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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

Examination of contraction-induced muscle pain as a behavioral correlate of physical activity in women with and without fibromyalgia.
Conclusions: Women with FM exhibit augmented muscle pain during isometric contractions and reduced physical activity than healthy controls. Furthermore, contraction-induced muscle pain is inversely associated with physical activity levels. These observations suggest that augmented muscle pain may serve as a behavioral correlate of reduced physical activity in women with FM. Implications for Rehabilitation Women with fibromyalgia experience a greater intensity of localized muscle pain in a contracting muscle compared to healthy women. The intensity of pain during muscle contraction is inversely associated with the amount of...
Source: Disability and Rehabilitation - November 20, 2014 Category: Rehabilitation Authors: Umeda M, Corbin LW, Maluf KS 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 I: conceptual perspectives.
Conclusions: Knowledge derived from review of the conceptual literature provides clinicians with an updated Bobath clinical framework as well as identifying aspects of Bobath clinical practice that require careful consideration in future effectiveness studies. Implications for Rehabilitation The integration of posture and movement with respect to the quality of task performance remains a cornerstone of the redefined Bobath concept. A key fundamental principle of the clinical application of the Bobath concept since its inception is the selective manipulation of sensory information, namely, facilitation, to positively affect...
Source: Disability and Rehabilitation - November 20, 2014 Category: Rehabilitation Authors: Vaughan-Graham J, Cott C, Wright FV Tags: Disabil Rehabil Source Type: research

Workplace support after breast cancer treatment: recognition of vulnerability.
Conclusions: Employees felt particularly vulnerable. Vulnerability is not the same as low-work ability and as such it should be added as theoretical concept in RTW research. Adequate workplace support addresses the specific vulnerability of an individual woman. Our study offers a nuanced insight into the RTW process of breast cancer survivors. Implications for Rehabilitation Upon actual return-to-work (RTW) after breast cancer treatment, women feel vulnerable but able to work and, hence, have a high need for workplace support. Support from the workplace during RTW after breast cancer treatment is experienced as adequate wh...
Source: Disability and Rehabilitation - November 17, 2014 Category: Rehabilitation Authors: Tiedtke C, Dierckx de Casterlé B, Donceel P, de Rijk A Tags: Disabil Rehabil Source Type: research

Transcranial direct current stimulation in the recovery of postural control after stroke: a pilot study.
Conclusions: This pilot study indicates that 16 tDCS-sessions could have a beneficial effect on balance and gait in stroke patients measured with the Tinetti test. However, further research is needed to elucidate these findings. Implications for Rehabilitation Sixteen sessions of tDCS is beneficial in the recovery of postural control in stroke patients. tDCS has to be applied as soon as possible to enhance beneficial effects. PMID: 25401406 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - November 17, 2014 Category: Rehabilitation Authors: Saeys W, Vereeck L, Lafosse C, Truijen S, Wuyts FL, Van De Heyning P Tags: Disabil Rehabil Source Type: research

Betwixt and between: workplace perspectives on work reintegration in the eldercare sector in Denmark.
Conclusion: The study highlighted that WR creates a social position for the returnee that complicates the working routine and causes uncertainty in social interactions. Implications for Rehabilitation Work reintegration (WR) after long-term sick leave is commonly characterized by reduced working hours and modified working tasks. The WR process influences the whole work place including co-workers' everyday working life and complicates work situations where work tasks and roles are negotiated between the returning worker and co-workers. Future WR policies and guidelines could benefit from integrating co-workers' perspective ...
Source: Disability and Rehabilitation - November 13, 2014 Category: Rehabilitation Authors: Ladekjær Larsen E, Labriola M, Vinther Nielsen C, Schultz Petersen K Tags: Disabil Rehabil Source Type: research

Severe to profound hearing impairment: quality of life, psychosocial consequences and audiological rehabilitation.
Conclusions: Treatment focused on anxiety, depression, tinnitus and vertigo must be given early in the rehabilitation process in patients with severe or profound hearing impairment. Because sick leave differs greatly within this group of patients, collaboration with the regional Social Insurance Agency is crucial part of the rehabilitation. The study also shows that presently, only a small proportion of patients in Sweden with severe to profound hearing impairment receive extended audiological rehabilitation. Implications for Rehabilitation Greater levels of anxiety and depression have been found among patients with severe...
Source: Disability and Rehabilitation - November 13, 2014 Category: Rehabilitation Authors: Carlsson PI, Hjaldahl J, Magnuson A, Ternevall E, Edén M, Skagerstrand A, Jönsson R Tags: Disabil Rehabil Source Type: research

Community re-integration and long-term need in the first five years after stroke: results from a national survey.
Conclusions: Stroke had a personal, social and economic impact. Emotional distress and fatigue were common and satisfaction with the help available for these problems was poor. Implications for Rehabilitation Professionals should recognise that family members provide high levels of support post-stroke while dealing with changes to personal relationships. Emotional, concentration and fatigue problems post-stroke require recognition by health professionals. A greater focus on return-to-work as part of stroke rehabilitation may be of value for patients of working age. PMID: 25391817 [PubMed - as supplied by publisher] (So...
Source: Disability and Rehabilitation - November 13, 2014 Category: Rehabilitation Authors: Walsh ME, Galvin R, Loughnane C, Macey C, Horgan NF Tags: Disabil Rehabil Source Type: research

Factors associated with community reintegration in the first year after stroke: a qualitative meta-synthesis.
Conclusions: This review suggests that an individual's perseverance, adaptability and ability to overcome emotional challenges can facilitate reintegration into the community despite persisting effects of their stroke. Appropriate support from family, friends, the broader community and healthcare professionals is important. Therapeutic activities should relate to meaningful activities and should be tailored to the individual stroke survivor. Implications for Rehabilitation: Stroke survivors feel that rehabilitation in familiar environments and therapeutic activities that reflect real-life could help their community re-inte...
Source: Disability and Rehabilitation - November 10, 2014 Category: Rehabilitation Authors: Walsh ME, Galvin R, Loughnane C, Macey C, Horgan NF Tags: Disabil Rehabil Source Type: research

Reliability, validity, and responsiveness of the Persian version of Shoulder Activity Scale in a group of patients with shoulder disorders.
Conclusions: The study provides some evidences to support the test-retest reliability, internal consistency, construct validity, and responsiveness of the Persian version of the SAS in patients with shoulder disorders. Therefore, it seems that this instrument is a useful measure of shoulder activity level in research setting and clinical practice. Implications for Rehabilitation The shoulder activity scale (SAS) is a reliable, valid, and responsive measure of shoulder activity level in Persian-speaking patients with different shoulder disorders. The results on clinimetric properties of the Persian SAS are comparable with i...
Source: Disability and Rehabilitation - November 10, 2014 Category: Rehabilitation Authors: Negahban H, Mohtasebi E, Goharpey S Tags: Disabil Rehabil Source Type: research

The importance, measurement and practical implications of worker's expectations for return to work.
Conclusions: Most previously used measures contain elements that potentially limit utility. However, it would seem that further development can overcome these, resulting in a tool that provides risk prediction information, and an opportunity to start a conversation to help identify problems that might negatively impact a worker's movement through the RTW process and the outcomes achieved. Implications for Rehabilitation Return to work is an integral part of workplace injury management. The capture of RTW expectations affords a way to identify the potential for less than optimal RTW processes and outcomes. A mismatch betwee...
Source: Disability and Rehabilitation - November 6, 2014 Category: Rehabilitation Authors: Young AE, Besen E, Choi Y Tags: Disabil Rehabil Source Type: research

How is physical activity monitored in people following stroke?
Conclusions: Physical activity outcomes were variable. Devices allow for unobtrusive, sustained monitoring in free-living environments. Observational methods suit inpatient settings but are time and labour intensive. No single approach appears superior but standardisation of outcomes would improve the field. Implications for Rehabilitation Physical activity measurement is highly variable following stroke and better definition of physical activity outcomes would enhance the field. Accelerometry and behavioural mapping are most commonly used to measure physical activity following stroke, each have advantages and disadvantage...
Source: Disability and Rehabilitation - November 6, 2014 Category: Rehabilitation Authors: Fini NA, Holland AE, Keating J, Simek J, Bernhardt J Tags: Disabil Rehabil Source Type: research

Executive dysfunction post-stroke: an insight into the perspectives of physiotherapists.
Conclusions: Current results demonstrate that ED has negative implications for physiotherapy rehabilitation post-stroke. Although further interdisciplinary research is warranted, the present results suggest that physiotherapists should be aware of the presence of ED in people post-stroke and develop strategies to minimise the impact of ED on physiotherapy rehabilitation. Implications for Rehabilitation Physiotherapists report a lack of knowledge of ED post-stroke and a requirement for future learning and training regarding the optimal management of people with ED undergoing physiotherapy rehabilitation post-stroke. ED has ...
Source: Disability and Rehabilitation - November 6, 2014 Category: Rehabilitation Authors: Hayes S, Donnellan C, Stokes E Tags: Disabil Rehabil Source Type: research

Assessment of activity limitations and participation restrictions with persons with chronic fatigue syndrome: a systematic review.
Conclusion: The psychometric properties of the reviewed measurement instruments to evaluate activity limitations and participation restrictions are not sufficiently evaluated. Future research is needed to evaluate the psychometric properties of the measurement instruments, including the other properties of the CFS-APQ. If it is necessary to use a measurement instrument, the CFS-APQ is recommended. Implications for Rehabilitation Chronic fatigue syndrome (CFS). Chronic fatigue syndrome causes activity limitations and participation restrictions in one or more areas of life. Standardized, reliable and valid measurement instru...
Source: Disability and Rehabilitation - November 3, 2014 Category: Rehabilitation Authors: Vergauwen K, Meeus M, Huijnen IP, Kos D, Van de Velde D, van Eupen I Tags: Disabil Rehabil Source Type: research

Simplified bipartite concepts of functioning and disability recommended for interdisciplinary use of the ICF.
Conclusion: Bipartite concepts of functioning and disability are recommended for interdisciplinary use of the ICF. Implications for Rehabilitation The ICF classification is useful, but the ICF concept of activities in an individual perspective is confusing. We suggest a use of the term "activities" simply to denote things that people may do and "participation" to denote actually performed activities. Estimations of ability should be explicit about how they are related to environmental factors. PMID: 25365700 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - November 3, 2014 Category: Rehabilitation Authors: Thyberg M, Arvidsson P, Thyberg I, Nordenfelt L Tags: Disabil Rehabil Source Type: research

Communication disorders after stroke in Aboriginal Australians.
Conclusions: While similar life disruptions were found to those previously reported in the general stroke population, this study highlighted differences, which reflect the particular context of ACD for Aboriginal people and which need to be considered when planning future services. While implications are limited due to small numbers, the findings emphasise the importance of a holistic approach, and integration of communication treatments into community-led social activities. Implications for Rehabilitation Aboriginal Australians frequently experience a range of concurrent and complex co-morbidities and demanding social or ...
Source: Disability and Rehabilitation - November 3, 2014 Category: Rehabilitation Authors: Armstrong E, Hersh D, Hayward C, Fraser J Tags: Disabil Rehabil Source Type: research

Return to work or job transition? Employer dilemmas in taking social responsibility for return to work in local workplace practice.
Conclusions: This study suggests that Swedish legislation and policies does not always adequately prompt employers to engage in RTW. There is a need for further attention to the organizational conditions for employers to take social responsibility for RTW in the context of business pressure and work intensification. Implications for Rehabilitation Employers may have difficulties in taking social responsibility for RTW when economic considerations regarding their business take precedence over legal and ethical considerations. Rehabilitation professionals should be aware of that outcomes of an RTW process can be influenced b...
Source: Disability and Rehabilitation - October 30, 2014 Category: Rehabilitation Authors: Seing I, MacEachen E, Ekberg K, Ståhl C Tags: Disabil Rehabil Source Type: research

A systematic review of risk factors associated with accidental falls, outcome measures and interventions to manage fall risk in non-ambulatory adults.
Conclusion: Several risk factors associated with falls were identified and must be understood by clinicians to better serve their clients. To improve objective assessment, a comprehensive outcome assessment specific to non-ambulatory adults is needed. Finally, additional research is needed to examine the impact of structured protocols to manage fall risk in non-ambulatory adults. Implications for Rehabilitation Falls are a common health concern for non-ambulatory adults. Risk factors commonly associated with falls include wheelchair related characteristics, transfer activities, impaired seated balance and environmental fac...
Source: Disability and Rehabilitation - October 29, 2014 Category: Rehabilitation Authors: Rice LA, Ousley C, Sosnoff JJ Tags: Disabil Rehabil Source Type: research

The actions of the social insurance agency regarding long-term sickness absentees before and after a medical assessment - a study of 384 case files.
Conclusions: Although the studied individuals had been on sick leave for a long time, the number of SIA actions related to vocational rehabilitation was limited and came late in the sick-leave spell. The information from the MMA was often not used as a basis for further SIA action and seldom resulted in return to work. The positive MMA views on the potential of vocational rehabilitation were not met by SIA actions. Implications for Rehabilitation Suggestions on vocational rehabilitation from a medical assessment was in many cases not used by the social insurance agency in relationship to long-term sickness absentees. Activ...
Source: Disability and Rehabilitation - October 29, 2014 Category: Rehabilitation Authors: Marklund S, Lundh G, Gustafsson K, Linder J, Svedberg P, Alexanderson K Tags: Disabil Rehabil Source Type: research

Disability and the post-2015 development agenda.
Conclusion: Although the results so far have been very good, more work still needs to be done to ensure that these explicit references are maintained in the final version of the SDGs, which will be adopted in September 2015. Furthermore, the new framework needs to have a stronger human rights foundation on which to ground these references and future indicators. Light for the World is an international confederation of national development non-governmental organizations (NGOs) aiming at an inclusive society, where the rights of persons with disabilities are realized without discrimination. Through a rights-based approach, Li...
Source: Disability and Rehabilitation - October 28, 2014 Category: Rehabilitation Authors: Tardi R, Njelesani J Tags: Disabil Rehabil Source Type: research

Recovery-related anxiety and disability following upper limb injury: the importance of context.
Conclusions: Recovery-related forms of anxiety appear to be more common and more strongly associated with disability than general anxiety symptoms for patients with mild to moderate traumatic upper limb injuries. Implications for Rehabilitation Following mild to moderate traumatic upper limb injury, anxiety about the injury and recovery is common. Recovery-related anxiety is more strongly associated with disability than general anxiety symptoms. Phrasing questions about anxiety directly associated with the recovery experience may give greater insight into the anxiety patients with mild to moderate upper limb injuries are e...
Source: Disability and Rehabilitation - October 28, 2014 Category: Rehabilitation Authors: Mayland EC, Hay-Smith EJ, Treharne GJ Tags: Disabil Rehabil Source Type: research

Self-management: challenges for allied healthcare professionals in stroke rehabilitation - a focus group study.
Conclusion: Professional perceptions and beliefs are important factors to take into account when implementing stroke self-management programmes. Before professionals can enable stroke survivors to self-manage, they first need support in acquiring knowledge and skills regarding post-stroke self-management. Moreover, professionals could benefit from behavioural change models, and professionals recognised that stroke self-management interventions would be most beneficial when delivered post-discharge at people's homes. Implications for Rehabilitation Post-stroke self-management is a learning process with different levels depe...
Source: Disability and Rehabilitation - October 28, 2014 Category: Rehabilitation Authors: Satink T, Cup EH, de Swart BJ, Nijhuis-van der Sanden MW Tags: Disabil Rehabil Source Type: research

Struggling at work - a qualitative study of working Danes with depressive symptoms.
Conclusions: This study provided insight to the process of struggling at work, which the interviewed employees with depressive symptoms experienced. Implications for Rehabilitation Behaviour of supervisors is a key element for employees with depressive symptoms struggling at work. Practitioners and other health and rehabilitation practitioners working with people with depressive symptoms and other mental health problems could inquire about supervisor's behaviour and relation between supervisors and employees. Interventions that targets both the individual employee as well as work environment focused interventions at the or...
Source: Disability and Rehabilitation - October 28, 2014 Category: Rehabilitation Authors: Hjarsbech PU, Nielsen MB, Andersen MF, Rugulies R, Christensen U Tags: Disabil Rehabil Source Type: research

Predictors of not regaining basic mobility after hip fracture surgery.
Conclusions: This study shows that patients undergoing hip fracture surgery, who are not able to complete physiotherapy on first post-operative day, are at a greater risk of not regaining basic mobility during hospitalization. This highlights the importance of physiotherapy as part of the interdisciplinary treatment. Implications for Rehabilitation Regaining abilities in basic mobility after hip fracture surgery is a primary goal of rehabilitation during hospitalization in the acute ward. The following factors are indentified to predict patients not regaining their previous level of basic mobility: Age >80 years, low pr...
Source: Disability and Rehabilitation - October 28, 2014 Category: Rehabilitation Authors: Hulsbæk S, Larsen RF, Troelsen A Tags: Disabil Rehabil Source Type: research

Barriers and facilitators of sports in children with physical disabilities: a mixed-method study.
Conclusion: Sports participation of children with physical disabilities is a complex phenomenon because children, their parents and professionals reported different barriers. Sports participation is more physically challenging for children with severe physical disabilities, as their daily activities already require much energy. However, the psychosocial benefits of sports are applicable to all children with physical disabilities. Implication for Rehabilitation Perceived barriers seemed to differ for children, parents and health professionals, suggesting that sports participation is a complex phenomenon. Sports might be mor...
Source: Disability and Rehabilitation - October 27, 2014 Category: Rehabilitation Authors: Jaarsma EA, Dijkstra PU, de Blécourt AC, Geertzen JH, Dekker R Tags: Disabil Rehabil Source Type: research

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

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

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

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

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

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

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

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

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