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Promoting physical activity in rheumatoid arthritis: a narrative review of behaviour change theories.
Conclusions: To date, behaviour change interventions conducted in RA populations to increase physical activity levels have not had a strong theoretical underpinning. It is proposed that an intervention utilising the theory of planned behaviour is developed with the aim of increasing physical activity in people with RA. Implications for Rehabilitation Interventions to promote physical activity in the rheumatoid arthritis (RA) population have failed to change participants' behaviour. A small number of studies have used behaviour change theories in the development and delivery of interventions. The theory of planned behaviour...
Source: Disability and Rehabilitation - February 27, 2015 Category: Rehabilitation Authors: Larkin L, Kennedy N, Gallagher S Tags: Disabil Rehabil Source Type: research

Long-standing poliomyelitis and psychological health.
Conclusions: Long-standing poliomyelitis is associated with decreased psychological health as compared to the general population. Yet, the resilience of polio survivors is manifested by their ability to block further decline of their psychological health in spite of deterioration in their physical health. Work appears as a significant source of resilience in the polio population. Implications for Rehabilitation Individuals with long-standing poliomyelitis often suffer from high emotional distress and may benefit from psychotherapy aimed at reducing distress. As active employment status is associated with increased mental h...
Source: Disability and Rehabilitation - February 27, 2015 Category: Rehabilitation Authors: Shiri S, Gartsman I, Meiner Z, Schwartz I Tags: Disabil Rehabil Source Type: research

Prevention of falls for adults with intellectual disability (PROFAID): a feasibility study.
Conclusions: The findings provide some evidence for the benefit, acceptability, utility and feasibility of the intervention justifying further evaluation. Implications for Rehabilitation Falling is a frequent and serious problem for many adults with intellectual disability. Two to three exercises targeted at increasing lower limb strength and challenging balance, performed each day as part of daily routine may help improve balance in adults with intellectual disability. The importance of exercising needs to be stressed to those who support adults with intellectual disability to encourage ongoing adherence. PMID: 257145...
Source: Disability and Rehabilitation - February 25, 2015 Category: Rehabilitation Authors: Hale LA, Mirfin-Veitch BF, Treharne GJ Tags: Disabil Rehabil Source Type: research

An in-depth analysis of ethics teaching in Canadian physiotherapy and occupational therapy programs.
Conclusion: Significant cross-program variation in the number of hours dedicated to ethics and the diversity of pedagogical methods used suggests that there is little consensus about how best to teach ethics. Further research on ethics pedagogy in PT and OT programs (i.e. teaching and evaluation approaches and effectiveness of current ethics teaching) would support the implementation of more evidence-based ethics education. Implications for Rehabilitation Ethics educators in Canadian PT and OT programs are experimenting with diverse educational approaches to teach ethical reasoning and decision-making to students, includin...
Source: Disability and Rehabilitation - February 23, 2015 Category: Rehabilitation Authors: Laliberté M, Hudon A, Mazer B, Hunt MR, Ehrmann Feldman D, Williams-Jones B Tags: Disabil Rehabil Source Type: research

Fundamental movement skills proficiency in children with developmental coordination disorder: does physical self-concept matter?
Conclusions: Future FMS interventions should target children with DCD and girls, and should emphasize improving object control skills proficiency and physical coordination. Implications for Rehabilitation Children with DCD tend to have not only lower FMS proficiency than age-matched typically developing children but also lower physical self-concept. Self-perceptions of physical coordination by children with DCD are likely to be valuable contributors to development of object control skills. This may then help to develop their confidence in performing motor skills. Children with DCD need supportive programs that facilitate t...
Source: Disability and Rehabilitation - February 20, 2015 Category: Rehabilitation Authors: Yu J, Sit CH, Capio CM, Burnett A, Ha AS, Huang WY Tags: Disabil Rehabil Source Type: research

Assessment of spasticity after stroke using clinical measures: a systematic review.
Conclusion: This systematic review found limited evidence to support the use of most of clinical measures of spasticity for people post-stroke. Future research examining the application and psychometric properties of these measures is warranted. Implications for Rehabilitation There is a need for objective clinical tools for measuring spasticity that are clinically feasible and easily interpreted by clinicians. This review identified various clinical measures of spasticity that have been investigated in people after stroke. Insufficient evidence of psychometric properties precludes recommending one tool over the others. Fu...
Source: Disability and Rehabilitation - February 18, 2015 Category: Rehabilitation Authors: Aloraini SM, Gäverth J, Yeung E, MacKay-Lyons M Tags: Disabil Rehabil Source Type: research

Self-awareness assessment during cognitive rehabilitation in children with acquired brain injury: a feasibility study and proposed model of child anosognosia.
Conclusions: Based on these results, we propose a model of child self-awareness and anosognosia and a framework for awareness assessment for rehabilitation purposes. The model emphasizes (1) the role of on-line error detection in the construction of autobiographical memories that allow a child to build a self-knowledge of his/her strengths and difficulties; (2) the multiple components of awareness that need to be assessed separately; (3) the implications for rehabilitation: errorless versus error-based learning, rehabilitation approaches based on metacognition, rationale for rehabilitation intervention based on child's age...
Source: Disability and Rehabilitation - February 12, 2015 Category: Rehabilitation Authors: Krasny-Pacini A, Limond J, Evans J, Hiebel J, Bendjelida K, Chevignard M Tags: Disabil Rehabil Source Type: research

Physiotherapy for vegetative and minimally conscious state patients: family perceptions and experiences.
Conclusion: Physiotherapists can make an important contribution to supporting this patient group and their families but it is vital to recognise that family understandings of physiotherapy may differ significantly from those of physiotherapists. Both the delivery and the withdrawal of physiotherapy is highly symbolic and can convey (inadvertent) messages to people about their relative's current and future state. A genuine two-way dialogue between practitioners and families about the aims of physiotherapeutic interventions, potential outcomes and patients' best interests is critical to providing a good service and establish...
Source: Disability and Rehabilitation - February 11, 2015 Category: Rehabilitation Authors: Latchem J, Kitzinger J, Kitzinger C Tags: Disabil Rehabil Source Type: research

Acute phase factors associated with the course of depression during the first 18 months after first-ever stroke.
Conclusions: Several demographic and acute phase factors were associated with a more severe PSD course following stroke. Psychosocial support that begins in the acute phase and continues throughout the rehabilitation process may be helpful in improving both physical and psychological outcomes following stroke. Implications for Rehabilitation Depression levels are stable during the first 18 months after first-ever stroke. The course of post-stroke depression is related to the level of physical functioning in the acute phase, whether the stroke survivors live alone and their employment status at the time of stroke. Psycholog...
Source: Disability and Rehabilitation - February 6, 2015 Category: Rehabilitation Authors: Eriksen S, Gay CL, Lerdal A Tags: Disabil Rehabil Source Type: research

Responsiveness of two Persian-versions of shoulder outcome measures following physiotherapy intervention in patients with shoulder disorders.
Conclusions: The Persian SPADI and DASH have adequate responsiveness to clinical changes in patients with shoulder disorders. Moreover, the MCIDs obtained in this study will help the clinicians and researchers to determine if a Persian-speaking patient with shoulder disorder has experienced a true change following a physiotherapy intervention. Implications for Rehabilitation Responsiveness was evaluated using two methods; the receiver operating characteristics (ROC) method and the correlation analysis. The Persian SPADI and DASH can be used as two responsive instruments in both clinical practice and research settings. The ...
Source: Disability and Rehabilitation - February 2, 2015 Category: Rehabilitation Authors: Negahban H, Behtash Z, Sohani SM, Salehi R Tags: Disabil Rehabil Source Type: research

Falls and fallers in traumatic brain injury (TBI) rehabilitation settings: an integrative review.
Conclusions: Being a multifactorial phenomenon, falls are a complex clinical issue. Despite the heterogeneity of diagnosis related groups (DRGs) in the included studies, TBI patients were identified as a high falls risk patient population in several studies. Implications for Rehabilitation Due to multisystem impairments, falls in the traumatic brain injury (TBI) rehabilitation context are a multifactorial and significant clinical issue. When interpreting and generalising results from research into falls, clinicians need to be mindful that falls and faller characteristics may be dependent on study setting and patient popula...
Source: Disability and Rehabilitation - January 23, 2015 Category: Rehabilitation Authors: McKechnie D, Pryor J, Fisher MJ Tags: Disabil Rehabil Source Type: research

Living with chronic neuropathic pain after spinal cord injury: an interpretative phenomenological analysis of community experience.
Conclusions: The results are discussed in terms of the possible application of acceptance-based therapy to NP and the potential for the alleviation of the debilitating consequences of NP. Implications for Rehabilitation Chronic NP after SCI is often described as worse than the injury itself, often impacting upon the sufferers physical and psychological health. The experiences of persons with SCI-specific NP highlight the impact of pain on their physical, psychological and social health. This indicates that healthcare professionals should incorporate a biopsychosocial approach for managing pain post-SCI. Routine clinical fo...
Source: Disability and Rehabilitation - January 20, 2015 Category: Rehabilitation Authors: Hearn JH, Cotter I, Fine P, A Finlay K Tags: Disabil Rehabil Source Type: research

Anxiety among individuals with visual vertigo and vestibulopathy.
Conclusions: Anxiety related to VV requires special attention when assessing and managing vestibulopathy, regardless of patient age. Implications for Rehabilitation Anxiety is a characteristic of subjects with visual vertigo (VV) and vestibulopathy. Anxiety in subjects with VV is not related to age. VV should be considered when subjects with anxiety complain of imbalance. Anxiety and vestibulopathy are often interrelated and should be considered in diagnostic evaluations. PMID: 25597835 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - January 19, 2015 Category: Rehabilitation Authors: Zur O, Schoen G, Dickstein R, Feldman J, Berner Y, Dannenbaum E, Fung J Tags: Disabil Rehabil Source Type: research

Reference system of competence and engagement in adapted physical activities of people with recent spinal cord injury.
Conclusions: These findings suggest that mastery-avoidance goals are associated with a maladaptive motivational pattern when intrapersonal comparison conveys a threat for the self. Practical implications for rehabilitation programs for persons with RSCI are offered. Implications for Rehabilitation Adapted Physical Activities (APA) programs are supervised physical activity programs in which the choice of the activity as well as the frequency, the duration, and the intensity of practice are adapted to the inpatients' capabilities. Attempts to master physical activities can be seen as threatening experiences to be avoided by ...
Source: Disability and Rehabilitation - January 19, 2015 Category: Rehabilitation Authors: Gernigon C, Pereira Dias C, Riou F, Briki W, Ninot G Tags: Disabil Rehabil Source Type: research

The Northwick Park Therapy Dependency Assessment scale: a psychometric analysis from a large multicentre neurorehabilitation dataset.
Conclusions: The scale demonstrated acceptable internal reliability and good construct and concurrent validity. NPTDA may be used to describe and quantify changes in therapy inputs in the course of a rehabilitation programme. Implications for Rehabilitation The Northwick Park Therapy Dependency Assessment (NPTDA) is designed as a measure therapy intervention, which reflects both quantitative and qualitative aspects of the inputs provided (including staff time and the different types of intervention) during inpatient rehabilitation. The scale demonstrated acceptable internal reliability and good construct and concurrent val...
Source: Disability and Rehabilitation - January 19, 2015 Category: Rehabilitation Authors: Alexandrescu R, Siegert RJ, Turner-Stokes L Tags: Disabil Rehabil Source Type: research

Exploring patient and public involvement in stroke research: a qualitative study.
Conclusions: PPI in stroke research benefits stroke survivors and carers and is perceived to benefit the research process. The barriers and facilitators should be considered by professionals intending to engage stroke survivors and carers collaboratively in research. Implications for Rehabilitation This study has implications for PPI in stroke rehabilitation research, which could also be extrapolated to stroke rehabilitation service development and evaluation. Professionals facilitating PPI need to invest in developing supportive relationships in order to maintain ongoing involvement. Professionals need to be aware of how ...
Source: Disability and Rehabilitation - January 19, 2015 Category: Rehabilitation Authors: Harrison M, Palmer R Tags: Disabil Rehabil Source Type: research

Conclusion of "Nordic walking for geriatric rehabilitation: a randomized pilot trial" is based on faulty statistical analysis and is inaccurate.
PMID: 25598213 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - January 19, 2015 Category: Rehabilitation Authors: Allison DB, Williams MS, Hand GA, Jakicic JM, Fontaine KR Tags: Disabil Rehabil Source Type: research

Author's comments in response to letters by Tom Kindlon, Anna Sheridan and Robert Courtney.
PMID: 25598320 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - January 19, 2015 Category: Rehabilitation Authors: Gladwell PW Tags: Disabil Rehabil Source Type: research

Interprofessional collaboration in mental health crisis response systems: a scoping review.
Conclusion: Key concepts need better conceptualization, and further empirical research is needed. Implications for Rehabilitation Conceptualizing mental health crisis (MHC) response as occurring within a system of services, rather than independent sectors, is critical to meeting the needs of clients. Purposefully built in mechanisms to sustain collaboration across care teams and services are required. Merging the distinct, and at times conflicting, visions of care espoused by the diverse sectors involved in MHC response requires deliberate effort. PMID: 25586793 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - January 14, 2015 Category: Rehabilitation Authors: Winters S, Magalhaes L, Kinsella EA Tags: Disabil Rehabil Source Type: research

Effectiveness of commercial video gaming on fine motor control in chronic stroke within community-level rehabilitation.
Conclusion: Commercial gaming may be a viable resource for those with chronic stroke. Future research should examine the feasibility of this as a rehabilitation tool for this population. Implications for Rehabilitation Stroke survivors often live with lasting effects from their injury, however, those with chronic stroke generally receive little to no rehabilitation due to a perceived motor recovery plateau. Virtual reality in the form of commercial gaming is a novel and motivating way for clients to complete rehabilitation. The Nintendo Wii may be a feasible device to improve both functional ability and perceived quality o...
Source: Disability and Rehabilitation - January 14, 2015 Category: Rehabilitation Authors: Paquin K, Ali S, Carr K, Crawley J, McGowan C, Horton S Tags: Disabil Rehabil Source Type: research

Reliability and validity of the Falls Efficacy Scale-International after hip fracture in patients aged ≥65 years.
Conclusions: Reliability and structural validity of the FES-I in patients after a hip fracture are good. The construct validity appears more closely related to functional performance constructs than to psychological constructs, suggesting that the concept measured by the FES-I may not capture all aspects of fear of falling. Implications for Rehabilitation The Falls Efficacy Scale-International (FES-I), which is commonly used to measure fear of falling in community-dwelling older persons, can also be used to assess fear of falling in patients after a hip fracture. The reliability and the structural validity of the FES-I for...
Source: Disability and Rehabilitation - January 14, 2015 Category: Rehabilitation Authors: Visschedijk JH, Terwee CB, Caljouw MA, Spruit-van Eijk M, van Balen R, Achterberg WP Tags: Disabil Rehabil Source Type: research

Activities and participation of children with cerebral palsy: parent perspectives.
Conclusions: Despite the barriers experienced, children participated in a range of activities. Parents placed importance on communication and its influence on children's independence, behaviour and relationships. Barriers and facilitators identified highlight aspects of the environment that could be modified through intervention to enhance communication and participation. Implications for Rehabilitation Children's activities and participation were largely related to early learning tasks (e.g. literacy), communication, mobility and interactions. Intervention aimed at improving activities and participation may address the va...
Source: Disability and Rehabilitation - January 14, 2015 Category: Rehabilitation Authors: Mei C, Reilly S, Reddihough D, Mensah F, Green J, Pennington L, Morgan AT Tags: Disabil Rehabil Source Type: research

Involving family members in physiotherapy for older people transitioning from hospital to the community: a qualitative analysis.
Conclusions: Older people transitioning from hospital to the community are at risk of functional decline and may receive very little physiotherapy. Training family members to assist with physiotherapy was perceived as a way to improve patient outcomes and relationships between patients and their family, although there were concerns raised about caregiver stress. Evaluation of the feasibility and effectiveness of this approach is warranted. Implications for Rehabilitation Older people transitioning from hospital to the community are at risk of functional decline and often receive very little physiotherapy. Training family m...
Source: Disability and Rehabilitation - January 14, 2015 Category: Rehabilitation Authors: Lawler K, Taylor NF, Shields N Tags: Disabil Rehabil Source Type: research

Understanding factors that influence participation in physical activity among people with a neuromusculoskeletal condition: a review of qualitative studies.
Conclusions: Individuals with NMS conditions report complex common barriers, facilitators, demotivators and motivators to participation in PA. The way these factors influence participation in PA is unique to the individual; therefore, it is necessary to adopt an individually tailored approach when designing interventions. Implications for Rehabilitation Individuals with neuromusculoskeletal conditions report common factors that influence participation in physical activity. It is the characteristics, attitude and beliefs of an individual that determine the way in which these factors influence participation in physical activ...
Source: Disability and Rehabilitation - January 14, 2015 Category: Rehabilitation Authors: Newitt R, Barnett F, Crowe M Tags: Disabil Rehabil Source Type: research

Young adults' experiences of living with recessive limb-girdle muscular dystrophy from a salutogenic orientation: an interview study.
Conclusion: In order to manage daily life, it is important to be seen and understood as an individual in contacts with professionals and in society in general, to have informal social support and meaningful activities as well as access to personal assistance if necessary. Implications for Rehabilitation Recessive limb-girdle muscular dystrophy (LGMD2) is a group of progressive disorders, which manifest in physical and psychological consequences for the individual. According to the salutogenic orientation, people need to find life comprehensible, manageable and meaningful, i.e. to achieve a sense of coherence (SOC), but liv...
Source: Disability and Rehabilitation - January 13, 2015 Category: Rehabilitation Authors: Aho AC, Hultsjö S, Hjelm K Tags: Disabil Rehabil Source Type: research

Adults with congenital limb deficiency in Norway: demographic and clinical features, pain and the use of health care and welfare services. A cross-sectional study.
Conclusions: Persons with CLD reported increased prevalence of chronic pain, mostly bilateral, and increased prevalence of early retirement. A greater focus on the benefits of the use of assistive devices, the consequences of overuse and vocational guidance may moderate pain and prevent early retirement. Further studies of more representative samples should be conducted to confirm our findings. Implications for Rehabilitation Most adults with congenital limb deficiency (CLD) live ordinary lives and experience normal life events. However, several report chronic pain and retire before normal retirement age. In spite of free ...
Source: Disability and Rehabilitation - January 13, 2015 Category: Rehabilitation Authors: Johansen H, Østlie K, Andersen LØ, Rand-Hendriksen S Tags: Disabil Rehabil Source Type: research

Stability of return to work after a coordinated and tailored intervention for sickness absence compensation beneficiaries with mental health problems: results of a two-year follow-up study.
Conclusion: The intervention showed no benefits in terms of improved stability of RTW, reduced sickness absence or improved labour market status after 2 years when compared to conventional case management. Implications for Rehabilitation Evidence for effective return-to-work (RTW) interventions for people with mental health problems is limited, as most research to date has been done in the context of musculoskeletal disorders. A complex, multidisciplinary intervention, detached from the workplace, does not appear to improve the stability of RTW and may actually lead to more sickness absence days and less self-support when ...
Source: Disability and Rehabilitation - January 12, 2015 Category: Rehabilitation Authors: Martin MH, Nielsen MB, Pedersen J, Rugulies R Tags: Disabil Rehabil Source Type: research

A systematic review of the effectiveness of stroke self-management programs for improving function and participation outcomes: self-management programs for stroke survivors.
Abstract Abstract Purpose: A systematic review of stroke self-management programs was conducted to: (i) identify how many and what self-management support strategies were included in stroke self-management interventions and (ii) describe whether self-management programs effectively improved outcomes, focusing specifically on function and participation outcomes. Methods: Twelve databases were searched for the years 1986-2012 to identify self-management programs for stroke survivors. Pre-post, quasi-experimental and randomized controlled trial study designs were included. Descriptive information about the interventio...
Source: Disability and Rehabilitation - January 12, 2015 Category: Rehabilitation Authors: Warner G, Packer T, Villeneuve M, Audulv A, Versnel J Tags: Disabil Rehabil Source Type: research

The Swedish Exercise Self-Efficacy Scale (ESES-S): reliability and validity in a rheumatoid arthritis population.
Conclusions: The results indicate that the ESES-S has moderate test-retest reliability and respectable internal consistency in people with RA. Construct validity was partially supported in the present sample. Further research on construct validity of the ESES-S is recommended. Implications for Rehabilitation Physical exercise is crucial for management of symptoms and co-morbidity in rheumatoid arthritis. Self-efficacy for exercise is important to address in rehabilitation as it regulates exercise motivation and behavior. Measurement properties of self-efficacy scales need to be assessed in specific populations and differen...
Source: Disability and Rehabilitation - January 9, 2015 Category: Rehabilitation Authors: Nessen T, Demmelmaier I, Nordgren B, Opava CH Tags: Disabil Rehabil Source Type: research

Higher social distress and lower psycho-social wellbeing: examining the coping capacity and health of people with hearing impairment.
Conclusions: The findings support the explanatory model that stress is higher and wellbeing lower when the fit between the person's coping capacity and environmental demands is poor. Implications for Rehabilitation This paper demonstrates that anxiety is associated with coping with the psycho-social aspects of hearing disability. This finding has important implications for the many hearing services, which only provide assessment and devices. To negate anxiety and its long-term impacts, rehabilitation providers need to ensure people with hearing disability have the capacity to manage the psycho-social aspects of communicati...
Source: Disability and Rehabilitation - January 6, 2015 Category: Rehabilitation Authors: Hogan A, Phillips RL, Brumby SA, Williams W, Mercer-Grant C Tags: Disabil Rehabil Source Type: research

Evaluating health services with point of service feedback: perspectives and experiences of patients, staff and community volunteers in an inpatient rehabilitation facility.
Conclusions: Patients, staff and community volunteers identified issues that determine the appropriateness and usefulness of POSF. Policy and practise should address the preferences, needs and experiences of health service users and providers so that POSF produces maximum benefits for both patients and health services. Implications for Rehabilitation POSF can enhance patients' experiences of inpatient rehabilitation by providing a mechanism to be heard and communicating that patients are valued; care must be exercised with patients who find giving feedback stressful. Collecting POSF is most beneficial when coupled with met...
Source: Disability and Rehabilitation - January 6, 2015 Category: Rehabilitation Authors: Gill SD, Dolley PJ, Dunning TL, Hughes AJ Tags: Disabil Rehabil Source Type: research

Investigation of the effect of conservative interventions in thumb carpometacarpal osteoarthritis: systematic review and meta-analysis.
Conclusions: Some of the commonly performed conservative interventions performed in therapy have evidence to support their use to improve hand function and decrease hand pain. Additional research is required to determine the efficacy of other therapeutic interventions that are performed with patients with thumb CMC OA. Implications for Rehabilitation Manual therapy and exercise are an effective means of improving pain and function at short-term follow-up by patients with thumb CMC OA. Magneto therapy, manual therapy, manual therapy and exercise and Orthoses (splints) were found to have clinically significant results. Very ...
Source: Disability and Rehabilitation - January 5, 2015 Category: Rehabilitation Authors: Bertozzi L, Valdes K, Vanti C, Negrini S, Pillastrini P, Villafañe JH Tags: Disabil Rehabil Source Type: research

An examination of clinicians' experiences of collaborative culturally competent service delivery to immigrant families raising a child with a physical disability.
Conclusions: Our findings suggest that there is a need for more institutional support for collaborative, culturally competent care to immigrant families raising a child with a physical disability. There is a lack of formal processes in place to develop collaborative treatment plans and approaches that would benefit immigrant families. Implications for Rehabilitation Clinicians need greater institutional support and resources to spend more time with families and to provide more rehabilitative care in families' homes. Building rapport with families includes listening to and respecting families' views and experiences. Facilit...
Source: Disability and Rehabilitation - December 23, 2014 Category: Rehabilitation Authors: Fellin M, Desmarais C, Lindsay S Tags: Disabil Rehabil Source Type: research

Review: typically-developing students' views and experiences of inclusive education.
Conclusions: A vital determinant of the success of inclusive education is the extent to which it is embraced by typically-developing students. Of concern, this review highlights that students tend not to understand inclusive education, and that this can breed hostility towards it. More qualitative research of high methodological quality is needed in this area. Implications for Rehabilitation Typically-developing students are key to the successful implementation of inclusive education. This review shows that most tend not to understand it, and can react by engaging in avoidance and/or targeted bullying of peers who receive ...
Source: Disability and Rehabilitation - December 19, 2014 Category: Rehabilitation Authors: Bates H, McCafferty A, Quayle E, McKenzie K Tags: Disabil Rehabil Source Type: research

Closing the gap: training for healthcare workers and people with disabilities on the interrelationship of HIV and disability.
Conclusions: Formative evaluation indicates that the workshops can be effective not only in sensitising healthcare workers and people with disabilities to opportunities to improve services for people with disabilities but also to provide knowledge and skills to initiate improvements. Skills that need more practical training (e.g. screening for disability) need to be trained in more detail, and this will inform the adaptation of the workshops. However, the workshop evaluation also revealed that without policy implementation and budget allocations this change would only be limited. Implications for Rehabilitation HIV, its co...
Source: Disability and Rehabilitation - December 19, 2014 Category: Rehabilitation Authors: Hanass-Hancock J, Alli F Tags: Disabil Rehabil Source Type: research

"When I was no longer able to see and walk, that is when I was affected most": experiences of disability in people living with HIV in South Africa.
Conclusions: More understanding of the intersections among HIV, disability, gender and livelihood is needed. To respond to the increased need to manage disability within HIV care in Africa, HIV programs should include rehabilitative approaches, address concerns related to livelihoods in households with disability and consider gender differences in the experience of disability. Implications for Rehabilitation HIV, its opportunistic infections and the treatments associated to them are related to health conditions and impairments that have the potential to develop into disability. Rehabilitation professionals in HIV endemic c...
Source: Disability and Rehabilitation - December 19, 2014 Category: Rehabilitation Authors: Hanass-Hancock J, Myezwa H, Nixon SA, Gibbs A Tags: Disabil Rehabil Source Type: research

Social aspects of multiple sclerosis for Iranian individuals.
Conclusion: There are multiple social effects of MS on the afflicted individuals, which affect various dimensions of their life. Policy makers and health care providers must also consider these effects of MS on other dimensions of the individuals' life. Implications for Rehabilitation Multiple sclerosis (MS) is a disease which restricts social life for patients, in addition to physical impacts. Individuals with MS experienced stigma as well as problems with employment and marital life, due to improper information about MS in society. We recommend that health care workers offer proper information about MS to patients and th...
Source: Disability and Rehabilitation - December 18, 2014 Category: Rehabilitation Authors: Abolhassani S, Yazdannik A, Taleghani F, Zamani A Tags: Disabil Rehabil Source Type: research

Demographic, socioeconomic and clinical correlates of self-management in multiple sclerosis.
Conclusion: We identified a group of MS patients who are at an increased risk of poor self-management and therefore require more attention from medical staff. This group includes patients with low level of received support, low socioeconomic resources and to a lesser degree men, and also persons receiving low monthly income. Implications for Rehabilitation Self-management of chronic illness is a key component of active participation in rehabilitation process. Low self-management in multiple sclerosis (MS) is considered to be one of the most important factors contributing to low rehabilitation efficacy, more severe long-ter...
Source: Disability and Rehabilitation - December 16, 2014 Category: Rehabilitation Authors: Wilski M, Tasiemski T, Kocur P Tags: Disabil Rehabil Source Type: research

Sleep characteristics, exercise capacity and physical activity in patients with chronic fatigue syndrome.
Conclusions: In the present study, CFS patients with higher VO2peak tend to sleep less over day. Occupation in physical activities was negatively associated with sleep latency and lying awake at night. Increased physical activity potentially has beneficial effects on sleep quality in CFS. However, a close monitoring of the effects of increasing physical activity is essential to avoid negative effects on the health status of patients. Implications for Rehabilitation Female patients with chronic fatigue syndrome (CFS) have normal sleep latency and sleep efficiency, but sleep more and spent more time in bed as compared to hea...
Source: Disability and Rehabilitation - December 16, 2014 Category: Rehabilitation Authors: Aerenhouts D, Ickmans K, Clarys P, Zinzen E, Meersdom G, Lambrecht L, Nijs J Tags: Disabil Rehabil Source Type: research

Rett syndrome: establishing a novel outcome measure for walking activity in an era of clinical trials for rare disorders.
Conclusions: The capacity of the SAM to measure physical activity in Rett syndrome allows focus on participation-based activities in clinical practice and clinical trials. Implications for Rehabilitation Many girls and women with Rett syndrome are able to walk on their own or with assistance but with altered movement patterns. Validated measures of physical activity, such as step counts, have potential to monitor function during daily life. Compared with other forms of accelerometer-type devices, such as ActiGraph and ActivPAL, the StepWatch Activity Monitor (SAM) measured step counts with good accuracy and repeatability. ...
Source: Disability and Rehabilitation - December 15, 2014 Category: Rehabilitation Authors: Downs J, Leonard H, Jacoby P, Brisco L, Baikie G, Hill K Tags: Disabil Rehabil Source Type: research

The use of goal attainment scaling in neuropsychological rehabilitation in multiple sclerosis.
Conclusions: GAS seems to be an appropriate outcome measure in neuropsychological rehabilitation in MS. GAS-rated personal goals were well achieved, and GAS was found to tap changes not covered with standardized outcome measures. Implications for Rehabilitation GAS seems to be an appropriate outcome measure in neuropsychological rehabilitation in MS. GAS-rated personal goals were well achieved, and GAS was found to tap changes in the areas not covered with standardized outcome measures. GAS seems to offer a possibility to take into account the specific needs of each individual patient. The ICF can be used to classify goals...
Source: Disability and Rehabilitation - December 12, 2014 Category: Rehabilitation Authors: Rannisto M, Rosti-Otajärvi E, Mäntynen A, Koivisto K, Huhtala H, Hämäläinen P Tags: Disabil Rehabil Source Type: research

What is rehabilitation potential? Development of a theoretical model through the accounts of healthcare professionals working in stroke rehabilitation services.
Conclusion: Patients should have the opportunity to demonstrate rehabilitation potential by participation in therapy. As therapy resources are limited and responses to therapy may be context-dependent, early decisions about a lack of potential should not limit longer-term opportunities for rehabilitation. Services should develop strategies to enhance the quality of judgements through feedback to HCPs of longer-term patient outcomes. Implications for Rehabilitation Rehabilitation potential is judged at the level of individual patients (rather than population-based predictive models of rehabilitation outcome), draws on diffe...
Source: Disability and Rehabilitation - December 12, 2014 Category: Rehabilitation Authors: Burton CR, Horne M, Woodward-Nutt K, Bowen A, Tyrrell P Tags: Disabil Rehabil Source Type: research

Biomedical and psychosocial factors influencing transtibial prosthesis fit: a Delphi survey among health care professionals.
Conclusions: Biomedical and psychosocial factors influence transtibial prosthesis fit. Consensus was reached among care professionals in a majority of the presented statements concerning these factors. Implications for Rehabilitation Prosthesis fit and comfort is suboptimal in many prosthesis users. Both biomedical and psychosocial factors influence fit. Biomedical and psychosocial factors should be checked during transtibial prosthesis prescription to achieve and maintain an optimal fit. Consensus on many factors influencing prosthesis fit is achieved among care professionals. Consensus was largest regarding prosthesis su...
Source: Disability and Rehabilitation - December 12, 2014 Category: Rehabilitation Authors: Baars EC, Schrier E, Geertzen JH, Dijkstra PU Tags: Disabil Rehabil Source Type: research

Executive functioning deficits in young adult survivors of bronchopulmonary dysplasia.
Conclusions: This study represents the largest sample of survivors into adulthood of BPD and is the first to show that deficits in executive functioning persist. Children with BPD should be assessed to identify cognitive impairments and allow early intervention aimed at ameliorating their effects. Implications for Rehabilitation Adults born preterm with very-low birth weight, and particularly those who develop BPD, are at increased risk of exhibiting defects in executive functioning. Clinicians and educators should be made aware of the impact that BPD can have on the long-term development of executive functions. Children a...
Source: Disability and Rehabilitation - December 12, 2014 Category: Rehabilitation Authors: Gough A, Linden MA, Spence D, Halliday HL, Patterson CC, McGarvey L Tags: Disabil Rehabil Source Type: research

Validation of the World Health Organization Assessment Schedule II Chinese Traditional Version (WHODAS II CT) in persons with disabilities and chronic illnesses for Chinese population.
Conclusions: WHODAS II CT is a reliable and valid instrument to measure the disability in persons with disabilities and chronic illnesses among Traditional Chinese-speaking population. A further study is required to validate the short version of WHODAS II in order to enhance its applicability in usual and clinical practices. Implications for Rehabilitation This is the first study to evaluate the reliability and validity of WHODAS II in persons with disability and chronic illnesses among Traditional Chinese-speaking population. The WHODAS II CT is a valid instrument in Chinese adults with disabilities and chronic illnesses....
Source: Disability and Rehabilitation - December 12, 2014 Category: Rehabilitation Authors: Cheung MK, Hung AT, Poon PK, Fong DY, Li LS, Chow ES, Qiu ZY, Liou TH Tags: Disabil Rehabil Source Type: research

Deontological and utilitarian ethics: a brief introduction in the context of disorders of consciousness.
Conclusions: These results explain why doctors often have different views on how to treat patients in PVS, particularly with regard to the withdrawal of clinically assisted nutrition and hydration. Understanding such issues may help clinicians articulate more clearly the reasons for their intuitions surrounding the management of patients in PVSs. Implications for Rehabilitation Patients with persisting disorders of consciousness pose significant dilemmas for clinicians and family members. Utilitarianism is a consequentialist theory, that is, it is concerned with the outcome of our actions to determine their morality. It is...
Source: Disability and Rehabilitation - December 8, 2014 Category: Rehabilitation Authors: Playford RC, Roberts T, Playford ED Tags: Disabil Rehabil Source Type: research

The Bobath (NDT) concept in adult neurological rehabilitation: what is the state of the knowledge? A scoping review. Part II: intervention studies perspectives.
Conclusions: The intervention studies, primarily RCT designs, have serious methodological concerns particularly related to study/treatment fidelity and measurement resulting in no clear clinical direction. Aspects such as theoretical framework, therapist skill, quality of movement measurement and individualized interventions require careful consideration in the design of Bobath studies. Implications for Rehabilitation Future intervention studies should be based on the current Bobath theoretical framework and key aspects of clinical practice. Study and treatment fidelity issues need to be carefully considered when interpret...
Source: Disability and Rehabilitation - November 27, 2014 Category: Rehabilitation Authors: Vaughan-Graham J, Cott C, Wright FV Tags: Disabil Rehabil Source Type: research

A value-based practice model of rehabilitation: consumers' recommendations in action.
Abstract Abstract The purpose of this paper is to present a model of rehabilitation practice that is based on the recommendations of consumers who used rehabilitation services and have a life-changing physical impairment (spinal cord injury - SCI). This value-based practice model is based on two qualitative studies. The first study developed the framework (social adaptation) for a new practice model based on values. The second study, described in this paper, used the framework to learn about recommendations for change in the rehabilitation process. Participants in the second study were 80 volunteers who live with a...
Source: Disability and Rehabilitation - November 27, 2014 Category: Rehabilitation Authors: Yoshida KK, Self HM, Renwick RM, Forma LL, King AJ, Fell LA Tags: Disabil Rehabil Source Type: research

Inter-rater agreement of the Arabic Gross Motor Classification System Expanded & Revised in children with cerebral palsy in Jordan.
Conclusions: The Arabic-GMFCS E&R is a reliable classification system that can be administrated by health care providers and parents of children with CP in Jordan to help plan services for children. Implications for Rehabilitation The Arabic GMFCS E&R is a reliable and user friendly system that can be administrated by health care providers and parents of children with CP in Jordan to guide services planning. Classifying the children with CP should be performed by the team members (including the family and the children when they are transitioning from childhood to adulthood) independently first, then discussed among...
Source: Disability and Rehabilitation - November 24, 2014 Category: Rehabilitation Authors: Almasri N, Saleh M Tags: Disabil Rehabil Source Type: research

Understanding nursing practice in stroke units: a Q-methodological study.
Conclusions: The contribution that nurses with stroke rehabilitation skills can make to effective stroke care was understood. However, realising the potential of nurses as full partners in stroke rehabilitation is unlikely to occur without introduction of structured competency-based multidisciplinary training in rehabilitation skills. Implications for Rehabilitation Multidisciplinary rehabilitation in stroke units is a cornerstone of effective stroke care. Views of stroke unit team members on nurses' involvement in rehabilitation have not been reported previously. Nurses can routinely incorporate rehabilitation principles ...
Source: Disability and Rehabilitation - November 21, 2014 Category: Rehabilitation Authors: Clarke DJ, Holt J Tags: Disabil Rehabil Source Type: research