Disability and Rehabilitation最新文献_第7页

Non-pharmacological interventions for veterans living with chronic pain: a scoping review and intervention map.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-10 DOI: 10.1080/09638288.2025.2474703

Rochelle Furtado, Joy C MacDermid, David M Walton, Goris Nazari, Pavlos Bobos

{"title":"Non-pharmacological interventions for veterans living with chronic pain: a scoping review and intervention map.","authors":"Rochelle Furtado, Joy C MacDermid, David M Walton, Goris Nazari, Pavlos Bobos","doi":"10.1080/09638288.2025.2474703","DOIUrl":"https://doi.org/10.1080/09638288.2025.2474703","url":null,"abstract":"Purpose: To describe the content of studied intervention programs, the rationale/mechanism and outcomes from these studies and the limitations and gaps within the existing literature.Methods: CINAHL, EMBASE, PubMed, Cochrane Reviews, and Google Scholar were searched for studies. Three authors screened studies against predefined inclusion criteria. Data were analyzed through qualitative synthesis. Articles were included if they addressed a rehabilitation intervention that focused on chronic pain management in a population of military veterans.Results: A total of 31 articles were included, 25 being randomized trials. Interventions varied in design components, sessions, and delivery mode (58% in-person, 25% remote, 17% mixed). Adherence and fidelity were reported by 78% of studies. Only 4/31 studies reported the use of veteran engagement during development of the intervention. A conceptual map summarizing the intervention components (5 main categories) expected mechanisms and outcomes (process, health and patient specific) from the primary interventions was created.Conclusions: Poor reporting of content, rationale, and frameworks of non-pharmacological interventions for military veterans may explain why systematic reviews have not found support for their value. Future trials must improve rigor in design and reporting to be explicit and responsive to the needs of the veteran population facing chronic pain.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-9"},"PeriodicalIF":2.1,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588057","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

Effects of exercise in primary Sjögren's syndrome: a systematic review and meta-analysis of randomized clinical trials.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-10 DOI: 10.1080/09638288.2025.2474085

Nazli Elif Nacar, Sezen Karaborklu Argut, Edibe Unal

{"title":"Effects of exercise in primary Sjögren's syndrome: a systematic review and meta-analysis of randomized clinical trials.","authors":"Nazli Elif Nacar, Sezen Karaborklu Argut, Edibe Unal","doi":"10.1080/09638288.2025.2474085","DOIUrl":"10.1080/09638288.2025.2474085","url":null,"abstract":"Purpose: To systematically review the effects of exercise interventions on pain, fatigue, quality of life, disease activity, aerobic capacity, and dryness in primary Sjögren's syndrome (pSS), and to determine the most effective type of exercise.Materials and methods: A literature search was conducted using Web of Science, PubMed/MEDLINE, ProQuest, SCOPUS, Cochrane Library, and PEDro databases. Randomized clinical trials (RCTs) examining the effects of exercise interventions in patients with pSS were included. Methodological quality was assessed using the Risk of Bias version-2 tool and PEDro scale.Results: Five RCTs, including 269 female patients with pSS were analyzed. High-quality studies indicated that exercise interventions significantly improved pain (p = 0.008), fatigue (p < 0.00001), quality of life (p = 0.0003), and aerobic capacity (p = 0.009) compared to controls. Sensitivity analysis indicated that resistance exercise was particularly effective, significantly improving pain (p < 0.00001), fatigue (p < 0.00001), quality of life (p < 0.00001), and disease activity (p = 0.02).Conclusion: Exercise interventions may offer significant benefits in reducing pain and fatigue, as well as improving quality of life and aerobic capacity, in patients with pSS compared to no-treatment. Resistance exercise appears to be more effective than other exercise models.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-9"},"PeriodicalIF":2.1,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588054","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

Community participation in adults with Down syndrome: a scoping review.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-10 DOI: 10.1080/09638288.2025.2476731

Sook Meng Lee, Nicholas F Taylor, Catherine Said, Nora Shields

{"title":"Community participation in adults with Down syndrome: a scoping review.","authors":"Sook Meng Lee, Nicholas F Taylor, Catherine Said, Nora Shields","doi":"10.1080/09638288.2025.2476731","DOIUrl":"10.1080/09638288.2025.2476731","url":null,"abstract":"Purpose: Community participation is important for social inclusion and is a focus of government policies that aim to enhance the lives of people with disability, including those with Down syndrome. This scoping review aimed to synthesise research on community participation in adults with Down syndrome.Methods: A comprehensive search was completed in Medline, EMBASE, PsycINFO and CINAHL databases. The PRISMA-ScR guidelines informed reporting, and the evidence was synthesised using the International Classification of Functioning, Disability and Health, and the Family of Participation Constructs frameworks.Results: Twenty-six articles with 12,461 participants met the inclusion criteria. Our results indicate: i) many studies did not conceptualise or investigate community participation as a distinct concept; ii) although adults with Down syndrome engaged in a diverse range of activities, particularly related to recreation and leisure, participation was restricted for a large proportion of adults; and iii) personal contextual factors that influenced community participation were age and adaptive function; and environmental factors included parental involvement, social and logistical supports, and place of residence.Conclusion: This new knowledge contributes to our understanding of community participation of adults with Down syndrome by identifying areas where future research or interventions could be made to improve their health and wellbeing.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-11"},"PeriodicalIF":2.1,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588020","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

Development and evaluation of an interactive home therapy technology for children with neuromotor disorders: exemplification of a design thinking approach.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-10 DOI: 10.1080/09638288.2025.2462770

Marina Petrevska, F Virginia Wright, Selvi Sert, Elaine Biddiss

{"title":"Development and evaluation of an interactive home therapy technology for children with neuromotor disorders: exemplification of a design thinking approach.","authors":"Marina Petrevska, F Virginia Wright, Selvi Sert, Elaine Biddiss","doi":"10.1080/09638288.2025.2462770","DOIUrl":"https://doi.org/10.1080/09638288.2025.2462770","url":null,"abstract":"Purpose: To describe the process of developing an interactive home therapy technology and evaluate its usability with children.Materials and methods: Design thinking guided our technology development with knowledge holders. User- and theory-informed design needs were defined by empathizing with users through observation, interviews and literature review. Solutions were ideated through sketches that led to prototypes. Informal testing with knowledge holders was conducted before formal usability testing with 7 school-aged children (5 neurotypical, 2 with cerebral palsy). Children practiced exercises using the technology before completing a study-specific survey (5-point Likert scales and open-ended questions) that was analyzed using descriptive statistics and content analysis.Results: Bootle Boot Camp, an interactive therapy game that enables clinicians to prescribe customized home exercise programs, was created. Through exercise videos, motion tracking, multimodal feedback that fades to summary, self-controlled form (i.e., star ratings) based on a child's performance, rewards and training resources, the game aims to promote safe and high-quality exercise according to design needs. Children found feedback helpful (mean 3.7/5) and audio cues easy to understand (mean 4.6/5). Users' recommendations to improve audio feedback delivery guided game refinements.Conclusions: Application of the design thinking methodology supported robust end-user involvement that facilitated development of a user-friendly technology.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-21"},"PeriodicalIF":2.1,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598325","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

Setting me up or holding me back? Perspectives of people with spinal cord injury on rehabilitation supports at inpatient discharge and 3-months post-discharge.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-09 DOI: 10.1080/09638288.2025.2476037

Emily Bray, Rachel Brough, Rachel Jones, Letitia Burridge, Timothy Geraghty, Jessie Mitchell, Christy Hogan, Delena Amsters, Kerrin Watter, Greg Ungerer, Melissa Kendall, Tamara Ownsworth

{"title":"Setting me up or holding me back? Perspectives of people with spinal cord injury on rehabilitation supports at inpatient discharge and 3-months post-discharge.","authors":"Emily Bray, Rachel Brough, Rachel Jones, Letitia Burridge, Timothy Geraghty, Jessie Mitchell, Christy Hogan, Delena Amsters, Kerrin Watter, Greg Ungerer, Melissa Kendall, Tamara Ownsworth","doi":"10.1080/09638288.2025.2476037","DOIUrl":"https://doi.org/10.1080/09638288.2025.2476037","url":null,"abstract":"Purpose: The transition from hospital to the community following spinal cord injury (SCI) is a significant and challenging time. Rehabilitation aims to equip individuals with the skills and resources required to navigate this transition. This study explored the rehabilitation priorities of people with SCI, expectations for rehabilitation supports at discharge from inpatient rehabilitation, and experiences of rehabilitation supports at 3-months post-discharge.Methods: Semi-structured interviews were conducted with people with SCI at discharge (n = 26) and 3-months post-discharge (n = 23) from the Spinal Injuries Unit in Queensland, Australia. Data were thematically analysed using the Framework method.Results: The analysis identified three themes. Theme 1 (Resuming life and what matters to me) depicted how people re-evaluated their priorities in terms of activities and roles post-discharge. Themes 2 (Setting me up) and 3 (Holding me back) reflected variations in the match between individuals' expectations and experiences of rehabilitation supports. Coordinated and personalised supports received during the transition aided adaptation to life in the community, whereas lack of appropriate or timely supports hindered adjustment and progress.Conclusion: Individuals' expectations of progress and rehabilitation priorities often change in the first few months post-discharge after SCI. Personalised, responsive and coordinated rehabilitation supports are essential for supporting community adjustment.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-13"},"PeriodicalIF":2.1,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587776","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

Health professionals' experiences delivering an Interdisciplinary Nurse-coordinated SELf-MAnagement intervention for patients with inflammatory arthritis.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-08 DOI: 10.1080/09638288.2025.2472991

Christina Merete Tvede Madsen, Bente Appel Esbensen, Nadine Schäffer Blum, Pernille Friis Rønne, Ann Bremander, Oliver Hendricks, Mikkel Østergaard, Lena Andersen, Jette Primdahl

{"title":"Health professionals' experiences delivering an Interdisciplinary Nurse-coordinated SELf-MAnagement intervention for patients with inflammatory arthritis.","authors":"Christina Merete Tvede Madsen, Bente Appel Esbensen, Nadine Schäffer Blum, Pernille Friis Rønne, Ann Bremander, Oliver Hendricks, Mikkel Østergaard, Lena Andersen, Jette Primdahl","doi":"10.1080/09638288.2025.2472991","DOIUrl":"https://doi.org/10.1080/09638288.2025.2472991","url":null,"abstract":"Purpose: The complex Interdisciplinary Nurse-coordinated SELf-MAnagement (INSELMA) intervention for patients with IA who experience substantial disease impact, was tested in a feasibility study. This study explored healthcare professionals' (HPs) experiences of delivering the intervention.Materials and methods: A qualitative longitudinal evaluation study was conducted based on four focus group interviews. Twelve HPs participated from two outpatient rheumatology hospitals in Denmark. Data was analyzed using qualitative content analysis.Results: Five themes emerged (1) Change in work tasks required training, (2) New professional roles challenged professional identities, (3) Meaningful and increased coherence in pathways, (4) Enabling support for patients with complex health issues, and (5) Appreciated interdisciplinary collaboration.Conclusion: The HPs found the new roles and tasks challenging, but perceived the INSELMA intervention as meaningful for the patients, enhanced coherence, strengthened the relation with the patient and ensured continuous follow-up on goals.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-9"},"PeriodicalIF":2.1,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588056","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

Opportunities to experience changes during adverse times: perspectives of young people with physical disabilities and their therapists following the PREP intervention.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-08 DOI: 10.1080/09638288.2025.2474086

Dana Anaby, Yu-Hsin Hsieh, Sakiko Yamaguchi, Milagros Calderon-Moya, Pranamika Khayargoli, Amal Khan, Julia Hanes

{"title":"Opportunities to experience changes during adverse times: perspectives of young people with physical disabilities and their therapists following the PREP intervention.","authors":"Dana Anaby, Yu-Hsin Hsieh, Sakiko Yamaguchi, Milagros Calderon-Moya, Pranamika Khayargoli, Amal Khan, Julia Hanes","doi":"10.1080/09638288.2025.2474086","DOIUrl":"https://doi.org/10.1080/09638288.2025.2474086","url":null,"abstract":"Purpose: To elicit the experiences of Pathways and Resources for Engagement and Participation (PREP) intervention among youth with physical disabilities and their therapists during the COVID-19 pandemic.Materials and methods: Youth (n = 13) aged 18-25 (median = 21) who participated in an 8-week self-chosen activity (football, piano, photography) facilitated by PREP and therapists (n = 6) who delivered it participated in individual semi-structured interviews. Thematic analysis was conducted by two researchers independently.Results: Four themes were identified. The first theme, Pandemic reality - the impacts on everyday life and emotional well-being, which pertained to youth only, characterized the context that shaped how youth experienced the intervention. The remaining three themes: Navigating barriers, seeking resources, and putting pieces together; Rapport with instructors and support from family as assets; and More than fun, a new opportunity to experience changes, applied to both youth and therapists. Youth interest and motivation, identified in both groups, was intertwined across all themes, leading to initiating and maintaining participation. Through these positive experiences, the youth discovered the value of trying new activities in supportive and accessible environments.Conclusions: Findings highlight the crucial roles of therapists, families, and instructors in mobilizing available resources and motivating youth to enhance their community participation even during adverse times.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-10"},"PeriodicalIF":2.1,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143586898","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 state of evidence on the health outcomes and support needs of family caregivers of children with Cerebral Palsy in Sub-Saharan Africa: a scoping review.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-07 DOI: 10.1080/09638288.2025.2472984

Melkitu Melak, Afolasade Fakolade, Solomon Mekonnen, Adhanom Baraki, Amanda Ross-White, Beata Batorowicz

{"title":"The state of evidence on the health outcomes and support needs of family caregivers of children with Cerebral Palsy in Sub-Saharan Africa: a scoping review.","authors":"Melkitu Melak, Afolasade Fakolade, Solomon Mekonnen, Adhanom Baraki, Amanda Ross-White, Beata Batorowicz","doi":"10.1080/09638288.2025.2472984","DOIUrl":"https://doi.org/10.1080/09638288.2025.2472984","url":null,"abstract":"Purpose: In Sub-Saharan Africa (SSA), caregivers of children with Cerebral Palsy (CP) face multidimensional challenges. However, there is a lack of comprehensive review of the available research on the health outcomes and support needs of family caregivers of children with CP.This scoping review aimed to identify the breadth and nature of research evidence on the health outcomes and support needs of family caregivers of children with CP in SSA.Materials and methods: This scoping review was conducted following the JBI methodology. Original studies written in English were included. Medline, Embase, CINAHL, PsycINFO, Web of Science, Scopus, Global Health, Cochrane, East African Medical Journal, and Africa Online Journals were searched. Data was analyzed descriptively.Results: A total of 34 research articles were included, of which 64.7% (n = 22) were conducted in Ghana and 47% (n = 16) were qualitative studies. Caregivers had physical and psychological morbidities with financial, emotional, informational, and physical support needs.Conclusion: Available research evidence indicated that caregiving contributed to negative health outcomes, with financial support being a pressing need. Future research should investigate the positive outcomes and inherent resources available to family caregivers of children with CP in SSA to inform the development of strength-based interventions.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-16"},"PeriodicalIF":2.1,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587790","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

Understanding development of contractures in people with stroke: formulation of a logic-model to inform care and prevention.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-07 DOI: 10.1080/09638288.2025.2472988

Stephen A Ashford, Cherry Kilbride, Kei Long Cheung

{"title":"Understanding development of contractures in people with stroke: formulation of a logic-model to inform care and prevention.","authors":"Stephen A Ashford, Cherry Kilbride, Kei Long Cheung","doi":"10.1080/09638288.2025.2472988","DOIUrl":"https://doi.org/10.1080/09638288.2025.2472988","url":null,"abstract":"Purpose: Contracture is stiffness and reduction in how much a joint and muscle can move and may impact on self-care and functional ability. We outline the development of the first comprehensive Logic-Model of the problem for contracture development, to inform prevention and treatment.Method: The initial Logic-Model was developed based on the literature by the research team. The draft Logic-Model of the problem was presented to people with stroke and carers from our Public, Patient Involvement (PPI) group and clinicians. This process resulted in a comprehensive model to describe factors associated with contracture development.Results: Following construction of the initial logic-model, items were identified by the PPI group and clinicians as elements that might particularly influence contracture development, and categorised as follows: Personal Determinants: Person with stroke: perceived advantage and disadvantage (of knowledge of health condition), apathy, low self-efficacy, limited skills and knowledge Family carers and supporters: negative attitude and self-efficacy, lack of skills and knowledge,; Professionals and paid carers: low awareness of services and knowledge. For Environmental Factors: lack of support for management was identified as a priority.Conclusion: The resulting Logic-Model of the problem will enable development of evidence-based pathways to prevent and treat contracture.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-7"},"PeriodicalIF":2.1,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587800","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

Therapists' perspectives on an interdisciplinary approach of arm-hand rehabilitation in cervical spinal cord injury: a qualitative study.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-03-06 DOI: 10.1080/09638288.2025.2472052

Nele Bertels, Barbara Piškur, Yvonne Janssen-Potten, Charlotte van Laake-Geelen, Kathleen Borgions, Kristine Oostra, Annemie Spooren

{"title":"Therapists' perspectives on an interdisciplinary approach of arm-hand rehabilitation in cervical spinal cord injury: a qualitative study.","authors":"Nele Bertels, Barbara Piškur, Yvonne Janssen-Potten, Charlotte van Laake-Geelen, Kathleen Borgions, Kristine Oostra, Annemie Spooren","doi":"10.1080/09638288.2025.2472052","DOIUrl":"https://doi.org/10.1080/09638288.2025.2472052","url":null,"abstract":"Purpose: To explore therapists' experiences on what elements arm-hand rehabilitation should contain, their importance, and the information needed to apply them in clinical practice.Materials and methods: This qualitative study, with an exploratory approach, used focus group discussions with purposive sampling. Based on Braun and Clarke's methodology, inductive thematic analysis was employed to develop themes, subthemes, and categories. The study included seven physiotherapists and seven occupational (≥2 year experience) therapists from three spinal cord rehabilitation wards in Belgium and the Netherlands.Results: The data analysis revealed five major themes, i.e., gathering knowledge, the process of thinking and acting, practice beyond therapy, and motivation. The first theme involves collecting information about the person and their client system. The second focuses on the goal-setting process for a patient-tailored therapy plan, described in the third theme as goal task-oriented with an individualized therapy dose. The fourth theme highlights meaningful activities to enhance performance beyond therapy, while the fifth emphasizes maintaining motivation through rehabilitation.Conclusion: Therapists highlight centralizing the person and their social environment in arm-hand rehabilitation, leading to a personalized goal-setting process and a patient-tailored therapy plan incorporating meaningful tasks. This approach can increase therapy dose and improve patients' motivation.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-8"},"PeriodicalIF":2.1,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568773","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