Is someone changed by their illness? Lily Gryspeerdt considers this question in a clinical and philosophical article. It should help you understand and help your patients. "I Am Not My Self: Reconceiving Identity in Rehabilitation Medicine" doi.org/10.1177/0269...

I am not my self: Reconceiving identity in rehabilitation care - Lily Gryspeerdt, 2026

Problem How does someone altered by illness adjust their view of themselves and how could rehabilitation help? Background Rehabilitation is expanding its scope...

doi.org

DW. An article discussing the Islamic view on starting, stopping, and refusing life-sustaining treatments. Interesting because it offers no easy answers, the situation that applies to all people of any faith and none. link.springer.com/article/10.1...

Islamic Conceptions of Human Dignity and Their Relevance for Bioethics of End-of-Life Healthcare - Journal of Bioethical Inquiry

This paper addresses bioethical considerations in end-of-life healthcare. It explores Islamic bioethical concepts of karāma and ḥurma, framing them as homeomorphic equivalents to categories of human d...

link.springer.com

DW. This page expands on two Clinical Rehabilitation articles: doi.org/10.1177/0269... and doi.org/10.1177/0269..., which are on Rehabilitation Thinking and a General Theory of Rehabilitation.

Is rehabilitation's unifying expertise its holistic scope and cognitive approach to the patient's problems? An exploration - Derick T Wade, 2025

Objective To propose three areas of cognitive expertise as the foundation of rehabilitation, uniting the many varieties of rehabilitation. Five issues The foll...

doi.org

Derick Wade@derickwaderehab.bsky.social · 11mo ago

"Rehabilitation Thinking, a crucial skill." is my latest post exploring the central features of rehabilitation. It expands on some areas of my recent paper on the same topic. rehabilitationmatters.com/clinical-reh... #neurorehabilitation

DW. Intermittent hypoxia seems a counterintuitive treatment for incomplete spinal cord injury; some advocate hyperbaric oxygen. Yet a small trial provided data that certainly justifies further research. doi.org/10.1177/0269...

Effect of acute intermittent hypoxia to enhance motor functions in adults with incomplete spinal cord injury: A systematic review and meta-analysis - Emmanuel Segnon Sogbossi, Bastien Bouffanet, Juli...

Objective This systematic review aimed to assess the safety and effectiveness of acute intermittent hypoxia to improve motor outcomes in individuals with incomp...

doi.org

DW. A new editorial argues that Rehabilitation Thinking is the crucial unifying factor seen in all types of rehabilitation and the primary factor responsible for its effectiveness. doi.org/10.1177/0269...

DW. Papers from a large trial of Acceptance and Commitment Therapy in people with Motor Neuron Disease (ALS in the US) are summarised in this paper; the therapy helped and should be targeted (see synopsis). njl-admin.nihr.ac.uk/document/dow... #neurorehabilitation

DW. A trial of a method to increase the use and effectiveness of group physiotherapy education, support, and exercise for people with osteoarthritis of the knee failed to alter outcomes. Implementing rehabilitation approaches remains a challenge. doi.org/10.1001/jama...

Implementation of Group Physical Therapy for Knee Osteoarthritis

This cluster randomized clinical trial compares the effectiveness of foundational vs enhanced implementation support for enrolling and retaining patients in a group physical therapy program for knee o...

doi.org

DW. Clinical Rehabilitation has made easily accessible collections of published papers on selected topics. The most recent covers health economic studies in rehabilitation. I was surprised how many we had published. journals.sagepub.com/topic/collec... #neurorehbiitation

DW. Healthcare is a competitive environment, and rehabilitation often struggles to compete for resources. An editorial suggests we are now showing health economic benefits, and we should use health economic outcomes much more. doi.org/10.1177/0269...

Health economic studies in clinical rehabilitation: A new collection of papers and a discussion of issues involved in research - Derick T Wade, 2025

Objective To review challenges associated with health economic studies in rehabilitation, providing a context for the new Clinical Rehabilitation collection of ...

doi.org

DW. Rehabilitation is a complex multifactorial process and many people and organisations are involved. Planning and coordination are integral to rehabilitation. A qualitative study asked, “If I do not coordinate it, who else will?”. Surely, you should. doi.org/10.1080/0963... #neurorehabilitation

“If I do not coordinate it, who else will?” professionals’ experiences with informal coordination in complex neurological rehabilitation services

This study aimed to explore healthcare professionals’ experiences with informal coordination across healthcare levels in complex neurological rehabilitation services in Norway.Semi-structured quali...

doi.org

DW. A recent study found a difference in glutamate-type synaptic transmitter levels between people with long COVID cognitive impairment and healthy controls. This may be causal or a result of altered cognitive function. Not a readily available test! doi.org/10.1093/brai...

DW. Jeanne Hoffman et al undertook a huge randomised trial in 925 people with moderate/severe traumatic brain injury investigating added support for 6 months after discharge. Amazing follow-up success. Disappointing that no effect was detected. www.liebertpub.com/doi/pdf/10.1... #neurorehabilitation

DW. A useful study on predicting which individuals are likely to experience prolonged problems after a mild head injury. Unfortunately, statistically significant but not sufficiently specific to triage patients. bmjopen.bmj.com/content/15/9...

DW. Two vital aspects of rehabilitation are the professional-patient relationship and teaching self-management; a recent study investigated both, highlighting practical challenges. We must train therapists/nurses/doctors how to develop therapeutic relationships. doi.org/10.1177/0269... #neurorehab

DW. Are we too afraid to recommend more activity after stroke (and in most other conditions)? Gert Kwakkel thinks so; I agree. He has commented on a recent trial of increased walking exercise after stroke. A short, easy read: doi.org/10.1016/S147... #neurorehabilitation

DW. Practice improves function; this is a central tenet of rehabilitation. A recent trial demonstrates that a protocol to increase walking practice after stroke is effective. We must help patients practice independently without professional supervision. doi.org/10.1016/S147... #neurorehabilitation

DW. An updated Cochrane systematic review of virtual reality in stroke rehabilitation identified 190 trials; however, the evidence only allowed for weak conclusions. www.cochranelibrary.com/cdsr/doi/10..... Why was this? My editorial discusses reasons www.cochranelibrary.com/cdsr/doi/10.....

Virtual reality for stroke rehabilitation - Laver, KE - 2025 | Cochrane Library

Select your preferred language for Cochrane reviews and other content. Sections without translation will be in English.

cochranelibrary.com

DW. The probability of spontaneous regression of lumbar herniated disc: a systematic review. Ten years after publication, this article is 'trending' on Altimetric. Why such a delay? 2 doi.org/10.1177/0269...

The probability of spontaneous regression of lumbar herniated disc: a systematic review - Chun-Chieh Chiu, Tai-Yuan Chuang, Kwang-Hwa Chang, Chien-Hua Wu, Po-Wei Lin, Wen-Yen Hsu, 2015

Objective: To determine the probability of spontaneous disc regression among each type of lumbar herniated disc, using a systematic review. Data sources: Medli...

doi.org

DW. A new paper exploring the concept of financial capability in people with cognitive impairment, a significant issue in #neurorehabilitation. There are many ideas about what it is and how to assess it. doi.org/10.1177/0269... A Rehabilitation in Theory paper journals.sagepub.com/topic/collec...

When offered weekend speech therapy, patients valued the different, more social environment. We should pay more attention to a rehabilitation environment that facilitates adaptation and practice rather than direct therapy. pmc.ncbi.nlm.nih.gov/articles/PMC... #neurorehabilitation

Speech and Language Therapy Weekend Service in Inpatient Rehabilitation: A Qualitative Study Exploring Perspectives of People With Stroke

An allied health weekend service in subacute inpatient stroke rehabilitation can improve patient and organisational outcomes. However, there is insufficient evidence to justify the role of a speech an...

pmc.ncbi.nlm.nih.gov

DW. Technological aids in rehabilitation need as much research and evaluation for effectiveness and harm as drugs and other interventions. A study has evaluated an iPad programme to aid goal setting; this is the second evaluation, showing improvement from the first. st doi.org/10.1177/0269...

Clinical utility, validity and reliability of the IPad application for goal-setting: The aid for decision-making in occupation choice-2 - Kounosuke Tomori, Tatsunori Sawada, Yuho Okita, William WMM Le...

Objective To evaluate the clinical utility, reliability, and validity of the second-generation aid for decision-making in occupation choice-2 (ADOC2), an iPad a...

doi.org

DW. Self-rehabilitation is practising and adapting without a professional present; it typically follows advice from a professional. A systematic review finds individual practice as effective as practising with a therapist. doi.org/10.1177/1545... This is part of adaptation doi.org/10.1177/0269...

DW. We fail to identify most people who are unable to make sound healthcare decisions. Routine screening might be helpful if it is simple and short. The Mental Capacity Screening Assessment Tool (MCScreen) should be considered. doi.org/10.1016/j.cl... #neurorehabilitation

DW. This randomised trial of exoskeletons for people with spinal cord injury is impressive, with two weaknesses: unequal allocation (68v47) despite block allocation, and selective loss from the control arm. However, there was no difference between the groups. doi.org/10.1016/j.ap... #neurorehab

DW. Does 'cognitive retraining' after stroke have an impact on functional activities? Probably not. The evidence is suggestive, not conclusive. doi.org/10.1177/0269... Task-specific training is likely more effective. #neurorehabilitation

DW. Non-pharmacological treatment for depression after stroke would avoid the cognitive side effects of drugs, if it helps. A systematic review identifies many techniques tried, but the evidence base is too small to enable any recommendation. doi.org/10.1177/0269...

Effectiveness of non-pharmacological interventions for post-stroke depression in stroke survivors: A systematic review with meta-analysis - Dan Shi, Yuen Yu Chong, Yating LI, Ho Yu Cheng, 2025

Objectives To evaluate the effectiveness of non-pharmacological interventions for managing post-stroke depression and identify the characteristics of optimal in...

doi.org

DW. An observational study in Canada suggests that delays in providing wheelchairs to patients who need them may increase length of stay. The delays were between 1 and 9 days. The UK would have a bigger delay and should replicate this. doi.org/10.1016/j.ap... #neurorehabilitation

DW. The classification of traumatic brain injury severity has been based on the initial Glasgow Coma Scale score for decades. It was simple and applied widely, A new system has been developed. I suspect it is too complex for general use. It focuses only on pathology. doi.org/10.1016/S147...

DW. A significant study on somatic symptoms following concussive head injury. Suggests that psychological factors are a significant contributing factor. doi.org/10.1097/HTR....

Somatic Symptom Disorder After Mild Traumatic Brain Injury : The Journal of Head Trauma Rehabilitation

care centers. Participants: Adults with mTBI (N = 476). Design: Secondary analysis of a clinical trial (Clinicaltrials.gov NCT04704037). Main Measures: Early illness beliefs (Illness Percepti...

doi.org

DW. People with a prolonged disorder of consciousness have lost extensive networks that underlie consciousness. Surprisingly, repetitive transcranial magnetic stimulation (rTMS) may increase recovery; a randomised trial in 48 people suggests it may. doi.org/10.1016/j.ni... It may simply speed change