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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

High prevalence of early onset mental disorders among long-term disability claimants.
CONCLUSIONS: Disability claimants constitute a vulnerable population with a high prevalence of serious mental disorder, substantial comorbidity and ages-of-onset in early working careers. More research is needed to help prevent long-term sickness absence and disability of claimants with mental health problems. Implications for Rehabilitation This study shows common mental disorders, such as mood and anxiety disorders, to be highly prevalent among persons claiming disability benefit after long-term sickness absence, to have early onsets and to often co-occur with somatic disorders. Professionals in primary and occupational ...
Source: Disability and Rehabilitation - May 14, 2015 Category: Rehabilitation Authors: Cornelius LR, van der Klink JJ, de Boer MR, Brouwer S, Groothoff JW Tags: Disabil Rehabil Source Type: research

Bridging the gap: the role of Physiatrists in caring for adults with cerebral palsy.
CONCLUSIONS: Physiatrists are willing and appropriate partners in transitioning patients with CP to adult care. Barriers to Physiatrists' engagement with this population appear to be amenable to change. Implications for Rehabilitation A lack of knowledgeable and interested adult practitioners has repeatedly been identified as a challenge in transition planning for young adults with cerebral palsy (the vast majority of whom survive into adulthood). Physiatrists are ideally suited to manage adults with cerebral palsy, yet in this survey-based study, a majority of Canadian Physiatrists report caring for less than five adults ...
Source: Disability and Rehabilitation - May 13, 2015 Category: Rehabilitation Authors: Cassidy C, Campbell N, Madady M, Payne M Tags: Disabil Rehabil Source Type: research

Health for smokers with schizophrenia - a struggle to maintain a dignified life.
CONCLUSION: The meaning of health for smokers with schizophrenia is not the same as being well or ill. Rather, health is an experience of a struggle to maintain a dignified life, including self-acceptance of the mental illness and control over the psychotic symptoms. People with schizophrenia have high willingness but low motivation to stop smoking because they fear that cigarette withdrawal will increase their psychotic symptoms. Therefore, they find it difficult to stop smoking. To succeed with health care intervention, health care providers must understand the life style habits and experiences specific to smokers with s...
Source: Disability and Rehabilitation - May 11, 2015 Category: Rehabilitation Authors: Sundgren E, Hallqvist J, Fredriksson L Tags: Disabil Rehabil Source Type: research

Participation in the workforce after a traumatic brain injury: a matter of control.
CONCLUSIONS: The participants' uncertainty about their efficacy cast doubt on their beliefs in improving their skills, balancing daily activities and work. They wondered about the sustainability of their health and efficacy at work. Wanting to control their own improvement, the participants asked for counselling in strategies and techniques to help with their progress. This issue could be taken into account in follow-up rehabilitation programmes. Additionally, the workplace might be the ideal context in which to develop the structures and routines necessary to master life in general. Implications for Rehabilitation Two yea...
Source: Disability and Rehabilitation - May 11, 2015 Category: Rehabilitation Authors: Johansson AE, Haugstad T, Berg M, Johansson U Tags: Disabil Rehabil Source Type: research

Validity and sensitivity to change of the Patient Specific Functional Scale used during rehabilitation following proximal humeral fracture.
CONCLUSION: The PSFS shows satisfying measurement properties and may be a useful complement in the evaluation of individual changes during a period of rehabilitation after proximal humeral fracture. Implications for Rehabilitation The PSFS assesses on activity level in patients with proximal humeral fracture. The PSFS is sensitive to change for group rehabilitation after humeral fracture. The PSFS can be useful for goal-setting, motivating and individually tailoring rehabilitation activities. The PSFS should be used in addition to specific measures of body functions and general health. PMID: 25958998 [PubMed - as suppl...
Source: Disability and Rehabilitation - May 11, 2015 Category: Rehabilitation Authors: Mannberg Bäckman S, Stråt S, Ahlström S, Brodin N Tags: Disabil Rehabil Source Type: research

Job stability in skilled work and communication ability after moderate-severe traumatic brain injury.
CONCLUSION: Communication measures were positively associated with SE in skilled jobs after TBI. Clinicians should include assessment of communication for adults attempting return to work after TBI, paying specific attention to social inference and speed of verbal reasoning skills. Implications for Rehabilitation Traumatic brain injury (TBI) often results in communication impairments associated with the cognitive skills underlying interpersonal skills. Communication impairment after TBI has been anecdotally associated with job instability. This research associate communication functioning with work stability after TBI in s...
Source: Disability and Rehabilitation - May 11, 2015 Category: Rehabilitation Authors: Meulenbroek P, Turkstra LS Tags: Disabil Rehabil Source Type: research

Expert consensus on best evaluative practices in community-based rehabilitation.
CONCLUSIONS: An expert panel reached consensus on key features of best evaluative practices in CBR. Knowledge transfer initiatives are now required to develop guidelines, tools and training opportunities to facilitate CBR program evaluations. Implications for Rehabilitation CBR evaluation processes should strive to be inclusive, participatory, empowering and respectful of local cultures and languages. CBR evaluators should strongly consider using mixed methods, participatory tools, a combination of indicators generated with the local community and with others from a bank of CBR indicators. CBR evaluations should be situate...
Source: Disability and Rehabilitation - May 11, 2015 Category: Rehabilitation Authors: Grandisson M, Thibeault R, Hébert M, Cameron D Tags: Disabil Rehabil Source Type: research

Responsiveness of selected outcome measures of participation restriction and quality of life in patients with multiple sclerosis.
CONCLUSIONS: In contrast to the MSQOL, the CIQ was responsive outcome measure in detecting changes in participation restriction of patients with MS. Moreover, the MCID values obtained in this study will help the clinicians and researchers to determine if a patient with MS has experienced a true change following physiotherapy intervention. Implications for Rehabilitation The results provide valuable information regarding to the ability of two outcome measures (i.e. the CIQ and MSQOL) to detect treatment effects in patients with MS. In contrast to the MSQOL, the CIQ is a responsive measure to changes in participation restric...
Source: Disability and Rehabilitation - May 8, 2015 Category: Rehabilitation Authors: Taheri M, Negahban H, Mostafaee N, Salehi R, Tabesh H Tags: Disabil Rehabil Source Type: research

Basic body awareness therapy or exercise therapy for the treatment of chronic whiplash associated disorders: a randomized comparative clinical trial.
CONCLUSIONS: The present trial indicates that BAT led to greater improvements than ET for the patients with chronic WAD. Implications for Rehabilation Chronic whiplash-associated disorders are disabling and incur great costs to society often through inability to work. Exercise therapy (ET) may alleviate symptoms of chronic WAD. Basic body awareness therapy (BAT) is often a component of multimodal pain rehabilitation programs. In this randomized comparative trial, BAT increased physical functioning and led to greater pain reduction and social functioning 3 months after the end of treatment. PMID: 25955823 [PubMed - as s...
Source: Disability and Rehabilitation - May 8, 2015 Category: Rehabilitation Authors: Seferiadis A, Ohlin P, Billhult A, Gunnarsson R Tags: Disabil Rehabil Source Type: research

Combined effects of repeated sauna therapy and exercise training on cardiac function and physical activity in patients with chronic heart failure.
CONCLUSIONS: The addition of exercise training programs to repeated sauna therapy may be efficient and effective for improvement of cardiac function and daily activities for patients with chronic heart failure. Implications of Rehabilitation Repeated sauna therapy is an effective means of improving cardiac, vascular function and mental health in CHF patients. Exercise training is an effective means of improving exercise capacity, thus improving ADL. Combination of repeated sauna therapy and exercise training may be recommended as a comprehensive treatment to improve cardiac function, ambulation capacity, and ADL in CHF pat...
Source: Disability and Rehabilitation - May 5, 2015 Category: Rehabilitation Authors: Haseba S, Sakakima H, Kubozono T, Nakao S, Ikeda S Tags: Disabil Rehabil Source Type: research

Physical activity profiles and sedentary behaviour in people following stroke: a cross-sectional study.
CONCLUSIONS: Community dwelling stroke survivors spent more time sedentary, took fewer steps and walked at a slower self-selected cadence. Interventions to increase walking and reduce sedentary time following stroke are required which may have the added benefit of reducing cardiovascular risk in this group. Implications for Rehabilitation Stroke survivors are predisposed to reduced physical activity and increased cardiovascular risk. This study showed that community dwelling stroke survivors spent more time sedentary, took fewer steps and walked at a slower self-selected cadence. Interventions are required which focus on r...
Source: Disability and Rehabilitation - May 4, 2015 Category: Rehabilitation Authors: Paul L, Brewster S, Wyke S, Gill JM, Alexander G, Dybus A, Rafferty D Tags: Disabil Rehabil Source Type: research

Associations of multiple chronic health conditions with active life expectancy in the United States.
CONCLUSION: The increasing prevalence of multiple chronic conditions may substantially increase disability. Implications for Rehabilitation The growing number of individuals with multiple chronic conditions will greatly increase the prevalence of disability in later life. It is important for rehabilitation science, practice and policy to address this emerging epidemiological transition. Rehabilitation is especially important for people with pre-diabetes, developing heart disease or early stages of other cardiovascular-related diseases as avoiding the development of multiple chronic diseases through increased activity may g...
Source: Disability and Rehabilitation - May 4, 2015 Category: Rehabilitation Authors: Laditka JN, Laditka SB Tags: Disabil Rehabil Source Type: research

Validation of the ICF Core Set for Vocational Rehabilitation from the perspective of patients with spinal cord injury using focus groups.
CONCLUSIONS: The existing version of the Comprehensive ICF Core Set for Vocational Rehabilitation was confirmed almost entirely by the focus groups to explore the vocational situation of patients with SCI. Implications for Rehabilitation Validation of the ICF Core Set for Vocational Rehabilitation as a useful tool to facilitate social reintegration and rehabilitation of patients with SCI. Return to work is a key outcome in vocational rehabilitation of patients with SCI including those who are young with long-term employment prospects. The results of this study could provide a foundation in utilizing the ICF Core Set for Vo...
Source: Disability and Rehabilitation - April 29, 2015 Category: Rehabilitation Authors: Aiachini B, Cremascoli S, Escorpizo R, Pistarini C Tags: Disabil Rehabil Source Type: research

Facilitating interprofessional evidence-based practice in paediatric rehabilitation: development, implementation and evaluation of an online toolkit for health professionals.
CONCLUSIONS: The toolkit resources streamlined and supported EBP processes, promoting consistency in quality and presentation of outputs. The online toolkit can be a useful tool to facilitate clinicians' use of EBP in order to meet the needs of the clients and families whom they support. Implications for Rehabilitation A comprehensive online EBP toolkit for interprofessional clinicians is available to streamline the EBP process and to support learning needs regardless of competency level. Multi-method facilitation support, including interactive education, e-learning, clinical librarian services and knowledge brokering, is ...
Source: Disability and Rehabilitation - April 29, 2015 Category: Rehabilitation Authors: Glegg SM, Livingstone R, Montgomery I Tags: Disabil Rehabil Source Type: research

Rasch measurement: the Arm Activity measure (ArmA) passive function sub-scale.
CONCLUSIONS: The ArmA passive function sub-scale was shown in this evaluation to conform to the Rasch model once disordered thresholds had been addressed. Using the logit scores produced by the Rasch model it was possible to convert this back to the original scale range. Implications for Rehabilitation The ArmA passive function sub-scale was shown, in this evaluation, to conform to the Rasch model once disordered thresholds had been addressed and therefore to be a clinically applicable and potentially useful hierarchical measure. Using Rasch logit scores it has be possible to convert back to the original ordinal scale rang...
Source: Disability and Rehabilitation - April 28, 2015 Category: Rehabilitation Authors: Ashford S, Siegert RJ, Alexandrescu R Tags: Disabil Rehabil Source Type: research

Validity and reliability of a novel measure of activity performance and participation.
CONCLUSIONS: The Activity Performance Measure is an innovative outcome instrument that showed good clinimetric qualities in this initial study. Some of the results were strong, given the sample size, and further trial and evaluation is appropriate. Implications for Rehabilitation The Activity Performance Measure is an innovative outcome measure covering activity performance and participation. In an initial evaluation, it showed good clinimetric qualities including responsiveness to change, sensitivity, practicality, clinical sensibility, item coverage, inter-rater reliability and concurrent validity with the Barthel Index....
Source: Disability and Rehabilitation - April 28, 2015 Category: Rehabilitation Authors: Murgatroyd P, Karimi L Tags: Disabil Rehabil Source Type: research

Needs and requests - patients and physicians voices about improving the management of spinal cord injury neuropathic pain.
CONCLUSION: Neuropathic pain following SCI needs to be assessed and treated using a structured, inter-disciplinary, multi-modal rehabilitation approach involving patients in planning and decision-making. Implications for Rehabilitation For improving SCI neuropathic pain management, there is a great need for individually-tailored management, planned in a dialogue on equal terms between health care and the patient. Patients desire continuity and regularity and the possibility of receiving complementary treatments for SCI neuropathic pain. Access to structured pain rehabilitation is needed. Support and tools need to be provid...
Source: Disability and Rehabilitation - April 28, 2015 Category: Rehabilitation Authors: Norrbrink C, Löfgren M Tags: Disabil Rehabil Source Type: research

Patient-directed therapy during in-patient stroke rehabilitation: stroke survivors' views of feasibility and acceptability.
CONCLUSIONS: Patient-led mirror therapy and lower limb exercises during in-patient rehabilitation is generally feasible and acceptable to patients but "light touch" supervision to deal with any problems, and strategies to maintain focus and motivation are needed. Implications for Rehabilitation Most stroke patients receive insufficient therapy to maximize recovery during rehabilitation. As increases in staffing are unlikely there is an imperative to find ways for patients to increase the amount of exercise and practice of functional tasks they undertake without increasing demands on staff. Patient-led therapy (also known a...
Source: Disability and Rehabilitation - April 28, 2015 Category: Rehabilitation Authors: Horne M, Thomas N, McCabe C, Selles R, Vail A, Tyrrell P, Tyson S Tags: Disabil Rehabil Source Type: research

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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