Disability and rehabilitation
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To use quantitative data characterizing whiplash-associated disorder (WAD)-related pain beliefs over time to develop qualitative analysis exploring experiences informing these beliefs. ⋯ Restitution was the dominant underlying pattern of belief endorsement. While this may be adaptive early after WAD, it is problematic for meaning construction later on. Based on contemporary views on pain, identification of this narrative is important as it represents an incompatibility in the conceptualization of pain between patient and provider.
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To investigate factors associated with post-traumatic growth (PTG) 13 years after severe traumatic brain injury (TBI) and to see if PTG had remained consistent between 11 and 13 years after injury. ⋯ • People with TBI do perceive benefits or post-traumatic growth (PTG), after time, which once established remains stable.• Factors such as having a sense of "meaning" and "purpose", are predictors of PTG.• Social support, activity such as work, new and stable relationships, a shift toward spiritual values, and milder disability are also associated with PTG.• Clinicians can focus effort into supporting these developments.]
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Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a debilitating condition characterized by a number of symptoms which typically worsen following minimal exertion. Various strategies to manage the limited energy levels have been proposed. Of these, pacing has been consistently rated as one of the most helpful in surveys conducted by patient groups. This review is a response to the paucity of the information on pacing in the scientific literature. ⋯ Pacing offers practitioners an additional therapeutic option which is acceptable to the majority of patients and can reduce the severity of the exertion-related symptoms of ME/CFS.
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Randomized Controlled Trial
Efficacy of constraint-induced movement therapy and electrical stimulation on hand function of children with hemiplegic cerebral palsy: a controlled clinical trial.
The purpose of this study is to compare the efficacy of constraint therapy, constraint therapy plus electrical stimulation, and occupational therapy in the treatment of hand dysfunction. ⋯ Constraint therapy plus electrical stimulation is likely to be best in improving hand performance in children with hemiplegic cerebral palsy.
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To identify questionnaires and scales that measure functioning and disability in low-back pain (LBP) and determine whether the measurements are comparable with the International Classification of Functioning, Disability and Health (ICFDH). ⋯ This study may help researchers and clinicians to choose the most appropriate questionnaires for a specific purpose as well as help compare studies that have used different questionnaires for low back pain assessment and provide valuable information on the content quality of these questionnaires for them. Furthermore, based on our results, more comprehensive and balanced instruments may be developed for more accurate assessment of functioning in LBP and perhaps other clinical conditions.