Disability and rehabilitation
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The 6-Minute Walking Test (6MWT) is a safe, standardized and well utilized method to assess the functional capacity. Recently, it was reported that the published prediction equations cannot accurately predict a valid maximal oxygen consumption (V̇O2 peak) value in cancer survivors. Thus, the aim of this study was to establish and to validate a new equation based on the 6MWT to predict V̇O2 peak in childhood acute lymphoblastic leukemia (ALL) survivors. ⋯ This is the first study that predicted V̇O2 peak from a 6MWT using clinical and specific variables related to the disease of childhood ALL survivors. The availability of these newly established V̇O2 peak equations makes them an accurate tool to provide a better follow-up and better adapted physical training for survivors. We invite researchers to use our assessment procedures for their further studies.IMPLICATIONS FOR REHABILITATIONIt is critical to understand the cardiorespiratory fitness of the childhood ALL survivorsThe maximal oxygen consumption (i.e., V̇O2 peak) is recognized as the gold standard to measure the patient's cardiorespiratory fitness in the field of exercise physiologyThis study is novel and reports the validation of two new VO2 peak equations, from 6MWT, by using clinical and disease-specific variables of childhood ALL survivorsThe availability of such validated equations can better facilitate the follow-up of survivors' cardiorespiratory fitness, by relevant health care professionals and exercise physiologists.
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Purpose: To identify clinical predictors of pulmonary functions, respiratory and peripheral muscle strength and functional exercise capacity in burn injury patients, and to compare these parameters with healthy subjects. Methods: The study included 47 burn injury patients aged 20-49 years, and 47 age and gender-matched healthy subjects. The patients were evaluated on the day of discharge from hospital. ⋯ Assessment of respiratory muscle strength should be added into clinical practice in adults with burn injury. Lung functions and exercise capacity should be evaluated in burn patients at discharge. It is important to monitor lung functions of burn patients after discharge.
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Purpose: The current study aimed to evaluate the internal consistency, test-retest reliability, and construct validity of the translated and adapted Arabic version of the Oxford shoulder score in patients with shoulder disorders. Methods: One hundred four patients (average age 45.9 ± 15.2 years; female 78.8%) with shoulder disorders, including impingement syndrome, rotator cuff disorder, osteoarthritis, and adhesive capsulitis, participated. The participants were asked to complete the adapted Arabic version of the Oxford shoulder score, shoulder pain and disability index, and the Arabic numeric pain rating scale. ⋯ Implications for RehabilitationThe translated and adapted Arabic version of the Oxford shoulder score indicated adequate psychometric properties. The current study suggests that the Oxford shoulder score is a quick and easy outcome measure to assess pain and disability in patients with shoulder disorders. A significant correlation between the Oxford shoulder score and the Shoulder Pain and Disability Index and Arabic Numeric Pain Rating Scale scores supported the validity of the scale.
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Aim: Our aim was to perform the Turkish-language adaptation of a practical ataxia rating scale for children. Methods: The Brief Ataxia Rating Scale was subjected to cultural adaptation following receipt of the requisite permissions. Thirty-six children aged 4-18 years followed-up with a diagnosis of ataxia were included in the study. ⋯ Conclusion: The Turkish-language adaptation of the Brief Ataxia Rating Scale is reliable and valid for application in children. Implications for RehabilitationThis study shows the reliability and validity of the Turkish language adaptation of brief ataxia rating scale in children. The scale being both practical and easily applicable to ataxic children will contribute to broadening its use in the pediatric age group in particular.
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Purpose: What are the characteristics of people with lower limb amputation at admission to, and discharge from, subacute rehabilitation? Have these characteristics changed over time?Methods: A total of 425 lower limb amputation inpatient rehabilitation admissions (335 individuals) from 2005 to 2011 were examined. Admission characteristics, including aetiology, gender, age, amputation level, cognition (Mini-Mental State Examination (MMSE)), indoor mobility aid, motor function (Functional Independence Measure motor subscale) and number and type of comorbidities, and discharge characteristics, including prosthetic prescription, motor function, discharge mobility aid, and destination were compared by admission date and year. Results: Proportion of people with lower limb amputation with nonvascular aetiology increased over time (2004, 15% to 2011, 24%) (ß = -181.836, p < 0.001). ⋯ Implications for rehabilitationRehabilitation should account for the changing characteristics of people with lower limb amputation. Motor function should be addressed as part of rehabilitation to optimise the patient's ability to return home and to the community. Prescription rates for lower limb prostheses reduced across time, indicating more specific selection processes and refined clinical decision making; this decision is best informed by a multi-disciplinary approach.