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  • 101.
    Chapman, David
    et al.
    Luleå tekniska universitet, Institutionen för samhällsbyggnad och naturresurser, Arkitektur och vatten.
    Nilsson, Kristina
    Luleå tekniska universitet, Institutionen för samhällsbyggnad och naturresurser, Arkitektur och vatten.
    Larsson, Agneta
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Rizzo, Agatino
    Luleå tekniska universitet, Institutionen för samhällsbyggnad och naturresurser, Arkitektur och vatten.
    Climatic barriers to soft-mobility in winter: Lulea, Sweden as case study2017Inngår i: Sustainable cities and society, ISSN 2210-6707, Vol. 35, s. 574-580Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 102.
    Chapman, David
    et al.
    Luleå tekniska universitet, Institutionen för samhällsbyggnad och naturresurser, Arkitektur och vatten.
    Nilsson, Kristina
    Luleå tekniska universitet, Institutionen för samhällsbyggnad och naturresurser.
    Rizzo, Agatino
    Luleå tekniska universitet, Institutionen för samhällsbyggnad och naturresurser.
    Larsson, Agneta
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Updating winter: the importance of climate-sensitive urban design for winter settlements2018Inngår i: Arctic Yearbook, ISSN 2298–2418Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

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

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

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

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

  • 103.
    Clark, Nicholas C.
    et al.
    School of Sport, Health, and Applied Sciences. St Mary's University, London.
    Röijezon, Ulrik
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Treleaven, Julia
    CCRE Spine, Division of Physiotherapy, SHRS, University of Queensland, Brisbane.
    Proprioception in Musculoskeletal Rehabilitation: Part 2: Clinical Assessment and Intervention2015Inngår i: Manual Therapy, ISSN 1356-689X, E-ISSN 1532-2769, Vol. 20, nr 3, s. 378-387Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    IntroductionProprioception can be impaired in gradual-onset musculoskeletal pain disorders and following trauma. Understanding of the role of proprioception in sensorimotor dysfunction and methods for assessment and interventions is of vital importance in musculoskeletal rehabilitation. In Part 1 of this two-part Masterclass we presented a theory-based overview of the role of proprioception in sensorimotor control, causes and findings of altered proprioception in musculoskeletal conditions, and general principles of assessment and interventions.PurposeThe aim of this second part is to present specific methods for clinical assessment and interventions to improve proprioception in the spine and extremities.ImplicationsClinical assessment of proprioception can be performed using goniometers, inclinometers, laser-pointers, and pressure sensors. Manual therapy, taping, and bracing can immediately enhance proprioception and should be used to prepare for exercise interventions. Various types of exercise (active joint repositioning, force sense, co-ordination, muscle performance, balance/unstable surface, plyometric, and vibration training) should be employed for long-term enhancement of proprioception.

  • 104.
    Collin, Cecilia
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Validation of postural sway test-protocol on Wii Balance Board using muscle vibration on neck and low back and group differences among people with low back pain, neck pain and healthy controls2019Independent thesis Advanced level (degree of Master (Two Years)), 20 poäng / 30 hpOppgave
    Abstract [en]

    Background: Postural control is a complex product of interaction between sensory systems, the central nervous system (CNS) and motor functions. Proprioception is essential for postural control and can be addressed by muscle vibration. Postural control can be measured during balance tests on Wii Balance Board (WBB). The first aim of this study was to examine the validity of postural sway on WBB before, during and after muscle vibration. The second was to determine group differences in postural sway between participants with low back pain (LBP), neck pain (NP) and controls. Methods: Sixty participants attended the study, 21 with LBP, 19 with NP and 20 controls. Postural sway was recorded during quiet standing with eyes closed on WBB placed upon a Kistler Force Plate (KFP). Each participant performed three tests with 75 seconds duration. After 30 seconds quiet standing, 15 seconds vibration were applied to calves, lower back and neck respectively. Validity was analyzed by calculation of the correlation coefficient Spearman’s rho (r) and scatter plots. Group differences were analyzed using ANCOVA with height as co-variate.

    Results: The measurements of postural sway showed high to very high correlation (r = 0,783 - 0,995) between WBB and KFP. Assessment of group differences showed significantly greater sway for the neck pain compared with the low back pain group for one variable after calf vibration. The low back pain group had significantly less sway than the control group for two out of six variables during back vibration. The neck pain group had significantly less sway than the control group for one variable during and for one variable after back vibration. Conclusion: The results from this study indicates validity for muscle vibration on WBB and indicates that persons with LBP could have less postural sway during back vibration than controls.

  • 105.
    Conradsson, Mia
    et al.
    Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
    Littbrand, Håkan
    Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
    Lindelöf, Nina
    Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
    Gustafson, Yngve
    Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
    Rosendahl, Erik
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Effects of a high-intensity functional exercise programme on depressive symptoms and psychological well-being among older people living in residential care facilities: a cluster-randomized controlled trial2010Inngår i: Aging & Mental Health, ISSN 1360-7863, E-ISSN 1364-6915, Vol. 14, nr 5, s. 565-576Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives: To evaluate the effects of a high-intensity functional exercise programme on depressive symptoms and psychological well-being among older people dependent in activities of daily living (ADL) and living in residential care facilities. Method: Cluster-randomized controlled study. Participants were 191 older people, aged 65-100, dependent in ADL and with Mini Mental State Examination scores between 10 and 30. One-hundred (52%) of the participants had a diagnosed dementia disorder. A high-intensity functional weight-bearing exercise programme and a control activity were performed in groups. Sessions were held five times over each two week period for three months, a total of 29 times. The outcome measures, Geriatric Depression Scale (GDS-15) and Philadelphia Geriatric Center Morale Scale (PGCMS) were blindly assessed at baseline, three and six months. Results: At baseline, mean ± SD (range) for GDS was 4.4±3.2 (0-14), and for PGCMS 11.0±3.5 (2-17). There were no significant differences in GDS or PGCMS between the exercise and the control group at the three and six month follow-ups in the total sample. Among people with dementia, there was a between-group difference at three months in PGCMS scores in favour of the exercise group. Conclusion: A high-intensity functional exercise programme seems generally not to influence depressive symptoms or psychological well-being among older people dependent in ADL and living in residential care facilities. An individualized and multifactorial intervention may be needed in this group. However, an exercise programme as a single intervention may have a short-term effect on well-being among people with dementia

  • 106.
    Conradsson, Mia
    et al.
    Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
    Lundin-Olsson, Lillemor
    Umeå University, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Lindelöf, Nina
    Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
    Littbrand, Håkan
    Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
    Malmqvist, Lisa
    Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
    Gustafson, Yngve
    Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
    Rosendahl, Erik
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Berg Balance Scale: intrarater test-retest reliability among older people dependent in activities of daily living and living in residential care facilities2007Inngår i: Physical Therapy, ISSN 0031-9023, E-ISSN 1538-6724, Vol. 87, nr 9, s. 1155-1163Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The Berg Balance Scale (BBS) is frequently used to assess balance in older people, but knowledge is lacking about the absolute reliability of BBS scores. The aim of this study was to investigate the absolute and relative intrarater test-retest reliability of data obtained with the BBS when it is used among older people who are dependent in activities of daily living and living in residential care facilities. The participants were 45 older people (36 women and 9 men) who were living in 3 residential care facilities. Their mean age was 82.3 years (SD=6.6, range=68-96), and their mean score on the Mini Mental State Examination was 17.5 (SD=6.3, range=4-30). The BBS was assessed twice by the same assessor. The intrarater test-retest reliability assessments were made at approximately the same time of day and with 1 to 3 days in between assessments. Absolute reliability was calculated using an analysis of variance with a 95% confidence level, as suggested by Bland and Altman. Relative reliability was calculated using the intraclass correlation coefficient (ICC). The mean score was 30.1 points (SD=15.9, range=3-53) for the first BBS test and 30.6 points (SD=15.6, range=4-54) for the retest. The mean absolute difference between the 2 tests was 2.8 points (SD=2.7, range=0-11). The absolute reliability was calculated as being 7.7 points, and the ICC was calculated to .97. Despite a high ICC value, the absolute reliability showed that a change of 8 BBS points is required to reveal a genuine change in function among older people who are dependent in activities of daily living and living in residential care facilities. This knowledge is important in the clinical setting when evaluating an individual's change in balance function over time in this group of older people.

  • 107.
    Conradsson, Mia
    et al.
    Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
    Lundin-Olsson, Lillemor
    Umeå University, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Lindelöf, Nina
    Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
    Littbrand, Håkan
    Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
    Malmqvist, Lisa
    Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
    Gustafson, Yngve
    Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
    Rosendahl, Erik
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    The Berg Balance Scale: Intra-rater reliability in older people dependent in ADL and living in residential care facilities2006Inngår i: 18th Nordic Congress of Gerontology: Innovations for an Ageing Society, 2006, s. 139-140Konferansepaper (Annet vitenskapelig)
  • 108.
    Conradsson, Mia
    et al.
    Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
    Lundin-Olsson, Lillemor
    Umeå University, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Lindelöf, Nina
    Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
    Littbrand, Håkan
    Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
    Malmqvist, Lisa
    Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
    Gustafson, Yngve
    Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
    Rosendahl, Erik
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    The Berg balance scale: intra-rater reliability in older people dependent in ADL and living in residential care facilities2007Inngår i: 15th International Congress of The World Confederation for Physical Therapy: 2-6 June 2007, Vancouver, Canada, WCPT , 2007Konferansepaper (Annet vitenskapelig)
  • 109.
    Conradsson, Mia
    et al.
    Umeå universitet.
    Lundin-Olsson, Lillemor
    Umeå universitet.
    Lindelöf, Nina
    Umeå universitet.
    Littbrand, Håkan
    Umeå universitet.
    Malmqvist, Lisa
    Umeå universitet.
    Gustafson, Yngve
    Umeå universitet.
    Rosendahl, Erik
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    The Berg Balance Scale: Intra-rater reliability in older people dependent in ADL and living in residential care facilities2006Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    Aim: The aim of this study was to investigate the absolute and the relative intra-rater reliability of the Berg Balance Scale (BBS) among older people who are dependent in activities of daily living (ADL) and living in residential care facilities.Methods: The participants were 45 older people, 36 females and 9 men, who were dependent in ADL and living in three residential care facilities. Their mean age ± SD was 82.3 ± 6.6 (range 68-96) and mean ± SD of Mini Mental State Examination score was 17.5 ± 6.3 (range 4-30). The BBS was assessed twice by the same assessor, at approximately the same time of day, and with 1-3 days in between. The absolute reliability for the difference in score between the two test occasions was calculated with the Bland and Altman analysis of variance with 95 % confidence level. The relative reliability was calculated with Intraclass Correlation Coefficient (ICC).Results: For the first test of the BBS, mean ± SD was 30.1 ± 15.9 (range 3-53) points and for the retest 30.6 ± 15.6 (range 4-54). The absolute difference between the two test occasions was in mean ± SD 2.8 ± 2.7 (range 0-11) points. The absolute intra-rater reliability was calculated to 7.7 points and the ICC value was 0.97. Conclusions: Despite a high ICC value, the result of the absolute reliability show that a change of 8 BBS points is required to reveal a genuine change of function among older people who are dependent in ADL and living in residential care facilities. This knowledge is important in the clinical setting when evaluating an individual's change in balance function over time.

  • 110.
    Cséplö, Anna
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lindblom, Fanny
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Arbetsterapeuters erfarenheter av samarbete med närstående i rehabiliteringen av personer med stroke2017Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Syftet med studien var att utforska och beskriva arbetsterapeuters erfarenheter av samarbete med närstående i rehabiliteringen av personer med stroke. Studien antog en kvalitativ induktiv ansats för att fokusera på deltagarnas beskrivningar. Ändamålsenligt urval skedde utifrån kriterier. Tio deltagare ingick i studien. Data samlades in via semistrukturerade intervjuer med öppna frågor och analyserades med kvalitativ innehållsanalys. Analysen resulterade i fyra kategorier: Möta den närstående i en förändrad livssituation; Finna rehabiliteringsåtgärder som främjar ett fortsatt engagemang i aktiviteter; Hantera utmaningar; Resurser för att återskapa en tillfredsställande vardag. Studiens resultat visade att arbetsterapeuternas samarbete med närstående i rehabiliteringen av personer med stroke fokuserade främst på aktiviteterna för personen med stroke. Närståendes aktiviteter beaktades i en viss mån i rehabiliteringsprocessen, däremot var arbetsterapeutiska åtgärder för deras aktiviteter begränsad och omfattade främst rådgivning. Vidare ur ett rehabiliteringsperspektiv visade resultatet att närståendes engagemang skapade förutsättningar för en kontinuerlig rehabilitering och att uppnå goda resultat, samtidigt som höga förväntningar, krisreaktioner och kulturella skillnader var utmanade. Resultatet av denna studie kan bidra till ökade kunskaper om hur arbetsterapeuter samarbetar med närstående i rehabiliteringen av personer med stroke och kan vara användbar vid utveckling av rehabiliteringsinsatser i ett familjecentrerat perspektiv inom arbetsterapi.

  • 111.
    Dagis, Daina
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Aktivitet: Målinriktade armrörelser för barn i åldrarna 5-9 år.: En utvecklingsstudie2004Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 112.
    Dahlberg, Kristina
    et al.
    Outokumpu stainless AB.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Friskfaktorer i arbetslivet: En jämförande studie av män 55+ inom Avesta jernverk2005Inngår i: Svensk rehabilitering, ISSN 1403-4468, Vol. 7, nr 2, s. 8-12Artikkel i tidsskrift (Annet vitenskapelig)
  • 113.
    Dalgren, Annika Svensson
    et al.
    Department of Design Sciences, Faculty of Engineering, Lund University.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Soft values with hard impact: a review of stress reducing interventions on group and organisational level2009Inngår i: Physical Therapy Reviews, ISSN 1083-3196, E-ISSN 1743-288X, Vol. 14, nr 6, s. 369-381Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: The aim of this study was to review stress reducing interventions on group and organisational levels in organisations and analyse the studies according to quality of design, results and employee participation and learning.Methods: A literature review was carried out, with data search in the databases Current Contents, Embase, PsycINFO, Ovid MEDLINEH. Results: Nineteen interventions had a high quality design. An action research and participatory research design was the best design to reduce work related stress on group and organisational levels. The studies with the most effective results were based on a contract with the organisation, had supportive supervisors and managers and an individual and organisational stressor reduction process. They also identified work constraints and implemented an action plan using problem-based learning. There were six studies which met the criteria for the highest level of participation, which is official participation in problem solving and development activities. There were four studies which met the criteria for the highest level of learning, creative learning. Discussion: Researchers working with stress reducing interventions on group and organisational levels need to ecommend high-quality design on each level. A successful group and organisational intervention needs to have a strategy that guarantees top management's commitment and methods that create effective participation, individual and organisational learning, social support, and empowerment of employees.

  • 114.
    Daniels, Anna
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Cervical movement sense test using laser pointer and automatic video image analysis in persons with neck pain: an observational cross-sectional study2019Independent thesis Advanced level (degree of Master (Two Years)), 80 poäng / 120 hpOppgave
    Abstract [en]

    Background Neck pain is a common condition and stand for a large part of the health care cost. Neck pain is often associated with sensorimotor dysfunctions, such as impaired proprioception. An important part of the proprioception is the movement sense. This study investigates cervical movement sense among individuals with and without persistent neck pain. The test involves a tracking task using a laser pointer fixed on the head and an automatic scoring system. 

    Study Design Cross-sectional study

    Purpose The aim of this study was to investigate cervical movement sense among individuals with neck pain (NP) compared to healthy controls (CON). Another aim was to investigate if the test performance correlate with self-rated pain, pain on movement and neck disability. 

    MethodSixty participants, 30 NP and 30 CON, performed a tracking task of a zig-zag pattern in four different directions with a laser pointer attached to their head as accurately as possible. Each trial was video recorded and analyzed with a specifically tailored image processing pipeline for automatic quantification of the test. The four main outcome variables were Acuity, Velocity, Numberof times off the target line (NumberError) andfinally time to complete the test (Movetime).

    Results: The NP group show a significantly higher number off errors compared to CON in Down to Up (p=0.040) and with a tendency also for Up to Down direction (p=0.051). NP group show significantly greater movement time compared to CON in Right to Left (p=0.046), Down to Up (p=0.035) and Up to Down (p=0.017) directions. Within the NP group, significant positive correlations are seen between total Pain on movement Questionnaire(POM) and the mean of NumberError (rho=0.431,p=0.018) mean of Movetime (rho=0.414, p=0.023). Significant correlations are also seen between average pain NRS (7 days) and mean of NumberError (rho=0.405, p=0.026) and mean of Movetime (rho=0.469,p=0.009).

    Conclusion: Differences in performance regarding NumberErrors and Movetime were seen between NP and CON. This study indicates that this specific test involving a tracking task of zig-zag pattern with a laser pointer and automatic scoring of acuity from video recordings may be a valid test for assessment of movement sense of the neck. We suggest that further knowledge about this test is needed when the speed-accuracy trade off is accounted for.

     

  • 115.
    Derman, Wayne
    et al.
    Institute of Sport and Exercise Medicine, Department of Surgical Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University. International Olympic Committee (IOC) Research Centre.
    Runciman, Phoebe
    Institute of Sport and Exercise Medicine, Department of Surgical Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University. International Olympic Committee (IOC) Research Centre.
    Schwellnus, Martin
    International Olympic Committee (IOC) Research Centre. Sport, Exercise Medicine and Lifestyle Institute (SEMLI) and Section Sports Medicine, Faculty of Health Sciences, University of Pretoria.
    Jordaan, Esme
    Biostatistics Unit, Medical Research Council, Parow.
    Blauwet, Cheri
    Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital and Women's Hospital, Harvard Medical School, Boston, USA.
    Webborn, Nick
    Centre for Sport and Exercise Science and Medicine (SESAME), University of Brighton, Eastbourne.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Department of Health Sciences, Lund University, Sweden. Department of Neurology and Rehabilitation Medicine, Skåne University Hospital, Sweden.
    Van de Vliet, Peter
    Medical and Scientific Department, International Paralympic Committee, Bonn.
    Tuakli-Wosornu, Yetsa
    Yale School of Public Health, Department of Chronic Disease and Epidemiology, Department of Orthopaedics and Rehabilitation, Yale University, Connecticut, USA.
    Kissick, James
    Carleton University Sport Medicine Clinic, Department of Family Medicine, Ottawa, Canada.
    Stomphorst, Jaap
    Department of Sport Medicine, Isala Klinieken, Zwolle.
    High precompetition injury rate dominates the injury profile at the Rio 2016 Summer Paralympic Games: a prospective cohort study of 51 198 athlete days2018Inngår i: British Journal of Sports Medicine, ISSN 0306-3674, E-ISSN 1473-0480, Vol. 52, nr 1, s. 24-31Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVES:

    To describe the incidence of injury in the precompetition and competition periods of the Rio 2016 Summer Paralympic Games.

    METHODS:

    A total of 3657 athletes from 78 countries, representing 83.4% of all athletes at the Games, were monitored on the web-based injury and illness surveillance system over 51 198 athlete days during the Rio 2016 Summer Paralympic Games. Injury data were obtained daily from teams with their own medical support.

    RESULTS:

    A total of 510 injuries were reported during the 14-day Games period, with an injury incidence rate (IR) of 10.0 injuries per 1000 athlete days (12.1% of all athletes surveyed). The highest IRs were reported for football 5-a-side (22.5), judo (15.5) and football 7-a-side (15.3) compared with other sports (p<0.05). Precompetition injuries were significantly higher than in the competition period (risk ratio: 1.40, p<0.05), and acute traumatic injuries were the most common injuries at the Games (IR of 5.5). The shoulder was the most common anatomical area affected by injury (IR of 1.8).

    CONCLUSION:

    The data from this study indicate that (1) IRs were lower than those reported for the London 2012 Summer Paralympic Games, (2) the sports of football 5-a-side, judo and football 7-a-side were independent risk factors for injury, (3) precompetition injuries had a higher IR than competition period injuries, (4) injuries to the shoulder were the most common. These results would allow for comparative data to be collected at future editions of the Games and can be used to inform injury prevention programmes.

  • 116.
    Derman, Wayne
    et al.
    Department of Surgical Sciences, Faculty of Medicine and Health Sciences, Institute of Sport and Exercise Medicine, Stellenbosch University. International Olympic Committee (IOC) Research Centre.
    Schwellnus, Martin P.
    International Olympic Committee (IOC) Research Centre. Sport, Exercise Medicine and Lifestyle Institute (SEMLI) and Section Sports Medicine, Faculty of Health Sciences, University of Pretoria.
    Jordaan, Esme
    Biostatistics Unit, Medical Research Council of South Africa, Cape Town. Statistics and Population Studies Department, University of the Western Cape.
    Runciman, Phoebe
    Department of Surgical Sciences, Faculty of Medicine and Health Sciences, Institute of Sport and Exercise Medicine, Stellenbosch University. International Olympic Committee (IOC) Research Centre.
    Blauwet, Cheri
    Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital and Women's Hospital, Harvard Medical School, Boston.
    Webborn, Nick
    Centre for Sport and Exercise Science and Medicine (SESAME), University of Brighton, Eastbourne.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Department of Health Sciences, Lund University. Department of Neurology and Rehabilitation Medicine, Skåne University Hospital, Sweden.
    Van de Vliet, Peter
    Medical and Scientific Department, International Paralympic Committee, Bonn.
    Tuakli-Wosornu, Yetsa
    Yale School of Public Health, Department of Chronic Disease and Epidemiology, Department of Orthopaedics and Rehabilitation, Yale University, Connecticut.
    Kissick, James
    Carleton University Sport Medicine Clinic, Department of Family Medicine, Ottawa, Canada.
    Stomphorst, Jaap
    Department of Sport Medicine, Isala Klinieken, Zwolle.
    Sport, sex and age increase risk of illness at the Rio 2016 Summer Paralympic Games: a prospective cohort study of 51 198 athlete days2018Inngår i: British Journal of Sports Medicine, ISSN 0306-3674, E-ISSN 1473-0480, Vol. 52, nr 1, s. 17-23Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE:

    To describe the epidemiology of illness at the Rio 2016 Summer Paralympic Games.

    METHODS:

    A total of 3657 athletes from 78 countries, representing 83.5% of all athletes at the Games, were monitored on the web-based injury and illness surveillance system (WEB-IISS) over 51 198 athlete days during the Rio 2016 Summer Paralympic Games. Illness data were obtained daily from teams with their own medical support through the WEB-IISS electronic data capturing systems.

    RESULTS:

    The total number of illnesses was 511, with an illness incidence rate (IR) of 10.0 per 1000 athlete days (12.4%). The highest IRs were reported for wheelchair fencing (14.9), para swimming (12.6) and wheelchair basketball (12.5) (p<0.05). Female athletes and older athletes (35-75 years) were also at higher risk of illness (both p<0.01). Illnesses in the respiratory, skin and subcutaneous and digestive systems were the most common (IRs of 3.3, 1.8 and 1.3, respectively).

    CONCLUSION:

    (1) The rate of illness was lower than that reported for the London 2012 Summer Paralympic Games; (2) the sports with the highest risk were wheelchair fencing, para swimming and wheelchair basketball; (3) female and older athletes (35-75 years) were at increased risk of illness; and (4) the respiratory system, skin and subcutaneous system and digestive system were most affected by illness. These results allow for comparison at future Games.

  • 117.
    Dür, Mona
    et al.
    Department of Internal Medicine III, Division of Rheumatology, Medical University of Vienna.
    Coenen, Michaela
    Ludwig-Maximilians-University, Department of Medical Informatics, Biometry and Epidemiology, Research Unit for Bio Psychosocial Health, Marchioninistraße 17, 81377, Munich.
    Fialka-Moser, Veronika
    Medical University of Vienna, Department of Physical Medicine and Rehabilitation.
    Kautzky-Willer, Alexandra
    Medical University of Vienna, Department of Internal Medicine III, Division of Diabetology, Medical University of Vienna.
    Mattsson, Malin
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Boström, Carina
    Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet.
    Stamm, Tanja A.
    Department of Internal Medicine III, Division of Rheumatology, Medical University of Vienna.
     Personal Factors Important to People with Rheumatoid Arthritis and their Coverage by Patient-Reported Outcome Measures2015Inngår i: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 73, nr Suppl. 2, s. 894-Artikkel i tidsskrift (Annet vitenskapelig)
    Abstract [en]

    Background There is an increasing call to use patient reported outcome measures (PROMs) in health outcome research, because the perspective of patients is an essential part concerning the end results of health care. The coverage of patients' perspective by PROMs relevant in rheumatoid arthritis (RA) has been examined regarding all domains of the International Classification of Functioning, Disability and Health (ICF) except personal factors (PFs). Since the ICF did not classify PF, some researchers attempted to provide a classification of the PFs. Objectives We aimed to identify themes meaningful to people with RA, to determine which of these were attributed to PFs previously and to explore their coverage by PROMs. Methods We explored life stories to identify themes meaningful to people with RA and determined whether they have been previously attributed to PFs in the existing literature. Additionally we conducted a systematic literature search to identify PROMs relevant in RA. Finally, we explored whether the identified PROMs cover those themes which were attributed PFs previously. Results Twenty-two themes were found to be meaningful to 15 people with RA, of which 13 were attributed to PFs previously. Five themes were linked to activity and participation or environmental factors and four were not covered by the ICF. The systematic literature search resulted in the identification of 33 PROMs. Of these, the London Coping with Rheumatoid Arthritis Questionnaire and the Rheumatoid Arthritis Self-Efficacy Questionnaire covered most PFs. Examples of the coverage of themes attributed to PFs by PROMs are depicted at the Table 1.

  • 118.
    Dür, Mona
    et al.
    Department of Internal Medicine III, Division of Rheumatology, Medical University of Vienna.
    Coenen, Michaela
    Ludwig-Maximilians-University, Department of Medical Informatics, Biometry and Epidemiology, Research Unit for Bio Psychosocial Health, Marchioninistraße 17, 81377, Munich.
    Stoffer, Michaela Alexandra
    Department of Internal Medicine III, Division of Rheumatology, Medical University of Vienna.
    Fialka-Moser, Veronika
    Medical University of Vienna, Department of Physical Medicine and Rehabilitation.
    Kautzky-Willer, Alexandra
    Medical University of Vienna, Department of Internal Medicine III, Division of Diabetology.
    Kjeken, Ingvild
    Diakonhjemmet Hospital, National Advisory Unit on Rehabilitation in Rheumatology, Department of Rheumatology, Postbox 23 Vinderen.
    Drăgoi, Răzvan Gabriel
    “Victor Babeş” University of Medicine and Pharmacy, Department of Rehabilitation, Physical Medicine and Rheumatology, Piata Eftimie Murgu 2, Timişoara.
    Mattsson, Malin
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Boström, Carina
    Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet.
    Smolen, Josef S.
    Department of Internal Medicine III, Division of Rheumatology, Medical University of Vienna.
    Stamm, Tanja A.
    Department of Internal Medicine III, Division of Rheumatology, Medical University of Vienna.
    Do patient-reported outcome measures cover personal factors important to people with rheumatoid arthritis?: A mixed methods design using the International Classification of Functioning, Disability and Health as frame of reference2015Inngår i: Health and Quality of Life Outcomes, ISSN 1477-7525, E-ISSN 1477-7525, Vol. 13, artikkel-id 27Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BackgroundPersonal factors (PFs) are internal factors that determine functioning and the individuals’ experience of disability. Their coverage by patient-reported outcome measures (PROMs) has not been examined in rheumatoid arthritis (RA) so far. The aims of this study were to identify PFs important in the life stories of people with RA and to determine their coverage by PROMs used in RA.MethodsThe qualitative data of people with RA was explored to identify PFs. Additionally a systematic literature search was conducted to find PROMs used in RA. PROMs items were linked to the components, domains and categories of the International Classification of Functioning, Disability and Health (ICF) to determine the coverage of important PFs by PROMs.ResultsTwelve PFs were found to be important in the life stories of people with RA. The PFs coping and reflecting about one’s life in an optimistic way were covered most frequently, each by 14 of the 42 explored PROMs, while job satisfaction was not covered at all. The London Coping with Rheumatoid Arthritis Questionnaire, General Self-Efficacy Scale, Arthritis Self-Efficacy Scale, Rheumatoid Arthritis Self-Efficacy Questionnaire and Revised Ways of Coping Inventory covered most PFs. Nineteen PROMs did not cover any of the PFs.ConclusionSeveral PFs were identified as important in the life stories of people with RA, but only 55% of the PROMS covered some of these PFs. When evaluating PFs important to people with RA, health professionals should be alert on which PROMs can be used to assess which PFs.

  • 119.
    Edström, Annika
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Betydelsen av spiritualitet: - en litteraturöversikt inom arbetsterapeutisk forskning2017Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Syftet med studien är att ge en överblick av begreppet spiritualitet genom att sammanfatta och beskriva det vetenskapliga kunskapsläget inom arbetsterapeutisk forskning. Som metod valdes en litteraturöversikt. I studien ingick 12 vetenskapliga artiklar som var både kvalitativa och teoretiska. Artiklarna söktes i Luleå universitetsbibliotek databaser. Utöver det genomfördes en manuell sökning. Resultatet visar på fyra huvudkategorier med underkategorier. Huvudkategorierna var; Spiritualitet ger mening och mål, Spiritualitet ger support och stöd, Spiritualitet som drivkraft till aktiviteter och Spiritualitet som grund till känslor. Resultatet visar att spiritualitet samspelar med den inre känslan hos en människa och det yttre görandet i en aktivitet. Spiritualitet har betydelse oavsett om trossystem finns eller inte. Slutsatsen av studien visar att spiritualitet är viktigt för människan. Det är av vikt att involvera spiritualitet i klientmötet för arbetsterapeuten eftersom spiritualitet är en viktig del för holism och humanism och som var för sig är grundläggande värdegrund för arbetsterapi. 

  • 120.
    Ek, Anna
    et al.
    Psychiatric Clinic, Norrbotten County Council, Luleå.
    Isaksson, Gunilla
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    How adults with ADHD get engaged in and perform everyday activities2013Inngår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 20, nr 4, s. 282-291Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: An increasing number of adults with ADHD face problems with everyday activities, and occupational therapists play an important role regarding interventions for this particular group. However, there is a knowledge gap within occupational therapy regarding how adults with ADHD experience engagement in everyday activities. The aim of this study was to understand the experiences of engagement in, and describe how adults with ADHD performed everyday activities. Methods: Twelve people with ADHD between the ages of 21 and 38 were interviewed using a semi-structured interview guide. Data were analysed based on a qualitative content analysis. Results: The results showed how engagement in and performance of everyday activities depended on inspiration, facilitating support, and feelings of togetherness with other people. Conclusions: These results show how adults with ADHD can find strategies to become more independent in their performance of everyday activities. Furthermore, this study suggests how occupational therapists can increase opportunities for adults with ADHD to engage in different activities, make choices, and find meaning in everyday activities.

  • 121.
    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 Parents2019Inngår i: JMIR mhealth and uhealth, E-ISSN 2291-5222, Vol. 7, nr 4, artikkel-id e12512Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 122.
    Ekblom, Berit
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Myhr, Ulla
    Luleå tekniska universitet.
    Effects of the hip abduction orthosis on muscle activity in children with Cerebral Palsy2002Inngår i: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 18, nr 2, s. 55-63Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 123.
    Ekblom, Berit
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Winkel, Jörgen
    Fysiska belastningar på tandtekniker: kartläggning och åtgärdsförslag1984Rapport (Annet vitenskapelig)
  • 124.
    Ekenberg, Lilly
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Att vara barn med rörelsehinder: upplevelser av sjukgymnastik : intervjuer med unga vuxna i Norrbotten2004Rapport (Annet vitenskapelig)
  • 125.
    Ekenberg, Lilly
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Föräldrarnas kunskaper är nödvändiga att ta vara på: Licentiatuppsats om föräldraperspektiv1997Inngår i: Sjukgymnasten, ISSN 0037-6019, nr 1, s. 21-22Artikkel i tidsskrift (Annet vitenskapelig)
  • 126.
    Ekenberg, Lilly
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Hur utforma sjukgymnastik för barn/ungdomar med rörelsehinder från spädbarnsålder till vuxenliv: föräldrars perspektiv : intervjuer med föräldrar från Norrbotten1996Licentiatavhandling, monografi (Annet vitenskapelig)
  • 127.
    Ekenberg, Lilly
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Sjukgymnastikens mening för unga vuxna med funktionshinder2004Inngår i: Barnbladet, ISSN 0349-1994, Vol. 29, nr 3, s. 26-7Artikkel i tidsskrift (Annet vitenskapelig)
  • 128.
    Ekenberg, Lilly
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    The meaning of physiotherapy: experiences of fathers and mothers of young adults with impairment2001Inngår i: Advances in Physiotherapy, ISSN 1403-8196, E-ISSN 1651-1948, Vol. 3, nr 2, s. 76-85Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to explore the phenomenon of physiotherapy when fathering and mothering a child with impairment. Parents of 22 young adults aged between 15 and 25 years were interviewed. A hermeneutic phenomenological analysis was carried out in several steps by alternating between individual analysis and reflection, collaborative group analysis and continued reflection. The meaning of physiotherapy could be understood by three relationships: (1) the fathers' and mothers' experiences of their relationship to the child, (2) their relationship to the physiotherapists and (3) their relationship to the physiotherapy practice. Within each relationship a variety of aspects emerged. The parents perceived themselves as needed, and perceived that the physiotherapy services did not meet the parents' needs. Fathers and mothers experienced the lack of support in different ways and physiotherapy was taken for granted by almost all parents.

  • 129.
    Ekenberg, Lilly
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    The meaning of physiotherapy: experiences of parents of young adults with impairment2000Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    The overall aim of this thesis is to increase the understanding of the meaning of physiotherapy when fathering and mothering a child with impairment. The research has been focused on parents’ experiences of their participation in physiotherapy training of their child. The research focus and research methods have gradually changed from a more quantitative approach to a more qualitative approach as the understanding and knowledge progressed. The first two studies were questionnaires sent to parents of 49 and 105 parents respectively of children with impairment, all with contacts with physiotherapists. The third investigation comprised semi-structured qualitative interviews with strategically selected parents of 22 children, interviews that were analysed in a descriptive way. These interviews were then reanalysed, applying a hermeneutic-phenomenological method to three papers, evolving and proceeding step-by-step, from the first paper with a case analysis, in the second paper with the focus on parents of 17 young adults with experiences of Vojta physiotherapy, and finally in the third paper, with the focus on the experiences of physiotherapy of fathers’ and mothers’ of 22 young adults. The findings indicated that both fathers and mothers participated in physiotherapy. The Vojta physiotherapy was experienced as hard work but could also create a sense of hope. The meaning of physiotherapy was understood through three relations: (1) the fathers’ and mothers’ relation to the child, (2) the fathers’ and mothers’ relation to physiotherapists and (3) the fathers’ and mothers’ relation to the practice of physiotherapy. There is a need to consider whether movement or merely a body perspective should be the ontological base for clinical practice in physiotherapy for persons with impairment.

  • 130.
    Ekenberg, Lilly
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Eriksson, Anders
    County hospital, Boden.
    Physiotherapy for young people with movement disorders: factors influencing commencement and duration.1994Inngår i: Developmental Medicine & Child Neurology, ISSN 0012-1622, E-ISSN 1469-8749, Vol. 36, nr 3, s. 253-62Artikkel i tidsskrift (Fagfellevurdert)
  • 131.
    Ekenberg, Lilly
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Hansson, Siv
    Norrbottens Läns Landsting.
    Stenman, Ann-Christine
    Norrbottens Läns Landsting.
    Inventering av behov av sjukgymnastik hos vuxna personer med utvecklingsstörning och rörelsehinder i Boden och Luleå1997Rapport (Annet (populærvitenskap, debatt, mm))
    Abstract [sv]

    Syftet var att inventera behov av sjukgymnastiska insatser hos vuxna individer med utvecklingsstörning och rörelsehinder med utgångspunkt från LSS. Anhöriga och personal från gruppboende och dagverksamhet fick fylla i ett funktionellt gå- och ståstatus och ett psykologiskt status. Vid en senare träff försökte personal, anhöriga och sjukgymnast gemensamt komma fram till en bedömning av personens grovmotoriska och kommunikativa förmåga. Dessutom påbörjades då en motivationsanalys då personen var närvarande. Det insamlade materialet analyserades. De största sjukgymnastiska behoven fanns inom områdena motorik och rörelse, hjälpmedel, kommunikation och personalens behov av kompetensutveckling.

  • 132.
    Ekenberg, Lilly
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Mattisson, M.
    Sjukgymnaststuderandes erfarenheter av Basal kroppskännedom i grundutbildningen1997Inngår i: Nordisk fysioterapi, ISSN 1402-3024, Vol. 1, nr 3, s. 98-103Artikkel i tidsskrift (Annet vitenskapelig)
    Abstract [en]

    Physiotherapists need knowledge of the body but also self-experience of Basic Body Awareness (BBA). This study aimed at highlighting bodily experiences made by physiotherapy students related to a training period in BBA. Two student groups (one with and one without home exercises) produced written reports which were analysed by a mainly qualitative method. The experiences are presented in five categories; obstacles, new discoveries, changes, integration in daily life and reflection on BBA.

  • 133.
    Ekenberg, Lilly
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Wendt, Lennart von
    Göteborgs universitet, Institutionen för handikappforskning.
    Janlert, Urban
    Samhällsmedicinska enheten i Luleå.
    Föräldramedverkan i sjukgymnastik för barn med motoriska handikapp1994Inngår i: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 71, nr 9, s. 412-5Artikkel i tidsskrift (Annet vitenskapelig)
  • 134.
    Eklund, Johanna
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Eliasson, Petra
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Arbetsterapeuters erfarenhet av att använda bedömningsinstrument2019Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Syfte: Syftet med studien var att beskriva arbetsterapeuters erfarenhet av att använda bedömningsinstrument. Metod: Studien genomfördes med en kvalitativ datainsamlingsmetod där tio yrkesverksamma arbetsterapeuter intervjuades. Vid intervjuerna användes en semistrukturerad intervjuguide. Analys av den insamlade datautfördes med en kvalitativ innehållsanalys. Resultat: Genom analysen uppstår våra fyra kategorier som beskriver arbetsterapeuters erfarenhet av att använda bedömningsinstrument. KategoriernaTid och kunskap, Klienters olika behov, Struktur och klinisk erfarenhet samt Bedömningsinstrument oförenliga med journalsystemenvisar ett resultat som indikerar på en hög arbetsbelastning inom yrket. Av studien framkommer ett nytt fynd som beskriver hur arbetsterapeuter också väljer bort bedömningsinstrument då de inte ser dem som kompatibla med journalsystemen, något som bidrar till att arbetsterapeuter upplever stora svårigheter att dokumentera sina bedömningar på ett strukturerat och tidseffektivt sätt. Slutsats:Av det resultat som presenteras i studien dras slutsatsen att arbetsterapeuter idag behöver få mer tid avsatt i sitt arbete för att få möjlighet till att använda sig mer av bedömningsinstrument. Detta för att kunna öka sin kunskap om bedömningsinstrument men också för att kunna administrera dem på avsett vis, då främst vad gäller dokumentation och journalföring.

  • 135.
    Ekman, Helena
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Projekt Aktiv Student: Deltagarnas upplevda påverkan av Aktiv Student 2016/2017 – en kvalitativ intervjustudie2019Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Abstrakt

    Bakgrund: Riskerna för flertalet psykiska och fysiska problem och sjukdomar ökar vid fysisk inaktivitet och minskar vid fysisk aktivitet. Studier har visat att det finns samband mellan påbörjade högskolestudier och en minskad mängd fysisk aktivitet. Projekt Aktiv Student syftar till att få studenter mer aktiva vilket går i linje med fysioterapi som har i uppgift att bland annat främja fysisk aktivitet och hälsa. Kvalitativa studier av deltagarnas upplevda effekter skulle kunna leda till en utveckling av liknande projekt, friskvård, hälsopromotion och andra preventiva åtgärder inom fysioterapin. Syfte: Syftet med den här studien var att undersöka deltagarnas upplevelse av projektet Aktiv Students effekter, som genomfördes vid Luleå Tekniska universitet 2016/2017. Metod: En kvalitativ intervjustudie gjordes med fyra deltagare från Aktiv Student 2016/2017. Ett strategiskt urval genomfördes. Intervjumaterialet analyserades med kvalitativ innehållsanalys. Resultat: Analysen av intervjuerna resulterade i huvudkategorin; Deltagarnas upplevda påverkan av Aktiv Student, med fyra tillhörande kategorier; Positiva upplevelser av projektdeltagandet i sig, Kortsiktig och långsiktig påverkan på den fysiska hälsan, Träningskompisar och Kortsiktig och långsiktig påverkan på den psykiska hälsan. Till varje kategori finns underkategorier som behandlar området för huvudkategorin. Konklusion: Resultatet visade upplevda förbättringar av den psykiska och fysiska hälsan i samband med ökad fysisk aktivitet. Sociala faktorer, gruppen och träningskompisar var viktiga för motivationen och glädjen i träningen. Deltagarna drevs av både yttre och inre motivation. De med störst inre motivation har varit mest fysiskt aktiva efter projektet.

    Nyckelord: Aktiv Student, Effekter, Fysisk aktivitet, Hälsa, Motivation

     

  • 136.
    Ekstrand, Elisabeth
    et al.
    Department of Health Sciences, Lund University.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Brogårdh, Christina
    Lund University Hospital, Skåne University Hospital, Lund, Institutionen för hälsa, vård och samhälle, Lunds universitet, Department of Health Sciences, Lund University, Department of Rehabilitation Medicine, Skåne University Hospital.
    Grip strength is a representative measure of muscle weakness in the upper extremity after stroke2016Inngår i: Topics in Stroke Rehabilitation, ISSN 1074-9357, E-ISSN 1945-5119, Vol. 23, nr 6, s. 400-405Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Muscle weakness is the most common impairment in the upper extremity after stroke, leading to a reduced ability to use the arm and the hand in daily activities. Grip strength is easier to measure than precise, but more time-consuming, isokinetic and isometric arm muscle strength measurements. It would therefore be advantageous in a clinical setting if grip strength could be used as a proxy for muscle strength in the entire upper extremity. OBJECTIVE: To investigate the association between grip strength and isometric and isokinetic arm muscle strength in persons with chronic stroke. METHODS: Forty-five persons with mild-to-moderate paresis in the upper extremity, at least 6 months post-stroke participated. Isometric grip strength was measured with a computerized grip dynamometer and arm strength (isometric shoulder abduction and elbow flexion as well as isokinetic elbow extension and flexion) with an isokinetic dynamometer. Pearson's correlation coefficient was used to determine the association between the muscle strength measurements. RESULTS: There were significant correlations (p < .0001) between grip strength and all arm strength measurements in both the more affected (r = 0.77-0.82) and the less affected upper extremity (r = 0.65-0.82). CONCLUSION: This cross-sectional study showed that grip strength is strongly associated with muscle strength in the arm in persons in the chronic phase after stroke. As grip strength is easy to measure and less time-consuming than arm muscle strength measurements, this implies that grip strength can be a representative measure of muscle weakness of the entire upper extremity in the chronic phase after stroke.

  • 137.
    Ekstrand, Elisabeth
    et al.
    Department of Health Sciences, Lund University.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Brogårdh, Christina
    Lund University Hospital, Skåne University Hospital, Lund, Institutionen för hälsa, vård och samhälle, Lunds universitet, Department of Health Sciences, Lund University, Department of Rehabilitation Medicine, Skåne University Hospital.
    Test-Retest Reliability and Convergent Validity of Three Manual Dexterity Measures in Persons With Chronic Stroke2016Inngår i: PM&R, ISSN 1934-1482, E-ISSN 1934-1563, Vol. 8, nr 10, s. 935-943Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Decreased manual dexterity is common in persons after stroke. Different measures are used to assess manual dexterity, but a lack of knowledge exists about their reliability and how they are related. Objective: To evaluate the test-retest reliability and convergent validity of 3 manual dexterity measures after stroke. Design: A test-retest design. Setting: University Hospital. Participants: Forty-five persons (mean age 65 years) with mild-to-moderate impairments in the upper extremity at least 6 months after stroke. Main Outcome Measures: Manual dexterity was assessed on 2 occasions, 1 week apart using the Box and Block Test (BBT), the Nine-Hole Peg Test (NHPT), and the modified Sollerman Hand Function Test (mSHFT). The reliability of the BBT and NHPT was evaluated with the intraclass correlation coefficient together with systematic and random measurement errors. Reliability of the mSHFT was evaluated with the Kappa coefficient and the Svensson rank-invariant method (percent agreement and systematic and random disagreements). Convergent validity of the total scores was evaluated with the Spearman rank correlation coefficients (rho). Results: The intraclass correlation coefficient for the BBT and the NHPT ranged from 0.83 to 0.99. Significant systematic measurement errors were found for both tests and hands. The Kappa coefficient for the total sum score of the mSHFT was 0.95 for the more affected hand and 0.59 for the less affected hand. One of the 3 items showed systematic disagreements for both hands. The convergent validity (rho) for the more affected hand ranged from 0.41 (BBT versus mSHFT) to -0.68 (NHPT versus mSHFT). Conclusion: The test-retest reliability of the BBT, NHPT and mSHFT was high but all measures showed learning effects. The relationships between the 3 measures indicate that they partly complement one another. The BBT may be preferred for persons with moderate impairments of the upper extremity and the NHPT and the mSHFT for persons with milder impairments. As the mSHFT has the advantage of reflecting activities in daily life it may be a suitable alternative to the NHPT.

  • 138.
    Ekstrand, Elisabeth
    et al.
    Department of Health Sciences, Lund University.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Department of Health Sciences, Lund University.
    Brogårdh, Christina
    Department of Health Sciences, Lund University.
    Test-retest reliability of the life satisfaction questionnaire lisat-11 and association between items in individuals with chronic stroke2018Inngår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 50, nr 8, s. 713-718Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To evaluate the test-retest reliability of the Life Satisfaction Questionnaire (LiSat-11) and the association between items in individuals with chronic stroke. Design: Test-retest design. Subjects: Forty-five individuals (mean age 65 years) with mild to moderate disability at least 6 months post-stroke. Methods: LiSat-11, which includes 1 global item "Life as a whole" and 10 domain-specific items, was rated on 2 occasions, one week apart. Test-retest reliability was evaluated by kappa statistics, the percent agreement (PA) and the Svensson rank-invariant method. The association between items was evaluated with the Spearman's rank correlation coefficient (rho). Results: The kappa coefficients showed good to excellent agreement (0.59-0.97) and the PA <= 1 point was high (> 89%) for all items. According to the Svensson method, a small systematic disagreement was found for "Partner relationship". The other items showed no systematic or random disagreements. All domain-specific items, except one ("Sexual life") were significantly correlated with "Life as a whole" (rhos 0.29-0.80). Conclusion: LiSat-11 is considered reliable and can be recommended for assessing life satisfaction after stroke. The association between items indicates that LiSat-11 measures various aspects that can impact on an individual's life satisfaction.

  • 139.
    Ekstrand, Elisabeth
    et al.
    Department of Health Sciences, Lund University.
    Rylander, L.
    Division of Occupational and Environmental Medicine, Lund University.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Brogårdh, Christina
    Lund University Hospital, Skåne University Hospital, Lund, Institutionen för hälsa, vård och samhälle, Lunds universitet, Department of Health Sciences, Lund University, Department of Rehabilitation Medicine, Skåne University Hospital.
    Perceived ability to perform daily hand activities after stroke and associated factors: a cross-sectional study2016Inngår i: BMC Neurology, ISSN 1471-2377, E-ISSN 1471-2377, Vol. 16, nr 1, artikkel-id 208Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND:

    Despite that disability of the upper extremity is common after stroke, there is limited knowledge how it influences self-perceived ability to perform daily hand activities. The aim of this study was to describe which daily hand activities that persons with mild to moderate impairments of the upper extremity after stroke perceive difficult to perform and to evaluate how several potential factors are associated with the self-perceived performance.

    METHODS:

    Seventy-five persons (72 % male) with mild to moderate impairments of the upper extremity after stroke (4 to 116 months) participated. Self-perceived ability to perform daily hand activities was rated with the ABILHAND Questionnaire. The perceived ability to perform daily hand activities and the potentially associated factors (age, gender, social and vocational situation, affected hand, upper extremity pain, spasticity, grip strength, somatosensation of the hand, manual dexterity, perceived participation and life satisfaction) were evaluated by linear regression models.

    RESULTS:

    The activities that were perceived difficult or impossible for a majority of the participants were bimanual tasks that required fine manual dexterity of the more affected hand. The factor that had the strongest association with perceived ability to perform daily hand activities was dexterity (p < 0.001), which together with perceived participation (p = 0.002) explained 48 % of the variance in the final multivariate model.

    CONCLUSION:

    Persons with mild to moderate impairments of the upper extremity after stroke perceive that bimanual activities requiring fine manual dexterity are the most difficult to perform. Dexterity and perceived participation are factors specifically important to consider in the rehabilitation of the upper extremity after stroke in order to improve the ability to use the hands in daily life.

  • 140.
    Ekström, Julia
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Fyra veckors träning av djupa nackflexorer i kombination av manuell behandling hos personer med nacksmärta; effekt på motorisk kontroll, smärta och funktion.: Single system experimental design2018Independent thesis Advanced level (degree of Master (Two Years)), 20 poäng / 30 hpOppgave
    Abstract [sv]

    Introduktion: Nacksmärta är ett vanligt förekommande besvär och en av de vanligaste orsakerna till att uppsöka en fysioterapeut. Tidigare studier har visat att personer med nacksmärta har en nedsatt motorisk kontroll i de djupa nackflexorerna. Specifik träning av de djupa nackflexorerna har efter sex veckors daglig träning visat sig förbättra motorisk kontroll, minska smärta och förbättra funktionen. Även manuell behandling har visat sig vara en bra behandlingsmetod vid nacksmärta.Syfte: Syftet med denna studie var att utreda effekten på motorisk kontroll, funktion och smärta hos personer med nacksmärta efter bara fyra veckors daglig träning av djupa nackflexorer samt undersöka effekten av kombination av manuell behandling. Metod:Studien utgjordes av ensingle subject experimental design(SSED) där sex deltagare inkluderades. Samtliga deltagare genomgick en baslinjemätning under sex veckor och sedan en interventionsperiod på fyra veckor. De testades en gång/vecka medcraniocervikal flexion test (CCFT) där motorisk kontroll hos djupa nackflexorer mättes samt självskattad smärta och funktion. Inför interventionsperioden randomiserades deltagarna i två grupper med tre deltagare per grupp. Ena gruppen fick förutom daglig hemträning av djupa nackflexorer även manuell behandling en gång/vecka. Hemträningen stegrades successivt. Resultat:Resultatet visade effekt på förbättrad motorisk kontroll i de djupa nackflexorerna med förbättrat utförande av CCFT hos samtliga deltagare. Vad gäller nackens inverkan på funktion visade testen effekt på förbättring hosdeltagare 1 och 4, svag effekt visades hos deltagare 3, 5 och 6 och ingen effekt visades hos deltagare 2.Effekt på minskad smärta kunde ses hos deltagare 1, 2 ,3 och 5 medan ingen effekt kunde ses hos deltagare 4 och 6. Kombinationen av manuell behandling visade ingen skillnad i effekt på motorisk kontroll eller funktion men däremot visade två deltagare i manuell behandlingsgruppen en snabbare minskning av smärtan än hos några andra. Konklusion: Denna studie pekar på att specifikträning av djupa nackflexorer är en bra behandlingsmetod vid långvarig nacksmärta och att effekt av träningen kan påvisas efter endast fyra veckor. Kombination av manuell behandling kan leda till att smärtan avtar snabbare.

  • 141.
    El Shafey, Ahmed
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Stay active.: Factors motivating elderly people to stay physically active after physiotherapy2019Independent thesis Advanced level (degree of Master (Two Years)), 10 poäng / 15 hpOppgave
    Abstract [en]

    Background: Despite the known benefits of physical activities in the management of many chronic diseases associated with aging, a majority of elderly patients within primary health care have difficulties reach the daily recommendation of physical activity and risking being inactive after physiotherapy. Therefore, it is important to understand the factors influencing their motivation in order to provide support for them to stay physically active after physiotherapy.

    Aim: To describe the perceived latent motivating factors to stay physically active after physiotherapy among elderly people.

    Method: The Data was collected by open-ended interviews conducted with ten Swedish patients aged 69-88 years and then analyzed using content analysis and interpreted within   a social cognitive theory framework context.[LN1] 

    Results: The results contributed to one theme “Ability to cope with one-self, others and the environment“ combined with three categories. The categories were subjective factors, physical activity-related factors, and environmental factors. The result supports the participants’ characteristics that were partially similar to those in older age population. However, the current study contributed with new knowledge within each category. The outcome of these factors has shown that all participants enjoy high self-efficacy despite the variation in their health conditions. Inner feelings such self-blaming, discouragement and fear of being left out and alone expressed as matter of high relevance to older adults’ motivation, but not often considered within physiotherapy. The results also showed that having others as role models was not as important as having professional support.  Additionally, relevant information, type of sport facilities and physical activities as well as having fixed routines for physical activities influenced their motivation.

    Conclusion: The ability to cope with one-self, others and the environment was the main motivating factor to stay physically active after physiotherapy. This coping ability was influenced by subjective factors, physical activity-related factors and environmental factors.

    Health care professionals should be aware of these motivating factors and use them as a guide to support elderly patients’ motivation to stay physically active.

     [LN1]..within eller from a social cognitive theory framework???

  • 142.
    Eliasson, Karolin
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Sörensen, Lena
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Självskattad aktivitetsbalans och arbetsrelaterad stress: hos universitetslärare2018Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [sv]

    SAMMANFATTNING

    Syfte: Syftet med denna studie var att beskriva skattad förekomst av arbetsrelaterad stress och aktivitetsbalans hos universitetslärare. Metod: Uppsatsen hade en kvantitativ ansats och baserades på insamlat datamaterial från en enkätundersökning med självskattningsinstrumenten Work Stress Questionnaire (WSQ) och Occupational Balance Questionnaire (OBQ). Undersökningsgruppen var ett totalurval av all undervisande personal vid en institution på ett universitet i Sverige och totalt svarade 41 universitetslärare. Data analyserades explorativt och presenterades med deskriptiv statistik. Resultat: Deltagarna i studien skattade generellt en låg förekomst av arbetsrelaterad stress (utifrån WSQ) samt låg grad av aktivitetsbalans (utifrån OBQ). Vidare visade resultaten, gällande relation mellan arbetsrelaterad stress och aktivitetsbalans, att deltagare som skattat låg grad av aktivitetsbalans även skattat högre förekomst av arbetsrelaterad stress. Slutsats: Studien visade att deltagare som skattat en lägre aktivitetsbalans även skattat högre arbetsrelaterad stress inom kategorierna Konflikt mellan arbete och fritid, Upplevd stress pga. otydlig organisation och konflikter samt Upplevd stress pga. höga egna krav och engagemang vilket eventuellt indikerar att det kan finnas ett samband mellan låg aktivitetsbalans och hög arbetsrelaterad stress.

     

  • 143.
    Elinge, Eva
    et al.
    Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
    Nyberg, Lars
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Cognitive impairment and hip fracture2003Inngår i: International Journal of Therapy and Rehabilitation, ISSN 1741-1645, E-ISSN 1759-779X, Vol. 10, nr 6, s. 285-Artikkel i tidsskrift (Annet vitenskapelig)
  • 144.
    Ellinor, Nyström
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Hur praktiseras norsk psykomotorisk fysioterapi?: En kvalitativ studie om norska fysioterapeuters erfarenheter2019Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: Norsk psykomotorisk fysioterapi är en fysioterapeutisk kroppsorienterad behandlingsmetod som har som syfte att behandla personer med nedsatt psykomotorisk funktion. Behandlingsmetoden saknar vetenskaplig dokumentation om hur behandlingen praktiseras. Syfte: Syftet med studien var att utforska och beskriva norska fysioterapeuters erfarenheter av hur de praktiserar norsk psykomotorisk fysioterapi. Metod: Kvalitativa intervjuer med öppna frågor utfördes på tre norska fysioterapeuter med psykomotorisk utbildning för att samla in datan. Materialet analyserades med en kvalitativ innehållsanalys och resulterade i tre huvudkategorier: Grundläggande behandling, Ingripande behandling och Vidmakthålla resultaten. Resultat: Det framkom i resultatet att behandlingen är en process i tre steg som startar med att patienterna ska öka sitt kroppsmedvetande och förbättra kontakten med kroppen och resurser, vilket lägger grunden för behandlingen. Där efter så går behandlingen vidare till att behandla problemet som patienten söker för som oftast sker med en kroppsomställning och övning i att lyssna på och utrycka kroppen samt sätta gränser. Till sist så går behandlingen in på att vidmakthålla de erövrade resultaten genom att göra patienterna starkare i sig själva så att de inte faller tillbaka i gammalt mönster. Konklusion: Behandlingen innehåller olika övningar och moment som utformas utifrån den individuella patienten med målet att öka patientens kontakt med sina egna resurser och förståelse för sig själv. Behandlingsupplägget styrs av dialogen mellan patient och fysioterapeut där fysioterapeuten har en viktig roll för att patienten ska uppnå det eftertraktade resultatet.

  • 145.
    Emilsson, Cajsa
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Andersson, Jessica
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Fysioterapeutens upplevelser och erfarenheter av att rehabilitera kvinnor som drabbats av inkontinensbesvär postpartum2019Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: Inkontinensbesvär är ett vanligt problem bland den svenska befolkningen och upp till 60% av alla vuxna kvinnor löper risk att drabbas av inkontinens någon gång under livet. Graviditet och förlossning är riskfaktorer för att få en försvagning och/eller skada av bäckenbotten. Omkring 50% av alla kvinnor förlorar någon funktion i bäckenbotten till följd av förlossning, vilket kan leda till urininkontinens. Bäckenbottenträning är den vanligaste fysioterapeutiska behandlingsinsatsen för stressinkontinens och rekommenderas även för andra typer av urininkontinens. Syfte: Syftet med studien var att beskriva fysioterapeuters erfarenheter och upplevelser av att arbeta med kvinnor som drabbats av inkontinensbesvär postpartum. Metod: Studiens deltagare är färdigutbildade fysioterapeuter, som efter grundutbildning vidareutbildat sig inom området kvinnors hälsa. En kvalitativ ansats har valts för att besvara studiens syfte och den kvalitativa innehållsanalysen har utförts utifrån Granheim och Lundman. Resultat: Resultatet i denna studie visar hur viktigt det personliga mötet är vid rehabiliteringen av kvinnor som postpartum drabbats av inkontinensbesvär. Samtliga informanter upplever att fysioterapi har stor betydelse vid inkontinensbesvär postpartum och önskar att vårdkedjan utvecklas så att den skapar bättre förutsättningar för att arbeta med dessa kvinnor. Konklusion: För att fysioterapeuten ska få möjlighet att bemöta dessa kvinnor på bästa sätt finns det olika aspekter som behöver ses över för att möjliggöra för de fysioterapeuter som har ett intresse av att arbeta med rehabiliteringen av inkontinensbesvär postpartum. Den goda kunskapen som fysioterapeuten besitter bör tas tillvara på och involveras som en viktig resurs i mödravården.

  • 146.
    Engström, Tobias
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Äldre människors statiska och dynamiska balans - Reaktionstid spelar roll2018Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Fallolyckor är den i särklass vanligaste olyckstypen som leder till flest dödsfall ivärlden. Inga studier har tidigare utförts med syftet att undersöka korrelationen mellanreaktionstid och balans. Studiens syfte var att analysera och sammanställa insamlad dataför variablerna reaktionstid (RT), bedömningsinstrumentet Short Physical PerformanceBattery (SPPB) och posturalt svaj (CoP) för att undersöka om det fanns någonkorrelation mellan RT och SPPB eller CoP. Data samlades in från 45 deltagare genomtester av variablerna reaktionstid, SPPB-poäng samt posturalt svaj. Data kalkylerades iMicrosoft Office Excel® och presenterades med deskriptiv statistik där variablernabeskrevs i tabeller med medelvärde, standardavvikelse och 95 % konfidensintervall.Korrelations-koefficienten räknades ut med Pearsons produktmomentkorrelationskoefficient (r) och determinationskoefficient (R2). Studien visade att korrelationenmellan reaktionstid och totalpoängen i SPPB hade ett medelsvagt linjärt samband (r= -0.341). Korrelationen i de olika delmomenten i SPPB visade ett medelstarkt och starktlinjärt samband mellan reaktionstid och balanstest (r= -0.510) respektive gånghastighet(r= -0.698) hos kvinnor men inte hos män. Det linjära sambandet mellan uppresningaroch reaktionstid visade en svag korrelation hos både kvinnor (r= -0.311) och män (r= -0.342). Det fanns ett starkt linjärt samband mellan RT och CoP-variablerna maximaltanterio-posteriort svaj med ögonen öppna på mjukt underlag (r= 0.710), ett medelstarktsamband mellan RT och svajvelocitet med ögonen öppna på mjukt underlag (r= -0.464)och även mellan reaktionstid och anterio-posterior stabilitetsgräns (r= -0.408). Ingeteller svagt linjärt samband förelåg mellan RT och de olika variablerna där deltagarenhar slutna ögon. Studien visar att längre reaktionstid också är associerad med ökatposturalt svaj i stående position på ett mjukt underlag med ögonen öppna. Längrereaktionstid är också associerad med sämre balans och lägre gånghastighet hos kvinnormen inte hos män.

  • 147.
    Engström, Åsa
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Vem kontrollerar smärtan?: patienters upplevelser av egenkontroll och behandlingsmål i sjukgymnastik2007Inngår i: Svensk rehabilitering, ISSN 1403-4468, Vol. 8/9, nr 4:1, s. 56-62Artikkel i tidsskrift (Annet vitenskapelig)
  • 148.
    Ericson, Cajsa
    et al.
    1Veterinary Physiotherapy, University of Liverpool.
    Stenfeldt, Pernilla
    Veterinary Physiotherapy, University of Liverpool.
    Jacobson, Inger
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    The effect of kinesiotape on range of motion in flexion–extension of the thoracolumbar back in the trotting horse2016Inngår i: Acta Veterinaria Scandinavica, ISSN 1751-0147, E-ISSN 1751-0147, Vol. 58, nr Suppl. 2, s. 95-121Artikkel i tidsskrift (Fagfellevurdert)
  • 149.
    Eriksson, Gunilla
    et al.
    Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge.
    Lilja, Margareta
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Jonsson, Hans
    Department of Neurobiology, Care Sciences and Society, Karolinska Institutet.
    Petersson, Ingela
    Division of Occupational Therapy, NVS, Karolinska Institutet, Huddinge.
    Tatzer, Verena
    University of Applied Sciences Wiener Neustadt.
    Occupation of Elderhood2015Inngår i: Occupational therapy: performance, participation and well-being, Thorofare, NJ, USA: SLACK Incorporated , 2015, 4, s. 169-183Kapittel i bok, del av antologi (Fagfellevurdert)
  • 150.
    Eriksson, Lisbeth
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Aktivitet: Sjukgymnastik på distans för axeloprerade patienter2006Konferansepaper (Annet (populærvitenskap, debatt, mm))
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