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Musculoskeletal Science & Practice Oct 2018Pain beliefs might play a role in the development, transition, and perpetuation of shoulder pain. (Review)
Review
BACKGROUND
Pain beliefs might play a role in the development, transition, and perpetuation of shoulder pain.
OBJECTIVE
To systematically review and critically appraise the association and the predictive value of pain beliefs on pain intensity and/or disability in shoulder pain.
METHODS
An electronic search of PubMed, EBSCOhost, AMED, CINAHL, EMBASE, and PubPsych, and grey literature was searched from inception to July 2017. Study selection was based on observational studies exploring the association and the predictive value of pain beliefs on pain intensity and/or disability in shoulder pain.
RESULTS
A total of thirty-three articles were included with a total sample of 10,293 participants with shoulder pain. In the cross-sectional analysis, higher levels of pain catastrophizing and kinesiophobia were significantly associated with more pain intensity and disability, whereas higher levels of expectations of recovery and self-efficacy were significantly associated with lower levels of pain intensity and disability. In the longitudinal analysis, higher levels of pain catastrophizing, fear-avoidance and kinesiophobia at baseline predicted greater pain intensity and disability overtime. Higher levels of self-efficacy and expectations of recovery at baseline predicted a reduction in levels of pain intensity and disability overtime.
CONCLUSIONS
Evidence suggests that pain beliefs are associated with and predict the course of pain intensity and disability in shoulder pain. However, the overall body of the evidence after applying the GRADE approach was very low across studies. Further research using higher quality longitudinal designs and procedures would be needed to establish firm conclusions.
Topics: Adult; Aged; Aged, 80 and over; Cross-Sectional Studies; Disabled Persons; Female; Humans; Male; Middle Aged; Pain Measurement; Shoulder Pain; Surveys and Questionnaires
PubMed: 29980139
DOI: 10.1016/j.msksp.2018.06.010 -
Developmental Medicine and Child... Apr 2023To review the evidence for the effects of adapted bicycle riding on body structures and functions, activity, participation, and quality of life outcomes in children with... (Review)
Review
AIM
To review the evidence for the effects of adapted bicycle riding on body structures and functions, activity, participation, and quality of life outcomes in children with disabilities, along with family-level participation outcomes.
METHOD
A systematic review with searches of nine electronic databases to identify studies involving participants with a developmental disability aged 4 to 18 years who used a dynamic adapted bicycle was completed in August 2021. Risk of bias was assessed based on individual study designs. A narrative synthesis integrated the findings of the included studies. Certainty of evidence was synthesized using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach.
RESULTS
Ten studies were included with 234 participants. Five studies reported outcomes at the body structures and functions level, ten reported activity-level outcomes, two reported participation-related outcomes, and none assessed quality of life or family participation in social and recreational activities.
INTERPRETATION
Adapted bicycle riding interventions may improve gross motor function, enhance lower-limb muscle strength, and promote physical activity; however, certainty of evidence of effects was rated very low using GRADE. Further research is required to understand the impact of adapted bicycle riding on the participation outcomes of children and adolescents with disabilities and on family-level participation in social and recreational activities.
WHAT THIS PAPER ADDS
Adapted bicycle riding interventions may improve motor functions and physical activity. Evidence about participation outcomes after adapted bicycle riding is limited. Research on adapted bicycle riding interventions in natural settings is needed.
Topics: Child; Humans; Adolescent; Bicycling; Quality of Life; Exercise; Disabled Persons
PubMed: 36335550
DOI: 10.1111/dmcn.15446 -
Disability and Rehabilitation Sep 2018Considering the perspectives of individuals with cognitive disability is important for their participation in their self-directed health care. The nominal group... (Review)
Review
RATIONALE
Considering the perspectives of individuals with cognitive disability is important for their participation in their self-directed health care. The nominal group technique (NGT) has been identified as a method to gather opinions of people with cognitive disability; however, a synthesis of methodological considerations to undertake when employing the approach among people with cognitive disability is non-existent.
METHOD
A systematic review guided by the preferred reporting items for systematic review and meta-analysis protocols was undertaken. Five databases (CINAHL, ISI Web of Science, ProQuest Social Science Journals, Scopus, and MEDLINE) were searched for peer-reviewed literature published before September 2016. Methodological considerations pertaining to the four stages of the NGT- generating ideas, recording ideas, clarification, and ranking - were extracted from each study.
RESULTS
Nine publications contributing to eight studies were included. Methodological considerations focused on (i) the number of participants within discussion groups, (ii) research question introduction, (iii) support individuals and accessible methods, (iv) ranking, and (v) researcher training and counselling services.
CONCLUSIONS
The use of the NGT to gain the health care perspectives of adults with cognitive disability is promising. Conducting nominal group techniques informed by the methodological considerations identified within this review can work towards ensuring that the health care perspectives of people with cognitive disability are considered. Implications for rehabilitation The emergent policy move towards self-directed health care for people with disability requires that the health care perspectives of people with disability are considered. Effective consultation and discussion techniques are essential to gain the health care perspectives of people with cognitive disability. After undertaking methodological considerations, the NGT can be an effective approach towards gaining the health care perspectives of people with cognitive disability.
Topics: Adult; Cognitive Dysfunction; Delivery of Health Care; Disabled Persons; Humans; Self Care; Self-Help Groups; Vulnerable Populations
PubMed: 28503963
DOI: 10.1080/09638288.2017.1325946 -
Disability and Health Journal Jan 2021systematic review and meta-analysis. (Meta-Analysis)
Meta-Analysis Review
STUDY DESIGN
systematic review and meta-analysis.
BACKGROUND
Despite existing scientific evidence alluding to the positive effects of physical exercise on people with amputations, there is a lack of consistency between the results of past studies.
OBJECTIVE
To identify if people with amputations taking part in an exercise training programme can benefit from improvements in their health status as measured by changes in their physiological fitness and functionality levels.
METHODS
A systematic review and meta-analysis of randomized controlled trials (RCTs) were performed after searching within several databases up to October 2019.
RESULTS
Ten RCTs with satisfactory methodological quality were found. Five RCTs were pooled in the meta-analysis. Exercise programmes with a combination of activities were most commonly delivered. Exercise had positive effects on aerobic and muscular fitness parameters. Findings from the meta-analysis indicated that exercise improved distance walked but did not have a significant impact on functional mobility or self-reported functional capacity.
CONCLUSION
Combined exercise of muscular endurance and functional physical exercise appear to have greater positive effects on cardiorespiratory fitness, muscular fitness and functionality levels in adult prosthesis users with unilateral lower limb amputation. Future studies should include different profiles of patients with amputations that are poorly represented in the current scientific literature.
Topics: Adult; Amputation, Surgical; Cardiorespiratory Fitness; Disabled Persons; Exercise; Humans; Physical Fitness
PubMed: 32819852
DOI: 10.1016/j.dhjo.2020.100976 -
International Journal of Environmental... Nov 2021To systematically review interventions aimed at improving employment participation of people with psychosocial disability, autism, and intellectual disability. We... (Review)
Review
To systematically review interventions aimed at improving employment participation of people with psychosocial disability, autism, and intellectual disability. We searched MEDLINE, Embase, PsycINFO, Web of Science, Scopus, CINAHL, ERIC, and ERC for studies published from 2010 to July 2020. Randomized controlled trials (RCTs) of interventions aimed at increasing participation in open/competitive or non-competitive employment were eligible for inclusion. We included studies with adults with psychosocial disability autism and/or intellectual disability. Risk of bias was assessed using the Cochrane Collaboration Risk of Bias II Tool. Data were qualitatively synthesized. Our review was registered with PROSPERO (CRD42020219192). We included 26 RCTs: 23 targeted people with psychosocial disabilities ( = 2465), 3 included people with autism ( = 214), and none included people with intellectual disability. Risk of bias was high in 8 studies, moderate for 18, and low for none. There was evidence for a beneficial effect of Individual Placement and Support compared to control conditions in 10/11 studies. Among young adults with autism, there was some evidence for the benefit of Project SEARCH and ASD supports on open employment. Gaps in the availability of high-quality evidence remain, undermining comparability and investment decisions in vocational interventions. Future studies should focus on improving quality and consistent measurement, especially for interventions targeting people with autism and/or intellectual disability.
Topics: Autistic Disorder; Disabled Persons; Employment; Humans; Intellectual Disability; Young Adult
PubMed: 34831840
DOI: 10.3390/ijerph182212083 -
Physiotherapy Theory and Practice Sep 2022Evaluate the effects of Equine-Assisted Therapy (EAT) on the functioning of individuals with different health conditions through a systematic review and meta-analysis of... (Meta-Analysis)
Meta-Analysis
PURPOSE
Evaluate the effects of Equine-Assisted Therapy (EAT) on the functioning of individuals with different health conditions through a systematic review and meta-analysis of randomized clinical trials (RCT).
METHODS
This review was registered in the International Prospective Register of Systematic Reviews (CRD42018100035) and followed the Preferred Reporting Items for Systematic Review and Meta-analyses recommendations. RCT were searched in eight different databases, using relevant keywords until July 7, 2020. Two independent reviewers performed selection of articles and data extraction that were synthesized and analyzed according to the International Classification of Functioning, Disability and Health. Methodological quality and evidence of the effects were established through the PEDro score and GRADE. For meta-analysis we used random effects method, pooled-effect results, and mean difference with 95% confidence interval.
RESULTS
Among 713 selected articles, 23 were included in the review. There is evidence of positive effects of the EAT on: exercise tolerance ( = .004) and quality of life ( < .0001), with high confidence in those effects; mobility ( = .002) and interpersonal interactions and relationships ( < .0001), with moderate confidence in those effects.
CONCLUSION
There are significant positive effects of the EAT on exercise tolerance, mobility, interpersonal interactions and relationships and quality of life of people with disabilities.
Topics: Disabled Persons; Equine-Assisted Therapy; Exercise Tolerance; Humans; Quality of Life
PubMed: 33084452
DOI: 10.1080/09593985.2020.1836694 -
Journal of Intellectual Disabilities :... Jun 2023This review synthesizes the available literature regarding factors which facilitate a sense of belonging in people with intellectual and developmental disabilities, and...
This review synthesizes the available literature regarding factors which facilitate a sense of belonging in people with intellectual and developmental disabilities, and provide a comprehensive integrative view of the subject. Four electronic databases were searched, and 13 studies met inclusion criteria for review. The "standard quality assessment criteria for evaluating primary research papers from a variety of fields" indicated satisfactory quality. Factors which facilitate a sense of belonging in people with intellectual and developmental disabilities were analyzed into themes. Sense of belonging is enhanced by feeling respected, accepted, and valued (Subjectivity). These experiences are more likely to be achieved in a familiar and safe environment (Dynamism), and with access to platforms for social interactions (Groundedness), where a sense of relatedness and connectedness achieved by shared experiences with others (Reciprocity). Sense of belonging is associated with committed action of people with disability, taking assertive action or being agentic (Self-determination). Sense of belonging is a unique concept that should be addressed in disability research and practice.
Topics: Child; Humans; Intellectual Disability; Developmental Disabilities; Disabled Persons; Social Interaction; Personal Autonomy
PubMed: 35271785
DOI: 10.1177/17446295211068424 -
BMJ Paediatrics Open Oct 2022Indicators of child health have the potential to inform societal conversations, decision-making and prioritisation. Paediatric core outcome sets are an increasingly... (Review)
Review
Identifying common health indicators from paediatric core outcome sets: a systematic review with narrative synthesis using the WHO International Classification of Functioning, Health and Disability.
BACKGROUND
Indicators of child health have the potential to inform societal conversations, decision-making and prioritisation. Paediatric core outcome sets are an increasingly common way of identifying a minimum set of outcomes for trials within clinical groups. Exploring commonality across existing sets may give insight into universally important and inclusive child health indicators.
METHODS
A search of the Core Outcome Measures in Effectiveness Trial register from 2008 to 2022 was carried out. Eligible articles were those reporting on core outcome sets focused on children and young people aged 0-18 years old. The International Classification of Functioning, Disability and Health (ICF) was used as a framework to categorise extracted outcomes. Information about the involvement of children, young people and their families in the development of sets was also extracted.
RESULTS
206 articles were identified, of which 36 were included. 441 unique outcomes were extracted, mapping to 22 outcome clusters present across multiple sets. Medical diagnostic outcomes were the biggest cluster, followed by pain, communication and social interaction, mobility, self-care and school. Children and young people's views were under-represented across core outcome sets, with only 36% of reviewed studies including them at any stage of development.
CONCLUSIONS
Existing paediatric core outcome sets show overlap in key outcomes, suggesting the potential for generic child health measurement frameworks. It is unclear whether existing sets best reflect health dimensions important to children and young people, and there is a need for better child and young person involvement in health indicator development to address this.
Topics: Child; Humans; Adolescent; Infant, Newborn; Infant; Child, Preschool; Disabled Persons; Outcome Assessment, Health Care; Narration; Child Health; World Health Organization
PubMed: 36645779
DOI: 10.1136/bmjpo-2022-001537 -
Prosthetics and Orthotics International Dec 2015To date no review has been published that analyzes the efficacy of assistive devices on the walking ability of ambulant children and adolescents with spina bifida and,... (Comparative Study)
Comparative Study Review
The effects of orthoses, footwear, and walking aids on the walking ability of children and adolescents with spina bifida: A systematic review using International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY) as a reference framework.
BACKGROUND
To date no review has been published that analyzes the efficacy of assistive devices on the walking ability of ambulant children and adolescents with spina bifida and, differentiates between the effects of treatment on gait parameters, walking capacity, and walking performance.
OBJECTIVES
To review the literature for evidence of the efficacy of orthotic management, footwear, and walking aids on gait and walking outcomes in ambulant children and adolescents with spina bifida.
STUDY DESIGN
Systematic literature review.
METHODS
A systematic literature search was performed to identify studies that evaluated the effect of any type of lower limb orthoses, orthopedic footwear, or walking aids in ambulant children (≤18 years old) with spina bifida. Outcome measures and treatment results for gait parameters, walking capacity, and walking performance were identified using International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY) as the reference framework.
RESULTS
Six case-crossover studies met the criteria and were included in this systematic review. Four studies provided indications of the efficacy of the ankle-foot orthosis in improving a number of kinematic and kinetic properties of gait, stride characteristics, and the oxygen cost of walking. Two studies indicated that walking with forearm crutches may have a favorable effect on gait. The evidence level of these studies was low, and none of the studies assessed the efficacy of the intervention on walking capacity and walking performance.
CONCLUSIONS
Some data support the efficacy of using ankle-foot orthosis and crutches for gait and walking outcomes at the body functions and structures level of the ICF-CY. Potential benefits at the activities and participation level have not been investigated.
CLINICAL RELEVANCE
This is the first evidence-based systematic review of the efficacy of assistive devices for gait and walking outcomes for children with spina bifida. The ICF-CY is used as a reference framework to differentiate the effects of treatment on gait parameters, walking capacity, and walking performance.
Topics: Activities of Daily Living; Adolescent; Child; Child, Preschool; Crutches; Disability Evaluation; Disabled Persons; Evidence-Based Medicine; Female; Foot Orthoses; Gait Disorders, Neurologic; Humans; Male; Netherlands; Quality of Life; Randomized Controlled Trials as Topic; Risk Assessment; Self-Help Devices; Shoes; Spinal Dysraphism; Treatment Outcome; Walking
PubMed: 25107922
DOI: 10.1177/0309364614543550 -
Bipolar Disorders Aug 2010To systematically identify and examine the frequency of use of concepts contained in outcome variables across bipolar disorder (BD) studies using the International... (Review)
Review
OBJECTIVES
To systematically identify and examine the frequency of use of concepts contained in outcome variables across bipolar disorder (BD) studies using the International Classification of Functioning, Disability and Health (ICF) as a reference.
METHODS
Original studies published between 2000 and 2006 were located on the MEDLINE and PsycINFO databases and selected according to predetermined criteria. Outcome variables were extracted, and concepts contained therein were linked to the ICF.
RESULTS
A total of 109 final studies were included. The concepts contained in these studies were linked to 145 different ICF categories. ICF category b152, emotional functions, was the most frequently represented category, appearing in 94% of the publications, followed by b126, temperament and personality functions (73%). E110, products or substances for personal consumption, and e580, health services, systems, and policies, appeared in 68% of the studies.
CONCLUSIONS
The present systematic review reflects the research focus of the literature on BD in recent years. Most of the studies performed concentrate on body functions rather than activities and participation domains. Experimental studies are mostly pharmacological, reflecting the need to study nonpharmacological interventions. Furthermore, our study shows that outcome variables used in studies with persons with BD can, to a large extent, be mapped to the ICF.
Topics: Bipolar Disorder; Disability Evaluation; Disabled Persons; Humans; Psychiatric Status Rating Scales; Treatment Outcome
PubMed: 20712748
DOI: 10.1111/j.1399-5618.2010.00833.x