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Circumstances surrounding stroke onset: symbolic meaning of time factors related to numbers and days of the week.
CONCLUSION: The impact of internalised emotions related to these perceptions can be quite significant. This study suggests that health professionals should personalise the secondary prevention of strokes by considering clients holistically and also give clients the opportunity to freely express their feelings about the meaning of time factors to foster awareness of their own perceptions. Implications for Rehabilitation The use of checklists only for stroke secondary prevention does not allow taking into account psychosocial factors as potential precipitating factors. An open dialogue about personal circumstances starting o...
Source: Disability and Rehabilitation - April 24, 2015 Category: Rehabilitation Authors: Baillargeon-Normand F, Rochette A, Gaulin P Tags: Disabil Rehabil Source Type: research

Services for children with developmental co-ordination disorder: an evaluation against best practice principles.
CONCLUSION: Challenges when providing services for children with DCD include confusing service pathways and poor partnership working. It is, therefore, important that clinicians utilise collaborative working strategies that support children's participation. Implications for Rehabilitation There are numerous challenges related to the implementation of best practice principles into the provision of therapy services for children with developmental coordination disorder (DCD). It is important that AHPs seek ways of engaging parents and educational professionals at all stages of the care pathway in order to ensure optimum servi...
Source: Disability and Rehabilitation - April 22, 2015 Category: Rehabilitation Authors: Pentland J, Maciver D, Owen C, Forsyth K, Irvine L, Walsh M, Crowe M Tags: Disabil Rehabil Source Type: research

Neuromuscular taping versus sham therapy on muscular strength and motor performance in multiple sclerosis patients.
CONCLUSIONS: In this single-blind randomized controlled trial, NT seemed to increase strength in leg muscles, compared to a sham device, in RR MS patients. Further studies are needed to consider this therapy as a complement to classic physical therapy. Implications for Rehabilitation Neuromuscular taping (NT) in multiple sclerosis: NT is well tolerated by multiple sclerosis patients and should be a complement to classic physical therapy. This technique normalizes muscular function, strengthens weakened muscles and assists the postural alignment. PMID: 25893397 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - April 20, 2015 Category: Rehabilitation Authors: Costantino C, Pedrini MF, Licari O Tags: Disabil Rehabil Source Type: research

The rehabilitation plan can support clients' active engagement and facilitate the process of change - experiences from people with late effects of polio participating in a rehabilitation programme.
CONCLUSION: When clients experience that they develop a mutually shared rehabilitation process, based on a rehabilitation plan, they became more engaged in their rehabilitation and gained a better understanding of their participation during the process. Knowledge of the differences in how clients use the rehabilitation plan during the rehabilitation process can support their active engagement during rehabilitation. This, in turn, can promote a more holistic view among clients and professionals during the rehabilitation for people with late effects of polio. Implications for Rehabilitation Clients who experience a rehabilit...
Source: Disability and Rehabilitation - April 20, 2015 Category: Rehabilitation Authors: Lexell EM, Lexell J, Larsson-Lund M Tags: Disabil Rehabil Source Type: research

The experience of patients with fear-avoidance belief hospitalised for low back pain - a qualitative study.
CONCLUSIONS: Despite high scores, the FAB questionnaire might not be sufficient to detect FAB in patients hospitalised for acute LBP. It is important to include the deeper meaning of metaphors and the personal story behind the expression of pain as a way of understanding each individual with LBP. Implications for Rehabilitation FAB questionnaire is not sufficient either to detect fear avoidance in LBP patients hospitalised with acute conditions or to catch the complexities of individual pain experiences. It seems essential for health care professionals (HCP) to involve the patient in their treatment and development of a re...
Source: Disability and Rehabilitation - April 20, 2015 Category: Rehabilitation Authors: Stisen DB, Tegner H, Bendix T, Esbensen BA Tags: Disabil Rehabil Source Type: research

Effects of lateralized light flash and color on unilateral neglect.
CONCLUSIONS: This evidence confirms the use of sensory stimulation to complement post-stroke UN remediation. Lateralized light flash to the contralesional space and red-colored lenses have beneficial effects on amelioration of UN, whereas ipsilesional light flash and the color blue may exacerbate ipsilesional spatial bias in stroke survivors with UN. Implications for Rehabilitation Contralesional light flash and the color red may ameliorate ipsilesional spatial bias in stroke survivors with unilateral neglect (UN). Ipsilesional flash of light and the color blue may worsen ipsilesional spatial bias in stroke survivors with ...
Source: Disability and Rehabilitation - April 20, 2015 Category: Rehabilitation Authors: Fan YT, Wu CY, Tsai WC, Lin KC Tags: Disabil Rehabil Source Type: research

What are the functional outcomes of right hemisphere stroke patients with or without hemi-inattention complications? A critical narrative review and suggestions for further research.
CONCLUSION: The relationship between HI status and functional recovery warrants further investigation in studies with stronger methodology to ensure rigour and robustness in the results. Pending further research, HI status should not be regarded as a key predictor of functional recovery or rehabilitation potential in patients with RHSs. This group should continue to receive appropriate therapeutic intervention aimed at maximising their functional recovery post-stroke. Implications for Rehabilitation Findings from this review demonstrate a paucity of evidence to support the presence of hemi-inattention as a key predictor of...
Source: Disability and Rehabilitation - April 20, 2015 Category: Rehabilitation Authors: Stein MS, Kilbride C, Reynolds FA Tags: Disabil Rehabil Source Type: research

Cross-cultural validation of the Persian version of the Functional Independence Measure for patients with stroke.
CONCLUSIONS: The PFIM is a highly reliable and valid instrument for measuring functional status of Persian patients with stroke. Implications for Rehabilitation The Functional Independence Measure (FIM) is an outcome measure for disability based on the International Classification of Functioning, Disability and Health (ICF). The FIM was cross-culturally adapted and validated into Persian language. The Persian version of the FIM (PFIM) is reliable and valid for assessing functional status of patients with stroke. The PFIM can be used in Persian speaking countries to assess the limitations in activities of daily living of pa...
Source: Disability and Rehabilitation - April 17, 2015 Category: Rehabilitation Authors: Naghdi S, Ansari NN, Raji P, Shamili A, Amini M, Hasson S Tags: Disabil Rehabil Source Type: research

The effects of different initiation time of exercise training on left ventricular remodeling and cardiopulmonary rehabilitation in patients with left ventricular dysfunction after myocardial infarction.
CONCLUSIONS: ET has favorable effects on LV remodeling and cardiopulmonary rehabilitation in LV dysfunction post-MI patients. The greatest benefits are obtained when ET starts at the acute phase following MI. Implications for Rehabilitation Early exercise training is safe and feasible in acute and healing phase after myocardial infarction. Early exercise training could attenuate LV remodeling and improve cardiopulmonary capacity in patients with myocardial infarction after hospital discharge (around one week post-MI). Exercise training has favorable effects on LV remodeling and cardiopulmonary capacity rehabilitation. Exer...
Source: Disability and Rehabilitation - April 17, 2015 Category: Rehabilitation Authors: Zhang YM, Lu Y, Tang Y, Yang D, Wu HF, Bian ZP, Xu JD, Gu CR, Wang LS, Chen XJ Tags: Disabil Rehabil Source Type: research

Evaluation of the effectiveness of a home-based inspiratory muscle training programme in patients with chronic obstructive pulmonary disease using multiple inspiratory muscle tests.
CONCLUSIONS: A seven-week, community-based IMT programme, with realistic use of health-care resources, improves PImax and perception of well-being but a different design may be required for improvement in other measures. Multiple tests provide a more comprehensive evaluation of changes in muscle function post-IMT. Implications for Rehabilitation A seven-week, home-based inspiratory muscle training programme improves maximal inspiratory pressure and perception of well-being in patients with moderate to severe COPD but not sniff nasal inspiratory pressure or diaphragm contractility, respiratory muscle endurance and exercise ...
Source: Disability and Rehabilitation - April 17, 2015 Category: Rehabilitation Authors: Nikoletou D, Man WD, Mustfa N, Moore J, Rafferty G, Grant RL, Johnson L, Moxham J Tags: Disabil Rehabil Source Type: research

Coping with cancer-related cognitive dysfunction: a scoping review of the literature.
CONCLUSIONS: CBT-based treatments and neuropsychological/cognitive training methods may ameliorate symptoms of CRCD. The most commonly-reported coping strategy is utilization of assistive technology and memory aids. Further research is needed about efficacious rehabilitation techniques for this population. Implications for Rehabilitation Cancer-related cognitive dysfunction (CRCD) may impact up to 50% of cancer survivors. CRCD can significantly decrease participation and quality of life during survivorship. Cognitive-behavioral therapy (CBT) and neuropsychological/cognitive training methods may ameliorate symptoms of CRCD....
Source: Disability and Rehabilitation - April 17, 2015 Category: Rehabilitation Authors: Sleight A Tags: Disabil Rehabil Source Type: research

Fifth international state-of-the-art congress "Rehabilitation: Mobility, Exercise & Sports": an overview.
Fifth international state-of-the-art congress "Rehabilitation: Mobility, Exercise & Sports": an overview. Disabil Rehabil. 2015 Apr 16;:1-6 Authors: de Groot S, Houdijk H, Hettinga F, Janssen T, Plaggenmarsch C, Dekker R, Mouton N, van der Woude L PMID: 25879467 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - April 16, 2015 Category: Rehabilitation Authors: de Groot S, Houdijk H, Hettinga F, Janssen T, Plaggenmarsch C, Dekker R, Mouton N, van der Woude L Tags: Disabil Rehabil Source Type: research

"It means you are grounded" - caregivers' perspectives on the rehabilitation of children with neurodisability in Malawi.
CONCLUSION: A range of family, health service and wider contextual factors affect care for CWD. Training for HW should emphasise disability rights, access to services, a range of disabilities and specific training on counselling. Implications for Rehabilitation To create good training programmes for workers who manage children with neurodisability, workers' views on their training needs, as well parents' views of what feel they need to know most, must be taken into account. The need for training regarding communication skills is a priority for health-workers (HW), who manage children with neurodisability in Malawi and conf...
Source: Disability and Rehabilitation - April 16, 2015 Category: Rehabilitation Authors: Paget A, Mallewa M, Chinguo D, Mahebere-Chirambo C, Gladstone M Tags: Disabil Rehabil Source Type: research

Residential immersive life skills programs for youth with disabilities: service providers' perceptions of change processes.
CONCLUSION: The findings indicate how RILS service providers work to create a program atmosphere and employ strategies to intentionally foster particular youth experiences. The findings explicate service providers' theories of practice, the intentional design of RILS program environments to bring about client change, and the value of service provider expertise. Implications for Rehabilitation Service providers of youth independence-oriented life skills programs can intentionally create a learning-oriented and supportive program atmosphere by using non-directive, coaching/guiding, and engagement strategies Youth experiences...
Source: Disability and Rehabilitation - April 16, 2015 Category: Rehabilitation Authors: King G, McPherson A, Kingsnorth S, Stewart D, Glencross-Eimantas T, Jones-Galley K, Morrison A, Isihi AM, Gorter JW Tags: Disabil Rehabil Source Type: research

Translation into Greek and initial validity and reliability testing of a modified version of the SCIM III, in both English and Greek, for self-use.
CONCLUSIONS: This has been the first function scale translated and validated in Greek for people with SCI. Both the GR-SCIM III and SCIM III are reliable for use by self-report. More studies are needed to further examine their psychometric properties and compare with observation or interview. Implications for Rehabilitation The Greek version of the Spinal Cord Independence Measure version III (SCIM) is valid and reliable for self-report. Further testing is needed to assess psychometric qualities not assessed in the present study. Researchers and therapists in Greece can use a specific measure to assess functional independe...
Source: Disability and Rehabilitation - April 15, 2015 Category: Rehabilitation Authors: Michailidou C, Marston L, De Souza LH Tags: Disabil Rehabil Source Type: research

A Pilot Study: examining the effects and tolerability of structured dance intervention for individuals with multiple sclerosis.
CONCLUSIONS: This study suggests that dance for persons with MS may have promise for improving physical activity, gait and balance. Implications for Rehabilitation Although structured dance has reported benefits in elderly populations and in individuals with cardiovascular and neurological impairments, there is virtually nothing known regarding dance in the MS population. This pilot salsa dance study shows that structured dance demonstrates promise of being well-tolerated, safe and effective at promoting physical activity in people with MS without increased fatigue. A 12-week study has been initiated to test the robustness...
Source: Disability and Rehabilitation - April 15, 2015 Category: Rehabilitation Authors: Mandelbaum R, Triche EW, Fasoli SE, Lo AC Tags: Disabil Rehabil Source Type: research

Rehabilitation Complexity Scale: Italian translation and transcultural validation.
CONCLUSIONS: The Italian version RCS-E has been successfully validated, showing good psychometric properties, which partly reproduce the results obtained for the original version. However, some assumption was made for some items thus preventing possible comparison with other countries. Implications for Rehabilitation Admittance at an Intensive Rehabilitation care setting in Italy requires to evaluate the complexity of rehabilitation needs. The Rehabilitation Complexity Scale (RCS-E) has proved to be reliable for assessing clinical complexity and consequently for planning rehabilitation needs. The Italian version of RCS-E h...
Source: Disability and Rehabilitation - April 15, 2015 Category: Rehabilitation Authors: Galletti L, Benedetti MG, Maselli S, Zanoli G, Pignotti E, Iovine R Tags: Disabil Rehabil Source Type: research

Initial assessment of rehabilitation needs using the WHODAS 2.0 in Estonia.
CONCLUSION: The WHODAS 2.0 is mainly related to health conditions. Complementing it with questions about the nature and severity of the difficulties social rehabilitation service applicants experienced added essential information for planning interventions. Implications for Rehabilitation A well conceived, holistic initial assessment that addresses biological, psychological, sociocultural and environmental factors can provide substantial information for targeting services to meet a person's rehabilitation needs. The WHODAS 2.0 is a useful framework for conducting initial assessments, but since it focuses on health needs, s...
Source: Disability and Rehabilitation - April 14, 2015 Category: Rehabilitation Authors: Hanga K, DiNitto D, Leppik L Tags: Disabil Rehabil Source Type: research

How does injury compensation affect health and disability in patients with complaints of whiplash? A qualitative study among rehabilitation experts-professionals.
CONCLUSIONS: Rehabilitation expert-professionals believe that IC may affect rehabilitation, health and disability in patients with WAD. Three pathways are mentioned by the experts-professionals. Implications for Rehabilitation According to rehabilitation expert-professionals, an injury compensation (IC) can lead to distress, by creating a (conscious or unconscious) conflict of interests within a patient between striving for compensation on one hand, and recovery on the other hand. Patient characteristics can either attenuate or worsen IC-related distress. Reliable and valid tools need to be developed to assess the influenc...
Source: Disability and Rehabilitation - April 14, 2015 Category: Rehabilitation Authors: van der Meer S, Pieterse M, Reneman M, Verhoeven J, van der Palen J Tags: Disabil Rehabil Source Type: research

Prolonged grief symptoms related to loss of physical functioning: examining unique associations with medical service utilization.
CONCLUSIONS: These findings highlight the importance of screening for prolonged grief symptomatology with older individuals with a debilitating chronic illness. Implications for Rehabilitation Recent evidence suggests that prolonged grief may have relevance for losses associated with physical illness. The present study shows that prolonged grief reactions related to physical illness (e.g. grieving the loss of functioning) are uniquely associated with increased hospital-based service utilization. Given the relevance of prolonged grief reactions in this population, practitioners may wish to assess for these symptoms. Future ...
Source: Disability and Rehabilitation - April 14, 2015 Category: Rehabilitation Authors: Holland JM, Graves S, Klingspon KL, Rozalski V Tags: Disabil Rehabil Source Type: research

Capturing complexity in work disability research: application of system dynamics modeling methodology.
DISCUSSION: SDM may advance rehabilitation research by providing greater insights into the structure and dynamics of WD systems while helping to understand inherent complexity. Challenges related to data availability, determining validity, and the extensive time and technical skill requirements for model building may limit SDM's use in the field and should be considered. Implications for Rehabilitation Contemporary work disability (WD) models provide limited insight into complexity associated with WD processes. System dynamics modeling (SDM) has the potential to capture complexity through a stakeholder-based approach that ...
Source: Disability and Rehabilitation - April 13, 2015 Category: Rehabilitation Authors: Jetha A, Pransky G, Hettinger LJ Tags: Disabil Rehabil Source Type: research

The relationships between pain, disability, and health-related quality of life: an 8-year follow-up study of female home care personnel.
CONCLUSIONS: The development of disability differed from that of low-back pain intensity. Spreading of pain and pain intensity across the anatomical regions influenced disability and quality of life over 8 years. When assessing pain, it seems important to determine the spread of pain rather than just focusing on the area with intense pain. Implications for Rehabilitation Spreading of pain and the average intensity of pain across the involved anatomical regions have importance for future pain and disability and quality of life. The clinical assessment of subjects with chronic pain prior to rehabilitation interventions has t...
Source: Disability and Rehabilitation - April 13, 2015 Category: Rehabilitation Authors: Lundberg G, Gerdle B Tags: Disabil Rehabil Source Type: research

Parenting stress in mothers with cystic fibrosis.
CONCLUSION: In line with the only comparable study, mothers with CF seem to be a remarkably resilient group who mostly cope well with parental stress even in the face of a progressive, chronic disease requiring time-consuming treatment. Implications for Rehabilitation Today, motherhood is increasingly becoming an option in fertile women with cystic fibrosis. The additional burden of parenting seems to be rewarded by fulfilling essential personal goals. CF clinics should routinely address a possible wish for a child and to discuss it, openly. PMID: 25858309 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - April 10, 2015 Category: Rehabilitation Authors: Ullrich G, Bobis I, Bewig B Tags: Disabil Rehabil Source Type: research

Stroke survivors' and family members' perspectives of multimodal lifestyle interventions for secondary prevention of stroke and transient ischemic attack: a qualitative review and meta-aggregation.
CONCLUSIONS: The findings highlight the perceived benefits of participation in secondary prevention group interventions from the perspective of stroke survivors and family members, i.e. feeling supported, by others with shared understanding and by knowledgeable health professionals, acquiring new knowledge and gaining confidence. These findings may be used to inform development of patient-centred interventions and thereby assist in improving health outcomes. Implications for Rehabilitation Health professionals should consider implementing group-based secondary prevention interventions. The content of group-based secondary ...
Source: Disability and Rehabilitation - April 10, 2015 Category: Rehabilitation Authors: Lawrence M, Pringle J, Kerr S, Booth J Tags: Disabil Rehabil Source Type: research

Informal caregivers' needs on discharge from the spinal cord unit: analysis of perceptions and lived experiences.
CONCLUSIONS: Results suggest that greater caregiver involvement in the rehabilitation process and their preparation for discharge are required. Communication with healthcare professionals needs to be enhanced. It would be useful to organize follow-up visits after discharge to assess intervention effectiveness. Implications for Rehabilitation Understanding the importance of discharge from the spinal cord unit as a meaningful step in the rehabilitation path for both patients and their informal caregivers. Orientating healthcare professionals towards a better caregiver involvement during the rehabilitation process. Promoting ...
Source: Disability and Rehabilitation - April 10, 2015 Category: Rehabilitation Authors: Conti A, Garrino L, Montanari P, Dimonte V Tags: Disabil Rehabil Source Type: research

What is it like to walk with the help of a robot? Children's perspectives on robotic gait training technology.
CONCLUSIONS: Rehabilitation professionals, researchers and parents are encouraged to reflect on why and how one might engage children in gait-related rehabilitation in ways that appeal to children's desires and expectations. This may shape how interventions are presented to children and how goals and outcomes are framed. Implications for Rehabilitation Children in this study did not consistently feel excited about, have a wish to use, or have a sustained interest in the use of a robotic technology, and at times experienced some anxiety in relation to their participation in the intervention. Contrary to assumptions that dis...
Source: Disability and Rehabilitation - April 9, 2015 Category: Rehabilitation Authors: Phelan SK, Gibson BE, Wright FV Tags: Disabil Rehabil Source Type: research

Factors associated with community ambulation in chronic stroke.
CONCLUSION: Balance self-efficacy may be a significant determinant in the attainment of independent community ambulation post-stroke. This suggests that physical aspects such as gait speed and walking balance should not be considered in isolation when addressing community ambulation post-stroke. Implications for Rehabilitation Balance self-efficacy may play a significant role in the attainment of independent community ambulation in a chronic stroke population. Physiotherapy interventions addressing community ambulation post-stroke should consider methods for improving balance self-efficacy in chronic stroke, such as self m...
Source: Disability and Rehabilitation - April 9, 2015 Category: Rehabilitation Authors: Durcan S, Flavin E, Horgan F Tags: Disabil Rehabil Source Type: research

Measures of respiratory function correlate with fatigue in ambulatory persons with multiple sclerosis.
CONCLUSIONS: Respiratory muscle performance is correlated with perceived fatigue (MFIS), whereas respiratory endurance correlated to reductions in physical function and sleep quality among individuals with mild-to-moderate severity MS. Implications for Rehabilitation Multiple sclerosis (MS) results in peripheral and respiratory muscle weakness and affected individuals report fatigue as one of their most disabling symptoms. Expiratory muscle strength was correlated with self-reported physical fatigue, while respiratory muscle endurance was correlated with functional performance and sleepiness. Respiratory muscle strength wa...
Source: Disability and Rehabilitation - April 8, 2015 Category: Rehabilitation Authors: Ray AD, Mahoney MC, Fisher NM Tags: Disabil Rehabil Source Type: research

Psychometric properties of the Five-Digit Test in patients with stroke.
CONCLUSION: Our results indicate that the selective and alternating attention indices of the FDT have acceptable ecological validity, predictive validity, and good responsiveness in patients with stroke. Implications for Rehabilitation The Five Digit Test (FDT), an efficient and culture-free assessment tool, has been used to assess selective attention and alternating attention The selective index and alternating attention index of the FDT showed acceptable ecological validity, predictive validity, and good responsiveness in patients with stroke. PMID: 25845658 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - April 7, 2015 Category: Rehabilitation Authors: Lin GH, Lu Y, Wu CT, Chiu EC, Huang SL, Hsueh IP, Hsieh CL Tags: Disabil Rehabil Source Type: research

Associations between socio-demographic factors, encounters with healthcare professionals and perceived ability to return to work in people sick-listed due to heart failure in Sweden: a cross-sectional study.
CONCLUSIONS: Women, people who are not foreign-born, and people with high income are more likely to perceive encounters with healthcare professionals as positive. Healthcare professionals who work with rehabilitation for people with heart failure need to be aware of social inequalities and that being on sick leave is a process of change. Implications for Rehabilitation A failing heart limits everyday life implying risk for long-term sick leave. Even though there are rehabilitation programs for people with heart failure, vocational rehabilitation is often over-looked. The knowledge about factors associated with sick leave d...
Source: Disability and Rehabilitation - April 2, 2015 Category: Rehabilitation Authors: Nordgren L, Söderlund A Tags: Disabil Rehabil Source Type: research

Screening and assessment of nutritional status following stroke: results from a national survey of registered dietitians in Canada.
CONCLUSIONS: The results of this national survey suggest that screening and assessment of nutritional status following acute stroke is conducted using tools that have not been validated previously. Implications for Rehabilitation Although the use of valid screening and assessment tools is considered part of evidence-based practice, and recommendations for their adoption are included in several national stroke-specific clinical practice guidelines, the results from an online survey suggest that they are not used in clinical practice by RDs in Canada caring for patients following stroke. There are associated risks with the u...
Source: Disability and Rehabilitation - March 27, 2015 Category: Rehabilitation Authors: Peters L, O'Connor C, Giroux I, Teasell R, Foley N Tags: Disabil Rehabil Source Type: research

Spinal cord injury (SCI) rehabilitation: systematic analysis of communication from the biopsychosocial perspective.
CONCLUSIONS: Communication is a relative strength in SCI, key to empowerment, independence, social interaction, and well-being, yet its potential to enhance SCI rehabilitation outcomes remains largely underexplored and untapped. Through elucidating interactions between communication and functioning, the adapted ICF framework affords clinicians and researchers insight into areas of intervention most likely to result in widespread gains. Conscious consideration should be given to the role of communication, within an integrative, strengths-based, multidisciplinary approach to clinical practice and future research. Implication...
Source: Disability and Rehabilitation - March 24, 2015 Category: Rehabilitation Authors: Hartley NA Tags: Disabil Rehabil Source Type: research

Bladder dysfunction and quality of life for people with multiple sclerosis.
CONCLUSIONS: Bladder dysfunction imposes major disruptions on daily life. People with MS attempt to self-manage their bladder symptoms, despite current barriers to navigating existing healthcare infrastructure. Understanding these barriers and the individual strategies employed by people with MS are the first steps in facilitating independent management of bladder dysfunction. Implications for Rehabilitation Each individual's experience of bladder dysfunction is unique. Healthcare professionals must be prepared to discuss all disruptions and losses associated with bladder dysfunction for people with MS. People with MS have...
Source: Disability and Rehabilitation - March 24, 2015 Category: Rehabilitation Authors: Browne C, Salmon N, Kehoe M Tags: Disabil Rehabil Source Type: research

Promoting consistent use of the communication function classification system (CFCS).
CONCLUSIONS: Findings from this work will be shared with representatives of the Ontario PSLP. The intervention may be disseminated to all speech-language pathologists working in the program. This study can be used as a model for developing and disseminating KT interventions for clinicians in paediatric rehabilitation. Implications for Rehabilitation The Communication Function Classification System (CFCS) is a new tool that allows speech-language pathologists to classify children's skills into five meaningful levels of function. There is uncertainty and inconsistent practice in the field about the methods for using this too...
Source: Disability and Rehabilitation - March 24, 2015 Category: Rehabilitation Authors: Cunningham BJ, Rosenbaum P, Hidecker MJ Tags: Disabil Rehabil Source Type: research

Psychometric properties of self-reported questionnaires for the evaluation of symptoms and functional limitations in individuals with rotator cuff disorders: a systematic review.
CONCLUSION: Overall, included questionnaires showed acceptable psychometric properties for individuals with RC disorders. The ASES and ULFI have the smallest absolute error of measurement, while the Western Ontario RC Index is one of the most responsive questionnaires for individuals suffering from RC disorders. Implications for Rehabilitation All included questionnaires are reliable, valid and responsive for the evaluation of individuals with RC disorders. As all included questionnaires showed good psychometric properties for the targeted population, the choice should be made according to the purpose of the evaluation and...
Source: Disability and Rehabilitation - March 24, 2015 Category: Rehabilitation Authors: St-Pierre C, Desmeules F, Dionne CE, Frémont P, MacDermid JC, Roy JS Tags: Disabil Rehabil Source Type: research

The Arm Function in Multiple Sclerosis Questionnaire (AMSQ): development and validation of a new tool using IRT methods.
CONCLUSION: AMSQ is a unidimensional 31-item questionnaire for measuring arm function in MS. Because of a well fit in a graded response model, it is suitable for further development as a computer adaptive test. Implications for Rehabilitation A new questionnaire for arm and hand function recommended in people with multiple sclerosis (AMSQ). Scale characteristics make the questionnaire suitable for use in clinical practice and research. Good reliability. Further development as a computer adaptive test to reduce burden of (repetitive) testing in patients is feasible. PMID: 25801923 [PubMed - as supplied by publisher] (So...
Source: Disability and Rehabilitation - March 24, 2015 Category: Rehabilitation Authors: Mokkink LB, Knol DL, van der Linden FH, Sonder JM, D'hooghe M, Uitdehaag BM Tags: Disabil Rehabil Source Type: research

"How to conquer a mountain with multiple sclerosis". How a climbing expedition to Machu Picchu affects the way people with multiple sclerosis experience their body and identity: a phenomenological analysis.
CONCLUSION: Participating in Machu Picchu expedition appeared to have a deep and profound effect on body awareness and identity. Participants experienced their body once again as theirs, owning it and above all, allowing it to be a source of strength, joy and meaningfulness. While MS determined their lives prior to the journey, they now could look at MS as a part of what they are, without totally being absorbed in it. So being a patient with MS before, resulted in merely having MS after the climb. Implications for Rehabilitation Patients experience illness as a disruption of their previous life. A phenomenological approach...
Source: Disability and Rehabilitation - March 19, 2015 Category: Rehabilitation Authors: Calsius J, Courtois I, Feys P, Van Asch P, De Bie J, D'hooghe M Tags: Disabil Rehabil Source Type: research

A narrative synthesis investigating the use and value of social support to promote physical activity among individuals with schizophrenia.
CONCLUSIONS: Social support appears to play a pivotal role in initiating physical activity as well as ensuring compliance and adherence to physical activity. Future research is required to investigate the optimal type and mode of delivery of social support on health outcomes. Implications for Rehabilitation Limited evidence is available that considers the role, value and use of social support within physical activity interventions for individuals with schizophrenia. Social support appears most likely to aid an individual's initiation, adherence and compliance to physical activity interventions. There may be an indirect ben...
Source: Disability and Rehabilitation - March 19, 2015 Category: Rehabilitation Authors: Gross J, Vancampfort D, Stubbs B, Gorczynski P, Soundy A Tags: Disabil Rehabil Source Type: research

Determinants of handbike use in persons with spinal cord injury: results of a community survey in Switzerland.
CONCLUSIONS: Conditional on the major determinants that include demographic factors and lesion characteristics, main barriers involve contextual factors that can principally be overcome. Our findings thus suggest scope for promoting handcycling as a means towards a healthy and more physically active lifestyle in persons living with SCI. Implications for Rehabilitation Handcycling is an effective means of improving health and quality of life of persons with a spinal cord injury. Persons with the following traits are most likely to use the handbike: persons younger than 62 years, with a complete paraplegia, who are German-sp...
Source: Disability and Rehabilitation - March 18, 2015 Category: Rehabilitation Authors: Arnet U, Hinrichs T, Lay V, Bertschy S, Frei H, Brinkhof MW, SwiSCI study group Tags: Disabil Rehabil Source Type: research

Recognition of familiar people with a mobile cloud architecture for Alzheimer patients.
CONCLUSIONS: Our architecture showed correct performance and we realized that it could be introduced in other fields, apart from assistive technology. However, when being targeted to patients with dementia some usability problems appeared, such as difficulties to read information in a small screen or take a proper photo. These problems should be addressed in further research. Implications for Rehabilitation This article presents a prototypal assistive technology for Alzheimer's disease (AD) patients. It targets AD patients to recognize their familiars, especially in medium-advanced stages of the disease. Analysing pictures...
Source: Disability and Rehabilitation - March 18, 2015 Category: Rehabilitation Authors: Fardoun HM, Mashat AA, Ramirez Castillo J Tags: Disabil Rehabil Source Type: research

The Geriatric ICF Core Set reflecting health-related problems in community-living older adults aged 75 years and older without dementia: development and validation.
CONCLUSION: The final Geriatric ICF Core Set is a comprehensive and valid set of 29 ICF categories, reflecting the most relevant health-related problems among community-living older adults without dementia. This Core Set may contribute to optimal care provision and support of the older population. Implications for Rehabilitation The Geriatric ICF Core Set may provide a practical tool for gaining an understanding of the relevant health-related problems of community-living older adults without dementia. The Geriatric ICF Core Set may be used in primary care practice as an assessment tool in order to tailor care and support t...
Source: Disability and Rehabilitation - March 18, 2015 Category: Rehabilitation Authors: Spoorenberg SL, Reijneveld SA, Middel B, Uittenbroek RJ, Kremer HP, Wynia K Tags: Disabil Rehabil Source Type: research

Well, I'm healthy, but… - lay perspectives on health among people with musculoskeletal disorders.
CONCLUSIONS: This study points at the value of taking lay perspectives on health into account, as it might increase the opportunity to design effective, personalized rehabilitation strategies. Implications for Rehabilitation Musculoskeletal disorders (MSDs) are difficult to cure and actions to alleviate suffering are of most importance to increase wellbeing and thereby work ability. Research on lay perspectives can contribute towards a deepened understanding of the health experiences of the affected, and thereby the development of the goals and activities of rehabilitation. Our models, that present the view of health and a...
Source: Disability and Rehabilitation - March 17, 2015 Category: Rehabilitation Authors: Wiitavaara B, Bengs C, Brulin C Tags: Disabil Rehabil Source Type: research

Cross-cultural adaptation, reliability and validity of the Turkish version of the Lower Limb Functional Index.
CONCLUSIONS: Turkish version of LLFI was found to be valid and reliable for the measurement of lower limb function in a Turkish population. Implications for Rehabilitation Lower extremity musculoskeletal disorders are common and greatly impact activities among the affected individuals pertaining to daily living, work, leisure and quality of life. Patient-reported outcome (PRO) measures have advantages as they are practical, cost-effective and clinically convenient for use in patient-centered care. The Lower Limb Functional Index is a recently validated PRO measure shown to have strong clinimetric properties. PMID: 2577...
Source: Disability and Rehabilitation - March 17, 2015 Category: Rehabilitation Authors: Duruturk N, Tonga E, Gabel CP, Acar M, Tekindal A Tags: Disabil Rehabil Source Type: research

Exploring stroke survivor experience of participation in an enriched environment: a qualitative study.
CONCLUSIONS: This study provides preliminary support for the implementation of an EE within a typical stroke rehabilitation setting from a patient perspective. Reported benefits included (1) increased motor, cognitive and sensory stimulation, (2) increased social interaction, (3) alleviation of degree of boredom and (4) increased feelings of personal control. However, participants also identified a number of barriers affecting implementation of the EE. We have previously published findings on perceptions of nursing staff working with stroke survivors in this enriched rehabilitation environment who identified that patients ...
Source: Disability and Rehabilitation - March 13, 2015 Category: Rehabilitation Authors: White JH, Bartley E, Janssen H, Jordan LA, Spratt N Tags: Disabil Rehabil Source Type: research

Further validation of the Multiple Sclerosis Self-Efficacy Scale.
Conclusions: Scores from the modified, 10-item version of the MSSE provide a valid and reliable measure of MS-specific self-efficacy among persons with MS. Implications for Rehabilitation The importance of self-efficacy in managing the consequences of multiple sclerosis (MS) has increased. The Multiple Sclerosis Self-Efficacy (MSSE) Scale was developed and validated for measuring self-efficacy in function maintenance and control over MS from patients' perspectives. In the past almost 20 years, this scale has not undergone additional validation of its factor structure and construct validity in large-scale samples of persons...
Source: Disability and Rehabilitation - March 9, 2015 Category: Rehabilitation Authors: Chiu CY, Motl RW Tags: Disabil Rehabil Source Type: research

Cognitive training on stroke patients via virtual reality-based serious games.
Conclusions: Overall findings provide further support for the use of VR cognitive training applications in neuropsychological rehabilitation. Implications for Rehabilitation Improvements in memory and attention functions following a virtual reality-based serious games intervention. Training of daily-life activities using a virtual reality application. Accessibility to training contents. PMID: 25739412 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - March 5, 2015 Category: Rehabilitation Authors: Gamito P, Oliveira J, Coelho C, Morais D, Lopes P, Pacheco J, Brito R, Soares F, Santos N, Barata AF Tags: Disabil Rehabil Source Type: research

Evaluation of the implementation of the protocol of an early vocational rehabilitation intervention for people with acquired brain injury.
Conclusions: The EVR protocol provides a structured strategy to focus on RTW during standard rehabilitation. It is now possible to implement and test the protocol in other rehabilitation settings. Implications for Rehabilitation The early vocational rehabilitation (EVR) facilitates an interdisciplinary and systematic focus on return to work during rehabilitation of people with acquired brain injury. The feasibility of the EVR protocol has been tested. The EVR protocol is ready for implementation and wider testing in other rehabilitation settings. PMID: 25738905 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - March 4, 2015 Category: Rehabilitation Authors: van Velzen JM, van Bennekom CA, van Dormolen M, Sluiter JK, Frings-Dresen MH Tags: Disabil Rehabil Source Type: research

Supporting children with disabilities at school: implications for the advocate role in professional practice and education.
Conclusions: The findings of this study provide practice-based knowledge about advocacy for children with disabilities, which may be used to inform further development of competency frameworks and continuing education for pediatric practitioners. The findings also show how everyday practices are influenced by policies and social discourses and how rehabilitation professionals may enact change. Implications for Rehabilitation Rehabilitation professionals frequently perform advocacy work. They may find it beneficial to perform advocacy work that is informed by overarching professional and ethical guidelines, and a nuanced un...
Source: Disability and Rehabilitation - March 4, 2015 Category: Rehabilitation Authors: Ng SL, Lingard L, Hibbert K, Regan S, Phelan S, Stooke R, Meston C, Schryer C, Manamperi M, Friesen F Tags: Disabil Rehabil Source Type: research

Impact of the role of senior dual disability coordinator on the perceived self-efficacy and job satisfaction of mental health clinicians.
Conclusions: The delivery of a clinical consultation liaison service as part of the role of SDDC may assist mental health clinicians with self-efficacy and job satisfaction, regardless of the number of years they have worked in the service or their professional discipline. Mental health clinicians with improved self-efficacy for working with clients with dual disability may be more likely to consider the client suitable for services through mental health and follow-up with treatment and linking the client with other identified suitable services. Implications for Rehabilitation Dual disability (mental illness and acquired b...
Source: Disability and Rehabilitation - March 4, 2015 Category: Rehabilitation Authors: Hendren AJ, Kendall MB Tags: Disabil Rehabil Source Type: research

Physical functioning of low back pain patients: perceived physical functioning and functional capacity, but not physical activity is affected.
Conclusion: Perceived functioning, actual physical activity and functional capacity are three independent outcome dimensions, being complementary but not redundant. Especially, perceived functioning and physical capacity need attention when evaluating LBP patients during rehabilitation. Implications for Rehabilitation Perceived physical functioning and physical capacity are negatively affected by low back pain and improve after treatment. Low back pain patients perform their daily activity independent of pain and complaints. Inertia sensor-based motion analysis can objectify treatment effects showing low back pain patients...
Source: Disability and Rehabilitation - March 4, 2015 Category: Rehabilitation Authors: van Rooij WM, Senden R, Heyligers IC, Cuppen PM, van Hemert WL, Grimm B Tags: Disabil Rehabil Source Type: research