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Improved interoceptive awareness in chronic low back pain: a comparison of Back school versus Feldenkrais method.
CONCLUSIONS: The Feldenkrais method has comparable efficacy as Back School in CLBP. Implications for rehabilitation The Feldenkrais method is a mind-body therapy that is based on awareness through movement lessons, which are verbally guided explorations of movement that are conducted by a physiotherapist who is experienced and trained in this method. It aims to increase self-awareness, expand a person's repertoire of movements, and to promote increased functioning in contexts in which the entire body cooperates in the execution of movements. Interoceptive awareness, which improves with rehabilitation, has a complex functio...
Source: Disability and Rehabilitation - May 23, 2016 Category: Rehabilitation Authors: Paolucci T, Zangrando F, Iosa M, De Angelis S, Marzoli C, Piccinini G, Saraceni VM Tags: Disabil Rehabil Source Type: research

Easy-to-use clinical measures of walking ability in children and adolescents with cerebral palsy: a systematic review.
CONCLUSION: The identified measures in this systematic review may be considered for the clinical measurement of walking ability in children and adolescents with CP in a quick, simple and easy-to-use manner. However, there is overall a lack of evidence on the psychometric properties of these tools. The lack of evidence regarding measurement error and responsiveness might limit their value in measuring change over time. Implications for Rehabilitation The ABILOCO-Kids, 1-Minute Walk Test, Timed Up and Go Test, Gillette Functional Assessment Questionnaire, Functional Mobility Scale can be performed within 5 min with limited...
Source: Disability and Rehabilitation - May 23, 2016 Category: Rehabilitation Authors: Himuro N, Abe H, Nishibu H, Seino T, Mori M Tags: Disabil Rehabil Source Type: research

More than just dancing: experiences of people with Parkinson's disease in a therapeutic dance program.
CONCLUSIONS: Dancing with Parkinson's classes allow for re-development of the social self, which can increase sense of enjoyment in life. Dance programs provide opportunities for social interaction, non-verbal communication and self-improvement, reestablishing self-identity and a sense of usefulness. This study provides unique insight into the experience of participating in a dance program from the perspective of individuals with PD. Implications for rehabilitation Dance is emerging as a strategy to address the physical and psychosocial effects of Parkinson's disease (PD), but little is known regarding participants' percep...
Source: Disability and Rehabilitation - May 23, 2016 Category: Rehabilitation Authors: Bognar S, DeFaria AM, O'Dwyer C, Pankiw E, Simic Bogler J, Teixeira S, Nyhof-Young J, Evans C Tags: Disabil Rehabil Source Type: research

The effect of a task-specific locomotor training strategy on gait stability in patients with cerebellar disease: a feasibility study.
CONCLUSION: This study provides preliminary evidence that learning-based rehabilitation strategies targeting disease-specific locomotion symptoms may be helpful for reducing ataxic gait and improving motor control during walking in patients with cerebellar dysfunction. Implications for rehabilitation Physiotherapeutic interventions that aim to promote gait stability in cerebellar patients need to create a specific learning context that improve disease-related gait deficits. It is desirable to use explicit instructions to facilitate the conscious awareness and control of body center and posture. As patients reacquire the fu...
Source: Disability and Rehabilitation - May 23, 2016 Category: Rehabilitation Authors: Im SJ, Kim YH, Kim KH, Han JW, Yoon SJ, Park JH Tags: Disabil Rehabil Source Type: research

A qualitative study of older people's experience of living with neurogenic claudication to inform the development of a physiotherapy intervention.
CONCLUSION: We have obtained important findings about older people's experiences of living with NC and preferences for physiotherapy treatment and outcomes. These will be incorporated into an evidence-based intervention and evaluated in a randomized controlled trial. Implications for rehabilitation Older people living with NC want to get back to meaningful activities and learn how to live with the threat of pain. Allied health professionals (AHPs) should be sensitive to the complex and ambiguous ways in which older people live with ageing and age-related decline. AHPs are in a position to support patients' successful trans...
Source: Disability and Rehabilitation - May 23, 2016 Category: Rehabilitation Authors: Lyle S, Williamson E, Darton F, Griffiths F, Lamb SE Tags: Disabil Rehabil Source Type: research

Establishing equivalence of a Chinese version of the stroke specific quality of life measure for stroke survivors.
DISCUSSION: The results suggest SSQOL-C is a reliable and valid tool for measuring Chinese stroke survivors' health-related quality of life. More studies are needed to confirm the 11-factor model of the scale. Implications for rehabilitation The translated Chinese version of the Stroke Specific Quality of Life Scale is a reliable and valid tool for measuring Chinese stroke survivors' health-related quality of life. An 11-factor model in contrast to the 12-factor model for the original scale with six new factors emerging and five original factors retained. PMID: 27216634 [PubMed - as supplied by publisher] (Source: Disa...
Source: Disability and Rehabilitation - May 23, 2016 Category: Rehabilitation Authors: Lo SH, Chang AM, Chau JP Tags: Disabil Rehabil Source Type: research

It's not just physical: a qualitative study regarding the illness experiences of people with facioscapulohumeral muscular dystrophy.
CONCLUSIONS: Better understanding of the individual illness experiences, cognitions, and social context of people with FSHD can give health professionals tools to improve their care and give researchers direction for future studies to evaluate healthcare improvements from a holistic, patient-centred perspective. Implications for Rehabilitation FSHD has a major impact on people's lives. Besides the physical consequences, issues such as heredity, progenity, changing (intimate) relationships, social interactions and work should be addressed by rehabilitation professionals. Dependent on the timing of the diagnosis (early or la...
Source: Disability and Rehabilitation - May 23, 2016 Category: Rehabilitation Authors: Bakker M, Schipper K, Geurts AC, Abma TA Tags: Disabil Rehabil Source Type: research

"Dis-able bodied" or "dis-able minded": stakeholders' return-to-work experiences compared between physical and mental health conditions.
CONCLUSIONS: With these outcomes, the effectiveness of a differential approach is questioned, and the relevance of a bidirectional dialog on work ability and a phased RTW plan is highlighted, regardless of the absence cause. Our study also demonstrates how policymakers need to strike a balance between obligatory and permissive legislation to better involve workplaces in RTW issues. Implications for rehabilitation Both physically and mentally sick-listed employees could benefit from a bidirectional dialog on work ability as well as from a phased RTW plan. A greater role for employers in the RTW process should be accompanied...
Source: Disability and Rehabilitation - May 23, 2016 Category: Rehabilitation Authors: Vossen E, Van Gestel N, Van der Heijden BI, Rouwette EA Tags: Disabil Rehabil Source Type: research

The relationship between social determinants of health, and rehabilitation of neurological conditions: a systematic literature review.
CONCLUSIONS: Rehabilitation of neurological conditions can be a long and difficult process. To pursue optimal outcomes, an individual's social circumstances should be considered. Understanding how SDH interact with neurological rehabilitation may enhance service delivery, thus maximizing the possible rehabilitation outcomes for individuals. Future research that considers SDH and rehabilitation of neurological conditions jointly may benefit service providers and those requiring neurological rehabilitation. Implications for Rehabilitation Social determinants of health are important to consider in the rehabilitation of neurol...
Source: Disability and Rehabilitation - May 22, 2016 Category: Rehabilitation Authors: Frier A, Barnett F, Devine S Tags: Disabil Rehabil Source Type: research

Difficulties in adjustment to multiple sclerosis: vulnerability and unpredictability of illness in the foreground.
CONCLUSIONS: Adjustment can be supported activating psychological intervention addressed to patients' illness representations and more flexibility in the shifting between illness and wellness in the foreground. Implications for Rehabilitation Adjustment to MS is influenced by illness perception. It is important to pay more attention to contents about vulnerability and unpredictability associated to MS. With regards to the Shifting Perspectives Model, difficulties in adjustment are related to the rigidity that prevents an adequate shift between the two perspectives (illness and wellness), with the predominance of the illnes...
Source: Disability and Rehabilitation - May 20, 2016 Category: Rehabilitation Authors: Giovannetti AM, Brambilla L, Torri Clerici V, Antozzi C, Mantegazza R, Černiauskaitė M, Confalonieri P Tags: Disabil Rehabil Source Type: research

Long-term functional outcomes of patients with very mild stroke: does a NIHSS score of 0 mean no disability? An interim analysis of the KOSCO study.
CONCLUSIONS: Many acute stroke patients with mild stroke severity as assessed by the NIHSS had impairments in various functional domains, and could have been easily overlooked for intensive rehabilitation therapy. Candidates for comprehensive rehabilitation therapy might be better identified by the functional assessment battery. Implications for rehabilitation Many acute stroke patients with mild stroke severity assessed by NIHSS could be easily overlooked for intensive rehabilitation therapy. Candidates for comprehensive rehabilitation therapy should be evaluated using a functional assessment battery rather than the NIHSS...
Source: Disability and Rehabilitation - May 20, 2016 Category: Rehabilitation Authors: Chang WH, Sohn MK, Lee J, Kim DY, Lee SG, Shin YI, Oh GJ, Lee YS, Joo MC, Han EY, Kim MS, Jang SY, Kim JH, Kim YH Tags: Disabil Rehabil Source Type: research

Functional abilities in aging women with Rett syndrome - the Danish cohort.
CONCLUSIONS: Women with RTT are very dependent on caregivers who maintain and rehabilitate their functional abilities. They can often walk short distances unassisted, but do have trouble transferring and thus getting up from a chair on their own. They have severe problems communicating and they often perform subtle signs that can be difficult to recognize. Implications for rehabilitation 3/4 of aging RTT women are household ambulators - daily training of motor functions and focus on assisting the initiation of movements are needed lifelong to maintain walking ability and participation in daily activities More than half of ...
Source: Disability and Rehabilitation - May 20, 2016 Category: Rehabilitation Authors: Schönewolf-Greulich B, Stahlhut M, Larsen JL, Syhler B, Bisgaard AM Tags: Disabil Rehabil Source Type: research

Measurement of activity limitations and participation restrictions: examination of ICF-linked content and scale properties of the FIM and PC-PART instruments.
CONCLUSIONS: While the PC-PART and FIM share common ICF-linked content, they measure separate constructs. Measurement construct was influenced by the instruments' scale properties. The FIM was observed to measure activity limitations and the PC-PART measured participation restrictions. Scrutiny of instruments' scale properties in addition to item content is critical in the operationalization of activity and participation-related measurement constructs. Implications for Rehabilitation When selecting outcome measures for use in rehabilitation it is necessary to examine both the content of the instruments' items and item phra...
Source: Disability and Rehabilitation - May 20, 2016 Category: Rehabilitation Authors: Darzins SW, Imms C, Di Stefano M Tags: Disabil Rehabil Source Type: research

The relationship between insurance claim closure and recovery after traffic injuries for individuals with whiplash associated disorders.
CONCLUSION: We conclude that time to claim closure could be used as an outcome measure in traffic collision; however, this measure should be used with caution since it over-estimates the true time to recovery. Implications for Rehabilitation Time to claim closure as an outcome measure for whiplash-associated disorders has been criticized in the literature because it is thought that closure is not reflective of the health status of the individual. We found that claim closure was associated with lower levels of disability, but the time to claim closure was significantly longer than the time to self-reported recovery. Time to...
Source: Disability and Rehabilitation - May 20, 2016 Category: Rehabilitation Authors: Boyle E, Cassidy JD, Côté P, Carroll LJ Tags: Disabil Rehabil Source Type: research

Research about citizenship and disability: a scoping review.
CONCLUSIONS: To broaden knowledge about the situation, membership and participation of persons with disabilities in society, further research should develop the conceptual use of citizenship in relation to disability, explore different research designs, investigate various citizenship sectors and take into account the complexity of personal and social situations of persons with disabilities. Implications for Rehabilitation The notion of citizenship is closely related to the goals of rehabilitation as it touches upon issues of membership and participation in society; Understanding the multiple dimensions of citizenship will...
Source: Disability and Rehabilitation - May 13, 2016 Category: Rehabilitation Authors: Sépulchre M Tags: Disabil Rehabil Source Type: research

Prevalence of hypertension and associated risk factors in people with long-term spinal cord injury living in the Netherlands.
CONCLUSION: High blood pressure is common in people with SCI. Screening for hypertension during annual checkups is recommended, especially in those with a SCI below C8. Implications for Rehabilitation High blood pressure is common in people with long-term SCI living in the Netherlands and its prevalence is higher in both men and women with a spinal cord lesion level below C8 compared with the age-matched Dutch general population. It is recommended to screen for hypertension during annual checkups in people with SCI, especially in those with a higher risk of developing hypertension, e.g. those with a spinal cord lesion leve...
Source: Disability and Rehabilitation - May 9, 2016 Category: Rehabilitation Authors: Adriaansen JJ, Douma-Haan Y, van Asbeck FW, van Koppenhagen CF, de Groot S, Smit CA, ALLRISC, Visser-Meily JM, Post MW Tags: Disabil Rehabil Source Type: research

Accessing rehabilitation after stroke - a guessing game?
CONCLUSION: Whilst further research is required to assist in determining the right time for people to benefit from formal rehabilitation this gives the impression that one dose of rehabilitation at a specific time will meet all needs. It is likely that a rehabilitation pathway identifying features required in the early stages following stroke as well as that required over many years in order to prevent readmission, maintain fitness and prevent secondary sequelae such as depression and social isolation would be beneficial. Implications for Rehabilitation The potential of a patient to benefit from rehabilitation may be overl...
Source: Disability and Rehabilitation - April 30, 2016 Category: Rehabilitation Authors: Enderby P, Pandyan A, Bowen A, Hearnden D, Ashburn A, Conroy P, Logan P, Thompson C, Winter J Tags: Disabil Rehabil Source Type: research

Exergaming for individuals with neurological disability: a systematic review.
CONCLUSION: Preliminary cross-sectional evidence in this review suggested that exergames have the potential to provide moderate intensity physical activity as recommended by ACSM™ or WHO in populations with neurological disabilities. However, more research is needed to document exergaming's efficacy from longitudinal observations before definitive conclusions can be drawn. Implications for Rehabilitation Exergaming can be deployed as physical activity or exercise using commercially available game consoles for neurologically disabled individuals in the convenience of their home environment and at a relatively inexpensive ...
Source: Disability and Rehabilitation - April 25, 2016 Category: Rehabilitation Authors: Mat Rosly M, Mat Rosly H, Davis Oam GM, Husain R, Hasnan N Tags: Disabil Rehabil Source Type: research

Assessment of the relationship of spiritual well-being to depression and quality of life for persons with spinal cord injury.
CONCLUSION: The findings support that spirituality, as measured by the FACIT-Sp, is strongly associated with QOL and likelihood of MDD. Assessment of spirituality should be included along with more traditional psychological measurements to better inform treatment. Implications for Rehabilitation Spiritual beliefs can contribute to quality of life and may help moderate depressive symptoms that accompany chronic illness and disability, suggesting that rehabilitation professionals should address spirituality in working with their patients with spinal cord injury (SCI). While spiritual issues are often deferred to pastoral cou...
Source: Disability and Rehabilitation - April 25, 2016 Category: Rehabilitation Authors: Wilson CS, Forchheimer M, Heinemann AW, Warren AM, McCullumsmith C Tags: Disabil Rehabil Source Type: research

"A life of living death": the experiences of people living with chronic low back pain in rural Nigeria.
CONCLUSIONS: CLBP-related disability in rural Nigeria is strongly influenced by beliefs that facilitate coping strategies that either enhance or inhibit recovery. Interventions should therefore target maladaptive beliefs while emphasizing behavioural modification. Implications for Rehabilitation Non-specific chronic low back pain (CLBP) is highly prevalent and responsible for much pain and disability in rural Nigeria. No qualitative study has investigated the experiences of people living with CLBP in rural Nigeria or any other rural African context. Qualitative study of peoples' experiences of living with CLBP in rural Nig...
Source: Disability and Rehabilitation - April 25, 2016 Category: Rehabilitation Authors: Igwesi-Chidobe CN, Kitchen S, Sorinola IO, Godfrey EL Tags: Disabil Rehabil Source Type: research

Outcomes and impact of community-based rehabilitation programmes in Chinese communities.
CONCLUSIONS: CBR practice in Chinese communities remains orientated towards an approach of functional rehabilitation rather than community-based inclusive development. Implications for rehabilitation Community-based rehabilitation is a strategy for community-based inclusive development. Commonly reported significant outcomes of community-based rehabilitation programmes in China focus on changes in psychosocial and physical status of people with disabilities and family participation. Community-based rehabilitation in China continues to focus on traditional rehabilitation. New efforts and directions are needed to also includ...
Source: Disability and Rehabilitation - April 25, 2016 Category: Rehabilitation Authors: Chung EY, Packer TL Tags: Disabil Rehabil Source Type: research

Interrater reliability of Algo used by non-occupational therapist members of homecare interdisciplinary teams.
CONCLUSIONS: Non-OTs using Algo in the same simulated clinical scenarios recommend clinically equivalent bathroom adaptations, increasing the confidence regarding the interrater reliability of Algo used by non-OT members of homecare interdisciplinary teams Implications for Rehabilitation In homecare services, non-occupational therapists from different health care disciplines (e.g., homecare aides, social workers, physical rehabilitation therapists) may be asked to select assistive devices for the hygiene care of clients living at home. Algo was designed to guide non-occupational therapists in the selection of assistive dev...
Source: Disability and Rehabilitation - April 25, 2016 Category: Rehabilitation Authors: Guay M, Gagnon M, Ruest M, Bourget A Tags: Disabil Rehabil Source Type: research

Barriers and facilitators associated with return to work after stroke: a qualitative meta-synthesis.
CONCLUSION: Return to work after stroke is a complex process which can be facilitated or impeded by organizational, social or personal factors, as well as accessibility to appropriate services. Implications for Rehabilitation Following a period of dedicated inpatient rehabilitation, there is a need to integrate community-support services to optimize return to work among stroke survivors. A dedicated community stroke support liaison officer may help to facilitate the transition between the hospital and the community and workplace environment. Education provided by healthcare professionals is necessary in the community and t...
Source: Disability and Rehabilitation - April 21, 2016 Category: Rehabilitation Authors: Brannigan C, Galvin R, Walsh ME, Loughnane C, Morrissey EJ, Macey C, Delargy M, Horgan NF Tags: Disabil Rehabil Source Type: research

Effectiveness of an integrated care intervention on supervisor support and work functioning of workers with rheumatoid arthritis.
CONCLUSION: We found a small positive effect of the intervention on supervisor support, but did not find any effects on work instability and at-work productivity loss. Future research should establish whether this significant but small increase in supervisor support leads to improved work functioning in the long run. This study shows clinicians that patients with RA are in need of efforts to support them in their work functioning. Implications for Rehabilitation Rheumatoid arthritis (RA) is a chronic inflammatory disease with a severe impact on work functioning, even when a patient is still working. It is important to invo...
Source: Disability and Rehabilitation - April 21, 2016 Category: Rehabilitation Authors: van Vilsteren M, Boot CR, Twisk JW, van Schaardenburg D, Steenbeek R, Voskuyl AE, Anema JR Tags: Disabil Rehabil Source Type: research

Predictors of adherence to home-based physical therapies: a systematic review.
CONCLUSIONS: This review has identified a range of factors that appear to be related to patients' adherence to their self-managed physical rehabilitation therapies. Awareness of these factors may inform design of interventions to improve adherence. Implications for Rehabilitation Non-adherence to physical rehabilitation therapies is often high - particularly in self-managed, home-based programmes, despite good adherence being important in achieving positive outcomes. The findings of this systematic review indicate that greater self-efficacy, self-motivation, social support, intentions and previous adherence to physical the...
Source: Disability and Rehabilitation - April 21, 2016 Category: Rehabilitation Authors: Essery R, Geraghty AW, Kirby S, Yardley L Tags: Disabil Rehabil Source Type: research

Assessment of breast cancer disability: agreement between expert assessment and patient reports.
CONCLUSION: Clinicians usually underestimate the symptoms and impairments of the patients, leading to a greater proportion of poor agreement. PRO's provide valuable information on impairments at the mental function level and pain. ClinRO's provide more valuable information on physically assessed impairments (oedema). Activity limitations and participation restrictions, excluding reporting the difficulty aspect of various life situations, can be either SRO or ObsRO. Implications for rehabilitation Impairments, activity limitation and participation restrictions are common sequelae of breast cancer treatment, which ultimately...
Source: Disability and Rehabilitation - April 21, 2016 Category: Rehabilitation Authors: Letellier ME, Mayo N Tags: Disabil Rehabil Source Type: research

The Fugl-Meyer assessment of the upper extremity: reliability, responsiveness and validity of the Danish version.
CONCLUSION: The FMA-UE was successfully translated into Danish. An MCID ≥ 4 was found. This study provides evidence that the FMA-UE is a reliable, responsive and valid instrument for measuring upper limb impairment after stroke. Implications for rehabilitation One of the most widely recognized measures of upper extremity motor impairment post-stroke is the Fugl-Meyer Assessment of the Upper Extremity (FMA-UE). The psychometric properties of a measurement depends on the population and setting in which it is used. In this study, the FMA-UE is translated into Danish and the psychometric properties of FMA-UE is determine...
Source: Disability and Rehabilitation - April 10, 2016 Category: Rehabilitation Authors: Lundquist CB, Maribo T Tags: Disabil Rehabil Source Type: research

The challenges of screening pre-school children for autism spectrum disorders in Iran.
CONCLUSION: The feasibility of undertaking a screening programme for ASD with Iranian preschoolers has been demonstrated although further research is needed to refine the screening and diagnostic tools, monitor assessors and promote greater engagement of families. Implications for Rehabilitation Sizeable numbers of postgraduate students and practitioners were recruited to assist with the screening and assessments of preschoolers. The uptake of screening was highest among parents of four and five years olds but much less so for younger children and in bringing children for further assessments. Further research is needed int...
Source: Disability and Rehabilitation - April 6, 2016 Category: Rehabilitation Authors: Samadi SA, Mohammad MP, Ghanimi F, McConkey R Tags: Disabil Rehabil Source Type: research

Greek cultural adaption and validation of the Kujala anterior knee pain scale in patients with patellofemoral pain syndrome.
CONCLUSIONS: This study has shown that the Greek KAKPS has good internal consistency, test-retest reliability and concurrent validity when correlated with the PFPS severity scale in adult patients with AKP for at least four weeks. Implications for rehabilitation The Greek version of the KAKPS has been found to be reliable and valid when used in adult patients with AKP for at least four weeks. The results of the psychometric characteristics were compatible with those of the original English version. The KAKPS could be applied in a Greek-speaking population to assess functional limitations and symptoms in patients aged 18-45...
Source: Disability and Rehabilitation - April 6, 2016 Category: Rehabilitation Authors: Papadopoulos C, Constantinou A, Cheimonidou AZ, Stasinopoulos D Tags: Disabil Rehabil Source Type: research

The relationship between physical activity and health status in patients with chronic obstructive pulmonary disease following pulmonary rehabilitation.
CONCLUSION: The associations between increased levels of PA and quality of life, respiratory function and dyspnoea are largely based on 6MWD and PA questionnaires. Objective measurement of free living activity in exercise maintenance phase is required along with participants' views. Implications for rehabilitation Pulmonary rehabilitation (PR) is a non-therapeutic intervention in which a team of multidisciplinary health care professionals use individually tailored supervised exercise training, self-management education, psychological and social support to optimize the physical and social performance and autonomy of patient...
Source: Disability and Rehabilitation - April 6, 2016 Category: Rehabilitation Authors: Meshe OF, Claydon LS, Bungay H, Andrew S Tags: Disabil Rehabil Source Type: research

A combined surveillance program and quality register improves management of childhood disability.
CONCLUSIONS: Through multidisciplinary follow-up and early detection of emerging complications individuals with CP or MMC can receive less complex and more effective interventions than if treatment is implemented at a later stage. Possibilities and challenges to design, implement and continuously run multidisciplinary secondary prevention follow-up programmes and quality registries for individuals with CP or MMC are described and discussed. Implications for rehabilitation Individuals with disabilities such as cerebral palsy or myelomeningocele are at risk of developing secondary conditions. Multidisciplinary population-bas...
Source: Disability and Rehabilitation - April 4, 2016 Category: Rehabilitation Authors: Alriksson-Schmidt AI, Arner M, Westbom L, Krumlinde-Sundholm L, Nordmark E, Rodby-Bousquet E, Hägglund G Tags: Disabil Rehabil Source Type: research

Factors associated with ADL/IADL disability in community dwelling older adults in the Irish longitudinal study on ageing (TILDA).
CONCLUSIONS: Awareness of sociodemographics and early interventions for pain and cognitive deficits could reduce ADL/IADL disability and promote successful ageing. Identification of variables that influence ADL/IADLs can be used to inform policy and practice. Implications for rehabilitation After age, pain and taking five or more medications were the strongest factors associated with difficulty in ADL/IADL combined and ADL alone. Practice therefore needs to be cognizant that it is not the disease label but the symptoms of a disease that affect ADL and IADL activities. Given the strong influence of pain on difficulties with...
Source: Disability and Rehabilitation - April 4, 2016 Category: Rehabilitation Authors: Connolly D, Garvey J, McKee G Tags: Disabil Rehabil Source Type: research

Systematic review of factors affecting driving and motor vehicle transportation among people with autism spectrum disorder.
CONCLUSION: Our findings highlight several gaps in the research and an urgent need for further transportation-related training and supports for people with ASD. Implications for rehabilitation Many people with ASD encounter challenges in obtaining a driver's licence, driving confidence and driving performance compared to those without ASD. Several strategies can be useful when teaching people with ASD to drive including direct communication, encouraging coping mechanisms, breaking down tasks and providing regular and consistent driving lessons. Clinicians and educators should advocate for further transportation-related tra...
Source: Disability and Rehabilitation - April 4, 2016 Category: Rehabilitation Authors: Lindsay S Tags: Disabil Rehabil Source Type: research

Self-efficacy, disability level and physical strength in the injured workers: findings from a major factory disaster in Bangladesh.
CONCLUSIONS: There is an immense need to develop and deliver effective post-injury recovery, rehabilitation and return-to-work programs for injured workers in resource poor countries. Implications for Rehabilitation The study findings suggest that one year after the factory disaster in Bangladesh, the injured workers are suffering from a high degree of disability, low physical performance and reporting low self-efficacy. The national and international stakeholders including Western buyers, aid agencies, NGOs, worker advocacy groups, consumer associations and the government of Bangladesh can be updated on the progress made ...
Source: Disability and Rehabilitation - April 4, 2016 Category: Rehabilitation Authors: Villanueva G, Fitch T, Quadir MM, Raju Sagiraju HK, Alamgir H Tags: Disabil Rehabil Source Type: research

Does cultural and linguistic diversity affect health-related outcomes for people with stroke at discharge from hospital?
CONCLUSION: The current limited research suggests that cultural and linguistic diversity does not appear to impact on health-related outcomes at discharge from hospital for people who have had a stroke, however further research is needed to address identified gaps. Implications for Rehabilitation The different language, culture and beliefs about health demonstrated by patients with stroke from minority groups in North America do not appear to significantly impact on their health-related outcomes during their admission to hospital. It is not known whether interpreter use influences outcomes in stroke rehabilitation because ...
Source: Disability and Rehabilitation - April 4, 2016 Category: Rehabilitation Authors: Davies SE, Dodd KJ, Hill KD Tags: Disabil Rehabil Source Type: research

What is the evidence for managing tone in young children with, or at risk of developing, cerebral palsy: a systematic review.
CONCLUSION: The management of tone in infants and young children is not well described, with a dearth of high-level evidence to support intervention in the 0-24 month age-range. This is in contrast to a recent review completed by Novak et al. (2013) who report high levels of evidence of interventions for children with cerebral palsy, over 2 years of age. Implications for Rehabilitation High level of evidence to support clinical decision making for the management of tone in young children 0-24 months is not available. The lack of available evidence in the management of tone of young children underpins service delivery and ...
Source: Disability and Rehabilitation - March 30, 2016 Category: Rehabilitation Authors: Ward R, Reynolds JE, Bear N, Elliott C, Valentine J Tags: Disabil Rehabil Source Type: research

Preparing for the future: a review of tools and strategies to support autonomous goal setting for children and youth with autism spectrum disorders.
CONCLUSIONS: Children and youth with ASD can participate in setting rehabilitation goals, but few tools to support their participation have been evaluated, and those tools that do exist do not align well with current services foci. Visual aids appear to be one effective support, but further research on effective strategies for meaningful engagement in autonomous goal setting for children and youth with ASD is warranted. Implications for rehabilitation Persons with ASD are less self-determined than their peers. Input into one's own rehabilitation goals and priorities is an important component of self-determination. Few tool...
Source: Disability and Rehabilitation - March 30, 2016 Category: Rehabilitation Authors: Hodgetts S, Park E Tags: Disabil Rehabil Source Type: research

Visually impaired individuals, safety perceptions and traumatic events: a qualitative study of hazards, reactions and coping.
CONCLUSIONS: Visual impairment causes a need for predictability and adequate information to increase and prepare for coping and self-efficacy. The results from this study call for greater emphasis on universal design in order to ensure safety and predictability. Fear of being labelled may inhibit people from using assistive devices and adequate coping strategies and seeking professional help in the aftermath of a trauma. Implications for Rehabilitation Visual impairment entails a greater susceptibility to a variety of hazards and potential threats in daily life. This calls for a greater emphasis on universal design in publ...
Source: Disability and Rehabilitation - March 30, 2016 Category: Rehabilitation Authors: Saur R, Hansen MB, Jansen A, Heir T Tags: Disabil Rehabil Source Type: research

Reliability and responsiveness of measures of pain in people with osteoarthritis of the knee: a psychometric evaluation.
CONCLUSIONS: These findings support the use of ICOAP subscales as reliable and responsive measure of pain in people with knee osteoarthritis. The MPQ-SF-2 subscales found to be acceptable alternatives. Implications for Rehabilitation The McGill Pain Questionnaire short version 2 is not a unidimensional scale in people with knee osteoarthritis, whereas three of the subscales are unidimensional. The McGill Pain Questionnaire short version 2 Affective subscale does not have good measurement properties for people with knee osteoarthritis. The McGill Pain Questionnaire short version 2 and the Intermittent and Constant Osteoarth...
Source: Disability and Rehabilitation - March 30, 2016 Category: Rehabilitation Authors: Turner KV, Moreton BM, Walsh DA, Lincoln NB Tags: Disabil Rehabil Source Type: research

H-GRASP: the feasibility of an upper limb home exercise program monitored by phone for individuals post stroke.
CONCLUSIONS: Community dwelling individuals with stroke may benefit from a phone-monitored upper limb home exercise program that includes behavioural strategies that promote transfer of exercise gains into daily upper limb use. Implications for Rehabilitation A repetitive, task-oriented home exercise program that utilizes telephone supervision may be an effective method for the treatment of the upper limb following stroke This program is best suited for individuals with mild to moderate level impairment and experience a sufficient level of challenge from the exercises An exercise program that includes behavioural strategie...
Source: Disability and Rehabilitation - March 26, 2016 Category: Rehabilitation Authors: Simpson LA, Eng JJ, Chan M Tags: Disabil Rehabil Source Type: research

Patients' perspectives on aerobic exercise early after stroke.
CONCLUSION: Patients with stroke are willing to participate in aerobic exercise within a week after admission to inpatient rehabilitation. However, they perceive a lack of ability to perform aerobic exercise, social support from family and information as barriers. Implications for rehabilitation Aerobic exercise is recognized as part of comprehensive stroke rehabilitation. There is a need to better understand patient perspectives to develop and implement more effective interventions early after stroke. Patients lack confidence in their ability to overcome barriers early after stroke. Patients are concerned with their abili...
Source: Disability and Rehabilitation - March 26, 2016 Category: Rehabilitation Authors: Prout EC, Mansfield A, McIlroy WE, Brooks D Tags: Disabil Rehabil Source Type: research

Evaluation of a group acceptance commitment therapy intervention for people with knee or hip osteoarthritis: a pilot randomized controlled trial.
CONCLUSIONS: ACT for osteoarthritis is likely to be an acceptable treatment option for people with osteoarthritis. Progress to a definitive trial is warranted. Rasch-transformed outcome scales are preferable in clinical trials where possible. Implications for Rehabilitation Acceptance commitment therapy (ACT) is an effective treatment for many pain conditions andcould be a useful intervention for people with osteoarthritis who have high levels of pain. Rasch analysis is a measurement technique that may enable greater precision in detectingmeaningful treatment effects in routine clinical outcomes. The ACT intervention was s...
Source: Disability and Rehabilitation - March 25, 2016 Category: Rehabilitation Authors: Clarke SP, Poulis N, Moreton BJ, Walsh DA, Lincoln NB Tags: Disabil Rehabil Source Type: research

Non-invasive brain stimulation for the lower limb after stroke: what do we know so far and what should we be doing next?
CONCLUSIONS: Future research should systematically assess differences in response with different stimulation parameters, test measures for determining who would be most likely to benefit and assess effectiveness with large samples before NIBS can be considered for use in clinical practice. Implications for Rehabilitation Stroke is a leading cause of disability, often resulting in dependency in activities of daily living and reduced quality of life. Non-invasive brain stimulation has received considerable interest as a potential adjuvant to rehabilitation after stroke and this review summarizes studies targeting the lower l...
Source: Disability and Rehabilitation - March 25, 2016 Category: Rehabilitation Authors: Fleming MK, Pavlou M, Newham DJ, Sztriha L, Teo JT Tags: Disabil Rehabil Source Type: research

Fatigue in the mothers of children with cerebral palsy.
CONCLUSIONS: Our findings indicate that fatigue levels of mothers with CP children are higher than those with healthy children and associated with depression and deterioration in QoL in terms of physical, social and emotional functioning. This should be considered while designing a family centred rehabilitation programme for children with CP. Implications for Rehabilitation Caring for a child with cerebral palsy has psychological, social and financial impacts on familiesand is associated with increased levels of fatigue among mothers. The capacity of current programs and services needs to be strengthened to accommodate the...
Source: Disability and Rehabilitation - March 25, 2016 Category: Rehabilitation Authors: Garip Y, Ozel S, Tuncer OB, Kilinc G, Seckin F, Arasil T Tags: Disabil Rehabil Source Type: research

"Over time it just becomes easier…": parents of people with Angelman syndrome and Prader-Willi syndrome speak about their carer role.
CONCLUSIONS: No specific coping strategy was associated with reduced stress. However, parents felt that accurate and timely information during the diagnostic period helped. Parents used family and community support although there were difficulties accessing respite care. It is advised that government agencies, service providers, family members and peer support associations should provide practical and emotional support to assist the parents of offspring with AS and PWS, and indeed any form of intellectual disability, across the lifespan. Implications for Rehabilitation Long-term caring for offspring with AS or PWS can invo...
Source: Disability and Rehabilitation - March 25, 2016 Category: Rehabilitation Authors: Thomson A, Glasson E, Roberts P, Bittles A Tags: Disabil Rehabil Source Type: research

Communicating about obesity and weight-related topics with children with a physical disability and their families: spina bifida as an example.
CONCLUSIONS: Stakeholders describe therapeutic relationships that are currently disconnected around the issue of weight and obesity. However, children, parents and HCPs all believed that discussing this topic was critical. Positively framed, strengths-based and tailored approaches to weight-related discussions are warranted. Implications for Rehabilitation Rates of overweight and obesity in children and youth with physical disabilities are substantially higher than their typically developing peers. Healthcare professionals, children with physical disabilities and families often find weight-related discussions challenging a...
Source: Disability and Rehabilitation - March 25, 2016 Category: Rehabilitation Authors: McPherson AC, Swift JA, Peters M, Lyons J, Joy Knibbe T, Church P, Chen L, Farrell RM, Willem Gorter J Tags: Disabil Rehabil Source Type: research

Biographical disruption, adjustment and reconstruction of everyday occupations and work participation after mild traumatic brain injury. A focus group study.
Conclusions Our findings show that the concept of time is important in understanding and supporting the reconstruction of daily life after TBI. The fundamental work of rehabilitation is to ameliorate the disruptions caused by the injury, restoring a sense of personal narrative and supporting the ability to move forward with life. Implications for Rehabilitation Individuals with a protracted recovery after a mild traumatic brain injury must reconstruct a new way of being and acting in the world to achieve biographical continuity. The perceived anxiety regarding changes in self and occupational identity, as well as loss of c...
Source: Disability and Rehabilitation - March 23, 2016 Category: Rehabilitation Authors: Sveen U, Søberg HL, Østensjø S Tags: Disabil Rehabil Source Type: research

A cross-sectional evaluation examining the use of the Achilles tendinopathy toolkit by physiotherapists in British Columbia, Canada.
CONCLUSIONS: Evaluation of KT strategies is critical. This study revealed high awareness and moderate use of the ATT. Future work should consider the impact of toolkits on patient outcomes. Implications for Rehabilitation A toolkit is a novel knowledge translation (KT) strategy designed to provide accessibleevidence-informed resources to facilitate best practice by clinicians. The evaluation of the Achilles tendinopathy toolkit (ATT) revealed favourable findingsregarding the impact of this KT strategy on the knowledge and attitudes of British Columbia(BC) PTs and the possibility of a positive impact on best practice in cli...
Source: Disability and Rehabilitation - March 23, 2016 Category: Rehabilitation Authors: Ezzat AM, Schneeberg A, Huisman ES, White LD, Kennedy C, Levesque LA, Scott A, Hoens AM Tags: Disabil Rehabil Source Type: research

Understanding physical activity in the group home setting: a qualitative inquiry.
CONCLUSIONS: Findings suggest that residents with intellectual disabilities have low physical activity and opportunities for participation. Key attributes of the group home setting were identified between barriers and facilitators to activity. Consideration for the development of physical activity programmes should focus on the unique needs of the group home setting as expressed by stakeholders. Implications for rehabilitation Physical activity can improve physical fitness, function, and community participation yet physical activity remains low among adults with intellectual disabilities. Understanding physical activity wi...
Source: Disability and Rehabilitation - March 23, 2016 Category: Rehabilitation Authors: Dixon-Ibarra A, Driver S, Vanderbom K, Humphries K Tags: Disabil Rehabil Source Type: research

Fall-related experiences of stroke survivors: a meta-ethnography.
CONCLUSIONS: Stroke survivors' fall-related experiences appear to exist within the context of activity and community participation. Further research is warranted due to the small number of substantive studies available for synthesis. Implications for Rehabilitation Health care professionals should recognize that cognitive and emotional adjustment may berequired for stroke survivors to accept strategies for overcoming falls-risk, including dependenceon carers and assistive devices. Several factors in addition to physical interventions may be needed to minimize falls-risk whileincreasing activity participation. These factors...
Source: Disability and Rehabilitation - March 23, 2016 Category: Rehabilitation Authors: Walsh M, Galvin R, Horgan NF Tags: Disabil Rehabil Source Type: research