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Shoulder function, pain and health related quality of life in adults with joint hypermobility syndrome/Ehlers-Danlos syndrome-hypermobility type.
Conclusions Adults with JHS/EDS-HT have impaired shoulder function, increased pain intensity, as well as reduced physical HRQoL compared with controls. Although neck and shoulder were most frequently rated as painful, significantly more JHS/EDS-HT also reported generalized pain compared to controls. Implications for Rehabilitation Adults with JHS/EDS-HT have impaired shoulder function, and most often painful areas in the neck and shoulder joints, which need to be targeted in the treatment strategy. Compared with the general population adults with JHS/EDS-HT have reduced physical HRQoL, supporting a physical approach for th...
Source: Disability and Rehabilitation - January 29, 2016 Category: Rehabilitation Authors: Johannessen EC, Reiten HS, Løvaas H, Maeland S, Juul-Kristensen B Tags: Disabil Rehabil Source Type: research

Quasi-experimental evaluation of a home care model for patients with stroke in China.
Conclusions Home care may be associated with higher quality of life and reduced dependency among stroke patients in China. Implications for Rehabilitation Home care can be effective method at improving the physical and psychological well-being of stroke survivors in China. The home care model in this study can improve health outcomes as well as reduce healthcare resources utilisation. Home care models for stroke survivors should be adapted to local healthcare policies and resources. PMID: 26824752 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - January 29, 2016 Category: Rehabilitation Authors: Chen L, Sit JW, Shen X Tags: Disabil Rehabil Source Type: research

The relationship between perceived injustice and the working alliance: a cross-sectional study of patients with persistent pain attending multidisciplinary rehabilitation.
Conclusion Strategies to enhance the working alliance between rehabilitation professionals and clients with elevated levels of perceived injustice are needed. Implications for Rehabilitation Perceived injustice is associated with poor progress in rehabilitation programmes for people with musculoskeletal pain following injury. Perceived injustice is negatively associated with the quality of the therapeutic working alliance. Strategies to enhance the working alliance between rehabilitation professionals and clients with elevated levels of perceived injustice are needed. PMID: 26805034 [PubMed - as supplied by publisher] ...
Source: Disability and Rehabilitation - January 23, 2016 Category: Rehabilitation Authors: Scott W, Milioto M, Trost Z, Sullivan MJ Tags: Disabil Rehabil Source Type: research

Fixed multibracket dental therapy has challenges but can be successfully performed in young persons with Down syndrome.
Conclusions It is possible to perform orthodontic treatment with FMAs in patients with DS, although treatment may take longer than usual and the frequency of complications is higher than in controls. Implications for Rehabilitation Certain dental characteristics of Down syndrome (DS) make these children firm candidates for orthodontic intervention. There is little literature available on orthodontic treatment in patients with DS, particularly with regard to the use of fixed appliances. This case-control study shows that it is possible to perform orthodontic treatment with fixed appliances in adequately selected patients wi...
Source: Disability and Rehabilitation - January 23, 2016 Category: Rehabilitation Authors: Abeleira MT, Pazos E, Limeres J, Outumuro M, Diniz M, Diz P Tags: Disabil Rehabil Source Type: research

Are web-based questionnaires accepted in patients attending rehabilitation?
Conclusions Web SAQs were well accepted among the patients scheduled for rehabilitation, led to less missing data and considerable cost savings related to human resources. Patients referred to rehabilitation should be offered the choice to complete self-administered questionnaires on internet platforms when internet access is common and available. Implications for Rehabilitation The high acceptability of web-based self-administered questionnaires among rehabilitation patients suggests that internet platforms are suitable tools to collect patient information for rehabilitation units. Web-based modes of patient data collecti...
Source: Disability and Rehabilitation - January 22, 2016 Category: Rehabilitation Authors: Engan HK, Hilmarsen C, Sittlinger S, Sandmæl JA, Skanke F, Oldervoll LM Tags: Disabil Rehabil Source Type: research

Applicability, validation and reproducibility of the Spinal Cord Independence Measure version III (SCIM III) in patients with non-traumatic spinal cord lesions.
Conclusions SCIM III is a reproducible functional assessment instrument and capable of evaluating the level of independence of the individual with non-traumatic spinal cord injury. The SCIM III is more sensitive than the MIF™ for non-traumatic spastic paraplegic patients with higher levels of independence, particularly if they can walk independently. Linear gait parameters correlated with its mobility subscale. Implications for Rehabilitation Applicability, validation and reproducibility of the Spinal Cord Independence Measure version III (SCIM III) in patients with non-traumatic spinal cord lesions. There are not many s...
Source: Disability and Rehabilitation - January 22, 2016 Category: Rehabilitation Authors: Almeida C, Coelho JN, Riberto M Tags: Disabil Rehabil Source Type: research

Understanding how prevocational training on care farms can lead to functioning, motivation and well-being.
Conclusions The results explain how prevocational training can stimulate participants' functionality, motivation and well-being. This understanding enables initiators and managers of prevocational training to understand and further strengthen the need-supportive elements of such programmes. Implications for Rehabilitation Prevocational training on care farms can facilitate motivation, functioning and well-being for clients. Making clients feel like useful colleagues that belong to a client group will strengthen the positive qualities of these programmes. Support, understanding and acknowledgement from the farmer are the mo...
Source: Disability and Rehabilitation - January 22, 2016 Category: Rehabilitation Authors: Ellingsen-Dalskau LH, Berget B, Pedersen I, Tellnes G, Ihlebæk C Tags: Disabil Rehabil Source Type: research

Health-related quality of life in adults with congenital unilateral upper limb deficiency in Norway. A cross-sectional study.
Conclusions Persons with UULD reported reduced HRQoL on most SF-36 subscales, mostly in the physical health domain. Employment status, occurrence of comorbidity and chronic pain seem to have a negative impact on the HRQoL. Measures that can reduce pain and loss of function should be given particular attention in UULD rehabilitation. Implications for Rehabilitation Persons with congenital unilateral upper limb deficiency (UULD) who experience pain and discomfort should seek professional help for evaluating their everyday coping strategies. Professionals who meet persons with UULD should examine anomalies, comorbidity, pain ...
Source: Disability and Rehabilitation - January 18, 2016 Category: Rehabilitation Authors: Johansen H, Østlie K, Andersen LØ, Rand-Hendriksen S Tags: Disabil Rehabil Source Type: research

Testing and development of an instrument for self-report of participation and related environmental factors - Your Ideas about Participation and Environment (YIPE) among adults with brain injury.
Conclusions The YIPE was found to be a useful tool among study participants. The YIPE topics were found to have importance and relevance when considering participants' satisfaction with areas of life and aspects of environment requiring change. More development of the tool is required in terms of the wording, format and method of administration to improve the overall usability of the instrument. Implications for Rehabilitation The preliminary results from this small sample study illustrated that people with brain injury were able to use an International Classification of Functioning, Disability and Health-based tool, and c...
Source: Disability and Rehabilitation - January 18, 2016 Category: Rehabilitation Authors: Hawley R, Madden RH, Brentnall J, Serratore D, Grant S, Luft I, Bundy A Tags: Disabil Rehabil Source Type: research

Hip fracture and the influence of dementia on health outcomes and access to hospital-based rehabilitation for older individuals.
Conclusion Within a population-based cohort, older individuals with dementia can benefit from access to, and participation in, rehabilitation activities following a hip fracture. This will ensure that they have the best chance of returning to their pre-fracture physical function and mobility. Implications for Rehabilitation Older individuals with dementia can benefit from rehabilitation activities following a hip fracture. Early mobilisation of individuals post-hip fracture surgery, where possible, is advised. Further work is needed on how best to work with individuals with dementia after a hip fracture in residential aged...
Source: Disability and Rehabilitation - January 14, 2016 Category: Rehabilitation Authors: Mitchell R, Harvey L, Brodaty H, Draper B, Close J Tags: Disabil Rehabil Source Type: research

How do older people with sight loss manage their general health? A qualitative study.
Conclusion Healthcare professionals need to be more aware of the challenges faced by older people with sight loss. Improved promotion of group support and charity services which are best placed to share information, provide fora to learn about coping techniques and strategies, and give older people social support to prevent isolation is needed. Rehabilitation and support services and equipment can only be beneficial if patients know what is available and how to access them. Over-reliance on self-advocacy in current healthcare systems is not conducive to patient-centred care. Implications for Rehabilitation Sight loss in ol...
Source: Disability and Rehabilitation - January 14, 2016 Category: Rehabilitation Authors: Burton AE, Gibson JM, Shaw RL Tags: Disabil Rehabil Source Type: research

Encouraging post-stroke patients to be active seems possible: results of an intervention study with knowledge brokers.
CONCLUSIONS: Based on patient's reports of HP behaviour, the KB-intervention appears effective since more patients felt encouraged to be physically active after the intervention compared to before. Replication of this study in an experimental design is needed to allow causal inferences. Implications for rehabilitation We advise rehabilitation teams to make use of knowledge brokers (KBs), since the KB-intervention was shown to increase the encouragement felt by stroke patients to be physically active. It seems worthwhile to involve physicians, nurses and patients' families more frequently in efforts to encourage stroke pati...
Source: Disability and Rehabilitation - January 13, 2016 Category: Rehabilitation Authors: Willems M, Schröder C, van der Weijden T, Post MW, Visser-Meily AM Tags: Disabil Rehabil Source Type: research

Children with congenital limb deficiency in Norway: issues related to school life and health-related quality of life. A cross-sectional study.
CONCLUSIONS: Most children with CLD participated with their peers and managed well in everyday life. Children with MLD/LLD seemed to have more challenges than children with UULD. Approximately one-third of all the children had assistive devices and/or practical assistance in school. Implications for Rehabilitation Most children with upper-limb deficiency (UULD) in Norway manage well in everyday life and have HRQOL equal to other Norwegian children. Many choose grip-improving devices instead of prostheses. Their preferences should be respected and taken into account as the need for new assistive devices arise. For children ...
Source: Disability and Rehabilitation - January 13, 2016 Category: Rehabilitation Authors: Johansen H, Dammann B, Øinæs Andersen L, Andresen IL Tags: Disabil Rehabil Source Type: research

"I need someone to keep an eye on me:" the power of attention in patient-practitioner interactions.
Conclusions The capacity of practitioners to attend to their patients has an impact on patient satisfaction and recovery. Implications for Rehabilitation Attention is the precursor to establishing positive therapeutic alliances with patients. It is essential to attend to the patient as a person with unique experiences, perspectives, and attitudes and to modify treatment based on the person's priorities and desires. Practitioners need to develop the interaction skills necessary to understand their patients as unique individuals. PMID: 26756548 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - January 12, 2016 Category: Rehabilitation Authors: Crepeau EB Tags: Disabil Rehabil Source Type: research

Ethics teaching in rehabilitation: results of a pan-Canadian workshop with occupational and physical therapy educators.
Conclusion The CREW Day provided ethics educators the opportunity to share knowledge and begin creating a community of practice. This space for dialogue could be expanded to international rehabilitation ethics educators, to facilitate a broader network for sharing of tacit and experiential knowledge. Implications for Rehabilitation According to the study participants, rehabilitation ethics education should include learning about foundational knowledge related to ethical theory; be grounded in examples and cases drawn from clinical rehabilitation practice; and contribute to building professional competencies such as self-kn...
Source: Disability and Rehabilitation - January 10, 2016 Category: Rehabilitation Authors: Hudon A, Perreault K, Laliberté M, Desrochers P, Williams-Jones B, Ehrmann Feldman D, Hunt M, Durocher E, Mazer B Tags: Disabil Rehabil Source Type: research

Hip external rotator exercise contributes to improving physical functions in the early stage after total hip arthroplasty using an anterolateral approach: a randomized controlled trial.
Conclusions The results of the present study demonstrated that exercise program focusing on hip external rotator muscle was an effective intervention, especially in improving both hip abductor strength and walking ability in the acute post-THA stage. Implication for Rehabilitation After THA, in order to safely progress patients back to their desired activity level, there is a need to develop rehabilitation strategies to expedite and promote the recovery during the acute postoperative period. Exercise program focusing on hip external rotator muscle may lead to significant improvement of hip abductor muscle strength and gait...
Source: Disability and Rehabilitation - January 10, 2016 Category: Rehabilitation Authors: Nankaku M, Ikeguchi R, Goto K, So K, Kuroda Y, Matsuda S Tags: Disabil Rehabil Source Type: research

Spatial neglect in stroke patients after discharge from rehabilitation to own home: a mixed method study.
Conclusion Traditional numerical interpretations of paper-pencil tests inadequately confirmed mild neglect. Starting points of the star cancellation and observation of drawing should be incorporated into screening procedures. Assessment strategies need improvement to identify patients with subtle forms of neglect. Implications for Rehabilitation Findings demonstrate that identification of spatial neglect and the way symptoms of neglect impact on daily life functioning of stroke patients must be carefully pursued by health-care professionals working in stroke rehabilitation. Areas that should receive professional attention ...
Source: Disability and Rehabilitation - January 10, 2016 Category: Rehabilitation Authors: Klinke ME, Hjaltason H, Hafsteinsdóttir TB, Jónsdóttir H Tags: Disabil Rehabil Source Type: research

A single-group pilot feasibility study of cognitive behavioural therapy in people with multiple sclerosis with depressive symptoms.
Conclusion Face-to-face CBT is feasible for use in PwMS aiming at decrease depressive symptoms. For an equivalence study, a screening process for depressive symptoms and two comparative intervention arms including traditional face-to-face CBT and low-intensity face-to-face CBT is recommended. Primary outcomes should include the BDI-II and also assessment of anxiety symptoms. Implications for Rehabilitation Depression is common among people with MS (PwMS), however, depressed PwMS do not always receive adequate treatment for depression which may lead to increased disability and worse health-related quality of life (HRQL). Co...
Source: Disability and Rehabilitation - January 10, 2016 Category: Rehabilitation Authors: Chruzander C, Gottberg K, Ytterberg C, Backenroth G, Fredrikson S, Widén Holmqvist L, Johansson S Tags: Disabil Rehabil Source Type: research

The Communication Supports Inventory-Children & Youth (CSI-CY), a new instrument based on the ICF-CY.
CONCLUSIONS: The code set basis of the CSI-CY extends the common language of the ICF-CY to practical educational use for children with CCN across diagnostic groups. The CSI-CY is well regarded as an instrument to inform the content of communication goals related to CCN. Implications for Rehabilitation The CSI-CY will guide rehabilitation professionals to develop goals for children with complex communication impairments. The CSI-CY is a new instrument that is based on the ICF-CY for documentation of communication goals. PMID: 26750736 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - January 10, 2016 Category: Rehabilitation Authors: Rowland C, Fried-Oken M, Bowser G, Granlund M, Lollar D, Phelps R, Simeonsson RJ, Steiner SA Tags: Disabil Rehabil Source Type: research

Comparison of two cognitive interventions for adults experiencing executive dysfunction post-stroke: a pilot study.
Conclusions Our findings provide preliminary evidence supporting the feasibility of using both CO-OP and COMPUTER training with patients with executive dysfunction post-stroke. Implications for Rehabilitation Computerised executive function training and occupation-based strategy training are feasible to deliver and acceptable to persons with executive dysfunction post-stroke. Preliminary evidence suggests that both interventions have a positive impact on real-world outcomes; and, that CO-OP might have a greater impact on improving self-efficacy for performing everyday activities. PMID: 26750772 [PubMed - as supplied by...
Source: Disability and Rehabilitation - January 10, 2016 Category: Rehabilitation Authors: Poulin V, Korner-Bitensky N, Bherer L, Lussier M, Dawson DR Tags: Disabil Rehabil Source Type: research

Patient expectations for a multimodal pain rehabilitation programme: active participation and coping skills. A qualitative study.
CONCLUSIONS: Many patients expressed expectations which may reflect that the information before the programme had started rehabilitation process at the time point for this study. The results could be applied in rehabilitation programmes by acknowledging expectations to interact with professional team members and fellow patients, by early addressing of positive and negative expectations about the future pain and by incorporating and strengthen expectations of learning to cope with pain. Implications for Rehabilitation Patients' expectations to interact with professional team members and fellow patients by participating acti...
Source: Disability and Rehabilitation - January 10, 2016 Category: Rehabilitation Authors: Larsson B, Gard G, Karlsson L, Persson AL Tags: Disabil Rehabil Source Type: research

Child characteristics, caregiver characteristics, and environmental factors affecting the quality of life of caregivers of children with cerebral palsy.
Conclusions Knowledge of the determinants of QOL could serve as a guide in a holistic approach to evaluation and intervention and help plan interventions targeted at these determinants to improve the QOL of caregivers of children with CP. Implications for Rehabilitation Caregivers of children with CP had lower QOL, except the environment QOL. The QOL determinants of caregivers of children with CP are multidimensional, including child characteristics, caregiver characteristics, and environmental factors. In addition to child characteristics of severity of fine motor impairments and emotional and behavioural problems, caregi...
Source: Disability and Rehabilitation - January 10, 2016 Category: Rehabilitation Authors: Tseng MH, Chen KL, Shieh JY, Lu L, Huang CY, Simeonsson RJ Tags: Disabil Rehabil Source Type: research

The inclination for conscious motor control after stroke: validating the Movement-Specific Reinvestment Scale for use in inpatient stroke patients.
CONCLUSIONS: The MSRS is a valid and reliable tool and suitable to assess the relationship between reinvestment and motor recovery in the first months post-stroke. Eventually, this may help therapists to individualize motor learning interventions based on patients' reinvestment preferences. Implications for rehabilitation This study showed that the Movement-Specific Reinvestment Scale (MSRS) is a valid and reliable tool to objectify stroke patients' inclination for conscious motor control. The MSRS may be used to identify stroke patients who are strongly inclined to consciously control their movements, as this disposition ...
Source: Disability and Rehabilitation - January 10, 2016 Category: Rehabilitation Authors: Kal E, Houdijk H, Van Der Wurff P, Groet E, Van Bennekom C, Scherder E, Van der Kamp J Tags: Disabil Rehabil Source Type: research

Mapping two measures to the International Classification Of Functioning, Disability and Health and the brief ICF core set for spinal cord injury in the post-acute context.
CONCLUSION: In terms of content, the ROL appears to be a more global measure of functioning, compared with the SCIM III that covers specific 'activity' aspects as proposed in the Brief Core Set for SCI. It is thus recommended that standardised measures, such as the SCIM III, be used due to its conceptual underpinnings and coverage of important aspects. Implications for Rehabilitation Rehabilitation professionals should select appropriately validated outcome measures specific to the health condition in order to evaluate the effectiveness of rehabilitation. Rehabilitation professional working with outcome measures should be ...
Source: Disability and Rehabilitation - January 9, 2016 Category: Rehabilitation Authors: Joseph C, Phillips J, Wahman K, Nilsson Wikmar L Tags: Disabil Rehabil Source Type: research

Paralympism, Paralympic values and disability sport: a conceptual and ethical critique.
CONCLUSION: While courage is undoubtedly a moral virtue, there is more than one conception that might inform Paralympism with either/both active and passive content. It is argued that Determination is an instrumental character trait that is not necessarily ethically praiseworthy. While potentially inspiring, the efforts and abilities of Paralympic athletes need not depend on the reception of spectators whom they have no control over. Finally, being an important ethical idea, it is neither clear what kind of equality is aimed for nor how it would be operationalized within sports with respect to access to expensive technolog...
Source: Disability and Rehabilitation - January 8, 2016 Category: Rehabilitation Authors: McNamee MJ Tags: Disabil Rehabil Source Type: research

The development of a framework for high-quality, sustainable and accessible rural private therapy under the Australian National Disability Insurance Scheme.
Conclusions The framework identifies factors that will facilitate delivery of high-quality, sustainable, individualized private therapy services for people with a disability in rural Australia under the NDIS and emphasizes the need to reconceptualize the nature of private therapy service delivery. Implications for Rehabilitation Rural private therapists need upskilling to work with individuals with disability who have individual funding such as that provided by the Australian National Disability Insurance Scheme. Therapists working in rural communities need to consider alternative ways of delivering therapy to individuals ...
Source: Disability and Rehabilitation - January 8, 2016 Category: Rehabilitation Authors: Dew A, Barton R, Ragen J, Bulkeley K, Iljadica A, Chedid R, Brentnall J, Bundy A, Lincoln M, Gallego G, Veitch C Tags: Disabil Rehabil Source Type: research

The psychometric properties of an Arabic numeric pain rating scale for measuring osteoarthritis knee pain.
Conclusions The Arabic numeric pain rating scale is a valid and reliable scale for measuring pain levels in OA of the knee. Implications for Rehabilitation The Arabic Numeric Pain Rating Scale (ANPRS) is a reliable and valid instrument for measuring pain in osteoarthritis (OA) of the knee, with psychometric properties in agreement with other widely used scales. The ANPRS is well correlated with the VAS and NRS scores in patients with OA of the knee. The ANPRS appears to measure pain intensity similar to the VAS, NRS, and VRS and may provide additional advantages to Arab populations, as Arabic numbers are easily understood ...
Source: Disability and Rehabilitation - January 6, 2016 Category: Rehabilitation Authors: Alghadir AH, Anwer S, Iqbal ZA Tags: Disabil Rehabil Source Type: research

A comparison of physical fitness in patients with bipolar disorder, schizophrenia and healthy controls.
CONCLUSIONS: The results suggest that physical fitness and physical activity participation are similar among inpatients with bipolar disorder and schizophrenia but markedly lower than healthy controls. Chronic inpatients with lower levels of physical activity may particularly benefit from rehabilitation interventions aimed at increasing physical fitness. Implications for Rehabilitation Physical fitness should receive similar attention in the treatment of bipolar disorder and schizophrenia. Sedentary patients with a longer duration of illness need additional support in changing lifestyle behaviours. Rehabilitation should no...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Vancampfort D, Stubbs B, Sienaert P, Wyckaert S, De Hert M, Soundy A, Probst M Tags: Disabil Rehabil Source Type: research

The role of learning in improving functional writing in stroke aphasia.
CONCLUSIONS: These results show that small doses of writing therapy can lead to large gains in specific types of writing. These gains did not extend to improvements in frequency of writing in daily living, nor ecological measures of email writing. There is a need to develop bridging interventions between experimental tasks towards more multi-faceted and ecological everyday writing tasks. Implications for Rehabilitation Acquired dysgraphia can restrict people from participating in social, educational and professional life. This study has shown that copy and recall spelling therapies can improve the spelling of treated words...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Thiel L, Sage K, Conroy P Tags: Disabil Rehabil Source Type: research

Survivors of chronic stroke - participant evaluations of commercial gaming for rehabilitation.
CONCLUSION: Overall, participants were optimistic about their experience with VR training and all reported that they had perceived functional gain. VR is an enjoyable rehabilitation tool that can increase a stroke survivor's confidence towards completing ADL. Implications for Rehabilitation Although there is an increase in rehabilitation programmes geared towards those with chronic stroke, we must also consider the participants' perception of those programmes. Incorporating participant feedback may increase enjoyment and adherence to the rehabilitation programmes. The VR experience, as well as provision of feedback and ins...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Paquin K, Crawley J, Harris JE, Horton S Tags: Disabil Rehabil Source Type: research

Healthcare professional experiences with patients who participate in multimodal pain rehabilitation in primary care - a qualitative study.
CONCLUSIONS: Healthcare professionals perceive MMR as a helpful method for treating chronic pain patients. At the same time, they thought that only including patients who would return to work conflicted with their ethical views on equal healthcare for all patients. Preconceptions can influence selection for, and work with, MMR. Implications for rehabilitation Multimodal pain rehabilitation in primary healthcare is challenging because of the complexity of the patients. Healthcare professionals must deal with conflicting emotions in regard to different commitments from healthcare legislation and the goals of multimodal rehab...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Stenberg G, Pietilä Holmner E, Stålnacke BM, Enthoven P Tags: Disabil Rehabil Source Type: research

Ratings of pain and activity limitation on the visual analogue scale and global impression of change in multimodal rehabilitation of back pain - analyses at group and individual level.
Conclusions At group level, lower VAS ratings were found in patients with back pain. However, a large individual variability in pain and activity limitation was also found resulting in low to moderate associations between GIC and the change in VAS ratings. The large individual variability might be due to the impreciseness in the ratings on the VAS. We have presented a critical discussion of statistical methods in connection with the VAS. Implications for Rehabilitation The use of VAS as a rating instrument may be questioned, especially for perceived pain intensity which is a too complex experience to be rated on a line wit...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Elfving B, Lund I, C LB, Boström C Tags: Disabil Rehabil Source Type: research

Active video gaming improves body coordination in survivors of childhood brain tumours.
Conclusions In this group of childhood brain tumour survivors, home-based AVG, supported by a coach, was a feasible, enjoyable and moderately intense form of exercise that improved Body Coordination. Implications for Rehabilitation Childhood brain tumour survivors frequently have cognitive problems, inferior physical functioning and are less physically active compared to their healthy peers. Active video gaming (AVG), supported by Internet coaching, is a feasible home-based intervention in children treated for brain tumours, promoting enjoyable, regular physical exercise of moderate intensity. In this pilot study, AVG with...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Sabel M, Sjölund A, Broeren J, Arvidsson D, Saury JM, Blomgren K, Lannering B, Emanuelson I Tags: Disabil Rehabil Source Type: research

Support group programme for siblings of children with special needs: predictors of improved emotional and behavioural functioning.
Conclusions Poorer emotional and behavioural functioning among participants and symptom severity of the child with special needs were associated with greater intervention effects. These results indicate that SibworkS is likely to be beneficial for siblings who have difficulties adjusting, and siblings of children with more severe special needs. Implications for Rehabilitation Siblings of children with disability are at increased risk of emotional and behavioural difficulties. Sibworks is a manualised group-based intervention for the siblings of children with a disability. Poorer emotional and behavioural functioning among ...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Roberts RM, Ejova A, Giallo R, Strohm K, Lillie ME Tags: Disabil Rehabil Source Type: research

What are the top 10 physical activity research questions in schizophrenia?
Conclusions Addressing these questions is critical for developing evidence-based approaches for promoting and sustaining an active lifestyle in people with schizophrenia. Ultimately, achieving this will improve the quality of life of this population. Implications for Rehabilitation Investigation of behaviour change interventions for people with schizophrenia is critical. A low cost, easy to use, clinical, valid physical activity questionnaire is urgently needed. PMID: 26728764 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Vancampfort D, Rosenbaum S, Probst M, Connaughton J, du Plessis C, Yamamoto T, Stubbs B Tags: Disabil Rehabil Source Type: research

The human dimensions of post-stroke homecare: experiences of older carers from diverse ethnic groups.
CONCLUSIONS: Carers from BME and White British groups share many experiences of homecare although language and cultural difference may exacerbate common pressures and stresses. The framework for humanising care is a useful tool to evaluate aspects of homecare that are responsive to dignity and diversity. Implications for Rehabilitation Explicitly identifying, describing and valuing the human dimensions of care may support services in responding appropriately to homecare users from black minority ethnic communities as well as those from white majority groups. Unresponsive services and poor communication may lead to loss of ...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Pound C, Greenwood N Tags: Disabil Rehabil Source Type: research

Cross-cultural validation and psychometric evaluation of the Participation and Environment Measure for Children and Youth in Korea.
Conclusions Results indicated that the KPEM-CY is equivalent to the original PEM-CY and has initial evidence of reliability and validity for use with Korean children with disabilities. Implications for rehabilitation Because 'participation' is a key outcome of the rehabilitation, measuring comprehensive participation of children with disabilities is necessary. The PEM-CY is a parent-report survey measure to assess comprehensive participation of children and youth and environment, which affect their participation, at home, school and in the community. A cross-cultural adaptation process is mandatory to adapt the measurement...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Jeong Y, Law M, Stratford P, DeMatteo C, Kim H Tags: Disabil Rehabil Source Type: research

Dysphagia in Duchenne muscular dystrophy: practical recommendations to guide management.
CONCLUSIONS: There is little guidance available for clinicians to manage dysphagia and improve feeding for young men with DMD. This report aims to provide a clinical algorithm to facilitate the diagnosis of dysphagia, to identify the symptoms and to propose practical recommendations to treat dysphagia in the adult DMD population. Implications for Rehabilitation Little guidance is available for the management of dysphagia in Duchenne dystrophy. Food can penetrate the vestibule, accumulate as residue or cause aspiration. We propose recommendations and an algorithm to guide management of dysphagia. Penetration/residue accumul...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Toussaint M, Davidson Z, Bouvoie V, Evenepoel N, Haan J, Soudon P Tags: Disabil Rehabil Source Type: research

Autonomic cardiovascular control and sports classification in Paralympic athletes with spinal cord injury.
Conclusion We provide definitive evidence that sports specific classification is not related to the degree of remaining autonomic cardiovascular control in Paralympic athletes with SCI. We suggest that testing for remaining autonomic function, which is closely related to the degree of cardiovascular control, should be incorporated into sporting classification. Implications for Rehabilitation Spinal cord injury is a debilitating condition that affects the function of almost every physiological system. It is becoming increasingly apparent that spinal cord injury induced changes in autonomic and cardiovascular function are im...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: West CR, Krassioukov AV Tags: Disabil Rehabil Source Type: research

The progression of disability among older adults in Mexico.
CONCLUSIONS: Our model reflects the importance of separating ADLs and IADLs in the study of disability progression in Mexico. Varying risk profiles and cultural differences might influence the divergent disability paths followed by each gender. Implications for Rehabilitation The disablement process involving transitions from mobility impairments to IADL and ADL limitations seen in developed countries differs for older adults in Mexico. Cultural differences may influence the progression from non-disabled to becoming disabled in different ways for females in developing countries like Mexico. One-fifth of individuals showed ...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Díaz-Venegas C, Reistetter TA, Wang CY, Wong R Tags: Disabil Rehabil Source Type: research

Activity among long-term stroke survivors. A study based on an ICF-oriented analysis of two established ADL and social activity instruments.
CONCLUSIONS: Long-term stroke survivors have a high activity level in daily life, though individual variation is considerable. The structure provided by linking instruments to the ICF core set for stroke can be used for more fine-tuned descriptions of activity. Implications for Rehabilitation Since most long-term stroke survivors are independent in ADL but may have limitations in other activity domains such as social and leisure activities, these aspects should be considered in the rehabilitation process. Older stroke survivors deserve special attention due to their higher risk of long-term inactivity. The Barthel Index an...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Norlander A, Jönsson AC, Ståhl A, Lindgren A, Iwarsson S Tags: Disabil Rehabil Source Type: research

Epidemiology and clinical outcomes in a multicentre regional cohort of patients with severe acquired brain injury.
CONCLUSION: The GRACER register is a useful tool for the assessment of epidemiological and clinical information on sABI patients. In light of the positive impact on patient outcomes, rehabilitation in specialised units is highly encouraged and should occur as soon as possible. Implications for Rehabilitation There is a need for more epidemiological and clinical data associated with severe acquired brain injury, particular regarding those of non-traumatic origin. In a retrospective multicentre study of a regional cohort using data from an online regional register in Italy (GRACER), more than three-quarters of patients displ...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Chiavaroli F, Derraik JG, Zani G, Lavezzi S, Chiavaroli V, Sherwin E, Basaglia N Tags: Disabil Rehabil Source Type: research

Profile of disabilities and their associated factors in patients with type 2 diabetes evaluated by the Canadian occupational performance measure: the Rio De Janeiro type 2 diabetes cohort study.
CONCLUSIONS: Type 2 diabetic patients frequently reported disabilities in mobility, self-care and daily-life domains; and its associated factors were the presence of depression, upper limb pain and diabetic peripheral neuropathy. Implications for Rehabilitation The Canadian Occupational Performance Measure (COPM) instrument can be applied to patients with diabetes, as it identifies several disabilities, mostly in mobility, self-care and domestic life areas. Rehabilitation directed to upper limb pain/limitation and to lower limb peripheral neuropathy shall be implemented and may improve diabetic patients' performance and qu...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Marinho FS, Moram CB, Rodrigues PC, Franzoi AC, Salles GF, Cardoso CR Tags: Disabil Rehabil Source Type: research

Adolescents with disabilities participate in the shopping mall: facilitators and barriers framed according to the ICF.
CONCLUSIONS: Facilitators and barriers identified were either generic or disability-specific, implying that some modifications to shopping malls may be beneficial across disability types. Changes made to the physical, social and attitudinal environment are required to enable full participation of youth with disabilities within a shopping mall and other built environments of high public access. Implications for Rehabilitation The meaning of the shopping mall according to youth with disabilities includes socialisation, shopping, getting out of the home and employment. The majority of themes mapped to 'environmental factors' ...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Dahan-Oliel N, Shikako-Thomas K, Mazer B, Majnemer A Tags: Disabil Rehabil Source Type: research

The validity and reliability of the Thai version of the Kujala score for patients with patellofemoral pain syndrome.
CONCLUSION: The Thai version of the Kujala score has shown good validity and reliability. This score can be effectively used for evaluating Thai patients with patellofemoral pain syndrome. Implications for Rehabilitation The Kujala score is a self-administered questionnaire for patients with patellofemoral pain syndrome (PFPS). The validity and reliability of the Thai version of Kujala are compatible with other versions (Turkish, Chinese and Persian version). The Thai version of Kujala has been shown to have validity and reliability in Thai PFPS patients and can be used for clinical evaluation and also in the research work...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Apivatgaroon A, Angthong C, Sanguanjit P, Chernchujit B Tags: Disabil Rehabil Source Type: research

The meanings given to gender in studies on multimodal rehabilitation for patients with chronic musculoskeletal pain - a literature review.
Conclusions The meaning of the concept of gender in multimodal rehabilitation is undefined and needs to be developed further. The way the concept is used should be defined in the design and evaluation of multimodal rehabilitation in future studies. Implications for rehabilitation Healthcare professionals should reflect on gender relations in encounters with patients, selection of patients into rehabilitation programs and design of programs. In rehabilitation for chronic pain the patients' social circumstances and cultural context should be given the same consideration as biological sex and pain symptoms. PMID: 26730507...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Ahlgren C, Fjellman-Wiklund A, Hamberg K, Johansson EE, Stålnacke BM Tags: Disabil Rehabil Source Type: research

Problematising risk in stroke rehabilitation.
Conclusions Conceptualisation of risk in stroke rehabilitation, while implicit, drives both research and practise in ways that reinforce a focus on impairment and a generic, decontextualised approach to rehabilitation. Implications for rehabilitation Much of stroke rehabilitation practise and research seems to centre implicitly on two risks: risk to the patient of remaining dependent in ADL and risk to the health care system of bankruptcy due to the provision of stroke rehabilitation. The implicit focus on ADL dependence limits the ability of clinicians and researchers to address other goals supportive of a good life follo...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Egan MY, Kessler D, Ceci C, Laliberté-Rudman D, McGrath C, Sikora L, Gardner P Tags: Disabil Rehabil Source Type: research

Life satisfaction and strain among informal caregivers of patients with traumatic brain injury in Malaysia.
Conclusion Caregivers with lower monthly income and caring for TBI patients with cognitive and neurobehavioural disturbances are at higher risk of developing strain. Rehabilitation interventions post-discharge should aim at supporting the caregivers at risk. Implications for Rehabilitation Informal caregivers of patients with traumatic brain injury who are not satisfied with their lives are most likely experiencing strain. Caregivers in Malaysia who are at high risk of experiencing strain are those with lower monthly income and care for patients with significant cognitive and neurobehavioural disturbances. Efforts to reduc...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Mazlan M, Ghani SZ, Tan KF, Subramanian P Tags: Disabil Rehabil Source Type: research

Apparel-related participation barriers: ability, adaptation and engagement.
Conclusions The lack of adequate accessible apparel for PWD exacerbated barriers to community participation and disablement, and identified the need for innovation in design, production, distribution and sale, of adaptive clothing. Implications for Rehabilitation The lack of adaptive or appropriate clothing or apparel for people living with disabilities can become a barrier, preventing engagement in meaningful activities, yet these barriers are not often explicitly identified. Cultural issues regarding clothing and the process of dressing may become unspoken barriers to engagement in meaningful activities, impacting the wa...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Kabel A, McBee-Black K, Dimka J Tags: Disabil Rehabil Source Type: research

Movement changes due to hemiplegia in stroke survivors: a hermeneutic phenomenological study.
CONCLUSIONS: The first four themes attempt to express participants' pain and difficulty in living with their present body; the last three attempt to express methods for coping with the present body in the company of others. Results will assist therapists to understand the significant needs of their clients in the maintenance phase. Implications for Rehabilitation Hemiplegia is paralysis of half of the body; it represents one kind of physical disability caused by stroke. Re-interpretation of how patients had experienced the changes of their movements after they had hemiplegia is helpful for the therapists to understand the ...
Source: Disability and Rehabilitation - January 5, 2016 Category: Rehabilitation Authors: Takashima R, Murata W, Saeki K Tags: Disabil Rehabil Source Type: research