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Bladder function and falls in individuals with multiple sclerosis.
CONCLUSION: Bladder dysfunction is related to falls history independently of mobility in individuals with MS. Future research examining whether bladder management programmes have an impact on fall incidence in MS is warranted. Implications for rehabilitation Bladder dysfunction and falls are common health concerns in individuals with multiple sclerosis. Bladder dysfunction was associated with the number of falls in individuals with MS, and this association was independent of mobility. Bladder management should be included in fall prevention strategies in individuals with MS. PMID: 27553916 [PubMed - in process] (Sourc...
Source: Disability and Rehabilitation - August 25, 2016 Category: Rehabilitation Authors: Sung J, Shen S, Motl RW, Sosnoff JJ Tags: Disabil Rehabil Source Type: research

Workplace managers' view of the role of co-workers in return-to-work.
CONCLUSION: Existing arrangements for the development and implementation of RTW are sufficient most of the time, but may be inadequate when an injured worker presents with psychosocial barriers to work resumption. Implications for Rehabilitation Standard RTW arrangements can be inadequate when a RTW plan requires active co-worker support. Privacy and confidentiality provisions can result in managers using informal procedures for information exchange and to engage co-workers. The use of risk management strategies - assessment, consultation and communication - could be used to include co-workers when workplace issues threate...
Source: Disability and Rehabilitation - August 25, 2016 Category: Rehabilitation Authors: Dunstan DA, MacEachen E Tags: Disabil Rehabil Source Type: research

Living with traumatic brain injury in a rural setting: supports and barriers across the continuum of care.
CONCLUSION: Relationships represented both barriers and facilitators of well-being. Major unmet needs persisted in terms of medical problems, support for caregivers, community linkages, and participation in meaningful activities. Recommendations are made regarding avenues for addressing unmet needs. Implications for Rehabilitation People with TBI are living with chronic conditions and may need intensive rehabilitation after the injury and intermittent rehabilitation throughout life to develop and maintain functional competence. Rehabilitation providers need to understand the unique aspects of the rural home environment to ...
Source: Disability and Rehabilitation - August 22, 2016 Category: Rehabilitation Authors: Harrison AL, Hunter EG, Thomas H, Bordy P, Stokes E, Kitzman P Tags: Disabil Rehabil Source Type: research

"I've never been a yes person": Decision-making participation and self-conceptualization after severe traumatic brain injury.
CONCLUSIONS: Findings emphasize that contributing to decisions about one's own goals across a range of life areas can reinforce a positive self-concept. It is vital that supporters understand that participation in decision making provides a pathway to conceptualizing self and aim to maximize the person's participation in the decision-making process. Implications for Rehabilitation Previous research has identified that the experience of sustaining TBI has a significant impact on a person's conceptualization of self. This study identified that decision-making experiences play an important role in the ongoing process of self-...
Source: Disability and Rehabilitation - August 22, 2016 Category: Rehabilitation Authors: Knox L, Douglas JM, Bigby C Tags: Disabil Rehabil Source Type: research

The subscales and short forms of the dizziness handicap inventory: are they useful for comparison of the patient groups?
CONCLUSIONS: This study indicated that the factor structure of the scale was not consistent. It is not advised to use subscale scores for comparison especially in international level. Therefore, total score should be used rather than the scores of the subscales. Using DHI screening form instead of original 25 questions is more convenient, because it is highly correlated with the original one and has fewer questions. Implications for rehabilitation Factor structure of the DHI is not consistent enough for comparison of the international studies. Total score of DHI is reliable. Using the screening version of DHI is better, be...
Source: Disability and Rehabilitation - August 22, 2016 Category: Rehabilitation Authors: Ardıç FN, Tümkaya F, Akdağ B, Şenol H Tags: Disabil Rehabil Source Type: research

Care coordination experiences of people with disabilities enrolled in medicaid managed care.
CONCLUSIONS: Quality of care coordination, but not frequency of contact alone, is associated with better health outcomes for MMC enrollees. Implications for rehabilitation Care coordination is a core component of managed care and facilitates effective healthcare management for people with complex chronic conditions and disabilities. Better experiences with care coordinators is related to fewer unmet healthcare needs and more positive health care service appraisals for Medicaid managed care enrollees. The continuous development of person-centered care coordination strategies and training programs emphasizing quality relatio...
Source: Disability and Rehabilitation - August 22, 2016 Category: Rehabilitation Authors: Bowers A, Owen R, Heller T Tags: Disabil Rehabil Source Type: research

The ability of preoperative factors to predict patient-reported disability following surgery for rotator cuff pathology.
DISCUSSION: Surgery on the dominant arm resulted in greater improvement in patient-reported disability, thereby increasing the odds of a successful surgery. The predictive ability of the FABQ_work subscale highlights the potential impact of psychosocial factors on patient-reported disability. Implications for Rehabilitation Impairment-based shoulder measurements were not strong predictors of patient-reported outcome. Having high fear-avoidance behavior scores on the FABQ, especially the work subscale, resulted in a much lower chance of responding well to rotator cuff surgery as measured by self-reported disability. Having ...
Source: Disability and Rehabilitation - August 22, 2016 Category: Rehabilitation Authors: Woollard JD, Bost JE, Piva SR, Kelley Fitzgerald G, Rodosky MW, Irrgang JJ Tags: Disabil Rehabil Source Type: research

Prevalence and impact of disability and sexual dysfunction on Health-Related Quality of Life of Nigerian stroke survivors.
CONCLUSION: Although sexual dysfunction and global disability are prevalent among Nigerian SSv, their low HRQoL is determined by their disability and not by SF. Hence, effort at reducing global disability should be the focus of rehabilitation after stroke. Implication for Rehabilitation Global functional and sexual deficiencies abound in stroke survivors and they impact negatively on their overall quality of life. Sexual dysfunction correlates negatively on physical and psychosocial wellbeing of stroke survivors. Rehabilitation goal(s) should focus disability reduction and improvement of sexual functioning to enhance quali...
Source: Disability and Rehabilitation - August 22, 2016 Category: Rehabilitation Authors: Oyewole OO, Ogunlana MO, Gbiri CA, Oritogun KS Tags: Disabil Rehabil Source Type: research

Rehabilitation outcome of progressive multifocal leukoencephalopathy in HIV-positive patients: a report of two cases.
CONCLUSION: PML patients require prolonged multidisciplinary rehabilitation treatment; however, considerable progress can be achieved. Implications for Rehabilitation Progressive multifocal leukoencephalopathy (PML) is a disabling disease occurring in particular in the context of Human Immunodeficiency Virus (HIV). Presently a growing number of HIV-positive PML patients eventually survive the disease and remain with severe neurological impairments. PML patients require prolonged multidisciplinary rehabilitation treatment, and considerable progress can be achieved. PMID: 27539012 [PubMed - as supplied by publisher] (So...
Source: Disability and Rehabilitation - August 19, 2016 Category: Rehabilitation Authors: Moreh E, Israel S, Korem M, Meiner Z Tags: Disabil Rehabil Source Type: research

Exercise in knee osteoarthritis: do treatment outcomes relate to bone marrow lesions? A randomized trial.
CONCLUSIONS: Pain scores and GPE was not different between knee OA patients with and without baseline BMLs in this sample. Implications for Rehabilitation Both walking and strengthening exercises are effective means of improving pain in patients with knee osteoarthritis. In a relatively small sample, this study shows that the presence or absence of subchondral bone marrow lesions, as seen on magnetic resonance images, is not related to treatment outcomes. PMID: 27540824 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)
Source: Disability and Rehabilitation - August 19, 2016 Category: Rehabilitation Authors: Beckwée D, Vaes P, Raeymaeckers S, Shahabpour M, Scheerlinck T, Bautmans I Tags: Disabil Rehabil Source Type: research

Pragmatic communication abilities in children and adults: implications for rehabilitation professionals.
CONCLUSIONS: An understanding of pragmatic communication disorders may assist all rehabilitation team members, as impairments in this domain may have significant effects on rehabilitation progress and outcomes. Implications for Rehabilitation Pragmatic communication ability is the ability to use language in context, beyond understanding and expressing basic word meanings (semantics) in the correct grammatical forms (syntax). Pragmatic communication deficits have been documented in many of the populations frequently referred for rehabilitation, and can affect both progress during rehabilitation and outcomes from treatment. ...
Source: Disability and Rehabilitation - August 19, 2016 Category: Rehabilitation Authors: Turkstra LS, Clark A, Burgess S, Hengst JA, Wertheimer JC, Paul D Tags: Disabil Rehabil Source Type: research

Aphasia rehabilitation during adolescence: a case report.
CONCLUSION: Although aphasia therapy for adolescents may be similar in many aspects to selected interventions for adults, it is necessary for the clinician to be mindful of age-related issues throughout the course of therapy. Goals and interventions should be selected based on factors salient to an adolescent as well as the potential long-term impact of therapy. Implications for Research Aphasia and its treatment in adolescence need to be further explored. Academics and technology are important aspects of aphasia treatment in adolescence. Issues specific to adolescence such as socialization, adherence/compliance, and indep...
Source: Disability and Rehabilitation - August 18, 2016 Category: Rehabilitation Authors: Laures-Gore J, McCusker T, Hartley LL Tags: Disabil Rehabil Source Type: research

Comparison of bone-anchored prostheses and socket prostheses for patients with a lower extremity amputation: a systematic review.
CONCLUSIONS: There is a need for a standard set of instruments. There was limited evidence that bone-anchored prostheses resulted in higher QoL, function and activity levels than socket prostheses, in patients with socket-related problems. Implications for Rehabilitation Use of bone-anchored prostheses in combination with intensive outpatient rehabilitation may improve QoL, function and activity level compared with socket prosthesis use in patients with a transfemoral amputation and socket-related problems. All clinicians and researchers involved with bone-anchored prostheses should use and publish data on QoL, function, a...
Source: Disability and Rehabilitation - August 5, 2016 Category: Rehabilitation Authors: Leijendekkers RA, van Hinte G, Frölke JP, van de Meent H, Nijhuis-van der Sanden MW, Staal JB Tags: Disabil Rehabil Source Type: research

Patient education and basic body awareness therapy in hip osteoarthritis - a qualitative study of patients' movement learning experiences.
CONCLUSION: PE followed by BBAT in groups may be beneficial to patients with hip OA, and provide lasting benefits regarding daily life function. Implications for Rehabilitation Insight into disease process and relationship to functional movement gained through patient education may empower patients with hip osteoarthritis in management of daily life Movement awareness and exploration of movement quality using principles from Basic Body Awareness Therapy was found to support patients in finding resources for functional movement, implemented in daily actions Movement strategies characterized by adjustment rather than force w...
Source: Disability and Rehabilitation - August 5, 2016 Category: Rehabilitation Authors: Olsen AL, Strand LI, Skjaerven LH, Sundal MA, Magnussen LH Tags: Disabil Rehabil Source Type: research

Effectiveness of repetitive trancranial or peripheral magnetic stimulation in neuropathic pain.
CONCLUSIONS: Repetitive transcranial magnetic stimulation of the primary motor cortex using high frequency stimulation protocols can effectively reduce neuropathic pain, particularly in individuals with pain related to non-cerebral lesions. The application of multiple sessions can lead to long-lasting pain modulation and cumulative effects. Implications for Rehabilitation Maladaptive plasticity plays a central role in sensitization of nociceptive pathways, generation and maintainance of neuropathic pain; Most neuropathic pain conditions are refractory to pharmacological therapies; Repetitive magnetic stimulation of the cen...
Source: Disability and Rehabilitation - August 5, 2016 Category: Rehabilitation Authors: Kumru H, Albu S, Vidal J, Tormos JM Tags: Disabil Rehabil Source Type: research

The impact of patient's weight on post-stroke rehabilitation.
Conclusions In sub-acute post-stroke patients undergoing rehabilitation in rehabilitation hospital, BMI was negatively associated with the improvement of functional parameters. Patients' BMI should be taken into consideration when predicting rehabilitation outcome for stroke patients. Further investigations are needed to identify the functional parameters affected by the patients' BMI. Implications for Rehabilitation In sub-acute post-stroke patients undergoing rehabilitation in rehabilitation hospital, BMI was negatively associated with the improvement of functional parameters. Patients' BMI should be taken into considera...
Source: Disability and Rehabilitation - June 3, 2016 Category: Rehabilitation Authors: Kalichman L, Alperovitch-Najenson D, Treger I Tags: Disabil Rehabil Source Type: research

Treadmill training with an incline reduces ankle joint stiffness and improves active range of movement during gait in adults with cerebral palsy.
CONCLUSION: Daily treadmill training with an incline for 6 weeks reduces ankle joint stiffness and increases active ROM during gait in adults with CP. Intensive gait training may thus be beneficial in preventing and reducing contractures and help to maintain functional gait ability in adults with CP. Implications for rehabilitation Uphill gait training is an effective way to reduce ankle joint stiffness in adult with contractures. 6 weeks of daily uphill gait training improves functional gait parameters such as gait speed and dorsal flexion during gait in adults with cerebral palsy. PMID: 27237772 [PubMed - as suppl...
Source: Disability and Rehabilitation - May 30, 2016 Category: Rehabilitation Authors: Lorentzen J, Kirk H, Fernandez-Lago H, Frisk R, Scharff Nielsen N, Jorsal M, Nielsen JB Tags: Disabil Rehabil Source Type: research

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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