Disability and Rehabilitation最新文献

{"title":"Proactive rehabilitation screening (PReS) - development and validation of a modified PReS tool to screen admitted patients needing in-hospital rehabilitation programs.","authors":"Jane Wu, Yuriko Watanabe, Nicholas Olsen, Swee-Ling Toh, Abraham Arulanandam, Christine T Shiner","doi":"10.1080/09638288.2025.2512590","DOIUrl":"https://doi.org/10.1080/09638288.2025.2512590","url":null,"abstract":"<p><strong>Purpose: </strong>To analyse the predictive performance of Proactive Rehabilitation Screening (PReS) tool in identifying hospitalised patients who require formal inpatient multidisciplinary rehabilitation program.</p><p><strong>Methods: </strong>A prospective observational cohort study was conducted in two Australian public hospitals. The aims were to (1) assess the original PReS tool's ability to predict rehabilitation needs and (2) develop and validate a modified PReS tool. Regression analysis was used to re-estimate predictor weights.</p><p><strong>Results: </strong>In the development cohort (<i>n</i> = 1600), 272 patients (17%) received rehabilitation. Using multivariate regression analysis, we identified five key variables (age, number of allied health sessions received in 5 days, assistance required to mobilise, new personal care impairment and discharge barriers) to modify the original PReS tool. The modified PReS scores were stratified into likelihood of rehabilitation: low (0-4), medium (5-13) and high (14-20). Performance was improved for medium likelihood when a rehabilitation clinician was included in decision making. This was validated in an independent cohort of 800 patients demonstrating good predictive performance: sensitivity of 81.1%, specificity of 88.0%, total accuracy 86.9%.</p><p><strong>Conclusion: </strong>The modified PReS tool can reliably identify patients at risk of needing rehabilitation using five easily obtained clinical variables, enabling timely evidence-based rehabilitation interventions to minimise disability.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-10"},"PeriodicalIF":2.1,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334359","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}

{"title":"Parents' meaning-making about having a child with significant disabilities in Bangladesh.","authors":"Md Abdul Jalil, Margaret Spencer, Ilektra Spandagou","doi":"10.1080/09638288.2025.2519507","DOIUrl":"https://doi.org/10.1080/09638288.2025.2519507","url":null,"abstract":"<p><strong>Purpose: </strong>In Bangladesh, uptake of early intervention and rehabilitation services for children with disabilities by families has been limited. Understanding the reasons why parents of children with disabilities do not access or may be hesitant to engage in such services is essential for informing the design and delivery of services, as well as raising public awareness and educating people about their benefits. This study aimed to explore the subjective meaning parents ascribe to having a child with significant disabilities in Bangladesh.</p><p><strong>Materials and methods: </strong>Semi-structured interviews were conducted with 13 mothers and 12 fathers using Interpretative Phenomenological Analysis (IPA). Data were analysed using a 5-step process.</p><p><strong>Results: </strong>Under the theme of meaning-making, three sub-themes were revealed: meaning-making through traditional beliefs, using faith, and integrating Western medical understanding. The findings emphasised that traditional cultural and spiritual beliefs regarding disability strongly influence parenting children with significant disabilities in Bangladesh. These views are reinforced and mediated through the extended family and community, impacting the parents' well-being and relationships with their children.</p><p><strong>Conclusions: </strong>The study highlights the need for an ecological multisystemic approach to facilitating access to rehabilitation and early intervention services for children with significant disabilities in Bangladesh.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-10"},"PeriodicalIF":2.1,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334358","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}

{"title":"Stewardship of rehabilitation services in Iran: a qualitative study exploring current challenges and solutions.","authors":"Mahnaz Afshari, Zahra Najafi, Zeynab Foroughi, Kianoush Abdi","doi":"10.1080/09638288.2025.2519505","DOIUrl":"https://doi.org/10.1080/09638288.2025.2519505","url":null,"abstract":"<p><strong>Purpose: </strong>Unclear stewardship of rehabilitation services has created various challenges and barriers to their effective provision in Iran. The purpose of this study was to identify the challenges and solutions for improving the stewardship of rehabilitation services in Iran in 2024.</p><p><strong>Materials and methods: </strong>This study employed a qualitative methodology using a framework analysis approach. Data were collected through in-depth semi-structured interviews. Purposive sampling with maximum variation was used. To ensure the data trustworthiness, Lincoln and Guba's criteria were applied.</p><p><strong>Results: </strong>Sixteen interviews were conducted. Key challenges included: fragmented and unclear stewardship of rehabilitation services; lack of integration of rehabilitation services into the health system; absence of sustainable funding mechanisms. Key strategies include: establishing the High Council for Rehabilitation under the supervision of the President; expanding comprehensive rehabilitation services at all health system levels; optimizing the utilization of existing capacities to enhance rehabilitation services; securing sustainable financing; and creating an information management infrastructure.</p><p><strong>Conclusions: </strong>The findings highlight two critical strategies for robust rehabilitation service stewardship, fostering coordination and integration among policymaking entities and establishing a comprehensive rehabilitation information system. Such a system would enable the identification of priority needs and groups requiring services, facilitating targeted planning and resource allocation.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-13"},"PeriodicalIF":2.1,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327646","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}

{"title":"Correction.","authors":"","doi":"10.1080/09638288.2025.2523212","DOIUrl":"https://doi.org/10.1080/09638288.2025.2523212","url":null,"abstract":"","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1"},"PeriodicalIF":2.1,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334356","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}

{"title":"A qualitative study of the social and emotional needs of adults with cerebral palsy: \"it's a terrible gap\".","authors":"Christine L Petranovich, Cristina A Sarmiento, Chloe Glaros, Hannah Friedman, Lisa A Brenner, Brooke Dorsey Holliman","doi":"10.1080/09638288.2025.2520286","DOIUrl":"https://doi.org/10.1080/09638288.2025.2520286","url":null,"abstract":"<p><strong>Purpose: </strong>We aim to explore the social and emotional needs of adults with cerebral palsy (CP) and their caregivers.</p><p><strong>Methods: </strong>This qualitative descriptive study included adults with CP between the ages of 20-37 and their caregivers. We conducted 21 semi-structured interviews (7 interviews with adults with CP, 9 with only the caregiver of an adult with CP, and 5 dyads of an adult with CP and their caregiver). Using thematic analysis, we identified themes associated with social and emotional needs.</p><p><strong>Results: </strong>Three themes were identified: 1) emotional challenges of adjusting to new roles and increased independence; (2) the importance of mental health for adults with CP and caregivers alike; and (3) the value of social supports. Within these areas, a range of specific challenges were discussed, including troubles fulfilling adult roles and responsibilities, managing sadness and anxiety, and connecting with other adults with similar histories and current circumstances.</p><p><strong>Conclusions: </strong>These findings elucidate our understanding of the social and emotional complexities of navigating adulthood with CP and point to potentially helpful programs to support the unique constellation of needs that are often faced. This may include targeted psychotherapeutic services and structured opportunities to meet other adults with similar histories.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-8"},"PeriodicalIF":2.1,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327645","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}

{"title":"Effects of dual-task functional training on the movement competence of individuals with intellectual disabilities and developmental coordination disorders: a randomized controlled trial.","authors":"Hamid Zolghadr, Parisa Sedaghati, Hassan Daneshmandi, Yahya Sokhangoe","doi":"10.1080/09638288.2025.2519496","DOIUrl":"https://doi.org/10.1080/09638288.2025.2519496","url":null,"abstract":"<p><strong>Purpose: </strong>The study aimed to determine the effects of dual-task functional training (D-TFT) on the movement competence of individuals with intellectual disabilities and developmental coordination disorders (ID and DCD).</p><p><strong>Materials and methods: </strong>30 individuals with ID and DCD were randomly assigned to control (<i>n</i> = 15, aged 11.73 ± 1.66 years old) and experimental, or D-TFT (<i>n</i> = 15, aged 10.93 ± 1.83 years old). The DCD Questionnaire was used to identify DCD, and the Test of Gross Motor Development, third edition (TGMD-3) and Körperkoordinationstest für Kinder (KTK) were used to evaluate movement competence. The experimental group performed D-TFT for 45 min, three days a week, for eight weeks.</p><p><strong>Results: </strong>The results showed that there was a significant difference between the D-TFT and control groups in the movement competence variables of the total score of KTK (<i>p</i> = 0.001; ES = 0.39), locomotor skill (<i>p</i> = 0.005; ES = 0.22), ball skills (<i>p</i> = 0.001; ES = 0.60), total gross motor scores (<i>p</i> = 0.001; ES = 0.61).</p><p><strong>Conclusions: </strong>According to the results of the study, the use of D-TFT can improve the movement competence of boys with ID and DCD. The use of verbal instructions while executing the training can have a considerable effect.</p><p><strong>Trial registration no: </strong>IRCT20190425043370N2 (date of registration on 10, 01, 2024) registered in the Iranian Registry of Clinical Trials.Implications for RehabilitationDual-task functional training can be a suitable training program to improve the movement competence of boys with intellectual disability and developmental coordination disorders.Using verbal instructions increases the accuracy and correct implementation of functional movement patterns in the training program.The use of exercise programs such as dual-task functional training, due to being close to daily movement patterns, can positively affect the daily life and independence of individuals with intellectual disability and developmental coordination disorder.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-9"},"PeriodicalIF":2.1,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334357","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}

{"title":"Understanding the issues of hypermobility spectrum disorders and hypermobile Ehlers-Danlos syndrome in primary care: a qualitative integrative review.","authors":"Elinor Jones, Daniele Carrieri","doi":"10.1080/09638288.2025.2517246","DOIUrl":"https://doi.org/10.1080/09638288.2025.2517246","url":null,"abstract":"<p><strong>Purpose: </strong>Hypermobility spectrum disorders (HSDs) and hypermobile Ehlers-Danlos syndrome (hEDS) are disorders characterised by joint laxity, pain, and fatigue, causing multi-system complications and significant burden. Primary care is essential in supporting HSD/hEDS patients, and understanding challenges in this setting is key.</p><p><strong>Materials and methods: </strong>This integrative review aims to understand and analyse issues that exist in primary care for clinicians and HSD/hEDS patients. Embase, Medline, Health Management Information Consortium, Social Policy & Practice, PsycINFO, Cochrane, and CINAHL databases were searched in October 2024 and qualitative or mixed-method studies were included. Thematic analysis and critical appraisal were performed on eight studies.</p><p><strong>Results: </strong>Three themes were identified as common issues for patients and clinicians: (1) structural barriers, (2) societal barriers, and (3) consultation barriers to care. Uncoordinated services, inadequate training, and stigma were common sub-themes and these barriers existed at multiple levels. Few published studies explored the direct experiences of patients and clinicians in primary care and data varied in quality.</p><p><strong>Conclusions: </strong>Future qualitative studies could explore primary care physicians' knowledge and attitudes towards HSD/hEDS in this setting to inform the organisation of appropriate services and education strategies. This could contribute to knowledge and bias reduction, improving patient outcomes in practice.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-16"},"PeriodicalIF":2.1,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327647","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}

{"title":"\"I want to be physically active as long as I live\" Expectations and experiences of direct access to physiotherapist in primary healthcare of patients with knee osteoarthritis.","authors":"Chan-Mei Ho-Henriksson, Carina A Thorstensson, Lena Nordeman, Lena Zidén","doi":"10.1080/09638288.2025.2519494","DOIUrl":"https://doi.org/10.1080/09638288.2025.2519494","url":null,"abstract":"<p><strong>Purpose: </strong>To explore expectations and experiences of patients who have consulted a physiotherapist in primary healthcare for initial assessment and treatment of knee osteoarthritis (KOA), as well as exploring if this initial contact had affected patients' perceived health status and views of future self-management.</p><p><strong>Material and methods: </strong>Fifteen participants seeking care for suspected KOA at five rehabilitation centres in Swedish primary healthcare were interviewed. An inductive approach was used. Data material was analysed using qualitative content analysis.</p><p><strong>Results: </strong>The overall theme was \"I want to be physically active as long as I live.\" Three categories emerged and resulted in eight sub-categories. Participants wanted to get back to their usual physical activities, and to feel free to move the way they wanted. The core treatment, including patient education and individual exercise programs, delivered by a physiotherapist gave patients increased knowledge concerning how to treat KOA on their own.</p><p><strong>Conclusion: </strong>Participants saw the physiotherapist as a natural first option. It was believed that exercise was the primary treatment alternative to relieve symptoms and that self-management was necessary. The participants were optimistic and had hopes of being able to return to their usual physical activities again.</p><p><strong>Clinical trial: </strong>Prospectively registered 2022-10-03 in clinicaltrials.gov, reference number: NCT05566925.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-10"},"PeriodicalIF":2.1,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310725","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}

{"title":"Supporting adolescents with developmental coordination disorder (DCD) in their daily challenges: a qualitative study of adolescents' perspectives.","authors":"Shahar Zaguri-Vittenberg, Miri Tal-Saban","doi":"10.1080/09638288.2025.2519504","DOIUrl":"https://doi.org/10.1080/09638288.2025.2519504","url":null,"abstract":"<p><strong>Purpose: </strong>Adolescents with developmental coordination disorder (DCD) face daily challenges that affect their well-being. Existing interventions for individuals with DCD target younger children. This study explored adolescents' perspectives on coping resources and professional support, to inform age-appropriate intervention protocol development.</p><p><strong>Materials and methods: </strong>Informed by the interpretive phenomenological approach, semi-structured interviews were conducted with 11 adolescents with DCD.</p><p><strong>Findings: </strong>Three themes emerged: (1) \"How I help myself get rid of the monster\" - perceived coping resources for daily functioning, including external sources, self-utilised strategies (planning, task breakdown), and adaptive mindsets focused on persistence and capabilities; (2) \"I'm not sitting in a wheelchair\" - varying attitudes toward professional support; some avoid it due to stigma or aspiration for self-reliance, while others value it despite practical barriers; and (3) \"What I want it to be like\" - the priorities and needs in professional support, which emphasized practical skills and emotional aspects, knowledge of DCD and how to explain it to others, and preferences for individualized or combined group settings.</p><p><strong>Conclusions: </strong>The findings indicate that interventions for adolescents with DCD should focus on function-oriented approaches, combined with psycho-educational knowledge about the disorder and enhancement of their psychosocial resources, while respecting their independence and need for self-reliance.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-9"},"PeriodicalIF":2.1,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310726","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}

{"title":"Effect of integrating an 8-figure shoulder brace into rehabilitation exercise on trunk control, balance, and gait parameters in patients with chronic stroke: a randomized controlled trial.","authors":"Sangyong Han, Donghwan Park","doi":"10.1080/09638288.2025.2519497","DOIUrl":"https://doi.org/10.1080/09638288.2025.2519497","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to investigate the effect of integrating an 8-figure shoulder brace (8-FSB) into rehabilitation exercises on trunk control, balance, and gait parameters in patients with chronic stroke.</p><p><strong>Methods: </strong>Participants were randomly assigned to either an experimental group (rehabilitation exercise with 8-FSB, <i>n</i> = 11) or a control group (rehabilitation exercise only, <i>n</i> = 11). Both groups participated in 30-minute sessions, five times per week for four weeks. Outcome measures included trunk impairment scale, total center of pressure distance, timed up and go test, gait speed, and step length. Assessments were conducted before and after the intervention. Independent t-tests were used for between-group comparisons, and paired t-tests for within-group comparisons.</p><p><strong>Results: </strong>After four weeks, the experimental group showed significant improvements in trunk control, balance, gait speed, and step length on the unaffected side (<i>p</i> < 0.05). No significant change was observed in step length on the affected side in either group (<i>p</i> > 0.05).</p><p><strong>Conclusions: </strong>Integrating the 8-FSB into rehabilitation exercises may enhance trunk control, balance, and gait ability in patients with chronic stroke, thereby contributing to their functional recovery.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-7"},"PeriodicalIF":2.1,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318576","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}