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Spinal cord injury (SCI) rehabilitation: systematic analysis of communication from the biopsychosocial perspective.
CONCLUSIONS: Communication is a relative strength in SCI, key to empowerment, independence, social interaction, and well-being, yet its potential to enhance SCI rehabilitation outcomes remains largely underexplored and untapped. Through elucidating interactions between communication and functioning, the adapted ICF framework affords clinicians and researchers insight into areas of intervention most likely to result in widespread gains. Conscious consideration should be given to the role of communication, within an integrative, strengths-based, multidisciplinary approach to clinical practice and future research. Implication...
Source: Disability and Rehabilitation - March 24, 2015 Category: Rehabilitation Authors: Hartley NA Tags: Disabil Rehabil Source Type: research

Bladder dysfunction and quality of life for people with multiple sclerosis.
CONCLUSIONS: Bladder dysfunction imposes major disruptions on daily life. People with MS attempt to self-manage their bladder symptoms, despite current barriers to navigating existing healthcare infrastructure. Understanding these barriers and the individual strategies employed by people with MS are the first steps in facilitating independent management of bladder dysfunction. Implications for Rehabilitation Each individual's experience of bladder dysfunction is unique. Healthcare professionals must be prepared to discuss all disruptions and losses associated with bladder dysfunction for people with MS. People with MS have...
Source: Disability and Rehabilitation - March 24, 2015 Category: Rehabilitation Authors: Browne C, Salmon N, Kehoe M Tags: Disabil Rehabil Source Type: research

Promoting consistent use of the communication function classification system (CFCS).
CONCLUSIONS: Findings from this work will be shared with representatives of the Ontario PSLP. The intervention may be disseminated to all speech-language pathologists working in the program. This study can be used as a model for developing and disseminating KT interventions for clinicians in paediatric rehabilitation. Implications for Rehabilitation The Communication Function Classification System (CFCS) is a new tool that allows speech-language pathologists to classify children's skills into five meaningful levels of function. There is uncertainty and inconsistent practice in the field about the methods for using this too...
Source: Disability and Rehabilitation - March 24, 2015 Category: Rehabilitation Authors: Cunningham BJ, Rosenbaum P, Hidecker MJ Tags: Disabil Rehabil Source Type: research

Psychometric properties of self-reported questionnaires for the evaluation of symptoms and functional limitations in individuals with rotator cuff disorders: a systematic review.
CONCLUSION: Overall, included questionnaires showed acceptable psychometric properties for individuals with RC disorders. The ASES and ULFI have the smallest absolute error of measurement, while the Western Ontario RC Index is one of the most responsive questionnaires for individuals suffering from RC disorders. Implications for Rehabilitation All included questionnaires are reliable, valid and responsive for the evaluation of individuals with RC disorders. As all included questionnaires showed good psychometric properties for the targeted population, the choice should be made according to the purpose of the evaluation and...
Source: Disability and Rehabilitation - March 24, 2015 Category: Rehabilitation Authors: St-Pierre C, Desmeules F, Dionne CE, Frémont P, MacDermid JC, Roy JS Tags: Disabil Rehabil Source Type: research

The Arm Function in Multiple Sclerosis Questionnaire (AMSQ): development and validation of a new tool using IRT methods.
CONCLUSION: AMSQ is a unidimensional 31-item questionnaire for measuring arm function in MS. Because of a well fit in a graded response model, it is suitable for further development as a computer adaptive test. Implications for Rehabilitation A new questionnaire for arm and hand function recommended in people with multiple sclerosis (AMSQ). Scale characteristics make the questionnaire suitable for use in clinical practice and research. Good reliability. Further development as a computer adaptive test to reduce burden of (repetitive) testing in patients is feasible. PMID: 25801923 [PubMed - as supplied by publisher] (So...
Source: Disability and Rehabilitation - March 24, 2015 Category: Rehabilitation Authors: Mokkink LB, Knol DL, van der Linden FH, Sonder JM, D'hooghe M, Uitdehaag BM Tags: Disabil Rehabil Source Type: research

"How to conquer a mountain with multiple sclerosis". How a climbing expedition to Machu Picchu affects the way people with multiple sclerosis experience their body and identity: a phenomenological analysis.
CONCLUSION: Participating in Machu Picchu expedition appeared to have a deep and profound effect on body awareness and identity. Participants experienced their body once again as theirs, owning it and above all, allowing it to be a source of strength, joy and meaningfulness. While MS determined their lives prior to the journey, they now could look at MS as a part of what they are, without totally being absorbed in it. So being a patient with MS before, resulted in merely having MS after the climb. Implications for Rehabilitation Patients experience illness as a disruption of their previous life. A phenomenological approach...
Source: Disability and Rehabilitation - March 19, 2015 Category: Rehabilitation Authors: Calsius J, Courtois I, Feys P, Van Asch P, De Bie J, D'hooghe M Tags: Disabil Rehabil Source Type: research

A narrative synthesis investigating the use and value of social support to promote physical activity among individuals with schizophrenia.
CONCLUSIONS: Social support appears to play a pivotal role in initiating physical activity as well as ensuring compliance and adherence to physical activity. Future research is required to investigate the optimal type and mode of delivery of social support on health outcomes. Implications for Rehabilitation Limited evidence is available that considers the role, value and use of social support within physical activity interventions for individuals with schizophrenia. Social support appears most likely to aid an individual's initiation, adherence and compliance to physical activity interventions. There may be an indirect ben...
Source: Disability and Rehabilitation - March 19, 2015 Category: Rehabilitation Authors: Gross J, Vancampfort D, Stubbs B, Gorczynski P, Soundy A Tags: Disabil Rehabil Source Type: research

Determinants of handbike use in persons with spinal cord injury: results of a community survey in Switzerland.
CONCLUSIONS: Conditional on the major determinants that include demographic factors and lesion characteristics, main barriers involve contextual factors that can principally be overcome. Our findings thus suggest scope for promoting handcycling as a means towards a healthy and more physically active lifestyle in persons living with SCI. Implications for Rehabilitation Handcycling is an effective means of improving health and quality of life of persons with a spinal cord injury. Persons with the following traits are most likely to use the handbike: persons younger than 62 years, with a complete paraplegia, who are German-sp...
Source: Disability and Rehabilitation - March 18, 2015 Category: Rehabilitation Authors: Arnet U, Hinrichs T, Lay V, Bertschy S, Frei H, Brinkhof MW, SwiSCI study group Tags: Disabil Rehabil Source Type: research

Recognition of familiar people with a mobile cloud architecture for Alzheimer patients.
CONCLUSIONS: Our architecture showed correct performance and we realized that it could be introduced in other fields, apart from assistive technology. However, when being targeted to patients with dementia some usability problems appeared, such as difficulties to read information in a small screen or take a proper photo. These problems should be addressed in further research. Implications for Rehabilitation This article presents a prototypal assistive technology for Alzheimer's disease (AD) patients. It targets AD patients to recognize their familiars, especially in medium-advanced stages of the disease. Analysing pictures...
Source: Disability and Rehabilitation - March 18, 2015 Category: Rehabilitation Authors: Fardoun HM, Mashat AA, Ramirez Castillo J Tags: Disabil Rehabil Source Type: research

The Geriatric ICF Core Set reflecting health-related problems in community-living older adults aged 75 years and older without dementia: development and validation.
CONCLUSION: The final Geriatric ICF Core Set is a comprehensive and valid set of 29 ICF categories, reflecting the most relevant health-related problems among community-living older adults without dementia. This Core Set may contribute to optimal care provision and support of the older population. Implications for Rehabilitation The Geriatric ICF Core Set may provide a practical tool for gaining an understanding of the relevant health-related problems of community-living older adults without dementia. The Geriatric ICF Core Set may be used in primary care practice as an assessment tool in order to tailor care and support t...
Source: Disability and Rehabilitation - March 18, 2015 Category: Rehabilitation Authors: Spoorenberg SL, Reijneveld SA, Middel B, Uittenbroek RJ, Kremer HP, Wynia K Tags: Disabil Rehabil Source Type: research

Well, I'm healthy, but… - lay perspectives on health among people with musculoskeletal disorders.
CONCLUSIONS: This study points at the value of taking lay perspectives on health into account, as it might increase the opportunity to design effective, personalized rehabilitation strategies. Implications for Rehabilitation Musculoskeletal disorders (MSDs) are difficult to cure and actions to alleviate suffering are of most importance to increase wellbeing and thereby work ability. Research on lay perspectives can contribute towards a deepened understanding of the health experiences of the affected, and thereby the development of the goals and activities of rehabilitation. Our models, that present the view of health and a...
Source: Disability and Rehabilitation - March 17, 2015 Category: Rehabilitation Authors: Wiitavaara B, Bengs C, Brulin C Tags: Disabil Rehabil Source Type: research

Cross-cultural adaptation, reliability and validity of the Turkish version of the Lower Limb Functional Index.
CONCLUSIONS: Turkish version of LLFI was found to be valid and reliable for the measurement of lower limb function in a Turkish population. Implications for Rehabilitation Lower extremity musculoskeletal disorders are common and greatly impact activities among the affected individuals pertaining to daily living, work, leisure and quality of life. Patient-reported outcome (PRO) measures have advantages as they are practical, cost-effective and clinically convenient for use in patient-centered care. The Lower Limb Functional Index is a recently validated PRO measure shown to have strong clinimetric properties. PMID: 2577...
Source: Disability and Rehabilitation - March 17, 2015 Category: Rehabilitation Authors: Duruturk N, Tonga E, Gabel CP, Acar M, Tekindal A Tags: Disabil Rehabil Source Type: research

Exploring stroke survivor experience of participation in an enriched environment: a qualitative study.
CONCLUSIONS: This study provides preliminary support for the implementation of an EE within a typical stroke rehabilitation setting from a patient perspective. Reported benefits included (1) increased motor, cognitive and sensory stimulation, (2) increased social interaction, (3) alleviation of degree of boredom and (4) increased feelings of personal control. However, participants also identified a number of barriers affecting implementation of the EE. We have previously published findings on perceptions of nursing staff working with stroke survivors in this enriched rehabilitation environment who identified that patients ...
Source: Disability and Rehabilitation - March 13, 2015 Category: Rehabilitation Authors: White JH, Bartley E, Janssen H, Jordan LA, Spratt N Tags: Disabil Rehabil Source Type: research

Further validation of the Multiple Sclerosis Self-Efficacy Scale.
Conclusions: Scores from the modified, 10-item version of the MSSE provide a valid and reliable measure of MS-specific self-efficacy among persons with MS. Implications for Rehabilitation The importance of self-efficacy in managing the consequences of multiple sclerosis (MS) has increased. The Multiple Sclerosis Self-Efficacy (MSSE) Scale was developed and validated for measuring self-efficacy in function maintenance and control over MS from patients' perspectives. In the past almost 20 years, this scale has not undergone additional validation of its factor structure and construct validity in large-scale samples of persons...
Source: Disability and Rehabilitation - March 9, 2015 Category: Rehabilitation Authors: Chiu CY, Motl RW Tags: Disabil Rehabil Source Type: research

Cognitive training on stroke patients via virtual reality-based serious games.
Conclusions: Overall findings provide further support for the use of VR cognitive training applications in neuropsychological rehabilitation. Implications for Rehabilitation Improvements in memory and attention functions following a virtual reality-based serious games intervention. Training of daily-life activities using a virtual reality application. Accessibility to training contents. PMID: 25739412 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - March 5, 2015 Category: Rehabilitation Authors: Gamito P, Oliveira J, Coelho C, Morais D, Lopes P, Pacheco J, Brito R, Soares F, Santos N, Barata AF Tags: Disabil Rehabil Source Type: research

Evaluation of the implementation of the protocol of an early vocational rehabilitation intervention for people with acquired brain injury.
Conclusions: The EVR protocol provides a structured strategy to focus on RTW during standard rehabilitation. It is now possible to implement and test the protocol in other rehabilitation settings. Implications for Rehabilitation The early vocational rehabilitation (EVR) facilitates an interdisciplinary and systematic focus on return to work during rehabilitation of people with acquired brain injury. The feasibility of the EVR protocol has been tested. The EVR protocol is ready for implementation and wider testing in other rehabilitation settings. PMID: 25738905 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - March 4, 2015 Category: Rehabilitation Authors: van Velzen JM, van Bennekom CA, van Dormolen M, Sluiter JK, Frings-Dresen MH Tags: Disabil Rehabil Source Type: research

Supporting children with disabilities at school: implications for the advocate role in professional practice and education.
Conclusions: The findings of this study provide practice-based knowledge about advocacy for children with disabilities, which may be used to inform further development of competency frameworks and continuing education for pediatric practitioners. The findings also show how everyday practices are influenced by policies and social discourses and how rehabilitation professionals may enact change. Implications for Rehabilitation Rehabilitation professionals frequently perform advocacy work. They may find it beneficial to perform advocacy work that is informed by overarching professional and ethical guidelines, and a nuanced un...
Source: Disability and Rehabilitation - March 4, 2015 Category: Rehabilitation Authors: Ng SL, Lingard L, Hibbert K, Regan S, Phelan S, Stooke R, Meston C, Schryer C, Manamperi M, Friesen F Tags: Disabil Rehabil Source Type: research

Impact of the role of senior dual disability coordinator on the perceived self-efficacy and job satisfaction of mental health clinicians.
Conclusions: The delivery of a clinical consultation liaison service as part of the role of SDDC may assist mental health clinicians with self-efficacy and job satisfaction, regardless of the number of years they have worked in the service or their professional discipline. Mental health clinicians with improved self-efficacy for working with clients with dual disability may be more likely to consider the client suitable for services through mental health and follow-up with treatment and linking the client with other identified suitable services. Implications for Rehabilitation Dual disability (mental illness and acquired b...
Source: Disability and Rehabilitation - March 4, 2015 Category: Rehabilitation Authors: Hendren AJ, Kendall MB Tags: Disabil Rehabil Source Type: research

Physical functioning of low back pain patients: perceived physical functioning and functional capacity, but not physical activity is affected.
Conclusion: Perceived functioning, actual physical activity and functional capacity are three independent outcome dimensions, being complementary but not redundant. Especially, perceived functioning and physical capacity need attention when evaluating LBP patients during rehabilitation. Implications for Rehabilitation Perceived physical functioning and physical capacity are negatively affected by low back pain and improve after treatment. Low back pain patients perform their daily activity independent of pain and complaints. Inertia sensor-based motion analysis can objectify treatment effects showing low back pain patients...
Source: Disability and Rehabilitation - March 4, 2015 Category: Rehabilitation Authors: van Rooij WM, Senden R, Heyligers IC, Cuppen PM, van Hemert WL, Grimm B Tags: Disabil Rehabil Source Type: research

An exploration of knowledge and practice of patient handling among undergraduate occupational therapy students.
Conclusions: While occupational therapy students in Ireland receive training in safe patient handling they appear to have limited knowledge of best practice and experience difficulties in applying their learning to clinical situations. There is an urgent need to consider the effectiveness of current educational strategies in this area. Implications for Rehabilitation Safe patient handling is a key component in preventing musculoskeletal injury among rehabilitation professionals The extent to which pre-professional training prepares rehabilitation professionals to practice safe patient handling is unclear Occupational thera...
Source: Disability and Rehabilitation - March 4, 2015 Category: Rehabilitation Authors: Mc Grath M, Taaffe C, Gallagher A Tags: Disabil Rehabil Source Type: research

Service use and family-centred care in young people with severe cerebral palsy: a population-based, cross-sectional clinical survey.
Conclusions: The accessing of specialist services and respite care notably decreases amongst adolescents with severe forms of CP and the perception of family-centred care amongst families was fair at best. In particular, the results highlight the need for families to be provided with more general information and advice. Implications for Rehabilitation In a quest to enhance the rehabilitation process in young people with severe forms of cerebral palsy: Commissioners and service providers need to a adopt a more rationalised, needs led approach to service provision across the lifespan of people with severe forms of cerebral p...
Source: Disability and Rehabilitation - March 4, 2015 Category: Rehabilitation Authors: McDowell BC, Duffy C, Parkes J Tags: Disabil Rehabil Source Type: research

Effects of balance-specific exercises on balance, physical activity and quality of life in adults with multiple sclerosis: a pilot investigation.
Conclusions: Ten weeks of functional balance exercises provided a feasible intervention for individuals with MS that improved components of balance, mental well-being and perceived fatigue impact and ambulation disability. A future randomized, controlled clinical trial should confirm these preliminary findings. Implications for Rehabilitation A balance-specific exercise program is both safe and feasible for individuals with mild-to-moderate MS. Comprehensive exercise interventions that are conceptually driven and employ well-designed progressive exercise across multiple contexts of balance control can facilitate improvemen...
Source: Disability and Rehabilitation - March 4, 2015 Category: Rehabilitation Authors: Kasser SL, Jacobs JV, Ford M, Tourville TW Tags: Disabil Rehabil Source Type: research

A pilot study - the potential value of an activity-based feedback system for treatment of individuals with chronic lower back pain.
Conclusions: This pilot study suggested that an individual-tailored feedback system that focuses on the activity behavior of the patient has potential as the treatment of individuals with CLBP. Implications for Rehabilitation Activity-based feedback for individuals with chronic low back pain: Many patients are not aware of their activity patterns. The activity patterns of patients differ from those of healthy controls. It is important to make patients aware of their activity patterns in order to change activity behavior. An individual-tailored feedback system seems promising in decreasing pain intensity levels for a subgro...
Source: Disability and Rehabilitation - March 4, 2015 Category: Rehabilitation Authors: Dekker-van Weering MG, Vollenbroek-Hutten MM, Hermens HJ Tags: Disabil Rehabil Source Type: research

A review of culturally adapted versions of the Oswestry Disability Index: the adaptation process, construct validity, test-retest reliability and internal consistency.
The objective of this study was to conduct a review of the literature to identify culturally adapted versions of the ODI and to report on the adaptation process, construct validity, test-retest reliability and internal consistency of these ODIs. Following a pragmatic review process, data were extracted from each study with regard to these four outcomes. While most studies applied adaptation processes in accordance with best-practice guidelines, there were some deviations. However, all studies reported high-quality psychometric properties: group mean construct validity was 0.734 ± 0.094 (indicated via a correlation coe...
Source: Disability and Rehabilitation - March 4, 2015 Category: Rehabilitation Authors: Sheahan PJ, Nelson-Wong EJ, Fischer SL Tags: Disabil Rehabil Source Type: research

"Our child's significant disability shapes our lives": experiences of family social participation.
Conclusions: Family social participation relied on flexible supports tailored to families' needs and preferences. Greater choice and control of resources are central to enabling valued participation. Implications for Rehabilitation Government resources need to be directed towards improving community based wheelchair accessibility and public toilet facilities for youth with Level V GMFCS-E&R impairments and their families. Disability service delivery models need to enable families to choose the types of high quality care and support that will facilitate valued family social participation. Clinicians need to be aware tha...
Source: Disability and Rehabilitation - March 4, 2015 Category: Rehabilitation Authors: Davey H, Imms C, Fossey E Tags: Disabil Rehabil Source Type: research

Meeting the psychological needs of community-living stroke patients and carers: a study of third sector provision.
Conclusions: Psychological issues were central in the work of third sector community stroke staff; psychological skills were routinely used. Attention to means of supporting and developing these skills is required. Implications for Rehabilitation Service leaders and commissioners should be aware that third sector community stroke staff frequently deal with a diverse range of psychological issues and perceive psychological care as central. Service leaders should consider providing training in assessment and management of mood and cognition, risk assessment and management and basic counselling. Staff should be provided with ...
Source: Disability and Rehabilitation - March 3, 2015 Category: Rehabilitation Authors: Morris R Tags: Disabil Rehabil Source Type: research

Promoting physical activity in rheumatoid arthritis: a narrative review of behaviour change theories.
Conclusions: To date, behaviour change interventions conducted in RA populations to increase physical activity levels have not had a strong theoretical underpinning. It is proposed that an intervention utilising the theory of planned behaviour is developed with the aim of increasing physical activity in people with RA. Implications for Rehabilitation Interventions to promote physical activity in the rheumatoid arthritis (RA) population have failed to change participants' behaviour. A small number of studies have used behaviour change theories in the development and delivery of interventions. The theory of planned behaviour...
Source: Disability and Rehabilitation - February 27, 2015 Category: Rehabilitation Authors: Larkin L, Kennedy N, Gallagher S Tags: Disabil Rehabil Source Type: research

Long-standing poliomyelitis and psychological health.
Conclusions: Long-standing poliomyelitis is associated with decreased psychological health as compared to the general population. Yet, the resilience of polio survivors is manifested by their ability to block further decline of their psychological health in spite of deterioration in their physical health. Work appears as a significant source of resilience in the polio population. Implications for Rehabilitation Individuals with long-standing poliomyelitis often suffer from high emotional distress and may benefit from psychotherapy aimed at reducing distress. As active employment status is associated with increased mental h...
Source: Disability and Rehabilitation - February 27, 2015 Category: Rehabilitation Authors: Shiri S, Gartsman I, Meiner Z, Schwartz I Tags: Disabil Rehabil Source Type: research

Prevention of falls for adults with intellectual disability (PROFAID): a feasibility study.
Conclusions: The findings provide some evidence for the benefit, acceptability, utility and feasibility of the intervention justifying further evaluation. Implications for Rehabilitation Falling is a frequent and serious problem for many adults with intellectual disability. Two to three exercises targeted at increasing lower limb strength and challenging balance, performed each day as part of daily routine may help improve balance in adults with intellectual disability. The importance of exercising needs to be stressed to those who support adults with intellectual disability to encourage ongoing adherence. PMID: 257145...
Source: Disability and Rehabilitation - February 25, 2015 Category: Rehabilitation Authors: Hale LA, Mirfin-Veitch BF, Treharne GJ Tags: Disabil Rehabil Source Type: research

An in-depth analysis of ethics teaching in Canadian physiotherapy and occupational therapy programs.
Conclusion: Significant cross-program variation in the number of hours dedicated to ethics and the diversity of pedagogical methods used suggests that there is little consensus about how best to teach ethics. Further research on ethics pedagogy in PT and OT programs (i.e. teaching and evaluation approaches and effectiveness of current ethics teaching) would support the implementation of more evidence-based ethics education. Implications for Rehabilitation Ethics educators in Canadian PT and OT programs are experimenting with diverse educational approaches to teach ethical reasoning and decision-making to students, includin...
Source: Disability and Rehabilitation - February 23, 2015 Category: Rehabilitation Authors: Laliberté M, Hudon A, Mazer B, Hunt MR, Ehrmann Feldman D, Williams-Jones B Tags: Disabil Rehabil Source Type: research

Fundamental movement skills proficiency in children with developmental coordination disorder: does physical self-concept matter?
Conclusions: Future FMS interventions should target children with DCD and girls, and should emphasize improving object control skills proficiency and physical coordination. Implications for Rehabilitation Children with DCD tend to have not only lower FMS proficiency than age-matched typically developing children but also lower physical self-concept. Self-perceptions of physical coordination by children with DCD are likely to be valuable contributors to development of object control skills. This may then help to develop their confidence in performing motor skills. Children with DCD need supportive programs that facilitate t...
Source: Disability and Rehabilitation - February 20, 2015 Category: Rehabilitation Authors: Yu J, Sit CH, Capio CM, Burnett A, Ha AS, Huang WY Tags: Disabil Rehabil Source Type: research

Assessment of spasticity after stroke using clinical measures: a systematic review.
Conclusion: This systematic review found limited evidence to support the use of most of clinical measures of spasticity for people post-stroke. Future research examining the application and psychometric properties of these measures is warranted. Implications for Rehabilitation There is a need for objective clinical tools for measuring spasticity that are clinically feasible and easily interpreted by clinicians. This review identified various clinical measures of spasticity that have been investigated in people after stroke. Insufficient evidence of psychometric properties precludes recommending one tool over the others. Fu...
Source: Disability and Rehabilitation - February 18, 2015 Category: Rehabilitation Authors: Aloraini SM, Gäverth J, Yeung E, MacKay-Lyons M Tags: Disabil Rehabil Source Type: research

Self-awareness assessment during cognitive rehabilitation in children with acquired brain injury: a feasibility study and proposed model of child anosognosia.
Conclusions: Based on these results, we propose a model of child self-awareness and anosognosia and a framework for awareness assessment for rehabilitation purposes. The model emphasizes (1) the role of on-line error detection in the construction of autobiographical memories that allow a child to build a self-knowledge of his/her strengths and difficulties; (2) the multiple components of awareness that need to be assessed separately; (3) the implications for rehabilitation: errorless versus error-based learning, rehabilitation approaches based on metacognition, rationale for rehabilitation intervention based on child's age...
Source: Disability and Rehabilitation - February 12, 2015 Category: Rehabilitation Authors: Krasny-Pacini A, Limond J, Evans J, Hiebel J, Bendjelida K, Chevignard M Tags: Disabil Rehabil Source Type: research

Physiotherapy for vegetative and minimally conscious state patients: family perceptions and experiences.
Conclusion: Physiotherapists can make an important contribution to supporting this patient group and their families but it is vital to recognise that family understandings of physiotherapy may differ significantly from those of physiotherapists. Both the delivery and the withdrawal of physiotherapy is highly symbolic and can convey (inadvertent) messages to people about their relative's current and future state. A genuine two-way dialogue between practitioners and families about the aims of physiotherapeutic interventions, potential outcomes and patients' best interests is critical to providing a good service and establish...
Source: Disability and Rehabilitation - February 11, 2015 Category: Rehabilitation Authors: Latchem J, Kitzinger J, Kitzinger C Tags: Disabil Rehabil Source Type: research

Acute phase factors associated with the course of depression during the first 18 months after first-ever stroke.
Conclusions: Several demographic and acute phase factors were associated with a more severe PSD course following stroke. Psychosocial support that begins in the acute phase and continues throughout the rehabilitation process may be helpful in improving both physical and psychological outcomes following stroke. Implications for Rehabilitation Depression levels are stable during the first 18 months after first-ever stroke. The course of post-stroke depression is related to the level of physical functioning in the acute phase, whether the stroke survivors live alone and their employment status at the time of stroke. Psycholog...
Source: Disability and Rehabilitation - February 6, 2015 Category: Rehabilitation Authors: Eriksen S, Gay CL, Lerdal A Tags: Disabil Rehabil Source Type: research

Responsiveness of two Persian-versions of shoulder outcome measures following physiotherapy intervention in patients with shoulder disorders.
Conclusions: The Persian SPADI and DASH have adequate responsiveness to clinical changes in patients with shoulder disorders. Moreover, the MCIDs obtained in this study will help the clinicians and researchers to determine if a Persian-speaking patient with shoulder disorder has experienced a true change following a physiotherapy intervention. Implications for Rehabilitation Responsiveness was evaluated using two methods; the receiver operating characteristics (ROC) method and the correlation analysis. The Persian SPADI and DASH can be used as two responsive instruments in both clinical practice and research settings. The ...
Source: Disability and Rehabilitation - February 2, 2015 Category: Rehabilitation Authors: Negahban H, Behtash Z, Sohani SM, Salehi R Tags: Disabil Rehabil Source Type: research

Falls and fallers in traumatic brain injury (TBI) rehabilitation settings: an integrative review.
Conclusions: Being a multifactorial phenomenon, falls are a complex clinical issue. Despite the heterogeneity of diagnosis related groups (DRGs) in the included studies, TBI patients were identified as a high falls risk patient population in several studies. Implications for Rehabilitation Due to multisystem impairments, falls in the traumatic brain injury (TBI) rehabilitation context are a multifactorial and significant clinical issue. When interpreting and generalising results from research into falls, clinicians need to be mindful that falls and faller characteristics may be dependent on study setting and patient popula...
Source: Disability and Rehabilitation - January 23, 2015 Category: Rehabilitation Authors: McKechnie D, Pryor J, Fisher MJ Tags: Disabil Rehabil Source Type: research

Living with chronic neuropathic pain after spinal cord injury: an interpretative phenomenological analysis of community experience.
Conclusions: The results are discussed in terms of the possible application of acceptance-based therapy to NP and the potential for the alleviation of the debilitating consequences of NP. Implications for Rehabilitation Chronic NP after SCI is often described as worse than the injury itself, often impacting upon the sufferers physical and psychological health. The experiences of persons with SCI-specific NP highlight the impact of pain on their physical, psychological and social health. This indicates that healthcare professionals should incorporate a biopsychosocial approach for managing pain post-SCI. Routine clinical fo...
Source: Disability and Rehabilitation - January 20, 2015 Category: Rehabilitation Authors: Hearn JH, Cotter I, Fine P, A Finlay K Tags: Disabil Rehabil Source Type: research

Anxiety among individuals with visual vertigo and vestibulopathy.
Conclusions: Anxiety related to VV requires special attention when assessing and managing vestibulopathy, regardless of patient age. Implications for Rehabilitation Anxiety is a characteristic of subjects with visual vertigo (VV) and vestibulopathy. Anxiety in subjects with VV is not related to age. VV should be considered when subjects with anxiety complain of imbalance. Anxiety and vestibulopathy are often interrelated and should be considered in diagnostic evaluations. PMID: 25597835 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - January 19, 2015 Category: Rehabilitation Authors: Zur O, Schoen G, Dickstein R, Feldman J, Berner Y, Dannenbaum E, Fung J Tags: Disabil Rehabil Source Type: research

Reference system of competence and engagement in adapted physical activities of people with recent spinal cord injury.
Conclusions: These findings suggest that mastery-avoidance goals are associated with a maladaptive motivational pattern when intrapersonal comparison conveys a threat for the self. Practical implications for rehabilitation programs for persons with RSCI are offered. Implications for Rehabilitation Adapted Physical Activities (APA) programs are supervised physical activity programs in which the choice of the activity as well as the frequency, the duration, and the intensity of practice are adapted to the inpatients' capabilities. Attempts to master physical activities can be seen as threatening experiences to be avoided by ...
Source: Disability and Rehabilitation - January 19, 2015 Category: Rehabilitation Authors: Gernigon C, Pereira Dias C, Riou F, Briki W, Ninot G Tags: Disabil Rehabil Source Type: research

The Northwick Park Therapy Dependency Assessment scale: a psychometric analysis from a large multicentre neurorehabilitation dataset.
Conclusions: The scale demonstrated acceptable internal reliability and good construct and concurrent validity. NPTDA may be used to describe and quantify changes in therapy inputs in the course of a rehabilitation programme. Implications for Rehabilitation The Northwick Park Therapy Dependency Assessment (NPTDA) is designed as a measure therapy intervention, which reflects both quantitative and qualitative aspects of the inputs provided (including staff time and the different types of intervention) during inpatient rehabilitation. The scale demonstrated acceptable internal reliability and good construct and concurrent val...
Source: Disability and Rehabilitation - January 19, 2015 Category: Rehabilitation Authors: Alexandrescu R, Siegert RJ, Turner-Stokes L Tags: Disabil Rehabil Source Type: research

Exploring patient and public involvement in stroke research: a qualitative study.
Conclusions: PPI in stroke research benefits stroke survivors and carers and is perceived to benefit the research process. The barriers and facilitators should be considered by professionals intending to engage stroke survivors and carers collaboratively in research. Implications for Rehabilitation This study has implications for PPI in stroke rehabilitation research, which could also be extrapolated to stroke rehabilitation service development and evaluation. Professionals facilitating PPI need to invest in developing supportive relationships in order to maintain ongoing involvement. Professionals need to be aware of how ...
Source: Disability and Rehabilitation - January 19, 2015 Category: Rehabilitation Authors: Harrison M, Palmer R Tags: Disabil Rehabil Source Type: research

Conclusion of "Nordic walking for geriatric rehabilitation: a randomized pilot trial" is based on faulty statistical analysis and is inaccurate.
PMID: 25598213 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - January 19, 2015 Category: Rehabilitation Authors: Allison DB, Williams MS, Hand GA, Jakicic JM, Fontaine KR Tags: Disabil Rehabil Source Type: research

Author's comments in response to letters by Tom Kindlon, Anna Sheridan and Robert Courtney.
PMID: 25598320 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - January 19, 2015 Category: Rehabilitation Authors: Gladwell PW Tags: Disabil Rehabil Source Type: research

Interprofessional collaboration in mental health crisis response systems: a scoping review.
Conclusion: Key concepts need better conceptualization, and further empirical research is needed. Implications for Rehabilitation Conceptualizing mental health crisis (MHC) response as occurring within a system of services, rather than independent sectors, is critical to meeting the needs of clients. Purposefully built in mechanisms to sustain collaboration across care teams and services are required. Merging the distinct, and at times conflicting, visions of care espoused by the diverse sectors involved in MHC response requires deliberate effort. PMID: 25586793 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - January 14, 2015 Category: Rehabilitation Authors: Winters S, Magalhaes L, Kinsella EA Tags: Disabil Rehabil Source Type: research

Effectiveness of commercial video gaming on fine motor control in chronic stroke within community-level rehabilitation.
Conclusion: Commercial gaming may be a viable resource for those with chronic stroke. Future research should examine the feasibility of this as a rehabilitation tool for this population. Implications for Rehabilitation Stroke survivors often live with lasting effects from their injury, however, those with chronic stroke generally receive little to no rehabilitation due to a perceived motor recovery plateau. Virtual reality in the form of commercial gaming is a novel and motivating way for clients to complete rehabilitation. The Nintendo Wii may be a feasible device to improve both functional ability and perceived quality o...
Source: Disability and Rehabilitation - January 14, 2015 Category: Rehabilitation Authors: Paquin K, Ali S, Carr K, Crawley J, McGowan C, Horton S Tags: Disabil Rehabil Source Type: research

Reliability and validity of the Falls Efficacy Scale-International after hip fracture in patients aged ≥65 years.
Conclusions: Reliability and structural validity of the FES-I in patients after a hip fracture are good. The construct validity appears more closely related to functional performance constructs than to psychological constructs, suggesting that the concept measured by the FES-I may not capture all aspects of fear of falling. Implications for Rehabilitation The Falls Efficacy Scale-International (FES-I), which is commonly used to measure fear of falling in community-dwelling older persons, can also be used to assess fear of falling in patients after a hip fracture. The reliability and the structural validity of the FES-I for...
Source: Disability and Rehabilitation - January 14, 2015 Category: Rehabilitation Authors: Visschedijk JH, Terwee CB, Caljouw MA, Spruit-van Eijk M, van Balen R, Achterberg WP Tags: Disabil Rehabil Source Type: research

Activities and participation of children with cerebral palsy: parent perspectives.
Conclusions: Despite the barriers experienced, children participated in a range of activities. Parents placed importance on communication and its influence on children's independence, behaviour and relationships. Barriers and facilitators identified highlight aspects of the environment that could be modified through intervention to enhance communication and participation. Implications for Rehabilitation Children's activities and participation were largely related to early learning tasks (e.g. literacy), communication, mobility and interactions. Intervention aimed at improving activities and participation may address the va...
Source: Disability and Rehabilitation - January 14, 2015 Category: Rehabilitation Authors: Mei C, Reilly S, Reddihough D, Mensah F, Green J, Pennington L, Morgan AT Tags: Disabil Rehabil Source Type: research

Involving family members in physiotherapy for older people transitioning from hospital to the community: a qualitative analysis.
Conclusions: Older people transitioning from hospital to the community are at risk of functional decline and may receive very little physiotherapy. Training family members to assist with physiotherapy was perceived as a way to improve patient outcomes and relationships between patients and their family, although there were concerns raised about caregiver stress. Evaluation of the feasibility and effectiveness of this approach is warranted. Implications for Rehabilitation Older people transitioning from hospital to the community are at risk of functional decline and often receive very little physiotherapy. Training family m...
Source: Disability and Rehabilitation - January 14, 2015 Category: Rehabilitation Authors: Lawler K, Taylor NF, Shields N Tags: Disabil Rehabil Source Type: research

Understanding factors that influence participation in physical activity among people with a neuromusculoskeletal condition: a review of qualitative studies.
Conclusions: Individuals with NMS conditions report complex common barriers, facilitators, demotivators and motivators to participation in PA. The way these factors influence participation in PA is unique to the individual; therefore, it is necessary to adopt an individually tailored approach when designing interventions. Implications for Rehabilitation Individuals with neuromusculoskeletal conditions report common factors that influence participation in physical activity. It is the characteristics, attitude and beliefs of an individual that determine the way in which these factors influence participation in physical activ...
Source: Disability and Rehabilitation - January 14, 2015 Category: Rehabilitation Authors: Newitt R, Barnett F, Crowe M Tags: Disabil Rehabil Source Type: research