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Examination of contraction-induced muscle pain as a behavioral correlate of physical activity in women with and without fibromyalgia.
Conclusions: Women with FM exhibit augmented muscle pain during isometric contractions and reduced physical activity than healthy controls. Furthermore, contraction-induced muscle pain is inversely associated with physical activity levels. These observations suggest that augmented muscle pain may serve as a behavioral correlate of reduced physical activity in women with FM. Implications for Rehabilitation Women with fibromyalgia experience a greater intensity of localized muscle pain in a contracting muscle compared to healthy women. The intensity of pain during muscle contraction is inversely associated with the amount of...
Source: Disability and Rehabilitation - November 20, 2014 Category: Rehabilitation Authors: Umeda M, Corbin LW, Maluf KS Tags: Disabil Rehabil Source Type: research

The Bobath (NDT) concept in adult neurological rehabilitation: what is the state of the knowledge? A scoping review. Part I: conceptual perspectives.
Conclusions: Knowledge derived from review of the conceptual literature provides clinicians with an updated Bobath clinical framework as well as identifying aspects of Bobath clinical practice that require careful consideration in future effectiveness studies. Implications for Rehabilitation The integration of posture and movement with respect to the quality of task performance remains a cornerstone of the redefined Bobath concept. A key fundamental principle of the clinical application of the Bobath concept since its inception is the selective manipulation of sensory information, namely, facilitation, to positively affect...
Source: Disability and Rehabilitation - November 20, 2014 Category: Rehabilitation Authors: Vaughan-Graham J, Cott C, Wright FV Tags: Disabil Rehabil Source Type: research

Workplace support after breast cancer treatment: recognition of vulnerability.
Conclusions: Employees felt particularly vulnerable. Vulnerability is not the same as low-work ability and as such it should be added as theoretical concept in RTW research. Adequate workplace support addresses the specific vulnerability of an individual woman. Our study offers a nuanced insight into the RTW process of breast cancer survivors. Implications for Rehabilitation Upon actual return-to-work (RTW) after breast cancer treatment, women feel vulnerable but able to work and, hence, have a high need for workplace support. Support from the workplace during RTW after breast cancer treatment is experienced as adequate wh...
Source: Disability and Rehabilitation - November 17, 2014 Category: Rehabilitation Authors: Tiedtke C, Dierckx de Casterlé B, Donceel P, de Rijk A Tags: Disabil Rehabil Source Type: research

Transcranial direct current stimulation in the recovery of postural control after stroke: a pilot study.
Conclusions: This pilot study indicates that 16 tDCS-sessions could have a beneficial effect on balance and gait in stroke patients measured with the Tinetti test. However, further research is needed to elucidate these findings. Implications for Rehabilitation Sixteen sessions of tDCS is beneficial in the recovery of postural control in stroke patients. tDCS has to be applied as soon as possible to enhance beneficial effects. PMID: 25401406 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - November 17, 2014 Category: Rehabilitation Authors: Saeys W, Vereeck L, Lafosse C, Truijen S, Wuyts FL, Van De Heyning P Tags: Disabil Rehabil Source Type: research

Betwixt and between: workplace perspectives on work reintegration in the eldercare sector in Denmark.
Conclusion: The study highlighted that WR creates a social position for the returnee that complicates the working routine and causes uncertainty in social interactions. Implications for Rehabilitation Work reintegration (WR) after long-term sick leave is commonly characterized by reduced working hours and modified working tasks. The WR process influences the whole work place including co-workers' everyday working life and complicates work situations where work tasks and roles are negotiated between the returning worker and co-workers. Future WR policies and guidelines could benefit from integrating co-workers' perspective ...
Source: Disability and Rehabilitation - November 13, 2014 Category: Rehabilitation Authors: Ladekjær Larsen E, Labriola M, Vinther Nielsen C, Schultz Petersen K Tags: Disabil Rehabil Source Type: research

Severe to profound hearing impairment: quality of life, psychosocial consequences and audiological rehabilitation.
Conclusions: Treatment focused on anxiety, depression, tinnitus and vertigo must be given early in the rehabilitation process in patients with severe or profound hearing impairment. Because sick leave differs greatly within this group of patients, collaboration with the regional Social Insurance Agency is crucial part of the rehabilitation. The study also shows that presently, only a small proportion of patients in Sweden with severe to profound hearing impairment receive extended audiological rehabilitation. Implications for Rehabilitation Greater levels of anxiety and depression have been found among patients with severe...
Source: Disability and Rehabilitation - November 13, 2014 Category: Rehabilitation Authors: Carlsson PI, Hjaldahl J, Magnuson A, Ternevall E, Edén M, Skagerstrand A, Jönsson R Tags: Disabil Rehabil Source Type: research

Community re-integration and long-term need in the first five years after stroke: results from a national survey.
Conclusions: Stroke had a personal, social and economic impact. Emotional distress and fatigue were common and satisfaction with the help available for these problems was poor. Implications for Rehabilitation Professionals should recognise that family members provide high levels of support post-stroke while dealing with changes to personal relationships. Emotional, concentration and fatigue problems post-stroke require recognition by health professionals. A greater focus on return-to-work as part of stroke rehabilitation may be of value for patients of working age. PMID: 25391817 [PubMed - as supplied by publisher] (So...
Source: Disability and Rehabilitation - November 13, 2014 Category: Rehabilitation Authors: Walsh ME, Galvin R, Loughnane C, Macey C, Horgan NF Tags: Disabil Rehabil Source Type: research

Factors associated with community reintegration in the first year after stroke: a qualitative meta-synthesis.
Conclusions: This review suggests that an individual's perseverance, adaptability and ability to overcome emotional challenges can facilitate reintegration into the community despite persisting effects of their stroke. Appropriate support from family, friends, the broader community and healthcare professionals is important. Therapeutic activities should relate to meaningful activities and should be tailored to the individual stroke survivor. Implications for Rehabilitation: Stroke survivors feel that rehabilitation in familiar environments and therapeutic activities that reflect real-life could help their community re-inte...
Source: Disability and Rehabilitation - November 10, 2014 Category: Rehabilitation Authors: Walsh ME, Galvin R, Loughnane C, Macey C, Horgan NF Tags: Disabil Rehabil Source Type: research

Reliability, validity, and responsiveness of the Persian version of Shoulder Activity Scale in a group of patients with shoulder disorders.
Conclusions: The study provides some evidences to support the test-retest reliability, internal consistency, construct validity, and responsiveness of the Persian version of the SAS in patients with shoulder disorders. Therefore, it seems that this instrument is a useful measure of shoulder activity level in research setting and clinical practice. Implications for Rehabilitation The shoulder activity scale (SAS) is a reliable, valid, and responsive measure of shoulder activity level in Persian-speaking patients with different shoulder disorders. The results on clinimetric properties of the Persian SAS are comparable with i...
Source: Disability and Rehabilitation - November 10, 2014 Category: Rehabilitation Authors: Negahban H, Mohtasebi E, Goharpey S Tags: Disabil Rehabil Source Type: research

The importance, measurement and practical implications of worker's expectations for return to work.
Conclusions: Most previously used measures contain elements that potentially limit utility. However, it would seem that further development can overcome these, resulting in a tool that provides risk prediction information, and an opportunity to start a conversation to help identify problems that might negatively impact a worker's movement through the RTW process and the outcomes achieved. Implications for Rehabilitation Return to work is an integral part of workplace injury management. The capture of RTW expectations affords a way to identify the potential for less than optimal RTW processes and outcomes. A mismatch betwee...
Source: Disability and Rehabilitation - November 6, 2014 Category: Rehabilitation Authors: Young AE, Besen E, Choi Y Tags: Disabil Rehabil Source Type: research

How is physical activity monitored in people following stroke?
Conclusions: Physical activity outcomes were variable. Devices allow for unobtrusive, sustained monitoring in free-living environments. Observational methods suit inpatient settings but are time and labour intensive. No single approach appears superior but standardisation of outcomes would improve the field. Implications for Rehabilitation Physical activity measurement is highly variable following stroke and better definition of physical activity outcomes would enhance the field. Accelerometry and behavioural mapping are most commonly used to measure physical activity following stroke, each have advantages and disadvantage...
Source: Disability and Rehabilitation - November 6, 2014 Category: Rehabilitation Authors: Fini NA, Holland AE, Keating J, Simek J, Bernhardt J Tags: Disabil Rehabil Source Type: research

Executive dysfunction post-stroke: an insight into the perspectives of physiotherapists.
Conclusions: Current results demonstrate that ED has negative implications for physiotherapy rehabilitation post-stroke. Although further interdisciplinary research is warranted, the present results suggest that physiotherapists should be aware of the presence of ED in people post-stroke and develop strategies to minimise the impact of ED on physiotherapy rehabilitation. Implications for Rehabilitation Physiotherapists report a lack of knowledge of ED post-stroke and a requirement for future learning and training regarding the optimal management of people with ED undergoing physiotherapy rehabilitation post-stroke. ED has ...
Source: Disability and Rehabilitation - November 6, 2014 Category: Rehabilitation Authors: Hayes S, Donnellan C, Stokes E Tags: Disabil Rehabil Source Type: research

Assessment of activity limitations and participation restrictions with persons with chronic fatigue syndrome: a systematic review.
Conclusion: The psychometric properties of the reviewed measurement instruments to evaluate activity limitations and participation restrictions are not sufficiently evaluated. Future research is needed to evaluate the psychometric properties of the measurement instruments, including the other properties of the CFS-APQ. If it is necessary to use a measurement instrument, the CFS-APQ is recommended. Implications for Rehabilitation Chronic fatigue syndrome (CFS). Chronic fatigue syndrome causes activity limitations and participation restrictions in one or more areas of life. Standardized, reliable and valid measurement instru...
Source: Disability and Rehabilitation - November 3, 2014 Category: Rehabilitation Authors: Vergauwen K, Meeus M, Huijnen IP, Kos D, Van de Velde D, van Eupen I Tags: Disabil Rehabil Source Type: research

Simplified bipartite concepts of functioning and disability recommended for interdisciplinary use of the ICF.
Conclusion: Bipartite concepts of functioning and disability are recommended for interdisciplinary use of the ICF. Implications for Rehabilitation The ICF classification is useful, but the ICF concept of activities in an individual perspective is confusing. We suggest a use of the term "activities" simply to denote things that people may do and "participation" to denote actually performed activities. Estimations of ability should be explicit about how they are related to environmental factors. PMID: 25365700 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - November 3, 2014 Category: Rehabilitation Authors: Thyberg M, Arvidsson P, Thyberg I, Nordenfelt L Tags: Disabil Rehabil Source Type: research

Communication disorders after stroke in Aboriginal Australians.
Conclusions: While similar life disruptions were found to those previously reported in the general stroke population, this study highlighted differences, which reflect the particular context of ACD for Aboriginal people and which need to be considered when planning future services. While implications are limited due to small numbers, the findings emphasise the importance of a holistic approach, and integration of communication treatments into community-led social activities. Implications for Rehabilitation Aboriginal Australians frequently experience a range of concurrent and complex co-morbidities and demanding social or ...
Source: Disability and Rehabilitation - November 3, 2014 Category: Rehabilitation Authors: Armstrong E, Hersh D, Hayward C, Fraser J Tags: Disabil Rehabil Source Type: research

Return to work or job transition? Employer dilemmas in taking social responsibility for return to work in local workplace practice.
Conclusions: This study suggests that Swedish legislation and policies does not always adequately prompt employers to engage in RTW. There is a need for further attention to the organizational conditions for employers to take social responsibility for RTW in the context of business pressure and work intensification. Implications for Rehabilitation Employers may have difficulties in taking social responsibility for RTW when economic considerations regarding their business take precedence over legal and ethical considerations. Rehabilitation professionals should be aware of that outcomes of an RTW process can be influenced b...
Source: Disability and Rehabilitation - October 30, 2014 Category: Rehabilitation Authors: Seing I, MacEachen E, Ekberg K, Ståhl C Tags: Disabil Rehabil Source Type: research

A systematic review of risk factors associated with accidental falls, outcome measures and interventions to manage fall risk in non-ambulatory adults.
Conclusion: Several risk factors associated with falls were identified and must be understood by clinicians to better serve their clients. To improve objective assessment, a comprehensive outcome assessment specific to non-ambulatory adults is needed. Finally, additional research is needed to examine the impact of structured protocols to manage fall risk in non-ambulatory adults. Implications for Rehabilitation Falls are a common health concern for non-ambulatory adults. Risk factors commonly associated with falls include wheelchair related characteristics, transfer activities, impaired seated balance and environmental fac...
Source: Disability and Rehabilitation - October 29, 2014 Category: Rehabilitation Authors: Rice LA, Ousley C, Sosnoff JJ Tags: Disabil Rehabil Source Type: research

The actions of the social insurance agency regarding long-term sickness absentees before and after a medical assessment - a study of 384 case files.
Conclusions: Although the studied individuals had been on sick leave for a long time, the number of SIA actions related to vocational rehabilitation was limited and came late in the sick-leave spell. The information from the MMA was often not used as a basis for further SIA action and seldom resulted in return to work. The positive MMA views on the potential of vocational rehabilitation were not met by SIA actions. Implications for Rehabilitation Suggestions on vocational rehabilitation from a medical assessment was in many cases not used by the social insurance agency in relationship to long-term sickness absentees. Activ...
Source: Disability and Rehabilitation - October 29, 2014 Category: Rehabilitation Authors: Marklund S, Lundh G, Gustafsson K, Linder J, Svedberg P, Alexanderson K Tags: Disabil Rehabil Source Type: research

Disability and the post-2015 development agenda.
Conclusion: Although the results so far have been very good, more work still needs to be done to ensure that these explicit references are maintained in the final version of the SDGs, which will be adopted in September 2015. Furthermore, the new framework needs to have a stronger human rights foundation on which to ground these references and future indicators. Light for the World is an international confederation of national development non-governmental organizations (NGOs) aiming at an inclusive society, where the rights of persons with disabilities are realized without discrimination. Through a rights-based approach, Li...
Source: Disability and Rehabilitation - October 28, 2014 Category: Rehabilitation Authors: Tardi R, Njelesani J Tags: Disabil Rehabil Source Type: research

Recovery-related anxiety and disability following upper limb injury: the importance of context.
Conclusions: Recovery-related forms of anxiety appear to be more common and more strongly associated with disability than general anxiety symptoms for patients with mild to moderate traumatic upper limb injuries. Implications for Rehabilitation Following mild to moderate traumatic upper limb injury, anxiety about the injury and recovery is common. Recovery-related anxiety is more strongly associated with disability than general anxiety symptoms. Phrasing questions about anxiety directly associated with the recovery experience may give greater insight into the anxiety patients with mild to moderate upper limb injuries are e...
Source: Disability and Rehabilitation - October 28, 2014 Category: Rehabilitation Authors: Mayland EC, Hay-Smith EJ, Treharne GJ Tags: Disabil Rehabil Source Type: research

Self-management: challenges for allied healthcare professionals in stroke rehabilitation - a focus group study.
Conclusion: Professional perceptions and beliefs are important factors to take into account when implementing stroke self-management programmes. Before professionals can enable stroke survivors to self-manage, they first need support in acquiring knowledge and skills regarding post-stroke self-management. Moreover, professionals could benefit from behavioural change models, and professionals recognised that stroke self-management interventions would be most beneficial when delivered post-discharge at people's homes. Implications for Rehabilitation Post-stroke self-management is a learning process with different levels depe...
Source: Disability and Rehabilitation - October 28, 2014 Category: Rehabilitation Authors: Satink T, Cup EH, de Swart BJ, Nijhuis-van der Sanden MW Tags: Disabil Rehabil Source Type: research

Struggling at work - a qualitative study of working Danes with depressive symptoms.
Conclusions: This study provided insight to the process of struggling at work, which the interviewed employees with depressive symptoms experienced. Implications for Rehabilitation Behaviour of supervisors is a key element for employees with depressive symptoms struggling at work. Practitioners and other health and rehabilitation practitioners working with people with depressive symptoms and other mental health problems could inquire about supervisor's behaviour and relation between supervisors and employees. Interventions that targets both the individual employee as well as work environment focused interventions at the or...
Source: Disability and Rehabilitation - October 28, 2014 Category: Rehabilitation Authors: Hjarsbech PU, Nielsen MB, Andersen MF, Rugulies R, Christensen U Tags: Disabil Rehabil Source Type: research

Predictors of not regaining basic mobility after hip fracture surgery.
Conclusions: This study shows that patients undergoing hip fracture surgery, who are not able to complete physiotherapy on first post-operative day, are at a greater risk of not regaining basic mobility during hospitalization. This highlights the importance of physiotherapy as part of the interdisciplinary treatment. Implications for Rehabilitation Regaining abilities in basic mobility after hip fracture surgery is a primary goal of rehabilitation during hospitalization in the acute ward. The following factors are indentified to predict patients not regaining their previous level of basic mobility: Age >80 years, low pr...
Source: Disability and Rehabilitation - October 28, 2014 Category: Rehabilitation Authors: Hulsbæk S, Larsen RF, Troelsen A Tags: Disabil Rehabil Source Type: research

Barriers and facilitators of sports in children with physical disabilities: a mixed-method study.
Conclusion: Sports participation of children with physical disabilities is a complex phenomenon because children, their parents and professionals reported different barriers. Sports participation is more physically challenging for children with severe physical disabilities, as their daily activities already require much energy. However, the psychosocial benefits of sports are applicable to all children with physical disabilities. Implication for Rehabilitation Perceived barriers seemed to differ for children, parents and health professionals, suggesting that sports participation is a complex phenomenon. Sports might be mor...
Source: Disability and Rehabilitation - October 27, 2014 Category: Rehabilitation Authors: Jaarsma EA, Dijkstra PU, de Blécourt AC, Geertzen JH, Dekker R Tags: Disabil Rehabil Source Type: research

Exercise therapy improves both mental and physical health in patients with major depression.
Conclusions: Physical therapists should be aware, that several characteristics of major depression (e.g. loss of interest, motivation and energy, generalised fatigue, a low self-worth and self-confidence, fear to move, and psychosomatic complaints) and physical health problems interfere with participation in exercise. Therefore, motivational strategies should be incorporated in exercise interventions to enhance the patients' motivation and adherence in exercise programs. Implications for Rehabilitation For mild to moderate depression, the effect of exercise may be comparable with antidepressant medication and psychotherapy...
Source: Disability and Rehabilitation - October 24, 2014 Category: Rehabilitation Authors: Knapen J, Vancampfort D, Moriën Y, Marchal Y Tags: Disabil Rehabil Source Type: research

To be on sick-leave due to heart failure: a qualitative perspective.
Conclusions: People who are on sick leave due to heart failure are abandoned by rehabilitation professionals and they lack opportunities to participate in their own sick leave/rehabilitation processes. Rehabilitation professionals need to take more responsibility and allow the patients to participate by connecting and recognizing patients as equal human beings. The present results can be used by rehabilitation professionals to reflect on and discuss the needs of people on sick leave due to heart failure. Implications for Rehabilitation Heart failure is a chronic condition implying a complicated life-situation. People with ...
Source: Disability and Rehabilitation - October 24, 2014 Category: Rehabilitation Authors: Lindbäck C, Nordgren L Tags: Disabil Rehabil Source Type: research

Enhanced information regarding exercise training as treatment is needed. An interview study in patients with chronic obstructive pulmonary disease.
Conclusions: Patients with COPD, with no previous experience of exercise training as treatment for their disease, describe exercise training as something unknown and unimportant for them. The results provide important knowledge for healthcare professionals regarding how to educate patients with COPD about the content and benefits of exercise training as treatment. Implications for Rehabilitation Exercise training is effective for patients with chronic obstructive pulmonary disease (COPD) with regard to dyspnea, physical capacity, health-related quality of life, and health care use. Patients with COPD perceive a lack of inf...
Source: Disability and Rehabilitation - October 22, 2014 Category: Rehabilitation Authors: Nordvall Strömberg P, Fjellman-Wiklund A, Wadell K Tags: Disabil Rehabil Source Type: research

Cross-cultural translation and validation of the Greek version of the Knee Injury and Osteoarthritis Outcome Score (KOOS) in patients with total knee replacement.
Conclusion: The Greek KOOS was found to be a practical and comprehensible self-reported measure for TKR patients with acceptable psychometric properties. It is therefore, recommendable for usage in future clinical trials and clinical practice. Implications for Rehabilitation The Greek version of KOOS is an essential assessment scale to evaluate not only acute injuries but also chronic knee associated conditions in a holistic perspective. The Greek KOOS has been found to be a practical and comprehensible self-reported measure for TKR patients with acceptable psychometric properties, recommendable for usage in future clinica...
Source: Disability and Rehabilitation - October 22, 2014 Category: Rehabilitation Authors: Moutzouri M, Tsoumpos P, Billis E, Papoutsidakis A, Gliatis J Tags: Disabil Rehabil Source Type: research

Activity engagement and health quality of life in people with Parkinson's disease.
Conclusion: This study provides preliminary evidence that regular participation in community programs like BPg may increase retention rates of activity engagement in people with PD. Participation in BPg programs, though, was not shown to improve HQoL as measured by the PDQ-39. Implications for Rehabilitation Continued participation in a wide repertoire of activities is a valuable rehabilitation goal for clients with Parkinson's disease (PD). People with PD who participate in specially designed community-based programs are more likely to retain a wide repertoire of activity and role engagement, as compared to people with PD...
Source: Disability and Rehabilitation - October 21, 2014 Category: Rehabilitation Authors: Sabari JS, Ortiz D, Pallatto K, Yagerman J, Glazman S, Bodis-Wollner I Tags: Disabil Rehabil Source Type: research

Explaining daily functioning in young adults with obstetric brachial plexus lesion.
Conclusions: Many young adults with OBPL experience limitations in daily functioning. Pain, rather than arm-hand function, seems to explain these limitations. Implications for Rehabilitation Obstetric brachial plexus lesion (OBPL) is caused by traction to the brachial plexus during labour, resulting in denervation of the muscles of the arm and shoulder girdle. Adults with OBPL are hardly seen in rehabilitation medicine. This study shows that many young adults with OBPL experience limitations in daily functioning. Pain, rather than arm-hand function, seems to explain these limitations. Fifty percent of the participants comp...
Source: Disability and Rehabilitation - October 21, 2014 Category: Rehabilitation Authors: de Heer C, Beckerman H, Groot VD Tags: Disabil Rehabil Source Type: research

Access to health and support services: perspectives of people living with a long-term traumatic spinal cord injury in rural and urban areas.
Conclusions: Maintaining health and well-being in people with tSCI demands access to both conventional health care and support services. Implications for Rehabilitation Access to both health and support services are important to maintaining the health and wellness of people with spinal cord injury. People with spinal cord injuries take an active role in coordinating their health, at times assuming various roles to compensate for perceived shortcomings of health care providers. Negotiating balances of power with gatekeepers in the health and insurance sectors was a key function of the coordinating role assumed by people wit...
Source: Disability and Rehabilitation - October 21, 2014 Category: Rehabilitation Authors: Goodridge D, Rogers M, Klassen L, Jeffery B, Knox K, Rohatinsky N, Linassi G Tags: Disabil Rehabil Source Type: research

Parental perceptions of information needs and service provision for children with developmental disabilities in rural Australia.
Conclusions: Within the constraints of limited rural service provision, there are still opportunities for considerable improvements, through focussed in-service training to narrow the information gap, improve provider-client interaction around attitudinal issues and uptake of tele-health to minimise the long waiting times and the need to regularly travel long distances to access services and setting up online support groups. Implications for Rehabilitation There is limited information on challenges faced by parents of children with developmental disabilities in rural Australia. The challenges around lack of information abo...
Source: Disability and Rehabilitation - October 21, 2014 Category: Rehabilitation Authors: Hussain R, Tait K Tags: Disabil Rehabil Source Type: research

Parental and practitioner perspectives on raising an adolescent with a disability: a focus group study.
Conclusions: These results suggest that parents of adolescents with a developmental disability could benefit from a parenting program and that an existing evidence-based parenting program should be modified. Implications for program design for this population are discussed. Implications for Rehabilitation Parents have difficulty supporting their teenagers' behaviour. Some parenting strategies that were useful for young children are no longer applicable. Parents may benefit from a parenting program tailored for teenagers. PMID: 25327771 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - October 20, 2014 Category: Rehabilitation Authors: Hamilton A, Mazzucchelli TG, Sanders MR Tags: Disabil Rehabil Source Type: research

Sit-to-stand movement changes in preschool-aged children with spastic diplegia following one neurodevelopmental treatment session - a pilot study.
Conclusions: These findings suggest that a single NDT session enables children with CP to stand from a seated position without using some atypical movement patterns. Implications for Rehabilitation Preschool-aged children with spastic diplegia, with limited ability to independently transfer from a sitting position, and dependent on a wheelchair for mobility experience obstacles to enhanced activities of daily life and social participation. A single neurodevelopmental treatment session would enable children with spastic diplegia to perform sit-to-stand movements more efficiently, with selective muscle control. Understanding...
Source: Disability and Rehabilitation - October 20, 2014 Category: Rehabilitation Authors: Yonetsu R, Iwata A, Surya J, Unase K, Shimizu J Tags: Disabil Rehabil Source Type: research

Exploring employment readiness through mock job interview and workplace role-play exercises: comparing youth with physical disabilities to their typically developing peers.
Conclusions: Youth with physical disabilities performed poorer in some areas of a job interview compared to their typically developing peers. They could benefit from further targeted employment readiness training. Implications for Rehabilitation Clinicians should: Coach youth with physical disability on how to "sell" their abilities to potential employers and encourage youth to get involved in volunteer activities and employment readiness training programs. Consider using mock job interviews and other employment role-play exercises as assessment and training tools for youth with physical disabilities. Involve speech pathol...
Source: Disability and Rehabilitation - October 17, 2014 Category: Rehabilitation Authors: Lindsay S, McDougall C, Sanford R, Menna-Dack D, Kingsnorth S, Adams T Tags: Disabil Rehabil Source Type: research

"Four legs instead of two" - perspectives on a Nordic walking-based walking programme among people with arthritis.
Conclusion: Several benefits of a NW-based walking programme from the perspectives of individuals with arthritis who engage in group-based walking programmes were identified. The benefits may encourage sustained participation and justify the promotion of NW as an intervention for people with arthritis Implications for Rehabilitation Considering how to sustain exercise participation is important to ensure continued benefits from physical activity participation A community-based Nordic walking-based walking programme for people with arthritis improved exercise knowledge and confidence to exercise Group exercise is valuable i...
Source: Disability and Rehabilitation - October 17, 2014 Category: Rehabilitation Authors: O'Donovan R, Kennedy N Tags: Disabil Rehabil Source Type: research

Maternal experiences of caring for an infant with neurological impairment after neonatal encephalopathy in Uganda: a qualitative study.
Conclusion: Mothering a child with neurological impairment after NE is emotionally, physically and financially challenging but this may be partly mitigated by good social support and opportunities to share caring experiences with similarly affected mothers. A facilitated, participatory, community-based approach to rehabilitation training may have important impacts on maximising participation and improving the quality of life of affected mothers and infants. Implications for Rehabilitation Caring for an infant with neurological impairment after NE in Uganda has substantial emotional, social and financial impacts on families...
Source: Disability and Rehabilitation - October 17, 2014 Category: Rehabilitation Authors: Nakamanya S, Siu GE, Lassman R, Seeley J, Tann CJ Tags: Disabil Rehabil Source Type: research

The roles of effective communication and client engagement in delivering culturally sensitive care to immigrant parents of children with disabilities.
Conclusions: The findings illuminate the importance of effective, two-way communication in providing the mutual understanding needed by therapists to engage parents in the intervention process. The findings also richly describe the engagement strategies used by therapists. Clinical implications include recommendations for strategies for therapists to employ to engage this group of parents. Furthermore, the findings are applicable to service provision in general, as engaging families in a collaborative relationship through attention to their specific situation is a general principle of good quality, family-centered care. Im...
Source: Disability and Rehabilitation - October 17, 2014 Category: Rehabilitation Authors: King G, Desmarais C, Lindsay S, Piérart G, Tétreault S Tags: Disabil Rehabil Source Type: research

Occupational therapists' perceptions of requirements for competent upper limb hypertonicity practice.
Conclusion: Participants perceived that there is a dynamic relationship between knowledge and skills. They also believed that competent hypertonicity practice requires a client-centred approach and individualisation of interventions. Future training needs to focus on the development of therapists' clinical reasoning, which was required to individualise interventions and promote positive client outcomes. Implications for Rehabilitation Training in upper limb hypertonicity management in a clinical setting can assist therapists to understand the factors contributing to the complexity of this practice area. Training in a clini...
Source: Disability and Rehabilitation - October 17, 2014 Category: Rehabilitation Authors: Colclough S, Copley J, Turpin M, Justins E, De Monte R Tags: Disabil Rehabil Source Type: research

Long-term recovery trajectory after stroke: an ongoing negotiation between body, participation and self.
Conclusions: This study stresses the importance of developing new forms of professional support during the long-term recovery trajectory, to stimulate and increase interaction and coherence in the relationship between the stroke survivor's bodily perception, participation in everyday life and sense of self. Implications for Rehabilitation The study deepening how the long-term recovery trajectory after stroke is about ongoing embodied, practical and socially situated negotiations. The study demonstrates that the recovery trajectory is a long term process of learning where the stroke survivor, as an embodied agent, gradually...
Source: Disability and Rehabilitation - October 16, 2014 Category: Rehabilitation Authors: Arntzen C, Borg T, Hamran T Tags: Disabil Rehabil Source Type: research

Client-centred coaching in the paediatric health professions: a critical scoping review.
Conclusion: To advance the field, a list of components that foster client engagement was developed along with a comprehensive definition of coaching involving affective, behavioural and cognitive components and a path of research necessary to evaluate this complex intervention. Implications for Rehabilitation A comprehensive approach to coaching involves consideration of multiple components. A coaching approach can enhance engagement in rehabilitation interventions. The operationalization of holistic ABC coaching that encapsulates the important components, which are affective, behavioural and cognitive in nature. PMID:...
Source: Disability and Rehabilitation - October 7, 2014 Category: Rehabilitation Authors: Schwellnus H, King G, Thompson L Tags: Disabil Rehabil Source Type: research

Long-term community reintegration: concepts, outcomes and dilemmas in the case of a military service member with a spinal cord injury.
Conclusions: Jake's case challenges existing models of rehabilitation predominantly focused on physical capacity building. Study findings point to the need for rehabilitation to invest more resources in efforts to address the existential and social elements of long-term social reintegration. Implications for Rehabilitation Both the veteran with SCI and their meaningful support network face challenges socially reintegrating after injury and rehabilitation. Empowering clients to envision future possibilities in terms of family, intimate relationships, and meaningful work are important to successful long-term social reintegra...
Source: Disability and Rehabilitation - October 1, 2014 Category: Rehabilitation Authors: Fritz HA, Lysack C, Luborsky MR, Messigner SD Tags: Disabil Rehabil Source Type: research

The effect of dual-task functional exercises on postural balance in adolescents with intellectual disability - a preliminary report.
Conclusions: A distinctly positive effect of unstable-surface dual-task functional exercises on postural stability in individuals with ID was also revealed in our tests. Implications for Rehabilitation Rehabilitation of intellectually disabled persons should be carried out individually and contain ADL-based exercises. The use of unstable surfaces, making the above training more difficult, naturally stimulates the trainee to focus more closely on the task being performed. Implementation of dual-task exercises, consisting in compiling functional tasks with balance training, in the intervention programme for adolescents with ...
Source: Disability and Rehabilitation - October 1, 2014 Category: Rehabilitation Authors: Mikolajczyk E, Jankowicz-Szymanska A Tags: Disabil Rehabil Source Type: research

Upper limb function in everyday life of children with cerebral palsy: description and review of parent report measures.
Conclusions: Understanding upper limb performance in everyday life, as perceived by children with cerebral palsy and their families, informs a comprehensive assessment and acknowledges the importance of the perspectives of child and family. Implications for Rehabilitation Cerebral palsy-specific self- or parent-report measures of upper limb performance in everyday life complement observational assessments in understanding upper limb performance CHEQ provides clinical information, ABILHAND-Kids is validated for children with unilateral and bilateral cerebral palsy and possesses the most robust psychometric properties, Revis...
Source: Disability and Rehabilitation - September 29, 2014 Category: Rehabilitation Authors: Wallen M, Stewart K Tags: Disabil Rehabil Source Type: research

Early rehabilitation in patients with acute aneurysmal subarachnoid hemorrhage.
Conclusions: Early rehabilitation in aSAH patients is feasible from the first day after securing the aneurysm. The rehabilitation content varied according to the patient's clinical grade. Implications for Rehabilitation Early rehabilitation is feasible from the first day after securing the ruptured aneurysm in patients with aneurysmal subarachnoid hemorrhage (aSAH). Early rehabilitation requires close monitoring and continuous adjustment for the content and amount according to the patient's clinical condition. Interdisciplinary collaboration is recommended to match the rehabilitation needs to the medical condition on a dai...
Source: Disability and Rehabilitation - September 29, 2014 Category: Rehabilitation Authors: Karic T, Sorteberg A, Haug Nordenmark T, Becker F, Roe C Tags: Disabil Rehabil Source Type: research

Mastery motivation: a way of understanding therapy outcomes for children with unilateral cerebral palsy.
Conclusions: Children's bimanual performance and persistence with object-oriented tasks significantly impact occupational performance outcomes following UL training. Predetermining children's mastery motivation along with bimanual ability may assist in tailoring of intervention strategies and models of service delivery to improve effectiveness. Implications for Rehabilitation Children's object persistence and bimanual performance both impact upper limb training outcomes Working with children's motivational predispositions may optimize engagement and therapy outcomes. Supporting positive parenting styles may enhance a child...
Source: Disability and Rehabilitation - September 26, 2014 Category: Rehabilitation Authors: Miller L, Ziviani J, Ware RS, Boyd RN Tags: Disabil Rehabil Source Type: research

A qualitative study on the use of personal information technology by persons with spinal cord injury.
Conclusions: The findings suggest that IT use by people with SCI contributes to general health and well-being, by increasing access to SCI-related health information and opportunity for social participation. Despite the benefits offered by IT, persons with SCI have identified a degree of skepticism about the reliability and applicability of the health information they find online. Future work on developing and implementing IT for health and well-being post-SCI should take into account consumers' perspectives to facilitate uptake. Implications for Rehabilitation There is a need for a more refined understanding of how people...
Source: Disability and Rehabilitation - September 26, 2014 Category: Rehabilitation Authors: Mattar AA, Hitzig SL, McGillivray CF Tags: Disabil Rehabil Source Type: research

Development of a family-based pulmonary rehabilitation programme: an exploratory study.
Conclusions: PR programmes, if inclusive of family members, may enhance the skills of the whole family to manage COPD. Implications for Rehabilitation Patients with chronic obstructive pulmonary disease (COPD) and their family members have similar expectations and needs about a family-based pulmonary rehabilitation (PR) programme. A family-based PR programme is feasible to implement within primary care. PR programmes, if inclusive of family members, may enhance the skills of the whole family to manage COPD. PMID: 25255297 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - September 25, 2014 Category: Rehabilitation Authors: Marques A, Gabriel R, Jácome C, Cruz J, Brooks D, Figueiredo D Tags: Disabil Rehabil Source Type: research

A narrative review of turning deficits in people with Parkinson's disease.
Conclusion: Specific movement deficits in turning in people with PD can be categorised into axial and perpendicular deficits. Synthesis of the literature suggests the possibility of axial deficits driving secondary responses in the perpendicular segments. This should be explored when designing rehabilitation aimed at improving turning performance, as current therapy guidelines focus on exercises emphasising perpendicular aspects. Implications for Rehabilitation Turning performance is compromised in people with PD, which can lead to significant disability, falls and loss of function. Specific movement deficits can be catego...
Source: Disability and Rehabilitation - September 25, 2014 Category: Rehabilitation Authors: Hulbert S, Ashburn A, Robert L, Verheyden G Tags: Disabil Rehabil Source Type: research

Oral health, medical diagnoses, and functioning profiles in children with disabilities receiving paediatric specialist dental care - a study using the ICF-CY.
Conclusion: It was possible to identify profiles of functioning in children with disabilities receiving specialist dental care. Despite complex disabilities, the children had good oral health. Neither medical diagnosis nor functioning was found to have a clear relationship with oral health. To understand the environmental context leading to high-quality oral health, further studies of dental management in relation to medical and oral diagnoses and child functioning are needed. [Box: see text]. PMID: 25250806 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - September 24, 2014 Category: Rehabilitation Authors: Norderyd J, Lillvist A, Klingberg G, Faulks D, Granlund M Tags: Disabil Rehabil Source Type: research