category: Rehabilitation Authors: Villanueva G, Fitch T, Quadir MM, Raju Sagiraju HK, Alamgir H Tags: Disabil Rehabil Source Type: research

Does cultural and linguistic diversity affect health-related outcomes for people with stroke at discharge from hospital?
CONCLUSION: The current limited research suggests that cultural and linguistic diversity does not appear to impact on health-related outcomes at discharge from hospital for people who have had a stroke, however further research is needed to address identified gaps. Implications for Rehabilitation The different language, culture and beliefs about health demonstrated by patients with stroke from minority groups in North America do not appear to significantly impact on their health-related outcomes during their admission to hospital. It is not known whether interpreter use influences outcomes in stroke rehabilitation because ...
Source: Disability and Rehabilitation - April 4, 2016 Category: Rehabilitation Authors: Davies SE, Dodd KJ, Hill KD Tags: Disabil Rehabil Source Type: research

What is the evidence for managing tone in young children with, or at risk of developing, cerebral palsy: a systematic review.
CONCLUSION: The management of tone in infants and young children is not well described, with a dearth of high-level evidence to support intervention in the 0-24 month age-range. This is in contrast to a recent review completed by Novak et al. (2013) who report high levels of evidence of interventions for children with cerebral palsy, over 2 years of age. Implications for Rehabilitation High level of evidence to support clinical decision making for the management of tone in young children 0-24 months is not available. The lack of available evidence in the management of tone of young children underpins service delivery and ...
Source: Disability and Rehabilitation - March 30, 2016 Category: Rehabilitation Authors: Ward R, Reynolds JE, Bear N, Elliott C, Valentine J Tags: Disabil Rehabil Source Type: research

Preparing for the future: a review of tools and strategies to support autonomous goal setting for children and youth with autism spectrum disorders.
CONCLUSIONS: Children and youth with ASD can participate in setting rehabilitation goals, but few tools to support their participation have been evaluated, and those tools that do exist do not align well with current services foci. Visual aids appear to be one effective support, but further research on effective strategies for meaningful engagement in autonomous goal setting for children and youth with ASD is warranted. Implications for rehabilitation Persons with ASD are less self-determined than their peers. Input into one's own rehabilitation goals and priorities is an important component of self-determination. Few tool...
Source: Disability and Rehabilitation - March 30, 2016 Category: Rehabilitation Authors: Hodgetts S, Park E Tags: Disabil Rehabil Source Type: research

Visually impaired individuals, safety perceptions and traumatic events: a qualitative study of hazards, reactions and coping.
CONCLUSIONS: Visual impairment causes a need for predictability and adequate information to increase and prepare for coping and self-efficacy. The results from this study call for greater emphasis on universal design in order to ensure safety and predictability. Fear of being labelled may inhibit people from using assistive devices and adequate coping strategies and seeking professional help in the aftermath of a trauma. Implications for Rehabilitation Visual impairment entails a greater susceptibility to a variety of hazards and potential threats in daily life. This calls for a greater emphasis on universal design in publ...
Source: Disability and Rehabilitation - March 30, 2016 Category: Rehabilitation Authors: Saur R, Hansen MB, Jansen A, Heir T Tags: Disabil Rehabil Source Type: research

Reliability and responsiveness of measures of pain in people with osteoarthritis of the knee: a psychometric evaluation.
CONCLUSIONS: These findings support the use of ICOAP subscales as reliable and responsive measure of pain in people with knee osteoarthritis. The MPQ-SF-2 subscales found to be acceptable alternatives. Implications for Rehabilitation The McGill Pain Questionnaire short version 2 is not a unidimensional scale in people with knee osteoarthritis, whereas three of the subscales are unidimensional. The McGill Pain Questionnaire short version 2 Affective subscale does not have good measurement properties for people with knee osteoarthritis. The McGill Pain Questionnaire short version 2 and the Intermittent and Constant Osteoarth...
Source: Disability and Rehabilitation - March 30, 2016 Category: Rehabilitation Authors: Turner KV, Moreton BM, Walsh DA, Lincoln NB Tags: Disabil Rehabil Source Type: research

H-GRASP: the feasibility of an upper limb home exercise program monitored by phone for individuals post stroke.
CONCLUSIONS: Community dwelling individuals with stroke may benefit from a phone-monitored upper limb home exercise program that includes behavioural strategies that promote transfer of exercise gains into daily upper limb use. Implications for Rehabilitation A repetitive, task-oriented home exercise program that utilizes telephone supervision may be an effective method for the treatment of the upper limb following stroke This program is best suited for individuals with mild to moderate level impairment and experience a sufficient level of challenge from the exercises An exercise program that includes behavioural strategie...
Source: Disability and Rehabilitation - March 26, 2016 Category: Rehabilitation Authors: Simpson LA, Eng JJ, Chan M Tags: Disabil Rehabil Source Type: research

Patients' perspectives on aerobic exercise early after stroke.
CONCLUSION: Patients with stroke are willing to participate in aerobic exercise within a week after admission to inpatient rehabilitation. However, they perceive a lack of ability to perform aerobic exercise, social support from family and information as barriers. Implications for rehabilitation Aerobic exercise is recognized as part of comprehensive stroke rehabilitation. There is a need to better understand patient perspectives to develop and implement more effective interventions early after stroke. Patients lack confidence in their ability to overcome barriers early after stroke. Patients are concerned with their abili...
Source: Disability and Rehabilitation - March 26, 2016 Category: Rehabilitation Authors: Prout EC, Mansfield A, McIlroy WE, Brooks D Tags: Disabil Rehabil Source Type: research

Evaluation of a group acceptance commitment therapy intervention for people with knee or hip osteoarthritis: a pilot randomized controlled trial.
CONCLUSIONS: ACT for osteoarthritis is likely to be an acceptable treatment option for people with osteoarthritis. Progress to a definitive trial is warranted. Rasch-transformed outcome scales are preferable in clinical trials where possible. Implications for Rehabilitation Acceptance commitment therapy (ACT) is an effective treatment for many pain conditions andcould be a useful intervention for people with osteoarthritis who have high levels of pain. Rasch analysis is a measurement technique that may enable greater precision in detectingmeaningful treatment effects in routine clinical outcomes. The ACT intervention was s...
Source: Disability and Rehabilitation - March 25, 2016 Category: Rehabilitation Authors: Clarke SP, Poulis N, Moreton BJ, Walsh DA, Lincoln NB Tags: Disabil Rehabil Source Type: research

Non-invasive brain stimulation for the lower limb after stroke: what do we know so far and what should we be doing next?
CONCLUSIONS: Future research should systematically assess differences in response with different stimulation parameters, test measures for determining who would be most likely to benefit and assess effectiveness with large samples before NIBS can be considered for use in clinical practice. Implications for Rehabilitation Stroke is a leading cause of disability, often resulting in dependency in activities of daily living and reduced quality of life. Non-invasive brain stimulation has received considerable interest as a potential adjuvant to rehabilitation after stroke and this review summarizes studies targeting the lower l...
Source: Disability and Rehabilitation - March 25, 2016 Category: Rehabilitation Authors: Fleming MK, Pavlou M, Newham DJ, Sztriha L, Teo JT Tags: Disabil Rehabil Source Type: research

Fatigue in the mothers of children with cerebral palsy.
CONCLUSIONS: Our findings indicate that fatigue levels of mothers with CP children are higher than those with healthy children and associated with depression and deterioration in QoL in terms of physical, social and emotional functioning. This should be considered while designing a family centred rehabilitation programme for children with CP. Implications for Rehabilitation Caring for a child with cerebral palsy has psychological, social and financial impacts on familiesand is associated with increased levels of fatigue among mothers. The capacity of current programs and services needs to be strengthened to accommodate the...
Source: Disability and Rehabilitation - March 25, 2016 Category: Rehabilitation Authors: Garip Y, Ozel S, Tuncer OB, Kilinc G, Seckin F, Arasil T Tags: Disabil Rehabil Source Type: research

"Over time it just becomes easier…": parents of people with Angelman syndrome and Prader-Willi syndrome speak about their carer role.
CONCLUSIONS: No specific coping strategy was associated with reduced stress. However, parents felt that accurate and timely information during the diagnostic period helped. Parents used family and community support although there were difficulties accessing respite care. It is advised that government agencies, service providers, family members and peer support associations should provide practical and emotional support to assist the parents of offspring with AS and PWS, and indeed any form of intellectual disability, across the lifespan. Implications for Rehabilitation Long-term caring for offspring with AS or PWS can invo...
Source: Disability and Rehabilitation - March 25, 2016 Category: Rehabilitation Authors: Thomson A, Glasson E, Roberts P, Bittles A Tags: Disabil Rehabil Source Type: research

Communicating about obesity and weight-related topics with children with a physical disability and their families: spina bifida as an example.
CONCLUSIONS: Stakeholders describe therapeutic relationships that are currently disconnected around the issue of weight and obesity. However, children, parents and HCPs all believed that discussing this topic was critical. Positively framed, strengths-based and tailored approaches to weight-related discussions are warranted. Implications for Rehabilitation Rates of overweight and obesity in children and youth with physical disabilities are substantially higher than their typically developing peers. Healthcare professionals, children with physical disabilities and families often find weight-related discussions challenging a...
Source: Disability and Rehabilitation - March 25, 2016 Category: Rehabilitation Authors: McPherson AC, Swift JA, Peters M, Lyons J, Joy Knibbe T, Church P, Chen L, Farrell RM, Willem Gorter J Tags: Disabil Rehabil Source Type: research

Biographical disruption, adjustment and reconstruction of everyday occupations and work participation after mild traumatic brain injury. A focus group study.
Conclusions Our findings show that the concept of time is important in understanding and supporting the reconstruction of daily life after TBI. The fundamental work of rehabilitation is to ameliorate the disruptions caused by the injury, restoring a sense of personal narrative and supporting the ability to move forward with life. Implications for Rehabilitation Individuals with a protracted recovery after a mild traumatic brain injury must reconstruct a new way of being and acting in the world to achieve biographical continuity. The perceived anxiety regarding changes in self and occupational identity, as well as loss of c...
Source: Disability and Rehabilitation - March 23, 2016 Category: Rehabilitation Authors: Sveen U, Søberg HL, Østensjø S Tags: Disabil Rehabil Source Type: research

A cross-sectional evaluation examining the use of the Achilles tendinopathy toolkit by physiotherapists in British Columbia, Canada.
CONCLUSIONS: Evaluation of KT strategies is critical. This study revealed high awareness and moderate use of the ATT. Future work should consider the impact of toolkits on patient outcomes. Implications for Rehabilitation A toolkit is a novel knowledge translation (KT) strategy designed to provide accessibleevidence-informed resources to facilitate best practice by clinicians. The evaluation of the Achilles tendinopathy toolkit (ATT) revealed favourable findingsregarding the impact of this KT strategy on the knowledge and attitudes of British Columbia(BC) PTs and the possibility of a positive impact on best practice in cli...
Source: Disability and Rehabilitation - March 23, 2016 Category: Rehabilitation Authors: Ezzat AM, Schneeberg A, Huisman ES, White LD, Kennedy C, Levesque LA, Scott A, Hoens AM Tags: Disabil Rehabil Source Type: research

Understanding physical activity in the group home setting: a qualitative inquiry.
CONCLUSIONS: Findings suggest that residents with intellectual disabilities have low physical activity and opportunities for participation. Key attributes of the group home setting were identified between barriers and facilitators to activity. Consideration for the development of physical activity programmes should focus on the unique needs of the group home setting as expressed by stakeholders. Implications for rehabilitation Physical activity can improve physical fitness, function, and community participation yet physical activity remains low among adults with intellectual disabilities. Understanding physical activity wi...
Source: Disability and Rehabilitation - March 23, 2016 Category: Rehabilitation Authors: Dixon-Ibarra A, Driver S, Vanderbom K, Humphries K Tags: Disabil Rehabil Source Type: research

Fall-related experiences of stroke survivors: a meta-ethnography.
CONCLUSIONS: Stroke survivors' fall-related experiences appear to exist within the context of activity and community participation. Further research is warranted due to the small number of substantive studies available for synthesis. Implications for Rehabilitation Health care professionals should recognize that cognitive and emotional adjustment may berequired for stroke survivors to accept strategies for overcoming falls-risk, including dependenceon carers and assistive devices. Several factors in addition to physical interventions may be needed to minimize falls-risk whileincreasing activity participation. These factors...
Source: Disability and Rehabilitation - March 23, 2016 Category: Rehabilitation Authors: Walsh M, Galvin R, Horgan NF Tags: Disabil Rehabil Source Type: research

Relationship between body mass index and functional recovery in stroke rehabilitation setting.
PMID: 27008207 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - March 23, 2016 Category: Rehabilitation Authors: Nishioka S, Maeda K, Wakabayashi H, Shamoto H Tags: Disabil Rehabil Source Type: research

Use of the Xbox Kinect virtual gaming system to improve gait, postural control and cognitive awareness in an individual with Progressive Supranuclear Palsy.
CONCLUSION: Implementation of a gaming intervention using the Xbox Kinect is feasible for reducing fall risk, maintaining function and improving cognitive awareness when used in an outpatient setting. Implications for Rehabilitation Progressive Supranuclear Palsy is a rare and rapidly progressive neurodegenerative disease wherethere is a lack of long-term rehabilitation options to help slow their rapid progressions. Our case demonstrates the feasibility of an intervention using a virtual gaming system to helpmaintain functional mobility, balance and independence for an individual with PSP. Collaborative interactions betwee...
Source: Disability and Rehabilitation - March 23, 2016 Category: Rehabilitation Authors: Seamon B, DeFranco M, Thigpen M Tags: Disabil Rehabil Source Type: research

The Activities-specific Balance Confidence scale: reliability and validity in Spanish patients with vestibular disorders.
CONCLUSIONS: The ABC-S is a valid and reliable instrument, suitable to assess balance confidence in Spanish patients with vestibular disorders. Implications for Rehabilitation The Spanish version of the ABC scale is a valid and reliable measure of balance confidence in patients with vestibular disorders. In persons with vestibular disorders, the Spanish version of the ABC scale has shown the ability to discriminate between patients with and without a history of falls in the last year. PMID: 27008458 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - March 23, 2016 Category: Rehabilitation Authors: Montilla-Ibáñez A, Martínez-Amat A, Lomas-Vega R, Cruz-Díaz D, Torre-Cruz MJ, Casuso-Pérez R, Hita-Contreras F Tags: Disabil Rehabil Source Type: research

Auditory rehabilitation after stroke: treatment of auditory processing disorders in stroke patients with personal frequency-modulated (FM) systems.
CONCLUSIONS: Personal FM systems may substantially improve speech-in-noise deficits in stroke patients who are not eligible for conventional hearing aids. FMs are feasible in stroke patients and show promise to address impaired AP after stroke. Implications for Rehabilitation This is the first study to investigate the benefits of personal frequency-modulated (FM) systems in stroke patients with disordered AP. All cases significantly improved speech perception in noise with the FM systems, when noise was spatially separated from the speech signal by 90° compared with unaided listening. Personal FM systems are feasible in s...
Source: Disability and Rehabilitation - March 23, 2016 Category: Rehabilitation Authors: Koohi N, Vickers D, Chandrashekar H, Tsang B, Werring D, Bamiou DE Tags: Disabil Rehabil Source Type: research

A simple test of choice stepping reaction time for assessing fall risk in people with multiple sclerosis.
Conclusions A simple low tech CSRT test has excellent discriminative and predictive validity in relation to falls in people with MS. This test may prove useful in documenting longitudinal changes in fall risk in relation to MS disease progression and effects of interventions. Implications for rehabilitation Good choice stepping reaction time (CSRT) is required for maintaining balance. A simple low-tech CSRT test has excellent discriminative and predictive validity in relation to falls in people with MS. This test may prove useful documenting longitudinal changes in fall risk in relation to MS disease progression and effect...
Source: Disability and Rehabilitation - March 17, 2016 Category: Rehabilitation Authors: Tijsma M, Vister E, Hoang P, Lord SR Tags: Disabil Rehabil Source Type: research

Psychometric properties of the HI-FI problem checklist in a sample of adults with neurological and neuropsychiatric disorders: factors contributing to life satisfaction after long-term disability.
Conclusions The study offers initial support for the use of PCL as a measure of long-term functional outcome in individuals with neurological and neuropsychiatric diagnoses. The goal of rehabilitation in patients with long-term disabilities is increase in life satisfaction. Implications for Rehabilitation An important goal of rehabilitation and training programs for individuals with long-term disabilities due to dysfunction of the central nervous system is to improve their quality of life. The HI-FI Problem Checklist (PCL) is a brief and efficient instrument for assessing functional outcomes after long-term disability. Thi...
Source: Disability and Rehabilitation - March 17, 2016 Category: Rehabilitation Authors: Mitrushina M, Tomaszewski R Tags: Disabil Rehabil Source Type: research

Effects of singing on voice, respiratory control and quality of life in persons with Parkinson's disease.
Conclusion These results suggest singing may be a beneficial and engaging treatment choice for improving and maintaining vocal function and respiratory pressure in persons with PD. Implications for Rehabilitation In a small sample, group singing proved beneficial for improving voice and respiratory impairment in persons with Parkinson's disease. Completing group singing one time per week for 8 weeks was as effective as completing group singing two times per week for 8 weeks in persons with Parkinson's disease. Group singing is an effective means of improving overall quality of life in persons with Parkinson's disease. ...
Source: Disability and Rehabilitation - March 17, 2016 Category: Rehabilitation Authors: Stegemöller EL, Radig H, Hibbing P, Wingate J, Sapienza C Tags: Disabil Rehabil Source Type: research

Perspectives of school-work transitions among youth with spina bifida, their parents and health care providers.
Conclusions Although some supports are available, youth with spina bifida encounter many challenges in transitioning to post-secondary education and employment. With clinicians at the helm, efforts should be put in place within the health and social services system to better prepare youth, as they transition to adulthood, to become connected to appropriate information and resources to help them to succeed in their school and employment goals. Implications for Rehabilitation Youth with spina bifida encounter many challenges in transitioning to post-secondary education or work. Clinicians, educators and parents should contin...
Source: Disability and Rehabilitation - March 17, 2016 Category: Rehabilitation Authors: Lindsay S, McPherson AC, Maxwell J Tags: Disabil Rehabil Source Type: research

The measurement of psychological constructs in people with osteoarthritis of the knee: a psychometric evaluation.
Conclusions These findings indicate that questionnaires need to be checked for their ability to measure psychological constructs in the clinical groups to which they will be applied. Implications for Rehabilitation For people with osteoarthritis, the STAI-SF is an acceptable measure of anxiety and the revised FSS an acceptable measure of fatigue with removal of items 1 and 2. The BDI subscales, but not the total score, are acceptable for measuring depressive symptomatology with some modifications to the scoring of the scale. And helplessness can be measured using the Helplessness subscale of the AHI. The PSEQ was an accept...
Source: Disability and Rehabilitation - March 17, 2016 Category: Rehabilitation Authors: Lincoln N, Moreton B, Turner K, Walsh D Tags: Disabil Rehabil Source Type: research

Research-based evidence in stroke rehabilitation: an investigation of its implementation by physiotherapists and occupational therapists.
Conclusions Although the therapists recognize evidence-based practice as a framework for achieving quality in rehabilitation, findings suggest that they do not employ research-based evidence to the fullest extent. Implications for Rehabilitation In order to individualize the rehabilitation offered, more attention and focus on involving and giving words to patients' expectations, perceptions, experiences, and perspectives is needed. With the intention of enabling meaningful participation the health professionals need to pay more attention to the importance of environmental factors. Both guidelines and clinical practice shou...
Source: Disability and Rehabilitation - March 17, 2016 Category: Rehabilitation Authors: Kristensen HK, Ytterberg C, Jones DL, Lund H Tags: Disabil Rehabil Source Type: research

Evaluation of shoulder function in clavicular fracture patients after six surgical procedures based on a network meta-analysis.
Conclusion The current network meta-analysis suggests that RP may be the optimum surgical treatment among six inventions for patients with CF, and it can improve the shoulder score of patients with CF. Implications for Rehabilitation RP improves shoulder joint function after surgical procedure. RP achieves stability with minimal complications after surgery. RP may be the optimum surgical treatment for rehabilitation of patients with CF. PMID: 26984590 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - March 17, 2016 Category: Rehabilitation Authors: Huang SG, Chen B, Lv D, Zhang Y, Nie FF, Li W, Lv Y, Zhao HL, Liu HM Tags: Disabil Rehabil Source Type: research

Refinements of the ICF Linking Rules to strengthen their potential for establishing comparability of health information.
CONCLUSION: The ICF Linking Rules are valuable for enhancing comparability of health information to ensure that information is available in a consistent manner to serve as a foundation for evidence-based decision-making across all levels of health systems. The refinements presented in this paper enhance transparency in, and ultimately reliability of the process of, linking health information to the ICF. Implications for Rehabilitation The International Classification of Functioning, Disability and Health (ICF) constitutes a unified and consistent language of human functioning suitable as a reference for comparing health in...
Source: Disability and Rehabilitation - March 17, 2016 Category: Rehabilitation Authors: Cieza A, Fayed N, Bickenbach J, Prodinger B Tags: Disabil Rehabil Source Type: research

Stressful events and coping related to acute and sub-acute whiplash-associated disorders.
Conclusion The reported stressors were largely uniform across both acute and sub-acute phases; however, the use of cognitive coping strategies increased over time. The WAD-DCA captures individual stressors and coping strategies employed during a vulnerable phase of rehabilitation and can thus provide information that is useful to clinical practice. Implications for rehabilitation The WAD-DCA provides valuable information for clinical practice when employed during early phases of whiplash-associated disorder development. Reported stressors during the acute and sub-acute phases are essentially the same, whereas cognitive cop...
Source: Disability and Rehabilitation - March 17, 2016 Category: Rehabilitation Authors: Pettersson S, Bring A, Åsenlöf P Tags: Disabil Rehabil Source Type: research

Physical and social factors determining quality of life for veterans with lower-limb amputation(s): a systematic review.
Conclusions The identified physical and social determinants were similar to those found in civilian traumatic amputees. More high quality research designs, interventions and complex statistical analyses are warranted to identify the physical and social factors that influence the HRQoL of veteran amputees. Implications for Rehabilitation Rehabilitation staff should promote physical activity and participation in sport among veterans with lower-limb amputation(s). Level of amputation, back pain severity, years of education, duration of phantom pain and severity of phantom pain have been found to be determining factors for HRQ...
Source: Disability and Rehabilitation - March 17, 2016 Category: Rehabilitation Authors: Christensen J, Ipsen T, Doherty P, Langberg H Tags: Disabil Rehabil Source Type: research

Clinical significance of an easy-to-use dual task for assessing inattention.
Conclusion This easy-to-use Oiso-DT might be valuable and sensitive for detecting inattention including mild deficit. Implications for Rehabilitation The Oiso-DT, a paper-and-pencil clinical test for assessing inattention demonstrates higher sensitivity for traumatic-brain-injury patients than standard neuropsychological tests. The task performance is evaluated by a simple and unique method without specific equipment or even a personal computer. The Oiso-DT might be valuable for detecting inattention including mild deficit. The Oiso-DT is easily applicable to patients with severe inattention who failed to complete complex ...
Source: Disability and Rehabilitation - March 17, 2016 Category: Rehabilitation Authors: Toyokura M, Nishimura Y, Akutsu I, Watanabe F Tags: Disabil Rehabil Source Type: research

A qualitative study analyzing access to physical rehabilitation for traffic accident victims with severe disability in Brazil.
Conclusion The numerous access barriers were presented in a theoretical model with causes related to organizational structure, processes of care, professionals and patients. This model must be tested by health policy-makers and managers to improve the quality of physical rehabilitation and avoid unnecessary prolongation of the suffering and disability experienced by TA survivors. Implications for rehabilitation Traffic accidents (TAs) are a global health dilemma that demands integrality of preventive actions, pre-hospital and hospital care and physical rehabilitation (PR). This study lays the foundation for improving acces...
Source: Disability and Rehabilitation - March 17, 2016 Category: Rehabilitation Authors: Sousa KM, Oliveira WI, Melo LO, Alves EA, Piuvezam G, Gama ZA Tags: Disabil Rehabil Source Type: research