1,948 results match your criteria Quality and Outcome Measures for Rehabilitation Programs

Motor Control and Ergonomic Intervention Home-Based Program: A Pilot Trial Performed in the Framework of the Motor Control Home Ergonomics Elderlies' Prevention of Falls (McHeELP) Project.

Cureus 2021 Apr 7;13(4):e14336. Epub 2021 Apr 7.

Physiotherapy, Physiotherapy Department, Faculty of Health and Care Sciences, University of West Attica (UNIWA), Athens, GRC.

Objectives Falls are a serious problem that can reduce living autonomy and health-related quality of life of older adults. A decrease in the muscular strength of the lower limbs and the deterioration of balance or motor performance deficits may lead to falls. "Motor Control Home Ergonomics Elderlies' Prevention of Falls" (McHeELP) is a novel motor control exercise program combined with ergonomic arrangements of the home environment. Read More

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Exergaming as a Functional Test Battery in Patients Who Received Arthroscopic Ankle Arthrodesis: Cross-sectional Pilot Study.

JMIR Rehabil Assist Technol 2021 May 5;8(2):e21924. Epub 2021 May 5.

Zuyderland Medical Centre, Sittard, Netherlands.

Background: Recently, movement-based videogames (exergames) have gained popularity in improving the rehabilitation process after surgery. During exergaming, participants are physically challenged as the game component stimulates adherence to the training program. There is no literature on the effect of exergame training interventions in patients who received arthroscopic ankle arthrodesis. Read More

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Impact of symptom burden on work performance status in Spanish women diagnosed with endometriosis.

Eur J Obstet Gynecol Reprod Biol 2021 Apr 20;261:92-97. Epub 2021 Apr 20.

Department of Radiology and Physical Medicine, University of Granada, Granada, Spain; Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain; "Cuídate" Support Unit for Oncology Patients (UAPO), Sport and Health University Research Institute (iMUDS, University of Granada, Granada, Spain; CIBER of Epidemiology and Public Health (CIBERESP), Madrid, Spain. Electronic address:

Objective: To explore work performance status in Spanish women with endometriosis and to identify those endometriosis-related symptoms that potentially contribute to the reduced work performance.

Design: Cross-sectional study.

Setting: Spain. Read More

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The Role of Cervical Symptoms in Post-concussion Management: A Systematic Review.

Sports Med 2021 Apr 23. Epub 2021 Apr 23.

Department of Kinesiology, School of Public Health-Bloomington, Indiana University, Bloomington, IN, USA.

Background: Patients with cervicogenic symptoms following a concussion have shown a disproportionate rate of delayed symptom resolution. However, the prevalence of cervicogenic symptoms in the acute stages following a concussion and the percentage of those patients who continue on to suffer delayed symptom resolution is poorly described in the literature.

Objectives: To provide a comprehensive report on the clinical prevalence, diagnostic methods, and potential treatment options for cervicogenic symptoms that are elicited during acute and chronic phases following a concussion. Read More

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Effects of transcranial direct current stimulation on balance after ischemic stroke (SANDE trial): Study protocol for a multicentric randomized controlled trial.

Contemp Clin Trials 2021 Apr 5;105:106396. Epub 2021 Apr 5.

Physical Therapy Department, Federal University of Triângulo Mineiro (UFTM), Uberaba, Minas Gerais, Brazil. Electronic address:

Background: Among the tools used for motor rehabilitation after stroke, transcranial direct current electrical stimulation (tDCS) aims to modify cortical excitability and improve motor function. Despite promising results, the effects of tDCS on balance after stroke have not yet been assessed using specific protocols. Therefore, this study will aim to evaluate the effects of tDCS and rehabilitation on balance after stroke. Read More

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A Mixed-Methods Evaluation of CARE (Cancer and Rehabilitation Exercise): A Physical Activity and Health Intervention, Delivered in a Community Football Trust.

Int J Environ Res Public Health 2021 03 23;18(6). Epub 2021 Mar 23.

Department of Sport, Outdoor and Exercise Science, School of Human Sciences & Human Sciences Research Centre, University of Derby, Kedleston Road, Derby DE22 1GB, UK.

With increasing cancer survivorship has come an increased necessity to support people living with cancer (PLWC) to have a good quality of life including being physically active. Using mixed methods, the current study aimed to use the RE-AIM evaluation framework (Reach, Effectiveness, Adoption, Implementation and Maintenance) to determine how the football community trust delivered CARE (Cancer and Rehabilitation Exercise) intervention was able to increase participants' physical activity in order to improve their quality of life and regain physiological and psychological function. Quantitative outcome data were collected at baseline, 3 and 6 months using the Cancer Physical Activity Standard Evaluation Framework questionnaire. Read More

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Effect of nursing intervention to guide early postoperative activities on rapid rehabilitation of patients undergoing abdominal surgery: A protocol for systematic review and meta-analysis.

Medicine (Baltimore) 2021 Mar;100(12):e24776

The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong Province, China.

Background: Postoperative complications after abdominal surgery are high, and there is no reliable intervention program to prevent them. Some studies have pointed out that early postoperative activities have advantages in preventing the occurrence of complications, but lack of evidence-based basis. The purpose of this study is to systematically evaluate the effect of nursing intervention is guiding early postoperative activities on the rapid recovery of patients undergoing abdominal surgery. Read More

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Dry cupping therapy is not superior to sham cupping to improve clinical outcomes in people with non-specific chronic low back pain: a randomised trial.

J Physiother 2021 Apr 20;67(2):132-139. Epub 2021 Mar 20.

Postgraduate Program in Rehabilitation Sciences, Faculty of Health Sciences of Trairi, Federal University of Rio Grande do Norte (UFRN), Santa Cruz, Rio Grande do Norte, Brazil. Electronic address:

Question: What are the effects of dry cupping on pain intensity, physical function, functional mobility, trunk range of motion, perceived overall effect, quality of life, psychological symptoms and medication use in individuals with chronic non-specific low back pain?

Design: Randomised controlled trial with concealed allocation, intention-to-treat analysis and blinding of participants and assessors.

Participants: Ninety participants with chronic non-specific low back pain.

Interventions: The experimental group (n = 45) received dry cupping therapy, with cups bilaterally positioned parallel to the L1 to L5 vertebrae. Read More

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Identifying the outcomes of participating in peer mentorship for adults living with spinal cord injury: a qualitative meta-synthesis.

Psychol Health 2021 Mar 23:1-22. Epub 2021 Mar 23.

Department of Kinesiology and Physical Education, McGill University, Montreal, Canada.

Objective: Peer mentorship is a flagship program utilized by Canadian community-based spinal cord injury (SCI) organizations. Through connecting trained SCI peer mentors with fellow adults with SCI, these programs help adults adapt and thrive following their injury. The objective of this meta-synthesis was to work with SCI community organizations and to identify outcomes of participating in community- or rehabilitation-based peer mentorship programs using an integrated knowledge translation approach. Read More

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Task-oriented exercises improve disability of working patients with surgically-treated proximal humeral fractures. A randomized controlled trial with one-year follow-up.

BMC Musculoskelet Disord 2021 Mar 20;22(1):293. Epub 2021 Mar 20.

Bicocca University of Milan, Milan, Italy.

Background: General physiotherapy is a common means of rehabilitation after surgery for proximal humeral fracture (PHF). Better-targeted exercises seem worthy of investigation and the aim of this study was to assess the efficacy of a rehabilitation program including task-oriented exercises in improving disability, pain, and quality of life in patients after a PHF.

Methods: By means of a randomized controlled trial with one-year follow-up, 70 working patients (mean age of 49 ± 11 years; 41 females), who were selected for open reduction and internal fixation with plates caused by PHF, were randomized to be included in an experimental (n = 35) or control group (n = 35). Read More

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Effect of a multidisciplinary rehabilitation program for patients receiving weight management interventions on eating behaviours and health-related quality of life.

Obes Res Clin Pract 2021 Mar 15. Epub 2021 Mar 15.

School of Nursing and Midwifery, Centre for Quality and Patient Safety Research Epworth/Deakin Partnership, Faculty of Health, Deakin University, Geelong, Australia. Electronic address:

The rapid rise in obesity prevalence is life-style related and tackling this problem requires a pro-active multi-faceted approach to management. A private health care provider in Melbourne, Australia, developed a multidisciplinary rehabilitation program for patients who had undergone bariatric surgery or receiving pharmacological weight loss treatments. The study aim was to assess the programs' effect on patients' quality of life, mental well-being, and eating behaviours. Read More

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Comparing the effects of self-management and hospital-based pulmonary rehabilitation programs in COPD patients.

Niger J Clin Pract 2021 Mar;24(3):362-368

Cyprus Science University, Health Sciences Faculty, Girne, Cyprus, TRNC, Cyprus.

Background: Pulmonary rehabilitation (PR) is a core component of the management of patients with chronic obstructive pulmonary disease (COPD). Although several types of PR programs are implemented for patients with COPD on the basis of patient preferences or clinical protocols, the clinical efficiencies of these programs may vary, with each program having its own unique purpose, procedures, benefits, challenges, and effectiveness.

Aim: The aim of this study was to compare the effects of self-management and hospital-based PR programs in COPD patients. Read More

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Comparative parenting stress measures between segmental and community-based rehabilitation services in parents of children and adolescents with intellectual and developmental disabilities (IDD): A cross-sectional survey.

Technol Health Care 2021 ;29(S1):85-89

Sports Movement Artificial-Intelligence Robotics Technology (SMART) Institute, Department of Physical Therapy, Yonsei University, Wonju, Korea.

Background: There is a dearth of information on the effects of different types (Segmental rehabilitation service (SRS) vs Community-based rehabilitation service (CRS)) on the parenting stress and family quality of life in parents of children who have individuals with intellectual and developmental disabilities (IDD).

Objective: This paper is to compare the effects of SRS and CRS on parenting stress and family quality of life in parents of individuals with IDD.

Methods: A cross-sectional design was used to examine parenting stress and family quality life in cohorts of 120 fathers and mothers of children with IDD who had received either SRS or CRS participated in the survey. Read More

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January 2021

Effects of Lee Silverman Voice Treatment BIG and conventional physiotherapy on non-motor and motor symptoms in Parkinson's disease: a randomized controlled study comparing three exercise models.

Ther Adv Neurol Disord 2021 18;14:1756286420986744. Epub 2021 Feb 18.

Department of Neurology, University Hospital Marburg, Baldingerstr. 1, Marburg 35033, Germany Marburg Center of Mind, Brain and Behavior, Marburg, Germany.

Background: Parkinson's disease (PD) patients experience disabling motor dysfunctions as well as non-motor symptoms (NMSs) that can highly impact their perceived quality of life. Besides pharmacological treatment options, active intervention programs have set some attention in managing these symptoms. However, previous studies mainly assessed the effectiveness of active intervention programs on functional mobility and motor symptoms. Read More

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February 2021

Comparing an eHealth Program (My Hip Journey) With Standard Care for Total Hip Arthroplasty: Randomized Controlled Trial.

JMIR Rehabil Assist Technol 2021 Mar 3;8(1):e22944. Epub 2021 Mar 3.

School of Nursing and Midwifery, Edith Cowan University, Joondalup, Australia.

Background: The role of eHealth programs to support patients through surgical pathways, including total hip arthroplasty (THA), is rapidly growing and offers the potential to improve patient engagement, self-care, and outcomes.

Objective: The aim of this study is to compare the effects of an eHealth program (intervention) versus standard care for pre- and postoperative education on patient outcomes for primary THA.

Methods: A prospective parallel randomized controlled trial with two arms (standard care and standard care plus access to the eHealth education program) was conducted. Read More

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Evaluation of Exercise Interventions and Outcomes After Hip Arthroplasty: A Systematic Review and Meta-analysis.

JAMA Netw Open 2021 02 1;4(2):e210254. Epub 2021 Feb 1.

Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, Australia.

Importance: Preoperative and postoperative exercise interventions are commonly used in patients with total hip arthroplasty despite a lack of established efficacy.

Objective: To explore clinical outcomes associated with exercise training before and after hip arthroplasty.

Data Sources: PubMed, Cochrane Central Register of Controlled Trials, Cumulative Index to Nursing and Allied Health Literature, EMBASE, and Google Scholar were searched from their inception to March 2020. Read More

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February 2021

Making the Case for Patient-Reported Outcome Measures in Big-Data Rehabilitation Research: Implications for Optimizing Patient-Centered Care.

Arch Phys Med Rehabil 2021 Feb 4. Epub 2021 Feb 4.

Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA; Sheltering Arms Institute, Richmond, VA.

Advances in data science and timely access to health informatics provide a pathway to integrate patient-reported outcome measures (PROMs) into clinical workflows and optimize rehabilitation service delivery. With the shift toward value-based care in the United States health care system, as highlighted by the recent Centers for Medicare and Medicaid Services incentive and penalty programs, it is critical for rehabilitation providers to systematically collect and effectively use PROMs to facilitate evaluation of quality and outcomes within and across health systems. This editorial discusses the potential of PROMs to transform clinical practice, provides examples of health systems using PROMs to guide care, and identifies barriers to aggregating data from PROMs to conduct health services research. Read More

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February 2021

The Efficacy of Fall Hazards Identification on Fall Outcomes: A Systematic Review With Meta-analysis.

Arch Rehabil Res Clin Transl 2020 Sep 20;2(3):100065. Epub 2020 Jun 20.

Roth McFarlane Hand and Upper Limb Centre, St. Joseph's Hospital, London, ON, Canada.

Objective: To investigate the efficacy of fall hazards identification programs when compared to no intervention or other fall prevention programs on number of falls, falls incidence, and identifying fall hazards in community-dwelling adults.

Data Sources: CINAHL, PubMed, EMBASE, Scopus, and PsychINFO were used to identify articles.

Study Selection: Studies were selected to compare fall hazards identification programs to a control group. Read More

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September 2020

Implementation of highly challenging balance training for Parkinson's disease in clinical practice: a process evaluation.

BMC Geriatr 2021 02 1;21(1):96. Epub 2021 Feb 1.

Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Huddinge, Sweden.

Background: Process evaluations provide contextual insight into the way in which interventions are delivered. This information is essential when designing strategies to implement programs into wider clinical practice. We performed a process evaluation of the HiBalance effectiveness trial investigating the effects of a 10-week of highly challenging and progressive balance training for mild-moderate Parkinson's disease (PD). Read More

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February 2021

A Personalized Patient-Centered Intervention to Empower through Physical Activity the Patient in the Dialysis Center: Study Protocol for a Pragmatic Nonrandomized Clinical Trial.

Methods Protoc 2020 Dec 6;3(4). Epub 2020 Dec 6.

Unit of Nephrology and Dialysis, University Hospital of Ferrara, Via Aldo Moro 8, 44124 Ferrara, Italy.

Sedentariness of patients affected by end-stage kidney disease (ESKD) expose them to high risk of unfavorable clinical outcomes. Exercise training is effective in improving physical function, quality of life (QoL) and long-term outcomes. However, the existing barriers related to patients, programs and dialysis staff limit patient participation and call for new strategies. Read More

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December 2020

Falls in People with Multiple Sclerosis: Risk Identification, Intervention, and Future Directions.

Int J MS Care 2020 Nov-Dec;22(6):247-255. Epub 2020 Sep 14.

Falls are highly prevalent in people with multiple sclerosis (MS) and result in a range of negative consequences, such as injury, activity curtailment, reduced quality of life, and increased need for care and time off work. This narrative review aims to summarize key literature and to discuss future work needed in the area of fall prevention for people with MS. The incidence of falls in people with MS is estimated to be more than 50%, similar to that in adults older than 80 years. Read More

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September 2020

Comparing the effectiveness of group-based exercise to other non-pharmacological interventions for chronic low back pain: A systematic review.

PLoS One 2020 30;15(12):e0244588. Epub 2020 Dec 30.

Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, Canada.

Background: Low back pain (LBP) is the leading cause of disability worldwide with a substantial financial burden on individuals and health care systems. To address this, clinical practice guidelines often recommend non-pharmacological, non-invasive management approaches. One management approach that has been recommended and widely implemented for chronic LBP is group-based exercise programs, however, their clinical value compared with other non-pharmacological interventions has not been investigated systematically. Read More

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Multidisciplinary, exercise-based oncology rehabilitation programs improve patient outcomes but their effects on healthcare service-level outcomes remain uncertain: a systematic review.

J Physiother 2021 Jan 24;67(1):12-26. Epub 2020 Dec 24.

School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia; Allied Health Clinical Research Office, Eastern Health, Melbourne, Australia.

Question: What is the effect of multidisciplinary, exercise-based, group oncology rehabilitation programs on healthcare service outcomes and patient-level outcomes, including quality of life and physical and psychosocial function?

Design: Systematic review with meta-analysis of randomised controlled trials.

Participants: Adults diagnosed with cancer.

Intervention: Multidisciplinary, group-based rehabilitation that includes exercise for cancer survivors. Read More

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January 2021

Current Prehabilitation Programs Do Not Improve the Postoperative Outcomes of Patients Scheduled for Lumbar Spine Surgery: A Systematic Review With Meta-analysis.

J Orthop Sports Phys Ther 2021 03 25;51(3):103-114. Epub 2020 Dec 25.

Objective: To assess the effectiveness of prehabilitation in patients with degenerative disorders of the lumbar spine who are scheduled for spine surgery.

Design: Intervention systematic review with meta-analysis.

Literature Search: Seven electronic databases were systematically searched for randomized controlled trials or propensity-matched cohorts. Read More

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[Arteriofit: a supervised exercise training program, recommended as a first-line treatment in intermittent claudication].

Rev Med Suisse 2020 Dec;16(718):2378-2382

Service d'angiologie et d'hémostase, Département de médecine, HUG, 1211 Genève 14.

Lower extremities arterial disease (LEAD) is the third most common manifestation of atherosclerosis. The number of cardiovascular events in this population is similar to that of coronary artery disease. Management consists mainly of strict control of cardiovascular risk factors, optimal pharmacological treatment and supervised exercise training. Read More

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December 2020

Effectiveness of the pelvic floor muscle training on muscular dysfunction and pregnancy specific urinary incontinence in pregnant women with gestational diabetes mellitus: A systematic review protocol.

PLoS One 2020 7;15(12):e0241962. Epub 2020 Dec 7.

Department of Gynecology and Obstetrics, Botucatu Medical School (FMB), São Paulo State University (UNESP), Botucatu, São Paulo State, Brazil.

Background: There is ample evidence that gestational diabetes mellitus has a direct influence on urinary incontinence and pelvic floor muscles. There are no standardized pelvic floor muscle exercise programs in the literature for the physiotherapy and differ in the type of exercise, intensity, type and duration of application, and the frequency and duration of treatment sessions. The aim of this systematic review will be to investigate that Pelvic Floor Muscle Training can prevent and/or decrease the pregnancy specific urinary incontinence in women with gestational diabetes mellitus or gestational hyperglycemia. Read More

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January 2021

Demographic and Functional Characteristics of National Veterans Wheelchair Games Participants: A Cross-sectional Study.

Mil Med 2020 Nov 26. Epub 2020 Nov 26.

Department of Rehabilitation Science & Technology, University of Pittsburgh, Pittsburgh, PA 15206, USA.

Introduction: Although many studies report the impact of adaptive sports and recreation on quality of life for people with disabilities across several age groups, few have focused on the Veteran population. The purpose of this study was to establish a baseline of common characteristics of the Veteran population that participated in the National Veterans Wheelchair Games (NVWG) in 2017 and 2018, including their perception on how their participation is associated with function and social factors.

Materials And Methods: A cross-sectional study was implemented as part of a quality assurance collaboration between the University of Pittsburgh and the Veterans Administration National Veterans Sports Programs and Special Events. Read More

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November 2020

Effects of Virtual Reality on Cardiac Rehabilitation Programs for Ischemic Heart Disease: A Randomized Pilot Clinical Trial.

Int J Environ Res Public Health 2020 11 16;17(22). Epub 2020 Nov 16.

Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Faculty of Health Sciences, Rey Juan Carlos University, 28922 Madrid, Spain.

(1) Background: The aim of the present study was to determine the effects of a virtual reality (VR) program, as a complementary tool to a conventional cardiac rehabilitation (CR) program in phase II of patients with ischemic heart disease compared to a conventional treatment group. (2) Methods: A single blinded randomized clinical trial was conducted. The patients were randomized to a control group (CG) or an experimental group (EG). Read More

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November 2020

The effects of art therapy on anxiety, depression, and quality of life in adults with cancer: a systematic literature review.

Support Care Cancer 2021 May 13;29(5):2289-2298. Epub 2020 Nov 13.

Department of Medical Oncology, Cancer Center Amsterdam, Amsterdam University Medical Centers, University of Amsterdam, Meibergdreef 9; D3-312, 1105 AZ, Amsterdam, The Netherlands.

Purpose: While there is increasing evidence for the effectiveness of psychosocial support programs for cancer patients, little attention has been paid to creativity or art as a way of addressing their psychological problems and improving quality of life. This review provides an overview of interventional studies that investigate the effects of art therapy interventions on anxiety, depression, and quality of life in adults with cancer.

Methods: We conducted a literature review with a systematic search. Read More

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Physical performance outcome measures used in exercise interventions for adults with childhood-onset disabilities: A scoping review.

NeuroRehabilitation 2020 ;47(4):359-380

Toronto Rehabilitation Institute - University Health Network, Toronto, ON, Canada.

Background: People with childhood-onset disabilities face unique physical and social challenges in adulthood. Exercise interventions may improve physical performance in children, but there is a lack of research on adults.

Objective: To describe studies that investigate exercise interventions and to evaluate the quality of physical performance outcome measures for adults with childhood-onset disabilities. Read More

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