Waiting time for rehabilitation services for children with physical disabilities

2002 ◽  
Vol 28 (5) ◽  
pp. 351-358 ◽  
Author(s):  
D. Ehrmann Feldman ◽  
F. Champagne ◽  
N. Korner-Bitensky ◽  
G. Meshefedjian
2020 ◽  
Vol 11 ◽  
Author(s):  
Marika Demers ◽  
Ophélie Martinie ◽  
Carolee Winstein ◽  
Maxime T. Robert

Current guidelines against spread of coronavirus (COVID-19) interrupt non-essential rehabilitation services. Thus, individuals with physical disabilities such as children with cerebral palsy can no longer benefit from physical rehabilitation during this undetermined period. Using either a synchronous or asynchronous format, in collaboration with a therapist via telerehabilitation, we suggest that active video games and low-cost virtual reality are a promising delivery mode for at-home rehabilitation in the context of a global pandemic. This therapeutic modality, incorporated into an at-home individualized treatment plan, provides a means to lessen the impact of an interruption in rehabilitation services while not loosing the pre-pandemic, in-person physical activity gains. Growing evidence supports active video games and low-cost virtual reality as viable therapeutic interventions for children with physical disabilities. These technologies are especially well-accepted by pediatric populations for the ludic and motivating features that lend themselves to nearly seamless incorporation into telerehabilitation. Advantages for rehabilitation of active video games and low-cost virtual reality include a rich, challenging, multi-modal training environment in which high numbers of movement repetitions can be accomplished, and a unique opportunity to foster engaged practice actions that go beyond household activities. We offer suggestions for the clinician about how to adopt active video games and low-cost virtual reality into your practice during a global pandemic.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Swaibu Zziwa ◽  
Harriet Babikako ◽  
Doris Kwesiga ◽  
Olive Kobusingye ◽  
Jacob A. Bentley ◽  
...  

Abstract Background Worldwide, fifteen percent (15%) of the world’s population or one (1) billion people live with some form of disability. In Uganda, 12.4% of the Uganda’s population lives with some form of disability and Kawempe division accounts for (22.6%) of all persons with disabilities living in Kampala district. Rehabilitation services are provided within Kawempe division at Mulago hospital physiotherapy department and Katalemwa rehabilitation center in Kampala district, Uganda at a free and a subsidized cost to help to improve the function, independence, and quality of life of persons with physical disabilities. However, many people with physical disabilities do not utilize the services and the reasons are not clear. Methods The study design was a descriptive cross-sectional study employing quantitative methods of data collection. A total of 318 participants were included in the study. Simple random sampling was used to select the study participants. Ethical issues were maintained at all levels during data collection and dissemination of results. Results The study revealed a prevalence of 26.4% of the utilization rehabilitation services among people with physical disabilities in Kawempe division, Kampala, Uganda. Factors that were significantly associated with utilization of rehabilitation services among people with physical disabilities at multivariable logistic regression analysis included; age (AOR: 0.30; 95% CI: 0.12–0.74), socioeconomic status (AOR: 2.13; 95% CI: 1.03–4.41), education level (AOR: 4.3; 95% CI: 1.34–13.91) and awareness of the participants about the rehabilitation services (AOR: 5.1; 95% CI: 2.74–9.54) at p value ≤0.05. Conclusion The study revealed a prevalence of 26.4% of the utilization rehabilitation services among people with physical disabilities in Kawempe division, Uganda. Factors that were significantly associated with utilization of rehabilitation services included; age, socioeconomic status, education level and awareness of the participants about the services. Therefore, the government and other relevant stake holders should increase sensitization and awareness of rehabilitation services, their benefits and facilities providing such services to people with physical disabilities, healthcare professionals and the general public.


2008 ◽  
Vol 39 (2) ◽  
pp. 25-29 ◽  
Author(s):  
David Hollar

Vocational rehabilitation (VR) services can be challenging for certain persons with disabilities, particularly persons with mental illness, traumatic brain injury (TBI), and substance use disorders (SUD). This study focused on successful (status 26) and unsuccessful (status 28) closures contained in the Longitudinal Study of the Vocational Rehabilitation Services Programs (LSVRSP). Individuals with ADHD, mental illness, physical disabilities, SUD, and learning disabilities had the lowest successful closure rates (43.2%, 45.5%, 50.6%, 51.3%, and 51.4%, respectively). Consumers reported a need for additional services, lack of job availability, family problems, discrimination, and transportation issues as leading reasons for unsuccessful closure. The results indicate a need for more comprehensive services directed towards persons with behavioral disabilities.


2010 ◽  
Vol 66 (3) ◽  
Author(s):  
C.K. Kahonde ◽  
N. Mlenzana ◽  
A. Rhoda

Background: Rehabilitation is of fundamental importance for the persons with disability to achieve functional independence and have an improved quality of life. To enhance the effectiveness of rehabilitation, it  is  important  to  seek  clients’  perspectives  of  the  rehabilitation  services and  to  incorporate  these  perspectives  into  the  planning  and  delivery  of rehabilitation  services.  The  aim  of  this  study  was  to  explore  the  persons with  physical  disabilities’  experiences  of  the  rehabilitation  services  they received at Community Health Centres (CHCs). Methods: In-depth  qualitative  interviews  were  used  to  collect  data.  Ten  persons  with  physical  disabilities,  who  had  received  rehabilitation  services at CHCs participated in the in-depth interviews. The interviews were tape-recorded and transcribed verbatim.  Thematic analysis was used to analyse the data.  Results: The  clients  experienced  problems  with  accessing  transport  and  obtaining  information  from  the  service providers. Experiences regarding clients’ involvement in the rehabilitation were varied. All the clients reported positive experiences regarding their interaction with service providers and family involvement. Conclusion: The experiences of the participants who accessed CHCs for rehabilitation were positive and negative. The service providers should therefore address the aspects of rehabilitation that were negatively experienced.


2008 ◽  
Vol 39 (3) ◽  
pp. 48-52 ◽  
Author(s):  
David Hollar ◽  
Mary McAweeney ◽  
Dennis Moore

Vocational rehabilitation (VR) services can be challenging for certain persons with disabilities, particularly persons with mental illness, traumatic brain injury (TBI), and substance use disorders (SUD). This study focused on successful (status 26) and unsuccessful (status 28) closures contained in the Longitudinal Study of the Vocational Rehabilitation Services Programs (LSVRSP). Individuals with ADHD, mental illness, physical disabilities, SUD, and learning disabilities had the lowest successful closure rates (43.2%, 45.5%, 50.6%, 51.3%, and 51. 4%, respectively). Consumers reported a need for additional services, lack of job availability, family problems, discrimination, and transportation issues as leading reasons for unsuccessful closure. The results indicate a need for more comprehensive services directed towards persons with behavioral disabilities.


2013 ◽  
Vol 94 (1) ◽  
pp. 23-31 ◽  
Author(s):  
Katherine E. Harding ◽  
Sandra G. Leggat ◽  
Birgitte Bowers ◽  
Maree Stafford ◽  
Nicholas F. Taylor

2003 ◽  
Vol 25 (31) ◽  
pp. 2111-2117 ◽  
Author(s):  
Karine Toupin April ◽  
Debbie Ehrmann Feldman ◽  
Maria Victoria Zunzunegui ◽  
Martin Descarreaux ◽  
Lisa Grilli

Author(s):  
Qhayiya Magaqa ◽  
Proochista Ariana ◽  
Sarah Polack

Introduction: Rehabilitation services aim to optimise individuals’ functioning and reduce disability. However, people with disabilities, who represent a key population of users of rehabilitation services, continue to have unmet needs for rehabilitation services that include the provision of assistive devices. This paper examines the availability and accessibility of rehabilitation services in a rural district of South Africa in order to explore why unmet needs for rehabilitation services persist. Methods: All nine district hospitals in a rural district of South Africa were included in the study. Rehabilitation services capacity was assessed by examining the available assistive devices, consumables and human resources at the level of the health facility. Data collection was conducted using the Global Co-operative Assistive Technology [GATE] Assistive Products List, AT2030’s ATScale priority list and the South African National Catalogue of Commodities for Primary Health Care Facilities. Descriptive statistics were then used for the analysis. For the qualitative component, semi-structured interviews were conducted with adults with physical disabilities at household level to explore barriers to accessing assistive device inclusive rehabilitation services and the consequences thereof in the same rural district. An interview guide based on the WHO health system building blocks was used. Thematic content analysis guided the analysis of the interview transcripts. Findings: The findings of the research demonstrate that rehabilitation service capacity in the district was constrained as a result of low availability of assistive devices [2–22%] and consumables [2–47%], as well as, possibly, a shortage of rehabilitation providers [n = 30] with an unequal distribution across health facilities [n = 9]. In addition, people with physical disabilities reported poor referral pathways, financial constraints, transport and road consideration and equipment unavailability as barriers to accessing rehabilitation services. Moreover, these barriers to access predisposed individuals to finance-, health- and person-related harm. Conclusion: Rehabilitation service availability is constrained by a lack of service capacity in rural South Africa. In addition, the rehabilitation services in district hospitals are not adequately accessible because of existing barriers to enable key populations to achieve optimised functioning.


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