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Publications (10 of 52) Show all publications
Larsson, A. & Chapman, D. (2018). Changing risks to outdoor activity in the Arctic: Resilience to climate-related community change. In: : . Paper presented at The UArctic Congress 2018, Oulu & Helsinki, Finland, September 3-7 2018.
Open this publication in new window or tab >>Changing risks to outdoor activity in the Arctic: Resilience to climate-related community change
2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Arctic communities have over generations evolved lifestyles that fit with working and living with local conditions and seasonal variations. With climate change, however, comes evolving and unknown weather’s that these communities need to adapt too. These environmental changes may present new risk and unexpected outcomes to outdoor activity that communities will need to address.

In subarctic regions, pedestrians encounter a variety of road or pavement surface conditions, such as snow, ice, melting ice or mixed icy and snowy surfaces.  Slips and falls are a significant cause of work- and leisure-time accidents. The costs for medical care of fall-related injury treatment is high. Fear can also result in physical inactivity which is a significant population health concern worldwide. 

This presentation highlights the traditional risks associated with outdoor activity in winter and how they are changing with climate change. It does this through the analysis of survey responses about the use of outdoor public space. The survey is from 1) 344 people in the city of Luleå Sweden (Dfc climate classification area), and 2) 325 responses from people living in Dfb and Dfc climate areas across the world, e.g. Canada.

At a societal level, this change suggests that new forms of sustainable development and public policy are needed. These could help reduce costs and pressures on the health services by creating safer and more walkable arctic communities. Here costs and benefits related to inactivity and injury are high and affect both the individual and society as a whole.

National Category
Public Health, Global Health, Social Medicine and Epidemiology Physiotherapy Architectural Engineering
Research subject
Physiotherapy; Architecture
Identifiers
urn:nbn:se:ltu:diva-69821 (URN)
Conference
The UArctic Congress 2018, Oulu & Helsinki, Finland, September 3-7 2018
Available from: 2018-06-24 Created: 2018-06-24 Last updated: 2018-06-27Bibliographically approved
Chapman, D., Nilsson, K., Rizzo, A. & Larsson, A. (2018). Climate-sensitive urban design; enabling connectivity for soft mobility in winter. Urban Design International
Open this publication in new window or tab >>Climate-sensitive urban design; enabling connectivity for soft mobility in winter
2018 (English)In: Urban Design International, ISSN 1357-5317, E-ISSN 1468-4519Article in journal (Refereed) Submitted
Abstract [en]

The study explores connectivity for soft mobility in the winter season. Working with residents from the sub-arctic city of Luleå, Sweden, the research examines how the interaction between the built environment and winter season affects connectivity for soft mobility.

The methods used were mental mapping and photo elicitation exercises. These methods were used to gain a better understanding of people’s perceived barriers and enablers to soft mobility in winter.

The results were analysed to identify the barriers and enablers to connectivity for soft mobility that can be influenced and changed by urban design. The discussion highlights that at the neighbourhood scale, residents perceive that the winter reduces the usable area of streets and spaces, alters the spatial pattern of the area and reduces ease of understanding of the streetscape.

While the research focuses on winter settlements, it is argued that understanding the effects of seasonal climate variation on soft mobility is an essential dimension of urban design in all contexts.

Keywords
Urban form, urban design, seasonal climate variation, winter cities
National Category
Social Sciences Architectural Engineering Physiotherapy
Research subject
Architecture; Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-70506 (URN)
Available from: 2018-08-20 Created: 2018-08-20 Last updated: 2018-10-03
Pauelsen, M., Vikman, I., Johansson, V., Larsson, A. & Röijezon, U. (2018). Decline in sensorimotor systems explains reduced falls self-efficacy. Journal of Electromyography & Kinesiology, 42, 104-110
Open this publication in new window or tab >>Decline in sensorimotor systems explains reduced falls self-efficacy
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2018 (English)In: Journal of Electromyography & Kinesiology, ISSN 1050-6411, E-ISSN 1873-5711, Vol. 42, p. 104-110Article in journal (Refereed) Published
Abstract [en]

Physical performance including balance tasks is one of the main factors explaining the variance in falls self-efficacy in older adults. Balance performance is often measured by use of gross assessment scales, which assess the result of integration of all systems involved in postural control. We aimed to investigate which measurements of postural control correlate to falls self-efficacy scores as measured by the FES-I instrument, and which sensory and motor systems best explain them. A cross sectional study was designed, in which 45 older adults performed quiet stance and limits of stability trials during which their center of pressure (CoP) excursion was recorded. Falls self-efficacy was measured using the Falls Efficacy Scale - International. Eyesight, vestibular function, proprioception, reaction time and strength were also measured. Hierarchical orthogonal projection of latent structures was used to model FES-I with the CoP trials and then with the sensory and muscle function data. Fes-I could be explained to 39%, with the eyes open trials and the limits of stability trials loading the heaviest. The base model could be explained to 40% using the sensory and muscle function data, with lower limb strength, leg proprioception, neck proprioception, reaction time and eyesight loading the heaviest.

Place, publisher, year, edition, pages
Elsevier, 2018
National Category
Physiotherapy
Research subject
Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-70143 (URN)10.1016/j.jelekin.2018.07.001 (DOI)30015133 (PubMedID)2-s2.0-85049755548 (Scopus ID)
Note

Validerad;2018;Nivå 2;2018-08-08 (andbra)

Available from: 2018-07-20 Created: 2018-07-20 Last updated: 2018-09-13Bibliographically approved
Strandkvist, V., Andersson, M., Backman, H., Larsson, A., Stridsman, C. & Lindberg, A. (2018). Hand grip strength is associated with fatigue among men with COPD: epidemiological data from northern Sweden. Physiotherapy Theory and Practice
Open this publication in new window or tab >>Hand grip strength is associated with fatigue among men with COPD: epidemiological data from northern Sweden
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2018 (English)In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040Article in journal (Refereed) Epub ahead of print
Abstract [en]

The aim of this study was to investigate if hand grip strength (HGS) is associated with: 1) fatigue, and specifically clinically relevant fatigue (CRF); 2) low physical activity; and 3) fatigue independent of physical activity level, among individuals with and without COPD. Data were collected from the Obstructive Lung Disease in Northern Sweden (OLIN) COPD-study in 2014. HGS was measured with a hand-grip dynamometer, fatigue and physical activity were assessed by questionnaires; FACIT-Fatigue respectively IPAQ. Among individuals with COPD (n = 389), but not without COPD (n = 442), HGS was lower among those with CRF than those without CRF, significantly so among men (p = 0.001) and close to among women (p = 0.051). HGS was not associated with physical activity levels within any of the groups. HGS was associated with fatigue among men, but not women, with COPD independent of physical activity level, age, height, and smoking habits (Beta = 0.190, 95% CI 0.061-0.319, respectively Beta = 0.048, 95% CI-0.056-0.152), while there were no corresponding significant findings among individuals without COPD. In summary, HGS was associated with CRF among individuals with COPD in this population-based study. Among men with COPD, HGS was associated with fatigue independent of physical activity level and common confounders.

Place, publisher, year, edition, pages
Taylor & Francis, 2018
National Category
Physiotherapy Nursing
Research subject
Physiotherapy; Nursing
Identifiers
urn:nbn:se:ltu:diva-69970 (URN)10.1080/09593985.2018.1486490 (DOI)
Available from: 2018-06-28 Created: 2018-06-28 Last updated: 2018-08-06
Larsson, A. & Chapman, D. (2018). Outdoor human environments: the changing face of climatic barriers to soft mobility and gathering in winter communities. In: : . Paper presented at The 17th International Congress of Circumpolar Health, ICCH17, Copenhagen, Denmark, August 12-15 2018.
Open this publication in new window or tab >>Outdoor human environments: the changing face of climatic barriers to soft mobility and gathering in winter communities
2018 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Introduction: In Arctic regions, generations have evolved lifestyles that fit with working and living with local conditions and seasonal variations. With emerging climate changes new risks appear and prior individual experiences based on preconceptions of risk may not remain valid. In everyday life, soft-mobility is required in varying conditions, such as ice and snow covered surfaces, darkness, extreme weather conditions. Inability to detect environmental clues to risk is a critical aspect for injury. Also, fear and activity avoidance lead to an increased risk of physical inactivity, a significant population health concern worldwide. Methods: An explorative survey, on subjective ratings of barriers to 1) soft mobility and 2) the use of outdoor public space in winter was performed. The EAMQ –Climate survey, tailored for climatic sensitive urban design research, include dimensions of distance, ambient and terrain, and a range of weather conditions found in winter, such as sun, coldness, wind, ice and ground surface properties (ice, snow, slush). Respondents were 1) 344 people in Northern Sweden, and 2) 361 people in Canada and Scandinavia. Results: The results highlight that rain, icy surfaces and darkness are today’s most significant barriers to soft-mobility in winter. For the use of outdoor public spaces, the most significant barriers were slushy and icy surfaces, rain precipitation and darkness. Conclusions: The traditional risks associated with outdoor activity in winter are changing with climate change. Future urban design and planning for safer and more walkable winter cities need to consider a more extensive pallet of weather conditions.

National Category
Public Health, Global Health, Social Medicine and Epidemiology Architectural Engineering Physiotherapy
Research subject
Physiotherapy; Architecture
Identifiers
urn:nbn:se:ltu:diva-69820 (URN)
Conference
The 17th International Congress of Circumpolar Health, ICCH17, Copenhagen, Denmark, August 12-15 2018
Note

Poster presentation. Abstract will be included in the abstract book

Available from: 2018-06-24 Created: 2018-06-24 Last updated: 2018-08-14Bibliographically approved
Gard, G., Berggård, G., Rosander, P. & Larsson, A. (2018). Pedestrians perceptions of community walking with anti-slip devices: an explorative case study. Journal of Transport and Health
Open this publication in new window or tab >>Pedestrians perceptions of community walking with anti-slip devices: an explorative case study
2018 (English)In: Journal of Transport and Health, ISSN 2214-1405, E-ISSN 2214-1405Article in journal (Refereed) Epub ahead of print
Abstract [en]

The risk of falls on slippery surfaces during wintertime is a public safety problem in the Nordic region in the Arctic. The aim of this case study was to explore pedestrians perceptions of walking safety, balance, slipping risk, priority for own use and subjective criteria for a well functioning anti-slip device. An experimental set-up was utilised in which nine pedestrians tested 19 anti-slip devices by simulating walking in realistic traffic situations on four different surfaces. The pedestrians favoured devices with a high number of friction points, distributed under the whole sole (in-built) or forefoot (sandpaper). Also, a whole-foot device with a high number of spikes received high ratings in all aspects measured except in balance enabling properties. Identified subjective criteria were safe foothold, comfort, enabling a normal gait, stability, silence, and predictability. The results indicate that both anti-slip properties and balance enabling properties of the device need to be considered for safe community walking

Place, publisher, year, edition, pages
Elsevier, 2018
National Category
Physiotherapy
Research subject
Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-70755 (URN)10.1016/j.jth.2018.09.001 (DOI)
Available from: 2018-09-04 Created: 2018-09-04 Last updated: 2018-09-15
Chapman, D., Nilsson, K., Rizzo, A. & Larsson, A. (2018). Updating winter: the importance of climate-sensitive urban design for winter settlements. Arctic Yearbook
Open this publication in new window or tab >>Updating winter: the importance of climate-sensitive urban design for winter settlements
2018 (English)In: Arctic Yearbook, ISSN 2298–2418Article in journal (Refereed) Submitted
Abstract [en]

This study explores winter settlement urban design principles to begin to identify climate related conditions that are affecting soft mobility (walking and cycling) in these communities.

Winter communities have evolved lifestyles and means that fit with working and living with local conditions and seasonal variations. With climate change, however, comes evolving weather’s that these communities need to adapt too. These changes may present new risks and unexpected challenges to outdoor soft mobility in the community.

Public policy highlights physical inactivity as a major health concern. For these communities, winter has always limited outdoor soft-mobility. Here, we understand that in winter outdoor activity can be reduced by weather and fear of accidents.

People’s understanding of the barriers and enablers to soft mobility are also often based on experience and ability to detect environmental clues. To help winter communities maximise the opportunities for outdoor soft mobility and the wellbeing benefits this can bring, built environments need to be designed with an understanding of climate change. 

This study explores barriers and enablers to soft mobility in winter and discusses them in light of climate change and human wellbeing. It is argued that established principles of urban design may require re-evaluation if we want to increase outdoor soft mobility in winter. Increases in physical activity could help reduce costs and pressures on health services by creating safer and more walkable communities. The paper concludes by suggesting that communities should focus on more context based winter urban design principles that account for ongoing climate change.

Keywords
Winter cities, winter settlements, urban form, soft mobility, wellbeing, climate change
National Category
Engineering and Technology Physiotherapy Architectural Engineering
Research subject
Architecture; Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-70505 (URN)
Available from: 2018-08-20 Created: 2018-08-20 Last updated: 2018-10-03
Chapman, D., Nilsson, K., Larsson, A. & Rizzo, A. (2017). Climatic barriers to soft-mobility in winter: Lulea, Sweden as case study. Sustainable cities and society, 35, 574-580
Open this publication in new window or tab >>Climatic barriers to soft-mobility in winter: Lulea, Sweden as case study
2017 (English)In: Sustainable cities and society, ISSN 2210-6707, Vol. 35, p. 574-580Article in journal (Refereed) Published
Abstract [en]

Urban form can moderate the effects of weather on human movement. As such, the interrelationship between built environment, weather and human movement is a critical component of urban design. This paper explores the impacts of weather on non-motorised human movement (soft-mobility). Throughout we look at soft-mobility from the citizen’s perspective and highlight the barriers to soft-mobility in winter.

The aim of this study was to test the traditional pallet of winter city urban design considerations. Those of solar-access, wind and snow management and explore other weather and terrain conditions that act as barriers to soft-mobility in winter. This study is based on survey responses from 344 citizens in the sub-arctic area of Sweden. Outcomes from the research highlight that rain, icy surfaces and darkness are today’s most significant barriers to soft-mobility in winter.

Results from this study link changing barriers to soft-mobility in winter with climate change. The paper concludes that future urban design and planning for winter cities needs to consider a wider pallet of weather conditions, especially rain.

Place, publisher, year, edition, pages
Elsevier, 2017
Keywords
Winter Cities, Resilience, Outdoor Activity, Walkability, Urban Microclimate
National Category
Social Sciences Architectural Engineering Physiotherapy
Research subject
Architecture; Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-65555 (URN)10.1016/j.scs.2017.09.003 (DOI)000415898200049 ()2-s2.0-85029311543 (Scopus ID)
Note

Validerad;2017;Nivå 2;2017-09-14 (andbra)

Available from: 2017-09-10 Created: 2017-09-10 Last updated: 2018-08-20Bibliographically approved
Gard, G. & Larsson, A. (2017). Working conditions and workplace health and safety promotion in home care: a mixed method study from Swedish managers´ perspectives (ed.). Archives of Environmental & Occupational Health, 72(6), 359-365
Open this publication in new window or tab >>Working conditions and workplace health and safety promotion in home care: a mixed method study from Swedish managers´ perspectives
2017 (English)In: Archives of Environmental & Occupational Health, ISSN 1933-8244, E-ISSN 2154-4700, Vol. 72, no 6, p. 359-365Article in journal (Refereed) Published
Abstract [en]

Today, we can see a trend towards increased psychosocial strain at work among home care managers and staff. The aim of this study is to describe home care managers' views on their own psychosocial working conditions and on how to promote workplace health and safety in a municipality in northern Sweden. A mixed methods design was used, including questionnaire and qualitative focus group data. The qualitative data were analysed by manifest content analysis. The results indicate that most managers perceived increased variety in work and opportunities for development at work, but at the same time increased demands. The managers suggested that workplace health and safety could be improved by risk assessment and improved communication, a clear communication chain by a real as well as a virtual platform for communication. In summary, workplace health and safety could be improved by risk assessments and by a physical as well as a virtual platform for communication.

Place, publisher, year, edition, pages
Taylor & Francis, 2017
National Category
Physiotherapy
Research subject
Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-5171 (URN)10.1080/19338244.2017.1279998 (DOI)000413906600008 ()28095115 (PubMedID)2-s2.0-85011665767 (Scopus ID)33414209-6129-44bb-a489-040b17e9694b (Local ID)33414209-6129-44bb-a489-040b17e9694b (Archive number)33414209-6129-44bb-a489-040b17e9694b (OAI)
Note

Validerad;2017;Nivå 2;2017-10-03 (andbra)

Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2017-11-24Bibliographically approved
Larsson, A. (2016). Aktivitet: Barn och unga får problem av datorer och surfplattor: Intervju med Agneta Larsson och Katarina Mikaelsson, lektorer vid Inst för hälsovetenskap (ed.). Paper presented at .
Open this publication in new window or tab >>Aktivitet: Barn och unga får problem av datorer och surfplattor: Intervju med Agneta Larsson och Katarina Mikaelsson, lektorer vid Inst för hälsovetenskap
2016 (Swedish)Other (Other (popular science, discussion, etc.))
Abstract [sv]

Vi blir allt mer stillasittande och arbetar mer och mer med datorer och smartphones och nu visar det sig att barn och unga drabbas. Forskning visar att barn och ungdomar visar på besvär efter att ha suttit vid datorer, surfplattor och telefoner säger Agneta Larsson och Katarina Mikaelsson, doktorer i Fysioterapi vid Luleå tekniska universitet. − Mycket tid framför skärmen innebär ensidig belastning på leder och muskler vilket gör att det blir värk. Det blir också en ansträngning på ögonen, säger Agneta Larsson. Problemen gör att det nu börjat forskas på området. − Vi är i startgroparna på att gå igång med forskningen då det har blivit ett tydligt problem och att komma ut med information är viktigt, säger Katarina Mikaelsson. Den information som de menar gör skillnad för att de unga ska slippa problemen är variation och att ta pauser.

National Category
Physiotherapy
Research subject
Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-36546 (URN)6afc7364-6e2d-4187-8230-56df9f81c78d (Local ID)6afc7364-6e2d-4187-8230-56df9f81c78d (Archive number)6afc7364-6e2d-4187-8230-56df9f81c78d (OAI)
Note
Mediets namn: Sveriges Radio; Producentens namn: P4 Norrbotten ; Startdatum: 28/02/2016; Slutdatum: 28/02/2016; Roll: Deltagare; Typ: Framträdande i massmedia - Deltagande i radioprogramAvailable from: 2016-09-30 Created: 2016-09-30 Last updated: 2017-11-25Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-3619-2297

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