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Disability and Rehabilitation

Gillian King, Yukari Seko, Lisa A Chiarello, Laura Thompson, Laura Hartman
PURPOSE: Children's resiliency is seen as important in pediatric rehabilitation, but is seldom the focus of research or intervention. This article presents a resiliency framework to inform pediatric rehabilitation research, service design, and practice. METHODS: The development of the framework was guided by a transactional, life course perspective, and a review of self-constructs in the resiliency literature. RESULTS: The framework comprises health-related adversities, self-capacities, self-regulatory processes, and adaptive benefits...
November 14, 2018: Disability and Rehabilitation
Martin Checklin, Deanne Fernon, Julia Soumilas, Delwyne Stephens
PURPOSE: To investigate the experiences of significant others when their loved one with a severe brain injury is admitted to acquired brain injury (ABI) rehabilitation. MAIN MEASURES: A qualitative approach was undertaken; using in-depth interviews and the drawing method to elicit information on the experiences of significant others who had loved ones enter an ABI unit, early in the sub-acute rehabilitation admission. RESULTS: Nine significant others participated in interviews and completed drawings...
November 13, 2018: Disability and Rehabilitation
Ikenna D Ebuenyi, Esther S Rottenburg, Joske F G Bunders-Aelen, Barbara J Regeer
PURPOSE: To explore barriers and pathways to the inclusion of persons with mental and intellectual disabilities in technical and vocational education and training programmes in four East African countries, in order to pave the way to greater inclusion. MATERIALS AND METHODS: An explorative, qualitative study including 10 in-depth interviews and a group discussion was conducted with coordinators of different programmes in four East African countries. Two independent researchers coded the interviews inductively using Atlas...
November 6, 2018: Disability and Rehabilitation
Cecilie N Thisted, Merete Labriola, Claus Vinther Nielsen, Sanne T Kristiansen, Janni Strøm, Merete B Bjerrum
PURPOSE: To synthesize evidence on factors promoting or hindering work participation (WP) of employees with depression from the employees', co-workers' and employers' perspectives, as well as an additional focus on the influence of the employee's occupation. METHODS: An integrative review was conducted. Pre-defined eligibility criteria guided study selection. Articles were critically appraised using tools developed by Joanna Briggs and Mixed Methods Appraisal Tool...
November 2, 2018: Disability and Rehabilitation
Judith Vloothuis, Marja Depla, Cees Hertogh, Gert Kwakkel, Erwin van Wegen
PURPOSE: Caregiver-mediated exercises are a novel way of delivering augmented exercise therapy for patients with stroke, in which patients do additional therapeutic exercises together with a caregiver. This explorative qualitative study is part of the CARE4STROKE trial and focused on how participants manage these exercises together. The research questions were: (1) how do the patient-caregiver couples exercise together? and (2) what does exercising together bring about, besides more hours of practice? METHODS: Semi-structured interviews were conducted with patients and caregivers who participated in the CARE4STROKE intervention...
November 1, 2018: Disability and Rehabilitation
Emma Barnard, Chelsea R Brown, Tracey J Weiland, George A Jelinek, Claudia H Marck
BACKGROUND: The optimal management strategy for multiple sclerosis (MS), and many other chronic diseases, likely involves health behavior modification. Multimodal behavioral interventions may be most effective, but little is known about long-term adherence in people with MS. METHODS: This qualitative study assessed barriers and enablers to long-term adherence by people with MS who self-selected for a 5-day health behavior intervention 3-5 years prior. Thirteen women and five men participated in semi-structured phone interviews, which were transcribed and thematically analyzed...
October 30, 2018: Disability and Rehabilitation
Valère Wittevrongel, Michiel F Reneman
BACKGROUND: To establish an optimum dosage interdisciplinary vocational rehabilitation, it is important to be able to reliably and validly assess case complexity. Assessment of case complexity is currently clinician based because no validated means to assess case complexity is presently available. Indices assumed to associate with case complexity can contribute to the choice of dosage. The objective of this study was to explore the extent in which results of questionnaires were associated with the choice of treatment dosage in vocational rehabilitation...
October 29, 2018: Disability and Rehabilitation
Nina Heräjärvi, Markku Leskinen, Raija Pirttimaa, Kimmo Jokinen
PURPOSE: This study examined the subjective quality of life among youth with severe physical disabilities during the transition to adulthood. METHOD: A purposive sample of 74 youths (mean age 20.19) with severe physical disabilities completed World Health Organization Quality of Life - Brèf (WHOQOL-BREF) to measure the quality of life; the Severely Disabled Youths' Life Situation and Functioning of Service Systems in Finland to measure health issues. The data were analyzed using one-sample and independent-samples t-tests, and sequential multiple regression analysis...
October 28, 2018: Disability and Rehabilitation
Jo Adams, Wendy Lowe, Joanne Protheroe, Jill Lueddeke, Ray Armstrong, Cynthia Russell, Don Nutbeam, Claire Ballinger
BACKGROUND: This study recorded the functional health literacy levels of people with musculoskeletal (MSK) conditions from harder to reach groups and explored their experiences in engaging with health care professionals to self-manage their MSK condition. METHODS: We recruited participants, identified by key health and social care contacts as likely to have lower health literacy levels, and used semi-structured interviews to collect data. Thematic analysis was used to identify the main key themes arising from the transcribed interviews...
October 28, 2018: Disability and Rehabilitation
Shayan Bahadori, Thomas W Wainwright, Osman H Ahmed
PURPOSE: The aim of this study was to critically examine the content of smartphone apps produced for patients undergoing total hip replacement and total knee replacement surgery. MATERIALS AND METHODS: A systematic search was conducted across the five most popular smartphone app stores: iTunes; Google Play; Windows Mobile; Blackberry App World; and Nokia Ovi. Apps were identified for screening if they: targeted total hip replacement or total knee replacement patients; were free of charge; and were in English...
October 26, 2018: Disability and Rehabilitation
Katherine B Knox, Lynne Clay, Kiersten Stuart-Kobitz, Darren Nickel
PURPOSE: People with multiple sclerosis (MS) rank walking among the most challenging aspects of their condition. A greater understanding of people's perspectives concerning their walking may help to prioritize walking outcomes and strategies for optimizing walking. The purpose was to explore perceptions of walking in people with MS and to describe their reactions after observing themselves walk on video. MATERIALS AND METHODS: An interpretive thematic analysis study using face-to-face, semi-structured interviews was conducted with 14 people who self-identified a change in their walking due to MS...
October 22, 2018: Disability and Rehabilitation
Athanasia Alexoudi, Panayiotis Patrikelis, Theodoros Fasilis, Spyros Deftereos, Damianos Sakas, Stylianos Gatzonis
PURPOSE: Multiple system atrophy (MSA) is a progressive neurodegenerative disease characterized by postural instability, autonomic failure, cerebellar ataxia, and cognitive deficits. There is currently no effective cure. Transcranial direct current stimulation (tDCS), offers promise in amendment of motor, and cognitive performance in advanced Parkinson's disease. CASE DESCRIPTION: We estimated the effect of anodal tDCS on motor and cognitive function in a 66-year-old woman with moderate MSA...
October 21, 2018: Disability and Rehabilitation
Wataru Nakano, Yukari Ohashi, Yuka Saito, Takayuki Maezawa, Yutaka Kohno
OBJECTIVE: To characterize the pattern of activity accumulation in stroke survivors. METHOD: Nineteen stroke patients and 19 age-sex-matched healthy adults participated. Step counts were measured using a step activity monitor for 3 d. The steps per day, bouts per day, walking time per day, average steps per bout, and average walking time per bout were calculated in each walking-distance category (short, medium, and long-distance bout) and in total. RESULTS: The total steps per day were 8446 and 11,749 steps in stroke survivors and control participants, respectively...
October 20, 2018: Disability and Rehabilitation
Giancarlo Coghe, Massimiliano Pau, Elena Mamusa, Cinzia Pisano, Federica Corona, Giuseppina Pilloni, Micaela Porta, Giovanni Marrosu, Alessandro Vannelli, Jessica Frau, Lorena Lorefice, Giuseppe Fenu, Maria Giovanna Marrosu, Eleonora Cocco
BACKGROUND: Gait analysis is a reliable tool to characterise ambulation in Charcot-Marie-Tooth, the obtained are complex data makes its use scarce in clinical practice. The use of synthetic measures may enable the clinician to easily interpret gait kinematics in Charcot-Marie-Tooth. AIMS: To test the usefulness of Gait Profile Score as a method to quantify and monitor kinematic gait alterations in Charcot-Marie-Tooth. METHODS: A group of patients with Charcot-Marie-Tooth and a control group underwent Gait Analysis...
October 18, 2018: Disability and Rehabilitation
Richard Crevenna, Franz Kainberger, Christoph Wiltschke, Christine Marosi, Michael Wolzt, Fadime Cenik, Mohammad Keilani
BACKGROUND: Cancer rehabilitation has the goal to improve functional status, quality of life, participation, and can improve quality of patient-centered programs and health care efficiencies. In Austria, inpatient cancer rehabilitation is well established but outpatient rehabilitation has not yet established well. METHODS: The present article is describing current rehabilitation in practice and focuses on cancer rehabilitation in Austria, namely bringing together a descriptive account of current trends and practices within an Austrian University Hospital Center (General Hospital of Vienna linked to the Medical University of Vienna) and the Comprehensive Cancer Centre (CCC) Vienna, Austria...
October 17, 2018: Disability and Rehabilitation
Michelle McIntyre, Carolyn Ehrlich, Elizabeth Kendall
PURPOSE: Much of the support required to live in the community post-traumatic brain injury (TBI) is provided by informal carers. Understanding the nature of caregiving work is important to better support informal carers. This study explored the work being performed by informal carers, and factors impacting on their capacity to manage the workload. METHOD: Participants comprised 21 dyads each consisting of an adult with moderate to severe TBI and a nominated carer...
October 16, 2018: Disability and Rehabilitation
Alaa Abou Khzam
No abstract text is available yet for this article.
October 16, 2018: Disability and Rehabilitation
Ingrid van de Port, Michiel Punt, Jan Willem Meijer
BACKGROUND: Free-living walking activity and its contributing factors in ambulatory people with stroke is poorly investigated. OBJECTIVE: Evaluating free-living walking activity and identifying factors associated with free-living walking activity. METHODS: In this cross-sectional study, participants wore an accelerometer to measure their level of walking activity. They also completed the Berg Balance Scale (BBS) and the Timed Up and Go test for functional balance, the Falls Efficacy Scale, the 10-Metre Walk Test and the Geriatric Depression Scale to investigate the relation between the performance tests and walking activity...
October 16, 2018: Disability and Rehabilitation
Sarah J Gilmore, Megan Davidson, Andrew J Hahne, Jodie A McClelland
PURPOSE: Measuring step count using activity monitors is an increasingly popular method of quantifying physical activity, however it is unknown whether gait irregularities or the use of gait aids affect the accuracy of these devices. This study evaluates the validity of the ActivPAL3, Fitbit Flex, and Jawbone UP Move activity monitors for measuring step count in hospital inpatients after lumbar fusion. METHODS: The ActivPAL3 was tested on the thigh, the Fitbit, and the Jawbone were tested on the wrist and thigh, each monitor was tested 20 times...
October 16, 2018: Disability and Rehabilitation
Miriam Allein Zago Marcolino, Melina Hauck, Cinara Stein, Jociane Schardong, Aline de Souza Pagnussat, Rodrigo Della Méa Plentz
PURPOSE: To evaluate the effects and to compare transcutaneous electrical nerve stimulation protocols, alone or as additional therapy in chronic post-stroke spasticity through a systematic review and meta-analysis of randomized clinical trials. METHODS: Search was conducted in MEDLINE, Cochrane Library, EMBASE and Physiotherapy Evidence Database through November 2017 (CRD42015020146). Two independent reviewers performed articles selection, data extraction and methodological quality assessment using the Cochrane Collaboration's risk of bias tool...
October 16, 2018: Disability and Rehabilitation
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