Disability and Rehabilitation最新文献_第9页

How strength training reshapes body schema in women with severe cerebral palsy: a mixed-methods phenomenological study. 力量训练如何重塑重度脑瘫女性的身体图式：一项混合方法现象学研究。

IF 2.2 4区医学

Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-02-25 DOI: 10.1080/09638288.2026.2636406

San Hong, Taeheon Kim

{"title":"How strength training reshapes body schema in women with severe cerebral palsy: a mixed-methods phenomenological study.","authors":"San Hong, Taeheon Kim","doi":"10.1080/09638288.2026.2636406","DOIUrl":"10.1080/09638288.2026.2636406","url":null,"abstract":"Purpose: This mixed-methods phenomenological study examined how systematic strength training reshapes body schema in women with severe cerebral palsy (CP).Materials and methods: Five women with severe CP (aged 18-65) participated in a year-long, community-based strength training program using an intervention-withdrawal-intervention design. Quantitative outcomes were assessed using the Gross Motor Function Measure (GMFM). Qualitative data were collected through interviews and field notes and analyzed using Merleau-Ponty's theory of body schema to explore participants' lived experiences.Results: Across four assessment points, GMFM scores increased during intervention phases, showed slight regression during withdrawal, and reached the highest levels at the final assessment, indicating cumulative benefits of sustained training. Thematic analysis revealed three interconnected transformations: (1) embodied confidence, reflecting a shift from \"I cannot\" to \"I can\"; (2) expanding spatial agency, as participants engaged more independently in domestic and daily activities; and (3) enhanced self-determination, marked by proactive continuation of physical activity and redefined bodily agency.Conclusions: Integrating quantitative improvements with phenomenological insights demonstrates that strength training not only enhances motor capacity but also reorganizes body schema. These findings support inclusive, community-based rehabilitation approaches that foster embodied capability and agency in women with severe CP.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"6488-6505"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147291724","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

Applying an Integrated Knowledge Translation partnership approach during a remote sport program for aging individuals with spinal cord injury: a descriptive qualitative study. 应用集成知识翻译伙伴关系的方法在远程运动项目中老年人脊髓损伤：描述性质的研究。

IF 2.2 4区医学

Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-02-28 DOI: 10.1080/09638288.2026.2636456

Lovisa Cheung, Natasha L Benn, Robert Buren, Kristin E Musselman

{"title":"Applying an Integrated Knowledge Translation partnership approach during a remote sport program for aging individuals with spinal cord injury: a descriptive qualitative study.","authors":"Lovisa Cheung, Natasha L Benn, Robert Buren, Kristin E Musselman","doi":"10.1080/09638288.2026.2636456","DOIUrl":"10.1080/09638288.2026.2636456","url":null,"abstract":"Purpose: People living with spinal cord injury (SCI) encounter many challenges to sport participation, especially as they age. This study sought to explore the perceptions of participants (adults with SCI 50+ years old) and leaders (physical therapists, peer-facilitators) on a co-designed and peer-facilitated remote sport program employing an Integrated Knowledge Translation partnership approach.Materials and methods: A remote handcycling sport program was designed, implemented, and evaluated in partnership with those with lived SCI experience. Individuals involved in the program as participants or leaders were eligible for the qualitative study. Semi-structured interviews were conducted to gather feedback on the program. Codebook thematic analysis was applied to interview data.Results: Five participants and three leaders participated. From our qualitative analysis, three themes were identified: (1) This journey is about the \"we\": research partnerships and teamwork were described as critical program components; (2) Preferences and feedback on sport programming: participants provided diverse feedback on elements of the program such as structure and equipment; and (3) Beyond research to ongoing sport participation: the need to deliver a continuous sport program was emphasized.Conclusions: Applying Integrated Knowledge Translation when designing, implementing, and evaluating programs can mitigate barriers and promote ongoing sport participation for this population.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"6517-6528"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147318876","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

Screening for anxiety and depression: validation of the Patient Health Questionnaire for Depression and Anxiety (PHQ-4) in a large sample of rehabilitation patients. 焦虑和抑郁筛查：患者抑郁和焦虑健康问卷（PHQ-4）在大样本康复患者中的验证

IF 2.2 4区医学

Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-03-31 DOI: 10.1080/09638288.2026.2649665

Stefan Gschwenter, Dominik Garber, Benedikt Steininger

{"title":"Screening for anxiety and depression: validation of the Patient Health Questionnaire for Depression and Anxiety (PHQ-4) in a large sample of rehabilitation patients.","authors":"Stefan Gschwenter, Dominik Garber, Benedikt Steininger","doi":"10.1080/09638288.2026.2649665","DOIUrl":"10.1080/09638288.2026.2649665","url":null,"abstract":"Purpose: Anxiety and depression are the most prevalent mental disorders in rehabilitation populations and negatively impact rehabilitation outcomes. The Patient Health Questionnaire for Depression and Anxiety (PHQ-4) is an ultra-brief screening instrument validated for general and primary care populations. We validated the PHQ-4 for the first time for the rehabilitation setting.Materials and methods: The study sample consisted of 66,412 patients attending multimodal inpatient rehabilitation, covering various medical indications. To validate the PHQ-4's factorial validity, we conducted confirmatory factor analyses (CFA). Multi-group CFAs assessed measurement invariance. Convergent validity was tested using ordinal logistic regression to model the PHQ-4's association with measures of quality of life, vocational impairment, and work ability.Results: The results demonstrated excellent fit for a two-factor solution. Reliability indices were adequate for a screening instrument (McDonald's ω .775-.852). Measurement invariance was demonstrated across age, gender, and all but one medical indication. Convergent validity was supported, showing associations with age and common patient reported outcomes.Conclusions: This study demonstrates that the PHQ-4 is a valid and reliable tool for screening for anxiety and depression in rehabilitation settings. Based on a substantial sample and preregistered analysis strategy, the findings will likely generalize to rehabilitation populations in other countries.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"6980-6994"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596084","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

Laying the foundation for an instrument to assess environmental factors in people with chronic pulmonary diseases: mapping the content of the Craig Hospital Inventory of Environmental Factors (CHIEF) to ICF core sets. 为评估慢性肺病患者环境因素的工具奠定基础：将克雷格医院环境因素清单（CHIEF）的内容映射到ICF核心集。

IF 2.2 4区医学

Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-03-11 DOI: 10.1080/09638288.2026.2642539

Larissa Tatiane Costa, Giovanna Camargo Mello, Wallace Pereira Silva, Junior Francisco Da Silva, Luciana Maria Malosa Sampaio, Soraia Micaela Silva

{"title":"Laying the foundation for an instrument to assess environmental factors in people with chronic pulmonary diseases: mapping the content of the Craig Hospital Inventory of Environmental Factors (CHIEF) to ICF core sets.","authors":"Larissa Tatiane Costa, Giovanna Camargo Mello, Wallace Pereira Silva, Junior Francisco Da Silva, Luciana Maria Malosa Sampaio, Soraia Micaela Silva","doi":"10.1080/09638288.2026.2642539","DOIUrl":"10.1080/09638288.2026.2642539","url":null,"abstract":"Purpose: To map the concepts assessed by Craig Hospital Inventory of Environmental Factors (CHIEF) to International Classification of Functioning, Disability, and Health (ICF) and to ICF core sets related to pulmonary diseases.Methods: Two professionals with adequate taxonomic knowledge of the ICF performed the initial linking, following standardized and updated linking rules. The same professionals subsequently linked the CHIEF items to the ICF core sets for post-acute cardiopulmonary diseases, obstructive pulmonary diseases, and interstitial pulmonary diseases to map CHIEF's alignment with the key concepts encompassed in chronic pulmonary diseases.Results: CHIEF covered 25 categories across all ICF environmental domains. Several relevant categories for individuals with chronic respiratory conditions were not included, such as: e110 Products or substances for personal consumption, e120 Products and technology for personal indoor and outdoor mobility and transportation, e245 Time-related changes, e2450 Day/night cycles, e260 Air quality, e320 Friends, e340 Personal care providers, e355 Health professionals, e420 Individual attitudes of friends, and e450 Individual attitudes of health professionals.Conclusion: Although the CHIEF aligns with the ICF, important gaps were identified in air quality, health professional support, assistive products, and social support domains, indicating the need for adaptation.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"6912-6923"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147437060","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 Groningen Meander Walking Test: a reliable and valid test for assessing advanced walking ability in people with Parkinson's disease. 格罗宁根蜿蜒行走测试：一种评估帕金森病患者高级行走能力的可靠有效的测试。

IF 2.2 4区医学

Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-03-10 DOI: 10.1080/09638288.2026.2640803

Çağrı Gülşen, Fatih Söke, Bilge Koçer, Elvan Özcan Gülşen, Taşkın Özkan, İsmail Uysal, Funda Kaplan, Nigar Esra Alkoç Ataoğlu, Öznur Tunca, Hatice Ayşe Tokçaer Bora

{"title":"The Groningen Meander Walking Test: a reliable and valid test for assessing advanced walking ability in people with Parkinson's disease.","authors":"Çağrı Gülşen, Fatih Söke, Bilge Koçer, Elvan Özcan Gülşen, Taşkın Özkan, İsmail Uysal, Funda Kaplan, Nigar Esra Alkoç Ataoğlu, Öznur Tunca, Hatice Ayşe Tokçaer Bora","doi":"10.1080/09638288.2026.2640803","DOIUrl":"10.1080/09638288.2026.2640803","url":null,"abstract":"Purpose: The aim of the study was to examine the reliability and validity of the Groningen Meander Walk Test (GMWT).Materials and methods: Forty-six people with Parkinson's disease (PwPD) and 32 controls were included. Reliability was determined using intraclass correlation coefficients (ICC) and the minimal detectable change (MDC). Correlations between the completion time (CT) and overstep score (OS) of the GMWT and the other balance and disease severity specific tools were used to assess validity. The CT and OS of the GMWT were also compared between fallers and non-fallers among PwPD.Results: The GMWT times demonstrated excellent test-retest reliability (ICC = 0.964) while overstep scores had good test-retest reliability (ICC = 0.757). The MDC was 1.72 s for CT and 1.64 s for OS. The CT of the GMWT showed moderate to strong correlations with the other measures (correlation coefficients ranged from 0.530 to 0.847, p < 0.05 for all), while the OS showed fair to moderate correlations (correlation coefficients ranged from -0.361 to 0.660, p < 0.05 for all). Significant differences in the GMWT were found between PwPD and healthy controls and between fallers and non-fallers with PwPD (p < 0.05).Conclusion: The GMWT is a reliable and valid tool for quantifying the advanced walking skills of PwPD. Implications for RehabilitationThe Groningen Meander Walk Test is a reliable, valid, and easy-to-administer clinical assessment tool in people with Parkinson's disease.The Groningen Meander Walk Test can be used for assessing advanced walking ability in people with Parkinson's disease.The Groningen Meander Walk Test can detect fallers and freezers with Parkinson's disease.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"6995-7005"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147437149","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

Back to work: exploring barriers and facilitators to return to work and work participation following traumatic amputation. 重返工作岗位：探索创伤性截肢后重返工作岗位和参与工作的障碍和促进因素。

IF 2.2 4区医学

Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-03-22 DOI: 10.1080/09638288.2026.2645396

Abby Hutchison, Kate D'Cruz, Jemma Keeves, Sarah Anderson

{"title":"Back to work: exploring barriers and facilitators to return to work and work participation following traumatic amputation.","authors":"Abby Hutchison, Kate D'Cruz, Jemma Keeves, Sarah Anderson","doi":"10.1080/09638288.2026.2645396","DOIUrl":"10.1080/09638288.2026.2645396","url":null,"abstract":"Purpose: To explore barriers and facilitators to returning to work and work participation experienced by people following traumatic amputation.Methods: An exploratory qualitative study was conducted with nineteen adults in Australia with major upper (n = 10) or lower (n = 9) amputation due to trauma. Data from individual, semi-structured interviews was analysed using Braun and Clarke's reflexive thematic analysis.Results: The role of a worker was entrenched in participants' identities, its value reflected in the sense of loss and destabilising of self, experienced following amputation. Lack of productivity and routine was distressing, but also motivating for returning to work. Participants felt secondary health complications, complex return to work systems, and perceptions of unemployability hindered their return. Facilitative strategies included prosthetic use, environmental modifications, delegating tasks and transition to less physically demanding roles. Re-establishing capacity and identity in the workplace also included re-negotiating workplace relationships. Supportive workplace culture and colleagues were invaluable to this process. Whilst some participants were unable to return to work, for others the process was an opportunity for positive change.Conclusion: Traumatic amputation has a significant impact on work participation. Recommendations based on the study's findings will inform the role of clinicians supporting vocational rehabilitation for people following traumatic amputation.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"6943-6960"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500339","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

Effect of neuromuscular electrical stimulation associated with therapeutic exercise on pain, function, and strength of people with knee osteoarthritis: a systematic review with meta-analysis of randomized clinical trials with GRADE recommendations. 神经肌肉电刺激与治疗性运动对膝关节骨性关节炎患者疼痛、功能和力量的影响：一项基于GRADE推荐的随机临床试验荟萃分析的系统综述

IF 2.2 4区医学

Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-02-26 DOI: 10.1080/09638288.2026.2633271

Andressa Costa da Silva, Geovanna Cândido Rafael, Rayane Quintão Castro, Priscila Monteiro Veras, Cyntia Pace Schmitz Corrêa, Jennifer Granja Peixoto, Fabiana Roberta Nunes Carnaúba, Marco Antonio Cavalcanti Garcia, Carla Malaguti, Diogo Carvalho Felício, Diogo Simões Fonseca

{"title":"Effect of neuromuscular electrical stimulation associated with therapeutic exercise on pain, function, and strength of people with knee osteoarthritis: a systematic review with meta-analysis of randomized clinical trials with GRADE recommendations.","authors":"Andressa Costa da Silva, Geovanna Cândido Rafael, Rayane Quintão Castro, Priscila Monteiro Veras, Cyntia Pace Schmitz Corrêa, Jennifer Granja Peixoto, Fabiana Roberta Nunes Carnaúba, Marco Antonio Cavalcanti Garcia, Carla Malaguti, Diogo Carvalho Felício, Diogo Simões Fonseca","doi":"10.1080/09638288.2026.2633271","DOIUrl":"10.1080/09638288.2026.2633271","url":null,"abstract":"Objective: To determine whether NMES combined with therapeutic exercise improves pain, function, and muscle strength compared to exercise alone in adults with KOA.Methods: We searched nine databases (PubMed, MEDLINE-Ovid, EMBASE, Cochrane Library, Web of Science, Scopus, SPORTDiscus, LILACS, SciELO) up to 5 April 2025. Randomized controlled trials comparing NMES + exercise with exercise alone were eligible. Two reviewers independently screened records, extracted data, and assessed methodological quality and risk of bias using the PEDro scale and the RoB 2. Random-effects meta-analyses generated mean differences (MD) or standardized mean differences (SMD). Certainty of the evidence was assessed with GRADE (PROSPERO CRD42023393616).Results: Eight trials (354 participants; mean age ≈59 years; 71% women) were included. Immediately post-intervention, NMES + exercise did not reduce pain versus exercise alone (SMD -0.90, 95% CI -1.84 to 0.03; I2 = 84%). At 8-12 weeks, small benefits were observed for pain (SMD -1.30, 95% CI -1.87 to -0.73; I2 = 0%) and TUG (SMD -0.67, 95% CI -0.98 to -0.35). No differences were found for WOMAC total or quadriceps strength. Certainty was very low.Conclusions: NMES + exercise may modestly improve long-term pain and mobility in KOA, though evidence certainty is very low.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"6408-6424"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311725","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 and dosing practice for individuals with cerebral palsy in Indonesia: a survey of physiotherapists and occupational therapists. 印度尼西亚脑瘫患者的康复和给药实践：对物理治疗师和职业治疗师的调查。

IF 2.2 4区医学

Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-04-16 DOI: 10.1080/09638288.2026.2647439

Suci Anatasia Nazier, Elizabeth Maus, Sara Tafone, Satria Ardianuari, Jill Heathcock

{"title":"Rehabilitation and dosing practice for individuals with cerebral palsy in Indonesia: a survey of physiotherapists and occupational therapists.","authors":"Suci Anatasia Nazier, Elizabeth Maus, Sara Tafone, Satria Ardianuari, Jill Heathcock","doi":"10.1080/09638288.2026.2647439","DOIUrl":"10.1080/09638288.2026.2647439","url":null,"abstract":"Purpose: Although rehabilitation is vital for cerebral palsy (CP), in Indonesia, where the prevalence is high, practices are understudied. This study aimed to describe rehabilitation practice, explore perceptions of service delivery, and examine how dosage correlated with perceptions to inform strategies.Methods: A total of 233 Indonesian therapists (83% physiotherapists; 17% occupational therapists) completed an anonymous online survey between February and April 2025. Survey developed from existing literature and validated through expert review. The survey captured dosage and perceptions of service-related factors (Likert scale). Data were analyzed using descriptive statistics and correlations.Results: Therapists reported using both recommended evidence-based practices (e.g., mobility training) and non‑recommended practices (e.g., neurodevelopmental therapy). Rehabilitation typically lasted 30-45 min, 1-2 times/week, with limited agreement on strong evidence-based practice (EBP) exposure, adequate workforce, and families' financial readiness. Therapy time correlated with positive perceptions of EBP exposure (p < 0.001, r = 0.305), skill set (p = 0.001, r = 0.244), infrastructure (p = 0.001, r = 0.239), and workforce (p = 0.002, r = 0.231). Moreover, institutional support for training showed the strongest association with greater EBP exposure (p < 0.001, r = 0.700).Conclusion: In Indonesia, rehabilitation practice stays below recommended dosages, mirroring trends elsewhere. Barriers include families' financial constraints, limited workforce, and insufficient exposure to EBP. Institutional support for training is vital for improving therapy and EBP adoption. Increasing the therapist workforce through new programs could enhance the delivery of CP services.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"6589-6604"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693657","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

Portuguese translation, cultural adaptation and pilot validation of HAND-Q Life Impact Scale. HAND-Q生活影响量表的葡萄牙语翻译、文化适应与试点验证。

IF 2.2 4区医学

Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-03-09 DOI: 10.1080/09638288.2026.2637189

Ana Cristina Dos Santos Antunes, Mirian Santamaría-Peláez, María Alcalá-Cerrillo, Ana A Gentil-Gutiérrez, Rodrigo Vélez-Santamaría

{"title":"Portuguese translation, cultural adaptation and pilot validation of HAND-Q Life Impact Scale.","authors":"Ana Cristina Dos Santos Antunes, Mirian Santamaría-Peláez, María Alcalá-Cerrillo, Ana A Gentil-Gutiérrez, Rodrigo Vélez-Santamaría","doi":"10.1080/09638288.2026.2637189","DOIUrl":"10.1080/09638288.2026.2637189","url":null,"abstract":"Purpose: HAND-Q Life Impact Scale assesses how hand conditions affect quality of life, and it has not yet been translated nor validated for the Portuguese population. The aim is to translate, culturally and linguistically adapt, and pilot validate the HAND-Q Life Impact Scale for the Portuguese population.Materials and methods: Multicenter study involving translation, cultural and linguistic adaptation following International Society for Pharmacoeconomics and Outcomes Research guidelines (ISPOR) and pilot psychometric properties testing, at Physiatry and Occupational Therapy departments in rehabilitation centers in Portugal. 15 patients with hand conditions for cognitive interviews, 7 experts reviewed the scale, and 30 patients for pilot validation study.Results: The HAND-Q Life Impact Scale demonstrated excellent internal consistency (α = 0.891) with most items showing good item-total and inter-item correlations. A good degree of agreement was obtained among the experts. Significant correlations with upper limb disability and health related quality of life supported its validity.Conclusion: The Portuguese version of the HAND-Q Life Impact Scale appears to be reliable and valid for assessing the impact of hand conditions on quality of life, but further studies should confirm the findings. This research introduces the first validated Portuguese version of the HAND-Q Life Impact Scale.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"6690-6700"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391662","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 Speed Precision ObsTacle CourSe (SPOTS): a reliable, valid and sensitive obstacle course for assessing walking adaptability for people with central neurological disorders. 速度精确障碍训练（spot）：一种可靠、有效和敏感的障碍训练，用于评估中枢神经疾病患者的行走适应性。

IF 2.2 4区医学

Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-03-17 DOI: 10.1080/09638288.2026.2643932

Vanessa Janssens, Marjan Coremans, Liesel Cornelis, Laure De Bruyn, Charlotte Heremans, Sarah Meyer, Laura Pattyn, Geert Verheyden

{"title":"The Speed Precision ObsTacle CourSe (SPOTS): a reliable, valid and sensitive obstacle course for assessing walking adaptability for people with central neurological disorders.","authors":"Vanessa Janssens, Marjan Coremans, Liesel Cornelis, Laure De Bruyn, Charlotte Heremans, Sarah Meyer, Laura Pattyn, Geert Verheyden","doi":"10.1080/09638288.2026.2643932","DOIUrl":"10.1080/09638288.2026.2643932","url":null,"abstract":"Purpose: This prospective study examined the psychometric properties of the Speed Precision ObsTacle courSe (SPOTS), a six-item, triangle-shaped obstacle course to assess walking adaptability in individuals with a central neurological disorder (CND).Materials and methods: Inter- and intra-rater reliability, validity and sensitivity of the SPOTS were evaluated in adults with CND undergoing inpatient rehabilitation. The SPOTS was performed on 2 consecutive days, and 1 month later, alongside clinical assessments on the first and last day. Completion time was recorded, and three raters performed clinician-rated assessments for motor and cognitive function based on video recordings. Reliability of the clinician-rated SPOTS score was assessed with Intraclass Correlation Coefficients (ICC), Bland-Altman, and weighted Kappa analysis; validity with Spearman rank correlation coefficients and sensitivity to change with the minimal detectable change (MDC).Results: Thirty-five independent walkers (FAC ≥3) with CND were recruited. The SPOTS showed excellent inter-rater (ICC: 0.90-0.93) and intra-rater reliability (ICC: 0.91-0.96). Adequate to excellent correlations (r = 0.36-0.66) were found with other common balance and gait assessments. An MDC value of 4.63 points (6.4% of SPOTS) was found.Conclusion: The SPOTS is a new, promising, reliable, valid and sensitive tool for assessing advanced walking adaptability in patients with CND.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"7006-7020"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147475366","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