Disability and Rehabilitation (DISABIL REHABIL)

Publisher: Informa Healthcare

Journal description

Disability and Rehabilitation is an international, multidisciplinary journal which seeks to encourage a better understanding of all aspects of disability, and to promote the rehabilitation process. The journal publishes review articles, experimental and clinical research papers, case studies, clinical commentaries, reports on rehabilitation in practice, rehabilitation engineering and major book reviews, spanning a range of issues including the severity and magnitude of disability, clinical medicine including gerontology, psychosocial adjustment, social policy issues, vocational and educational training, and rehabilitation engineering. Occasional special issues on specific themes of interest to the journalís readership are published.

Current impact factor: 1.99

Impact Factor Rankings

2016 Impact Factor Available summer 2017
2014 / 2015 Impact Factor 1.985
2013 Impact Factor 1.837
2012 Impact Factor 1.541
2011 Impact Factor 1.498
2010 Impact Factor 1.489
2009 Impact Factor 1.555
2008 Impact Factor 1.395
2007 Impact Factor 1.414
2006 Impact Factor 1.164
2005 Impact Factor 0.988
2002 Impact Factor 0.889
2001 Impact Factor 0.683
2000 Impact Factor 0.535
1999 Impact Factor 0.559

Impact factor over time

Impact factor

Additional details

5-year impact 2.14
Cited half-life 6.40
Immediacy index 0.32
Eigenfactor 0.01
Article influence 0.63
Website Disability & Rehabilitation website
Other titles Disability and rehabilitation
ISSN 0963-8288
OCLC 25415346
Material type Periodical, Internet resource
Document type Journal / Magazine / Newspaper, Internet Resource

Publisher details

Informa Healthcare

  • Pre-print
    • Author can archive a pre-print version
  • Post-print
    • Author cannot archive a post-print version
  • Restrictions
    • 12 months embargo
  • Conditions
    • On author's personal website or institution website
    • Publisher copyright and source must be acknowledged
    • Non-commercial
    • Must link to publisher version
    • Publisher's version/PDF cannot be used
    • NIH funded authors may post articles to PubMed Central for release 12 months after publication
    • Wellcome Trust authors may deposit in Europe PMC after 6 months
  • Classification

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Purpose: The aim of this study was to examine the quality of life (QOL) of Finnish children with cerebral palsy (CP) in different parts of Finland from the children's and caregivers perspectives. The acceptability of the Finnish version of the CP QOL-Child questionnaire for clinical use is also evaluated. Method: This study was conducted in 2010-2013 as a part of the national CP-project. It is based on validated CP QOL-Child questionnaires. Children between 9 and 12 years were asked to fill in the child-self-report version. Caregivers who had a 4- to 12-year-old child with CP filled in parent-proxy reports. Results: Responses were obtained from 63 children and 161 caregivers. The response rates were 63 and 60%, respectively. Overall QOL was reported to be fairly good with no significant regional differences within Finland. Children reported significantly higher QOL in all QOL-domains except "social wellbeing and acceptance" than their caregivers did. The results showed acceptable levels of internal consistency of the Finnish version of the CP QOL-Child. Conclusions: QOL of children with CP is quite good in Finland. However, barriers to participation and the impact of disability and pain impair QOL. The Finnish version of the CP QOL-Child questionnaire is an appropriate clinical tool to assess QOL. ▸ Implications for Rehabilitation • The used questionnaire provides an effective tool to identify areas for targeting support actions and to set goals for rehabilitation plans. • The study brings forward the voices of children. • It was found that pain has a great role in QOL, which should be taken into account when making rehabilitation plans. • The participation of children with CP should be strengthened in every possible ways.
    No preview · Article · Mar 2016 · Disability and Rehabilitation

  • No preview · Article · Feb 2016 · Disability and Rehabilitation

  • No preview · Article · Feb 2016 · Disability and Rehabilitation
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    ABSTRACT: Purpose The objective of this study was to analyze the feasibility of orthodontic treatment with fixed multibracket dental appliances (FMAs) in patients with Down syndrome (DS). Methods The study sample was formed of 25 patients with DS who underwent orthodontic treatment with FMAs. Dental and skeletal characteristics, aspects of FMA treatment, retainer use and recurrences were analyzed. Results were compared with a control group of healthy, age-, sex- and PAR index-matched individuals. Results All the controls underwent a single desensitization session, whereas 2–3 sessions were necessary in 11 patients with DS (p < 0.001). All the controls underwent bimaxillary treatment, compared with 11 patients with DS (p < 0.001). Only 8 patients with DS wore intermaxillary elastics, compared with 19 controls (p = 0.004). Complications were more common in patients with DS than in controls (p = 0.003), due particularly to traumatic ulcers development. There were more failures during the maintenance phase in patients with DS than in controls (p = 0.001). The mean duration of treatment was 37 months in patients with DS and 23 months in controls. More cemented retainers were used in the controls than in patients with DS (p = 0.050). Conclusions It is possible to perform orthodontic treatment with FMAs in patients with DS, although treatment may take longer than usual and the frequency of complications is higher than in controls.Implications for RehabilitationCertain dental characteristics of Down syndrome (DS) make these children firm candidates for orthodontic intervention.There is little literature available on orthodontic treatment in patients with DS, particularly with regard to the use of fixed appliances.This case–control study shows that it is possible to perform orthodontic treatment with fixed appliances in adequately selected patients with DS.However, in patients with DS orthodontic treatment may take longer than usual and the frequency of complications is higher than in the general population.
    No preview · Article · Jan 2016 · Disability and Rehabilitation
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    ABSTRACT: Purpose Prevocational training aims to improve basic vocational and social skills, supporting return to work for people who have been out of work for a long time. Care farms provide prevocational training; the aim of the study was to use the self-determination theory to gain an understanding of how these programmes can lead to healthy functioning and motivation for clients. Method A total of 194 participants in prevocational training on care farms answered questions about demographic information, their perception of being a colleague, the social community on the farm, experiencing nature and animals and need satisfaction. A cross-sectional design resulting in a structural equation model was used to understand how elements of the care farm context influence satisfaction of three psychological needs. Results The results showed that a feeling of being a useful colleague led to competence, experiencing a sense of group belonging led to relatedness and autonomy, while receiving social support from the farmer led to satisfaction of all three needs for the participants. Conclusions The results explain how prevocational training can stimulate participants’ functionality, motivation and well-being. This understanding enables initiators and managers of prevocational training to understand and further strengthen the need–supportive elements of such programmes.Implications for RehabilitationPrevocational training on care farms can facilitate motivation, functioning and well-being for clients.Making clients feel like useful colleagues that belong to a client group will strengthen the positive qualities of these programmes.Support, understanding and acknowledgement from the farmer are the most important elements for a positive development for the clients.
    No preview · Article · Jan 2016 · Disability and Rehabilitation
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    ABSTRACT: Purpose: Paid work is seen as a key outcome in rehabilitation. However, research demonstrates that because of normative expectations in the job market and workplace, experiences of disability can be intensified in a work context. We sought to explore this issue in more depth by analysing the effects of societal constructions of worker 'value' within individual case studies of people with acquired neurological injury. Method: Instrumental case study of four heterogeneous participants, employing a discourse analysis approach. Results: Participants described a perpetuation of discourses in which a disabled body or mind itself is seen to qualify, disqualify or limit a person's value in employment. Nevertheless, interviews also highlighted discourses that constructed other worker identities: based on pre-injury identities, life experiences and other aspects of self. The contrasts between individuals illustrated how worker identities, when situated within broader societal discourses of worker 'value', can either constrain or expand the vocational opportunities available to individuals who experience disability. However, current and historical interactions about worker 'value' shaped the identities genuinely available to each individual. Conclusion: Understanding how societal discourses enable and constrain worker identities may be vital to (a) facilitating valid opportunities and (b) navigating situations that could unintentionally hinder vocational possibilities. Implications for Rehabilitation This study shows how worker identities, situated within societal discourses of worker 'value', can constrain or broaden vocational opportunities available to individuals who experience disability. Barriers to gaining, maintaining and developing in employment could be re-envisaged in terms of what is limiting a person's ability to embody an enabling identity. A knowledge of both societal discourses and individuals' interactions with them may be vital to facilitating opportunities that users of rehabilitation services experience as valid options. This knowledge can also provide information with which to navigate situations that could potentially (sometimes unintentionally) constrain vocational possibilities.
    Preview · Article · Jan 2016 · Disability and Rehabilitation
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    ABSTRACT: Purpose The study aimed to investigate comprehensively the determinants of the quality of life (QOL) of caregivers of children with cerebral palsy (CP) based on the International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY). Methods A total of 167 children with CP (mean age 9.06 years, SD 2.61 years) and their caregivers (mean age 40.24 years, SD 5.43 years) participated in this study. The QOL of caregivers was measured with the World Health Organization Quality of Life-BREF-Taiwan version (WHOQOL-BREF-TW). The potential determinants of QOL were collected, including child characteristics, caregiver characteristics, and environmental factors from all dimensions of the ICF-CY and analysed using multiple regression models. Results Four multiple regression models revealed that determinants of the QOL of caregivers of children with CP was multidimensional, encompassing child characteristics (age, type of CP, fine motor impairment, other diseases, behaviour and emotions, visual impairment, hearing impairment), caregiver characteristics (general mental health, parenting stress, marital status, family coping patterns, and socio-economic status), and environmental factors (child's medication, school setting, and current rehabilitation service, caregiver's spouse's age, family life impacts, and domestic helper). Conclusions Knowledge of the determinants of QOL could serve as a guide in a holistic approach to evaluation and intervention and help plan interventions targeted at these determinants to improve the QOL of caregivers of children with CP. Implications for Rehabilitation Caregivers of children with CP had lower QOL, except the environment QOL. The QOL determinants of caregivers of children with CP are multidimensional, including child characteristics, caregiver characteristics, and environmental factors. In addition to child characteristics of severity of fine motor impairments and emotional and behavioural problems, caregiver characteristics of general mental health, parenting stress, and coping patterns, and environmental factors of family life impacts, and school setting demonstrated important relationships with caregiver QOL.
    No preview · Article · Jan 2016 · Disability and Rehabilitation
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    ABSTRACT: Purpose To evaluate the influence of patient’s weight on rehabilitation outcomes in first-event stroke patients. Design Retrospective, observational comparative study. 102 first-time stroke male and female patients admitted to the 52-bed neurology rehabilitation department in a rehabilitation hospital were included in the study. Body mass index (BMI), Functional Independence Measure (FIM) on admission and at discharge, as well as the delta-FIM (FIM on admission – FIM at discharge) were evaluated. The Kruskal–Wallis test was used to compare the FIM and the NIHSS scores between BMI groups (normal, overweight, moderate and severe obesity). Results A statistically significant negative correlation (rho = −0.20, p = 0.049) was found between FIM change and BMI, that remained significant after adjustments for age, sex and hospitalisation days. No difference was found between groups in FIM or NIHSS change between BMI groups. Conclusions In sub-acute post-stroke patients undergoing rehabilitation in rehabilitation hospital, BMI was negatively associated with the improvement of functional parameters. Patients’ BMI should be taken into consideration when predicting rehabilitation outcome for stroke patients. Further investigations are needed to identify the functional parameters affected by the patients’ BMI.Implications for RehabilitationIn sub-acute post-stroke patients undergoing rehabilitation in rehabilitation hospital, BMI was negatively associated with the improvement of functional parameters.Patients’ BMI should be taken into consideration when predicting rehabilitation outcome for stroke patients.New rehabilitation strategies should be designed to improve the functional outcomes of rehabilitation of obese patients.
    No preview · Article · Jan 2016 · Disability and Rehabilitation
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    ABSTRACT: Purpose: Two studies are presented that evaluated the Communication Supports Inventory-Children & Youth (CSI-CY), an instrument designed to facilitate the development of communication-related educational goals for students with complex communication needs (CCN). The CSI-CY incorporates a code set based on the ICF-CY. The studies were designed to determine the effect of using the CSI-CY on IEP goals for students with CCN and to evaluate consumer satisfaction. Method: In Study 1, sixty-one educators and speech-language pathologists were randomly assigned to either (a) provide a student's current IEP (control group) or (b) complete the CSI-CY prior to preparing a student's next IEP and to submit the new IEP (experimental group). Study 2 was a field test to generate consumer satisfaction data. Results: Study 1 showed that IEP goals submitted by participants in the experimental group referenced CSI-CY-related content significantly more frequently than did those submitted by control participants. Study 2 revealed high satisfaction with the instrument. Conclusions: The code set basis of the CSI-CY extends the common language of the ICF-CY to practical educational use for children with CCN across diagnostic groups. The CSI-CY is well regarded as an instrument to inform the content of communication goals related to CCN. Implications for Rehabilitation The CSI-CY will guide rehabilitation professionals to develop goals for children with complex communication impairments. The CSI-CY is a new instrument that is based on the ICF-CY for documentation of communication goals.
    No preview · Article · Jan 2016 · Disability and Rehabilitation
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    ABSTRACT: Purpose To explore the usefulness of conventional tests for assessing spatial neglect and contrast these tests with daily challenges encountered by patients after discharge from rehabilitation to home. Methods A mixed method prospective study of 15 patients with neglect after a right hemisphere stroke, <1 month after discharge to home. Data were obtained from: (1) Catherine Bergego Scale (CBS), (2) star cancellation and figure copying and (3) observations and interviews. Qualitative data were analysed with content analysis and quantitative data with non-parametric statistics. The data were presented in a 'mixing matrix' and integrated by 'following threads'. Finally, a synthesis was written into a vignette. Results The CBS significantly underestimated fluctuations and did not capture important items of neglect. The star cancellation and figure copying did not identify neglect in mildly affected participants. Left starting point in the star cancellation and a characteristic process of drawing in figure copying were observed in all participants. Conclusion Traditional numerical interpretations of paper-pencil tests inadequately confirmed mild neglect. Starting points of the star cancellation and observation of drawing should be incorporated into screening procedures. Assessment strategies need improvement to identify patients with subtle forms of neglect. Implications for Rehabilitation Findings demonstrate that identification of spatial neglect and the way symptoms of neglect impact on daily life functioning of stroke patients must be carefully pursued by health-care professionals working in stroke rehabilitation. Areas that should receive professional attention in the rehabilitation process include: preparing patients and their family for fluctuations related to neglect in the patient's own home, locating issues that might impact safety, and identifying unique factors that either enhance or diminish neglect within each patient's daily life context. The results of this study could be used to develop more wide-ranging assessment strategies to assist health-care professionals in identifying neglect after hospital discharge, for instance by expanding existing ecological assessment tools and including qualitative evaluation of test performance in paper-pencil tests, such as the star cancellation and figure copying.
    No preview · Article · Jan 2016 · Disability and Rehabilitation
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    ABSTRACT: Purpose The purpose of this study was to investigate the effects of an exercise program focusing on hip external rotator muscle on physical recovery in the early post-operative period of total hip arthroplasty (THA). Methods Patients who underwent THA were randomized to an exercise group (n = 14) or a control group (n = 14). In exercise group, the hip external rotator exercise program was performed 5 times per week for four weeks. Outcome measures were hip pain, hip range of motion, muscle strength of lower extremity and Timed Up and Go (TUG) test. Results Both the hip abductor strength (effect size = 0.60) and TUG test (effect size= -0.53) in the exercise group improved significantly after the intervention. Conclusions The results of the present study demonstrated that exercise program focusing on hip external rotator muscle was an effective intervention, especially in improving both hip abductor strength and walking ability in the acute post-THA stage. Implication for Rehabilitation After THA, in order to safely progress patients back to their desired activity level, there is a need to develop rehabilitation strategies to expedite and promote the recovery during the acute postoperative period. Exercise program focusing on hip external rotator muscle may lead to significant improvement of hip abductor muscle strength and gait ability in the acute post-THA stage.
    No preview · Article · Jan 2016 · Disability and Rehabilitation
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    ABSTRACT: Purpose To examine the association between bladder function and falls while controlling for mobility in individuals with multiple sclerosis (MS). Methods A total of 92 ambulatory individuals with MS (mean age ± SD = 59.1 ± 7.3 years, female n = 69) were divided into two groups based on self-reported bladder function (none-mild n = 43 versus moderate-severe n = 49). The main outcome measure was a number of self-reported falls in the previous 3 months. Participants’ demographic information (age, type of MS, gender, use of the assistive device) was also collected. The balance was quantified with the Berg balance scale, and walking speed was indexed with the timed 25-foot walk test. Negative binomial regression analysis was used to examine the association between bladder function and falls in individuals with MS while controlling for balance and walking. Results The median number of self-reported falls in the previous 3 months was 2 (interquartile range, 0–4). The severe bladder dysfunction group was more likely (incidence rate ratio = 1.84) to have a greater number of self-reported falls compared to mild bladder dysfunction group when balance and walking were taken into account. Conclusion Bladder dysfunction is related to falls history independently of mobility in individuals with MS. Future research examining whether bladder management programmes have an impact on fall incidence in MS is warranted.Implications for rehabilitationBladder dysfunction and falls are common health concerns in individuals with multiple sclerosis.Bladder dysfunction was associated with the number of falls in individuals with MS, and this association was independent of mobility.Bladder management should be included in fall prevention strategies in individuals with MS.
    No preview · Article · Jan 2016 · Disability and Rehabilitation
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    ABSTRACT: Purpose The aims were to evaluate (a) the feasibility of face-to-face cognitive behavioural therapy (CBT) in people with MS (PwMS) with depressive symptoms; (b) the feasibility of methods and measurements used; and (c) the outcome of the intervention before the conducting of an equivalence study of comparative methods of face-to-face CBT. Design A single-group pilot feasibility study. Patients PwMS (n = 15) with sub-threshold to moderate depressive symptoms, recruited at the Karolinska University Hospital, Stockholm, Sweden. Methods The intervention consisted of 15-20 sessions of face-to-face CBT. Feasibility outcomes included recruitment rate, recruitment procedure and adverse events. Primary clinical outcome was the Beck Depression Inventory-II (BDI-II). Follow-ups were conducted after 3 weeks and 3 months. An estimated sample size calculation was conducted. Results The face-to-face CBT intervention, methods and measurements used were feasible. The outcome on BDI-II indicated that face-to-face CBT is an effective method for alleviating sub-threshold to moderate depressive symptoms in PwMS. Conclusion Face-to-face CBT is feasible for use in PwMS aiming at decrease depressive symptoms. For an equivalence study, a screening process for depressive symptoms and two comparative intervention arms including traditional face-to-face CBT and low-intensity face-to-face CBT is recommended. Primary outcomes should include the BDI-II and also assessment of anxiety symptoms. Implications for Rehabilitation Depression is common among people with MS (PwMS), however, depressed PwMS do not always receive adequate treatment for depression which may lead to increased disability and worse health-related quality of life (HRQL). Cognitive behavioural therapy (CBT) is a psychological treatment method that might be beneficial for PwMS with depressive symptoms, but the evidence is still weak and further research is needed. The results from our pilot feasibility study demonstrate that for an effectiveness study of face-to-face CBT for PwMS with sub-threshold to moderate depressive symptoms the following points should be acknowledged. The design of an effectiveness study should be a randomized controlled trial including two treatment arms: traditional face-to-face CBT and a low-intensity face-to-face CBT. To increase the inclusion rate a screening process for depressive symptoms is recommended. Primary outcomes besides the Beck Depression Inventory-II should include the Hospital Anxiety and Depression Scale in order to capture anxiety symptoms and the Multiple Sclerosis Impact Scale-29 to capture HRQL.
    No preview · Article · Jan 2016 · Disability and Rehabilitation