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Disability and Rehabilitation

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The intersection of disability and healthcare disparities: a conceptual framework.
Conclusion: We analyzed models of access to care and disparities in healthcare to be able to have an integrated and cohesive conceptual framework that could potentially address issues related to access to healthcare among individuals with disabilities. The Model of Healthcare Disparities and Disability (MHDD) provides a framework for conceptualizing how healthcare disparities impact disability and specifically, how a mismatch between personal and environmental factors may result in reduced healthcare access and quality, which in turn may lead to reduced functioning, activity and participation among individuals with impairm...
Source: Disability and Rehabilitation - July 25, 2014 Category: Rehabilitation Authors: Meade MA, Mahmoudi E, Lee SY Tags: Disabil Rehabil Source Type: research

The effects of practicing sitting Tai Chi on balance control and eye-hand coordination in the older adults: a randomized controlled trial.
Conclusions: The results demonstrate 3-months of sitting Tai Chi training can improve sitting balance and accuracy in finger pointing task in the older adults. Implications for Rehabilitation Traditional Tai Chi poses difficulties for older adults with poor standing balance. This pilot study showed that a 3 months sitting Tai Chi training can improve sitting balance and accuracy in the finger pointing task in the older adults. Sitting Tai Chi can be a therapy option for older adults with poor standing balance. PMID: 25060039 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - July 25, 2014 Category: Rehabilitation Authors: Lee KY, Hui-Chan CW, Tsang WW Tags: Disabil Rehabil Source Type: research

Costs of production loss and primary health care interventions for return-to-work of sick-listed workers in Sweden.
Conclusions: Costs associated with sick leave were dominated by production loss. Resources invested in rehabilitation were small. By increasing investment in early rehabilitation, costs to society and the individual might be reduced. Implications for Rehabilitation Resources invested in rehabilitation for sick-listed with musculoskeletal and mental disorders in Sweden are very small in comparison with the costs of production loss. For policy makers, there may be much to gain through investments into improved rehabilitation processes for return to work. Health care professionals need to develop rehabilitative activities aim...
Source: Disability and Rehabilitation - July 24, 2014 Category: Rehabilitation Authors: Persson J, Bernfort L, Wåhlin C, Oberg B, Ekberg K Tags: Disabil Rehabil Source Type: research

Patient experiences with intrathecal baclofen as a treatment for spasticity - a pilot study.
Conclusion: Patients stated that they were highly satisfied with the ITB treatment. However, the patients identified several areas that could be improved. Specifically, the patients wanted more information about the different steps in the treatment process and what to expect from ITB treatment. Implications for Rehabilitation An overall satisfaction with the effect from ITB treatment was shown, but some areas still need to be improved. Complications following ITB treatment still remain a major concern for the patient group. Future clinical practice, should address how to take into account patients' expectations and define ...
Source: Disability and Rehabilitation - July 23, 2014 Category: Rehabilitation Authors: Gunnarsson S, Samuelsson K Tags: Disabil Rehabil Source Type: research

Participation in life situations by persons with systemic sclerosis.
Conclusions: Participation in life situations in persons with SSc is related to higher disability, depression, and severity of disease symptoms. Interventions to address the disability, depression and symptoms may increase participation. Implications for Rehabilitation People with systemic sclerosis (SSc) have restrictions in participation including domestic chores, household maintenance, service to others compared to a normative sample. For practitioners, these findings show the need to assess participation in addition to impairments and activity limitations in persons with SSc. The Adelaide Activities Profile could be us...
Source: Disability and Rehabilitation - July 23, 2014 Category: Rehabilitation Authors: Poole JL, Chandrasekaran A, Hildebrand K, Skipper B Tags: Disabil Rehabil Source Type: research

Implementing an inpatient rehabilitation Saturday service is associated with improved patient outcomes and facilitates patient flow across the health care continuum.
Conclusions: The implementation of the Saturday inpatient rehabilitation service was associated with improved patient outcomes and supported an increase in patient flow throughout the organization as evidenced by an increased number of Saturday patient admissions. Implications for Rehabilitation Inpatient rehabilitation services do not operate in isolation; they are a critical link in the healthcare continuum. There is a mounting body of evidence that the introduction of weekend rehabilitation services has a positive impact on patient outcomes. To maximize health outcomes, access to critical services and patient flow, orga...
Source: Disability and Rehabilitation - July 23, 2014 Category: Rehabilitation Authors: Hakkennes S, Lindner C, Reid J Tags: Disabil Rehabil Source Type: research

The effect of ice skating on psychological well-being and sleep quality of children with visual or hearing impairment.
Conclusion: Ice skating is one of the popular sport alternatives that gives children the opportunity to exercise and have fun together. The results of this study revealed that regular ice skating programmes may have positive effects on the psychological well-being of children with hearing impairment. Despite some positive effects, caution must be use when including visually impaired children in ice skating programmes. Generalization of the study's outcomes is limited as the study group were residential students enrolled in special education institutions for children who are blind or deaf. Implications for Rehabilitation Ic...
Source: Disability and Rehabilitation - July 22, 2014 Category: Rehabilitation Authors: Dursun OB, Erhan SE, Ibiş EO, Esin IS, Keleş S, Sirinkan A, Yörük O, Acar E, Beyhun NE Tags: Disabil Rehabil Source Type: research

Contemporary vocational rehabilitation in Australia.
Conclusions: Changes in the policy environment to reduce the number of disability pension recipients will inevitably lead to an increased demand for trained vocational rehabilitation personnel. Given the development of strong accreditation standards for vocational rehabilitation education and practice that underpin the provision of tertiary level rehabilitation counselling training programs, professionally qualified rehabilitation counsellors are ideally placed to address the complex employment needs of people with a disability. Implications for Rehabilitation It is important to understand changes that may occur in policy ...
Source: Disability and Rehabilitation - July 21, 2014 Category: Rehabilitation Authors: Buys N, Matthews LR, Randall C Tags: Disabil Rehabil Source Type: research

French-Canadian translation of the WheelCon-M (WheelCon-M-F) and evaluation of its validity evidence using telephone administration.
Conclusions: The WheelCon-M-F is a valid outcome measure for assessing manual wheelchair confidence in the French-Canadian population. Implications for Rehabilitation The WheelCon-M-F is a valid outcome measure available for assessing wheelchair confidence, a modifiable barrier to wheelchair use. Translation of the WheelCon-M into the WheelCon-M-F allows collection of both clinical and research wheelchair confidence data using the two official Canadian languages, English and French. PMID: 25039622 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - July 21, 2014 Category: Rehabilitation Authors: Rushton PW, Routhier F, Miller WC, Auger C, Lavoie MP Tags: Disabil Rehabil Source Type: research

Predictors of severe self-reported disability in RA in a long-term follow-up study.
Conclusion: High levels of pain and worse reports of function at disease onset were risk factors for being in the most disabled tertile of patients after 5-18 years. Pain and function proved to be predictors of the outcome while some measures of inflammation were not. It is important to recognize these patients who may be in need of multidisciplinary treatments already at disease onset. Implications for Rehabilitation Health care providers should be aware of the subgroup of patients with more severe symptoms of pain and impaired function at disease onset since they have an increased risk of being in the most disabled terti...
Source: Disability and Rehabilitation - July 18, 2014 Category: Rehabilitation Authors: Malm K, Bergman S, Andersson M, Bremander A, the BARFOT study group Tags: Disabil Rehabil Source Type: research

The functional exercise capacity and its correlates in obese treatment-seeking people with binge eating disorder: an exploratory study.
Conclusion: Physical activity participation, physical self-perception and perceived physical discomfort during walking should be considered when developing rehabilitation programs for obese people with BED. Implications for Rehabilitation Rehabilitation programmes in people with binge eating disorder should incorporate a functional exercise capacity assessment. Clinicians involved in the rehabilitation of people with binge eating disorder should consider depression and lower self-esteem as potential barriers. Clinicians should take into account the frequently observed physical discomfort when developing rehabilitation prog...
Source: Disability and Rehabilitation - July 17, 2014 Category: Rehabilitation Authors: Vancampfort D, De Herdt A, Vanderlinden J, Lannoo M, Adriaens A, De Hert M, Stubbs B, Soundy A, Probst M Tags: Disabil Rehabil Source Type: research

Development and validation of the Diabetes Knowledge Assessment Test for use in medical rehabilitation.
Conclusions: Findings support claims that DKAT scores are valid and reliable for diabetes knowledge assessment across a range of rehabilitation conditions. It is appropriate for use with persons with or without diabetes engaging in rehabilitation services as an inpatient or outpatient. Implications for Rehabilitation Medical rehabilitation patients represent an important population in which to assess core diabetes knowledge due to the extremely high prevalence of diabetes. We were unable to identify instruments with validity evidence aimed at assessing diabetes knowledge in rehabilitation populations, therefore undertook d...
Source: Disability and Rehabilitation - July 15, 2014 Category: Rehabilitation Authors: Weeks DL, French BF, Davis AD, Towle LA Tags: Disabil Rehabil Source Type: research

Does manual therapy provide additional benefit to breathing retraining in the management of dysfunctional breathing? A randomised controlled trial.
Conclusion: Breathing retraining is currently the mainstay of treatment for patients with DB. The results of this study suggest MT provides no additional benefit in this patient group. Implications for Rehabilitation Dysfunctional breathing (DB) is associated with significant patient morbidity but often goes unrecognised, leading to prolonged investigation and significant use of health care resources. Breathing retraining remains the primary management of this condition. However, physiotherapists are also using manual therapy (MT) as an adjunctive treatment for patients with DB. However, the results of this study suggest t...
Source: Disability and Rehabilitation - July 15, 2014 Category: Rehabilitation Authors: Jones M, Troup F, Nugus J, Roughton M, Hodson M, Rayner C, Bowen F, Pryor J Tags: Disabil Rehabil Source Type: research

Association between muscle power impairment and WHODAS 2.0 in older adults with physical disability in Taiwan.
Conclusions: Although the patterns of difficulty in most daily activities were similar between the BD and non-BD groups, factors associated with the difficulties differed between those two groups. Muscle power impairment, age and speech impairment were important factors associated with difficulties in subjects with BD-related physical disability. Implications for Rehabilitation Older adults with physical disability often experience difficulties in household activities and mobility. Muscle power impairment is associated with difficulties in daily life in subjects with physical disability related to brain disease. Those subj...
Source: Disability and Rehabilitation - July 15, 2014 Category: Rehabilitation Authors: Chang KH, Liao HF, Yen CF, Hwang AW, Chi WC, Escorpizo R, Liou TH Tags: Disabil Rehabil Source Type: research

Are metacognitive processes associated with posttraumatic stress symptom severity following acquired brain injury?
Conclusions: The results provide preliminary support that metacognitive variables are associated with PTSS after ABI. Clinical implications within rehabilitative settings are discussed, as well as theoretical and research implications in the context of the study's limitations. Implications for Rehabilitation Posttraumatic stress disorder (PTSD) can impede quality of life after brain injury. Clinical, social and metacognitive processes all influence the development of PTSD after brain injury and should be considered within rehabilitative care plans. Rehabilitative care plans should incorporate interventions for PTSD when ap...
Source: Disability and Rehabilitation - July 14, 2014 Category: Rehabilitation Authors: Gill IJ, Mullin S, Simpson J Tags: Disabil Rehabil Source Type: research

Cost-effectiveness of a one-year coaching program for healthy physical activity in early rheumatoid arthritis.
Conclusions: The intervention resulted in improved effect in health status for the IG with a cost of €116 per extra point in VAS. The intervention was cost-effective if targeted towards a subgroup of more affected patients when evaluating the effect using VAS and HAQ. Implications for Rehabilitation The physical activity coaching intervention resulted in an improved effect on VAS for the intervention group, to a higher cost. In order to maximize cost-effectiveness, this type of physical activity coaching intervention should be targeted towards patients largely affected by their RA. The intervention is cost-effective from...
Source: Disability and Rehabilitation - July 14, 2014 Category: Rehabilitation Authors: Brodin N, Lohela-Karlsson M, Swärdh E, Opava CH Tags: Disabil Rehabil Source Type: research

An ecological approach to understanding barriers to employment for youth with disabilities compared to their typically developing peers: views of youth, employers, and job counselors.
Conclusions: Youth with physical disabilities encounter some similar barriers to finding employment compared to their typically developing peers but in a stronger way. Barriers to employment exist at several levels including individual, sociostructural and environmental. The results highlight that although there are several barriers to employment for young people at the microsystem level, they are linked with larger social and environmental barriers. Implications for Rehabilitation Clinicians working with youth should promote the development of skills that can lead to improved self-confidence and communication skills for y...
Source: Disability and Rehabilitation - July 11, 2014 Category: Rehabilitation Authors: Lindsay S, McDougall C, Menna-Dack D, Sanford R, Adams T Tags: Disabil Rehabil Source Type: research

"We are not worthy" - understanding why patients decline pulmonary rehabilitation following an acute exacerbation of COPD.
Conclusions: Prominent in theses participants' narratives are self-conscious cognitions which appear founded in shame and stigmatization. These cognitions seem to reflect challenges to self-worth and appear associated with reduced help-seeking and isolation. Perceived personal culpability for COPD appears to sensitize participants' towards their interactions with health care professionals, construed as critical and judgmental which may increase avoidant behaviors, such as refusal of PR. When introducing PR, professionals should be aware of such sensitivities and facilitate open discussion which offers, time, compassion and...
Source: Disability and Rehabilitation - July 10, 2014 Category: Rehabilitation Authors: Harrison SL, Robertson N, Apps L, C Steiner M, Morgan MD, Singh SJ Tags: Disabil Rehabil Source Type: research

Web accessibility standards and disability: developing critical perspectives on accessibility.
Conclusions: Web accessibility standards are designed to enact universal principles; however, they express partial and biopolitical understandings of the relation between disability and technology. These values can be limiting, and potentially counter-productive, for example, for the majority of disabled people in the "Global South" where different contexts constitute different disabilities and different experiences of web access. To create more robust, accessible outcomes for disabled people, research and standards practice should diversify to embrace more interactional accounts of disability in different settings. Implic...
Source: Disability and Rehabilitation - July 10, 2014 Category: Rehabilitation Authors: Lewthwaite S Tags: Disabil Rehabil Source Type: research

Factors affecting speech pathologists' implementation of stroke management guidelines: a thematic analysis.
Conclusions: Factors affecting implementation are complex, and are not exclusively barriers or facilitators. Some potential implementation strategies are suggested. Further research is recommended. Implications for Rehabilitation In most Western nations, stroke remains the single greatest cause of disability, including communication and swallowing disabilities. Although adherence to stroke clinical practice guidelines improves stroke patient outcomes, guidelines continue to be underutilised, and the reasons for this are not well understood. This is the first in-depth qualitative study identifying the complex barriers and f...
Source: Disability and Rehabilitation - July 8, 2014 Category: Rehabilitation Authors: Miao M, Power E, O'Halloran R Tags: Disabil Rehabil Source Type: research

Exploring factors facilitating adults with spinal cord injury rejoining the workforce: a pilot study.
Conclusions: Motivation and resources were important facilitators, including rehabilitation professional's personal influence and therapies, and resource assistance from state agencies. The results indicate that practitioners can play an important role in influencing RTW, and resources from state agencies are helpful when individuals know how to access and utilize them. Implications for Rehabilitation Assistive technology supports successful return to work after SCI. Motivation strongly influences return to work after SCI and can be influenced by rehabilitation professionals, family and community members. Patients should b...
Source: Disability and Rehabilitation - July 8, 2014 Category: Rehabilitation Authors: Wilbanks SR, Ivankova NV Tags: Disabil Rehabil Source Type: research

Bridging the gap between goal intentions and actions: a systematic review in patient populations.
Conclusions: Of the four studies that used an if-then plan, only one (people with epilepsy) looked at the intervention as a stand-alone strategy. Further research needs to explore if this simple approach improves rehabilitation outcomes and is a helpful and feasible strategy for people experiencing disabilities. Implications for Rehabilitation Steps involved in achieving goals, such as doing exercises or completing other goal related tasks, can be compromised for people with chronic health conditions particularly resulting from difficulties in self-regulating behaviour. If-then plans are implementation intention tools aime...
Source: Disability and Rehabilitation - July 7, 2014 Category: Rehabilitation Authors: Kersten P, McCambridge A, M Kayes N, Theadom A, McPherson KM Tags: Disabil Rehabil Source Type: research

From isolation and dependence to autonomy - expectations before and experiences after cochlear implantation in adult cochlear implant users and their significant others.
Conclusion: The CI increases well-being and satisfaction for both CI-users and their significant others, which is especially evident regarding enhanced autonomy, normality and living social life. Implications for Rehabilitation Before implantation it is important to discuss the fact that phone calls and listening to music are improvement expectations that might not be met by the CI. The perceived life changes affect the lives of both the CI-users and the significant others, a finding important to take into consideration before implantation and during rehabilitation after the implantation. Before implantation it is importan...
Source: Disability and Rehabilitation - July 3, 2014 Category: Rehabilitation Authors: Mäki-Torkko EM, Vestergren S, Harder H, Lyxell B Tags: Disabil Rehabil Source Type: research

Does muscle size matter? The relationship between muscle size and strength in children with cerebral palsy.
Conclusions: Children with CP have smaller, weaker muscles than their TD peers. However, muscle size may only partially explain their decreased torque capacity. MV appears to be a better predictor of muscle work in children with CP than aCSA. This is an important area of research particularly in regard to treatment(s) that target muscle and strength in children with CP. Implications for Rehabilitation This research adds to the evidence that children with CP have smaller, weaker knee flexor and extensor muscles than their TD peers. However, unlike their TD peers, muscle size does not necessarily relate to muscle strength. T...
Source: Disability and Rehabilitation - July 3, 2014 Category: Rehabilitation Authors: Reid SL, Pitcher CA, Williams SA, Licari MK, Valentine JP, Shipman PJ, Elliott CM Tags: Disabil Rehabil Source Type: research

Effects of joint mobilization on chronic ankle instability: a randomized controlled trial.
Conclusion: Joint mobilization techniques applied to subjects suffering from CAI were able to improve ankle DFROM, postural control, and self-reported instability. These results suggest that joint mobilization could be applied to patients with recurrent ankle sprain to help restore their functional stability. Implications for Rehabilitation Functional instability is a very common sequela in patients with CAI, resulting in reduced quality of living due to the limitations it imposes on daily life activities. The mobilization with movement technique presented by Mulligan, and based on the joint mobilization accompanied by act...
Source: Disability and Rehabilitation - July 3, 2014 Category: Rehabilitation Authors: Cruz-Díaz D, Lomas Vega R, Osuna-Pérez MC, Hita-Contreras F, Martínez-Amat A Tags: Disabil Rehabil Source Type: research

Designing inclusive environments: rehabilitating the body and the relevance of universal design.
PMID: 24989068 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - July 3, 2014 Category: Rehabilitation Authors: Imrie R, Luck R Tags: Disabil Rehabil Source Type: research

The use of the International Classification of Functioning, Disability and Health to understand the health and functioning experiences of people with chronic conditions from the person perspective: a systematic review.
Conclusion: The ICF has been used to provide a comprehensive understanding of health and functioning in persons with chronic conditions from the person perspective, although there are currently relatively few studies which have used the ICF in this context. Limitations regarding its use were reported which should be considered by users of the model and during its revision process. Implications for Rehabilitation The ICF encourages a bio-psycho-social and person-centred approach to healthcare and may provide a useful tool for guiding clinical assessment and encouraging clinicians to consider the multitude of factors which i...
Source: Disability and Rehabilitation - July 2, 2014 Category: Rehabilitation Authors: Alford VM, Ewen S, Webb GR, McGinley J, Brookes A, Remedios LJ Tags: Disabil Rehabil Source Type: research

Usefulness of an ability-based health model in work ability assessments provided by psychiatrists and psychology specialists writing social security certificates.
Conclusion: Applying the AHM in work ability assessments, in comparison with the BDM and the MHM, is useful because this foregrounds claimants' abilities in a context of concrete goals and work-related opportunities, as a unity. Implications for Rehabilitation A concept of health should include ability, environment and intentions/goals as components. When all three of these components are described in concrete terms in a work ability assessment, an integrated picture of the individual's abilities in the context of his/her particular intentions/goals and work opportunities comes to the fore. This kind of assessment makes it...
Source: Disability and Rehabilitation - July 2, 2014 Category: Rehabilitation Authors: Solli HM, Barbosa da Silva A, Egeland J Tags: Disabil Rehabil Source Type: research

Universal design and the challenge of diversity: reflections on the principles of UD, based on empirical research of people's mobility.
Conclusions: This analysis leads to a change in the question of policy. This question is no longer "how to include diversity using the definition of 'universal'", but "how to bring out and articulate this diversity, so as to vary the qualities of persons and the world in which they live". Implications for Rehabilitation "Inaccessibility" is analysed in terms of a discrepancy between the user and her/his environment and in terms of experience. Accessibility is analysed as a process of adjustment and practical arrangements between the person and her/his environment. The universalism of Universal Design is criticized in the w...
Source: Disability and Rehabilitation - July 2, 2014 Category: Rehabilitation Authors: Winance M Tags: Disabil Rehabil Source Type: research

A dynamic view of comorbid depression and generalized anxiety disorder symptom change in chronic heart failure: the discrete effects of cognitive behavioral therapy, exercise, and psychotropic medication.
Conclusion: The findings support the use of multifaceted interventions in the rehabilitation of HF patients with comorbid psychiatric needs. Implications for Rehabilitation Comorbid depression and anxiety disorders are a clinical and research focus that deserves more attention in the treatment of heart failure patients. Cognitive behavioral therapy, exercise, and anxiolytic use was associated with significant changes in depression and anxiety though discrete effects were evident. Multifaceted interventions are most likely to be successful in the rehabilitation of HF patients with psychiatric needs. PMID: 24981015 [PubM...
Source: Disability and Rehabilitation - July 1, 2014 Category: Rehabilitation Authors: Tully PJ, Selkow T, Bengel J, Rafanelli C Tags: Disabil Rehabil Source Type: research

Rehabilitation therapies for older clients of the Ontario home care system: regional variation and client-level predictors of service provision.
Conclusions: Where a client lived was an important determinant of service provision in Ontario, raising the possibility of inequities in access to rehabilitation services. Health care planners and policy makers should review current practices and make adjustments to meet the increasing and changing needs for rehabilitation therapies of the aging population. Implications for Rehabilitation For older adults in home care, the goal of rehabilitation therapy services is to allow individuals to maintain or improve physical functioning, quality of life and overall independence while living within their community. Previous researc...
Source: Disability and Rehabilitation - July 1, 2014 Category: Rehabilitation Authors: Armstrong JJ, Zhu M, Hirdes JP, Stolee P Tags: Disabil Rehabil Source Type: research

Rehabilitation of compensable workplace injuries: effective payment models for quality vocational rehabilitation outcomes in a changing social landscape.
Conclusions: Robust evidence of the benefits and costs associated with different payment models - from the perspectives of clients/consumers, funders and service providers - is needed to inform best practice in rehabilitation of compensable workplace injuries. Implications for Rehabilitation Available but limited evidence suggests that payment models providing financial incentives for stakeholder-agreed vocational rehabilitation outcomes tend to improve service effectiveness in workers' compensation settings, although there is little evidence of service quality or client satisfaction. Working in a system that identifies pa...
Source: Disability and Rehabilitation - June 30, 2014 Category: Rehabilitation Authors: Matthews LR, Hanley F, Lewis V, Howe C Tags: Disabil Rehabil Source Type: research

Parent management of the school reintegration needs of children and youth following moderate or severe traumatic brain injury.
Conclusions: School reintegration can add to family workload by changing roles and relationships and by adding to parents' perceived stress in managing of the child's condition. Implications for Rehabilitation Moderate to severe traumatic brain injury is assumed to be the primary cause of children's morbidities post-injury. Despite laws in the United States meant to facilitate children's school reintegration needs, parents often perceived that policies and practices differed from the intentions of laws and added to the family workload and stress. The school environment of the child (physical, cultural or psychological sett...
Source: Disability and Rehabilitation - June 27, 2014 Category: Rehabilitation Authors: Roscigno CI, Fleig DK, Knafl KA Tags: Disabil Rehabil Source Type: research

A conceptual review of engagement in healthcare and rehabilitation.
Conclusion: Our review suggests engagement to be multi-dimensional, comprising both a co-constructed process and a patient state. While engagement is commonly considered a patient behavior, the review findings suggest clinicians play a pivotal role in patient engagement. This review challenges some understandings of engagement and how we work with patients and highlights conceptual limitations of some measures. Implications for Rehabilitation Engagement appears to be a multi-dimensional construct, comprising both a co-constructed process and a patient state. Conceptualizing engagement as a co-constructed process may help c...
Source: Disability and Rehabilitation - June 27, 2014 Category: Rehabilitation Authors: Bright FA, Kayes NM, Worrall L, McPherson KM Tags: Disabil Rehabil Source Type: research

Development of a prognostic score for work disability in Romanian patients with ankylosing spondylitis.
Conclusions: The score is a reliable method for assessing the WD risk in patients with AS. It allows a complex evaluation by performing minimal investigations and it is easy to perform. Implications for Rehabilitation Work disability is an important outcome in AS, determined by numerous variables but highly dependent on the national characteristics of economy, social security and healthcare system. The prognostic score for work disability in AS not only contains medical but also socio-demographic and work-related factors and is expected to be a useful tool for specialists to guide the tertiary prevention-oriented rehabilit...
Source: Disability and Rehabilitation - June 26, 2014 Category: Rehabilitation Authors: Oancea C, Mihai C, Gherman D, Milicescu M, Ancuta I, Martin A, Bojinca M, Stoica V, Ciuvica MM Tags: Disabil Rehabil Source Type: research

Innovative practice: exploring acculturation theory to advance rehabilitation from pediatric to adult "cultures" of care.
Conclusions: An understanding of patients' acculturation processes will add new insight into how we can best deliver services and supports to optimise health, opportunities and experiences for youth with chronic conditions. Implications for Rehabilitation The integration of acculturation theory and inherent concepts can provide a reassuring framework upon which to rely in interpreting patient circumstances, responses and behaviours when moving from one culture to the next. Cultural intelligence will reduce fear of diversity and establish positive partnerships between patients and clinicians. Acculturation can become a natu...
Source: Disability and Rehabilitation - June 26, 2014 Category: Rehabilitation Authors: Nguyen T, Baptiste S Tags: Disabil Rehabil Source Type: research

Clinical practice guidelines for the management of conditions related to traffic collisions: a systematic review by the OPTIMa Collaboration.
Conclusion: Fifty percent of appraised guidelines were scientifically admissible, but most need updating. Most guidelines focus on WAD and MTBI. Few guidelines make comprehensive recommendations on a wide range of consequences from traffic collisions. Implications for Rehabilitation The core components of a program of care designed to manage common traffic injuries (whiplash-associated disorders - WAD, anxiety and mild traumatic brain injuries) should include advice, education and reassurance. Depending on the condition, the following specific interventions should be considered: (1) WAD: exercise, early return to activity,...
Source: Disability and Rehabilitation - June 25, 2014 Category: Rehabilitation Authors: Wong JJ, Côté P, Shearer HM, Carroll LJ, Yu H, Varatharajan S, Southerst D, van der Velde G, Jacobs C, Taylor-Vaisey A Tags: Disabil Rehabil Source Type: research

Transcultural adaptation and validation of the Korean version of Caregiver Priorities & Child Health Index of Life with Disabilities (CPCHILD).
Conclusions: The Korean version of CPCHILD was found to be a reliable and valid questionnaire of caregivers' perspectives on the health-related quality of life in severely affected children with CP. However, the Korean version of CPCHILD contains some redundant items, and factor analysis suggested a five-domain questionnaire. Implication for Rehabilitation The Korean version of CPCHILD is a reliable, internally consistent, valid instrument for assessing the health-related quality of life in severely affected children with CP from the perspective of caregivers. After the transcultural adaptation and validation of the Korean...
Source: Disability and Rehabilitation - June 25, 2014 Category: Rehabilitation Authors: Sung KH, Kwon SS, Narayanan UG, Chung CY, Lee KM, Lee SY, Lee DJ, Park MS Tags: Disabil Rehabil Source Type: research

Determinants of functional outcome in hip fracture patients: the role of specific neuropsychiatric symptoms.
Conclusions: This study highlights that in hip fracture patients there are relationships between specific neuropsychiatric symptoms and functional outcome. Among the neuropsychiatric symptoms, irritability and agitation are the most important. They are associated to poor functional outcome and are the only determinants of motor-FIM outcome measures. Implications for Rehabilitation Relationships between specific neuropsychiatric symptoms and functional outcome have not been clearly described in hip fracture patients. Irritability and agitation have been shown to have the strongest relationship with poor functional outcomes....
Source: Disability and Rehabilitation - June 25, 2014 Category: Rehabilitation Authors: Gialanella B, Ferlucci C, Monguzzi V, Prometti P Tags: Disabil Rehabil Source Type: research

About the nature of design in universal design.
Conclusions: (1) Besides UD other attitudes are thinkable that address the diversity in human abilities and conditions. (2) The impossibility to really design for everyone may be inherent to design rather than characteristic of UD. (3) Even if UD as a normative design domain were a top priority, the question remains how to assess whether a design is universally usable given the nature of design (problems), and prevailing design practices. Implications for Rehabilitation Understanding disability as originating in the interaction between features of an individual's body and features of his/her environment, as universal desig...
Source: Disability and Rehabilitation - June 25, 2014 Category: Rehabilitation Authors: Heylighen A Tags: Disabil Rehabil Source Type: research

Effect of trunk-restraint training on function and compensatory trunk, shoulder and elbow patterns during post-stroke reach: a systematic review.
Conclusions: Trunk restraint is a simple, cost-effective technique that may help to reduce compensatory trunk/shoulder/elbow movements in the post-stroke adult population. Synthesis of study outcomes also highlights applications of TR to clinical practice and areas for further research. Implications for Rehabilitation The ability to use the shoulder and elbow to perform functional reach is a primary goal in post-stroke recovery; however, compensatory trunk movements are often used to achieve the reaching goal. Long-term use of compensatory strategies may contribute to secondary impairments, such as learned non-use, joint c...
Source: Disability and Rehabilitation - June 25, 2014 Category: Rehabilitation Authors: Pain LM, Baker R, Richardson D, Agur AM Tags: Disabil Rehabil Source Type: research

Impact of personality disorders on health-related quality of life one year after burn injury.
Conclusions: An implication of these observations is that special rehabilitation efforts including more tailored interventions must be offered to these patients to ensure that the obstacles they perceive to caring for themselves in this respect are eliminated. Implications for Rehabilitation This study identified an above normal prevalence of PDs among individuals afflicted by burn and these individuals reported poor burn-specific health-related quality of life. The identification of difficulties with compliance and endurance regarding daily skin care may cause negative consequences for optimal rehabilitation and underscor...
Source: Disability and Rehabilitation - June 25, 2014 Category: Rehabilitation Authors: Ekeblad F, Gerdin B, Oster C Tags: Disabil Rehabil Source Type: research

Farm-based interventions for people with mental disorders: a systematic review of literature.
Conclusions: Our results suggest that the farm environment should be considered, especially for patients with mental disorders who do not achieve an adequate response with other treatment options. Further research is needed to clarify potential social and occupational benefits. Implications for Rehabilitation Despite the developments in mental healthcare, in many countries farms still play a role in the provision of psychiatric rehabilitation services. Farm-based interventions can alleviate psychiatric symptoms in patients with persistent mental disorders and can facilitate mental health recovery. The social and occupation...
Source: Disability and Rehabilitation - June 25, 2014 Category: Rehabilitation Authors: Iancu SC, Hoogendoorn AW, Zweekhorst MB, Veltman DJ, Bunders JF, van Balkom AJ Tags: Disabil Rehabil Source Type: research

Test-retest reliability of the GAITRite walkway system for the spatio-temporal gait parameters while dual-tasking in post-stroke patients.
Conclusions: The results of current study demonstrated that the test-retest reliability of the GAITRite system for measurement of spatio-temporal gait parameters under single- and dual-task conditions was good to very good. Therefore, we suggest that measurement of spatio-temporal gait parameters under a dual-task condition using the GAITRite system would be useful for clinical assessment in post-stroke patients. Implications for Rehabilitation Improvement of walking ability provides opportunities for stroke patients to participate in the community. Our finding, additional cognitive tasks can interfere with the independent...
Source: Disability and Rehabilitation - June 24, 2014 Category: Rehabilitation Authors: Cho KH, Lee HJ, Lee WH Tags: Disabil Rehabil Source Type: research

Universal Design and disability: an interdisciplinary perspective.
Conclusion: In conclusion, the paper suggests that a common knowledge platform can prove productive for interdisciplinary work with UD. Implications for Rehabilitation Universal Design is a strategy to improve equal access for people with disabilities. A concept of the person and of disability is of importance for implementing Universal Design strategies. The interdisciplinary involvement in Universal Design must involve rehabilitation professions to attend to the individual dimension in Universal Design. PMID: 24954388 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - June 23, 2014 Category: Rehabilitation Authors: Lid IM Tags: Disabil Rehabil Source Type: research

Universally design social policy: when disability disappears?
Conclusions: "Universal social policy", and UD, are feasible and desirable approaches to their respective domains, if we adopt a strategy derived from the legal interpretation of human rights implementation. The consequence, however, may be a policy that begins a process of social disappearance of disability. Implications for Rehabilitation The well-recognised principles of Universal Design (UD) have analogs for social policy that focuses on the needs of persons with disabilities. Universal social policy is consistent with the rights and aspirations of the UN Convention on the Rights of Persons with Disabilities. Universal...
Source: Disability and Rehabilitation - June 23, 2014 Category: Rehabilitation Authors: Bickenbach J Tags: Disabil Rehabil Source Type: research

Fatigue in patients with chronic widespread pain participating in multidisciplinary rehabilitation treatment: a prospective cohort study.
Conclusions: In CWP patients, worse clinical status, and dysfunctional pain-related cognitions are associated with a higher level of fatigue. Our results suggest that improvement in depression might be a mechanism of improvement in fatigue. Furthermore, improvement in fatigue seems to be independent of improvement in pain related cognitions. Targeting fatigue in multidisciplinary pain treatment may need specific strategies. Implications for Rehabilitation Improvement in depression may be a mechanism of change to improve the level of fatigue in CWP. Improvement in dysfunctional (pain related) cognitions seems to be independ...
Source: Disability and Rehabilitation - June 23, 2014 Category: Rehabilitation Authors: de Rooij A, van der Leeden M, de Boer MR, Steultjens MP, Dekker J, Roorda LD Tags: Disabil Rehabil Source Type: research

What factors determine therapists' acceptance of new technologies for rehabilitation - a study using the Unified Theory of Acceptance and Use of Technology (UTAUT).
Conclusion: In a large rehabilitation hospital where use of new technologies in rehabilitation is not mandatory, performance expectancy, or how the technology can help in therapists' work, was the most important factor in determining therapists' acceptance and use of technologies. However, effort expectancy and social influence constructs were not important, i.e. therapists were not influenced by the degree of difficulty or social pressures to use technologies. Behavioral intention and facilitating condition, or institutional support, are related to current use of new technologies in rehabilitation. Implications for Rehabi...
Source: Disability and Rehabilitation - June 5, 2014 Category: Rehabilitation Authors: Liu L, Miguel Cruz A, Rios Rincon A, Buttar V, Ranson Q, Goertzen D Tags: Disabil Rehabil Source Type: research

Linking a short-stature specific health-related quality of life measure (QoLISSY) to the International Classification of Functioning - Children and Youth (ICF-CY).
Conclusions: The present study indicates that the ICF-CY provides a useful frame of reference to compare and examine the content of HrQoL instruments for short-statured children and adolescents and their parents. The linkage of the QoLISSY instrument within the framework of the ICF-CY translates its content into a universal language. Implications for Rehabilitation The linkage of Quality of Life - Questionnaires to the ICF-CY provides guidance for clinicians and researchers in the selection of appropriate instruments complying with ICF categories. Linking the QoLISSY instrument to the ICF may raise awareness in clinicians ...
Source: Disability and Rehabilitation - June 4, 2014 Category: Rehabilitation Authors: Sommer R, Bullinger M, Rohenkohl A, Quitmann J, Brütt AL Tags: Disabil Rehabil Source Type: research

Returning to work - a long-term process reaching beyond the time frames of multimodal non-specific back pain rehabilitation.
Conclusions: Recommended support in the RTW process in MMR comprises the provision of continuous supervision of vocational issues for the health care professionals, the development of guidelines and a checklist for how to work in close collaboration with patients' workplaces and employers, the provision of long-term follow-up in relation to the patients' work, and the development of proper interventions in order to promote transitions between all the different actors involved. Implications for Rehabilitation Rehabilitation programs targeting return to work (RTW) for people with non-specific back pain needs to include featu...
Source: Disability and Rehabilitation - June 4, 2014 Category: Rehabilitation Authors: Hellman T, Jensen I, Bergström G, Busch H Tags: Disabil Rehabil Source Type: research