Disability and Rehabilitation最新文献_第5页

Optimising communication function in primary brain tumour: a randomised controlled trial of CanCommunicate. 优化原发性脑肿瘤的沟通功能：cancommunication的随机对照试验。

IF 2.2 4区医学

Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-03-18 DOI: 10.1080/09638288.2026.2644114

Emma Finch, Erin Kelly, Philippa Butler, Tamara Ownsworth, Mark B Pinkham, Jennifer Fleming, Emmah Doig, Leisa Turkington, Clare Burns, Anna Farrell, John E Pierce, Rachel Wenke, John Paul Kuwornu, David Copland, Steven McPhail, Sonia Brownsett

{"title":"Optimising communication function in primary brain tumour: a randomised controlled trial of CanCommunicate.","authors":"Emma Finch, Erin Kelly, Philippa Butler, Tamara Ownsworth, Mark B Pinkham, Jennifer Fleming, Emmah Doig, Leisa Turkington, Clare Burns, Anna Farrell, John E Pierce, Rachel Wenke, John Paul Kuwornu, David Copland, Steven McPhail, Sonia Brownsett","doi":"10.1080/09638288.2026.2644114","DOIUrl":"10.1080/09638288.2026.2644114","url":null,"abstract":"Purpose: To evaluate the efficacy of CanCommunicate for improving perceived communication disability and quality of life in people with brain tumour, compared to usual care.Materials & methods: A randomised trial with a waitlist control was used. Participants were randomised to CanCommunicate (immediate intervention) or a wait list (control). CanCommunicate involved a 7-week communication intervention guided by Goal Attainment Scaling with group and individualised sessions. Participants completed the Comprehensive Aphasia Test Disability Questionnaire (CAT DQ), Functional Assessment of Cancer Therapy - General (FACT-G), La Trobe Communication questionnaire (LCQ) and semi-structured interviews at baseline and post-intervention.Results: 39 people participated (Immediate intervention n = 24, waitlist n = 15). There was a significant between-group difference on the CAT DQ over time (p = 0.04) in favour of the intervention group, but not for the LCQ (p = 0.58) or FACT-G (p = 0.80). When data were combined for all participants who completed CanCommunicate (n = 23), ratings were significantly improved on the CAT-DQ (p < 0.001) and LCQ (p = 0.04) at 6-week follow-up. Participants perceived CanCommunicate favourably and made suggestions for further optimisation.Conclusion: The current study supports the benefits of communication intervention for people with brain tumour and reinforces the need for tailored, goal-based interventions.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"6924-6942"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147482292","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

Two years on: a qualitative study of the experiences of people with neurological disability living in accessible apartments in Australia. 两年过去了：一项关于澳大利亚无障碍公寓中神经残疾人士经历的定性研究。

IF 2.2 4区医学

Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-03-31 DOI: 10.1080/09638288.2026.2647658

Stacey Oliver, Kate D'Cruz, Di Winkler, Jacinta Douglas

{"title":"Two years on: a qualitative study of the experiences of people with neurological disability living in accessible apartments in Australia.","authors":"Stacey Oliver, Kate D'Cruz, Di Winkler, Jacinta Douglas","doi":"10.1080/09638288.2026.2647658","DOIUrl":"10.1080/09638288.2026.2647658","url":null,"abstract":"Purpose: Although there is a shift towards smaller-scale, individualised housing, limited research exists on the long-term experiences of people with neurological disability and complex needs in these settings. This study explored the experiences of adults who had lived for two years in a \"10 + 1\" housing model, which consists of ten accessible apartments integrated into a larger mainstream development, with an additional unit for 24-hour support, as required.Methods: Fifteen adults with neurological disability participated in semi-structured interviews exploring quality of life, participation, social connections, support, and the built environment. Grounded theory principles guided open and focused coding to identify themes and relationships.Results: Three themes included: (1) Getting housing and support right for me, (2) Taking control, and (3) Personal growth. A core category of \"becoming and being settled\" underpinned these themes. While many participants described increased security and independence, challenges related to accessibility and support sometimes limited their sense of being settled.Conclusions: Accessible apartments can support safety, independence, and personal growth for people with neurological disability. Ongoing improvements in design and onsite support are needed. A diverse housing market is essential to support choice, and rehabilitation should include planning for housing that aligns with individual needs and preferences.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"6648-6663"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147583070","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

Convergent validity of shoulder range of motion measurement methods in breast cancer patients. 乳腺癌患者肩关节活动度测量方法的收敛效度。

IF 2.2 4区医学

Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-03-10 DOI: 10.1080/09638288.2026.2639939

Nieke Vets, Jill Emmerzaal, Nele Devoogdt, Ann Smeets, Dieter Van Assche, Liesbet De Baets, An De Groef

{"title":"Convergent validity of shoulder range of motion measurement methods in breast cancer patients.","authors":"Nieke Vets, Jill Emmerzaal, Nele Devoogdt, Ann Smeets, Dieter Van Assche, Liesbet De Baets, An De Groef","doi":"10.1080/09638288.2026.2639939","DOIUrl":"10.1080/09638288.2026.2639939","url":null,"abstract":"Purpose: Upper limb dysfunctions are common in breast cancer patients, requiring valid range of motion (ROM) assessment methods. This cross-sectional study evaluates the convergent validity of an Inertial Measurement Unit set-up (IMUs) and three clinical tools: analogue goniometry, analogue inclinometry, and digital goniometry. Secondly, it examines agreement between these clinical tools.Materials and methods: Humerothoracic and scapulothoracic upward rotation ROM were assessed during six movement tasks. Correlation analyses studied convergent validity. Agreement and interchangeability were assessed using interclass correlation coefficients (ICCs), Bland-Altman plots, and limits of agreement.Results: Thirty participants were included (median age 52.50 [45.75-59.00] years). For humerothoracic ROM, clinical tools measured similar constructs (r = 0.609-0.949), and the IMUs show no or related outcomes (r = 0.078-0.809). The clinical tools showed good agreement (ICC = 0.816-0.985); however, systematic biases and outliers were present. For scapulothoracic ROM, results indicated that clinical tools mostly measured similar constructs (r = 0.205-0.888), while the IMUs measured unrelated constructs (r = -0.316-0.511). Moderate to excellent relative agreement was presented (ICC = 0.502-0.936), but with wide variability (up to 27.5°).Conclusions: Clinical tools evaluate similar constructs for humerothoracic and scapulothoracic ROM, but vary for the IMUs. Results suggest not using the tools interchangeably for scapulothoracic ROM due to clinically significant differences.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"6873-6887"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391595","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

Enhancing participation outcomes for people with acquired brain injury, high and complex daily support needs and challenging behaviour: a qualitative study of Australian allied health practitioners. 提高参与成果的人获得性脑损伤，高和复杂的日常支持需求和具有挑战性的行为：澳大利亚联合卫生从业人员的定性研究。

IF 2.2 4区医学

Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-03-31 DOI: 10.1080/09638288.2026.2650821

Sue Sloan, Em Bould, Libby Callaway

{"title":"Enhancing participation outcomes for people with acquired brain injury, high and complex daily support needs and challenging behaviour: a qualitative study of Australian allied health practitioners.","authors":"Sue Sloan, Em Bould, Libby Callaway","doi":"10.1080/09638288.2026.2650821","DOIUrl":"10.1080/09638288.2026.2650821","url":null,"abstract":"Purpose: To investigate how experienced allied health practitioners (AHPs) enhance participation outcomes for community-dwelling adults with high disability support needs and challenging behaviour following extremely severe acquired brain injury (ABI).Materials and methods: Participants were 23 AHPs experienced in adult ABI rehabilitation who participated in semi-structured interviews. Responses were illustrated with a single de-identified case example. Qualitative data analysis was conducted using NVivo and followed the six steps of Reflexive Thematic Analysis.Results: Eight themes to enhance participation outcomes were identified: (1) \"building a good relationship,\" (2) \"it takes a team\", (3) \"I just need to find something he can do\", (4) \"behaviour, activity and participation are inseparable\", (5) \"behaviour is everybody's business\", (6) \"environments that match the person's needs\", (7) \"work with the disability support workers, team leader, and the person above them\", and (8) \"there's a direct correlation between behaviour and participation\".Conclusions: This study supports a bidirectional relationship between behaviour and participation that can be harnessed to shape successful AHP interventions. Implications for future clinical research include the importance of integrating behaviour support plans into structured routines focused on meaningful activity and role participation following ABI, and concurrently measuring behaviour and participation outcomes.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"6758-6779"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147583098","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

Implementing exercise using digital devices to improve mobility and physical activity in people receiving inpatient rehabilitation: phase II of a feasibility hybrid type II implementation-effectiveness randomised controlled trial. 使用数字设备实施锻炼以改善住院康复患者的流动性和身体活动：可行性混合II型实施-有效性随机对照试验的II期

IF 2.2 4区医学

Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-04-11 DOI: 10.1080/09638288.2026.2651679

Nisha Aravind, Daniel Treacy, Sakina Chagpar, Lisa A Harvey, Joanne V Glinsky, Catherine Sherrington, Whitney Harris, Stephanie Potts, Nina Brodaty, Leanne Hassett

{"title":"Implementing exercise using digital devices to improve mobility and physical activity in people receiving inpatient rehabilitation: phase II of a feasibility hybrid type II implementation-effectiveness randomised controlled trial.","authors":"Nisha Aravind, Daniel Treacy, Sakina Chagpar, Lisa A Harvey, Joanne V Glinsky, Catherine Sherrington, Whitney Harris, Stephanie Potts, Nina Brodaty, Leanne Hassett","doi":"10.1080/09638288.2026.2651679","DOIUrl":"10.1080/09638288.2026.2651679","url":null,"abstract":"Purpose: Using digital devices to enhance the dose and type of physiotherapy exercises improved mobility and physical activity among adults undertaking rehabilitation in a previous randomised trial. The objective of this study was to determine the feasibility of implementing this intervention in routine practice in a public hospital to inform the conduct of a large-scale implementation trial.Materials and methods: Feasibility hybrid type II implementation-effectiveness trial. Patients from an inpatient rehabilitation ward were randomised into control or intervention groups. Both groups received usual care. The intervention group received additional exercises using digital devices provided by trained physiotherapists. Primary feasibility outcomes were: exercise dose documented, rate of recruitment, and provision of ≥30 min daily exercise using digital devices.Results: Twenty-two patients were randomised; 11 in each group. Exercise dosage was documented 100% of the time, one participant was recruited every 5 weeks, and 36% of intervention participants received ≥30 min of daily exercise using digital devices over 14 days.Conclusions: Exercises using digital devices can be delivered within usual rehabilitation staffing levels, with intended dosage achieved for one third of participants. A large-scale implementation trial is feasible if trial processes and intervention challenges are addressed, and more study sites are included.Trial registration: Australian and New Zealand Clinical Trial Registry; ACTRN12621000938808.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"6806-6821"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662680","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

Gait rehabilitation outcomes with EksoNR: an exploratory study comparing progressive vs. non-progressive neurological impairments. EksoNR的步态康复结果：一项比较进行性与非进行性神经损伤的探索性研究。

IF 2.2 4区医学

Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-03-03 DOI: 10.1080/09638288.2026.2635931

Ankit Vijayvargiya, Ronan Langan, Deirdre Byrne, Rajesh Kumar, Kieran Moran

{"title":"Gait rehabilitation outcomes with EksoNR: an exploratory study comparing progressive vs. non-progressive neurological impairments.","authors":"Ankit Vijayvargiya, Ronan Langan, Deirdre Byrne, Rajesh Kumar, Kieran Moran","doi":"10.1080/09638288.2026.2635931","DOIUrl":"10.1080/09638288.2026.2635931","url":null,"abstract":"Purpose: This study examines the impact of EksoNR robotics exoskeleton training on gait performance in individuals with progressive and non-progressive neurological impairments and compares the gait effectiveness outcomes between these groups over fifteen therapy sessions.Materials and methods: Sixteen participants (n = 8 progressive; n = 8 non-progressive) were enrolled in a community-based exoskeleton program at Dublin City University. Each completed 15 sessions (approximately once per week). Gait outcomes included (i) exoskeleton assistance level, (ii) walking efficiency (walk time and step count), and (iii) session efficiency (ratios of walk time and step count to up time).Results: The non-progressive group showed a significant reduction in exoskeleton assistance (79.9% to 66.4%), while no significant change was observed in the progressive group. Both groups demonstrated significant improvements in walk time (566 s to 1268 s), step count (322 to 703), and session efficiency (step count ratio: 31.1% to 31.6%; walk time ratio: 20.0% to 21.1%).Conclusions: Community-based EksoNR training significantly improves gait performance in both progressive and non-progressive neurological conditions. In non-progressive cases, reducing robotic assistance may enhance recovery, while walking and session efficiency metrics better reflect progress in progressive conditions.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"6701-6713"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147349656","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

Getting to work with a physical disability: gaps in disability, transportation, and workers' compensation return-to-work policies and programs. 有身体残疾的人去工作：残疾、交通和工人补偿重返工作政策和项目方面的差距。

IF 2.2 4区医学

Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-03-02 DOI: 10.1080/09638288.2026.2637190

Dana Howse, Barbara Neis

{"title":"Getting to work with a physical disability: gaps in disability, transportation, and workers' compensation return-to-work policies and programs.","authors":"Dana Howse, Barbara Neis","doi":"10.1080/09638288.2026.2637190","DOIUrl":"10.1080/09638288.2026.2637190","url":null,"abstract":"Purpose: Disabled people are less likely to be employed than those without disabilities. Research on the relationship between accessibility and the employment of physically disabled people has focused primarily on accessibility concerns within workplaces, neglecting challenges associated with travel to and within work, or 'work mobility'. Those few researchers who have addressed work mobility largely deal either with people with nonwork-related disabilities or with the return-to-work experiences of injured workers. Both literatures pay insufficient attention to the potential role of policy and practice in helping workers navigate work mobility challenges. This paper presents findings from a qualitative study of work disability policies that affect the work mobility of disabled people, with both work and nonwork-related physical disabilities, in the Canadian context.Materials and methods: Findings are based on a combination of document analysis of policy texts related to work injury and disability support programs in two Canadian provinces, and semi-structured interviews with key informants (N = 6) and disabled people (N = 6).Results: Important weaknesses in both workers' compensation and general disability policies negatively influence employment options and enhance reliance on informal support.Conclusions: Work mobility challenges contribute to unemployment and poverty among disabled people. Ways to better support work mobility are identified.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"6459-6475"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147328011","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

Rehabilitation interventions for upper limb dysfunction in type 2 diabetes mellitus, with or without diabetic peripheral neuropathy: a systematic review and meta-analysis. 伴有或不伴有糖尿病周围神经病变的2型糖尿病患者上肢功能障碍的康复干预：系统回顾和荟萃分析

IF 2.2 4区医学

Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-02-28 DOI: 10.1080/09638288.2026.2635934

Noor Aziella Mohd Nayan, Mohammed Alrashdi, Hakim Zulkarnaen, Setho Hadisuyatmana, Hazliza Razali, Ahmad Zamir Che Daud

{"title":"Rehabilitation interventions for upper limb dysfunction in type 2 diabetes mellitus, with or without diabetic peripheral neuropathy: a systematic review and meta-analysis.","authors":"Noor Aziella Mohd Nayan, Mohammed Alrashdi, Hakim Zulkarnaen, Setho Hadisuyatmana, Hazliza Razali, Ahmad Zamir Che Daud","doi":"10.1080/09638288.2026.2635934","DOIUrl":"10.1080/09638288.2026.2635934","url":null,"abstract":"Purpose: This systematic review and meta-analysis aimed to evaluate the effectiveness of rehabilitation interventions for upper limb dysfunction in adults with type 2 diabetes mellitus (T2DM), with or without diabetic peripheral neuropathy (DPN).Methods: Five databases were searched from inception to June 2025. Randomized controlled trials and quasi-experimental studies evaluating upper limb rehabilitation in adults with T2DM were included. Methodological quality was assessed using the PEDro scale and NIH quality assessment tools. Meta-analyses used random-effects models, with subgroup analyses by DPN status. A structured narrative synthesis summarized intervention types and outcomes.Results: Eighteen studies (n = 835) were included, four involving individuals with DPN. Pooled effects were not statistically significant for hand grip strength (MD = 1.58 kg; 95% CI: -0.06 to 3.22), pinch strength (MD = 0.36 kg; 95% CI: -6.80 to 7.52), or dexterity (SMD = -0.43; 95% CI: -1.61 to 0.75). Overall methodological quality was predominantly moderate, with substantial heterogeneity. Narrative synthesis suggested clinically relevant improvements, particularly with multicomponent programs combining resistance, aerobic, and functional training.Conclusion: Multicomponent rehabilitation programs may provide meaningful benefits for upper limb function among individuals with T2DM and should be considered in practice. High-quality, DPN-specific trials using standardized hand-focused outcomes are needed.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"6425-6442"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147322507","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

Identification of International Classification of Functioning, Disability and Health categories in a multifaceted rehabilitation program for degenerative cerebellar ataxia: a descriptive analysis of real-world clinical practice. 在退行性小脑共济失调的多方面康复计划中识别国际功能、残疾和健康分类：对现实世界临床实践的描述性分析。

IF 2.2 4区医学

Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-03-29 DOI: 10.1080/09638288.2026.2646108

Yuichi Hiramatsu, Hiroaki Fujimoto, Hironori Otomune, Kenji Takamatsu, Hidetaka Shiina, Koji Takahashi, Megumi Hatakenaka, Hajime Yagura, Ichiro Miyai

{"title":"Identification of International Classification of Functioning, Disability and Health categories in a multifaceted rehabilitation program for degenerative cerebellar ataxia: a descriptive analysis of real-world clinical practice.","authors":"Yuichi Hiramatsu, Hiroaki Fujimoto, Hironori Otomune, Kenji Takamatsu, Hidetaka Shiina, Koji Takahashi, Megumi Hatakenaka, Hajime Yagura, Ichiro Miyai","doi":"10.1080/09638288.2026.2646108","DOIUrl":"10.1080/09638288.2026.2646108","url":null,"abstract":"Purpose: To identify the International Classification of Functioning, Disability and Health (ICF) categories addressed by multifaceted rehabilitation interventions for patients with degenerative cerebellar ataxia (DCA).Materials and methods: We retrospectively analyzed a short-term, intensive inpatient rehabilitation program in 55 patients with DCA, including spinocerebellar ataxia types 3, 6, 17, 31, and others. Rehabilitation interventions by physical, occupational, and speech therapists targeting functioning, contextual factors, and self-directed exercises were collected through a retrospective questionnaire completed by the treating therapists, with reference to medical records. Interventions were linked to the ICF and Deutsche Gesellschaft für Sozialmedizin und Prävention categories. Categories were analyzed based on the severity of ataxia using the Scale for the Assessment and Rating of Ataxia.Results: Overall, 1,258 interventions were linked to 1,341 s-level ICF categories: 13 body functions, 23 activities and participation, 6 environmental, and 1 personal factor.　Activities and participation categories related to mobility and self-care were identified in severe cases, whereas no body function categories related to ataxia severity were identified.Conclusions: Multifaceted rehabilitation for DCA corresponds to multiple ICF domains.　Interventions targeting activity and participation vary with ataxia severity, suggesting that tailored combinations may improve specific activities of daily living.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"6961-6979"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576430","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

Limitations we can't always overcome: experiences of healthcare professionals and interpreters providing inpatient care for stroke survivors with aphasia from diverse backgrounds. 我们不能总是克服的限制：医疗保健专业人员和口译员为来自不同背景的失语中风幸存者提供住院护理的经验。

IF 2.2 4区医学

Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-04-09 DOI: 10.1080/09638288.2026.2651806

Kathleen Mellahn, Samantha Siyambalapitiya, Ali Lakhani, Miranda L Rose

{"title":"Limitations we can't always overcome: experiences of healthcare professionals and interpreters providing inpatient care for stroke survivors with aphasia from diverse backgrounds.","authors":"Kathleen Mellahn, Samantha Siyambalapitiya, Ali Lakhani, Miranda L Rose","doi":"10.1080/09638288.2026.2651806","DOIUrl":"10.1080/09638288.2026.2651806","url":null,"abstract":"Purpose: This study described the experiences of healthcare professionals (HCPs) and professional interpreters providing care to people with post-stroke aphasia from culturally and linguistically diverse (CALD) backgrounds. The study also explored perceived processes and contextual factors shaping assessment, intervention and hospital outcomes for patients from CALD backgrounds and opportunities for practice change.Materials and methods: HCPs and interpreters involved in the care of people with aphasia from CALD backgrounds were recruited from a health service in Australia using a maximum variation sampling approach. Semi-structured, in-depth interviews were conducted, transcribed verbatim and analysed using reflexive thematic analysis. Overarching themes representing both groups' perspectives were generated.Results: Fourteen participants (10 HCPs and four interpreters) highlighted how the interplay of language, culture, and personal factors creates complexity in the care of this patient group. Participants reported challenges in adapting interpreter services, time constraints, and managing family involvement; influenced care quality, contributing to perceived slower progress, poorer outcomes and patient frustration and voicelessness.Conclusions: HCPs and interpreters reported challenges in providing equitable inpatient care for people with aphasia from CALD backgrounds. Providing appropriate and person-centred care requires addressing systemic barriers, including resource and time constraints.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"6822-6840"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640509","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