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Disability and Rehabilitation

Elizabeth Cassidy, Sandra Naylor, Frances Reynolds
PURPOSE: To understand the meanings of exercise and physiotherapy for people living with a progressive cerebellar ataxia. METHOD: An interpretative phenomenological analysis was undertaken with 12 participants (4 women, 8 men) recruited via their membership of a national support group. Semistructured interviews were audiorecorded and transcribed. Data were analyzed using interpretivist methods. RESULTS: Two main themes were constructed. Firstly, participants highly valued building collaborative and supportive long-term therapeutic relationships with expert physiotherapists and were not necessarily looking to improve ataxia-related impairments...
February 6, 2017: Disability and Rehabilitation
Yvonne F Heerkens, Marjolein de Weerd, Machteld Huber, Carin P M de Brouwer, Sabina van der Veen, Rom J M Perenboom, Coen H van Gool, Huib Ten Napel, Marja van Bon-Martens, Hillegonda A Stallinga, Nico L U van Meeteren
PURPOSE: The ICF (International Classification of Functioning, Disability and Health) framework (used worldwide to describe 'functioning' and 'disability'), including the ICF scheme (visualization of functioning as result of interaction with health condition and contextual factors), needs reconsideration. The purpose of this article is to discuss alternative ICF schemes. METHOD: Reconsideration of ICF via literature review and discussions with 23 Dutch ICF experts...
January 27, 2017: Disability and Rehabilitation
Pamela E Ross, Marilyn Di Stefano, Judith Charlton, Gershon Spitz, Jennie L Ponsford
PURPOSE: To describe the goals, processes, resources and outcomes of on-road training lessons provided to drivers with traumatic brain injury (TBI) who failed an initial occupational therapy (OT) driver assessment. METHOD: Descriptive cohort study using file audit design of 340 drivers with mild to severe TBI. Measures included; number and goals of on-road training lessons and reassessments, time from injury to independent driving, license restrictions, years licensed, physical/visual impairments and injury severity...
January 27, 2017: Disability and Rehabilitation
Christine Alary Gauvreau, Dahlia Kairy, Barbara Mazer, Andréanne Guindon, Guylaine Le Dorze
PURPOSE: After rehabilitation, it is not clear the extent to which persons living with a disability return to their former activities in the community, such as going to shopping malls. Rehabilitation professionals are faced with the challenge to adequately prepare their clients to resume community participation. The purpose of this study was to identify rehabilitation strategies aimed at preparing clients to engage in activities in shopping malls. METHOD: Twenty-two participants including 16 rehabilitation clinicians and 6 persons living with a disability participated in four nominal group sessions...
January 27, 2017: Disability and Rehabilitation
Heidi J Graff, Ulla Christensen, Ingrid Poulsen, Ingrid Egerod
PURPOSE: This study aimed to provide an understanding of the lived experience of rehabilitation in adults with traumatic brain injury (TBI) from hospital discharge up to four years post-injury. MATERIALS AND METHODS: We used a qualitative explorative design with semi-structured in-depth interviews. Twenty participants with TBI were included from a level I Trauma Center in Denmark at 1-4 years post-injury. Qualitative thematic analysis was applied for data analysis...
January 27, 2017: Disability and Rehabilitation
Hans Westergren, Johan Larsson, Michael Freeman, Anna Carlsson, Anna Jöud, Eva-Maj Malmström
OBJECTIVES: To analyze a cohort of 745 consecutive patients referred to a regional specialist clinic for evaluation of post-traumatic neck pain during a five-year period. METHODS: A cross-sectional observational study of baseline assessments performed by multi-professional rehabilitation teams according to a standardized checklist. RESULTS: The cohort contained nearly twice as many females as males (64% versus 36%). The type of injury did not differ between sexes...
January 27, 2017: Disability and Rehabilitation
Barbara Jane Cunningham, Mary Jo Cooley Hidecker, Nancy Thomas-Stonell, Peter Rosenbaum
PURPOSE: In this paper, we present our experiences - both successes and challenges - in implementing evidence-based classification tools into clinical practice. We also make recommendations for others wanting to promote the uptake and application of new research-based assessment tools. METHOD: We first describe classification systems and the benefits of using them in both research and practice. We then present a theoretical framework from Implementation Science to report strategies we have used to implement two research-based classification tools into practice...
January 27, 2017: Disability and Rehabilitation
Sara Kaptein, Jan H B Geertzen, Pieter U Dijkstra
PURPOSE: Persons requiring a lower limb amputation often have cardiovascular diseases that reduce cardiac function, which may complicate recovery and rehabilitation after an amputation. This systematic review analysis the association between cardiovascular diseases and mobility in persons with a lower limb amputation. METHOD: Four databases were searched for studies published before August 2016 using database-specific keywords and synonyms for amputation, cardiovascular diseases and mobility...
January 27, 2017: Disability and Rehabilitation
Delphine Labbé, Tiiu Poldma, Catherine Fichten, Alice Havel, Eva Kehayia, Barbara Mazer, Patricia McKinley, Annie Rochette, Bonnie Swaine
AIM: The aim of this study was to explore how shopping malls could be used during rehabilitation and to identify the facilitators and barriers to their use. METHOD: Two focus groups, conducted with 15 rehabilitation professionals from various disciplines and working with people with disabilities of all ages were structured around two topics: (i) The usage of malls for rehabilitation and (ii) Factors that facilitate or limit rehabilitation professionals' use of the mall as an environment for clinical assessment and/or intervention...
January 27, 2017: Disability and Rehabilitation
Normaliza Ab Malik, Saari Mohamad Yatim, Otto L T Lam, Lijian Jin, Colman McGrath
OBJECTIVES: This study aimed to examine "intention to" and "performance of" oral hygiene care to stroke patients using the Theory of Planned Behavior. MATERIALS AND METHODS: A large scale survey of 13 centers in Malaysia was conducted involving 806 nurses in relation to oral hygiene care intentions and practices. In addition, information on personal and environmental factors was collected. RESULTS: The response rate was 95.6% (778/806). The domains of the Theory of Planned Behavior were significantly associated with general intention to perform oral hygiene care: attitudes (β = 0...
January 27, 2017: Disability and Rehabilitation
Andrew Walker, Xenya Kantaris, Mary Chambers
PURPOSE: People with vestibular disorders are typically treated by physiotherapists in vestibular rehabilitation. Anxiety is strongly associated with vestibular disorders; however, there is a lack of understanding about how physiotherapists respond to people presenting with anxiety within vestibular rehabilitation. This study aimed to explore physiotherapists' current practice in assessing and treating patients with anxiety in vestibular rehabilitation. MATERIALS AND METHODS: A qualitative study using semi-structured interviews with 10 specialist physiotherapists in vestibular rehabilitation in three university teaching hospitals in England...
January 27, 2017: Disability and Rehabilitation
Anna Urbanowicz, Natalie Ciccone, Sonya Girdler, Helen Leonard, Jenny Downs
PURPOSE: To describe the choice-making abilities of girls and women with Rett syndrome. METHOD: Females with Rett syndrome registered with the Australian Rett Syndrome Database with a pathogenic MECP2 mutation were included in this study. Video clips showing choice making in 64 females at a median age of 11.6 years (range 2.3-35.6 years) were analysed. Video clips were coded for the location and nature of the choice-making interaction, and the actions of the communication partner and female with Rett syndrome...
January 23, 2017: Disability and Rehabilitation
Diego Kaski, Joseph Buttell, Richard Greenwood
PURPOSE: To further understand the mechanisms underlying gait impairment following traumatic brain injury. CASE REPORT: A 58-year-old man presented with marked unsteadiness and motion sensitivity following a severe traumatic brain injury. He underwent a 6-week inpatient rehabilitation program focused on re-weighting and subsequently re-integrating ascending interoceptive information, by gradual reduction of maladaptive visual fixation techniques. We report clinical neurological outcomes and measures of functional outcome, as well as an objective assessment of visual dependency (the rod and disk test) at baseline and after the rehabilitation...
January 23, 2017: Disability and Rehabilitation
Isabel M Alguacil-Diego, Carlos de-la-Torre-Domingo, Antonio López-Román, Juan Carlos Miangolarra-Page, Francisco Molina-Rueda
PURPOSE: To report the immediate and prolonged (one week) effects of elastic bandage (EB) on balance control in subjects with chronic ankle instability. MATERIAL AND METHODS: Twenty-eight individuals successfully completed the study protocol, of whom 14 were randomly assigned to the EB group (7 men, 7 women) and 14 were assigned to the non-standardised tape (NST) group (9 men, 5 women). To objectively measure postural sway we used computerised dynamic posturography (CDP) with sensory organisation test (SOT) and unilateral stance (US) test...
January 23, 2017: Disability and Rehabilitation
James Anderson, Laura Williams, Amir Karmali, Lori Beesley, Nadia Tanel, Krissy Doyle-Thomas, Gideon Sheps, Tom Chau
PURPOSE: To describe the development and implementation of an organizational framework for client and family-centered research. METHOD: Case report. RESULTS: While patient-centered care is now well established, patient-centered research remains underdeveloped. This is particularly true at the organizational level (e.g., hospital based research institutes). In this paper we describe the development of an organizational framework for client and family centered research at Holland Bloorview Kids Rehabilitation Hospital in Toronto, Canada...
January 23, 2017: Disability and Rehabilitation
Natalie E Leland, Michael Lepore, Carin Wong, Sun Hwa Chang, Lynn Freeman, Karen Crum, Heather Gillies, Paul Nash
AIM: The majority of post-acute hip fracture rehabilitation in the US is delivered in skilled nursing facilities (SNFs). Currently, there are limited guidelines that equip occupational and physical therapy practitioners with a summary of what constitutes evidence-based high quality rehabilitation. Thus, this study aimed to identify rehabilitation practitioners' perspectives on the practices that constitute high quality hip fracture rehabilitation. METHODS: Focus groups were conducted with 99 occupational and physical therapy practitioners working in SNFs in southern California...
January 23, 2017: Disability and Rehabilitation
Emma M Smith, Kimberly Low, William C Miller
PURPOSE: The purpose of this study is to estimate the interrater and intrarater reliability of the Wheelchair Skills Test (WST) Version 4.2 for powered wheelchairs operated by adult users. MATERIALS AND METHODS: Cohort study with a convenience sample of occupational therapists (n = 10). For the main outcome measure, participants viewed and scored eight videos of adult power wheelchair users completing the 30 skills of the WST Version 4.2 on two occasions, a minimum of two weeks apart...
January 23, 2017: Disability and Rehabilitation
Sara Ahmed, Bonnie Swaine, Marc Milot, Caroline Gaudet, Tiiu Poldma, Gillian Bartlett, Barbara Mazer, Guylaine Le Dorze, Skye Barbic, Ana Maria Rodriguez, Hélène Lefebvre, Philippe Archambault, Dahlia Kairy, Joyce Fung, Delphine Labbé, Anouk Lamontagne, Eva Kehayia
PURPOSE: Although public environments provide opportunities for participation and social inclusion, they are not always inclusive spaces and may not accommodate the wide diversity of people. The Rehabilitation Living Lab in the Mall is a unique, interdisciplinary, and multi-sectoral research project with an aim to transform a shopping complex in Montreal, Canada, into an inclusive environment optimizing the participation and social inclusion of all people. METHODS: The PRECEDE-PROCEDE Model (PPM), a community-oriented and participatory planning model, was applied as a framework...
January 23, 2017: Disability and Rehabilitation
Ton Satink, Edith H C Cup, Bert J M de Swart, Maria W G Nijhuis-van der Sanden
PURPOSE: This qualitative study explored how stroke survivors' spouses described their own self-management, their partner's self-management post-stroke and how they had been supported in developing self-management. METHOD: Focus group interviews were conducted with 33 spouses of stroke survivors 34-79 years of age. A constant comparative framework was used for the analysis. RESULT: Stroke also affected the spouses, gave changes in their relationships and challenged in being a caregiver beside being partner...
January 23, 2017: Disability and Rehabilitation
Katie Mah, Andrea Hickling, Nick Reed
PURPOSE: The purpose of this article is to synthesise the scholarly literature related to perceptions of mild traumatic brain injury (mTBI) and health outcomes in an adult population. METHODS: A scoping review was undertaken. An electronic search of seven databases was conducted. Studies were included if (1) they related to perceptions of mild traumatic brain injury, (2) the population was adults with mild traumatic brain injury, and (3) health outcomes were reported...
January 19, 2017: Disability and Rehabilitation
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