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  • 1.
    Calner, Tommy
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Isaksson, Gunilla
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Michaelson, Peter
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    I know what I want but I’m not sure how to get it: expectations of physiotherapy treatment of persons with persistent pain2017Ingår i: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 33, nr 3, s. 198-205Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Expectations of physiotherapy treatment of patients with persistent pain have been shown to influence treatment outcome and patient satisfaction, yet this is mostly explored and described in retrospective. The aim of the study was to explore and describe the expectations people with persistent pain have prior to physiotherapy treatment. Ten participants with persistent musculoskeletal pain from the back, neck, or shoulders were included in the study. Data were collected by interviews using a semi-structured interview guide and were analyzed with qualitative content analysis. The analysis resulted in one main category: “The multifaceted picture of expectations” and four categories: 1) Standing in the doorway: curious and uncertain; 2) Looking for respect, confirmation and knowledge; 3) Expecting treatment, regular training, and follow up; and 4) Having dreams, being realistic, or feeling resigned. The main category and the categories describe a multifaceted picture of the participants’ expectations, gradually developed and eventually encompassing several aspects: good dialog and communication, the need to be confirmed as individuals, and getting an explanation for the pain. The results also show that the participants expected tailored training with frequent follow-ups and their expectations of outcome ranged from hope of the best possible results to realistic or resigned regarding pain relief and activity levels.

  • 2.
    Calner, Tommy
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Isaksson, Gunilla
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Michaelson, Peter
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Luleå tekniska universitet, Institutionen för hälsovetenskap, Medicinsk vetenskap.
    Physiotherapy treatment experiences of persons with persistent musculoskeletal pain: A qualitative study2019Ingår i: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to explore and describe the physiotherapy treatment experiences of persons with persistent musculoskeletal pain. Eleven participants with persistent musculoskeletal pain in the back, neck, or shoulders were included in the study. Data was collected via semi-structured interviews and were analysed with qualitative content analysis. The analysis resulted in the theme "Towards acceptance and management of pain", comprising four sub-themes: 1) Establishing and maintaining a therapeutic alliance; 2) Being active, taking initiative and facing challenges; 3) Appreciating guidance, incentive and having a sounding board; and 4) Acquired knowledge and new body awareness change behaviours. The theme and sub-themes describe how the participants used increased knowledge, awareness, movements and exercises learned from the physiotherapy treatment to develop strategies for managing pain and the process of acceptance. A trusting relationship and continual dialogue with the physiotherapist was considered to be important. The participants were actively involved in the process as exercises, activities and other treatment modalities were individualized. This was rewarding but also challenging and required effort on their part. The physiotherapist's initiatives and actions were an important incentive and means of support.

  • 3.
    Ekblom, Berit
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Myhr, Ulla
    Luleå tekniska universitet.
    Effects of the hip abduction orthosis on muscle activity in children with Cerebral Palsy2002Ingår i: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 18, nr 2, s. 55-63Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Hip abduction orthoses are commonly used as adjuncts to create a symmetrical and stable sitting position for children with spastic diplegia. This study investigated how activity in m. Adductor longus, m. Rectus femoris, m. Gastrocnemius and m. Erector spinae was affected while sitting in a ''functional sitting position'' (FSP) performing five upper extremity tasks under four test conditions, one without hip orthosis and three with the orthosis set at three different spring lengths. The experimental group consisted of four children with spastic diplegia (mean age 4 years), while five healthy children (mean age 7 years) served as controls. The initial hip abduction angle adopted spontaneously by each child was measured by a goniometer. Muscle activity was measured by surface electromyography (EMG) during three minutes under each test condition. The children in the experimental group were also assessed from videofilms with the Sitting Assessment Scale (SAS) and the SAS scores were compared to the EMG results. The results of the study failed to demonstrate significant difference in EMG voltage under different sitting conditions, without or with hip abduction orthosis adjusted to varying hip abduction positions. This may imply that if a functional sitting position is assured, further addition of an orthosis is not needed. Follow-up study on a larger group of children with CP may be advisable

  • 4. Gard, Gunvor
    Factors important for good interaction in physiotherapy treatment of persons who have undergone torture: a qualitative study2007Ingår i: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 23, nr 1, s. 47-55Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Torture can be defined as the deliberate or systematic infliction of physical or mental suffering to force another person to yield information, as a punishment or to destroy a person's identity. The aim of the physiotherapy treatment for persons who have undergone torture is to relieve or reduce pain, correct musculoskeletal dysfunctions, teach the client to cope with pain, and regain body awareness. A good interaction and communication with each refugee is needed to optimize the treatment. The aim of this study was to identify factors important for a good interaction between physiotherapist (PT) and the patient among PTs specialising in refugees who have been tortured. A qualitative multiple case study was done. Ten physiotherapists working within the Red Cross, psychiatry or primary health care, who held positions specialising in treating persons who have undergone torture were interviewed. The interviews were analysed with content analysis. The results showed that the factors important for a good interaction could be summarised into two themes; prerequisites for a good interaction and interaction factors. Five prerequisites for a good interaction with persons who have undergone torture were found: personal characteristics, professional and therapeutic competence and support, language factors, time, and frames. Five factors in the interaction situation were important for a good interaction: cultural factors, treatments tailored to the patient's needs, to develop confidence and trust, religious factors, and capacity to handle negative emotions. All these factors have to be considered to improve the interaction between PTs and persons who have undergone torture

  • 5. Gard, Gunvor
    et al.
    Gyllensten, Amanda Lundvik
    Lund University, Department of Physical Therapy.
    Are emotions important for good interaction in treatment situations?2004Ingår i: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 20, nr 2, s. 107-19Artikel i tidskrift (Refereegranskat)
  • 6. Gard, Gunvor
    et al.
    Sundén, Bente Thrane
    Lund University, Department of Physiotherapy.
    Changes in life-views and ethical viewpoints during physiotherapy education2003Ingår i: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 19, nr 2, s. 63-76Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    A life-view can be described an an overall view of man and the world. An individual's life-view can change as a result of attending university. The life-view determines the response to reality and influences decision making and the treatment of other people. The aim of this study is to compare life-views and ethical viewpoints in the same group of physiotherapy students in their first and last semester of study and to describe physiotherapy students' perceptions of the importance of life-views in physiotherapy education. A reliable and valid questionnaire about life-views together with questions covering ethical aspects was used. All physiotherapy students beginning their education at Lund University between 1996 and 1998 answered a questionnaire in their first and last semester of study. The students expressed high agreement with a religious and evolutionary life-view and a low agreement with a scientific life-view in both their first and last semester of study. Amore varied opinion and reduced agreement were shown over time in religious, scientific, and evolutionary life-views. The students were patient-centred in their attitudes at both points in time, and the opinion that quality of life was more important than life increased between their first and last semester of study. The students also were positive toward euthanasia at both points. A life-view was considered important for the practical work as a physiotherapist. Fifty percent of the students were of the opinion that they had changed their life-view during their education to a more accepting and tolerant one and that their ethical awareness had been deepened

  • 7.
    Gyllensten, Amanda Lundvik
    et al.
    Lund University, Department of Physical Therapy.
    Skär, Lisa
    Miller, Michael
    Department of Clinical Sciences, Division of Rehabilitation Medicine, Lund university.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Embodied identity: a deeper understanding of body awareness2010Ingår i: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 26, nr 7, s. 439-446Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aims of this study were to explore and generate an understanding of the meaning of body awareness through explanations of the experience of body awareness given by professionals and patients in psychiatric rehabilitation. A total of 20 strategically selected healthy informants were interviewed individually and in groups. Thirteen previous interviews with physiotherapists and 11 previous interviews with patients in psychiatric rehabilitation, describing their experiences of body awareness therapy and its effects were reanalyzed and included in the data for this study; in all 44 informants were included. Grounded theory methods guided the data construction and analysis. A theoretical understanding was conceptualised from which a core category of body awareness emerged: the embodied identity. This core category was related to two categories: living in the body and living in relation to others and in society. The subcategory "living in the body" was conceived as an important aspect to become more aware of the body and to experience oneself fromwithin in order to recognize one's needs. A key point was the fact that bodily experiences always exists in the present moment. The experience of the body, the balance, and stability of the physical self were basic experiences that were connected to the conception of well-being and control. To understand one's emotions and needs through the awareness of the body were understood as the base for self-confidence, trust in one-self, and the ability to take care of oneself and one's needs physically and mentally. The subcategory "living in relation to others and in society" was conceived as an important aspect for the embodied self to interact with others and for societal participation. Working with the body in physiotherapy practice should include an understanding that body awareness is inseparable from the identity and may have an impact on the health of the individual. This implies that interventions to address problems in body awareness should be integrated into physiotherapy practice.

  • 8.
    Josefsson, Kristina Areskoug
    et al.
    Department of Health Sciences, Division of Physiotherapy, Lund University.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Physiotherapy as a promoter of sexual health2015Ingår i: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 31, nr 6, s. 390-395Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Despite the holistic intention of physiotherapy, sexual health receives insufficient attention by physiotherapists. Sexual health is an important part of general health and well-being, which is often negatively affected by physical and psychological disorders. There are several reasons why sexual health should be addressed by physiotherapists, and this article aims to describe the role of the physiotherapist as a promoter of good sexual health and implementation of sexual health in clinical physiotherapy.

  • 9.
    Myhr, Ulla
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Boden College of Health and Caring Sciences.
    Influence of different seat and backrest inclinations on the spontaneous positioning of the extremities in non-disabled children1994Ingår i: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 10, nr 4, s. 191-200Artikel i tidskrift (Refereegranskat)
  • 10.
    Myhr, Ulla
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Boden College of Health and Caring Sciences.
    Wendt, Lennart von
    University of Gothenburg, Department of Handicap Research.
    Reducing spasticity and enhancing postural control for the creation of a functional sitting position in children with cerebral palsy: a pilot study1990Ingår i: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 6, nr 2, s. 65-76Artikel i tidskrift (Refereegranskat)
  • 11.
    Nordström, Birgitta
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Näslund, Annika
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Ekenberg, Lilly
    County Council of Norrbotten, Department of Research and Development.
    Zingmark, Karin
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    The ambiguity of standing in standing devices: a qualitative interview study concerning children and parents experiences of the use of standing devices2014Ingår i: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 30, nr 7, s. 483-489Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: The aim of this study was to describe children’s and parents’ experiences of the significance of standing in a standing device. Methods: Individual interviews were performed with six children/teenagers (aged 7–19 years) and 14 parents. The interviews were transcribed and analyzed using a qualitative content analysis. Findings: The analysis resulted in the major theme, the duality of uprightness and the related themes: (1) the instrumental dimension of standing; (2) the social dimension of standing; and (3) the ambivalent dimension of standing. Each of the themes comprised several subthemes. Conclusions: There is an inherent duality related to the use of a standing device. Standing in a standing device was seen as a treatment of body structures and functions, as well as a possible source of pain. Standing was considered to influence freedom in activities and participation both positively and negatively. The parents experienced that standing influenced other peoples’ views of their child, while the children experienced standing as a way to extend the body and as something that gave them benefits in some activities. Physiotherapists working with children should take into account both the social and physical dimensions of using a standing device and consider both the child’s and the parents’ views.

  • 12.
    Praestegaard, Jeanette
    et al.
    Department of Physiotherapy Health Sciences, Health Sciences Center, Lund university.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Ethical issues in physiotherapy: reflected from the perspective of physiotherapists in private practice2013Ingår i: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 29, nr 2, s. 96-112Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    An important aspect of physiotherapy professional autonomy is the ethical code of the profession, both collectively and for the individual member of the profession. The aim of this study is to explore and add additional insight into the nature and scope of ethical issues as they are understood and experienced by Danish physiotherapists in outpatient, private practice. Methods: A qualitative approach was chosen and semi-structured interviews with 21 physiotherapists were carried out twice and analyzed, using a phenomenological hermeneutic framework. Results: One main theme emerged: The ideal of being beneficent toward the patient. Here, the ethical issues uncovered in the interviews were embedded in three code-groups: 1) ethical issues related to equality; 2) feeling obligated to do one's best; and 3) transgression of boundaries. Conclusions: In an ethical perspective, physiotherapy in private practice is on a trajectory toward increased professionalism. Physiotherapists in private practice have many reflections on ethics and these reflections are primarily based on individual common sense arguments and on deontological understandings. As physiotherapy by condition is characterized by asymmetrical power encounters where the parties are in close physical and emotional contact, practiced physiotherapy has many ethical issues embedded. Some physiotherapists meet these issues in a professional manner, but others meet them in unconscious or unprofessional ways. An explicit ethical consciousness among Danish physiotherapists in private practice seems to be needed. A debate of how to understand and respect the individual physiotherapist's moral versus the ethics of the profession needs to be addressedai=1rzjm&ui=oxk4&af=T

  • 13.
    Skjerven, Liv H.
    et al.
    Bergen University College.
    Kristofferssen, Kjell
    University of Bergen.
    Gard, Gunvor
    An eye for movement quality: a phenomenological study of movement quality reflecting a group of physiotherapists` understanding of the phenomenon2008Ingår i: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 24, nr 1, s. 13-27Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Movement quality is a phenomenon frequently used by physiotherapists in oral language, written text, and clinical practice, with little clarification. The purpose was to investigate the lived experiences of a group of expert physiotherapists, searching for essential features and characteristics of the phenomenon. A phenomenological study, using in-depth interviews was chosen. Ten copies of Fine Art were used to stimulate the description of the phenomenon. The informants were 15 peer-designated physiotherapists, five from each field of neurology, psychosomatic/psychiatry and primary health care. They were nominated by physical therapist leaders in the region. The interviews were audiotaped and transcribed. Giorgis' recommendation concerning analysis of the interview data was followed. Four main themes were developed, seeing movement quality as biomechanical, physiological, psycho-socio-cultural, and existential, all interacting processes. Each theme includes preconditions to movement quality and movement characteristics. Movement quality in general was seen as a unifying phenomenon, representing a synthesis of the four themes. The outcome of the study is the Movement Quality Model (MQM) illuminating essential features and characteristics of the phenomenon. Further research is needed for clarification and application in clinical practice

  • 14.
    Skjærven, Liv H.
    et al.
    Department of Occupational Therapy, Physiotherapy and Radiography , Western Norway University of Applied Sciences, Campus Kronstad, Bergen, Norway.
    Mattsson, M.
    Department of Clinical Sciences, Division of Psychiatry , Umeå University, Umeå, Sweden.
    Catalan-Matamoros, D.
    Department of Nursing, Physiotherapy and Medicine, University of Almeria; Faculty of Humanities, Communication and Documentation, University Carlos III of Madrid, Spain.
    Parker, A.
    Physiotherapy Department, Royal Edinburgh Hospital.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Department of Health Sciences, Lund University, Lund, Sweden.
    Gyllensten, Al
    Department of Health Sciences, Lund University, Lund, Sweden.
    Consensus on core phenomena and statements describing Basic Body Awareness Therapy within the movement awareness domain in physiotherapy2019Ingår i: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 35, nr 1, s. 80-93Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Physiotherapists are facing complex health challenges in the treatment of persons suffering from long-lasting musculoskeletal disorders and mental health problems. Basic Body Awareness Therapy (BBAT) is a physiotherapy approach within the movement awareness domain developed to bridge physical, mental, and relational health challenges. The purpose of this study was to reach a consensus on core phenomena and statements describing BBAT. A consensus-building process was conducted using the nominal group technique (NGT). Twenty-one BBAT experts from 10 European countries participated in a concentrated weekend workshop of 20 hours. All participants signed informed consent. Participants reached a consensus on 138 core phenomena, clustered in three overarching categories: clinical core, historical roots, and research and evaluation phenomena. Of the 106 clinical core phenomena, the participants agreed on three categories of phenomena: movement quality, movement awareness practice, and movement awareness therapy and pedagogy. Furthermore, the participants reached 100 percent consensus on 16 of 30 statements describing BBAT. This study provides a consensus on core phenomena and statements describing BBAT. The data reveal phenomena implemented when promoting movement quality through movement awareness. Data provide clarity in some aspects of the vocabulary as fundamental theory. Further reearch will be developed.

  • 15.
    Strandkvist, Viktor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Department of Public Health and Clinical Medicine, The OLIN Unit, Division of Occupational and Environmental Medicine , Umea University.
    Andersson, Mikael
    Department of Neuroscience, Physiotherapy, Uppsala University , Uppsala.
    Backman, Helena
    Department of Public Health and Clinical Medicine, The OLIN Unit, Division of Occupational and Environmental Medicine , Umeå University , Umeå.
    Larsson, Agneta
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Stridsman, Caroline
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Lindberg, Anne
    Department of Public Health and Clinical Medicine, Division of Medicine , Umeå University , Umeå.
    Hand grip strength is associated with fatigue among men with COPD: epidemiological data from northern Sweden2018Ingår i: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040Artikel i tidskrift (Refereegranskat)
    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.

  • 16.
    Szybec, Kristina
    et al.
    Private practitioner.
    Gard, Gunvor
    Lindén, Jitka
    Lund University, Department of Psychology.
    The psysiotherapist-patient relationship: applying a psychotherapy model2000Ingår i: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 16, nr 4, s. 181-193Artikel i tidskrift (Refereegranskat)
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