Abstract:
PROBLEM:Many services and professionals refer to themselves as providing rehabilitation. There is no agreed method for determining whether someone has specific expertise in rehabilitation. This makes it difficult for patients and payers to know whether professionals who claim to provide rehabilitation are specifically expert in rehabilitation. CONTEXT:Doctors have a medical speciality of rehabilitation. The medical training curriculum gives attributes that differentiate a rehabilitation specialist from other doctors. Until recently, these attributes were competencies to undertake activities associated with specialization. Apart from nurses, who have at least one, unofficial, curriculum identifying specific competencies, other professions involved in rehabilitation do not have any way to show specialization in rehabilitation. CAPABILITIES IN PRACTICE:The U.K. General Medical Council accredits specialist medical training. It has moved from specifying multiple practical clinical competencies to specifying fewer high-level 'Capabilities in Practice'. Six are generic to all doctors, eight identify the trained doctor as having specialist rehabilitation skills. This article adopts this approach to put forward seven generic and seven specialist capabilities to identify any professional as having special expertise in rehabilitation. The seven specialist capabilities centre on the biopsychosocial model of illness and multidisciplinary teamwork. Four of them could be used to define a specialist rehabilitation team. CONCLUSION:Seven capabilities identifying specialization in rehabilitation are put forward for discussion. They could form the basis of a formal recognition that any professional has additional expertise in rehabilitation. A validating authority would be needed to provide oversight and governance.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Wade DTdoi
10.1177/0269215520925869subject
Has Abstractpub_date
2020-08-01 00:00:00pages
995-1003issue
8eissn
0269-2155issn
1477-0873journal_volume
34pub_type
社论abstract:PURPOSE:To provide clinical practitioners with a framework for teaching patients Time Pressure Management, a cognitive strategy that aims to reduce disabilities arising from mental slowness due to acquired brain injury. Time Pressure Management provides patients with compensatory strategies to deal with time pressure i...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215508097855
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:To enhance our understanding of coping and rehabilitation in the context of adaptation to disability by examining how coping may change over a two-year time period, and how different vision rehabilitation services may affect coping over time. DESIGN:Longitudinal two-wave study (baseline and two-year follow-u...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215506cr965oa
更新日期:2006-06-01 00:00:00
abstract:OBJECTIVE:The purpose of the study was to evaluate the feasibility and efficacy of robot-assisted hand rehabilitation in improving arm function abilities in sub-acute hemiplegic patients. DESIGN:Randomized controlled pilot study. SETTING:Inpatient rehabilitation centers. PARTICIPANTS:Thirty hemiplegic stroke patient...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215516642606
更新日期:2017-03-01 00:00:00
abstract:OBJECTIVE:To examine the criterion validity of lower extremity Motricity Index scores. DESIGN:Retrospective cross-sectional comparison of lower extremity Motricity Index scores and hand-held dynamometer measurements obtained from 15 patients with stroke. RESULTS:For individual actions (ankle dorsiflexion, knee extens...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/026921500675786655
更新日期:2000-04-01 00:00:00
abstract:OBJECTIVE:To undertake an audit of existing environmental control system (ECS) provision to see what lessons could be applied to developing a new model of service. DESIGN:Structured interviews and assessments making use of questionnaires and algorithms. SUBJECTS:Users of environmental control systems in the inner Lon...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/026921598671164157
更新日期:1998-02-01 00:00:00
abstract:OBJECTIVE::To characterize environmental barriers to leisure participation among individuals living with stroke; examine relationships between environmental barriers and leisure interest and satisfaction; and investigate participant factors associated with the perception of environmental barriers. DESIGN::Survey. SET...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215518818234
更新日期:2019-04-01 00:00:00
abstract:OBJECTIVE:To develop a self-report measure for assessment of the stage of change in patients with osteoarthritis, in order to identify patients who would benefit from a self-management programme. METHODS:According to the 'stages of change' model a questionnaire was developed with three groups of items corresponding to...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215505cr814oa
更新日期:2005-05-01 00:00:00
abstract:OBJECTIVE:To examine the scalability of the Rivermead Motor Assessment (RMA) with nonacute stroke patients in the community. DESIGN:This was a prospective study of the patients after discharge from hospital. All subjects were assessed on the RMA at six and 12 months after discharge home from hospital. Coefficients of ...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1177/026921559701100108
更新日期:1997-02-01 00:00:00
abstract:OBJECTIVE:To compare the outcome of day hospital to day centre rehabilitation. DESIGN:Single blind randomized controlled trial with home assessments at baseline (twice), six weeks and three months. SETTING:Mainly rural health district. Day hospital and social services day centres in market towns. SUBJECTS:One hundre...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1191/026921599671803291
更新日期:1999-04-01 00:00:00
abstract:OBJECTIVE:To explore whether goal-setting for rehabilitation with acute stroke survivors is patient-centred and identify factors which influence the adoption of patient-centredness in goal-setting practice. SETTING:Acute stroke unit in a large teaching hospital in England. PARTICIPANTS:Patients with stroke who had no...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215515584167
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVE:To describe the experience of physical activity maintenance in patients with rheumatoid arthritis. DESIGN:A qualitative salutogenic-oriented interview study. SETTING:A rheumatology outpatient clinic. SUBJECTS:A purposive sample of 16 physically active patients (mean age 50, range 37-67) diagnosed with rheu...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215513501526
更新日期:2014-03-01 00:00:00
abstract:OBJECTIVE:To compare the effectiveness of intra-articular injection (IAI) with Botulinum toxin type A (BTA), triamcinolone hexacetonide (TH), and saline in primary knee osteoarthritis. DESIGN:A randomized controlled trial, with blinded patients and assessor. SETTING:Outpatient rheumatology service. SUBJECTS:Patients...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215519827996
更新日期:2019-06-01 00:00:00
abstract:OBJECTIVE:To compare the cost effectiveness of two occupational therapy-led discharge planning interventions from the HOME trial. DESIGN:An economic evaluation was conducted within the superiority randomized HOME trial to assess the difference in costs and health-related outcomes associated with the enhanced program a...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0269215518764249
更新日期:2018-07-01 00:00:00
abstract:OBJECTIVE:To follow up participants in a randomised controlled trial of relaxation training for anxiety after stroke at 12 months. DESIGN:Twelve month follow-up to a randomised controlled trial, in which the control group also received treatment. SETTING:Community. PARTICIPANTS:Fifteen of twenty one original partici...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215516682820
更新日期:2017-09-01 00:00:00
abstract:OBJECTIVE:To describe changes in disability and health-related quality of life in patients with Guillain-Barré syndrome in Sweden during the first two years after onset. SUBJECTS:Forty-four patients were recruited from eight different hospitals, and 42 of them (mean age 52 years) were followed for two years. Evaluatio...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215505cr918oa
更新日期:2005-12-01 00:00:00
abstract:OBJECTIVE:To test the measurement properties (reliability, interpretability, and validity) of the Life-Space Assessment questionnaire for older adults with chronic obstructive pulmonary disease. DESIGN:Clinimetric study. SETTING:Pneumology service, ambulatory care, São Paulo, SP, Brazil. PARTICIPANTS:Consecutive sam...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215518780488
更新日期:2018-10-01 00:00:00
abstract:OBJECTIVE:To investigate the effects of patellar taping on the electromyographic onset of vastus medialis obliquus and vastus lateralis, and their magnitudes of reflex contraction before and after quadriceps muscle fatigue in subjects with patellofemoral pain. METHODS:Sixteen adults (5 males) diagnosed with patellofem...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215509334835
更新日期:2009-08-01 00:00:00
abstract:OBJECTIVE:To examine the ethical principle of respect for autonomy within the context of neurological rehabilitation. DISCUSSION:The nature of the principle of respect for autonomy is examined, and specific difficulties to which it may give rise in this area of practice are identified. These concern difficulties of co...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/026921598670782549
更新日期:1998-02-01 00:00:00
abstract:OBJECTIVE:This review aimed to determine the effectiveness of personal smart technologies on outcomes in adults with acquired brain injury. DATA SOURCES:A systematic literature search was conducted on 30 May 2019. Twelve electronic databases, grey literature databases, PROSPERO, reference list and author citations wer...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1177/0269215519865774
更新日期:2019-11-01 00:00:00
abstract:OBJECTIVE:To compare day hospital to day centre rehabilitation using scales to measure mobility, activities of daily living and quality of life. DESIGN:Single blind randomized controlled trial with home assessments at baseline (twice), six weeks and three months. SETTING:Mainly rural health district. Day hospital and...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1191/0269215500cr334oa
更新日期:2000-08-01 00:00:00
abstract:OBJECTIVE:To modify a published group intervention for adjustment to multiple sclerosis (MS) to suit an individual format, and to assess the feasibility of a randomised controlled trial (RCT) to compare individual and group intervention for people with multiple sclerosis and low mood. DESIGN:Feasibility randomised con...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215515616446
更新日期:2016-12-01 00:00:00
abstract:OBJECTIVE:To determine whether symptoms of urinary incontinence is reduced by pelvic floor muscle training, to determine whether urinary incontinence can be totally eliminated by strengthening the pelvic floor muscle to grade 5 on the Oxford scale. DESIGN:Prospective randomized controlled clinical trial. SETTING:Outp...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215514546768
更新日期:2015-06-01 00:00:00
abstract:BACKGROUND:The Action Research Arm (ARA) test is a performance test of upper extremity motor function which consists of 19 items divided into four hierarchical subtests. This multidimensionality has not yet been tested empirically. OBJECTIVE:To investigate the dimensionality of the ARA test. DESIGN:Cross-sectional st...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215502cr534oa
更新日期:2002-09-01 00:00:00
abstract:OBJECTIVE:Pilot a definitive randomized controlled trial of speech-language telerehabilitation in poststroke aphasia in addition to usual care with regard to recruitment, drop-outs, and language effects. DESIGN:Pilot single-blinded randomized controlled trial. SETTING:Telerehabilitation delivered from tertiary rehabi...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215519896616
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVE:To explore constructs relevant to self-efficacy in neurological rehabilitation. DESIGN:Qualitative methods using semi-structured interviews. SETTING:Specialist neurological rehabilitation unit, Liverpool, UK. SUBJECTS:Twenty-four patients (12 male) with experience of inpatient rehabilitation, aged 17-59 (m...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215506071784
更新日期:2007-03-01 00:00:00
abstract:OBJECTIVES:To establish the measurement properties of TURN180, a test of dynamic postural stability. DESIGN:One physiotherapist conducted three trials of TURN 180, one of which was also observed by a second therapist. SETTING:A day unit for elderly people accepting both inpatients and outpatients. SUBJECTS:Sixty-six...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215505cr783oa
更新日期:2005-06-01 00:00:00
abstract:OBJECTIVE:To evaluate the effect of home versus in-hospital exercise (under supervision) programmes on hip strength, gait speed and cadence in patients with total hip arthroplasty at least one year after operation. SETTING:Physical therapy and rehabilitation department. SUBJECTS:Twenty-six patients who had had a tota...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215507077302
更新日期:2007-08-01 00:00:00
abstract:OBJECTIVES:To assess the usage of carbon fibre orthoses in assisting post-polio syndrome patients who reported advancing weakness and difficulty in maintaining their independent ambulatory status. DESIGN AND INTERVENTIONS:Carbon fibre orthoses that are 30% lighter than metal braces were constructed. SUBJECTS:Thirty p...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1177/026921559701100406
更新日期:1997-11-01 00:00:00
abstract:OBJECTIVE:To evaluate the feasibility, internal consistency and reproducibility of the French version of the Nottingham Health Profile (NHP) completed by adults with hereditary neuromuscular disease. DESIGN:Cross-sectional study with evaluation at 15 +/- 7 days for NHP test-retest. SETTING:Multidisciplinary rehabilit...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215505cr858oa
更新日期:2005-09-01 00:00:00
abstract:OBJECTIVE::To evaluate the effectiveness of theta-burst stimulation for the treatment of stroke-induced unilateral spatial neglect. DATA SOURCES::A systematic literature search was conducted from the inception of each database to 30 June 2018 using CINAHL, EMBASE, PubMed, PsycINFO, and Scopus. REVIEW METHODS::Article...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215518804018
更新日期:2019-02-01 00:00:00