Disability and Rehabilitation
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Transitioning to adulthood with a progressive condition: best practice assumptions and individual experiences of young men with Duchenne muscular dystrophy.
Conclusions: Normal developmental progression towards typical adult roles constitutes the generally accepted aims of transitions practices. Such aims may not be appropriate for all youth with disabilities. We suggest that alternative understandings of the life course and approaches to care need to be considered alongside dominant practices. Implications for Rehabilitation Children and youth with progressive conditions, such as DMD, are living longer and there is increased interest in designing programs that will assist them with "transitioning" to adulthood. Transitions best practices reflect dominant social values and ass...
Source: Disability and Rehabilitation - September 5, 2014 Category: Rehabilitation Authors: Hamdani Y, Mistry B, Gibson BE Tags: Disabil Rehabil Source Type: research
Disability in post-earthquake Haiti: prevalence and inequality in access to services.
Conclusion: Further focus is needed to improve inclusion of people with disabilities in post-earthquake Haiti to ensure that their rights are fulfilled. Implications for Rehabilitation Almost one in six households in this region of Haiti included a person with a disability, and the earthquake was the second leading cause of disability. Fewer than half of people who reported needing medical rehabilitation had received this service. The leading reported barriers to the uptake of health services included financial constraints (50%) and difficulties with transport (40%). People with disabilities did not participate equally in ...
Source: Disability and Rehabilitation - September 2, 2014 Category: Rehabilitation Authors: Danquah L, Polack S, Brus A, Mactaggart I, Houdon CP, Senia P, Gallien P, Kuper H Tags: Disabil Rehabil Source Type: research
Changes in self-reported disability after performance-based tests in obese and non-obese individuals diagnosed with osteoarthritis of the knee.
Conclusion: Obese individuals with knee OA may over-estimate their ability to perform physical activities, and may under-estimate their level of disability compared to non-obese individuals with knee OA. In addition, self-reported physical activity seems to be a strong indicator of disability in individuals with knee OA, particularly for individuals with a sedentary life style. Implications for Rehabilitation Osteoarthritis is a progressive joint disabling condition that restricts physical function and participation in daily activities, particularity in elderly individuals. Obesity is a comorbidity commonly associated with...
Source: Disability and Rehabilitation - September 1, 2014 Category: Rehabilitation Authors: Coriolano K, Aiken A, Pukall C, Harrison M Tags: Disabil Rehabil Source Type: research
Negotiating identity: a qualitative analysis of stigma and support seeking for individuals with cerebral palsy.
Conclusions: As has been observed in many fields, stigma can complicate identity. In this domain, people with cerebral palsy face a number of threats in how they construe their identity, both in navigating stigma and maintaining access to needed support. Implications for Rehabilitation Stigma in help and support settings remains a significant problem for adults with cerebral palsy (CP). This creates dilemmas regarding how they view and construct their identity in the contexts of stigma and support-seeking. It is important for specialists to recognize that the needs of adults with CP are unique, and so provided services sho...
Source: Disability and Rehabilitation - September 1, 2014 Category: Rehabilitation Authors: Read SA, Morton TA, Ryan MK Tags: Disabil Rehabil Source Type: research
The 6-minute walk distance cannot be accurately assessed at home in people with COPD.
Conclusions: The 6MWD underestimates exercise capacity when conducted at home in COPD. Alternative tests suitable for the home environment should be considered if a comprehensive assessment is to be performed at home. Implications for Rehabilitation The 6-minute walk test is commonly used to assess change in exercise capacity following pulmonary rehabilitation in patients with chronic obstructive pulmonary disease, and may be conducted on varying track lengths, indoors or outdoors. When conducted at home, the 6-minute walk test underestimates exercise capacity in chronic obstructive pulmonary disease, due to a shorter trac...
Source: Disability and Rehabilitation - September 1, 2014 Category: Rehabilitation Authors: Holland AE, Rasekaba T, Fiore JF, Burge AT, Lee AL Tags: Disabil Rehabil Source Type: research
Predicting sickness impact profile at six months after stroke: further results from the European multi-center CERISE study.
Conclusions: A combination of variables was found in the prognostic models of the three dimensions of the SIP at six months after stroke. Already from the early beginning of stroke rehabilitation it seems important to focus on personal activities of daily living as well as caregivers' strain. Implications for Rehabilitation Prognostic factors predicting participation, measured by the three dimensions of the Sickness Impact Profile at six months post stroke include demographic variables, post-stroke complications, diagnostic parameters and disability measures. Significant prognostic variables for all three dimensions of the...
Source: Disability and Rehabilitation - August 29, 2014 Category: Rehabilitation Authors: Stummer C, Verheyden G, Putman K, Jenni W, Schupp W, De Wit L Tags: Disabil Rehabil Source Type: research
Place attachment in stroke rehabilitation: a transdisciplinary encounter between cultural geography, environmental psychology and rehabilitation medicine.
Conclusions: Rehabilitation should put greater effort into supporting stroke survivors and their families in home-making and community reintegration processes, and help them to re-own and renegotiate their disabled bodies and changed identities in real life. Implications for Rehabilitation The experienced self-body split, identity confusion and related mourning process should be foregrounded in the post-discharge phase rather than functional recovery, in order to help stroke survivors understand and come to terms with their changed bodies and selves. In the post-discharge and reintegration phases stroke survivors should be...
Source: Disability and Rehabilitation - August 29, 2014 Category: Rehabilitation Authors: Nanninga CS, Meijering L, Schönherr MC, Postema K, Lettinga AT Tags: Disabil Rehabil Source Type: research
Crosswalk of participation self-report measures for aphasia to the ICF: what content is being measured?
Conclusions: Few instruments solely assessed participation according to our operationalisation. This study provides a list of possible measures for use in assessing participation. Implications for Rehabilitation Participation restriction, as defined by the International Classification of Functioning, Disability and Health, is a key concern for people with aphasia. By conducting the crosswalk, we have identified that self-report measures of participation vary widely in content and response metrics, and often include activity, body function, environmental and quality of life items. This review may assist rehabilitation resea...
Source: Disability and Rehabilitation - August 28, 2014 Category: Rehabilitation Authors: Brandenburg C, Worrall L, Rodriguez A, Bagraith K Tags: Disabil Rehabil Source Type: research
Implementing a novel dance intervention in rehabilitation: perceived barriers and facilitators.
Conclusion: The identification of the barriers and facilitators to implementing dance in rehabilitation is the first step to support the translation of knowledge about dance. A tailored approach designed for clinicians and managers should address the main barriers to knowledge use about dance, as a potential rehabilitation modality for individuals with disabilities. Implications for Rehabilitation Personal and organizational factors can act simultaneously as barriers and facilitators to the implementation of a dance intervention. Lack of time for professional development and lack of support from the organization are the ma...
Source: Disability and Rehabilitation - August 28, 2014 Category: Rehabilitation Authors: Demers M, Thomas A, Wittich W, McKinley P Tags: Disabil Rehabil Source Type: research
Bridging the goal intention-action gap in rehabilitation: a study of if-then implementation intentions in neurorehabilitation.
Conclusion: If-then plans were feasible and acceptable in bridging the goal intention-action gap in rehabilitation with people with MS and stroke, who are experiencing difficulties with mobility. This approach can now be adapted and trialled further in a definitive study. Implications for Rehabilitation Goal planning in rehabilitation necessitates specific strategies that help people engage in goal-related tasks. If-then plans aim to support people to deal more effectively with self-regulatory problems that might undermine goal striving and have been found to be effective in health promotion and health behaviour change. Th...
Source: Disability and Rehabilitation - August 28, 2014 Category: Rehabilitation Authors: Kersten P, McPherson KM, Kayes NM, Theadom A, McCambridge A Tags: Disabil Rehabil Source Type: research
Client-centred practices and work in inpatient rehabilitation teams: results from four case studies.
Conclusion: CC is not a "one size fits all". It is affected by similar factors that affect work in teams such as organizational policies, team characteristics and culture. CC can be seen as an outcome of team performance. Implications for Rehabilitation Client-centred practice (CCP) is influenced by client, provider and organizational factors. CCP is not just about client-provider communication. How inter-professional teams work together is an important aspect of CCP. Shared knowledge, shared goals and mutual respect characterize the relationships among members in a team. These three dimensions influence, and are influence...
Source: Disability and Rehabilitation - August 28, 2014 Category: Rehabilitation Authors: Papadimitriou C, Cott C Tags: Disabil Rehabil Source Type: research
Separation from supported employment: a retrospective chart review study.
Conclusions: The findings of this study illustrate the need to address job retention issues during the job development process, finding the most appropriate person-job fit and workplace culture for each client. The findings also support the need for vigilant and regular communication between the SE program and employers to intervene quickly when problems arise. Implications for Rehabilitation Separation from Supported Employment (SE) SE is an evidence-based employment practice that has been shown effective across multiple disability groups. Studying job separations can provide valuable information for improving service. Lo...
Source: Disability and Rehabilitation - August 27, 2014 Category: Rehabilitation Authors: West M, Targett P, Wehman P, Cifu G, Davis J Tags: Disabil Rehabil Source Type: research
The therapeutic relationship in telephone-delivered support for people undertaking rehabilitation: a mixed-methods interaction analysis.
Conclusion: It is possible for rehabilitation therapists to build a strong therapeutic relationship very quickly and over the telephone. Person-centred communication is important for the development of the therapeutic relationship during telephone-delivered support. This research suggests how person-centred communicative behaviours, such as reassurance, encouragement and approval could be incorporated into practice. Implications for Rehabilitation Person-centred communication is important for the development of a strong therapeutic relationship during support for self-directed rehabilitation. It is possible for rehabilitat...
Source: Disability and Rehabilitation - August 26, 2014 Category: Rehabilitation Authors: Muller I, Kirby S, Yardley L Tags: Disabil Rehabil Source Type: research
Establishing the reliability and concurrent validity of physical performance tests using virtual reality equipment for community-dwelling healthy elders.
Conclusions: This study supports the use of VR equipment for measuring physical performance tests in the clinic for healthy community-dwelling elders. Implications for Rehabilitation Virtual reality equipment is not only used to treat balance impairments but it is also used to measure and determine physical impairments through the use of physical performance tests. Virtual reality equipment is a reliable and valid tool for collecting physical performance data for the 5 × STS, FFR, TUG and 30-s stand test for healthy community-dwelling elders. PMID: 25151998 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - August 25, 2014 Category: Rehabilitation Authors: Griswold D, Rockwell K, Killa C, Maurer M, Landgraff N, Learman K Tags: Disabil Rehabil Source Type: research
ICF-CY code set for infants with early delay and disabilities (EDD Code Set) for interdisciplinary assessment: a global experts survey.
Conclusions: The EDD Code Set of 82 ICF-CY categories could be useful in multidisciplinary team evaluations to describe functioning of infants younger than three years of age with DD, in a holistic manner. Future validation of the EDD Code Set and examination of its clinical utility are needed. Implications for Rehabilitation The EDD Code Set with 82 essential ICF-CY categories could be useful in the initial team evaluation as a common language to describe functioning of infants less than three years of age with developmental delay/disabilities, with a more holistic view. The EDD Code Set including essential categories in ...
Source: Disability and Rehabilitation - August 21, 2014 Category: Rehabilitation Authors: Pan YL, Hwang AW, Simeonsson RJ, Lu L, Liao HF Tags: Disabil Rehabil Source Type: research
Response to Gladwell et al.: concerns about safety for GET.
PMID: 25144829 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - August 21, 2014 Category: Rehabilitation Authors: Sheridan A Tags: Disabil Rehabil Source Type: research
Determination of the minimal clinically important difference on the Australian Therapy Outcome Measures for Occupational Therapy (AusTOMs - OT).
Conclusion: Using both criterion and distribution-based approaches, this research empirically demonstrated that a change on the four domains of the AusTOMs - OT of between 0.51 and 1 point shows MCID. Considering these findings, and for ease of clinical interpretation, it is recommended that a one-point shift be adopted as the MCID across all domains. Implications for Rehabilitation The AusTOMs - OT have been previously shown to be valid and reliable outcome measures for use with all client groups across all settings including rehabilitation. So that rehabilitation professionals can interpret outcomes data from AusTOMs - O...
Source: Disability and Rehabilitation - August 21, 2014 Category: Rehabilitation Authors: Unsworth CA, Coulson M, Swinton L, Cole H, Sarigiannis M Tags: Disabil Rehabil Source Type: research
Post-concussion return to play and return to school guidelines for children and youth: a scoping methodology.
Conclusions: This scoping methodology determined that the most comprehensive guidelines for management are focused on adults. Evidence concerning prolonged recovery patterns in children and the impact of concussion on the developing brain suggests that pediatric-specific guidelines are needed for RTA and RTS after MTBI/concussion. Implications for Rehabilitation Although concussion in children is an increasing concern, it has been determined that the most comprehensive guidelines for management are focused on adults. These guidelines are primarily consensus-based and are not proven fact through quality research. Evidence c...
Source: Disability and Rehabilitation - August 21, 2014 Category: Rehabilitation Authors: DeMatteo C, McCauley D, Stazyk K, Harper J, Adamich J, Randall S, Missiuna C Tags: Disabil Rehabil Source Type: research
Harms and benefits associated with exercise therapy for CFS/ME.
PMID: 25136939 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - August 19, 2014 Category: Rehabilitation Authors: Courtney R Tags: Disabil Rehabil Source Type: research
Elements of rehabilitative strategies associated with negative outcomes in CFS/ME: the need for further investigations.
PMID: 25136940 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - August 19, 2014 Category: Rehabilitation Authors: Kindlon T Tags: Disabil Rehabil Source Type: research
Residential immersive life skills programs for youth with disabilities: service providers' perceptions of experiential benefits and key program features.
Conclusions: The findings suggest that life skills programs should be intentionally designed to provide challenging experiential opportunities that motivate youth to engage in new life directions by providing new insights, self-realizations, and positive yet realistic views of the future. Implications for Rehabilitation Service providers indicated the importance of challenging, real-world experiential opportunities that provide youth with disabilities with new insights, self-realizations, and positive yet realistic views of the future. Important experiential opportunities for youth included being away from home, navigating...
Source: Disability and Rehabilitation - August 19, 2014 Category: Rehabilitation Authors: King G, McPherson A, Kingsnorth S, Stewart D, Glencross-Eimantas T, Gorter JW, Jones-Galley K, Morrison A, Isihi AM Tags: Disabil Rehabil Source Type: research
Visual disability rates in a ten-year cohort of patients with anterior visual pathway meningiomas.
Conclusions: Attention needs to be addressed to the considerable proportion of patients with AVPM (22% in this study) who may lose their driver's license or become legally blind. Occupational therapists should play an important role in the multidisciplinary management of those patients to help them adapt to their new physical and social situation. Implications for Rehabilitation Anterior visual pathway meningiomas (AVPMs) are commonly not life-threatening but they can lead to profound visual disability, especially when the tumor originates in the tuberculum sellae and cavernous sinus. Particular attention should be paid to...
Source: Disability and Rehabilitation - August 18, 2014 Category: Rehabilitation Authors: Bor-Shavit E, Hammel N, Nahum Y, Rappaport ZH, Stiebel-Kalish H Tags: Disabil Rehabil Source Type: research
Which dimensions of disability does the HIV Disability Questionnaire (HDQ) measure? A factor analysis.
Conclusions: The HDQ has six domains: physical symptoms and impairments; cognitive symptoms and impairments; mental and emotional health symptoms and impairments; uncertainty; difficulties with day-to-day activities and challenges to social inclusion. These domains establish the scoring structure for the dimensions of disability measured by the HDQ. Implications for Rehabilitation As individuals live longer and age with HIV, they may be living with the health-related consequences of HIV and concurrent health conditions, a concept that may be termed disability. Measuring disability is important to understand the impact of H...
Source: Disability and Rehabilitation - August 13, 2014 Category: Rehabilitation Authors: O'Brien KK, Bayoumi AM, Stratford P, Solomon P Tags: Disabil Rehabil Source Type: research
Stabilizing characteristics of rotator cuff muscles: a systematic review.
Conclusion: The rotator cuff muscles exhibited some stabilization characteristics but not all. On the basis of our current low to moderate quality evidence, the most likely, but as yet unverified, stabilization role for the rotator cuff muscles appears to be limiting of translation in a direction-specific manner. Implications for Rehabilitation Diagnostic tests currently used are based largely on the assumption that the muscles of the rotator cuff can be individually recruited as prime movers. Our findings demonstrate the need for more research into the proposed stabilizing mechanisms of the rotator cuff muscles to increas...
Source: Disability and Rehabilitation - August 13, 2014 Category: Rehabilitation Authors: Sangwan S, Green RA, Taylor NF Tags: Disabil Rehabil Source Type: research
Recreational participation and the development of social competence in preschool aged children with disabilities: a cross-sectional study.
Conclusions: The association between participation and social competence may not be as strong for this age group as anticipated in the literature, additional factors may be influential. Examination of the social competence scores identified two factors which may assist in explaining the variance in scores: (1) the experience of disability and (2) the quality of interactions. Implications for Rehabilitation Children with disabilities who participate in similar activities to their typically developing peers may not necessarily develop commensurate levels of social competence. As well as focusing on increasing the participati...
Source: Disability and Rehabilitation - August 12, 2014 Category: Rehabilitation Authors: Phillips R, Hogan A Tags: Disabil Rehabil Source Type: research
A day in the life of older people in a rehabilitation setting: an observational study.
Conclusions: There is likely to be unrealised opportunities for registered nurses to support improved rehabilitation outcomes. Registered nurses' involvement in rehabilitation needs to be actively optimised. Implications for Rehabilitation Nurses' engagement with older adults in rehabilitation settings is likely to be substantial, placing them as key members of the rehabilitation team. Nurses make a pivotal contribution to inpatient rehabilitation based on specialised knowledge and skills but this contribution is not well understood. Opportunities are likely, at times when allied health professionals are less often present...
Source: Disability and Rehabilitation - August 12, 2014 Category: Rehabilitation Authors: McKillop A, Parsons J, Slark J, Duncan L, Miskelly P, Parsons M Tags: Disabil Rehabil Source Type: research
Supporting the Loewenstein occupational therapy cognitive assessment using distributed user interfaces.
Conclusions: The use of DUIs allows therapists to gather information that is unavailable using traditional assessment methods as well as adapt the system to patients' profile to increase the range of patients that are able to take this assessment. Implications for Rehabilitation Using a Distributed User Interface environment to carry out LOTCAs improves the quality of the information gathered during the rehabilitation assessment. This system captures physical data regarding patient's interaction during the assessment to improve the rehabilitation process analysis. Allows professionals to adapt the assessment procedure to c...
Source: Disability and Rehabilitation - August 12, 2014 Category: Rehabilitation Authors: Tesoriero R, Gallud Lazaro JA, Altalhi AH Tags: Disabil Rehabil Source Type: research
A stair-climbing test for measuring mechanical efficiency of ambulation in adults with chronic stroke.
Conclusion: With a minimal detectable change of 0.6% (0.053 of average MEnet score of 10.4%), MEnet values from the stair-climbing test seem sufficiently meaningful to estimate ambulatory ability and its changes with interventions or walking aids in adults with hemiparesis. Implications for Rehabilitation Ambulatory ability can be estimated from mechanical efficiency, obtained from a 5-min stair-climbing test utilizing a 4-step stair, to measure external work, and the change in heart rate above rest to estimate the metabolic cost of the task. A change of > 0.6% in mechanical efficiency by this stair-climbing test indi...
Source: Disability and Rehabilitation - August 12, 2014 Category: Rehabilitation Authors: Harries N, Loeppky JA, Shaheen S, Al-Jarrah M, Molteni F, Hutzler Y, Bar-Haim S, On behalf of the MESF Project Tags: Disabil Rehabil Source Type: research
The experience of acute burns of the hand - patients perspectives.
Conclusion: This study showed that a holistic approach, in which the physical, psychosocial and emotional needs of the individual were addressed, was paramount to the patients' experience of therapy, recovery and future outlook. It emphasised the need for early psychological intervention and the value of providing an understanding and empathetic approach in addressing the needs and expectations of the patient. Implications for Rehabilitation Burn injuries are complex and multi-faceted and may impact on all aspects of a person's life; burns furthermore remain as one of the most devastating injuries one has to endure. Beyond...
Source: Disability and Rehabilitation - August 11, 2014 Category: Rehabilitation Authors: Dunpath T, Chetty V, Van Der Reyden D Tags: Disabil Rehabil Source Type: research
Problematic clinical features of powered wheelchair users with severely disabling multiple sclerosis.
Conclusions: Our findings suggest that people with severe MS requiring an EPIOC benefit from a holistic assessment to identify problematic clinical features that influence the prescription of the EPIOC and further medical and therapeutic interventions. Implications for Rehabilitation People with multiple sclerosis (MS), referred for an EPIOC, require a full clinical assessment to identify problematic clinical features that are potentially treatable and/or can be accommodated through specialised seating and tilt. The beneficial effects of TIS should be considered for all EPIOC users with MS and particularly for those with c...
Source: Disability and Rehabilitation - August 11, 2014 Category: Rehabilitation Authors: De Souza LH, Frank AO Tags: Disabil Rehabil Source Type: research
Cognitive remediation therapy (CRT) benefits more to patients with schizophrenia with low initial memory performances.
Conclusions: CRT is effective on crucial cognitive domains and provides a huge benefit for patients having low baseline performance. Such cognitive amelioration appears highly promising for improving the outcome in cognitively impaired patients. Implications for Rehabilitation Cognitive impairment is observed in 70-80% of patients with schizophrenia a devastating disorder with high direct and indirect social costs and cognitive alterations are a crucial predictive factor for an inability to work. Cognitive remediation is an efficient technique to improve cognition, autonomy, and social functioning in patients. Individual s...
Source: Disability and Rehabilitation - August 11, 2014 Category: Rehabilitation Authors: Pillet B, Morvan Y, Todd A, Franck N, Duboc C, Grosz A, Launay C, Demily C, Gaillard R, Krebs MO, Amado I Tags: Disabil Rehabil Source Type: research
Low back pain patients' beliefs about effective/ineffective constituents of a counseling intervention: a follow-up interview study.
Conclusions: The intervention had affected the patients' personal agency and space for action. We suggest that this effect was linked to the individually tailored approach drawing on both educational and motivational agents. Implications for Rehabilitation Maintaining everyday activities, including retaining one's occupation, is an important factor in low back pain rehabilitation. Counselling on low back pain rehabilitation must be aligned with people's beliefs about their illness. A counselling intervention made patients adopt exercising into their long-term management of low back pain. PMID: 25104215 [PubMed - as sup...
Source: Disability and Rehabilitation - August 8, 2014 Category: Rehabilitation Authors: Buus N, Jensen LD, Maribo T, Gonge BK, Angel S Tags: Disabil Rehabil Source Type: research
Test-retest reliability and responsiveness of a French Canadian Upper Limb Functional Index (ULFI-FC).
Conclusions: Study findings support the use of the ULFI-FC in rehabilitation as an outcome measure to monitor activity limitations and participation restrictions among French-speaking patients presenting with upper limb MSD. Implications for Rehabilitation The ULFI-FC is a reliable and valid tool with good responsiveness to change for assessing activity limitations and participation restrictions in adults presenting with upper limb musculoskeletal disorders. This tool can thus be useful in clinical and research settings. By exploring meaningful activities that are affected by patients' upper limb musculoskeletal disorders,...
Source: Disability and Rehabilitation - August 8, 2014 Category: Rehabilitation Authors: Hamasaki T, Demers L, Filiatrault J Tags: Disabil Rehabil Source Type: research
Determinants of participation in further training among workers with disabilities.
Conclusions: From a public policy perspective, these findings show the importance of designing and implementing specific training programs for people with disabilities, which can contribute to maintaining and increasing their integration in the German labour market. Implications for Rehabilitation Training and vocational rehabilitation can in many cases be critical to achieve or secure employment. A person becoming disabled may, even after completion of the medical rehabilitation process, not be able to continue to work in the previous occupation. Rehabilitation specialists must be more involved within the design, provisio...
Source: Disability and Rehabilitation - August 8, 2014 Category: Rehabilitation Authors: Pagán R Tags: Disabil Rehabil Source Type: research
Upper extremity function and activity in facioscapulohumeral dystrophy and limb-girdle muscular dystrophies: a systematic review.
Conclusions: The clinical course of UE impairments and activity limitations associated with FSHD and LGMD is difficult to predict due to its high variability. Although measures like MMT and the Brooke Scale are often used, there is a lack of more specific outcome measures to assess UE function and UE capacity and performance in daily life. Measures such as 3D motion analysis and electromyography (EMG) recordings are recommended to provide additional insight in UE function. Questionnaires like the Abilhand are recommended to assess UE capacity and accelerometry to assess UE performance in daily life. Implications for Rehabi...
Source: Disability and Rehabilitation - August 7, 2014 Category: Rehabilitation Authors: Bergsma A, Cup EH, Geurts AC, de Groot IJ Tags: Disabil Rehabil Source Type: research
Experiences of participation in everyday occupations among persons aging with a tetraplegia.
Conclusions: This study captures how persons aging with tetraplegia acted to participate in everyday occupations from soon after the injury until several decades later. In addition, their ability to act and participate changed over time. Our findings provide knowledge that can guide clinicians in their work within this complex area of rehabilitation. Besides, it can also guide the work with policy recommendations for healthcare and social service systems. Implications for Rehabilitation Aging with a SCI is a complex daily struggle in order to be able to continue acting and participating in everyday occupations, and thereby...
Source: Disability and Rehabilitation - August 7, 2014 Category: Rehabilitation Authors: Lundström U, Lilja M, Gray D, Isaksson G Tags: Disabil Rehabil Source Type: research
How to support the needs of mothers with physical disabilities?
Conclusions: Mothering with a disability can result in personal growth, but this positive process requires interdependence, creative and collaborative approach applied in rehabilitation practices. Implications for Rehabilitation Supporting mothers with physical disabilities should address not only their physical needs but also their mental and social needs. In particular, mothers with physical disabilities want and need parental guidance as well as accessible recreational activities for them and their children. An interdependence and creative approach should be applied in rehabilitation practices in a way that recognizes t...
Source: Disability and Rehabilitation - August 7, 2014 Category: Rehabilitation Authors: Shpigelman CN Tags: Disabil Rehabil Source Type: research
Six minutes walk test for individuals with schizophrenia.
Conclusions: Future physical health monitoring recommendations for patients with schizophrenia should include the 6MWT. Future studies should investigate its predictive role and continue to assess its measurement properties. Implications for Rehabilitation The Six-Minute Walk Test reliably assesses the functional exercise capacity in patients with schizophrenia. The impact of therapeutic interventions on patients, as measured by the 6MWT, cannot be confirmed. Clinicians should take into account overweight, antipsychotic medication use and the physical self-perception when considering the functional exercise capacity in sch...
Source: Disability and Rehabilitation - August 7, 2014 Category: Rehabilitation Authors: Bernard P, Romain AJ, Vancampfort D, Baillot A, Esseul E, Ninot G Tags: Disabil Rehabil Source Type: research
Efficacy of short-term intrapulmonary percussive ventilation in patients with chronic obstructive pulmonary disease.
Conclusions: This study provides evidence that a short-term combination of IPV and CPT improves PO2, SpO2 and perceived dyspnea than a traditional standard CPT in patients with COPD and productive cough. Implications for Rehabilitation We suggest that it could improve the oxygenation level on chronic obstructive pulmonary disease (COPD) patients. Beyond that, the intrapulmonary percussive ventilation (IPV) is a safety non-pharmacologic airway clearance therapy that can be used on patients with different sorts of respiratory diseases, and there are still questions to be answered, especially concerning the volume of secretio...
Source: Disability and Rehabilitation - August 7, 2014 Category: Rehabilitation Authors: Testa A, Galeri S, Villafañe JH, Corbellini C, Pillastrini P, Negrini S Tags: Disabil Rehabil Source Type: research
Validity and test-retest reliability of a measure of hand sensibility and manual dexterity in people with multiple sclerosis: the ReSense test.
Conclusions: The ReSense is a valid tool developed for testing sensing properties of the hand in PwMS. We believe that the sensitivity and specificity values of this tool will assist the clinician to formulate decisions related to rehabilitation management of his/her patient. Implication for Rehabilitation The ReSense, a valid and reliable tool was developed for testing sensing properties of elements with hand manipulation in the clinic. The ReSense test score was significantly correlated with scores of manual dexterity and traditional sensibility tests. A continuous scale such as the ReSense test may provide clinicians wi...
Source: Disability and Rehabilitation - August 6, 2014 Category: Rehabilitation Authors: Kalron A, Greenberg-Avrahami M, Achiron A Tags: Disabil Rehabil Source Type: research
Knee posture during gait and global functioning post-stroke: a theoretical ICF framework using current measures in stroke rehabilitation.
Conclusions: AKP restricts functioning and participation. Implications for Rehabilitation Identification of abnormal knee posture in gait can indicate potential assessment and treatment priorities, e.g. knee flexor strength is a major determinant of functioning in patients with abnormal knee posture and should be assessed. The identification of an abnormal knee posture post-stroke seems relevant for planning patient's long-term needs (e.g. amount of caregiver support). The interpretation of functional measures based on the ICF framework can enhance clinical-reasoning in rehabilitation post-stroke. PMID: 25095902 [PubMe...
Source: Disability and Rehabilitation - August 6, 2014 Category: Rehabilitation Authors: Rosa MC, Marques A, Demain S, Metcalf CD Tags: Disabil Rehabil Source Type: research
O Univ. Prof. Dr. Veronika Fialka-Moser passed away - A Tribute.
PMID: 25093423 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - August 5, 2014 Category: Rehabilitation Authors: Crevenna R Tags: Disabil Rehabil Source Type: research
Perceptions of low back pain in people with lower limb amputation: a focus group study.
Conclusion: The results suggest "uneven movements" of the back affected by "fatigue" and "prosthesis-related factors" may alter the mechanical loading of the spine during functional activities and contribute to LBP. While being physically active helped participants cope with their LBP, identifying and addressing "uneven movements" in the back during the performance of functional activities may be important to devise prevention strategies for LBP. Implications for Rehabilitation People with lower limb amputation perceive uneven posture and compensatory movements of the back as a major contributor to their low back pain (LBP...
Source: Disability and Rehabilitation - August 4, 2014 Category: Rehabilitation Authors: Devan H, Carman AB, Hendrick PA, Ribeiro DC, Hale LA Tags: Disabil Rehabil Source Type: research
Motivators for uptake and maintenance of exercise: perceptions of long-term stroke survivors and implications for design of exercise programmes.
Conclusions: A range of personal beliefs and attitudes and external factors may affect the motivation to exercise, and these vary between individuals. Addressing these factors in the design of exercise programmes for long-term stroke survivors may enhance their appeal and so encourage greater engagement in exercise. Implications for Rehabilitation Exercise programmes may be more attractive to long-term stroke survivors if the psychological well-being benefits of participation are emphasised in their promotion. Some participants will be more attracted by programmes that are de-medicalised, for example, by being located away...
Source: Disability and Rehabilitation - August 1, 2014 Category: Rehabilitation Authors: Poltawski L, Boddy K, Forster A, Goodwin VA, Pavey AC, Dean S Tags: Disabil Rehabil Source Type: research
Parent-mediated intervention: adherence and adverse effects.
Conclusion: As a general rule, children do well when their families do well, and families do well when they have the resources they need to juggle work and family and care demands. Recruiting parents as interventionists can tax family resources. Rehabilitation professionals must weigh up the pros and cons of parent-mediated intervention, and look to enfolding therapy into the everyday family routine. Implications for Rehabilitation Parents are more likely to implement prescribed therapeutic activities and exercises when these are "enfolded" into the everyday family routine. Higher levels of parental adherence and implement...
Source: Disability and Rehabilitation - July 30, 2014 Category: Rehabilitation Authors: McConnell D, Parakkal M, Savage A, Rempel G Tags: Disabil Rehabil Source Type: research
"Better but not best": a qualitative exploration of the experiences of occupational gain for people with inflammatory arthritis receiving anti-TNFα treatment.
Conclusion: Occupational gain was not maximised for people on anti-TNFα treatment. Improved referral pathways to occupational therapy could facilitate the management of continuing functional difficulties, thereby maximising the benefit of treatment to people with inflammatory arthritis. Implications for Rehabilitation This study challenges the assumption that functional improvement for people with rheumatoid arthritis (RA) and ankylosing spondylitis (AS) receiving anti-TNF a treatment experience is relatively trouble-free. Rheumatology provision needs to be more closely informed by and aligned with the needs of these serv...
Source: Disability and Rehabilitation - July 30, 2014 Category: Rehabilitation Authors: McArthur MA, Birt L, Goodacre L Tags: Disabil Rehabil Source Type: research
Experiences of apathy in people with Parkinson's disease: a qualitative exploration.
Conclusions: These themes are compared to wider research on apathy, PD and chronic illness. This study offers a view that, for some, apathy may be experienced as a number of behavioural choices influenced by increasing impairment and enacted in a social context. It presents an alternative conceptualisation from one describing apathy as the sole result of an endogenous disease process. As such, a number of therapeutic options are discussed but with the caveat that "apathy" need not always be the focus for intervention. Implications for Rehabilitation Apathy is a term used to denote a decrease in motivation and, although wid...
Source: Disability and Rehabilitation - July 29, 2014 Category: Rehabilitation Authors: Simpson J, McMillan H, Leroi I, Murray CD Tags: Disabil Rehabil Source Type: research
Community participation interventions for children and adolescents with a neurodevelopmental intellectual disability: a systematic review.
Conclusions: Community integration interventions appear to be effective in enhancing the inclusion of children and adolescents with a neurodevelopmental intellectual disability. In particular, findings from this review highlight that there are potentially many ways to continue to improve the effectiveness of community participation interventions for this group. These include the need for the development of programmes which facilitate friendships alongside recreational participation, include typically developing peers, consider the activity preferences of children and adolescents in developing programmes, and accommodate in...
Source: Disability and Rehabilitation - July 29, 2014 Category: Rehabilitation Authors: Andrews J, Falkmer M, Girdler S Tags: Disabil Rehabil Source Type: research
Situating universal design architecture: designing with whom?
Conclusions: UD represents rich technical and pedagogical resources for those architects committed to transforming the existing built environment so as to be less hostile to a wide range of users. However, within UD, unpacking the social role of the professional architect vis-à-vis a variety of publics is an important, but hitherto underdeveloped, challenge; issues concerning professional-citizen power relations continue to animate parallel architectural politics, and UD can both contribute and draw much from these on-going explorations. Implications for Rehabilitation Universal Design (UD) architecture shares a close aff...
Source: Disability and Rehabilitation - July 28, 2014 Category: Rehabilitation Authors: Jones P Tags: Disabil Rehabil Source Type: research
A scoping review of rehabilitation interventions that reduce fatigue among adults with multiple sclerosis.
Conclusions: This review identified a variety of exercise and behavior change interventions for MS fatigue management. While the findings may provide helpful information to inform practice, future researchers need to develop and evaluate knowledge translation strategies to facilitate the application of this evidence to daily practice to advance MS rehabilitation care. Implications for Rehabilitation Both exercise and behavior change interventions demonstrate some degree of effectiveness for managing MS fatigue. Effect sizes for exercise and behavior change interventions are similar, although the populations examined are di...
Source: Disability and Rehabilitation - July 28, 2014 Category: Rehabilitation Authors: Asano M, Berg E, Johnson K, Turpin M, Finlayson ML Tags: Disabil Rehabil Source Type: research