Abstract:
PURPOSE:In rehabilitation studies, it is critical to understand the constituents of interventions. First, to enable replication of the work and second, to identify what treatments work best. The development of a tool to describe and quantify therapy interventions in the context of focal spasticity management is presented. METHODS:Potential intervention categories were identified from: (a) retrospective analysis of prospectively collected data from a cohort of patients (n = 62) receiving physical interventions in the context of botulinum toxin (BoNT) injection for leg spasticity and (b) cognitive de-briefing with Patient and Carer Advisory Group (PCAG) of patient and carer dyads (n = 8). Item reduction was achieved through consultation with a purposively-selected group of physiotherapists and occupational therapists (n = 16) in a two-round Delphi process. This was followed by review of findings by PCAG members. RESULTS:A list of 24 possible therapy categories were identified and then reduced, resulting in a tool with two domains: (1) postural management; four categories and (2) exercise and retraining; four categories. The Leg Therapy recording Schedule (LegTS) wording and presentation were refined for clinical and research use. CONCLUSIONS:The LegTS is designed to record therapy interventions for the paretic lower limb in the context of spasticity intervention. Content and face validity have initially been addressed within the development process. Implications for Rehabilitation Clinicians need to understand intervention effectiveness, and to do so, it is critical to capture all the components of a complex intervention. In clinical practice or research, patient experience measures are required to capture the complexity of intervention provided and monitor intervention effectiveness on a case by case basis. Clinicians involved in rehabilitation and management of focal spasticity in the leg can use the Leg Therapy recording Schedule (LegTS) to enable an understanding of the entirety of the intervention package provided.
journal_name
Disabil Rehabiljournal_title
Disability and rehabilitationauthors
Ashford S,Jackson D,Turner-Stokes Ldoi
10.1080/09638288.2016.1258435subject
Has Abstractpub_date
2018-02-01 00:00:00pages
479-485issue
4eissn
0963-8288issn
1464-5165journal_volume
40pub_type
杂志文章abstract:PURPOSE:The evidence supporting rehabilitation after joint replacement, while vast, is of variable quality making it difficult for clinicians to apply the best evidence to their practice. We aimed to map key issues for rehabilitation following joint replacement, highlighting potential avenues for new research. MATERIA...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
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更新日期:2018-07-01 00:00:00
abstract::The Rehabilitation Activities Profile (RAP) is an ICIDH-based assessment method that covers the domains of communication, mobility, personal care, occupation, and relationships. Disabilities and handicaps in these domains are assessed on four-point Likert scales for severity. Problems perceived by the patient associat...
journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
doi:10.3109/09638289509166712
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abstract:PURPOSE:To describe functioning and disability in patients with multiple sclerosis (MS) according to the model endorsed by the International Classification of Functioning Disability and Health (ICF). METHODS:Adult patients with MS were consecutively enrolled. The Expanded Disability Status Scale (EDSS), the WHO Disabi...
journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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doi:10.1080/09638280410001708922
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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doi:10.3109/09638288.2015.1031830
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
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journal_title:Disability and rehabilitation
pub_type: 杂志文章,评审
doi:10.3109/09638288.2011.626835
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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更新日期:1996-04-01 00:00:00
abstract:PURPOSE:To understand why individuals with Parkinson's disease (PD) participate in a community-based therapeutic dance program and to explore its influence on perceived physical, social and emotional well-being of participants. METHODS:A qualitative descriptive design was employed using one-on-one semi-structured inte...
journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2010.503255
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journal_title:Disability and rehabilitation
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doi:10.3109/09638288.2013.775356
更新日期:2013-01-01 00:00:00
abstract::Purpose: To explore medical doctors' views on what are barriers in providing rehabilitation services for persons with SCI in Mongolia.Methods: A qualitative study with semi-structured interviews was conducted with 12 medical doctors. Participants were purposely sampled. The World Health Organization (WHO)'s report Int...
journal_title:Disability and rehabilitation
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doi:10.1080/09638288.2019.1696415
更新日期:2019-11-30 00:00:00
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2010.531374
更新日期:2011-01-01 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2010.490867
更新日期:2011-01-01 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
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更新日期:2008-01-01 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2019.1643417
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
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更新日期:2020-10-01 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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更新日期:2017-12-01 00:00:00
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journal_title:Disability and rehabilitation
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doi:10.3109/09638288.2014.972583
更新日期:2015-01-01 00:00:00
abstract:PURPOSE:To verify the applicability, reproducibility and validity of the SCIM III patients with non-traumatic spinal cord injury. METHOD:The cross-sectional study included 30 patients (66% females; 41.5 ± 14.7 yo) with non-traumatic spinal cord injury of any etiology. Subjects were subjected by computerized gait analy...
journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
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更新日期:2018-06-01 00:00:00