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

Derick Wade @derickwaderehab.bsky.social · 2d

Anyone involved in decisions about starting or stopping treatment in Muslim patients will find this article interesting. As with all ethical issues in people of 'any faith and none', there is no simple answer; that makes it worth reading. link.springer.com/article/10.1... #neurorehabilitationn

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

Derick Wade @derickwaderehab.bsky.social · 4d

Theories proposed by John Whyte and colleagues, such as enablement and treatment theories, will help rehabilitation grow. I identify weaknesses, which will lead to further growth and understanding. Discussions about theory are crucial. rehabilitationmatters.com/enablement-a... #neurorehabilitation

Enablement and treatment theory - Rehabilitation Matters

Enablement & treatment theories for rehabilitation & the associated RTSS system describing treatments will improve clinical care & research: strength/weakness

Enablement and treatment theory

Derick Wade @derickwaderehab.bsky.social · 4d

Enablement and treatment theory

First published: October 31, 2025 Last updated: October 31, 2025 John Whyte and a multiprofessional team from several North American rehabilitation centres have worked on rehabilitation theory for two decades. Early in their work, they distinguished between…

First published: October 31, 2025 Last updated: October 31, 2025 John Whyte and a multiprofessional team from several North American rehabilitation centres have worked on rehabilitation theory for two decades. Early in their work, they distinguished between enablement theories and treatment theories. They have applied their concept of treatment theory to develop a principled approach for describing all rehabilitation treatments, known as the Rehabilitation Treatment Specification System, or RTSS.

Rehabilitation thinking, a crucial skill - Rehabilitation Matters

Derick Wade @derickwaderehab.bsky.social · 5d

"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

Rehabilitation thinking is a person-centred, holistic cognitive approach based on the general theory of rehabilitation and biospychosocial model of illness.

Life goals - Rehabilitation Matters

Derick Wade @derickwaderehab.bsky.social · 6d

Life goals, which have many synonyms, are essential when involved in complex cases. I have revised an old page (2023) discussing life goals. I have specifically added a section on how to establish them clinically. rehabilitationmatters.com/academic-reh... #neurorehabilitation

Life goals are long-term, personal goals based on core values, relationships, worldview & identity, reflecting purpose and meaning. Hope & Maslow's needs help.

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Derick Wade @derickwaderehab.bsky.social · 9d

The article represents a stage in the evolution of my ideas. Anyone interested in seeing a more detailed, earlier exploration of rehabilitation thinking should look at these two pages: rehabilitationmatters.com/rehabilitati... and rehabilitationmatters.com/holistic-reh... #neurorehabilitation

Derick Wade @derickwaderehab.bsky.social · 10d

Given the public perception that hyperbaric oxygen helps ischaemic and other neurological disorders, I am interested that a trial of intermittent hypoxia for incomplete spinal cord injury was undertaken; the data justify further research.
doi.org/10.1177/0269... #neurorehabilitation

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

Derick Wade @derickwaderehab.bsky.social · 10d

I have recently published an editorial on Rehabilitation Thinking, which I argue is the central feature unifying the huge range of rehabilitation services and the only feature seen in all effective rehabilitation. doi.org/10.1177/0269... #neurorehabilitation

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

Reposted by Derick Wade

Clinical Rehabilitation @clinicalrehab.bsky.social · 11d

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

pendingpublications

Pending Publication

Key attributes of a specialist rehabilitation service - Rehabilitation Matters

Derick Wade @derickwaderehab.bsky.social · 16d

I am due to talk on the key attributes of a specialist rehabilitation service at the 12th Kent Regional brain injury conference. So I wrote a page on the topic for my website. rehabilitationmatters.com/rehabilitati... #neurorehabilitation

What makes a specialist rehabilitation service? Rehabilitation thinking, person-centred teamwork, and a service with demonstrated specialist competencies,

Implementation of Group Physical Therapy for Knee Osteoarthritis

Reposted by Derick Wade

Clinical Rehabilitation @clinicalrehab.bsky.social · 17d

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...

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...

Healthcare theory - Rehabilitation Matters

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Derick Wade @derickwaderehab.bsky.social · 18d

I have just updated a post on healthcare theory, two years after first posting it. It relates to the foundations that policymakers and politicians used - and the adverse consequences that arise from it. rehabilitationmatters.com/healthcare-t... #rehabilitationmatters

Healthcare theory is rarely discussed. It dictates policy and is based on the biomedical model, causing difficulties. Biopsychosocial healthcare is needed.

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

Reposted by Derick Wade

Clinical Rehabilitation @clinicalrehab.bsky.social · 23d

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...

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

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

Reposted by Derick Wade

Clinical Rehabilitation @clinicalrehab.bsky.social · 23d

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

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

Basic Biopsychosocial Framework. - Rehabilitation Matters

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Derick Wade @derickwaderehab.bsky.social · 23d

Many people feel overwhelmed by the biopsychosocial model of health, so I have written a post that explains it, developing it from the person introducing themselves to strangers at a wedding. I hope it helps. rehabilitationmatters.com/basic-biopsy... #neurorehabilitation

A basic biopsychosocial framework is crucial for rehabilitation analysis, is person-centred, improves the biomedical model, and emphasises context & environment

Biopsychosocial healthcare - Rehabilitation Matters

Derick Wade @derickwaderehab.bsky.social · 23d

We should promote biopsychosocial healthcare as the model for all healthcare, with biomedical practice being a subsystem. Currently, biopsychosocial healthcare is considered an unnecessary complication! My recent post explains more: rehabilitationmatters.com/biopsychosoc... #neurorehabilitation

Healthcare systems are founded on a biomedical healthcare model, but person-centred holistic care needs a biopsychosocial healthcare model with a broad scope

Derick Wade @derickwaderehab.bsky.social · Sep 21

Congratulations, Jeanne Hoffman et al, for 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... #neurorehab

www.liebertpub.com

Measurement in rehabilitation - Rehabilitation Matters

Derick Wade @derickwaderehab.bsky.social · Sep 15

I talk about measurement in rehabilitation, and use a non-psychometric approach that explains what validity and reliability (repeatability) are and why they are needed. I also discuss the vital importance of knowing what you want to know and why. rehabilitationmatters.com/academic-reh... #neurorehab

Measurement in rehabilitation is crucial clinically, in service improvement, & in research. The data collection tool defines validity & influences repeatability

The prognostic value of a screening tool for psychological risk factors after mild traumatic brain injury: prospective studies in Canada and New Zealand

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Derick Wade @derickwaderehab.bsky.social · Sep 15

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... #neurorehabilitation

Objective To investigate the prognostic value of the Subgroups for Targeted Treatment (STarT) Screening Tool adapted for concussion (STarT-C) on persistent symptoms and disability at 6–9 months follow...

bmjopen.bmj.com

Derick Wade @derickwaderehab.bsky.social · Aug 24

Biomedical healthcare dominates all health discussions. Rehabilitation uses a biopsychosocial model,. We should refer to biopsychosocial healthcare, joining with psychiatry, palliative care, geriatrics etc. The MindMap compares them. Comments? #neurorehabilitation

Biomedical and biopsychosocial healthcare compared.

Derick Wade @derickwaderehab.bsky.social · Jul 21

Therapeutic relationships are crucial in rehabilitation yet are understudied and scarcely taught or trained. Look at this study. #neurorehabilitation

Clinical Rehabilitation @clinicalrehab.bsky.social · Jul 21

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

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Derick Wade @derickwaderehab.bsky.social · Jul 21

Professional rehabilitation should be less cautious about exercise after stroke and should encourage patients to be active++

Clinical Rehabilitation @clinicalrehab.bsky.social · Jul 21

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

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