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  • 1.
    Röijezon, Ulrik
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Prellwitz, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Innala Ahlmark, Daniel
    van Deventer, Jan
    Luleå tekniska universitet, Institutionen för system- och rymdteknik, EISLAB.
    Nikolakopoulos, George
    Luleå tekniska universitet, Institutionen för system- och rymdteknik, Signaler och system.
    Hyyppä, Kalevi
    Luleå tekniska universitet, Institutionen för system- och rymdteknik, EISLAB.
    A haptic navigation aid for individuals with visual impairments: Indoor and outdoor feasibility evaluations of the LaserNavigator2019Ingår i: Journal of Visual Impairment & Blindness, ISSN 0145-482X, E-ISSN 1559-1476, Vol. 113, nr 2, s. 194-201Artikel i tidskrift (Refereegranskat)
  • 2.
    Nordström, Birgitta
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Prellwitz, Maria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    A pilot study of children and parents experiences of the use of a new assistive device: the electro suit Mollii2019Ingår i: Assistive technology, ISSN 1040-0435, E-ISSN 1949-3614Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Electrical stimulation has been used for many years to treat spasticity in children with cerebral palsy and some improvements have been noted. Building on the benefits of electrical stimulation, a new assistive device, a suit with imbedded electrodes designed to reduce spasticity through electrical stimulation of the antagonistic muscles, has been tested.

    Aim: The aim of this study was to describe experiences from children with cerebral palsy and their parents regarding the use of the suit. Methods: Individual interviews were conducted with six children 5 to 10 years of age and their parents. The interviews were transcribed and analyzed using a qualitative content analysis. Results: The analysis resulted in three themes: (1) the suit’s impact on image, (2) changes that make a difference and (3) dealing with a desire for change. Each of the themes included subthemes. Conclusion: All children reported some impact on their body and self and/or in some activities after the use of the suit. The parents also saw improvements during the trial period. However, the results are inconclusive and a larger study is needed to determine if the suit is useful from a longer perspective and whether it can affect activity and participation in daily activities for children with spasticity.

  • 3.
    Skjaerven, Liv Helvik
    et al.
    Department Health and Function, Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway;.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Department of Health Sciences, Division of Physiotherapy, Lund University, Lund, Sweden.
    Gómez-Conesa, Antonia
    Murcia University Research Group in Physiotherapy and Health Promotion, Regional Campus of International Excellence “Campus Mare Nostrum”, Murcia, Spain.
    Catalan-Matamoros, Daniel
    Department of Journalism and Communication, University Carlos III of Madrid, Madrid, Spain. Research Group of Health Sciences CTS-451, University of Almeria, Almeria, Spain.
    A vocabulary describing health-terms of movement quality: a phenomenological study of movement communication2019Ingår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose:The aim of the study was to develop a vocabulary targeting communication of health-terms ofmovement quality, establishing professional knowledge of a movement terminology usefull withinrehabilitation.Methods:A phenomenological study design was chosen, inviting movement experts working inrehabilitation to describe movement observations when a change into more functional, health relatedways of moving appeared in the rehabilitation processes. 15 physiotherapy experts were recruited,five from the field of neurology, primary health care and psychiatry. The informants had between12-38 years of clinical practice, treating patients of all ages with a wide specter of diagnoses. Datacollection followed a qualitative study design, of individual, in-depth interviews, based on a semi-structured interview guide. The interviews were taped, transcribed and sent to the informants forvalidation. Data analysis followed recommendation of Giorgi, modified by Malterud. Ethical considera-tions were followed.Results:Data revealed a vocabulary, clustered in five themes, Biomechanical, Physiological, Psycho-socio-cultural, Existential and Overarching perspective, 16 underlying categories and 122 descriptive health-terms of movement quality.Conclusion: The study demonstrated a multi-perspective movement vocabulary of 122 health characteris-tic terms, developed to facilitate movement communication within the broad field of rehabilitation. Theresult calls for further research concerning a movement vocabulary.

  • 4.
    Lindqvist, Anna-Karin
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Löf, Marie
    Karolinska Institutet; Linköping University, Linköping.
    Ek, Anna
    Karolinska Institutet.
    Rutberg, Stina
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Active School Transportation in Winter Conditions: Biking Together is Warmer2019Ingår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 16, nr 2, artikel-id 234Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Abstract: There has been a decline in children’s use of active school transportation (AST) while there is also limited research concerning AST in winter conditions. This study aimed to explore the prerequisites and experiences of schoolchildren and parents participating in an empowerment- and gamification-inspired intervention to promote students’ AST in winter conditions. Methods: Thirty-five students, who were aged 12–13 years, and 34 parents from the north of Sweden participated in the study. Data were collected using photovoice and open questions in a questionnaire and analyzed using qualitative content analysis. Results: The results show that involvement and togetherness motivated the students to use AST. In addition, during the project, the parents changed to have more positive attitudes towards their children’s use of AST. The students reported that using AST during wintertime is strenuous but rewarding and imparts a sense of pride. Conclusion: Interventions for increasing students’ AST in winter conditions should focus on the motivational aspects for both children and parents. For overcoming parental hesitation with regards to AST during winter, addressing their concerns and empowering the students are key factors. To increase the use of AST all year around, targeting the challenges perceived during the winter is especially beneficial.

  • 5.
    Gard, Gunvor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Lund University, Lund, Sweden.
    Nyboe, L.
    Aarhus University Hospital, Risskov, Denmark.
    Gyllensten, A.L.
    Lund University, Lund, Sweden.
    Clinical reasoning and clinical use of basic body awareness therapy in physiotherapy: a qualitative study?2019Ingår i: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Clinical reasoning is the ability to integrate and apply different types of knowledge, weigh evidence critically and reflect upon the process to arrive at a diagnosis. Body awareness is an approach directed toward an awareness of how the body is used in terms of body function, behaviour, and interaction with self and others. Methods: In the present study, 36 physiotherapists (PTs) from 13 countries working with body awareness methods, mainly Basic Body Awareness Therapy (BBAT) in mental health were interviewed in six focus groups. Content analysis was used to analyse how the informants’ reasoned around the concept of body awareness therapy, and how they use it in their clinical work with patients. Result: Body awareness was conceived as being in contact with sensations and emotions, to be able to control symptoms, such as pain, to find a balance and to develop one’s identity by relating to oneself and others. BBAT was used as a whole body treatment, to promote balance and stability, to teach about body, movements, and coping strategies, to interact in a therapeutic approach and to be integrated with other methods and professionals. Conclusion: The present results can be used to improve the PTs clinical reasoning.

  • 6.
    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.

  • 7.
    Lindqvist, Anna-Karin
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Cykelväg till skolan kan vara vägen till framgång2019Ingår i: Skolledaren, ISSN 0037-6515, nr 3Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 8.
    Röijezon, Ulrik
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Johansson, Anna-Maria
    Handen och underarmen2019Ingår i: Motorisk kontroll och inlärning: Med inriktning på muskuloskeletal rehabilitering / [ed] Ulrik Röijezon, Lund: Studentlitteratur AB, 2019, 1, s. 247-258Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [sv]

    Den stora variation av uppgifter som människohanden kan utföra kräver god sensomotorisk funktion. Därför kan muskuloskeletala besvär med störningar i handens sensoriska och motoriska funktioner inverka stort på individens förmåga och delaktighet, i såväl arbetsliv som fritid. Handens funktion är också tätt förknippad med underarmens och armbågens anatomi och funktion; därför omfattar detta kapitel besvärstillstånd i både hand, underarm och armbåge. Först beskrivs översiktligt sensomotoriska funktionsstörningar som rapporterats vid några specifika diagnoser, därefter följer exempel på metoder för undersökning och träning av sensomotorisk funktion.

  • 9.
    Röijezon, Ulrik
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Brorsson, Sofia
    Johansson, Anna-Maria
    Handens sensomotoriska funktion2019Ingår i: Motorisk kontroll och inlärning: Med inriktning på muskuloskeletal rehabilitering / [ed] Ulrik Röijezon, Lund: Studentlitteratur AB, 2019, 1, s. 91-106Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [sv]

    Handen med alla dess mångfasetterade funktioner har central betydelse för människors vardagsaktiviteter, både i hemmet, i yrkesarbetet och på fritiden. Genom sin unika konstruktion, med bland annat opposition av tummen mot övriga fingrar möjliggörs ett flertal olika grepp och ändamålsenlig manipulation. Handen är även viktig för vår uppfattning om vår omvärld samt för vårt kroppsspråk och vår kommunikation. Handens särställning vad gäller såväl sensorisk som motorisk funktion exemplifieras av den relativt sett stora representation som handen har i såväl sensoriska som motoriska kortex. I detta kapitel presenteras handens funktionella anatomi och sensomotoriska funktioner.

  • 10.
    Riekkola, Jenni
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Rutberg, Stina
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lilja, Margareta
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Isaksson, Gunilla
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Healthcare professionals’ perspective on how to promote older couples’ participation in everyday life when using respite care2019Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aims

    The aim is to describe healthcare professionals’ perspectives on how they understand and promote older couples’ participation in everyday life when using residential respite care.

    Design and Methods

    Eighteen healthcare professionals with varying degrees of competence and from one residential respite care facility participated in four focus group interviews. Data were analysed through qualitative latent content analysis.

    Findings

    The findings revealed a broad, multifaceted view of participation and ways in which participation in everyday life is promoted by these professionals. Trustworthy relationships between professionals, spousal caregivers and clients were implicated. Promoting participation also necessitated that clients have access to meaningful activities. In addition, participation entailed an environment that supported various needs.

    Conclusion

    Promoting participation for older couples that are using respite care involves multifaceted perspectives that consider social–relational aspects including both the client and their spouse. Furthermore, attention is needed to the meaning a change of context between home and the respite care facility has on relationships, environments and activities in everyday life. Such an approach could benefit the couples’ shared everyday life situation and in a wider perspective, also influence their health and well‐being when ageing in place together.

  • 11.
    Röijezon, Ulrik
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Bexander, Catharina
    Koordination av öga, huvud och hand2019Ingår i: Motorisk kontroll och inlärning: Med inriktning på muskuloskeletal rehabilitering / [ed] Ulrik Röijezon, Lund: Studentlitteratur AB, 2019, s. 79-90Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [sv]

    Vid manuella uppgifter som att äta, laga mat, snickra, spela bordtennis eller sätta en nyckel i ett lås är det synen som vägleder handens rörelse. För att kunna tolka synintrycken korrekt måste kroppen känna till huvudets position och rörelse, dels i rummet och dels i förhållande till bålen. Dessutom måste denna information samordnas med information om handens och armens position och rörelse i förhållande till bålen. Motoriska kommandon för såväl ögon, huvud, arm och hand måste koordineras så att rörelserna utförs med stor precision. Detta involverar en mängd sensoriska och motoriska omkopplingar och kontrollprocesser och inkluderar såväl reflexer som viljemässiga rörelser. I detta kapitel beskrivs samordningen av öga–nacke och öga–huvud–handrörelser. Dessutom ges några exempel på hur smärttillstånd kan störa denna koordination.

  • 12.
    Röijezon, Ulrik
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Motorisk inlärning2019Ingår i: Motorisk kontroll och inlärning: Med inriktning på muskuloskeletal rehabilitering / [ed] Ulrik Röijezon, Lund: Studentlitteratur AB, 2019, 1, s. 127-139Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [sv]

    Träning av motorisk kontroll vid rehabilitering av smärttillstånd inkluderar bland annat övningar för proprioception, neuromuskulär koordination, stabilitet, balans, hållning och koordinerade rörelsemönster. Målet med träningen är att förmågan att utföra färdigheten ska kvarstå över tid och omsättas i praktiken vid olika aktiviteter i patientens vardagliga liv, till exempel vid lyft, datorarbete, musicerande eller idrottande. Träning av motorisk kontroll involverar med andra ord inlärning av motoriska färdigheter. För att träningen ska bli så effektiv som möjligt är det en god idé att ta del av kunskap som presenterats inom forskningsområdet för motorisk inlärning. I detta kapitel presenteras metoder och teorier kring motorisk inlärning med tillämpning vid prevention och rehabilitering av muskuloskeletala besvär. De är applicerbara på alla typer av inlärning av nya färdigheter eller korrigering av utförande av tidigare färdigheter, liksom på träning som syftar till att öka till exempel styrka, uthållighet eller rörlighet för ökad effektivitet och minskad skaderisk.

  • 13.
    Röijezon, Ulrik
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Motorisk kontroll och inlärning: Med inriktning på muskuloskeletal rehabilitering2019Samlingsverk (redaktörskap) (Övrigt vetenskapligt)
    Abstract [sv]

    Boken ger en aktuell kunskapsöversikt över fysiologiska system och mekanismer som är involverade i motorisk kontroll och motorisk inlärning, samt ger en beskrivning av kliniska metoder för undersökning och behandling.

    Boken är uppdelad i tre delar:

    • Del 1 omfattar generella teoretiska kunskaper inom bland annat muskel- och neurofysiologi, sensomotorisk kontroll, patofysiologi och motorisk inlärning.
    • Del 2 beskriver övergripande olika koncept och system för undersökning och träning av motorisk kontroll.
    • Del 3 har en mer specifik inriktning med presentation av sensomotoriska funktionsstörningar och metoder för undersökning och träning för varje separat kroppsdel, från nacke till fot. Denna del avslutas med ett kapitel om hypermobilitet.

    Motorisk kontroll och inlärning är författad av en mycket framstående grupp svenska och internationella forskare och kliniker som generöst bidrar med sin expertkompetens till bokens olika kapitel.

    Boken vänder sig till personer som utbildar sig eller är verksamma inom prevention och rehabilitering av muskuloskeletala besvärstillstånd, såsom fysioterapeuter, arbetsterapeuter, läkare, kiropraktorer, osteopater och naprapater, men även andra som arbetar med rörelsebeteende och inlärning, till exempel idrottslärare och idrottstränare.

  • 14. Treleaven, Julia
    et al.
    Röijezon, Ulrik
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nacken: proprioception2019Ingår i: Motorisk kontroll och inlärning: Med inriktning på muskuloskeletal rehabilitering / [ed] Ulrik Röijezon, Lund: Studentlitteratur AB, 2019, 1, s. 203-214Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [sv]

    Besvärstillstånd med nacksmärta är heterogena och därför varierar symtom och avvikelser i motoriska kontrollfunktioner betydligt mellan individer. Vägledning om och i så fall vilken typ av träning av cervikal proprioception som bör inkluderas i rehabiliteringsregimen för den enskilde erhålls via anamnes och klinisk undersökning. I detta kapitel beskrivs först specifika symtom, följt av avvikelser i proprioception och sensomotoriska funktioner som kan vara relaterade till störningar i cervikal proprioception. Slutligen beskrivs kliniska metoder för undersökning och träning av nackens proprioception, okulomotorisk kontroll, öga–huvud–kroppkoordination och postural kontroll hos personer med nackbesvär.

  • 15.
    Lindgren, Ingrid
    et al.
    Department of Neurology and Rehabilitation Medicine, Skåne University Hospital, Lund; Physiotherapy Research Group, Department of Health Sciences, Lund University, Lund.
    Brogårdh, Christina
    Department of Neurology and Rehabilitation Medicine, Skåne University Hospital, Lund; Physiotherapy Research Group, Department of Health Sciences, Lund University, Lund.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Pain management strategies among persons with long-term shoulder pain after stroke: a qualitative study2019Ingår i: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873, Vol. 33, nr 2, s. 357-364Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: To explore strategies that persons with persistent shoulder pain after stroke use to manage their pain in daily life. Design: A qualitative study using semi-structured face-to-face interviews, analysed by content analysis. Setting: A university hospital. Subjects: Thirteen community-dwelling persons (six women; median age: 65 years; range 57-77) with shoulder pain after stroke were interviewed median two years after the pain onset. Results: An overall theme 'Managing shoulder pain by adopting various practical and cognitive strategies' emerged from the analysis. Three categories were identified: (1) practical modifications to solve daily life problems; (2) changed movement patterns and specific actions to mitigate the pain, by non-painful movements, avoidance of pain-provoking activities and various pain distracting activities and (3) learned how to deal with the pain mentally. Several strategies were used simultaneously and they were experienced successful to various degrees. Conclusion: The findings in the present study indicate that persons with persistent shoulder pain after stroke use both practical and cognitive strategies to manage their pain.

  • 16.
    Röijezon, Ulrik
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Patofysiologiska modeller: samband mellan smärta och störningar i motorisk kontroll2019Ingår i: Motorisk kontroll och inlärning: Med inriktning på muskuloskeletal rehabilitering / [ed] Ulrik Röijezon, Lund: Studentlitteratur AB, 2019, 1, s. 117-126Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [sv]

    En mängd olika störningar i sensoriska och motoriska funktioner har beskrivits vid smärttillstånd i rörelseapparaten. Bland annat störd proprioception, neuromuskulär koordination och balans samt förändrade hållnings- och rörelsemönster. Utifrån empiriska studier på personer med muskuloskeletala besvär och experimentella studier på såväl människor som djur har flera olika teoretiska modeller utvecklats för att beskriva de fysiologiska mekanismerna bakom sambanden mellan smärta och störningar i motoriska kontrollfunktioner. Några av de mest uppmärksammade modellerna presenteras i detta kapitel. Dessa modeller skiljer sig åt i vissa avseenden, men inte i alla. I huvudsak kompletterar de dock varandra och ger värdefulla förklaringar till möjliga mekanismer bakom uppkomst, återkomst och långvarighet av muskuloskeletala besvär, och dess samband med förändringar i motoriska kontrollfunktioner.

  • 17.
    Ek, Anna
    et al.
    Department of Biosciences and Nutrition, The Innovative Use of Mobile Phones to Promote Physical Activity and Nutrition Across the Lifespan Research Group, Karolinska Institutet, Huddinge, Sweden. Division of Pediatrics, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Huddinge, Sweden.
    Sandborg, Johanna
    Department of Biosciences and Nutrition, The Innovative Use of Mobile Phones to Promote Physical Activity and Nutrition Across the Lifespan Research Group, Karolinska Institutet, Huddinge, Sweden.Division of Community Medicine, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    Delisle Nyström, Christine
    Department of Biosciences and Nutrition, The Innovative Use of Mobile Phones to Promote Physical Activity and Nutrition Across the Lifespan Research Group, Karolinska Institutet, Huddinge, Sweden.
    Lindqvist, Anna-Karin
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Rutberg, Stina
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Löf, Marie
    Department of Biosciences and Nutrition, The Innovative Use of Mobile Phones to Promote Physical Activity and Nutrition Across the Lifespan Research Group, Karolinska Institutet, Huddinge, Sweden.Division of Community Medicine, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    Physical Activity and Mobile Phone Apps in the Preschool Age: Perceptions of Teachers and Parents2019Ingår i: JMIR mhealth and uhealth, E-ISSN 2291-5222, Vol. 7, nr 4, artikel-id e12512Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND:

    Physical activity (PA) is already beneficial at the preschool age. In many countries, young children spend most of their days in the preschool setting, making it a common arena for PA interventions. Mobile health tools are becoming increasingly popular to promote PA in different populations; however, little is known about the interest for and how the preschool setting could incorporate such a tool.

    OBJECTIVE:

    This study aimed to examine how teachers and parents perceive PA in preschool-aged children in general and their perceptions of how a mobile phone app could be used to promote PA in the preschool setting.

    METHODS:

    Semistructured interviews were conducted with 15 teachers (93%, [14/15] women, mean age 43.5 years, 47%, [7/15] with a university degree and 10 parents [91%, 9/10] women, mean age 38.9 years, all with a university degree) recruited from 2 urban preschools in central Sweden. The interviews were recorded, fully transcribed, coded, and analyzed using thematic analysis by means of an inductive approach.

    RESULTS:

    The analysis revealed 4 themes: (1) children are physically active by nature, (2) the environment as a facilitator or a barrier, (3) prerequisites of the adult world, and (4) an app in the preschool setting-challenges and possibilities. Parents and teachers perceived preschoolers as being spontaneously physically active; however, high-intensity PA was perceived as low. The PA was specifically performed during the day in the preschool. Identified facilitators of PA were access to safe and engaging outdoor environments such as forests, spacious indoor areas, and adult involvement. Adult involvement was considered especially important for children preferring sedentary activities. Identified barriers for PA were restricted indoor and outdoor space, rules for indoor activities, and lack of adult involvement because of time constraints. The teachers perceived that they had limited skills and experiences using apps in general, although they also acknowledged the increasing role of technological tools in the curriculum. Thus, the teachers expressed an interest for an app designed as a support tool for them, especially for situations when PA was limited because of perceived barriers. They suggested the app to include accessible information regarding the health benefits of PA in children linked to a library of activities for different settings and seasons. Parents suggested interactive app features including problem-solving tasks and music and dance, but not video clips as they made children passive.

    CONCLUSIONS:

    Vigorous PA was perceived as low in preschool-aged children. Future tailoring of interventions in the preschool setting should work around barriers and support facilitators to PA, especially PA of high intensity. In such work, an app could serve as a source of inspiration for PA in different ages, settings, and seasons and thus reduce environmental and structural inequalities in the preschool setting.

  • 18.
    Mikaelsson, Katarina
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Rutberg, Stina
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lindqvist, Anna-Karin
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Michaelson, Peter
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Physically inactive adolescents’ experiences of engaging in physical activity2019Ingår i: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: This study aimed to describe physically inactive adolescents’ experiences and reflections about engaging in physical activity. Methods: Nine graduate students from the third year of upper secondary school (six women and three men) participated in this study. Narrative interviews were used for data collection and qualitative content analysis was used to analyse the interviews. Results: The analysis revealed three themes ‘Acknowledging resistance and barriers to performing physical activity’, ‘Knowing that it is good is not enough’, and ‘Feeling included and accepted is fun and motivating’. These themes show that the adolescent’s experienced barriers, acknowledged pros and cons and identified possibilities to be physically active. Conclusions: Identifying experiences that impact on inactive adolescents’ attitude and willingness to perform physical activity can be useful to understand the needs of the individual. By relating these experiences to the different stages of the transtheoretical model, this study could provide valuable knowledge for designing future interventions to enhance physical activity in this target group.

  • 19.
    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.

  • 20.
    Röijezon, Ulrik
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lindberg, Conny
    Proprioception: undersökning och träning2019Ingår i: Motorisk kontroll och inlärning: Med inriktning på muskuloskeletal rehabilitering / [ed] Ulrik Röijezon, Lund: Studentlitteratur AB, 2019, 1, s. 151-160Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [sv]

    Nedsatt proprioception har påvisats vid en rad muskuloskeletala besvärstillstånd i olika  kroppsdelar, från fot till nacke. Störd proprioception kan uppstå vid traumatiska skador på till exempel ledband och muskler, men förekommer även vid smärttillstånd som uppstått utan direkt samband med trauma. Dessutom kan nedsatt proprioception bidra till ökad risk för skador. Specifik undersökning och träning av proprioception kan därför vara värdefullt att inkludera vid prevention och rehabilitering av muskuloskeletala besvär. I detta kapitel presenteras generella principer för undersökning och träning av proprioception.

  • 21.
    Arumugam, Ashokan
    et al.
    Department of Community Medicine and Rehabilitation – Physiotherapy Section, Umeå University, Umeå, Sweden.
    Strong, Andrew
    Department of Community Medicine and Rehabilitation – Physiotherapy Section, Umeå University, Umeå, Sweden.
    Tengman, Eva
    Department of Community Medicine and Rehabilitation – Physiotherapy Section, Umeå University, Umeå, Sweden.
    Röijezon, Ulrik
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Häger, Charlotte K
    Department of Community Medicine and Rehabilitation – Physiotherapy Section, Umeå University, Umeå, Sweden.
    Psychometric properties of knee proprioception tests targeting healthy individuals and those with anterior cruciate ligament injury managed with or without reconstruction: a systematic review protocol2019Ingår i: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 9, nr 4, artikel-id e02741Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    An anterior cruciate ligament (ACL) injury affects knee proprioception and sensorimotor control and might contribute to an increased risk of a second ACL injury and secondary knee osteoarthritis. Therefore, there is a growing need for valid, reliable and responsive knee proprioception tests. No previous study has comprehensively reviewed all the relevant psychometric properties (PMPs) of these tests together. The aim of this review protocol is to narrate the steps involved in synthesising the evidence for the PMPs of specific knee proprioception tests among individuals with an ACL injury and knee-healthy controls.

  • 22.
    Röijezon, Ulrik
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Millisdotter, Monica
    Malmström, Eva-Maj
    Sensomotorisk kontroll2019Ingår i: Motorisk kontroll och inlärning: Med inriktning på muskuloskeletal rehabilitering / [ed] Ulrik Röijezon, Lund: Studentlitteratur AB, 2019, 1, s. 51-66Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [sv]

    Människans motoriska kontroll involverar sensorisk information från en mängd olika receptorer som samordnas och bearbetas av centrala nervsystemet, vilket sedan i sin tur genererar motoriska kommandon till kroppens muskler. En grundläggande förståelse för hur dessa system fungerar är värdefullt vid prevention och rehabilitering av olika smärttillstånd samt för utveckling av effektivare undersöknings- och behandlingsmetoder. En särskilt utmanande fråga är hur det enorma antalet frihetsgrader som människans rörelser involverar kan kontrolleras och koordineras så att rörelser kan utföras med hög precision och relativt likartat gång på gång. Och detta även i varierande situationer och miljöer trots att människokroppen har cirka 200 leder och 600 muskler att hålla reda på! I detta kapitel ges en översiktlig beskrivning av sensoriska och motoriska system och hur de samordnas och kontrolleras via det centrala nervsystemet.

  • 23.
    Riekkola Carabante, Jenni
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Rutberg, Stina
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lilja, Margareta
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Isaksson, Gunilla
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Spousal caregivers’ experiences of participation in everyday life when living in shifting contexts2019Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 25, nr 6, s. 457-465Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: To promote health and well-being, and to meet the desires of the growing elderly population to age in place, elderly spousal caregivers need adequate support such as respite care services. More knowledge is needed about elderly spousal caregivers’ experiences in relation to participation, which is an aspect of health that remains relatively unexplored for this group.

    Aim: To explore and describe how elderly spousal caregivers experience and discuss participation in everyday life when living in shifting contexts due to the use of respite care.

    Method: A grounded theory approach was used during data generation and analysis, which involved repeated focus group interviews with 12 spousal caregivers.

    Results: Complexity and ambiguity was understood to imbue participation in everyday life. Being in charge of everyday life was challenging for spousal caregivers, and created a need for personal time. Respite care and home care service gave them time, although when interacting with social contexts other issues arose that influenced their own recovery.

    Conclusions: A holistic ‘situation centered’ approach that focuses on the elderly couple’s life story and needs might capture a wider perspective and enable adequate support that influences their health, well-being, and participation in everyday life.

  • 24.
    Riekkola, Jenni
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Rutberg, Stina
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lilja, Margareta
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Isaksson, Gunilla
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Strategies of older couples to sustain togetherness2019Ingår i: Journal of Aging Studies, ISSN 0890-4065, E-ISSN 1879-193X, Vol. 48, s. 60-66Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to explore how elderly couples, who are in need of social services in the community, act and reason over time regarding their everyday togetherness. Data were generated through repeated interviews and participant observations with three older couples. A narrative method was used for data generation and analysis. The findings present four parallel narratives illustrating how the couples, over time, strove to continue living their lives in togetherness despite the many challenges that had emerged. These narratives show the complexity and variety of strategies that the couples adopted to handle different situations of everyday life and the couples’ experiences and feelings connected to these situations. The strategies that the couples used resulted, for example, in performing more activities together in another way, using respite care and reorganizing their social interactions. The spousal caregiver had a leading role to manage day-to-day life and to initiate and perform the strategies. Simultaneously, an important reciprocity existed in their relationship that gave meaning to their efforts of sustaining togetherness. These findings give a deeper understanding of the complexity of their situation and of how meaning is created in their everyday life through enacted togetherness. The findings highlight the need for professionals within social services in the community to embrace a couple's whole situation, involving both partners. 

  • 25.
    Sjöholm, Hanna
    et al.
    Rehabilitation Centre, Region Jönköping County, Jönköping and Department of Medical and Health Sciences, Linköping University, Linköping.
    Hägg, Staffan
    Futurum, Region Jönköping County, Jönköping and Department of Medical and Health Sciences, Linköping University, Linköping.
    Nyberg, Lars
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Rolander, Bo
    Futurum, Region Jönköping County, Jönköping.
    Kammerlind, Ann-Sofi
    Futurum, Region Jönköping County, Jönköping.
    The Cone Evasion Walk test: Reliability and validity in acute stroke2019Ingår i: Physiotherapy Research International, ISSN 1358-2267, E-ISSN 1471-2865, Vol. 24, nr 1, artikel-id e1744Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVETo estimate the reliability and validity of the Cone Evasion Walk test (CEW), a new test assessing the ability to evade obstacles, in people with acute stroke.

    METHODSTo estimate the reliability of the CEW, video recordings of 20 people with acute stroke performing the test were assessed by 10 physiotherapists on two occasions, resulting in a total of 400 ratings. Patients performed the CEW (n = 221), functional ambulation classification (FAC; n = 204), Timed Up and Go (TUG; n = 173), TUG cognitive (TUG-cog; n = 139), Serial 7s attention task from the Montreal Cognitive Assessment (MoCA-S7; n = 127), and the Star Cancellation Test (SCT; n = 151). These tests and side of lesion (n = 143) were used to examine construct validity. The predictive validity was evaluated in relation to falls during the following 6 months (n = 203).

    RESULTSThe intraclass correlation coefficients for intrarater and interrater reliability were 0.88-0.98. For validity, there were significant correlations between the CEW and FAC (rs  = -0.67), TUG (rs  = 0.45), MoCA-S7 (rs  = -0.36), and SCT total score (rs  = -0.36). There was a significant correlation between the number of cones touched on the left side and the proportion of cancelled stars on the left (rs  = -0.23) and right (rs  = 0.23) side in the SCT. Among right hemisphere stroke participants (n = 79), significantly more persons hit cones on the left side (n = 25) than the right side (n = 8), whereas among those with a left hemisphere stroke (n = 64) significantly more persons hit cones on the right side (n = 11) than the left (n = 3). Cox regression showed that participants who touched four to eight cones had an increased risk of falls over time (hazard ratio 2.11, 95% CI [1.07, 4.17]) compared with those who touched none.

  • 26.
    Chapman, David
    et al.
    Luleå tekniska universitet, Institutionen för samhällsbyggnad och naturresurser, Arkitektur och vatten.
    Nilsson, Kristina L.
    Luleå tekniska universitet, Institutionen för samhällsbyggnad och naturresurser, Arkitektur och vatten.
    Rizzo, Agatino
    Luleå tekniska universitet, Institutionen för samhällsbyggnad och naturresurser, Arkitektur och vatten.
    Larsson, Agneta
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Winter City Urbanism: Enabling All Year Connectivity for Soft Mobility2019Ingår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 16, nr 10, artikel-id 1820Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study explores connectivity for soft mobility in the winter season. Working with residents from the sub-arctic city of Luleå, Sweden, the research examines how the interaction between the built environment and winter season affects people’s use of the outdoor environment. The research questions for this study are, 1) how do residents perceive the effects of winter on an areas spatial structure and pattern of streets and pathways? and 2) what enablers and barriers impact resident soft mobility choices and use of the public realm in winter? Methods used were mental mapping and photo elicitation exercises. These were used to gain a better understanding of people’s perception of soft mobility in winter. The results were analysed to identify how soft mobility is influenced by the winter season. The discussion highlights that at the neighbourhood scale, residents perceive that the winter alters an areas spatial structure and pattern of streets and pathways. It was also seen to reduce ease of understanding of the public realm and townscape. In conclusion, it is argued that new and re-tooled town planning strategies, such as extending blue/ green infrastructure planning to include white space could help better enable all year outdoor activity in winter cities.

  • 27.
    Rutberg, Stina
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lindqvist, Anna-Karin
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Active School Transportation is an Investment in School Health2018Ingår i: Health Behavior and Policy Review, ISSN 2326-4403, Vol. 5, nr 2, s. 88-97Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: In this study, we aimed to explore the experiences of schoolchildren and teachers participating in an empowerment- and gamification-inspired program to promote children's active school transportation. Methods: Data were collected using focus groups with 32 schoolchildren and 2 teachers. Content analysis revealed 2 themes and 5 subthemes. Results: Integrating learning into the program increased student engagement and enhanced learning outcomes. The program also created additional value beyond physical activity, such as togetherness, readiness to learn, and changed parental attitudes. Conclusions: Combining learning with physical activity through gamification is a promising method for promoting active school transportation. The time and energy spent increasing active school transportation enrich learning activities and health and are therefore well invested

  • 28.
    Chapman, David
    et al.
    Luleå tekniska universitet, Institutionen för samhällsbyggnad och naturresurser, Arkitektur och vatten.
    Larsson, Agneta
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Arctic Risk in Urban Spaces (ARUS): Report of meeting 16th & 17th January 20182018Rapport (Övrigt vetenskapligt)
    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.

  • 29.
    Lundvik Gyllensten, Amanda
    et al.
    Department of of Physical therapy, Lund University .
    Gard, Gunvor
    Best Practice: Basic Body Awareness Therapy – Evidence and Experiences2018Ingår i: Physiotherapy in mental health and psychiatry: a scientific and clinical based approach / [ed] edited by Michel Probst, Liv Helvik Skjaerven, Edinburgh: Elsevier, 2018, s. 151-160Kapitel i bok, del av antologi (Refereegranskat)
  • 30.
    Pauelsen, Mascha
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nyberg, Lars
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Röijezon, Ulrik
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Vikman, Irene
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Both psychological factors and physical performance are associated with fall-related concerns2018Ingår i: Aging Clinical and Experimental Research, ISSN 1594-0667, E-ISSN 1720-8319, Vol. 30, nr 9, s. 1079-1085Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background Fall-related concern strongly correlates to activity avoidance in older people.  In this complex phenomenon, different terminology and instruments are often used interchangeably. Three main concepts make up fall-related concerns: fear-of-falling, consequence concern, and falls self-efficacy. It is suggested that fall-related concerns are mediated by psychological and physical factors.

    Aims Our aims were to describe the prevalence of fall-related concerns and find explanatory factors for its most studied concept – falls self-efficacy – in an older population.

    Methods We executed a cross sectional study on a random sample of 153 community dwelling older people (70 years or older). We used validated and reliable instruments as well as structured interviews to gather data on the three concepts of fall-related concerns and possible mediating factors. We then calculated descriptive statistics on prevalence and regression models for the total group, and men and women separately.

    Results 70% of the total sample (80% of women and 53% of men) reported at least one of the three concepts of fall-related concern. For the total sample, fear-of-falling, morale and physical performance were associated factors with falls self-efficacy. For women, number of prescription medications was added. For men, physical performance and concerns for injury were associated.

    Conclusion Fall-related concern is prevalent in large proportions with higher prevalence for women than for men. Important factors are fear of falling, morale, and physical performance. Gender differences in the emergence and variance of fall-related concern and the relation between physical performance and fall-related concern should be targeted in future research endeavors. 

  • 31.
    Larsson, Agneta
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Chapman, David
    Luleå tekniska universitet, Institutionen för samhällsbyggnad och naturresurser, Arkitektur och vatten.
    Changing risks to outdoor activity in the Arctic: Resilience to climate-related community change2018Konferensbidrag (Refereegranskat)
    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.

  • 32.
    Pauelsen, Mascha
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Vikman, Irene
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Johansson, Viktor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Larsson, Agneta
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Röijezon, Ulrik
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Decline in sensorimotor systems explains reduced falls self-efficacy2018Ingår i: Journal of Electromyography & Kinesiology, ISSN 1050-6411, E-ISSN 1873-5711, Vol. 42, s. 104-110Artikel i tidskrift (Refereegranskat)
    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.

  • 33.
    Blomgren, Johannes
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Strandell, Erika
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Jull, Gwendolen
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Brisbane, Australia.
    Vikman, Irene
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Röijezon, Ulrik
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Effects of deep cervical flexor training on impaired physiological functions associated with chronic neck pain: a systematic review2018Ingår i: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 19, artikel-id 415Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background:Neck pain is a major health issue with high rates of recurrence. It presents with a variety ofaltered sensorimotor functions. Exercise is a cornerstone of rehabilitation and many training methods areused. Exercise is evaluated in most randomized controlled trials on its pain relieving effects. No review hasassessed the effect of exercise on the altered physiological functions or determined if there are differentialeffects of particular training methods. This review investigated the effects of deep cervical flexor (DCF)training, a training method commonly used for patients with neck pain, and compared it to other trainingmethodsornotrainingonoutcomesofcervicalneuromuscular function, muscle size, kinematics and kinetics.Methods:Web of Science, Scopus, CINAHL, PubMed were searched from inception until January 2018. Twelverandomized controlled trials were included that compared DCF training as sole intervention to other trainingor no interventions in persons with neck pain. The Cochrane Risk of Bias tool was used to assess the methodquality. All outcome measures were analysed descriptively and meta-analyses were performed for measuresevaluated in three or more studies.Results:DCF training was compared to cervical endurance, strength, proprioception and mobility training,muscle stretching, and no intervention control groups. Physiological outcome measures includedneuromuscular co-ordination (craniocervical flexion test), functional tasks, muscle fatigability, muscle size,kinematics (joint position sense, posture and range of motion) and kinetics (strength, endurance andcontraction accuracy). Strong evidence was found for effectiveness of DCF training on neuromuscularcoordination, but it had no or small effects on strength and endurance at higher loads. DCF trainingimproved head and cervical posture, while evidence was limited or contradictory for other measures.Conclusions:DCF training can successfully address impaired neuromuscular coordination, but not cervicalflexor strength and endurance at higher contraction intensities. A multimodal training regime is proposedwhen the aim is to specifically address various impaired physiological functions associated with neck pain

  • 34. Gard, Gunvor
    et al.
    Skjaerven, Liv H.
    Department of Occupational therapy, Physiotherapy and Radiography, Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen.
    From a biomedical to more psychosocial models in physiotherapy in mental health2018Ingår i: Physiotherapy in mental health and psychiatry: a scientific and clinical based approach / [ed] edited by Michel Probst, Liv Helvik Skjaerven, Edinburgh: Elsevier, 2018, s. 14-17Kapitel i bok, del av antologi (Refereegranskat)
  • 35.
    Kostenius, Catrine
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Hallberg, Josef
    Luleå tekniska universitet, Institutionen för system- och rymdteknik, Datavetenskap.
    Lindqvist, Anna-Karin
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Gamification of health education: Schoolchildren’s participation in the development of a serious game to promote health and learning2018Ingår i: Health Education, ISSN 0965-4283, E-ISSN 1758-714X, Vol. 118, nr 4, s. 354-368Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose

    The use of modern technology has many challenges and risks. However, by collaborating with schoolchildren, ideas to effectively promote health and learning in school can be identified. This study aimed to examine how a participatory approach can deepen the understanding of how schoolchildren relate to and use gamification as a tool to promote physical activity and learning.

    Design/methodology/approach

    Inspired by the concept and process of empowerment and child participation, the methodological focus of this study was on consulting schoolchildren. During a 2-month period, 18 schoolchildren (10–12-years-old) participated in workshops to create game ideas that would motivate them to be physically active and learn in school.

    Findings

    The phenomenological analysis resulted in one main theme, ‘Playing games for fun to be the best I can be’. This consisted of four themes with two sub-themes each. The findings offer insights on how to increase physical activity and health education opportunities using serious games in school.

    Originality/value

    The knowledge gained provides gamification concepts and combinations of different technological applications to increase health and learning, as well as motivational aspects suggested by the schoolchildren. The findings are discussed with health promotion and health education in mind.

  • 36.
    Sandlund, Marlene
    et al.
    Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå.
    Pohl, Petra
    Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå.
    Ahlgren, Christina
    Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå.
    Skelton, Dawn A.
    School of Health and Life Sciences, Institute of Applied Health Research, Glasgow Caledonian University, UK.
    Melander Wikman, Anita
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Bergvall-Kåreborn, Birgitta
    Luleå tekniska universitet, Institutionen för system- och rymdteknik, Datavetenskap.
    Lundin-Olsson, Lillemor
    Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå.
    Gender perspective on older people’s exercise preferences and motivators in the context of falls prevention: a qualitative Study2018Ingår i: BioMed Research International, ISSN 2314-6133, E-ISSN 2314-6141, artikel-id 6865156Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background. Several factors have previously been identified to positively influence the uptake and adherence for fall prevention exercise programmes. There is, however, a lack of studies investigating if men and women differ in their views and preferences for fall prevention exercises. Aim. To explore exercise preferences and motivators of older community-dwelling women and men in the context of falls prevention from a gender perspective. Methods. Workshops including multistage focus group discussions were conducted with 18 older community-dwelling people with and without history of falls. Participants were purposively selected and divided into two groups. Each group met on six occasions over a period of five months. Participatory and Appreciative Action and Reflection methodology was used to guide the discussions. A qualitative content analysis approach was used in the analysis. Results. Older participants had many diverse preferences and confirmed that individually tailored exercise, in terms of mode, intensity, challenge, and social context, is important. Moreover, important factors for exercise adherence and maintenance included the experience of individual confirmation; different spirit lifters to increase enjoyment; and personal tricks to maintain exercise routines. The individual differences within genders were more diverse than the differences between women and men. Conclusion. Exercise interventions to prevent falls should be individually tailored, based on the specific needs and preferences of the older participant, and do not appear to require gender specific approaches. To increase adherence, intrinsic motivation for exercise may be encouraged by competence enhancing confirmations, energizing spirit lifters, and practical tips for exercise maintenance. The study provides an awareness about women’s and men’s preferences for fall prevention exercises, and this information could be used as guidance in designing inclusive exercise interventions.

  • 37.
    Kim, Jihoon
    et al.
    University of Texas, Austin.
    Castelli, Darla M.
    University of Texas, Austin.
    Lindqvist, Anna-Karin
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Global Communication of Social Determinants of Health for Emerging Adults2018Ingår i: Research Quarterly for Exercise and Sport, ISSN 0270-1367, E-ISSN 2168-3824, Vol. 89, nr Suppl. 1, s. A107-Artikel i tidskrift (Refereegranskat)
  • 38.
    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.

  • 39.
    Wikberg-Nilsson, Åsa
    et al.
    Luleå tekniska universitet, Institutionen för ekonomi, teknik och samhälle, Människa och teknik.
    Normark, Carl Jörgen
    Luleå tekniska universitet, Institutionen för ekonomi, teknik och samhälle, Människa och teknik.
    Björklund, Cecilia
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Axelsson, Sarianne Wiklund
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    HealthCloud: promoting healthy living through co-design of user experiences in a digital service2018Ingår i: Proceedings of NordDesign: Design in the Era of Digitalization, 2018, 2018Konferensbidrag (Refereegranskat)
    Abstract [en]

    The aim of the interdisciplinary HealthCloud pre-study project was twofold: to further

    knowledge of user experiences of inclusive interface design specifically for an ageing

    population, and to develop a digital service for senior persons with sensory decline to promote

    healthy living and active ageing. A co-design approach was chosen to investigate the project

    aim and knowledge and user experiences was jointly developed and evaluated in three

    sequential steps in a participant-group of senior persons. In the design of the conceptual user

    interface, the identified core aspect involved a strive for utility: quality of appropriateness in

    use, and significance: how designs assume meaning in the ways they are used, as well as

    simplicity: to reduce, organize, and making it enjoyable to use. The digital service outcome

    consists of validation of previous research themes: keeping the family together; enjoying life

    at home; being close to nature; self-development; and promoting conditions for healthy

    ageing. The pre-study project outcomes are prototypes of digital health service content and

    interfaces, aimed for a future digital HealthCloud service. Participants in the reference-group

    found the developed interface easy to use regardless of previous computer skills and they

    were also motivated and stimulated by the developed prototypes for promoting active ageing

    on a daily basis. Participants also expressed a desire to display and recommend such digital

  • 40. Gard, Gunvor
    et al.
    Lundvik Gyllensten, Amanda
    Department of of Physical therapy, Lund University .
    Musculoskeletal pain: Evidence and critical factors in rehabilitation relevant for physiotherapy in mental health. In Physiotherapy n Mental Health and Psychiatry – a scientific and clinical based approach2018Ingår i: Physiotherapy in mental health and psychiatry: a scientific and clinical based approach / [ed] edited by Michel Probst, Liv Helvik Skjaerven, Edinburgh: Elsevier, 2018, s. 134-140Kapitel i bok, del av antologi (Refereegranskat)
  • 41.
    Jafari, Hedyeh
    et al.
    Luleå tekniska universitet, Institutionen för system- och rymdteknik, Signaler och system.
    Pauelsen, Mascha
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Röijezon, Ulrik
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nyberg, Lars
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nikolakopoulos, George
    Luleå tekniska universitet, Institutionen för system- och rymdteknik, Signaler och system.
    Gustafsson, Thomas
    Luleå tekniska universitet, Institutionen för system- och rymdteknik, Signaler och system.
    On Internal Modeling of the Upright Postural Control in Elderly2018Konferensbidrag (Refereegranskat)
  • 42.
    Lindqvist, Anna-Karin
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Rutberg, Stina
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    One Step Forward: Development of a Program Promoting Active School Transportation2018Ingår i: JMIR Research Protocols, ISSN 1929-0748, E-ISSN 1929-0748, Vol. 7, nr 5, artikel-id e123Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Physical activity promotes health and learning. However, up to 80% of the children in industrialized countries do not achieve the recommended level of daily physical activity. By encouraging children to use active school transportation (AST), it is possible to increase their overall physical activity.

    OBJECTIVE: The aim of this paper was to present the development of an AST intervention using Intervention Mapping (IM) to promote children's physical activity.

    METHODS: The principles of IM were applied to guide the development of the intervention. The process was divided into 3 phases. First, a literature review and collection of experiences of stakeholders were carried out to gain a broad perspective on the problem and possible solutions. Thereafter, an analysis of the critical environmental and behavioral factors affecting outcome was conducted, which guided the choice of tangible components of the intervention. Finally, a plan of evaluation and implementation was established.

    RESULTS: A structured program to increase AST among children was developed, consisting of 3 subsequent phases that are described in detail. Implementation took place, and evaluation of the intervention is being carried out.

    CONCLUSIONS: IM proved to be a valuable method to develop a structured AST intervention for children. By following the steps of the IM process, it became evident that empowerment and gamification are 2 promising avenues to consider when designing AST interventions in a school context. By engaging end users and including important agents, such as parents and teachers, who control the environmental factors, the possibility to design a sustainable program increases. In addition, gamification made it possible to integrate learning into AST, which could motivate schools to devote time and effort to implementing this program.

  • 43.
    Larsson, Agneta
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Chapman, David
    Luleå tekniska universitet, Institutionen för samhällsbyggnad och naturresurser, Arkitektur och vatten.
    Outdoor human environments: the changing face of climatic barriers to soft mobility and gathering in winter communities2018Konferensbidrag (Refereegranskat)
    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.

  • 44.
    Forsberg, Angelica
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad. ICU 57, Sunderby Hospital.
    Vikman, Irene
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Välivaara, Britt-Marie
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Rattray, Janice
    chool of Nursing and Health Sciences, University of Dundee.
    Engström, Åsa
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Patient's perceptions of perioperative quality of care in relation to self-rated health2018Ingår i: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 33, nr 6, s. 834-843Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: To explore (1) associations between patient and perioperativefactors and dimensions of quality of care and (2) perioperative patients’self-rated physical health in relation to information, encouragement, andparticipation.Design: A nonexperimental descriptive exploratory design (n 5 170participants).Methods: Analyses were performed using quantitative techniques;collected data were quantitative in nature. Multiple logistic regressionand Mann-Whitney U tests were used to analyze the data.Findings: The factor associatedwith patients’ satisfaction within the dimensionof ‘‘identity-oriented approach of the caregivers,’’ including the qualityof information, encouragement, and participation, was self-estimated physicalhealth. Those who estimated their physical health as being good weregenerally more satisfied. Patients who rated their physical health as beingless thangoodwere significantly less satisfiedwith the informationprovidedbefore surgery about their stay in the postanesthesia care unit (PACU).Conclusions: Nurses should chart patients’ estimations of their physicalhealth initially in care to provide reinforced support for patients who estimatetheir physical health is less than good. Before surgery, patients whohave estimated their physical health as being less than good should begiven realistic information about their stay in the PACU—that they willbe in a PACU after surgery, what that stay means, and why it is necessary.

  • 45.
    Forsberg, Angelica
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Vikman, Irene
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Välivaara, Britt-Marie
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Engström, Åsa
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Patterns of changes in patients' postoperative recovery from a short-term perspective2018Ingår i: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 33, nr 2, s. 188-199Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose

    To explore patterns of changes in patients' postoperative recovery over 1 month within different surgery groups.

    Design

    A quantitative longitudinal survey design was used.

    Methods

    A standardized questionnaire was used (N = 167 patients); the postoperative recovery profile for self-assessment of recovery. The postoperative recovery profile developed for hospitalized patients contains 17 items distributed over five dimensions: physical symptoms, physical function, psychological function, social function, and activity.

    Findings

    Overall, orthopaedic patients perceived a lower recovery than general surgery patients. All major surgery groups and subgroups except for joint replacement patients indicated significant systematic changes toward lower levels of problems. The orthopaedic patients assessed their psychological functioning as impaired, and the gastric bypass group was the most recovered.

    Conclusions

    The patients' expectations should be charted initially, and patients should be given realistic information to achieve a realistic hope for a good life in the future. A patient's recovery trajectory may not start after the surgery is completed. Rather, it has already commenced before surgery.

  • 46.
    Gard, Gunvor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Berggård, Glenn
    Luleå tekniska universitet, Institutionen för samhällsbyggnad och naturresurser, Arkitektur och vatten.
    Rosander, Peter
    Luleå tekniska universitet, Institutionen för samhällsbyggnad och naturresurser, Arkitektur och vatten.
    Larsson, Agneta
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Pedestrians perceptions of community walking with anti-slip devices: an explorative case study2018Ingår i: Journal of Transport and Health, ISSN 2214-1405, E-ISSN 2214-1405, Vol. 11, s. 202-208Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

  • 47.
    Calner, Tommy
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Persistent musculoskeletal pain: A web-based activity programme for behaviour change, does it work? Expectations and experiences of the physiotherapy treatment process2018Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    This thesis concerned persons with persistent musculoskeletal pain in primary health care and had three aims. The first aim was to evaluate the effects of a web-based programme for behaviour change. The second aim was to create and evaluate a multimodal intervention. The third aim was to explore and describe expectations andexperiences of the physiotherapy treatment process.

    In Study I, we evaluated the effects of a web-based activity programme for behaviour change added to multidisciplinary rehabilitation (MDR) in primary health care. Ninety-nine participants were randomized to 1) MDR with an additional web-based programme, and 2) MDR. Outcome measures were work ability, pain intensity, pain-relate disability and health-related quality of life. There were no significant effects of the web-based programme for any outcome measure at 4 or 12 months. In conclusion, this study provides no support for adding a self-guided web-based programme to MDR in primary health care.

    In Study II, we evaluated first the web-based programme from Study I compared to the waiting list. Effect measures were workability, pain intensity, disability and self-efficacy. Thereafter, we evaluated the effects and process of a novel multimodal intervention consisting of the web-based programme with additional individual counselling, and individually tailored physiotherapy treatment. Ten participants were included in the study. Effects were evaluated using a Single Subject Experimental Design (SSED) and the process was evaluated by interviews with the participants and log data of usage of the modalities. There were no conclusive effects of the self-managed web-based programme as compared to the waiting list. The SSED analyses of the multimodal intervention showed promising short-term results regarding disability and pain intensity, but no conclusive results for work ability or self-efficacy. The multi-modal intervention process seemed successfully implemented, and the importance of physiotherapy and, to some extent counselling, was emphasized by the participants. In conclusion, the newly designed multimodal intervention in primary health care seemed feasible and showed some promising short-term effects, while the implementation of a self-managed web-based programme as a single intervention seemed without effect.

    In Study III, qualitative interviews were conducted with ten participants to explore their expectations of physiotherapy. Data were analysed with qualitative content analysis and the findings described a multi-faceted picture of the participants’ expectations, encompassing several aspects regarding the treatment process and outcome. Regarding the treatment process, participants expected a good dialogue, to be confirmed as individuals, and to get an explanation for their pain. The participants expected tailored training with frequent follow-ups and their expectations of outcome ranged from hope of the best possible results to being realistic or resigned.

    In Study IV, qualitative interviews were conducted with 11 participants to explore their experiences in physiotherapy treatment. Data were analysed with qualitative content analysis. The findings show how the participants described how they used knowledge, awareness, movements and exercises learned from the physiotherapy treatment to develop strategies to manage pain and the process of acceptance. There were experiences involving the importance of establishing an alliance with the physiotherapist, based on trust and with a continuous dialogue. When exercises, activities and other treatment modalities were individualized, participants were actively involved in the process. This was rewarding but was also considered an effort and a challenge. The physiotherapist’s initiatives and actions were considered important for incentive and support.

    In conclusion, we found no effects of the web-based activity programme on behaviour change for persons with persistent musculoskeletal pain. The newly designed multi-modal intervention in primary health care seemed feasible and showed some promising short-term effects. Expectations of physiotherapy treatment were multi-faceted, encompassing both process and outcome. After finishing physiotherapy, the participants described how they used knowledge, awareness, movements and exercises learned from the physiotherapy treatment to develop strategies to manage pain and the process of acceptance. The importance of alliance and incentives for activities throughout the physiotherapy treatment process were also described.

  • 48.
    Skjaerven, Liv H.
    et al.
    Department of Occupational therapy, Physiotherapy and Radiography, Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen.
    Gard, Gunvor
    Perspectives on human movement, the phenomenon of movement quality and how to promote movement quality  through movement awareness as physiotherapy in mental health2018Ingår i: Physiotherapy in mental health and psychiatry: a scientific and clinical based approach / [ed] edited by Michel Probst, Liv Helvik Skjaerven, Edinburgh: Elsevier, 2018, s. 23-31Kapitel i bok, del av antologi (Refereegranskat)
  • 49.
    Sviridova, Olga
    et al.
    Luleå tekniska universitet.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Michaelson, Peter
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Predictors for return to work after multimodal rehabilitation in persons with persistent musculoskeletal pain2018Ingår i: Edorium Journal of Disability and Rehabilitation, ISSN 2456-8392, Vol. 4, nr 1, artikel-id 100038D05SO2018Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aims: To identify factors explaining return to work (RTW) 12 months after a multimodal rehabilitation (MMR) intervention in the REHSAM II project.

    Methods: The present study is a secondary assessment of the data from the randomized controlled trial REHSAM II. A total of 97 participants with persistent musculoskeletal pain were randomly allocated to MMR + web-based education or only MMR. The subjects were followed from baseline to 12 months. The baseline variables from the outcome measures were used to identify predictors. The associations between the dependent variable (i.e., RTW) and independent variables (i.e., baseline variables) were analyzed with univariate and multiple logistic regression models.

    Results: The univariate regression analyses showed that pain and disability level, the capacity to perform a task in relation to pain, hospital and psychiatric care, medication for insomnia, catastrophizing, self-assessed work ability compared with lifetime best, satisfaction with life, ability for coping and controlling work situation, ability for coping with life outside work, and sense of responsibility for managing health condition were significantly associated with RTW. In the final multiple regression model, RTW was predicted by the Örebro Musculoskeletal Pain Screening Questionnaire (ÖMPSQ score) (p=0.003, OR=0.961) and EuroQol (EQ-5D index) (p=0.017, OR=7.283)

  • 50.
    Sjöholm, Hanna
    et al.
    Department of Medical and Health Sciences, Linköping University.
    Hägg, Staffan
    Department of Medical and Health Sciences, Linköping University.
    Nyberg, Lars
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Kammerlind, Ann-Sofi
    Department of Medical and Health Sciences, Linköping University.
    Reliability of test procedures for postural reactions in people with acute stroke2018Ingår i: International Journal of Therapy and Rehabilitation, ISSN 1741-1645, E-ISSN 1759-779X, Vol. 25, nr 11, s. 576-586Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Regaining and maintaining balance requires postural reactions such as righting reactions, equilibrium reactions, and protective reactions. There is a lack of uniform, standardised, and reliable testing procedures for postural reactions. The aim of the present study was to examine the intra- And interrater reliability of a newly developed postural reactions assessment for use in people with acute stroke. Methods: The Postural Reactions Test was developed based on the literature, on previous tests, and on input from an expert panel. A total of 10 physiotherapists assessed a total of 20 video recordings of people with acute stroke performing each postural reaction. These assessments were carried out on two occasions at least 2 weeks apart. The study thus included 400 ratings. Findings: For intrarater reliability, the overall proportion of agreement was 86 - 93% for the different postural reactions. For interrater reliability, the most common score for each participant and the number of physiotherapists giving that score were noted. A median of 9-10 out of 10 physiotherapists scored the same value. Conclusions: The results indicate that the Postural Reactions Test can be used to reliably assess function in people with acute stroke and that the test can complement the existing assessments for people with affected postural control

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