Disability and Rehabilitation最新文献

{"title":"Exploring the effects of increased socket-residual limb coupling integrity via vacuum assisted suspension on prosthetic control: a preliminary study in transtibial prosthesis users.","authors":"Jenny A Kent, Kristin J Carnahan, Matthew J Major","doi":"10.1080/09638288.2024.2395454","DOIUrl":"10.1080/09638288.2024.2395454","url":null,"abstract":"<p><strong>Purpose: </strong>The prosthetic socket provides the critical interface between prosthesis and residuum. The purpose of this pilot study was to explore the effect of altering socket-residuum coupling integrity on limb and body control, through the use of vacuum-assisted suspension. A secondary purpose was to explore the potential use of two measurement tools designed to assess mobility in a clinical context.</p><p><strong>Materials and methods: </strong>Individuals with unilateral transtibial amputation performed intentional sway (<i>n</i> = 7) and treadmill walking (<i>n</i> = 6) tasks at three vacuum levels. Sway deviation from a straight-line path to peripheral targets was measured using an instrumented balance platform. Step width variability and targeting accuracy were measured using an augmented reality treadmill.</p><p><strong>Results: </strong>There was a significant difference in intentional sway performance toward the target on the anterior diagonal toward the prosthetic side (<i>p</i> = 0.036); higher vacuum levels tended toward less deviation from a straight-line path. We found no group differences between total intentional sway deviation, step width variability or stepping accuracy across vacuum levels.</p><p><strong>Conclusions: </strong>Improved socket-residuum coupling integrity <i>via</i> vacuum may have measurable effects on functional control that warrant further investigation. We highlight limitations of the clinical testing paradigms to inform future work.Implications for rehabilitationThe fit of the socket is a critical factor in the success of lower limb prosthesis use.Vacuum-assisted suspension modifies the coupling between the residuum and socket.Changes in socket-residuum coupling may lead to measurable differences in control; however, these may be activity and person-specific.Clinically intended instrumented tests of movement function derived for an intact anatomy should be used with caution when assessing prosthesis users.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"2450-2458"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082465","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":"Exploring what influences physiotherapists' capability, opportunity and motivation to integrate new evidence into routine clinical care using the Balance Intensity Scale.","authors":"Hannah L Ross, Sarah C Milne, Abby M Foster, Elizabeth Dalla Santa, Karyn Grehan, Melanie K Farlie","doi":"10.1080/09638288.2024.2396059","DOIUrl":"10.1080/09638288.2024.2396059","url":null,"abstract":"<p><strong>Purpose: </strong>To explore influences on the capability, opportunity and motivation of physiotherapists integrating new evidence into routine care.</p><p><strong>Materials and methods: </strong>Mixed-methods study utilising the Theoretical Domains Framework and Capability-Opportunity-Motivation-Behaviour model. Metropolitan inpatient rehabilitation physiotherapists participated by integrating the Balance Intensity Scale into routine care for 6 weeks. Evidence integration was supported by a tailored theory-informed approach. Participants completed pre- and post-evidence integration surveys and a post-evidence integration focus group.</p><p><strong>Results: </strong>Pre- and post-surveys were completed by 24 and 12 participants, respectively. One focus group (<i>n</i> = 7) was conducted. Framework analysis identified themes in Capability (<i>n</i> = 4), Opportunity (<i>n</i> = 4) and Motivation (<i>n</i> = 5) domains influencing behaviour when implementing new evidence. The evidence integration process enhanced participants' Knowledge (<i>p</i> = 0.04), Skills (<i>p</i> = 0.003) and Belief in capabilities (<i>p</i> = 0.03) when prescribing and measuring balance exercises.</p><p><strong>Conclusions: </strong>This study identified perceived barriers and enablers to evidence integration of a new outcome measure into routine care. It highlights strategies that may support physiotherapy teams in incorporating new evidence into routine care. These strategies include education on the evidence being implemented, physical resources, change champions to facilitate social support, management endorsement, and recognition of the time and effort required for evidence integration in the short term.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"2543-2556"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121044","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":"Managing fatigue transdiagnostically: a qualitative study among people with chronic conditions on optimizing daily activity.","authors":"Ioulia Barakou, Katie L Hackett, Ulric S Abonie, Florentina J Hettinga, Tracy Finch","doi":"10.1080/09638288.2024.2393798","DOIUrl":"10.1080/09638288.2024.2393798","url":null,"abstract":"<p><strong>Purpose: </strong>To explore fatigue and physical activity behavior experiences and management, with an emphasis on activity pacing among adults with chronic conditions.</p><p><strong>Materials and methods: </strong>Semi-structured interviews were conducted with 15 adults with chronic conditions and the symptoms of chronic fatigue who had either received or not received fatigue management advice. Interviews were audio-recorded and transcribed verbatim, then analyzed using reflexive thematic analysis.</p><p><strong>Results: </strong>Participants reported barriers to fatigue management such as overactivity, mental health issues, and workplace challenges. Additionally, they highlighted rest, restful activities, and supportive social environment as facilitators of effective fatigue management, along with the importance of nutrition and physical activity. In some cases, there were conflicting experiences with social environment and physical activity. Activity pacing was identified as a promising solution and participants recommended several strategies for future consideration.</p><p><strong>Conclusions: </strong>Participants identified fatigue as a significant denominator in daily living and recognized the importance of activity pacing in fatigue management. Through reflective processes, they uncovered crucial factors for effective fatigue management, highlighting a multidimensional, interdisciplinary, and tailored approach to activity pacing as a promising solution. Further research should explore clinicians' perspectives of a multidimensional fatigue management approach to further support optimal intervention design.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"2327-2337"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074397","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":"Comparative effects of fascial distortion model with and without neuromuscular inhibition technique on pain, range of motion and quality of life in patients with piriformis syndrome.","authors":"Zainab Aroob, Muhammad Salman Bashir, Rabiya Noor, Mehwish Ikram, Fazila Ramzan, Amna Naseer, Nimra Sabir","doi":"10.1080/09638288.2024.2395456","DOIUrl":"10.1080/09638288.2024.2395456","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to compare the effects of the fascial distortion model (FDM) with and without neuromuscular inhibition technique (NIT) on pain, range of motion and quality of life in patients with piriformis syndrome.</p><p><strong>Methods: </strong>The study was a randomized controlled trial and 54 participants were randomly allocated by lottery method into two groups. Group A (27 participants) received the FDM with NIT and Group B (27 participants) received the FDM alone. The patients were treated for six weeks, three sessions each week on alternate days. Outcome measurements were taken before the first treatment session and after the last (sixth week) session. Numeric Pain Rating Scale, Sciatica Bothersomeness Index (SBI), and Goniometer were used as outcome measures. SPSS version 25 was used for statistical analysis.</p><p><strong>Results: </strong>Data was normally distributed by the Shapiro-Wilk Test. Statistically significant improvements (<i>p</i> < 0.05) were observed in the FDM with NIT than in FDM alone. Both groups show significant results in all outcome measures with paired sample <i>t</i>-tests (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>This study concluded that participants with piriformis syndrome show more improvement in the FDM with NIT than the FDM group alone.</p><p><strong>Trial registration number: </strong>NCT05404607.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"2378-2383"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121042","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":"Living with adult-onset myotonic dystrophy type 1: a scoping review.","authors":"Kristin Allergodt, Pia Dreyer, Ulla Werlauff, Charlotte Handberg","doi":"10.1080/09638288.2024.2396063","DOIUrl":"10.1080/09638288.2024.2396063","url":null,"abstract":"<p><strong>Purpose: </strong>To identify the existing literature on experiences of living with adult-onset myotonic dystrophy type 1 (DM1) from people with adult-onset DM1, their caregivers and health care professionals.</p><p><strong>Materials and methods: </strong>Following the framework of Arksey and O'Malley, a literature search was performed in five databases in October-November 2022. An updated search was conducted in December 2023. Studies were eligible if they reported on experiences related to living with DM1 from people with adult-onset DM1, caregivers or healthcare professionals. Qualitative, quantitative, and mixed method studies were included. Key findings were categorized using the International Classification of Functioning, Disability and Health (ICF) components.</p><p><strong>Results: </strong>11 out of 1842 studies were included, of which five had a quantitative design, five had a qualitative design and one study had a mixed methods design. The studies reported on multiple experiences of living with adult-onset DM1 from the perspectives of people with the disease and their caregivers. All components of the ICF were reported in the studies; activity and participation and personal factors were the most reported.</p><p><strong>Conclusion: </strong>Adult-onset DM1 is a complex disease with great biopsychosocial impact making it challenging to live with for those diagnosed with DM1 as well as their caregivers.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"2246-2257"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114403","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":"Mobilisation of post-ICU patients - a crucial teamwork between physiotherapists and nurses at surgical wards: a qualitative study.","authors":"Katinka Siesage, Anna Schandl, Matheo Johansson, Malin Nygren-Bonnier, Emelie Karlsson, Eva Joelsson-Alm","doi":"10.1080/09638288.2024.2392036","DOIUrl":"10.1080/09638288.2024.2392036","url":null,"abstract":"<p><strong>Purpose: </strong>To describe experiences of the ward nurse in relation to extended physiotherapy and mobilising of post-ICU patients.</p><p><strong>Methods: </strong>Individual semi-structured interviews were conducted with 17 registered nurses working on surgical wards in a Swedish regional hospital. Qualitative content analysis was used to analyse the data. The study was reported according to the consolidated criteria for reporting qualitative research (COREQ).</p><p><strong>Results: </strong>The study findings are presented in three categories: challenges to mobilising post-ICU patients, shared responsibility facilitates mobilisation, and extended physiotherapy is beneficial for patients' wellbeing. Nurses stated that they lacked knowledge and skills to perform the safe mobilisation of post-ICU patients due to their complex medical history and needs. Collaboration with physiotherapists was perceived to facilitate mobilisation and to be beneficial for patients' wellbeing outcome.</p><p><strong>Conclusions: </strong>The study indicates that post-ICU patients are at risk of remaining immobilised because ward nurses find mobilisation too complex to conduct without support from physiotherapists. Shared responsibility through multi-professional teamwork regarding patient rehabilitation is perceived as contributing the knowledge required to achieve safe mobilisation that enhances autonomy and physical ability in post-ICU patients.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"2297-2303"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001251","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":"Danish translation, cultural adaptation and psychometric testing of the Brachial Assessment Tool (BrAT), designed to assess activity limitation in adults with traumatic brachial plexus injuries.","authors":"Helene Kissow, Bridget Hill, Alice Ørts Hansen","doi":"10.1080/09638288.2024.2398144","DOIUrl":"10.1080/09638288.2024.2398144","url":null,"abstract":"<p><strong>Purpose: </strong>To translate and cross-culturally adapt The Brachial Assessment Tool (BrAT) into Danish and assess its content validity and reproducibility in adults with traumatic brachial plexus injury (BPI).</p><p><strong>Material and methods: </strong>Translation followed international guidelines. BrAT(DK) were cognitive tested with 19 adults with traumatic BPI to evaluate cross-cultural understanding, relevance, comprehensiveness and comprehensibility. Content validity and reproducibility were evaluated following the COnsensus-based Standards for the selection of health Measurement INstruments guideline. Participants were recruited from an outpatient hand clinic. Test-retest reliability was assessed using intra-class-correlation coefficient (ICC) and the smallest detectable change (SDC). Internal consistency was evaluated using Cronbach's alpha.</p><p><strong>Results: </strong>Minor cultural differences were observed in the content validity analysis of BrAT(DK). Cognitive testing revealing no significant issues. All participants found the items relevant and important. 63 participants with traumatic BPI were recruited; 49 completed the retest. ICC values for the sub-scales and the total score ranged from 0.91 to 0.95 (95% CI 0.85 to 0.97). Internal consistency ranged from 0.87 to 0.98. SDC ranged from 4.16 to 9.63 for subscales and 16.01 for the total score.</p><p><strong>Conclusion: </strong>BrAT(DK) appeared to be content valid and reliabel as a measure of activity limitation in adults with traumatic BPI.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"2676-2681"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121043","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":"Engaging ethnically diverse families of children with intellectual and developmental disabilities: a systematic review.","authors":"Joy Banks, Kamal Lamichhane, Myra Thomas","doi":"10.1080/09638288.2025.2491827","DOIUrl":"https://doi.org/10.1080/09638288.2025.2491827","url":null,"abstract":"<p><strong>Purpose: </strong>Culture is a critical component of family engagement, particularly for ethnically diverse children with intellectual and developmental disabilities and their family members. Ethnically diverse families of children with intellectual and developmental disabilities often encounter challenges when attempting to access special education and social services. The purpose of this systematic literature review is to explore the ways cultural demographics impact family engagement and types of professional strategies that contribute to increased engagement for ethnically diverse family members of children with intellectual and developmental disabilities.</p><p><strong>Methods: </strong>We conducted a systematic review of the literature using three databases and studies were published during a 22-year period.</p><p><strong>Results: </strong>Twenty studies met the inclusion criteria for our systematic review of literature. Studies included ethnically diverse family members from 11 different countries. Studies included children with intellectual and developmental delays between 1 to 21 years of age. Our findings highlight cross-cultural factors that influence family engagement.</p><p><strong>Conclusions: </strong>Our findings emphasize the importance of developing professionals who understand the expectations, assumptions, and values of ethnically diverse families which can enhance outcomes for family members across various contexts.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-12"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013571","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":"Impact of adult cochlear implantation on the partner relationship: a conceptual framework informed by cochlear implant recipient and partner perceptions.","authors":"Ché Lambinon, Talita le Roux, Robert H Eikelboom, Rebecca J Bennett","doi":"10.1080/09638288.2024.2396061","DOIUrl":"10.1080/09638288.2024.2396061","url":null,"abstract":"<p><strong>Purpose: </strong>(1) To understand the impact of adult cochlear implantation on the partner relationship, as perceived by adult cochlear implant (CI) recipients and their intimate partners. (2) To generate a conceptual framework for guiding future research and clinical adult cochlear implantation interventions.</p><p><strong>Method: </strong>Concept mapping, a participatory, mixed-method approach, was used for data collection, analysis and interpretation. Participants attended sessions to generate, sort and rate statements describing the changes in their relationship due to cochlear implantation. Participants included 15 CI recipients (mean age: 51.6 years; SD: 8.2) and 12 partners (mean age: 50.9 years; SD: 8.2).</p><p><strong>Results: </strong>Five concepts emerged from the data, describing changes in the partner relationship following cochlear implantation: (1) <i>Social Interactions</i>, (2) <i>Partner Involvement</i>, (3) <i>Communication</i>, (4) <i>Emotional Adjustment</i>, and (5) <i>Relationship Intimacy</i>. The concept <i>Relationship Intimacy</i> was rated the highest in positivity and importance. Findings also underscored improved social interactions, communication dynamics, and emotional adjustment.</p><p><strong>Conclusions: </strong>The <i>Relationship Intimacy</i> cluster emerged as pivotal, highlighting its essential role in improving post-implantation relationships. CI recipients experienced enhanced autonomy, while partners' roles evolved regarding assistance and support. The diverse effects of implantation on partner relationships highlight the importance of adopting a patient- and family-centered approach to audiological intervention.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"2557-2571"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121045","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 stakeholder-involved adaptation of pathways and resources for engagement and participation (PREP) material with young adults with complex disability in Australia: an implementation feasibility study.","authors":"Annabelle Cassidy, Natasha Bannon, Margaret Wallen, Alessandra Dimarco, Natasha Garrity, Oliver Hunter, Dana Anaby, Emma Fredrickson, Harry Cowan, Dewa Knudsen, Scott Thornton, Christine Imms","doi":"10.1080/09638288.2024.2397083","DOIUrl":"10.1080/09638288.2024.2397083","url":null,"abstract":"<p><strong>Purpose: </strong>Pathways and Resources for Engagement and Participation (PREP) is an intervention to optimise individuals' participation by building problem-solving capacity and addressing environmental barriers. We investigated the feasibility of implementing PREP with young adults (18-30 years) with complex disability in Australia.</p><p><strong>Materials and methods: </strong>Explanatory sequential mixed methods study in three stages. (i) PREP materials were collaboratively adapted by the research team and consumer research partners. (ii) Steps 1 and 2 of PREP (YA Supplement) were completed with three young adults with disability, and preliminary feasibility explored using qualitative methods. (iii) The feasibility of implementing adapted materials was examined using quantitative and qualitative methods involving four young adults with disability, six support people and two service providers.</p><p><strong>Results: </strong>Stage 1: PREP Young Adults Supplement (PREP (YA Supplement)) for use alongside PREP was developed. Stages 2 and 3: findings indicated PREP (YA Supplement) was acceptable, appropriate and feasible. Three themes were identified: setting and achieving goals were associated with challenges and benefits; finding the right time to implement the program was necessary; and PREP (YA Supplement) drives a shift to a participation-focused approach.</p><p><strong>Conclusion: </strong>PREP delivered alongside PREP (YA Supplement) appears feasible with Australian young adults with complex disability.</p>","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"2586-2598"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134358","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}