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  • 1. Andersson, Linda
    et al.
    Ulander, Helene
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Mikaelsson, Katarina
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Betydelsen av verbal uppmuntran vid utförande av handstyrketest2004In: Nordisk fysioterapi, ISSN 1402-3024, Vol. 8, no 4, p. 145-51Article in journal (Refereed)
    Abstract [en]

    The purpose of this study was to evaluate if verbal encouragement had any influence on hand strength measurements. Twenty subjects participated in the study, all women aged between 20 and 62 years. A standardization of testing conditions and verbal encouragement was designed. Three measurements were conducted during 2 days using T.K.K 5401 Grip D. First there was a trial set, and then Test 1 (without verbal encouragement) and Test 2 (with verbal encouragement) were con-ducted. The results showed a significant improvement regarding the test results from Test 1 to Test 2. The subjects also answered a questionnaire about their feelings towards the two test occasions. A majority of the subjects felt that verbal encouragement had an influence on their performance. In conclusion, it could be said that verbal encouragement both had a subjective and objective influence on a subject's performance. In earlier studies, verbal encouragement has shown to influence different personalities in different ways. Thus, this would be an interesting field of study for future research

  • 2.
    Areskoug Josefsson, Kristina
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Juuso, Päivi
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Rolander, Bo
    Jönköping University.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Health Care Students' Attitudes Toward Addressing Sexual Health in Their Future Profession: Validity and reliability of a questionnaire2016In: International Journal of Sexual Health, ISSN 1931-7611, E-ISSN 1931-762X, Vol. 28, no 3, p. 243-250Article in journal (Refereed)
    Abstract [en]

    Objectives: To test the reliability and validity of the Students' Attitudes Towards Addressing Sexual Health questionnaire (SA-SH), measuring students' attitudes towards addressing sexual health in their future professions.

    Method: A cross-sectional online survey (22 items) were distributed to 186 nursing, occupational therapy and physiotherapy students in Sweden, April 2015. Validity and reliability were tested.

    Results: The construct validity analysis led to three major factors: present feelings of comfortableness, future working environment and fear of negative influence on future patient relations. The construct validity, internal consistency reliability and intrarater reliability showed good results.Conclusion: The SA-SH is valid and reliable.

  • 3.
    Areskoug Josefsson, Kristina
    et al.
    Högskolan i Jönköping, The Jönköping Academy for Improvement of Health and Welfare.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Rolander, Bo
    Högskolan i Jönköping, HHJ, Avd. för beteendevetenskap och socialt arbete.
    Juuso, Päivi
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Health care students' attitudes towards working with sexual health in their professional roles - survey of students at nursing, physiotherapy and occupational therapy programmes2016In: Conference abstracts: Pre-conference abstracts, 2016Conference paper (Refereed)
  • 4.
    Areskoug Josefsson, Kristina
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Rolander, Bo
    Jönköping University, Futurum, Academy for Health and Care, Jönköping County Council.
    Juuso, Päivi
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Health Care Students’ Attitudes Towards Working with Sexual Health in Their Professional Roles: Survey of Students at Nursing, Physiotherapy and Occupational Therapy Programmes2016In: Sexuality and disability, ISSN 0146-1044, E-ISSN 1573-6717, Vol. 34, no 3, p. 289-302Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to explore differences and similarities in health care students’ attitudes towards working with and communicating with patients about sexual health issues in their future professions. The aim was also to explore whether the students’ gender, age and future professions were influencing factors and whether there was a change in attitude depending on educational levels, gender, age and future professions. The study also aimed to explore the potential development of those differences and similarities in attitudes between health care students having achieved different levels of education and training in their future professions. A cross-sectional quantitative study was performed with an online survey distributed to nursing, occupational therapy and physiotherapy students. The students believed that they needed increased sexual health education and increased communication skills about sexual health. Gender and future profession are factors that significantly affect the attitudes of the students towards working with sexual health. Nursing and occupational therapy students have a more positive attitude towards addressing sexual health in their future professions than do physiotherapy students. Further research is needed in this field to improve competence in sexual health for all student groups, particularly physiotherapy students. Further research is also needed to explore the significance of gender regarding education in sexual health and attitudes towards working with sexual health.

  • 5.
    Berggård, Glenn
    et al.
    Luleå University of Technology, Department of Civil, Environmental and Natural Resources Engineering, Architecture and Water.
    Rosander, Peter
    Luleå University of Technology, Department of Civil, Environmental and Natural Resources Engineering, Architecture and Water.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Konsumenttester av vinterskor och halkskydd2015Report (Other academic)
    Abstract [sv]

    Sjukvårdsbaserad skadestatistik från Sverige visar att singelolyckor med fotgängare på is och snö, orsakar höga skadetal. I Sverige beräknas ca 10000 män och 15000 kvinnor uppsöka sjukvård på grund av skada vid fall på snö och is. Personer skadade i fallolyckor på snö och is har svårare skador och längre konvalescenstid jämfört med fotgängare som faller på barmark. Det är därför viktigt att identifiera preventiva metoder och hjälpmedel för fallolyckor vintertid.Syftet med detta arbete har varit att genomföra konsumenttester av vinterskor och halkskydd på olika underlag med avseende på hur väl de fungerar som skydd mot att halka samt hur användarvänliga de upplevs av brukaren. I arbetet har det också varit viktigt att försöka identifiera kriterier som kan anses vara betydelsefulla för att bedöma vinterväglagsegenskaperna. Dessutom fanns ett behov av att ta fram underlag och förslag på en standardiserad metod för halkskydds-/vinterskortester och en märkning som ger konsumenterna möjlighet att bedöma och jämföra halkskyddens respektive vinterskornas egenskaper innan köp.Testmetoden som tagits fram för att undersöka halkskyddens och skornas egenskaper bygger på tidigare erfarenheter från tester av halkskydd. Metoden bygger på att försökspersoner genomför gångtester med halkskydd och skor på olika underlag samtidigt som olika mätmetoder, både objektiva och subjektiva, används för att kategorisera gång. Tester har genomförts av 9 försökspersoner, över 45 år, 4 män och 5 kvinnor, som testat 19 halkskydd och 20 olika skor. Fyra olika underlag har använts för att kategorisera egenskaperna på de undersökta halkskydden och skorna: is, is täckt med snö, packad snö, torr betong.Testmetoden har kompletterats med laboratoriemätningar av halkskyddens och skosulornas friktion på is samt hårdheten hos skornas sulor. Multipel hierarkisk multipel regressionsanalys användes för att identifiera vilka kriterier som kan ha betydelse för fotgängarnas skattade helhetsupplevelse av de testade halkskydden på olika underlag.Resultatet av förmätningarna visar att testgruppen (fem kvinnor och fyra män med medålder 47 år) motsvarar en normalpopulation, avseende variationer i de uppmätta bakgrundsparametrarna.FIOH:s friktionsmätningar på is av samtliga skor och halkskydd visar att halkskydden har genomgående högre friktionsvärden än skorna, dvs. de har bättre fäste på is än de skor som testats men resultaten visar på små skillnader mellan de sämsta halkskydden och de bästa skorna.Resultat från friktionsmätningen, som den utförs idag i fixerat utförande, ger inte överensstämmelse med försökspersonernas upplevelser av gångsäkerhet eller fallrisk. Försökspersonernas gångcykel med hälisättning, överrullning och fotavveckling bygger upp den samlade uppfattningen om egenskaperna och fångas enbart i de subjektiva mätmetoderna.Sex kriterier som bedömts viktiga att ta hänsyn till när det gäller halkfri gång med en vintersko har kunnat identifieras via analys av försökspersonernas fritextsvar avseende fördelar, nackdelar och övrig funktionalitet: gångsäkerhet, möjliggör ett naturligt gångmönster, stabilitet, förutsägbarhet, flexibilitet och passform/komfort. Gångsäkerhet är viktigast och omfattar fäste/grepp, detta är viktigast på is, is/snö vid gång samt vid start och stopp.Sju subjektiva kriterier för halkskydd har också identifierats; gångsäkerhet, tillåter naturligt gångmönster, stabilitet, förutsägbarhet, flexibilitet, passform/komfort, och ljud. Gångsäkerhet är viktigast.Den självskattade hälisättningen på underlagen ren is samt på snö på is framkom som det viktigaste kriteriet för testpersonernas helhetsupplevelse av skyddet. Även skattad fotavveckling på alla underlag med främst på främst på snö på is var av betydelse. Upplevd balans och fallrisk var mest utslagsgivande för helhetsupplevelsen av de halkskydd som inte valdes för eget bruk. Det tyder på att en lägre grad av skattad kontroll av kroppshållning och balans under gång med skyddet är en relevant indikator för att identifiera skydd med bristande funktioner.Variablerna subjektivt skattad fallrisk, balans, hälisättning och fotavveckling kan samtliga relateras till ett skydds halkegenskaper och funktion. Upplevd fallrisk samvarierar med såväl balans, hälisättning och fotavveckling vilket innebär att kriteriet upplevd fallrisk kan antas omfatta de övriga och kan väljas som en enskild variabel i fortsatta analyser.Kvalitetsnivåer i bedömningsskalor kan antas gå att knyta till de subjektiva kriterierna.En standardiserat testmetod för klassindelning av egenskaper för vinterskor respektive halkskydd bör bygga på mätmetoder med försökspersoner enligt ovan.Fortsatta studier med fler testpersoner behövs för att verifiera de resultat som indikeras ovan.

  • 6.
    Chapman, David
    et al.
    Luleå University of Technology, Department of Civil, Environmental and Natural Resources Engineering, Architecture and Water.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Arctic Risk in Urban Spaces (ARUS): Report of meeting 16th & 17th January 20182018Report (Other academic)
    Abstract [en]

    Report from the ARUS workshop in Abisko Research Station of the 16th and 17th January 2018. The workshop was used to develop a project agenda and key issues around changing risks in the Arctic public realm. Whilst this workshop was exploratory, the aim was to identify design challenges to urban space that climate change could bring for soft mobility.  The objective was to develop a research strategy that can develop ways to adapt Arctic settlements to these new environmental risks. The goal is to grow these agendas into research applications and funded research.

  • 7.
    Chapman, David
    et al.
    Luleå University of Technology, Department of Civil, Environmental and Natural Resources Engineering, Architecture and Water.
    Nilsson, Kristina
    Luleå University of Technology, Department of Civil, Environmental and Natural Resources Engineering, Architecture and Water.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Rizzo, Agatino
    Luleå University of Technology, Department of Civil, Environmental and Natural Resources Engineering, Architecture and Water.
    Climatic barriers to soft-mobility in winter: Lulea, Sweden as case study2017In: Sustainable cities and society, ISSN 2210-6707, Vol. 35, p. 574-580Article in journal (Refereed)
    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.

  • 8.
    Gard, Gunvor
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Focus on motivation in the work rehabilitation planning process: a qualitative study from the employer's perspective2003In: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688, Vol. 13, no 3, p. 159-167Article in journal (Refereed)
    Abstract [en]

    Since the working environment act was passed in 1991, employers in Sweden are to plan and control the working environment conditions in workplaces. They are responsible for organized rehabilitation at the workplace including the development of rehabilitation plans and a plan for interventions in order for a sick-listed client to be able to return to work. The aim of this study was to describe employers' experiences of how motivation can be improved in a work rehabilitation process. Qualitative interviews were performed with 10 employers who had employees that had taken part in a period of vocational rehabilitation at a rehabilitation center in the north of Sweden, over a 2-year period. The result showed that increased focus on motivation for change is needed in work rehabilitation. The clients' motivation for change could be improved by a focus on motivational conversations at the workplace aiming at motivation for change in their working and living conditions. The employers' power of initiative, competence, economic resources, and motivation are needed for creative solutions at the workplace.

  • 9.
    Gard, Gunvor
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    How can a work rehabilitation process be improved2004In: Final programme and abstracts, Vienna: Austrian society of physical medicine and rehabilitation , 2004Conference paper (Other academic)
  • 10.
    Gard, Gunvor
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Larsson, Agneta
    How can cooperation between rehabilitation professionals in rehabilitation planning be improved?2006In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 26, no 2, p. 191-6Article in journal (Refereed)
    Abstract [en]

    Research shows that there are often problems with cooperation between rehabilitation professionals within vocational rehabilitation. The aim of this study was to describe employers' experiences of how cooperation between different rehabilitation professionals can be improved in a vocational rehabilitation planning process. Ten employers who had sent their employees to vocational rehabilitation at a rehabilitation centre in the north of Sweden during 2000 and 2001 participated in the study. Qualitative interviews were performed and analysed by thematic content analysis. The employers' cooperation with clients could be improved by a focus on clients' needs and participation in the rehabilitation process. The employers cooperation with Social Insurance companies could be improved by, 1) early prevention and intervention, 2) knowledge of each other's roles, responsibilities and opportunities and 3) priority making. The employers' cooperation with rehabilitation professionals could be improved by, 1) early identification of rehabilitation needs and goals and early rehabilitation and, 2) increased focus on own responsibilities from each part in the process.

  • 11.
    Gard, Gunvor
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Working conditions and workplace health and safety promotion in home care: a mixed method study from Swedish managers´ perspectives2017In: Archives of Environmental & Occupational Health, ISSN 1933-8244, E-ISSN 2154-4700, Vol. 72, no 6, p. 359-365Article in journal (Refereed)
    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.

  • 12.
    Johansson Strandkvist, Viktor
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab. Umeå University, Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine, The OLIN unit.
    Backman, Helena
    Umeå University, Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine, The OLIN unit.
    Andersson, Mikael
    Uppsala University, Department of Neuroscience.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Stridsman, Caroline
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Lindberg, Anne
    Department of Public Health and Clinical Medicine, Division of Medicine/the OLIN unit, Umeå University.
    Hand grip strength is associated with fatigue in COPD2017Conference paper (Refereed)
  • 13.
    Johansson Strandkvist, Viktor
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Nyberg, Lars
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Röijezon, Ulrik
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Stridsman, Caroline
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Lindberg, Anne
    OLIN studierna Norrbottens läns landsting , Sverige.
    Project: Physical function and postural control among subjects with Chronic Obstructive Pulmonary Disease – epidemiological and laboratory studies2016Other (Other (popular science, discussion, etc.))
  • 14.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Aktivitet: Arbete med skoldatorer kan öka nackbesvär: Intervju med Katarina Mikaelsson och Agneta Larsson, lektorer vid Inst för hälsovetenskap2015Other (Other (popular science, discussion, etc.))
  • 15.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Aktivitet: Arbetsmiljökonferens2012Other (Other (popular science, discussion, etc.))
  • 16.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Aktivitet: Barn och unga får problem av datorer och surfplattor: Intervju med Agneta Larsson och Katarina Mikaelsson, lektorer vid Inst för hälsovetenskap2016Other (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.

  • 17.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Aktivitet: Budo hjälper strokepatienter2013Other (Other (popular science, discussion, etc.))
    Abstract [sv]

    Japanska forskare och praktiker från hela världen vänder sin till Luleå tekniska universitet för att få veta mer om hur kampkonsten budo kan utvecklas för att hjälpa funktionshindrade. LTU-forskarna Annika Näslund och Agneta Larsson har tillsammans med kolleger, genomfört en uppmärksammad pilotstudie där strokepatienter rehabiliterats med hjälp av budo.

  • 18.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Aktivitet: Equality, Growth and Innovation - In Theory and Practice2013Other (Other (popular science, discussion, etc.))
  • 19.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Aktivitet: Erfarenheter från pilotomgång Utvärdering av utbildning på forskarnivå Hälsovetenskap, Luleå tekniska universitet.2015Conference paper (Other (popular science, discussion, etc.))
    Abstract [sv]

    Sitaram Velaga, Agneta Larsson och Catrine Kostenius berättar om utvärderingen av utbildning på forskarnivå Hälsovetenskap på Luleå tekniska universitet.

  • 20.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Aktivitet: Musicians' Health & Performance2015Other (Other (popular science, discussion, etc.))
  • 21.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Aktivitet: Musicians´Health & Performance2013Other (Other (popular science, discussion, etc.))
  • 22.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Aktivitet: Satsa på ergonomi redan i skolåldern: Intervju med Agneta Larsson och Katarina Mikaelsson, lektorer vid Inst för hälsovetenskap2015Other (Other (popular science, discussion, etc.))
    Abstract [en]

    Nr 1 2015 sidan 13

  • 23.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    How can the rehabilitation planning process at the workplace be improved with a focus on quality and cost-effectiveness?2005In: Abstract book : International developments in rehabilitation to work, Mittuniversitetet , 2005, p. 68-Conference paper (Other academic)
  • 24.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Identifying, describing and promoting health and work ability in a workplace context2011Doctoral thesis, comprehensive summary (Other academic)
    Abstract [sv]

    Det övergripande syftet med denna avhandling är att identifiera, beskriva och främja hälsa och arbetsförmåga ur ett arbetsplatsperspektiv. Tre av delarbetena är kvantitativa och en är kvalitativ. Studie I och II är baserade på samma population av anställda inom kommunal hemtjänst, vilka besvarade ett frågeformulär. Studie III omfattar anställda vid olika enheter inom kommunal service, vilka besvarade ett frågeformulär vid tre tillfällen under en 9-månaders period. Studie IV baseras på kvalitativa intervjuer med arbetsgivare inom olika branscher. Den första studien syftade till att identifiera faktorer som främjar för upplevd självtillit (eng. self-efficacy), muskuloskeletalt välbefinnande (hälsa) och arbetsförmåga hos sjukvårdbiträden respektive undersköterskor inom kommunal hemtjänst. Resultatet från multipla regressionsanalyser visade att den fysiska arbetsbelastningen och säkerhetsklimatet främjade självtilliten i båda grupperna, och för undersköterskorna hade även kön och ålder betydelse för självtilliten. Muskuloskeletalt välbefinnande hos sjukvårdsbiträden var relaterat till kön och upplevd grad av säkerhet. Främjande faktorer för arbetsförmåga hos sjukvårdsbiträden var ålder, anställningstid och säkerhetsklimat. Hos undersköterskor var kön, grad av säkerhet, självtillit och muskuloskeletalt välbefinnande främjande faktorer. Dessa skillnader bör beaktas vid planering av framtida interventioner. Hos båda professionerna kan fysisk arbetsbelastning minskas, och arbetsplatsens säkerhetsklimat och den anställdes egen självtillit stärkas. Syftet med den andra studien var att beskriva hemtjänstpersonalens upplevelse av säkerhetsklimat och arbetsförhållanden, aktiviteter för ökad säkerhet i arbetet, självtillit, hälsa och arbetsförmåga. Generellt rapporterade personalen höga fysiska belastningsnivåer och en hög frekvens av muskuloskeletala symtom. Signifikanta skillnader mellan hemtjänstgrupperna noterades avseende säkerhetsklimat, socialt stöd, inflytande över beslut, grad av säkerhet i arbetet, och grad av deltagande i arbetsplatsens säkerhetsarbete. Personalen angav ett antal faktorer som begränsade möjligheterna att utföra arbetet på ett säkert sätt. Detta betyder att hemtjänstgrupper med ’goda praktiska lösningar’ kan utgöra roll modeller för andra grupper när det gäller att utveckla fungerande lösningar i det dagliga arbetet. Arbetsgivarstöd, tydliga rutiner, intern- och extern samverkan och påverkansmöjligheter för de anställda, kan ge bättre förutsättningar att utföra arbetet med högre kvalitet och säkerhet. I den tredje studien beskrivs effekterna av två interventioner för kvinnor med muskuloskeletala symtom, anställda inom kommunal service: en ’self-efficacy utbildning’ respektive en ’ergonomisk utbildning’. Båda syftade till att stärka deltagarnas egna resurser i förhållande till sitt arbete. Båda interventionerna visade goda effekter, men på olika sätt i de båda grupperna. Den upplevda arbetsförmågan ökade i ’self-efficacy gruppen’. I den ’den ergonomiska gruppen’ ökade användningen av smärt coping strategier. Arbetsgivarnas upplevelser av hur arbetsrehabilitering kan planeras för att bli av bättre kvalitet och mer kostnadseffektiv, beskrevs i den fjärde studien. Arbetsgivarna ansåg att processen kunde förbättras genom att de arbetade utifrån ett holistiskt perspektiv, gav de sjukskrivna stöd, utvärderade deras måluppfyllelse och gav rehabiliteringsprocessen tillräckligt med tid. Proaktiva arbetsplatsinsatser och god kommunikation inom arbetsplatsen var för enligt dem förutsättningar för en lyckosam arbetsåtergång.

  • 25.
    Larsson, Agneta
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Chapman, David
    Luleå University of Technology, Department of Civil, Environmental and Natural Resources Engineering, Architecture and Water.
    Changing risks to outdoor activity in the Arctic: Resilience to climate-related community change2018Conference paper (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.

  • 26.
    Larsson, Agneta
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Chapman, David
    Luleå University of Technology, Department of Civil, Environmental and Natural Resources Engineering, Architecture and Water.
    Outdoor human environments: the changing face of climatic barriers to soft mobility and gathering in winter communities2018Conference paper (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.

  • 27. Larsson, Agneta
    et al.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Employer's experiences of an effective vocational planning process at the workplace2005In: First international conference on lifestyle, health and technology, Luleå: Luleå tekniska universitet, 2005Conference paper (Refereed)
  • 28.
    Larsson, Agneta
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    How can the rehabilitation planning process at the workplace be improved?: A qualitative study from employers' perspective2003In: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688, Vol. 13, no 3, p. 169-181Article in journal (Refereed)
    Abstract [en]

    Employers in Sweden are by law responsible for planning and controlling the working environment situation in their companies and for ensuring that any need for rehabilitation is noted as soon as possible and that action is taken. This includes developing a plan for rehabilitation. The aim of this study is to describe employers' experiences of the work rehabilitation planning process at the workplace, and how it can be improved with a focus on quality and cost-effectiveness. Qualitative interviews were performed with 10 employers of employee/s that had participated in vocational rehabilitation at a rehabilitation center in the North of Sweden. The results showed that employers were interested in detecting work rehabilitation needs and in taking action early. Rehabilitation at the workplace could be improved by development of routines, improved work relations and work technique, and environment in-service training at the workplace. Prevention was perceived as a prerequisite for a good result of rehabilitation. Attention to social and geographic conditions is needed. Organizational and financial limitations exist.

  • 29.
    Larsson, Agneta
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Berggård, Glenn
    Luleå University of Technology, Department of Civil, Environmental and Natural Resources Engineering, Architecture and Water.
    Rosander, Peter
    Luleå University of Technology, Department of Civil, Environmental and Natural Resources Engineering, Architecture and Water.
    The impact of users gait patterns and perceptions in the development of quality criterias for anti-slip devices and winter shoes2016Conference paper (Refereed)
  • 30.
    Larsson, Agneta
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Näslund, Annika
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Karlqvist, Lena
    Projekt: Hälsa och säkerhet i vård- och socialt servicearbete, i ett samhällsperspektiv2013Other (Other (popular science, discussion, etc.))
    Abstract [sv]

    Syftet med projektet är att utveckla metoder där förebyggande insatser med satsning på ett förbättrat säkerhetsklimat och en ökad fysisk kompetens blandpersonal inom vård- och social service integreras i verksamhetsutvecklingen.

  • 31.
    Larsson, Agneta
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Holmgren, Lena
    Gävleborg county hospital, Department of physical therapy.
    Development of a strictly individualized heart rehabilition model1998In: Abstracts of the 4th Scandinavian congress om medicine and science in sports: november 5-8, 1998, Lahti, Finland, 1998, p. 353-Conference paper (Other academic)
    Abstract [en]

    Introduction: Traditional cardiac rehabilitation programs have not consistently been shown to improve the level of compliance with medical recommendations, and it is a limited part of patients suffering from coronary heart disease (CHD) that in reality participate in these programs. Rethinking of approaches to cardiac rehabilitation is needed. Important is to pay regard to patients risk factor modification, improvement in their capacity to perform physical work put i relation to the physical demands of various activities and/or jobs in their workplace. It is also known that patients' perceptions of their self-efficacy often exert greater influence over their return to normal activities than does their medical status. Aims: This study examined individual features, actual and perceived loss of physical capacities in patients with CHD, in order to develop a new model for cardiac rehabilitation and find relevant assessment instruments. Materialandmethods: 31male and female patients (ages 45-79 yrs) with CHD were assessed prior to and after undergoing a traditional cardiac rehabilitation program. The variables studied included individual goals, self-efficacy and physical capacities. Results: The results demonstrate great differences in all studied variables. Patients differ in gender, age, prior experience, medical status and individual goals (level of activities/work and or secondary prevention). The physical capacity improves bit may still imply limitations and patients may still lack confidence in their ability to perform physical activities. The vide range of individual features indicates the necessity to individualize the rehabilitation process to meet patient needs. Conclusion: The rehabilitation actors has to take up a more guiding and instructive role regarding elements relevant for the invdividual, with patients own experience and capacities as the starting point. This include taking measures (separate or extensive) individual or in group. Our intention is to present a new strictly individualized heart rehabilitation model based on on-going case studies.

  • 32.
    Larsson, Agneta
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Holmgren, Lena
    Länssjukhuset i Gävle.
    Dose-response of physical activity in the prevention of coronary heart disease: A literature review 1985 -19971997Report (Other (popular science, discussion, etc.))
  • 33.
    Larsson, Agneta
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Karlqvist, Lena
    Department of Health Sciences, Mid Sweden University, Östersund.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Effects of work ability and health promoting interventions for women with musculoskeletal symptoms: a 9-month prospective study2008In: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 9Article in journal (Refereed)
    Abstract [en]

    Women working in the public human service sector in 'overstrained' situations run the risk of musculoskeletal symptoms and long-term sick leave. In order to maintain the level of health and work ability and strengthen the potential resources for health, it is important that employees gain greater control over decisions and actions affecting their health - a process associated with the concept of self-efficacy. The aim of this study was to describe the effects of a self-efficacy intervention and an ergonomic education intervention for women with musculoskeletal symptoms, employed in the public sector. MethodsThe design of the study was a 9-month prospective study describing the effects of two interventions, a comprehensive self-efficacy intervention (n = 21) and an ergonomic education intervention (n = 21). Data were obtained by a self-report questionnaire on health- and work ability-related factors at baseline, and at ten weeks and nine months follow-up. Within-group differences over time were analysed. ResultsOver the time period studied there were small magnitudes of improvements within each group. Within the self-efficacy intervention group positive effects in perceived work ability were shown. The ergonomic education group showed increased positive beliefs about future work ability and a more frequent use of pain coping strategies. ConclusionBoth interventions showed positive effects on women with musculoskeletal symptoms, but in different ways. Future research in this area should tailor interventions to participants' motivation and readiness to change.

  • 34.
    Larsson, Agneta
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Karlqvist, Lena
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Safety climate and participatory safety activities in municipal home care services2010Conference paper (Other academic)
  • 35.
    Larsson, Agneta
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Karlqvist, Lena
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    To Tailor health promoting interventions to user needs: effects of work ability and health promoting interventions for women with musculoskeletal symptoms2010In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 42, no 4, p. 402-403Article in journal (Other academic)
  • 36.
    Larsson, Agneta
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Karlqvist, Lena
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Westerberg, Mats
    Luleå University of Technology, Department of Business Administration, Technology and Social Sciences, Innovation and Design.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Identifying work ability promoting factors for home care aides and assistant nurses2012In: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 13, no 1Article in journal (Refereed)
    Abstract [en]

    In workplace health promotion, all potential resources needs to be taken into consideration, not only factors relating to the absence of injury and the physical health of the workers, but also psychological aspects. A dynamic balance between the resources of the individual employees and the demands of work is an important prerequisite. In the home care services, there is a noticeable trend towards increased psychosocial strain on employees at work. There are a high frequency of work-related musculoskeletal disorders and injuries, and a low prevalence of sustainable work ability. The aim of this research was to identify factors promoting work ability and self-efficacy in care aides and assistant nurses within home care services.This study is based on cross-sectional data collected in a municipality in northern Sweden. Care aides (n = 58) and assistant nurses (n = 79) replied to a self-administered questionnaire (response rate 46%). Hierarchical multiple regression analyses were performed to assess the influence of several independent variables on self-efficacy (model 1) and work ability (model 2) for care aides and assistant nurses separately.Perceptions of personal safety, self-efficacy and musculoskeletal wellbeing contributed to work ability for assistant nurses (R2adj of 0.36, p < 0.001), while for care aides, the safety climate, seniority and age contributed to work ability (R2adj of 0.29, p = 0.001). Self-efficacy was associated with the safety climate and the physical demands of the job in both professions (R2adj of 0.24, p = 0.003 for care aides), and also by sex and age for the assistant nurses (R2adj of 0.31, p < 0.001).The intermediate factors contributed differently to work ability in the two professions. Self-efficacy, personal safety and musculoskeletal wellbeing were important for the assistant nurses, while the work ability of the care aides was associated with the safety climate, but also with the non-changeable factors age and seniority. All these factors are important to acknowledge in practice and in further research. Proactive workplace interventions need to focus on potentially modifiable factors such as self-efficacy, safety climate, physical job demands and musculoskeletal wellbeing.

  • 37.
    Larsson, Agneta
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Karlqvist, Lena
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Westerberg, Mats
    Luleå University of Technology, Department of Business Administration, Technology and Social Sciences, Innovation and Design.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Perceptions of health and risk management among home care workers in Sweden2013In: Physical Therapy Reviews, ISSN 1083-3196, E-ISSN 1743-288X, Vol. 18, no 5, p. 336-343Article in journal (Refereed)
    Abstract [en]

    Background: Municipal home care workers provide high-quality services to an increasing proportion of elderly people living in private homes. The work environments and working conditions of these workers vary to a great extent, implying rapid prioritymaking among both employers and employees to ensure that the work can be performed in a safe way. Objectives: This study aims to examine home care workers perceptions of health, risks, working conditions and risk management within their organisation. Method: The study was based on cross-sectional data collected from home care service staff' in a municipality in the north of Sweden. Nursing assistants and care aides(n=133) replied to a self-administered questionnaire. Descriptive statistics and between-group differences were analysed. Results: Home care work was perceived to require high levels of professional skill and ingenuity, a good psychosocial work situation, but required a high physical workload. The general health, the capacity and self-efficacy of the staff in relation to work were good. Difficulties in performing risk assessments and to follow safety regulations due to lack of time, equipment and information were identified.Conclusion: There is a need to increase participation in risk assessments among the staff, improve management support, structures and cooperation with other divisions of the social services and the medical care organisations.

  • 38.
    Larsson, Agneta
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Karlqvist, Lena
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Westerberg, Mats
    Luleå University of Technology, Department of Business Administration, Technology and Social Sciences, Innovation and Design.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences.
    Promoting a safety climate and safety activities for health and work ability in home care services workers2011Conference paper (Refereed)
    Abstract [en]

    Purpose: The present study aims to describe home care service workers' perceptions of safety climate and safety activities at work as well as working conditions, self-efficacy, and health and work ability. Relevance: High frequencies of work-related musculoskeletal disorders and injuries and low prevalence of sustainable work ability in home care services workers are of great concern. They are to provide high quality services to an increasingly proportion of elderly people living in private homes. In order to promote health and safety for the home care workers, increased focus should be on organisational, psychosocial and physical factors contributing to a healthy working environment. Participants: 158 nursing assistants and nursing aides divided in 18 work units participated in this study. They all met the criterion of having worked in the same home care services unit in the last 6 months. Their mean age was 46 years, the majority were women, and the distribution of nursing aides and nursing assistants was about 40/60%. Methods: This study is based on cross-sectional data gathered in February 2009 in home care services in a municipality in the North of Sweden. All the home-care work units shared the experiences of using a model for participatory risk management in home care services. Data were obtained through a comprehensive self-administered questionnaire, covering working conditions, safety climate, safety activities, self-efficacy, health and work ability. Analysis: Descriptive statistics as well as data on between-group differences are analysed. Results: In general, the results showed fairly good levels of safety climate but only moderate levels of safety activities and of perceived safety grade at work. These variables differed significantly between work units. Environmental barriers, such as lack of time and equipment, were given as reasons for not complying with safety rules or participating in proactive risk assessment. Besides a high frequency of musculoskeletal symptoms and high physical exposure at work, the home care workers in general reported being in good health and with good work ability. They also expressed high decision making latitude, skill discretion, social support and self-efficacy. Conclusions: To promote health and safety for the home care workers, interventions could build on the high levels of safety climate and proactive activities in single work units, proposing good solutions and safe behaviour. Focus need to be placed on improved safety climate, communication and coordination with all professionals forming the home care services setting. Also, on individuals' and work units' awareness of safe behaviour and on alternatives of actions in critical risk situations at work. This may act preventive on musculoskeletal well-being and a good working environment. Implications: There need to be an increase in means given to physical therapists in occupational health services, to work with these issues. The ergonomic skills and the safety climate of the front-line home care services workers need to be addressed, as well as the organisational prerequisites for workplace safety and health.

  • 39.
    Larsson, Agneta
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Näslund, Annika
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Projekt: Tjänsteinnovationer i tiden2013Other (Other (popular science, discussion, etc.))
  • 40.
    Larsson, Agneta
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Röijezon, Ulrik
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Olsson, Ing-Mari
    Artist- och musikerhälsan i Malmö.
    Engquist, Karin
    Artist- och musikerhälsan i Malmö.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    A web-based health promotion intervention for music students in Sweden2015In: Musician's Health and Performance. 2nd Conference (MHPC2015): Book of abstracts, 2015Conference paper (Refereed)
    Abstract [en]

    Aim: In this presentation a study protocol for a web-based health promotion intervention for music students, and the rationale behind it, will be described. The aim is to develop a new dynamic web-portal with an interactive multimodal health intervention program for musicians and music students, and perform a controlled feasibility and effect study among music students.Methods: A web-based competence development and coaching program for music students in Sweden will be developed and performed according to a cognitive approach with focus on the students own goals. The program will include knowledge concerning how to promote cognitive and emotional coping in performance situations; ergonomically sound playing postures; as well as how to prevent bodily symptoms, mental distress and hearing disorders. Participants will be music students from two regions in Sweden, Skåne and Norrbotten. The intervention group will have access to the web-based program together with web-based group coaching, while the control group will receive general web-based information. The intervention will continue for 6 month and outcome measures will be collected before, after intervention and after 12 months to evaluate the feasibility and health effects of the intervention. Expected outcomes: It is reasonable to believe that an increased awareness of healthy and balanced positions while playing, systematic use of pauses and variation during rehearsal, stress management skills and a sound attitude towards control of e.g. playing related fatigue and pain can improve the music students’ prerequisites for a healthy and sustainable working life. Discussion/Conclusion: This project will contribute with knowledge about feasibility and effects of e-health solutions specifically designed for music students and musicians. Feasible and efficient e-health solutions for musicians and other performing artists can have major impact for these professions in Sweden due to the large distances and the scarceness of specialized occupational health care providers within performing arts medicine.Acknowledgement: This research is supported by the Areas of excellence in research and innovation at Luleå university of technology - Innovative art and science, who have granted funding for project initiation.

  • 41.
    Matsui, Kantaro
    et al.
    International Budo University, Japan.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Yamahira, Yoshimi
    International Budo University, Japan.
    Näslund, Annika
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    An invitation to study Budo for the disabled: -Is Budo good for the disabled? -Is Budo for the disabled good for Budo?2015In: 1st World Congress on Health and Martial Arts in Interdisciplinary Approach: HMA 2015, 17–19 September 2015, Czestochowa, Poland / [ed] R.M. Kalina; B.J. Barczynski, Warsaw: Archives of Budo , 2015Conference paper (Refereed)
  • 42.
    Matsui, Kantaro
    et al.
    International Budo University, Japan.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Yamahira, Yoshimi
    International Budo University, Japan.
    Näslund, Annika
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Budo practice for post-stroke patients: reflections on historical and scientific issues2015Conference paper (Refereed)
    Abstract [en]

    Background and Study Aim. While many persons who participate in Budo-based rehabilitation profess improvements in functional ability, and selfefficacy in daily life, it has been extremely difficult to collect quantitative scientific data on the effectiveness of Budo-based rehabilitation. This difficulty is due in part to the wide variety of disabilities. The aim of this present study, therefore, is the scientific data on the effects of Budo rehabilitation targeting post-stroke patients.Material and Methods. The six post-stroke patients were subjected to a period of 4-months Budo practice. Participant data was measured according to Single Subject Experimental Design guidelines. The following tests were used to gather data: 5 repetitions of the sit-to-stand test, 6 meter timed walk test, and Test of Dynamic standing balance. Data was also collected through interviews and self-report regarding: fear of fallingand general health.Results. Data showed that post-stroke patients experienced improved muscle strength, balance, postural control, walking ability and performance of daily activities as a result of the Budo-based rehabilitation in this experiment. Patient self-reporting revealed a reduced fear of falling and indications of a healthier self-image as a result of Budo practice. Patient interviews suggest that the sociality and culture of Budo had a powerfully positive psychological effect aiding the rehabilitative process.Conclusion. Data clearly showed that Budo-based rehabilitation effectively delivered general quantitative improvements as reported by poststroke patients. Not only could the patients perform daily-life tasks better, they exhibited less fear, more self-efficacy, and a healthier self-image.

  • 43.
    Matsui, Kantaro
    et al.
    International Budo University, Japan.
    Näslund, Annika
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Budo practice as a means for post-stroke rehabilitation: case studies2013Conference paper (Refereed)
    Abstract [en]

    The presentation gives a brief exposé of the practice conducted within the area of budo for the disabled in Japan and Sweden, and brief results from the first trial in this area performed at Luleå university of technology - physical training based om principles from Japanese martial arts as means for post-stroke rehabilitation. For information about this research, contact Annika Näslund at Luleå university of technology.

  • 44.
    Näslund, Annika
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Inter Active movement: on equal terms but different abilities2013Conference paper (Refereed)
    Abstract [en]

    Conference Theme: Social and service innovation in working life.Introduction: People with disabilities express positive effects and experiences of a new rehabilitation method, individually tailored martial arts for health and ability. This method has been developed through the common competence and creativity of physioterapists, a physical education teacher and the role model, a person with unique experience of personal disability and practice of Martial arts. The method acknowledges disabled people’s need for effective rehabilitation methods, and is suitable in a social context. The exercise is performed on equal terms despite the participants’ different prerequisites. Purpose: The project aimed to study the effects of this new rehabilitation method for social interaction through movement. Methods: Data from observations and interviews with participants were analysed using theoretical models of movement and social cognitive models including the theory of self-efficacy. Results and conclusion: Preliminary data indicate increased postural control, balance and performance of daily activities. The participants’ quality of movement and self-efficacy beliefs in a social context will be discussed, as well as the method as a social innovation.

  • 45.
    Näslund, Annika
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Project: Health, fall prevention and community ambulation among citizens2013Other (Other (popular science, discussion, etc.))
    Abstract [sv]

    Faktorer som påverkar risken att råka ut för en fallolycka och faktorer som kan minska risken att skada sig om man väl ramlar studeras ur olika perspektiv - från yttre miljöfaktorer till fysiska förmågor (att undvika fall samt att våga falla).  Fallpreventiv rörelsebaserad träning med utgångspunkt i olika traditionella japanska och kinesiska kampartsformer (Karate, Judo, Chigong etc.) och dess effekter avseende utövarnas hälsa och förmåga studeras. Grupper som studeras är såväl personer i arbetslivet som personer med funktionsnedsättningar. Resultat från det första delprojektet indikerar att budoträning som rehabilitering efter stroke har positiva effekter.Vi samverkar med praktiker och forskare i Luleå och Boden, samt internationellt från Tromsö och Bergen i Norge, och the International Budo University i Tokyo.

  • 46.
    Näslund, Annika
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Vikman, Irene
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Projekt: Pilotprojekt - budo som rehabilitering efter stroke2013Other (Other (popular science, discussion, etc.))
  • 47.
    Pauelsen, Mascha
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Jacobson, Inger
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Tegner, Yelverton
    Luleå University of Technology, Department of Health Sciences, Medical Science.
    Skadepanorama och riskfaktorer inom Flat Track Roller Derby2014In: Svensk idrottsmedicin, ISSN 1103-7652, Vol. 2014, no 1, p. 22-25Article in journal (Other academic)
  • 48.
    Pauelsen, Mascha
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Vikman, Irene
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Johansson, Viktor
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Röijezon, Ulrik
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Decline in sensorimotor systems explains reduced falls self-efficacy2018In: Journal of Electromyography & Kinesiology, ISSN 1050-6411, E-ISSN 1873-5711, Vol. 42, p. 104-110Article in journal (Refereed)
    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.

  • 49.
    Rosander, Peter
    et al.
    Luleå University of Technology, Department of Civil, Environmental and Natural Resources Engineering, Architecture and Water.
    Berggård, Glenn
    Luleå University of Technology, Department of Civil, Environmental and Natural Resources Engineering, Architecture and Water.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Konsumenttester av vinterskor och halkskydd2015Conference paper (Other academic)
    Abstract [sv]

    I Sverige beräknas ca 10000 män och 15000 kvinnor uppsöka sjukvård på grund av skada vid fall på snö och is. Personer skadade i fallolyckor på snö och is har svårare skador och längre konvalescenstid jämfört med fotgängare som faller på barmark. Samhällets kostnader för fallolyckor på snö och is är minst dubbelt så stor som kostnaden för vinterväghållningen. Det är därför viktigt att identifiera preventiva metoder och hjälpmedel för fallolyckor vintertid och möjliggöra säkra promenader året runt.Marknaden erbjuder idag flera olika modeller av halkskydd som kan minska fallrisk på is och snö. Syftet med detta arbete har varit att genomföra konsumenttester av vinterskor och halkskydd på olika underlag med avseende på hur väl de fungerar som halkskydd samt hur användarvänliga de upplevs av brukaren. I arbetet har det också varit viktigt att försöka identifiera kriterier som kan anses vara betydelsefulla för att bedöma om ett halkskydd är säkert och funktionellt.

  • 50. Shoebridge, Ann
    et al.
    Larsson, Agneta
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Norton, Naomi
    Francis, Jill
    Matei, Raluca
    Health promotion among musicians: Opportunities for health psychology : ROUNDTABLE2016In: Behaviour change: making an impact on health and health services : conference abstracts, 2016, p. 891-Conference paper (Refereed)
    Abstract [en]

    Roundtable overview abstract Title: Health promotion among musicians: Opportunities for health psychologyPurpose: To explore future directions for research, and application of health psychology to promotion of musicians’ health and well-being Objectives: 1. To propose that musicians’ health is an under-explored area from the perspective of health psychology and that musical performance provides an exciting context for creative and novel research collaborations 2. To summarize and critically assess existing health promotion interventions among musicians from interdisciplinary (health psychology, physiotherapy and education) and cross-cultural (UK, Sweden and Australia) perspectivesRationale: The physical and psychological demands of training and practice required for musicians to perform to a high standard can have deleterious effects on health and well-being, arising mostly from musculoskeletal and performance anxiety issues. This has been demonstrated across a range of musical instruments and cultures. Musicians’ health remains an under-researched topic. In addition, only a few health promotion courses in music colleges have been evaluated to date. Given the development of relevant models and techniques in health psychology, there is scope for pioneering and interdisciplinary research with respect to health promotion among musicians. Musical Impact, an AHRC-funded research project involving all nine UK conservatoires (2013-2017), seeks to enhance the health and well-being of musicians in Britain. It is currently the largest project of its kind worldwide, representing an ambitious attempt to bring health psychology and behaviour change to the realm of the performing arts. Summary: Ann Shoebridge. Rationale for identifying target behaviours: From school age, musicians start experiencing pain or injury from playing their instruments. Risk factors and barriers to healthy playing will be explored via findings from interviews with physiotherapists and music teachers.Naomi Norton. Training the ‘practitioners’ (i.e. music educators) in health promotion: Music students tend to approach their music teachers for health-related advice; a survey among 500 respondents and interviews reflect teachers’ need for health training. Jill Francis. Theoretical and etiological models of performance anxiety: The complex relationship between musculoskeletal issues and stress management, as well as the need for multilevel implementation research will be investigated.Agneta Larsson. A multiple behaviour change intervention for music students: A study protocol and rationale for a web-based intervention will be described.Raluca Matei. Intervention proposals: applying behaviour change techniques to both health- and music practice-related behaviours within the first health course of its kind at the Royal Northern College of Music, investigating the effects of reframing anxiety on performance quality and exploring sitting and standing during practice.

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