Evidence map›Paper›PMID 40542703›Full record

ArticlePM & R : the journal of injury, function, and rehabilitation2026

A socioecological approach to understanding and positively affecting the intersectionality between disability, race and ethnicity, climate change, and rehabilitation outcomes: A scoping review.

Prateek Grover, Monica Verduzco-Gutierrez, Thiru Annaswamy

Abstract readScoping Review
In one paragraph

Article in PM & R : the journal of injury, function, and rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Prateek GroverDepartment of Physical Medicine and Rehabilitation, Penn State College of Medicine, Hershey, Pennsylvania, USA.ORCID 0000-0003-1367-8438
Monica Verduzco-GutierrezDepartment of Rehabilitation Medicine, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.ORCID 0000-0003-0964-5908
Thiru AnnaswamyDepartment of Physical Medicine and Rehabilitation, Penn State College of Medicine, Hershey, Pennsylvania, USA.ORCID 0000-0002-3969-9221

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth care outcomes for people with disability may be disproportionately affected by climate change through multiple interlinked factors, which are not well understood.

objectiveWith use of scoping review methodology, this study aimed to model this intersectionality using socioecological (SE) levels to connect person-level rehabilitation diagnoses with systems/policy-level climate change and use this model to identify multilevel factors, rehabilitation outcomes, and responsive strategies from literature.

methodsA scoping review of literature was conducted using Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews methodology from three databases (PubMed Medline, Ovid Medline, CINAHL) using combinations of keywords (climate change), (rehabilitation), (disability), and (race). Logic and SE models were combined to model this intersectionality and create review forms that were used to abstract data. Common themes were collated (results), and additional experiential insight was added to provide contextual relevance (discussion).

resultsOf 32 deduplicated articles, 11 met inclusion criteria for qualitative analysis. Rehabilitation outcomes included physical, economic, mental, cognitive, and mortality (person level); rehabilitation services disruption, medical supply delay, emergency capacity overwhelmed (organizational level); and disabled environment (community level). Responsive strategies included education, backup supplies, planning, social support/utility registration (person level); competency assessment/training, physical medicine and rehabilitation physicians (PM&R) assisting patient in planning, providing pre-/postevent services, and establishing cross-coverage (interpersonal level); telerehabilitation, energy/resources conservation, PM&R inclusion in disaster mitigation planning (organization level); building accessible/resilient infrastructure, evidence-based practice guidelines through professional organizations (community level); and research funding, utility companies prioritizing power, and patients/providers included in planning (system/policy level). DISCUSSION: Climate change impact on rehabilitation diagnoses such as spinal cord injury and limb loss, as well as intersectionality with rehabilitation outcomes and identified responsive strategies, has been comprehensively modeled using SE levels. Race is not a commonly identified factor.

conclusionPM&R physicians can play a vital role in this intersectionality of disability, climate change, and rehabilitation outcomes.

Indexed as

Climate ChangeEthnicityPersons with DisabilitiesRacial GroupsHumans

Identifiers

PMID40542703
PMCPMC12903836

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.