Objective To develop a system to guide interpretation of scores generated from the newly developed item response theory (IRT)-based, multi-dimensional computer adaptive test (FAMCAT) which assesses three important domains of function: mobility, daily activities, and applied cognition. Design Cross-sectional data used to inform a modified-Delphi approach to establish FAMCAT cut points delineating various

A project with the goal of implementing electronic health record (EHR) – based patient-reported outcome measures (PROMs) into a large inpatient spinal cord injury (SCI) rehabilitation program took twice as long as expected. This report details the lessons learned from the barriers, successes, and unexpected issues that arose during this prolonged, but now successful project. The goals of this implementation

Objective To assess differential item functioning (DIF) in an item pool measuring the mobility of hospitalized patients across educational, age, and gender groups. Design Measurement evaluation cohort study. Content experts generated DIF hypotheses to guide the interpretation. The graded response item response theory (IRT) model was used. Primary DIF tests were Wald statistics; sensitivity analyses

Objective : To summarise the proportion of consumer webpages on subacromial decompression and rotator cuff repair surgery that make an accurate portrayal of the evidence for these surgeries (primary outcome), mention the benefits and harms of surgery, outline alternatives to surgery, and make various surgical recommendations. Design Content analysis. Setting Online consumer information about subacromial

Objective : To compare the gut microbiome composition and serum metabolome profile among individuals with spinal cord injury (SCI) and normal glucose tolerance (NGT) or prediabetes/type 2 diabetes (P/DM). Design : Cross-sectional design. Setting : Research university. Participants : A total of 25 adults with SCI were included in the analysis and categorized as NGT (n=16) or P/DM (n=9) based on their

Objective To examine relationships between age and spinal cord injury (SCI) and cause of SCI, and how this depends on economic development. Design Cross-sectional survey. Setting Community, 22 countries representing all stages of economic development. Participants 12,591 adults with SCI. Interventions Not applicable. Main Outcome Measures Interactions between age at injury and Gross Domestic Product

Objective : To assess the effects of high-intensity interval training (HIIT) on physical, mental, and cognitive functioning after stroke. Design : The HIIT Stroke Study was a single-blind, multicenter, parallel-group, randomized controlled trial. Setting : Specialized rehabilitation units at 3 Norwegian hospitals. Participants : Adult stroke survivors (N=70) 3 months to 5 years after a first-ever stroke

Objective To test the hypotheses that remote training improves trainer confidence and, when these trainers train others, the capacity and confidence of the trainees improves. Design Cohort study with pre- vs post-training comparisons. Setting Four Spinal Cord Injury Model Systems Centers. Participants Convenience sample of 7 clinician trainers and 19 able-bodied trainees. Intervention Part 1 focused

Objective: To determine the effectiveness of a web-based, direct-to-user transfer training program in improving transfer quality and maintaining improvements for up to one-month post-training as compared to a control group. Design: Randomized control study with participants randomized to an immediate intervention (IIG) or waitlist control group (WLCG) that received the training after a 6-month delay

Objective To investigate the changes in total internet and mobile internet use over time and determine how demographic characteristics are related to changes in internet and mobile internet use among individuals with spinal cord injury (SCI). Design Cross-sectional analysis of multicenter cohort study. Setting National SCI Database. Participants Persons with traumatic SCI with follow-up data collected

Objectives (1) Describe the prevalence cardiometabolic disease (CMD) at spinal cord injury (SCI) rehabilitation discharge; (2) compare this with non-SCI controls; (3) identify factors associated with increased CMD. Design Multicenter, prospective observational study. Setting Five NIDILRR Model SCI Rehabilitation Centers. Participants SCI; n=95 aged 18-70 years with SCI (neurological levels of injury

Objective To characterize the use of complementary and integrative healthcare (CIH) by people with spinal cord injury (SCI). Design Cross-sectional self-report study. Setting Participants were recruited from five Spinal Cord Injury Model System (SCIMS) centers across the United States (US). Interventions Not applicable. Participants 411 persons enrolled in the SCIMS completing their SCIMS follow-up

Objective Identify the self-reported frequency of emergency department (ED) visits, ED related hospitalizations, and reasons for ED visits among people with traumatic spinal cord injury (SCI) and compare them with general population data from the same geographic area. Design Cross-sectional. Setting A specialty hospital in the Southeastern United States. Participants The participants (N = 648) were

Objective To obtain expert consensus on indicators of quality rehabilitation services for individuals with limited English proficiency (LEP). Design Three-round Delphi study. Setting Delphi survey conducted online with 30 experts. Most experts worked in adult physical rehabilitation settings and were from Illinois (n=16), with remaining participants from eight other US states or Canadian provinces

Objective To link the Activity Measure for Post-Acute Care (AM-PAC) Applied Cognition to the PROMIS Cognitive Function allowing for a common metric across scales. Design Cross-sectional survey study. Setting Outpatient rehabilitation clinics. Participants Consecutive sample of 500 participants 18 years and older presenting for outpatient therapy (physical, occupation, or speech). Interventions Not

Objective Evaluate physical activity (PA) and sedentary behavior and their associations with symptom and quality of life outcomes in adults with persistent post-concussive symptoms (PPCS) following mild traumatic brain injury (mTBI). Design Cross-sectional cohort study. Setting Outpatient brain injury clinic. Participants Consecutive sample of adults (n=180) with a diagnosis of mTBI and PPCS. Interventions

Objective To examine whether children with brain tumors treated with resection benefit from inpatient rehabilitation, and explore what factors present at admission may predict better functional outcomes. Design Retrospective Cohort Design Setting Pediatric inpatient rehabilitation unit Participants Forty patients (ages 3 to 21 years; 42.5% female) admitted to the rehabilitation unit between 2003 and

Objective To describe pain intensity and interference in people with progressive multiple sclerosis (MS), compare these to people with relapsing-remitting MS (RRMS), and identify common and unique factors associated with pain intensity in people with progressive MS and RRMS. Design Observational, cross-sectional analysis using baseline data from a longitudinal survey on quality of life in participants

Objective Self-efficacy (SE) is an important determinant for the psychological adjustment of people with spinal cord injury (SCI). However, little is known about the course of SE during inpatient rehabilitation up to one year after discharge. The aim was to determine latent trajectory classes of SE, depressive mood and anxiety in people with SCI and the interrelationships between these trajectories

Objective: To evaluate the criterion validity and responsiveness of the steep ramp test (SRT) compared to the cardiopulmonary exercise test (CPET) in evaluating aerobic capacity in cancer survivors participating in a rehabilitation program. Design: A prospective cohort study in which cancer survivors performed a SRT and CPET before (T=0) and after (T=1) a 10-week exercise rehabilitation program. Peak

Objectives To determine the efficacy of extracorporeal shock wave therapy (ESWT) and to determine the ideal energy flux density of wide-focused ESWT in the treatment of trigger finger (TF). Design Double-blinded, randomized, controlled trial. Setting A university hospital Participants A total of 60 patients with grade II TF according to the Quinnell classification were randomly and evenly allocated

Objectives: To synthesize evidence regarding the psychometric properties of the Brief-Balance Evaluation Systems test (BESTest) in assessing postural controls across various populations. Data Sources: Articles were searched in nine databases from inception to March 2020. Study Selection: Two reviewers independently screened titles, abstracts, and full-text articles to include studies that reported

Objective To evaluate whether pain interference mediates the relationship between pain intensity and possible major depression (PMD) among persons with spinal cord injury (SCI), accounting for differences in the frequency of prescription medication use and resilience. Design Cross-sectional analysis using self-report assessment. Setting Medical university in the Southeastern United States. Participants

Objective To characterize the qualities that persons with spinal cord injury (SCI) associate with their experience of spasticity, and to describe the relationship between spasticity and perceived quality of life, and the perceived value of spasticity management approaches. Design Online cross-sectional survey. Setting Multi-center collaboration among six Spinal Cord Injury Model Systems (SCIMS) hospitals

Objective To investigate residential mobility among community-living adults with spinal cord injury (SCI) and the individual, health, and neighborhood factors associated with the propensity to relocate. Design Retrospective analysis of data from the National SCI Model Systems (SCIMS) database collected between 2006 and 2018 and linked with the American Community Survey five-year estimates. Setting

Objective To provide a novel overview of the literature and to summarise the evidence for the effects of aerobic exercise (AE) on serum biomarkers neuroplasticity and brain repair in stroke survivors. Data Source We conducted a systematic review and searched MEDLINE, EMBASE and Cochrane CENTRAL using terms related to AE, neuroplasticity, brain repair, and stroke. Study Selection Titles, abstracts,

Current approaches for generating “high quality” research evidence for technology-based interventions in the field of disability and rehabilitation are inappropriate. Prevailing approaches often focus on randomized controlled trials as standard and apply clinical trials practices designed for pharmaceuticals; such approaches are unsuitable for technology-based interventions, and counterproductive to

Objective to determine whether new tools and items have been developed to evaluate the risk of bias (RoB) and reporting of Randomized Controlled Trials (RCTs) in rehabilitation area; to determine which items are included in the existing reporting guidelines, and to create a matrix of items to report and conduct trials in rehabilitation as the first step for a starting a rigorous validation process

Objective The aim of the present study was to identify, synthesize and categorize the methodological issues faced by the rehabilitation field. Data Sources A scoping review was conducted using studies identified in Medline, the Cochrane Library, EMBASE, Web of Science, Scopus, PEDro and Google Scholar up to August 2018. Study Selection We included all type of publications describing methodological

Objectives To assess the effects of whole-body vibration training (WBVT) on body composition, metabolic and cardiovascular risk variables and lower-limb strength in overweight/obese subjects. Data sources A systematic review with meta-analysis was conducted in three databases (PubMed-Medline, Web of Science and Cochrane Library), from inception through to January 26, 2020. Study selection Studies analysing

Objective To assess the association between sexual orientation and functional limitations in a large representative sample of the English population. Design Cross-sectional. Setting Data were from the 2007 Adult Psychiatric Morbidity Survey (APMS). Participants 7,403 adults aged 16-95 years (51.4% females, mean [standard deviation] age 46.3 [18.6] years) were included in the present study. Interventions

Objective To evaluate the effects of a physical exercise program on days lived at home, the use and costs of healthcare and social services mortality and functional independence among patients with hip fractures. Design Randomized controlled trial with parallel two-group design, consisting of a 12-month intervention and 12-month registry follow-up. Setting Home-based intervention. Participants Patients

Objective To investigate the effectiveness of conservative non-pharmacologic therapies on pain-related, physical capacity, and physical activity outcomes in patients with degenerative lumbar spinal stenosis (LSS). Data Sources Systematic search of MEDLINE, EMBASE, CENTRAL, and PsycINFO from inception to November 4, 2019 without language restrictions. Study Selection Pairs of review authors independently

Carpal tunnel syndrome (CTS) treatment contains ambiguities across and within disciplines. This meta-synthesis of professional guidelines consolidates clinical treatment recommendations for CTS treatment and classifies them by strength of evidence. We conducted a search of Google, Google Scholar, and PubMed for published clinical treatment recommendations for CTS. A systematic hand search was completed

Objectives To analyze the effects at the musculoskeletal level of manual treatment of the diaphragm muscle in adults. Data Sources Systematic review using four databases: PubMed, Science Direct, Web of Science and Scopus. Study selection and data extraction Two independent reviewers applied the selection criteria and assessed the quality of the studies using the Physiotherapy Evidence Database (PEDro)

Objective To examine sensitivity to change and responsiveness of the Community Balance & Mobility Scale (CBM) and shortened CBM (s-CBM) Design Secondary analysis using data of a randomized controlled trial Setting General community Participants Community-dwelling seniors aged 61-70 years Intervention Participants underwent 12 months of exercise intervention Main Outcome Measures CBM and s-CBM. Sensitivity

Objective A meta-analysis of randomized controlled trials (RCTs) was conducted to determine the effect of pulmonary rehabilitation on functional capacity and quality of life in interstitial lung diseases including also caused by coronaviruses. Data Sources MEDLINE, EMBASE, SPORTDiscus, Cochrane Library, Web of Science and MedRxiv from inception to November 2020 were searched to identify documents.

Objective To investigate the diagnostic accuracy of patient history associated with hip pain. Data Sources A systematic, computerized search of electronic databases (PubMed, MEDLINE, CINAHL, and Web of Science), a search of the grey literature, and review of the primary authors personal library was performed. Hip specific search terms were combined with diagnostic accuracy and subjective/self-report

Objective To examine the associations among social networks and loneliness on health and life satisfaction in adults with chronic spinal cord injury / dysfunction (SCI/D). Design Cross-sectional telephone survey study. Setting Tertiary SCI rehabilitation centre. Ontario, Canada. Participants Community-dwelling adults with chronic SCI/D (N=170). Intervention Not applicable Main Outcome Measures The

Objective To study the effects of supervised training in adults with subacromial pain syndrome. Data sources EMBASE, MEDLINE, Cochrane Library, Cinahl, and Pedro were searched from inception to March 2020. Study selection Independent reviewers selected randomised controlled trials comparing supervised training with a) no training or b) self-training in adults with subacromial pain syndrome lasting

Objective To investigate the effects of physical exercise on cortical activity measured via EEG in individuals with Mild Cognitive Impairment (MCI). Data Sources Pubmed, Web of Science, PsycINFO, Scielo databases were searched, using: "physical exercise"; "physical activity"; “physical therapy”; "exercise"; "training"; "electroencephalogram"; "electroencephalography"; "EEG"; "mild cognitive impairment";

Objective To determine the benefits of preoperative breathing exercises on hospital length of stay (LOS), pneumonia, postoperative pulmonary complications (PPC), six-minute walk distance (6MWD), forced expiratory volume in 1 sec (FEV1), and health-related quality of life (HRQoL) in patients undergoing surgical lung cancer resection. Data Sources PubMed, EMBASE, Web of Science Core Collection and Cochrane

Objective The purpose of this systematic review was to investigate whether aerobic training (AT) or resistance training (RT) is most effective in terms of improving lower limb physical function and perceived fatigue in persons with multiple sclerosis (pwMS). Data sources Nine databases (MEDLINE, EMBASE, CINAHL, AMED, PEDro, SPORTdiscus, PsycINFO, Web of Science and SCOPUS) were electronically searched

Objective Determine the association of chronic conditions measured at baseline with physical performance and falls over time among older adults with back pain. We examined both number and type (depression, anxiety, and arthritis) of chronic conditions. Design Retrospective cohort study Setting National Health and Aging Trends Study Participants 2438 community-dwelling Medicare Beneficiaries age ≥65

Objective To identify homogeneous subsets of chronic stroke survivors who share similar characteristics across several domains and test if these groups differ in real-world walking activity. We hypothesized that variables representing the domains of walking ability, psychosocial, environment, and cognition would be important contributors in differentiating real-world walking activity in chronic stroke

Objective The purpose of this study was to examine factors associated with variability in satisfaction with functional mobility (as measured by the Functional Mobility Assessment (FMA)) in users of mobility devices. Our primary hypothesis was that device type and Assistive Technology Professional (ATP) involvement will be the most significant predictors of FMA score. Our secondary hypothesis was that

Objective Evaluate the efficacy of negative pressure massage treatment (NPMT) compared to manual lymphatic drainage (MLD) in women with chronic breast cancer-related lymphedema (LE). We hypothesized that NPMT would result in greater improvements in LE and upper limb function. Design Pilot single-blinded randomized controlled trial (RCT) Setting Health sciences university Participants Of 64 women screened

OBJECTIVE To describe the effect of robotic locomotor training (RLT) and activity-based training (ABT) on cardiovascular indices during various physiological perturbations in individuals with SCI. DESIGN Randomized controlled pilot study SETTING Private practice: Therapy & Beyond Centre - Walking with Brandon Foundation, Sports Science Institute of South Africa, Cape Town, South Africa. PARTICIPANTS

Objective: To identify patient-reported outcome measurements (PROMs) for intermittent self-catheterization (ISC) users, critically assess and summarize the quality of the measurement properties, and describe the application scenarios on each instrument. Data Sources: PubMed, EMBASE, Medline, PsycINFO and relevant reference lists were systematically searched until December 2019 (updated May 2020). Study

Using data from the monthly Current Population Survey, this paper provides monthly employment and unemployment statistics for people with and without disabilities in the United States, before and during the COVID-19 pandemic to-date (January 2021). Estimates show that, like workers without disabilities, workers with disabilities experienced unemployment at the beginning of the pandemic and continued

Objective: To determine whether self-efficacy (SE) mediates or moderates the relationship between motor ability at pretest and functional use of the affected arm at posttest in task-related training for stroke. Design: Retrospective, observational cohort study. Setting: Outpatient rehabilitation settings. Participants: Eighty patients with chronic stroke. Interventions: The training was delivered to

Objective Investigate frequency and consequences of wheelchair repairs, looking at the relationship to usage, components, out-of-pocket costs, number of days impacting the user, and factors associated with the need for repairs or consequences. Design Survey, cross-sectional. Setting Nine spinal cord injury (SCI) Model Systems Centers. Participants 533 wheelchair users with SCI. Interventions N/A. Main

Objective To determine if functional measures of ambulation can be accurately classified using clinical measures, demographics, personal, psychosocial, and environmental factors (PPEF), and limb accelerations (LA) obtained during sleep, among individuals with chronic, motor incomplete spinal cord injury (SCI) in an effort to guide future, longitudinal predictions models. Design Cross-sectional, 1-5

Objective To determine if the addition of a brief psychologically-informed video to traditional physical therapy influenced function (primary aim), pain, and psychological beliefs (secondary aims) among adolescents with patellofemoral pain (PFP). Design Double-blind randomized controlled trial. Setting Outpatient physical therapy clinics of a single pediatric hospital. Participants Sixty-six adolescents

Objective To investigate (i) upper limb (UL) energy demand during unilateral arm crank submaximal exercise testing in individuals with stroke compared with healthy controls, and (ii) the relationship between UL energy demand and UL activity in individuals with stroke. Design Cross-sectional, observational study. Setting Research laboratory. Participants Individuals with chronic stroke (n=14) and controls

Objective To examine the association between the number of physical and occupational therapist visits received in the acute care hospital and the risk of hospital readmission or death. Design Retrospective cohort study of electronic health records and administrative claims data collected for 2.25 years (January 1, 2016 – March 30, 2018). Setting 12 acute care hospitals in a large healthcare system

Design Randomized Clinical Trial Setting Outpatient Physical Therapy. Participants One hundred and twenty people with chronic low back (CLBP) aged 18 to 60 years. Interventions SSKT, Sham KT (no tension) and Minimal Intervention (Educational booklet for self-management counseling). Main Outcome Measures The primary outcome measures were pain intensity and center of pressure (CoP) mean sway speed and

Objective To examine the effects of mindfulness- and acceptance-based interventions (MABIs) on reducing symptoms of people with multiple sclerosis (MS). Data sources A comprehensive search was conducted within the PubMed, CINAHL, PsycINFO, and SCOPUS databases for articles published from inception to July 3, 2020. Study selection Randomized controlled trials (RCTs) were included if MABIs were provided

Objective To: 1) evaluate the impact of a group-based self-management treatment intervention (VETPALS) on physical and psychosocial functioning (co-primary outcomes) and quality of life (secondary outcome) in individuals with amputation and 2) examine the feasibility and acceptability of the intervention in a large national health care system. Design Randomized controlled trial with masked outcome