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Disability and Rehabilitation

Dana Wong, Kelly Sinclair, Elizabeth Seabrook, Adam McKay, Jennie Ponsford
PURPOSE: Smartphones have great potential as a convenient, multifunction tool to support cognition and independence following traumatic brain injury (TBI). However, there has been limited investigation of their helpful and less helpful aspects for people with TBI. We aimed to investigate patterns of smartphone use amongst individuals with TBI, identify potential barriers to use, and examine the relationships between smartphone use and daily functioning. METHOD: Twenty-nine participants with TBI and 33 non-injured participants completed the Smartphone Survey, and measures of subjective and objective cognitive functioning, mood, and community integration...
October 17, 2016: Disability and Rehabilitation
Lotte Skøt, Tina Jeppesen, Angelina Isabella Mellentin, Ask Elklit
PURPOSE: This descriptive study sought to explore barriers faced by Deaf and hard-of-hearing (D/HH) individuals in Denmark when accessing medical and psychosocial services following large-scale disasters and individual traumatic experiences. METHODS: Semi-structured interviews were conducted with nine D/HH individuals who had experienced at least one disaster or other traumatic event. RESULTS: Difficulties were encountered during interactions with first response and healthcare services, which centered on: (1) lack of Deaf awareness among professionals, (2) problems accessing interpreter services, (3) professionals relying on hearing relatives to disseminate information, and (4) professionals who were unwilling to adjust their speech or try different forms of communication...
October 17, 2016: Disability and Rehabilitation
Susanne Andermo, Johanna Hök, Tobias Sundberg, Maria Arman
PURPOSE: To elucidate the meaning of anthroposophic practitioners' conceptualizations of caring for persons living with chronic pain. METHODS: Interviews were conducted with 15 practitioners working with rehabilitation of persons with chronic pain at an anthroposophic hospital in Sweden. The interviews were analyzed using a phenomenological hermeneutical method. FINDINGS: When practitioners discussed patient care, they used a shared language with particular concepts...
October 14, 2016: Disability and Rehabilitation
Patricia Fronek, Melissa B Kendall
PURPOSE: A randomized controlled trial was conducted to evaluate the impact of Professional Boundaries for Health Professionals (PBHP) training program on the knowledge, comfort, experience, and ethical decision-making of multidisciplinary practitioners facing client-practitioner boundary dilemmas. METHODS: In all, 36 rehabilitation practitioners from an Australian state-wide spinal cord injuries service were assigned to experimental and control groups. The Boundaries in Practice (BIP) Scale measured outcomes at four points: pre, post, 3 months, and 1 year...
October 14, 2016: Disability and Rehabilitation
Bayram Unver, Refik Hilmi Baris, Ertugrul Yuksel, Senol Cekmece, Serpil Kalkan, Vasfi Karatosun
PURPOSE: To investigate the test-retest reliability of the 4-meter walk test (4 MWT) and 10-meter walk test (10 MWT) in patients undergoing lower extremity surgery during inpatient rehabilitation. METHOD: In all, 102 patients with total hip arthroplasty (THA), total knee arthroplasty (TKA), lower extremity fracture (LEF) and soft tissue operation were recruited. Patients performed two 4 MWT and two 10 MWT trials on the same day. The same researcher performed all the measurements to avoid inter-rater variability...
October 11, 2016: Disability and Rehabilitation
Gabrielle Thorpe, Maggie McArthur
PURPOSE: Intestinal stoma formation profoundly changes the relationship between a person and their social world. The aim of this study was to understand the experience of living with a new stoma; this paper explores the theme "disrupted social world," highlighting how stoma-forming surgery impacts on individuals' abilities to participate and interact socially over time. METHOD: A longitudinal phenomenological approach. Twelve participants with a new stoma were recruited using purposeful sampling...
October 10, 2016: Disability and Rehabilitation
Xiaotian Luo, Jifeng Zhang, Chi Zhang, Chengqi He, Pu Wang
PURPOSE: To review the research literature on the effectiveness of whole-body vibration (WBV) therapy in women with postmenopausal osteoporosis. METHODS: A systematic review was conducted by two independent reviewers. Mean differences (MDs), standardized mean differences (SMDs), and 95% confidence intervals (CIs) were calculated, and heterogeneity was assessed with the I(2) test. The Cochrane risk of bias tool was used to assess the methodological quality of the selected studies...
October 10, 2016: Disability and Rehabilitation
W Geoffrey Wright, Jane McDevitt, Ryan Tierney, F Jay Haran, Kwadwo Osei Appiah-Kubi, Alex Dumont
PURPOSE: Balance impairment is a common sensorimotor symptom in mild traumatic brain injury (mTBI). We designed an affordable, portable virtual reality (VR)-based balance screening device (Virtual Environment TBI Screen [VETS]), which will be validated relative to the Neurocom Sensory Organization Test (SOT) to determine if it can replace commonly used postural assessments. METHODS: This preliminary study examines healthy adults (n = 56) and adults with mTBI (n = 11)...
October 10, 2016: Disability and Rehabilitation
Terry Trinh, Christine T Shiner, Angelica G Thompson-Butel, Penelope A McNulty
PURPOSE: Post-stroke hemiparesis may manifest as asymmetric gait, poor balance, and inefficient movement patterns. We investigated improvements in lower-limb muscle activation and function during Wii-based Movement Therapy (WMT), a rehabilitation program specifically targeting upper-limb motor-function. METHODS: Electromyography (EMG) was recorded bilaterally from tibialis anterior (TA) in 20 stroke patients during a 14-day WMT program. EMG amplitude and burst duration were analyzed during stereotypical movement sequences of WMT activities...
October 9, 2016: Disability and Rehabilitation
Michal Elboim-Gabyzon, Osnat Atun-Einy, Insaf Khoury-Assaf
PURPOSE: To review the literature on the existent evidence considering the use of power wheel chair (PWC) for children with DMD who can still walk independently. METHODS: A systematic literature search was conducted through nine databases by the three authors independently. Both quantitative and qualitative research designs were considered for inclusion. Studies were included only if the study population consisted of ambulatory children diagnosed with DMD. Data extraction was on participant characteristics, level of walking and on outcomes in term of impairment, function and participation domains (ICF, World Health Organization, 2001) in accordance to a structured diagram by the three authors independently...
October 9, 2016: Disability and Rehabilitation
Anna M Follent, Anna F Rumbach, Elizabeth C Ward, Jeanne Marshall, Pamela Dodrill, Peter Lewindon
PURPOSE: There is limited information regarding the nature of dysphagia and feeding difficulties following alkali ingestion injury to inform multidisciplinary intervention. The aim was to describe the history and nature of chronic dysphagia and feeding difficulties in two children following severe alkali ingestion injury. METHODS: Medical records, primary caregiver report, and clinical assessment were used to compile detailed case histories and assess current dysphagia and feeding skills...
October 7, 2016: Disability and Rehabilitation
Charlotte Brooks, Claire Ballinger, Don Nutbeam, Jo Adams
PURPOSE: Health literacy is the ability to access, understand and use health information. This study qualitatively explored the views and experiences of older adults with varying health literacy levels who had attended a falls clinic on their overall experience of the falls clinic, access to the service and provider-patient interaction. METHODS: Individual semi-structured interviews were conducted with nine older adults using a falls clinic in England. Health literacy was assessed using the REALM and NVS-UK...
October 7, 2016: Disability and Rehabilitation
Maite Barrios, Georgina Guilera, Melissa Selb, Juana Gómez-Benito
PURPOSE: The purpose of the study was to identify aspects of functioning and related environmental factors that are relevant to schizophrenia from the perspective of health professionals experienced in treating individuals with this disorder using the International Classification of Functioning, Disability and Health (ICF). METHOD: An international pool of experts from diverse health care disciplines was surveyed to identify problems in functioning experienced by individuals with schizophrenia and the environmental factors that impact their functioning...
October 7, 2016: Disability and Rehabilitation
Stephen Pack, Sasha Kelly, Monna Arvinen-Barrow
PURPOSE: The purpose of this study was to explore the role of swimming on Paralympic athletes' perceptions of self and identity development. METHOD: A hermeneutic phenomenological approach was taken. During semi-structured interviews, five Paralympic swimmers (aged 20-24 years) were asked questions about their swimming career, perceptions of self, integration, and impairment. Interviews were audio-recorded and transcribed verbatim. RESULTS: An Interpretative Phenomenological Analysis yielded three superordinate themes: (a) "One of the crowd"; none of the participants viewed themselves as disabled, nor as supercrips; these perceptions stemmed from family-, school-, and swimming-related experiences, (b) "Becoming me"; participation in swimming facilitated self- and social-acceptance, and identity development, and c) "A badge of honor"; swimming presented opportunity to present and reinforce a positive identity...
September 27, 2016: Disability and Rehabilitation
Dawn Magnusson, Monica Roe, Jeff Hartman
PURPOSE: To examine community perspectives regarding the strengths, weaknesses, opportunities, and threats of a community-based rehabilitation (CBR) program in Toledo District, Belize. METHOD: A participatory approach was implemented using the CBR Matrix as a conceptual framework. Semi-structured interviews were conducted with CBR community partners and program participants living in Toledo District. Respondents were recruited until thematic saturation was achieved (i...
September 27, 2016: Disability and Rehabilitation
Doreen Bartlett, Lisa A Chiarello, Tina Hjorngaard, Barbara Sieck Taylor
We share our experiences as academic physical therapists and parents of young people with cerebral palsy working together as a research team, describe and critically review how our working relationship has evolved and propose further enhancements to realize our shared vision. This manuscript is informed by a call for "family-centered research," transcripts of face-to-face meetings held over a period of 1(1/2) days, the INVOLVE document and our experiences over almost a decade, as well as other related literature...
September 27, 2016: Disability and Rehabilitation
Avital Hershkovitz, Natalia Kornyukov, Shai Brill
PURPOSE: The study aimed at assessing the relationship between various Mini Mental State Examination (MMSE) subdomains and rehabilitation achievements in post-acute hip-fractured patients. METHOD: Six hundred and five hip-fractured patients admitted during 2010-2013 to a post-acute geriatric rehabilitation center were included in the study. Main outcome measures were the Functional Independence Measure (FIM) instrument, the motor FIM (mFIM), the Montebello Rehabilitation Factor Score (MRFS) on the mFIM and length of stay (LOS)...
September 27, 2016: Disability and Rehabilitation
Mile Vuković, Dušanka Matić, Ana Kovač, Irena Vuković, Chris Code
PURPOSE: Public awareness of aphasia has been surveyed in a number of countries revealing that it is universally low. We report results of surveys in the Balkan countries Serbia and Montenegro and compare results with data from Croatia and Slovenia. METHODS: Convenience surveys of the general public were conducted in public places like shopping centers/malls and parks in Serbia (N = 400) and Montenegro (N = 500) using an adapted version of the public awareness of aphasia survey questionnaire...
September 27, 2016: Disability and Rehabilitation
Gerard G Fluet, Jigna Patel, Qinyin Qiu, Matthew Yarossi, Supriya Massood, Sergei V Adamovich, Eugene Tunik, Alma S Merians
PURPOSE: The complexity of upper extremity (UE) behavior requires recovery of near normal neuromuscular function to minimize residual disability following a stroke. This requirement places a premium on spontaneous recovery and neuroplastic adaptation to rehabilitation by the lesioned hemisphere. Motor skill learning is frequently cited as a requirement for neuroplasticity. Studies examining the links between training, motor learning, neuroplasticity, and improvements in hand motor function are indicated...
September 27, 2016: Disability and Rehabilitation
Philippe S Archambault, Émilie Blackburn, Denise Reid, François Routhier, William C Miller
: Mobility is important for participation in daily activities and a power wheelchair (PW) can improve quality of life of individuals with mobility impairments. A virtual reality simulator may be helpful in complementing PW skills training, which is generally seen as insufficient by both clinicians and PW users. To this end, specific, ecologically valid activities, such as entering an elevator and navigating through a shopping mall crowd, have been added to the McGill wheelchair (miWe) simulator through a user-centred approach...
September 27, 2016: Disability and Rehabilitation
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