Disability and Rehabilitation最新文献

Home-based therapy for upper limb activity in children and adolescents with unilateral cerebral palsy: systematic review and meta-analysis. 单侧脑瘫儿童和青少年上肢活动的家庭治疗：系统回顾和荟萃分析。

IF 2 4区医学

Disability and Rehabilitation Pub Date : 2026-05-08 DOI: 10.1080/09638288.2026.2659554

Cristina Lirio-Romero, Hilde Feys, Purificación López-Muñoz, Roslyn N Boyd, María Coello-Villalón, Helena Romay-Barrero, Julián Ángel Basco-López, Giuseppina Sgandurra, Elena Beani, Rocío Palomo-Carrión

{"title":"Home-based therapy for upper limb activity in children and adolescents with unilateral cerebral palsy: systematic review and meta-analysis.","authors":"Cristina Lirio-Romero, Hilde Feys, Purificación López-Muñoz, Roslyn N Boyd, María Coello-Villalón, Helena Romay-Barrero, Julián Ángel Basco-López, Giuseppina Sgandurra, Elena Beani, Rocío Palomo-Carrión","doi":"10.1080/09638288.2026.2659554","DOIUrl":"https://doi.org/10.1080/09638288.2026.2659554","url":null,"abstract":"Purpose: To analyze the effect of home-based therapy for upper limb activity in children and adolescents with unilateral cerebral palsy.Methods: PubMed, Cochrane Central Register of Controlled Trials, CINAHL, PsycINFO, and PEDro were systematically searched from inception to March 2026 for experimental studies addressing the effect of home-based therapies in participants aged from 2 to 18 years old. The DerSimonian and Laird method was used to compute pooled estimates of the standardized mean differences (SMD) and their respective 95% confidence intervals (CI). Subgroup analyses were performed based on the dosage of interventions.Results: Seventeen studies were included in this systematic review. Home-based therapies showed improvement in upper limb activity (SMD = 0.45; 95% CI: 0.30-0.60). No statistically significant differences were observed in relation to the intensity of intervention (hours per week). Meta-regression analysis revealed that none of the implementation-related moderators-including parental involvement, delivery format, dose profile, task relevance and contextual support-had a statistically significant effect on intervention outcomes (p > 0.05).Conclusions: High-intensity home-based therapies have demonstrated promising findings in improving upper limb activity in children and adolescents with unilateral cerebral palsy. Further high-quality studies may assess the influence of intervention characteristics.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-14"},"PeriodicalIF":2.0,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Occupational therapy at home E-rehabilitation (OTHER): a feasibility study of post-stroke intervention for transition to home. 家庭电子康复（OTHER）：脑卒中后家庭过渡干预的可行性研究。

IF 2 4区医学

Disability and Rehabilitation Pub Date : 2026-05-08 DOI: 10.1080/09638288.2026.2661490

Daoping Zhu, Jun Tao, Yu Zhou, Wenqi Feng

引用次数: 0

Well-being and support preferences of siblings of individuals with a neurodevelopmental condition in regional and remote Australia: a mixed methods investigation. 澳大利亚地区和偏远地区神经发育状况个体的兄弟姐妹的幸福感和支持偏好：一项混合方法调查。

IF 2 4区医学

Disability and Rehabilitation Pub Date : 2026-05-08 DOI: 10.1080/09638288.2026.2663921

Samuel Antonio, Kate Jamieson, Kate P Dorozenko, Emma J Glasson, Chloe Maxwell-Smith

{"title":"Well-being and support preferences of siblings of individuals with a neurodevelopmental condition in regional and remote Australia: a mixed methods investigation.","authors":"Samuel Antonio, Kate Jamieson, Kate P Dorozenko, Emma J Glasson, Chloe Maxwell-Smith","doi":"10.1080/09638288.2026.2663921","DOIUrl":"https://doi.org/10.1080/09638288.2026.2663921","url":null,"abstract":"Purpose: This convergent parallel mixed methods study examined the role of protective factors (resilience, family functioning, and social support) in explaining sibling well-being, alongside this population's support preferences and experiences.Materials and methods: We surveyed 93 siblings of individuals with a neurodevelopmental condition aged between 16-30 years, currently or previously living in regional and remote areas of Australia. The majority of the sample identified as women (79.6%), with an average age of 23 years (SD = 4.6).Results: A hierarchical multiple regression showed resilience and social support combined, but not family functioning, accounted for a significant 58% of variance in well-being. A reflexive thematic analysis of qualitative data identified that siblings were often self-reliant through necessity, and desired services and supports that acknowledged them first as individuals, not just siblings. Siblings commonly accessed social support through their local communities, and preferred support from people who understood neurodevelopmental conditions and the sibling role.Conclusion: Providing accessible, resilience-based interventions for siblings, and empowering local communities to provide greater support will benefit the well-being of rural siblings and their families.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-15"},"PeriodicalIF":2.0,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

FunVis: evaluating a brief functional vision assessment for non-vision specialists working with non-speaking children with bilateral cerebral palsy. FunVis：评估与双侧脑瘫不说话儿童一起工作的非视力专家的简短功能视力评估。

IF 2 4区医学

Disability and Rehabilitation Pub Date : 2026-05-07 DOI: 10.1080/09638288.2026.2665719

M T Clarke, T Griffiths, J Sargent, G Panesar, L McLaughlin, R Cooper, G Aberbach, J Swettenham

{"title":"FunVis: evaluating a brief functional vision assessment for non-vision specialists working with non-speaking children with bilateral cerebral palsy.","authors":"M T Clarke, T Griffiths, J Sargent, G Panesar, L McLaughlin, R Cooper, G Aberbach, J Swettenham","doi":"10.1080/09638288.2026.2665719","DOIUrl":"https://doi.org/10.1080/09638288.2026.2665719","url":null,"abstract":"Purpose: This study evaluated a brief functional vision assessment (FunVis) for use by non‑vision specialists working with non‑speaking children with cerebral palsy. FunVis evaluates children's ability to fixate, shift gaze, and track a moving object.Methods: Forty‑four children participated. We analysed relationships between FunVis performance: (i) when scored by school staff and separately by a vision specialist; (ii) and the Eye‑Pointing Classification Scale; (iii) and child characteristics; and (iv) the presence of visual impairments.Findings: Agreement between non‑vision specialists and the vision specialist ranged from substantial to fair, with the strongest agreement for gaze fixation. FunVis performance was significantly associated with functional descriptors on the Eye‑Pointing Classification Scale, as well as with child language and non‑verbal cognition. No associations were found with chronological age or gross motor ability. Children who had difficulty with one or more FunVis items were more likely to have clinically identified visual impairments than those who successfully fixated, shifted gaze, and tracked.Conclusions: FunVis appears valuable for supporting school staff in recognising functional vision abilities and providing a structured method for documenting visual behaviours that might otherwise go unnoticed.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-12"},"PeriodicalIF":2.0,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Expert consensus on optimal goal-setting practices for caregivers of children with a disability or delay: an international Delphi consensus study. 专家共识的最佳目标设定实践的照顾者与残疾或延迟儿童：一个国际德尔菲共识研究。

IF 2 4区医学

Disability and Rehabilitation Pub Date : 2026-05-07 DOI: 10.1080/09638288.2026.2666068

Madison A Watson, Leanne M Johnston, Laura Miller, Aisling K Ryan

{"title":"Expert consensus on optimal goal-setting practices for caregivers of children with a disability or delay: an international Delphi consensus study.","authors":"Madison A Watson, Leanne M Johnston, Laura Miller, Aisling K Ryan","doi":"10.1080/09638288.2026.2666068","DOIUrl":"https://doi.org/10.1080/09638288.2026.2666068","url":null,"abstract":"Purpose: To support greater consistency in collaborative goal setting with caregivers, this study aimed to gain expert consensus from allied health professionals on goal setting practices for use with caregivers of children with a disability or delay.Method: Expert pediatric allied health clinicians, academics, and researchers were recruited for the three-round e-Delphi survey. Round 1 included open-ended questions on collaborative goal-setting frameworks, procedural steps, clinical tools, and strategies. Round 1 data were analyzed using inductive content analysis. Items in Rounds 2 and 3 were rated on a seven-point Likert scale to establish consensus and analyzed using descriptive statistics.Results: Thirty-nine experts participated. All strategies (100% of items) recommended for use with any caregiver, as well as for caregivers with communicative or cognitive difficulties, reached consensus. Participants strongly agreed on a majority (74% of items) of procedural steps to guide goal setting with caregivers and children. Fewer items met consensus for frameworks (12%) and clinical tools (9%).Conclusion: Expert recommendations provide a practical foundation for developing clinical education, resources, and service pathways that support allied health professionals to consistently involve caregivers in goal setting. Future research should evaluate the impact of collaborative approaches on outcomes from child and caregiver perspectives.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-15"},"PeriodicalIF":2.0,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Osseointegration and self-management decision making. 骨整合与自我管理决策。

IF 2 4区医学

Disability and Rehabilitation Pub Date : 2026-05-05 DOI: 10.1080/09638288.2026.2668265

Kirsten Woodend, Amy Hallaran, Hannatu Dogo

{"title":"Osseointegration and self-management decision making.","authors":"Kirsten Woodend, Amy Hallaran, Hannatu Dogo","doi":"10.1080/09638288.2026.2668265","DOIUrl":"https://doi.org/10.1080/09638288.2026.2668265","url":null,"abstract":"Purpose: This study explores how individuals living with limb osseointegration (OI) make decisions about their self-management, including how they seek, evaluate, and apply health information.Materials and methods: Using a constructivist grounded theory approach, ten participants with OI from Canada, the United States, and Australia were interviewed via Zoom. Transcripts were analyzed using constant comparative methods to identify themes and develop a theory of self-management decision-making.Results: Participants described a multifaceted decision-making process across four stages of their OI journey: deciding to undergo OI, managing early post-operative care, addressing complications, and establishing daily routines. The process involved five steps: seeking information, deciding what to use, trying it out, validating its effectiveness, and sharing with peers. Online communities played a significant role in information exchange, though concerns about misinformation were noted. Participants demonstrated high levels of self-advocacy and critical health literacy, often compensating for limited provider knowledge.Conclusions: Findings highlight the need for decision aids, tailored self-management programs, and healthcare provider engagement with online communities. Supporting critical health literacy and peer networks can enhance rehabilitation outcomes for individuals with OI.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-15"},"PeriodicalIF":2.0,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The effects of ankle-foot orthoses on the gait of people with multiple sclerosis: a systematic review and meta-analysis. 踝足矫形器对多发性硬化症患者步态的影响：系统回顾和荟萃分析。

IF 2 4区医学

Disability and Rehabilitation Pub Date : 2026-05-04 DOI: 10.1080/09638288.2026.2665035

Mahshid Mosharaf, Shirin Saberi, Susan Hillier, Ebrahim Sadeghi-Demneh

{"title":"The effects of ankle-foot orthoses on the gait of people with multiple sclerosis: a systematic review and meta-analysis.","authors":"Mahshid Mosharaf, Shirin Saberi, Susan Hillier, Ebrahim Sadeghi-Demneh","doi":"10.1080/09638288.2026.2665035","DOIUrl":"https://doi.org/10.1080/09638288.2026.2665035","url":null,"abstract":"Purpose: To systematically review and quantify the effects of ankle-foot orthoses (AFOs) on gait in people with multiple sclerosis (PwMS).Materials and methods: PubMed, Scopus, and Web of Science were searched to 27 September 2025. Randomized controlled, crossover, and before-and-after clinical trials assessing AFOs on gait in PwMS were included. Outcomes comprised temporospatial, kinematic, kinetic, functional mobility, energy cost, fatigue, and balance measures. Two reviewers independently screened studies, extracted data, and assessed risk of bias. Meta-analyses were performed where feasible; other outcomes were synthesized narratively.Results: Sixteen studies (n = 261) were included. Meta-analysis found no significant effects on walking speed, cadence, stride length, or 6-min walk distance. However, ankle range of motion increased significantly (MD = 12.69°; 95% CI: 2.86 to 22.52; p < 0.001). Subgroup analysis suggested dynamic AFOs could improve 6-min walk distance compared to static AFOs (MD = 45.82 m; 95% CI: 26.93 to 64.71), while comparisons with functional electrical stimulation showed no differences.Conclusions: AFOs improve specific biomechanical deficits (e.g. ankle motion) in PwMS, and dynamic designs may enhance endurance. Effects on core gait parameters are inconsistent, and the evidence is limited and heterogeneous. Clinical prescriptions should be individualized, and larger, high-quality trials are needed to inform guidelines.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-16"},"PeriodicalIF":2.0,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Determining the vocational competencies required to deliver community-based rehabilitation and inclusive development services in India. 确定在印度提供社区康复和包容性发展服务所需的职业能力。

IF 2 4区医学

Disability and Rehabilitation Pub Date : 2026-05-04 DOI: 10.1080/09638288.2026.2665029

Zhi Yang, Qian Huang

引用次数: 0

Facilitators and barriers of rehabilitation exercise of patients with unicompartmental knee arthroplasty: a qualitative study. 单室膝关节置换术患者康复训练的促进因素和障碍：一项定性研究。

IF 2 4区医学

Disability and Rehabilitation Pub Date : 2026-05-04 DOI: 10.1080/09638288.2026.2667687

Qingsong Zou, Taoqin Yao, Lijun Wang, Wei Jiang, Mingyang Qian, Wenzhe Hua, Chunhong Gu

引用次数: 0

Opening new doors: a realist review on return to work with a new employer for sick-listed employees. 打开新的大门：对生病员工重返工作岗位的现实评估。

IF 2 4区医学

Disability and Rehabilitation Pub Date : 2026-05-04 DOI: 10.1080/09638288.2026.2660004

Marie-Louise Klerkx, Suzanne van Hees, Nathan Hutting, Angelique de Rijk, Shirley Oomens

{"title":"Opening new doors: a realist review on return to work with a new employer for sick-listed employees.","authors":"Marie-Louise Klerkx, Suzanne van Hees, Nathan Hutting, Angelique de Rijk, Shirley Oomens","doi":"10.1080/09638288.2026.2660004","DOIUrl":"https://doi.org/10.1080/09638288.2026.2660004","url":null,"abstract":"Purpose: There is a lack of knowledge about reemployment for long-term sick-listed employees when returning to a previous job is not feasible. This study aims to understand the mechanisms and contextual factors that facilitate or hinder return to work with a new employer (RTW-NE) for sick-listed employees.Methods: We conducted a realist review of peer-reviewed studies and gray literature from six databases. Data were extracted and synthesized to identify factors and to create context-mechanism-outcome (CMO) configurations to develop an explanatory framework, based on the Integrated Behavior Model and Stages of Change.Results: 1,584 records were identified, 28 records met the inclusion criteria and methodological rigor. 12 CMO configurations were divided into seven themes explaining the RTW-NE trajectory and are presented in an integrated model explaining the RTW-NE trajectory.Conclusion: An RTW-NE trajectory seems to take more time than a regular RTW trajectory due to various contextual factors such as concurrent life events and false RTW expectations. The motivation for deciding to take the RTW-NE trajectory requires acceptance: closing one door and opening another. The employee's self-efficacy, mental preparation, practical preparation and skill development seem interdependent and thus increasing self-efficacy and skills seems a continuous cyclic process.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-17"},"PeriodicalIF":2.0,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0