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The effects of an individual, multistep intervention on adherence to treatment in hemodialysis patients.
CONCLUSIONS: Adherence to treatment is one of the major problems in hemodialysis patients; however, comprehensive interventions are required in view of individual condition. Implications for Rehabilitation Adherence to treatment means that all patients' behaviors (diet, fluids and drugs intake) should be in line with the recommendations given by healthcare professionals. There is evidence on the association between adherence to treatment and decreased risk of hospitalization in dialysis patients. Individual structured programs are most likely to be successful in encouraging adherence to treatment. PMID: 26122544 [PubMe...
Source: Disability and Rehabilitation - June 30, 2015 Category: Rehabilitation Authors: Rafiee Vardanjani L, Parvin N, Mahmoodi Shan G Tags: Disabil Rehabil Source Type: research

What are the perceived barriers, facilitators and attitudes to exercise for women with rheumatoid arthritis? A qualitative study.
CONCLUSION: Among those interviewed, walking was considered an acceptable form of exercise for people with RA. Many of the barriers to exercise identified by participants could be alleviated by detailed instructions on the type and duration of exercise recommended. These findings inform the development of walking interventions. Implications for Rehabilitation People with RA and various other chronic illnesses have previously been found to request more specific guidance for incorporating physical activity into their treatment. There was a willingness to participate in physical activity among our participants with RA. Activi...
Source: Disability and Rehabilitation - June 30, 2015 Category: Rehabilitation Authors: Baxter S, Smith C, Treharne G, Stebbings S, Hale L Tags: Disabil Rehabil Source Type: research

Health-related quality of life improvements among women with chronic pain: comparison of two multidisciplinary interventions.
CONCLUSIONS: Our non-randomized study suggests that both NEM and TMP programs improve pain and HRQL among women with chronic pain. Sleep quality showed more improvements in NEM while pain intensity in TMP. Longer-term follow-ups are needed to address whether improvements sustain. Implications for Rehabilitation Chronic pain is a debilitating condition affecting quality of life and restricting societal participation. Intensive multidisciplinary bio-psycho-social rehabilitation is essential for this patient group. This study shows improvement in health-related quality of life and pain intensity following such rehabilitation....
Source: Disability and Rehabilitation - June 30, 2015 Category: Rehabilitation Authors: Björnsdóttir SV, Arnljótsdóttir M, Tómasson G, Triebel J, Valdimarsdóttir UA Tags: Disabil Rehabil Source Type: research

The experiences of everyday activities post-stroke.
CONCLUSIONS: Stroke survivors' lived experiences of pleasure, productivity and restoration in the context of everyday activities yields insight into the survivors' recovery and adjustment processes and into their quality of life. Practitioners should therefore incorporate stroke survivors' experiences as they facilitate goal setting and plan interventions. Implications for Rehabilitation Understanding stroke survivors' lived experiences provides practitioners valuable information to assist with goal setting and intervention planning. A sense of accomplishment may be gained outside of work in home management and high demand...
Source: Disability and Rehabilitation - June 30, 2015 Category: Rehabilitation Authors: Atler K Tags: Disabil Rehabil Source Type: research

The lived experience of parents enabling participation of their child with a physical disability at home, at school and in the community.
CONCLUSIONS: In-depth exploration and understanding of parents' articulated matters must be shared and taken seriously by policymakers and service providers. Parents' knowledge and experiences should be of major relevance to improve paediatric rehabilitation and other services for children with a physical disability. Implications for Rehabilitation To achieve tailored pediatric rehabilitation, involvement and needs of parents in enhancing their child's participation ought to be acknowledged. Active use of parents' experiences and knowledge regarding the participation of their child on different levels of decision making ma...
Source: Disability and Rehabilitation - June 29, 2015 Category: Rehabilitation Authors: Piškur B, Meuser S, Jongmans MJ, Ketelaar M, Smeets RJ, Casparie BM, Haarsma FA, Beurskens AJ Tags: Disabil Rehabil Source Type: research

Quality of life of Finnish children with cerebral palsy.
CONCLUSIONS: QOL of children with CP is quite good in Finland. However, barriers to participation and the impact of disability and pain impair QOL. The Finnish version of the CP QOL-Child questionnaire is an appropriate clinical tool to assess QOL. Implications for Rehabilitation The used questionnaire provides an effective tool to identify areas for targeting support actions and to set goals for rehabilitation plans. The study brings forward the voices of children. It was found that pain has a great role in QOL, which should be taken into account when making rehabilitation plans. The participation of children with CP shou...
Source: Disability and Rehabilitation - June 29, 2015 Category: Rehabilitation Authors: Böling S, Varho T, Kiviranta T, Haataja L Tags: Disabil Rehabil Source Type: research

Cultural influences on exercise participation and fall prevention: a systematic review and narrative synthesis.
CONCLUSION: Exercise and fall prevention interventions need to be culturally appropriate and utilise the positive influences of social support, especially from physicians and family. While these findings can be used to inform the delivery of programs to these population groups, future studies should focus specifically on experiences and perceptions of older CALD people of fall prevention programs as well as the perspectives of program providers. Implications for Rehabilitation Program participation is influenced by cultural values and motivational, social and environmental factors. The meaning and importance of exercise ca...
Source: Disability and Rehabilitation - June 29, 2015 Category: Rehabilitation Authors: Jang H, Clemson L, Lovarini M, Willis K, Lord SR, Sherrington C Tags: Disabil Rehabil Source Type: research

Screening and facilitating further assessment for cognitive impairment after stroke: application of a shortened Montreal Cognitive Assessment (miniMoCA).
CONCLUSIONS: This study extends the utility of the miniMoCA as an optimal brief screening tool for cognitive impairment in stroke patients. Further research is needed to determine the validity of the miniMoCA against a neuropsychological test. Implications for Rehabilitation Although the Montreal Cognitive Assessment (MoCA) is a recommended tool to screen for cognitive impairment in stroke patients, its lengthy administration can lead to inconsistent screening of patients for post-stroke cognitive function. In the current work, a shortened version of the MoCA (miniMoCA) was administered in a sample of stoke inpatients, uti...
Source: Disability and Rehabilitation - June 29, 2015 Category: Rehabilitation Authors: Campbell N, Rice D, Friedman L, Speechley M, Teasell RW Tags: Disabil Rehabil Source Type: research

The effect of adaptive sports on employment among people with disabilities.
CONCLUSIONS: This result indicates that a substantial economic benefit would result from increased participation in adaptive sport, and therefore may justify additional funding to expand adaptive sport programs. Implications for Rehabilitation Employment rates are very low among individuals with physical disabilities, despite research indicating extensive benefits from employment. Participation in adaptive sport is associated with a higher likelihood of employment. Efforts to increase participation in adaptive sport could have a large economic benefit. PMID: 26114627 [PubMed - as supplied by publisher] (Source: Disabil...
Source: Disability and Rehabilitation - June 26, 2015 Category: Rehabilitation Authors: Lastuka A, Cottingham M Tags: Disabil Rehabil Source Type: research

Facilitating employment opportunities for adults with intellectual and developmental disability through parents and social networks.
CONCLUSION: Practitioners must understand how to support parents to be effective advocates for their adult children with IDD, assist them to develop and maintain their social networks and help them to avoid caregiver burnout. Implications for Rehabilitation People with intellectual and developmental disability (IDD) face numerous challenges in indentifying work options and overcoming barriers to employment. Parents and other non-paid support members of social networks can be instrumental in ensuring that persons with IDD not only secure initial job placements, but also sustain employment and employment alternatives. Profes...
Source: Disability and Rehabilitation - June 26, 2015 Category: Rehabilitation Authors: Petner-Arrey J, Howell-Moneta A, Lysaght R Tags: Disabil Rehabil Source Type: research

Delivery of high quality stroke and vision care: experiences of UK services.
CONCLUSIONS: Practical elements for improved stroke and vision care provision are highlighted which can be implemented with relatively little financial inputs. Implications for Rehabilitation Integrated vision services within stroke units can improve the detection of visual problems in stroke survivors leading to earlier visual rehabilitation. Orthoptists within core stroke teams are beneficial to the delivery of a high quality service. This study illustrates clear practical elements to support the provision of high quality integrated stroke and vision services. Relatively little financial inputs are required to fund such ...
Source: Disability and Rehabilitation - June 26, 2015 Category: Rehabilitation Authors: Rowe F, Walker M, Rockliffe J, Pollock A, Noonan C, Howard C, Currie J Tags: Disabil Rehabil Source Type: research

Long-term effects of cardiac rehabilitation in elderly individuals with stable coronary artery disease.
CONCLUSIONS: Elderly individuals with CAD participating in maintenance CR have similar exercise capacity and cardiorespiratory response to exercise compared to their age- and gender-matched less active healthy peers. The findings support referral of elderly patients to community-based CR. Implications for Rehabilitation Fitness benefits of long-term maintenance cardiac rehabilitation (CR) programs remain unknown. Elderly individuals with coronary artery disease participating in maintenance CR have exercise capacity and cardiorespiratory response to exercise similar to their less active healthy peers. Maintenance CR may pla...
Source: Disability and Rehabilitation - June 25, 2015 Category: Rehabilitation Authors: Mandic S, Stevens E, Hodge C, Brown C, Walker R, Body D, Barclay L, Nye ER, Williams MJ Tags: Disabil Rehabil Source Type: research

A systematic review of studies investigating the care of stroke survivors in long-term care facilities.
CONCLUSIONS: The care of stroke survivors in LTC facilities is lacking in rehabilitation, stroke specific care and secondary stroke prevention. This needs to be addressed through conducting further research to build a strong body of evidence to influence change in the care of this vulnerable group of patients. Implications for Rehabilitation Care of stroke survivors in long-term care facilities Stroke survivors make up almost a quarter of residents in long-term care facilities. They suffer from functional impairments and many other disabilities as a result of more severe stroke, precluding them from living in their own hom...
Source: Disability and Rehabilitation - June 24, 2015 Category: Rehabilitation Authors: Teo K, Slark J Tags: Disabil Rehabil Source Type: research

Psychosocial factors associated with physical activity in ambulatory and manual wheelchair users with spinal cord injury: a mixed-methods study.
CONCLUSIONS: Poorer attitudes towards LTPA may partially explain why ambulatory individuals are less active. The qualitative and quantitative data suggest ambulators are an often-overlooked subgroup in need of targeted resources to enhance their attitudes, wheelchair skill self-efficacy and awareness of LTPA opportunities. Implications for Rehabilitation Rehabilitation practitioners must be sensitive to the unique needs of spinal cord injured individuals who are ambulatory, and tailor physical activity promotional strategies to suit the needs of this distinct group. Lack of wheelchair skills is a participation barrier for ...
Source: Disability and Rehabilitation - June 24, 2015 Category: Rehabilitation Authors: Martin Ginis KA, Papathomas A, Perrier MJ, Smith B, SHAPE-SCI Research Group Tags: Disabil Rehabil Source Type: research

The impact of care on family and health-related quality of life of parents with chronically ill and disabled children.
CONCLUSIONS: Future interventions should focus not only on the affected child but also on the whole family system and its social integration, as this seems likely to relief parents from burden of care. Therefore, a sustainable cooperation of health care institutions and professionals with self-help groups and parental initiatives is recommended. Implications for Rehabilitation Parents of disabled and chronically ill children are a vulnerable group regarding their health-related quality of life. A higher burden of care is associated with less social contacts, higher financial burden and higher help-needs in the household, w...
Source: Disability and Rehabilitation - June 23, 2015 Category: Rehabilitation Authors: Vonneilich N, Lüdecke D, Kofahl C Tags: Disabil Rehabil Source Type: research

A community living management program for people with disabilities who have moved out of nursing homes: a pilot study.
CONCLUSIONS: Preliminary findings suggest that the Stepping Stones program is beneficial to the target group. The study indicates that application of social learning and self-efficacy theories is effective to empower and enable people with disabilities to manage their lives in the community. The Stepping Stones program may be provided as a risk management intervention after individuals' transition into the community. Implications for Rehabilitation Long-term institutionalization negatively influences people with disabilities' self-esteem, autonomy and ability to independently live in the community. Successful community liv...
Source: Disability and Rehabilitation - June 22, 2015 Category: Rehabilitation Authors: Lee D, Hammel J, Wilson T Tags: Disabil Rehabil Source Type: research

Feasibility of a home-based program to improve handwriting after stroke: a pilot study.
CONCLUSIONS: Delivery of a four-week handwriting intervention with eight supervised sessions in the community was feasible; however, recruitment of an adequate sample size would require greater investment than the single site used in this pilot. Implications for Rehabilitation Handwriting difficulty is common following hemiparesis after stroke, however research addressing handwriting retraining for adults with stroke is lacking. A four-week home-based handwriting program using task-specific practice and feedback was feasible to deliver and appropriate for adults with stroke. Improving handwriting legibility and neatness ac...
Source: Disability and Rehabilitation - June 22, 2015 Category: Rehabilitation Authors: Simpson B, McCluskey A, Lannin N, Cordier R Tags: Disabil Rehabil Source Type: research

A grounded theory of Internet and social media use by young people who use augmentative and alternative communication (AAC).
CONCLUSION: The conceptual grounded theory supports understanding of facilitators and challenges to use of the Internet and social media by young people with a diagnosis of cerebral palsy who use AAC. The grounded theory illustrates how the desire to use the Internet and social media is based upon perceived benefits for enriching social relationships and enhancing opportunities for self-representation and self-determination that are synonymous with identified antecedents for community-based social inclusion. Some of the participants are engaging with the Internet and social media through collaborative practice and the impl...
Source: Disability and Rehabilitation - June 19, 2015 Category: Rehabilitation Authors: Hynan A, Goldbart J, Murray J Tags: Disabil Rehabil Source Type: research

Muscle function and body composition profile in adolescents with restrictive anorexia nervosa: does resistance training help?
CONCLUSIONS: SMM gain is linked to an increased relative strength when resistance training is prescribed. Although FM, relative body fat (%BF), BMI and body weight (BW) are used to monitor nutritional progress. Based on our results, we suggest to monitor SMM and relative strength ratios for a better estimation of body composition profile and muscle function recovery. Implications for Rehabilitation Anorexia Nervosa Restricting Type (AN-R) AN-R is a psychiatric disorder that has a major impact on muscle mass content and function. However, little or no attention has been paid to muscle recovery. High intensity resistance tra...
Source: Disability and Rehabilitation - June 18, 2015 Category: Rehabilitation Authors: Fernández-Del-Valle M, Larumbe-Zabala E, Morande-Lavin G, Perez Ruiz M Tags: Disabil Rehabil Source Type: research

Use of the ICF to investigate impairment, activity limitation and participation restriction in people using ankle-foot orthoses to manage mobility disabilities.
CONCLUSION: Health professionals need to ensure whether patients understand the recommendations for use of their AFO. Additionally, the results of the study support the value of evaluating patients' psychological well-being to gain a better understanding of AFO use. Implications for Rehabilitation Participants who reported using AFOs as recommended had significantly lower levels of impairment, activity limitations and anxiety compared to those who did not use their AFO as recommended. In this study, 27% of participants did not know recommendations for use of AFOs. Health professionals should give consideration as to how in...
Source: Disability and Rehabilitation - June 18, 2015 Category: Rehabilitation Authors: McMonagle C, Rasmussen S, Elliott MA, Dixon D Tags: Disabil Rehabil Source Type: research

Social context, art making processes and creative output: a qualitative study exploring how psychosocial benefits of art participation during stroke rehabilitation occur.
CONCLUSION: This study provides a model of intervention components, mechanisms of action and outcome mediators to explain how art participation may work. Findings suggest that art may influence important psychosocial outcomes that other rehabilitation approaches do not typically address. The study paves the way for a future effectiveness trial. Implications for Rehabilitation Participation in an art programme during rehabilitation appears to improve stroke survivors' mood, confidence and self-esteem and enhances perceptions of hope and control over recovery. Social interactions, the processes of art making and review and a...
Source: Disability and Rehabilitation - June 18, 2015 Category: Rehabilitation Authors: Morris J, Toma M, Kelly C, Joice S, Kroll T, Mead G, Williams B Tags: Disabil Rehabil Source Type: research

Aspects of learning from the perspective of people with Alström syndrome.
CONCLUSION: Based on the levels of functioning, i.e. personal resources, revealed in the interviews, supervisors, caregivers, and teachers are encouraged to allow people with AS to be their own advocates, as they know best how, what, and with whom they learn, and what type of sensory material - tactile, auditory, visual, or a combination - is most helpful. Implications for Rehabilitation Individuals with AS strive for independence, and to be independent they need to continue to learn throughout their lives. Individuals with AS know best how they learn, and should be asked what modalities are the most effective for them. Th...
Source: Disability and Rehabilitation - June 18, 2015 Category: Rehabilitation Authors: Rönnåsen B, Möller K, Möller C, Lyxell B, Anderzen-Carlsson A Tags: Disabil Rehabil Source Type: research

A multidimensional measure of participation for adults with serious mental illnesses.
CONCLUSIONS: The CPDM is a validated measure that can be used to assess levels of participation in adults with SMI. Implications for Rehabilitation Participation is an important goal and rehabilitation outcome indicator for individuals with serious mental illnesses (SMI). Participation is a multidimensional concept, which includes three distinct domains: Productive Activities, Social Participation and Community Activities. The Community Participation Domains Measure (CPDM) is a valid measure that can be used to assess the multidimensional construct of participation in adults with SMI. PMID: 26079634 [PubMed - as suppli...
Source: Disability and Rehabilitation - June 16, 2015 Category: Rehabilitation Authors: Chang FH, Coster WJ, Salzer MS, Brusilovskiy E, Ni P, Jette AM Tags: Disabil Rehabil Source Type: research

Keeping up appearances: the role of identity concealment in the workplace among adults with degenerative eye conditions and its relationship with wellbeing and career outcomes.
CONCLUSIONS: Patterns characterized by less planning and more identity concealment were associated with more stress and lower levels of self-acceptance, while patterns characterized by more planning for vision deterioration and less passing behavior were associated with higher levels self-acceptance and fewer obstacles over the course of an individual's career. The study's findings can serve as a guide for health professionals. Implications for Rehabilitation Many individuals with degenerative eye conditions try to conceal their identity as visually impaired in the professional setting. Different aspects of career outcomes...
Source: Disability and Rehabilitation - June 16, 2015 Category: Rehabilitation Authors: Spiegel T, De Bel V, Steverink N Tags: Disabil Rehabil Source Type: research

Combined transcranial direct current stimulation and home-based occupational therapy for upper limb motor impairment following intracerebral hemorrhage: a double-blind randomized controlled trial.
CONCLUSIONS: Five consecutive days of tDCS combined with occupational therapy provided greater improvements in grip strength compared with occupational therapy alone. tDCS is a promising add-on intervention regarding training of upper limb motor impairment. It is well tolerated by patients and can easily be applied for home-based training. Larger studies with long-term follow-up are needed to further explore possible effects of tDCS in patients with ICH. Implications for Rehabilitation Five consecutive days of tDCS combined with occupational therapy provided greater improvements in grip strength compared with occupational ...
Source: Disability and Rehabilitation - June 16, 2015 Category: Rehabilitation Authors: Mortensen J, Figlewski K, Andersen H Tags: Disabil Rehabil Source Type: research

Multiple factors, including non-motor impairments, influence decision making with regard to exercise participation in Parkinson's disease: a qualitative enquiry.
CONCLUSION: Complex and interacting issues, including non-motor impairments, need to be considered in order to enhance the development and ongoing implementation of effective exercise programmes for people with PD. Implications for Rehabilitation Exercise participation can assist individuals to reframe their identity as they are faced with losses associated with Parkinson's disease and ageing. Non-motor impairments of apathy and fatigue may influence exercise participation in people with Parkinson's disease. Particular attention needs to be paid to the provision of feedback in exercise programs for people with Parkinson's ...
Source: Disability and Rehabilitation - June 11, 2015 Category: Rehabilitation Authors: O'Brien C, Clemson L, Canning CG Tags: Disabil Rehabil Source Type: research

Teachers' perceptions of virtual worlds as a medium for social inclusion for adults with intellectual disability.
CONCLUSIONS: Some people with intellectual disability can use virtual worlds but the skills required need additional research. Virtual worlds may provide a stimulating, safe, and exciting context for a range of activities but the level of support required by many people is high and consequently expensive. Implications for Rehabilitation Educators can use virtual worlds such as Second LifeTM with people with intellectual disability as an enjoyable medium to experience new activities and gain feelings of independence. People with intellectual disability can use Second Life with support and those with good literacy and comput...
Source: Disability and Rehabilitation - June 11, 2015 Category: Rehabilitation Authors: Balandin S, Molka-Danielsen J Tags: Disabil Rehabil Source Type: research

Cross-cultural adaptation, reliability and validity of the Arabic version of the reduced Western Ontario and McMaster Universities Osteoarthritis index in patients with knee osteoarthritis.
CONCLUSIONS: The ArWOMAC index is a reliable and valid instrument for evaluating the severity of knee OA, with metric properties in agreement with the original version. Implications for Rehabilitation Although, the reduced WOMAC index has been clinically utilized within the Saudi population, the Arabic version of this instrument is not validated for an Arab population to measure lower limb functional disability caused by OA. The Arabic version of reduced WOMAC (ArWOMAC) index is a reliable and valid scale to measure lower limb functional disability in patients with knee OA. The ArWOMAC index could be suitable in Saudi Arab...
Source: Disability and Rehabilitation - June 11, 2015 Category: Rehabilitation Authors: Alghadir A, Anwer S, Iqbal ZA, Alsanawi HA Tags: Disabil Rehabil Source Type: research

The impact of transcranial direct current stimulation (tDCS) combined with modified constraint-induced movement therapy (mCIMT) on upper limb function in chronic stroke: a double-blind randomized controlled trial.
CONCLUSION: The results support the merit of association of mCIMT with brain stimulation to augment clinical gains in rehabilitation after stroke. However, the anodal tDCS seems to have greater impact than the cathodal tDCS in increasing the mCIMT effects on motor function of chronic stroke patients. Implications for Rehabilitation The association of mCIMT with brain stimulation improves clinical gains in rehabilitation after stroke. The improvement in motor recovery (assessed by Fugl-Meyer scale) was only observed after anodal tDCS. The modulation of damaged hemisphere demonstrated greater improvements than the modulation...
Source: Disability and Rehabilitation - June 10, 2015 Category: Rehabilitation Authors: Rocha S, Silva E, Foerster Á, Wiesiolek C, Chagas AP, Machado G, Baltar A, Monte-Silva K Tags: Disabil Rehabil Source Type: research

The effects of progressive resistance training on daily physical activity in young people with cerebral palsy: a randomised controlled trial.
CONCLUSIONS: A short-term resistance training programme that may increase leg muscle strength was not effective in increasing daily physical activity. Other strategies are needed to address the low-daily physical activity levels of young people with bilateral spastic CP. Implications for Rehabilitation Progressive resistance training may increase muscle strength but does not lead to increases in daily physical activity of young people with bilateral spastic cerebral palsy (CP) and mild to moderate walking disabilities. Other strategies apart from or in addition to resistance training are needed to address the low daily phy...
Source: Disability and Rehabilitation - June 9, 2015 Category: Rehabilitation Authors: Bania TA, Dodd KJ, Baker RJ, Kerr GH, Taylor NF Tags: Disabil Rehabil Source Type: research

Foot and ankle impairments affect balance and mobility in stroke (FAiMiS): the views and experiences of people with stroke.
CONCLUSIONS: Foot and ankle impairments such as pain, altered somatosensory input and weakness significantly contribute to problems with community ambulation, balance and fear of falling in people with chronic stroke. Specific foot and ankle impairments may also negatively contribute to perceptions of physical appearance and self-esteem. Therapeutic management approaches within clinical practice appear to focus mostly on the gross performance of the lower limb with little emphasis on the specific assessment or treatment of the foot or ankle. Implications for Rehabilitation Foot pain, sensory impairments and muscle weakness...
Source: Disability and Rehabilitation - June 9, 2015 Category: Rehabilitation Authors: Gorst T, Lyddon A, Marsden J, Paton J, Morrison SC, Cramp M, Freeman J Tags: Disabil Rehabil Source Type: research

Enhancing caregivers' understanding of dementia and tailoring activities in frontotemporal dementia: two case studies.
CONCLUSIONS: TAP is efficacious in FTD, allowing for differences in approach for FTD subtype, where behavioural symptoms are very severe and pervasive. Implications for Rehabilitation The Tailored Activities Program is an intervention which can be tailored to account for unique behavioural and language profiles inherent across frontotemporal dementia (FTD) subtypes. Maintaining a flexible approach when applying an intervention in FTD allows for tailoring to individual case variability within FTD subtypes. PMID: 26056858 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - June 9, 2015 Category: Rehabilitation Authors: O'Connor CM, Clemson L, Brodaty H, Gitlin LN, Piguet O, Mioshi E Tags: Disabil Rehabil Source Type: research

Evaluation of the structured bowel management program in inpatient rehabilitation: a prospective study.
CONCLUSIONS: Bowel management should be a priority within rehabilitative services. Evidence-based SBMP can improve bowel symptoms and enhance overall QoL in patients admitted to rehabilitation settings. Implications for Rehabilitation Bowel dysfunction is common in inpatient rehabilitation settings. A structured bowel management program can improve bowel symptoms and enhance overall QoL in patient. Bowel management should be a priority for patients admitted to rehabilitation settings. PMID: 26043750 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - June 5, 2015 Category: Rehabilitation Authors: Amatya B, Elmalik A, Lowe M, Khan F Tags: Disabil Rehabil Source Type: research

Enhancing social participation in young people with communication disabilities living in rural Australia: outcomes of a home-based intervention for using social media.
CONCLUSIONS: The findings suggest that learning to use social media leads to increase in social participation among rural-based young people with communication disabilities. In order to benefit from advantages of learning to use social media in rural areas, parents and service providers need knowledge and skills to integrate assistive technology with the Internet needs of this group. Implications for Rehabilitation Young people with communication disabilities living in rural areas of Australia can learn and benefit from using social media such as Skype, e-mail, and Facebook to enhance their social connections. For young pe...
Source: Disability and Rehabilitation - June 5, 2015 Category: Rehabilitation Authors: Raghavendra P, Newman L, Grace E, Wood D Tags: Disabil Rehabil Source Type: research

Using different methods to communicate: how adults with severe acquired communication difficulties make decisions about the communication methods they use and how they experience them.
CONCLUSION: Adults with acquired communication difficulties find digital communication, such as e-mail and social media, and mainstream technologies, such as iPads, beneficial in communicating with others. Current communication technologies present a number of challenges for adults with disabilities and are limited in their communicative functions to support desired interactions. The implications for AAC technology development and speech and language therapy service delivery are addressed. Implications for Rehabilitation Adults with severe acquired communication difficulties can make significant contributions to AAC resear...
Source: Disability and Rehabilitation - June 5, 2015 Category: Rehabilitation Authors: Paterson H, Carpenter C Tags: Disabil Rehabil Source Type: research

Teachers' perceptions of Twitter for professional development.
CONCLUSION: Regardless of years teaching, subject area, or age, educators perceived Twitter as providing an online forum to reflect upon practice, exchange knowledge and experience, and be in the presence of supportive colleagues. While participants experienced the pace and volume of information as being overwhelming at times, educators developed skills to managing this and perceived discussions to be learner-centered and supportive. Teachers valued the sense of community and learning that they reported were not otherwise available in their own physical workplace. Overall, participants perceived that the benefits of partic...
Source: Disability and Rehabilitation - June 1, 2015 Category: Rehabilitation Authors: Davis K Tags: Disabil Rehabil Source Type: research

Sexual functioning and sexual well-being in people with a limb amputation: a cross-sectional study in the Netherlands.
CONCLUSIONS: Sexual problems and sexual dysfunctions do occur in people with a limb amputation, but these problems are not discussed during the rehabilitation process. Justice for a person's "whole body" can only be served when sexuality is taken seriously in rehabilitation care in order to avoid cutting sexuality out of an amputee's life. Implications for Rehabilitation People with a limb amputation may be confronted with sexual problems and/or sexual dysfunctions. It is therefore important that sexuality is taken seriously as a part of standard rehabilitation care and that professionals bring up the issue of sexuality du...
Source: Disability and Rehabilitation - June 1, 2015 Category: Rehabilitation Authors: Verschuren JE, Geertzen JH, Enzlin P, Dijkstra PU, Dekker R Tags: Disabil Rehabil Source Type: research

"We definitely need an audience": experiences of Twitter, Twitter networks and tweet content in adults with severe communication disabilities who use augmentative and alternative communication (AAC).
CONCLUSIONS: People who use AAC report positive experiences in using Twitter. Obtaining help in Twitter, and engaging in hashtag communities facilitated higher frequency of tweets and establishment of Twitter networks. Results reflected an inter-connection of participant Twitter networks that might form part of a larger as yet unexplored emergent community of people who use AAC in Twitter. Implications for Rehabilitation Twitter can be used as an important vehicle for conversation and a forum for people with communication disabilities to exchange information and participate socially in online communities. It is important t...
Source: Disability and Rehabilitation - June 1, 2015 Category: Rehabilitation Authors: Hemsley B, Dann S, Palmer S, Allan M, Balandin S Tags: Disabil Rehabil Source Type: research

Virtual worlds for people with autism spectrum disorder: a case study in Second Life.
CONCLUSION: Anecdotally Wolf's experiences suggest that people with ASD enjoy using a virtual world and may feel more comfortable communicating in the virtual world context than the physical world. Virtual worlds offer a venue for people with ASD to be a part of a virtual society, lowers communication barriers experienced in the physical world, and gives the participant a unique opportunity to create and maintain friendships. Virtual worlds offer an arena for people with ASD to meet their peers on equal terms, not being dependent on social cues, which in the physical world can be a barrier for communication for this group....
Source: Disability and Rehabilitation - May 29, 2015 Category: Rehabilitation Authors: Stendal K, Balandin S Tags: Disabil Rehabil Source Type: research

Peer support need fulfillment among adults with spinal cord injury: relationships with participation, life satisfaction and individual characteristics.
CONCLUSIONS: The results provide some evidence that SCI peer support plays an important role in promoting participation and life satisfaction. Individuals with many SCI-related unmet needs are most likely to report a need for peer support. Implications for Rehabilitation The receipt of peer support after a spinal cord injury (SCI) is positively related to aspects of social participation and life satisfaction. Provision of peer support can play an important role in the SCI rehabilitation process. Education, injury-related characteristics, and the number of other unmet needs are factors that rehabilitation professionals can ...
Source: Disability and Rehabilitation - May 28, 2015 Category: Rehabilitation Authors: Sweet SN, Noreau L, Leblond J, Martin Ginis KA Tags: Disabil Rehabil Source Type: research

Disability, caregiver's dependency and patterns of access to rehabilitation care: results from a national representative study in Peru.
CONCLUSIONS: Approximately 1.6 million Peruvians have at least one disability, and 40% of them require assistance with daily activities. Informal caregiving, likely female and relative-provided, is highly common. Rehabilitation care access is low and inequitable. Our results signal a major need to implement strategies to guarantee the highest standard of health care for people with disabilities. Implications for Rehabilitation Major inequality patterns in terms of burden of disability versus access to rehabilitation care were observed: those groups who concentrate more disability reported receiving less rehabilitation care...
Source: Disability and Rehabilitation - May 28, 2015 Category: Rehabilitation Authors: Bernabe-Ortiz A, Diez-Canseco F, Vásquez A, Miranda JJ Tags: Disabil Rehabil Source Type: research

A synthesis of qualitative research exploring the barriers to staying in work with chronic musculoskeletal pain.
CONCLUSIONS: Our innovation is to present an internationally relevant model based on a conceptual synthesis. This model highlights the adversarial work experience of people with chronic. The papers span 15 years of qualitative research. A significant finding is that these themes continue to pervade the current work environment for those in pain, and this has clear implications for education, social care and policy. Implications for Rehabilitation People with chronic pain face an adversarial struggle to maintain their credibility at work. Strategies to maintain personal credibility can have an adverse effect on working live...
Source: Disability and Rehabilitation - May 27, 2015 Category: Rehabilitation Authors: Toye F, Seers K, Allcock N, Briggs M, Carr E, Barker K Tags: Disabil Rehabil Source Type: research

Women's experiences of living with neurogenic bladder and bowel after spinal cord injury: life controlled by bladder and bowel.
CONCLUSIONS: Findings describe concerns, strategies, and the detrimental impact of NBB in the lives of women with SCI. Findings inform policy makers, health care and rehabilitation professionals to improve accessibility and quality of life for women with NBB. Implications for Rehabilitation Women with spinal cord injury (SCI) reported gender specific challenges to living with neurogenic bladder and bowel (NBB). Interventions designed for women with SCI can address these problems and provide recommendations for prevention and treatment. Women described the detrimental impact of NBB on life course expectations, emotional, so...
Source: Disability and Rehabilitation - May 27, 2015 Category: Rehabilitation Authors: Nevedal A, Kratz AL, Tate DG Tags: Disabil Rehabil Source Type: research

Work-related musculoskeletal disorders among physical therapists: an online survey.
CONCLUSIONS: MSDs are common among PTs; the body parts most often affected were the low back and neck. The prevalence and body parts affected varied by practice setting and specialty area. The findings can help informing the design of evidence-based rehabilitation, prevention, training and educational programs. Implications for Rehabilitation Rehabilitation of injured physical therapists needs to address the symptoms of the multiple body parts that are usually affected (e.g. back, wrists and hands). Rehabilitation of injured physical therapists needs to take into consideration their job demands, practice setting and specia...
Source: Disability and Rehabilitation - May 26, 2015 Category: Rehabilitation Authors: Vieira ER, Svoboda S, Belniak A, Brunt D, Rose-St Prix C, Roberts L, da Costa BR Tags: Disabil Rehabil Source Type: research

Fatigue induced changes to kinematic and kinetic gait parameters following six minutes of walking in people with multiple sclerosis.
CONCLUSION: For people with MS, ankle dorsiflexion angle reduces at initial contact following walking induced fatigue, while increased power absorption at the hip, knee and ankle indicate gait inefficiencies that may contribute to higher levels of fatigue and exertion. Implications for Rehabilitation The modified 6-min walk test (m6MWT) leads to significant increases in self-reported fatigue and exertion in people with MS. Following the m6MWT, there is significantly reduced ankle dorsiflexion angle at initial contact in the more affected leg in people with MS. This reveals an important walking-induced kinematic change that...
Source: Disability and Rehabilitation - May 20, 2015 Category: Rehabilitation Authors: McLoughlin JV, Barr CJ, Patritti B, Crotty M, Lord SR, Sturnieks DL Tags: Disabil Rehabil Source Type: research

Reliability of measuring hip abductor strength following total knee arthroplasty using a hand-held dynamometer.
CONCLUSIONS: Hip abductor strength can be reliably measured using HHD in the clinical setting with the described protocol. Belt resistance demonstrated slightly higher test-retest reliability. Implications for Rehabilitation Reliable measurement of hip abductor muscle strength in patients with TKA is important to ensure deficiencies are addressed in rehabilitation programs and function is maximized. Hip abductor strength can be reliably measured with a hand-held dynamometer in the clinical setting using manual or belt resistance. PMID: 25985716 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - May 19, 2015 Category: Rehabilitation Authors: Schache MB, McClelland JA, Webster KE Tags: Disabil Rehabil Source Type: research

Review of the literature on the use of social media by people with traumatic brain injury (TBI).
CONCLUSIONS: Research to date reveals a range of benefits to the use of social media by people with TBI however there is little empirical research investigating its use. Further research focusing on ways to remove the barriers and increase facilitators for the use of social media by people with TBI is needed. Implications for Rehabilitation Communication disabilities following traumatic brain injury (TBI) can be wide-ranging in scope and social isolation with loss of friendships after TBI is common. For many people, social media is rapidly becoming a usual part of everyday communication and its use has the potential to inc...
Source: Disability and Rehabilitation - May 19, 2015 Category: Rehabilitation Authors: Brunner M, Hemsley B, Palmer S, Dann S, Togher L Tags: Disabil Rehabil Source Type: research

Third-party disability in carers of people with dysphagia following non-surgical management for head and neck cancer.
CONCLUSIONS: The ICF can be successfully used to describe the third-party disability in carers of people with dysphagia following HNC management. This information could be used by clinicians, researchers and policy makers to help establish evidence-based guidelines that include carers in the assessment and management of dysphagia associated with HNC. Implications for Rehabilitation Clinical levels of distress and reduced quality of life have been associated with caring for a person with dysphagia following head and neck cancer. The flow-on effects of dysphagia experienced by a carer or close family member can be understood...
Source: Disability and Rehabilitation - May 18, 2015 Category: Rehabilitation Authors: Nund RL, Scarinci NA, Cartmill B, Ward EC, Kuipers P, Porceddu SV Tags: Disabil Rehabil Source Type: research

Family members facilitating community re-integration and return to productivity following traumatic brain injury - motivations, roles and challenges.
CONCLUSIONS: Family members require on-going counseling and community supports to prevent burnout and allow for their continued engagement in their supportive roles. Further education on how to navigate the health care system, access community programs and rights to workplace accommodation is also warranted. Implications for Rehabilitation Family members are strongly motivated to support survivors' return to productive occupation following a traumatic brain injury, but require counseling and community support to enable their on-going engagement and prevent burnout. Family members can be further empowered through the implem...
Source: Disability and Rehabilitation - May 14, 2015 Category: Rehabilitation Authors: Gagnon A, Lin J, Stergiou-Kita M Tags: Disabil Rehabil Source Type: research

Factors perceived by employees regarding their sick leave due to depression.
CONCLUSIONS: These results support the importance of preventive intervention oriented toward decreasing psychosocial risks within organizations, and detecting workers at risk. Future studies should focus on factors that might influence individuals in their decision to reveal or not their difficulties to their supervisors. Implications for Rehabilitation The conditions in which employees were working before they started their leave of absence should be identified; notably (1) relationships with organizational stakeholders (e.g. immediate supervisor, colleagues) and (2) psychosocial risk factors (e.g. work overload, over-com...
Source: Disability and Rehabilitation - May 14, 2015 Category: Rehabilitation Authors: Corbière M, Samson E, Negrini A, St-Arnaud L, Durand MJ, Coutu MF, Sauvé G, Lecomte T Tags: Disabil Rehabil Source Type: research