Challenges to self-care and domestic life for adults with disproportionate short statured skeletal dysplasia: a mixed method systematic review.

Purpose: This review aims to assess the impact of pain and limitations across self-care and domestic tasks among adults with disproportionate short statured skeletal dysplasia (SD). Methods: A systematic search was conducted across six electronic databases without language or year of publication res...

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Publicado en:Disability & Rehabilitation Vol. 47; no. 13; pp. 3268 - 3278
Autores principales: Prescelia, Chyntia, Ireland, Penelope J., Blanco, Celeste, Nguyen, Daphne, Pacey, Verity
Formato: research systematic review tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jun2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2025
      vid: 47
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/09638288.2024.2419955
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        atl: Challenges to self-care and domestic life for adults with disproportionate short statured skeletal dysplasia: a mixed method systematic review.
      aug:
        au:
          Prescelia, Chyntia
          Ireland, Penelope J.
          Blanco, Celeste
          Nguyen, Daphne
          Pacey, Verity
        affil: Department of Health Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia
      sug:
        subj:
          Osteochondrodysplasias Prevention and Control
          Self Care
          Task Performance and Analysis
          Activities of Daily Living
          Body Height
          Pain Complications
          Human
          Systematic Review
          Checklists
          Adult
          Hygiene
          Embase
          Medline
          CINAHL Database
          Psycinfo
          AMED Database
          Adult: 19-44 years
      ab: Purpose: This review aims to assess the impact of pain and limitations across self-care and domestic tasks among adults with disproportionate short statured skeletal dysplasia (SD). Methods: A systematic search was conducted across six electronic databases without language or year of publication restrictions from the date of inception of each database through to 31 July 2024. Clear inclusion criteria were established before search initiation and quality assessment was performed using the Mixed Methods Appraisal Tool (MMAT). Results: Eight studies including 1,114 adults (mean age 33.1 years) met the inclusion criteria, demonstrating high methodological quality (MMAT ranging from 80 to 100%). Challenges in self-care and domestic tasks were prevalent among adults with disproportionate short statured SD. Personal hygiene (65.6%, 95% confidence interval (95%CI): 55.3–74.6%), donning/doffing shoes (54.3%, 95%CI: 38.2–70.0%), and reaching objects (20.2%, 95%CI: 16.8–24.1%) were the most prevalent difficulties, generally falling within low-moderate difficulty. Studies consistently identified mild-intensity pain adversely affected adult's abilities to complete daily activities. Due to the significant heterogeneity of included studies, a meta-analysis was not conducted. Conclusions: Adults with disproportionate short statured SD experience challenges in self-care and domestic tasks, alongside a notable trend that suggests a higher prevalence of pain is linked to increased difficulty in completing daily tasks. Implications for rehabilitation: Adults with disproportionate short statured skeletal dysplasia (SD) encounter substantial difficulties in self-care and domestic activities, warranting therapists to explore adaptation strategies to better assist individuals dealing with the challenges. Increased pain intensity is associated with greater difficulty in performing these tasks, indicating therapists should explore the impact of pain on a person's independence. Rehabilitation professionals should routinely evaluate self-care and pain in adults with disproportionate SD using assessment tools tailored to this condition.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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