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  • 201.
    Gard, Gunvor
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Sandberg, Ann Christine
    Karolinska institute, Department of Physical Therapy.
    Motivating factors for return to work1998In: Physiotherapy Research International, ISSN 1358-2267, E-ISSN 1471-2865, Vol. 3, no 2, p. 100-108Article in journal (Refereed)
    Abstract [en]

    AB - BACKGROUND AND PURPOSE: A new concept to increase return to work for patients listed as sick with chronic musculoskeletal pain has been used at a rehabilitation centre in Lulea, Sweden. The programme includes work for three days a week and intensive rehabilitation for two days a week, for 12 weeks, as a combination of 'on the job' training and rehabilitation after a period off work sick. The rehabilitation programme focused on pain reduction, identifying and finding solutions to pain problems in actual work and life situations and training of the functional capacities needed in the work and life situation. The aim of the study was to describe patients' perceptions of motivating factors for return to work. METHODS: A phenomenological method was used. A naive reading of interview notes was followed by structural analyses and reflections on the interpreted whole. Inclusion criteria for the study were musculoskeletal pain for at least one year and a period of at least four weeks' sick leave during that time. Ten patients, aged 30-54 years, participated in the study. An initial conceptual framework was developed to inform the scope of the study and to guide data collection and analysis. RESULTS: Different factors in the study framework influenced motivation to return to work. Among structural factors the division of labour at work was the most important motivator, particularly the ability to do as much as work colleagues, quantitatively and qualitatively. All the patients had jobs in the healthcare or service sectors, jobs with many social contacts. They perceived their work task content as being of minor importance compared to whether the tasks were perceived as meaningful or highly needed by others. All wanted a meaningful job content and a job which they could do in a satisfactory way according to their own norms and compared to colleagues. This highly increased motivation for return to work. Relationships (in terms of co-operation with colleagues and service to patients or clients) were important motivating factors for return to work. Self-confidence was a new factor of importance for return to work; work tasks had to be meaningful and needed by others, work must be done in a way satisfactory for the individual and in a way that was acceptable to others in the group. Everyday responsibility, feedback and support in daily work tasks were important. These aspects increased self-confidence. The results supported the development of a new conceptual framework for possible motivating factors for return to work. CONCLUSIONS: Structure, content, relationships, health and self-confidence were all important motivating factors for return to work.

  • 202.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Work organisational changes in surveying work1998In: Human factors in organizational design and management - VI : proceedings of the Sixth International Symposium on Human Factors in Organizational Design and Management held in The Hague, The Netherlands, August 19-22, 1998 / [ed] Peter Vink; Ernest A.P. Konigsveld; Steven Dhondt, Amsterdam: Elsevier, 1998, p. 171-182Conference paper (Refereed)
  • 203.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Activity: Test of antiskiddevices1997Conference paper (Other (popular science, discussion, etc.))
  • 204.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Aktivitet: Följer patienten råd och rekommendationer efter avslutad rehabilitering?: 2-årsuppföljning av patienters följsamhet1997Conference paper (Other (popular science, discussion, etc.))
  • 205.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Aktivitet: Tidig funktionell rehabilitering av patienter med ryggdiagnoser1997Conference paper (Other (popular science, discussion, etc.))
  • 206.
    Blomkvist, Anna-Christina
    et al.
    Luleå tekniska universitet.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Datoranvändning i kyla1997Report (Other academic)
  • 207.
    Lundborg, Glenn
    et al.
    Luleå University of Technology, Department of Civil, Environmental and Natural Resources Engineering, Architecture and Water.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Test of anti-skid devices1997In: From experience to innovation: proceedings of the 13th Triennial Congress of the International Ergonomics Association, IEA '97, June 29 - July 4, 1997, Tampere, Finland, 1997, Vol. 3, p. 377-379Conference paper (Refereed)
  • 208.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Activity: Job-control and worker strain among offiece workers: a cross-cultural comparison1996Conference paper (Other (popular science, discussion, etc.))
  • 209.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Aktivitet: Arbetsmiljöprogrammet "Satsa friskt" inom Kalix hälso- och sjukvårdsdidtrikt: deltagarnas upplevelser, ansvarigas upplevelser, hälsoekonomisk bild1996Conference paper (Other (popular science, discussion, etc.))
  • 210.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Utvärdering av yrkesinriktad rehabilitering1996Report (Other academic)
    Abstract [sv]

    Syftet med denna studie var att utvärdera den yrkesinriktade rehabiliteringen vid ett rehabiliteringscenter i Norrbotten under 1993. Samtliga 78 deltagare besvarade ett frågeformulär dels under rehabiliteringens första dag, dels 5 månader efter rehabiliteringen. 68 ansåg att deras besvär var arbetsrelaterade. De personliga målen med rehabiliteringen var att få hjälp till självhjälp i liv och arbete, att lära sig leva med sina besvär eller att få träna upp sig fysiskt. 30 deltagare ansåg att målen uppnåtts. Den yrkesinriktade träningen bestod av förflyttningsteknik och ergonomisk arbetsteknikträning. Den fysiska träningen omfattade bassängträning, sekvensträning, gymnastik, cykelträning och avspänning. Deltagarna motiverades att fortsätta sin fysiska träning efter rehabiliteringens slut.

  • 211.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Utvärdering av Durevalls förflyttningsteknik inom långvården1995Report (Other academic)
  • 212.
    Lundborg, Glenn
    et al.
    Luleå University of Technology, Department of Civil, Environmental and Natural Resources Engineering, Architecture and Water.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Development of a method to test anti-skid devices for pedestrians1994In: Fourth International Symposium on Cold Region Development: ISCORD '94, Extended Abstracts, 1994, p. 127-128Conference paper (Other academic)
  • 213.
    Lundborg, Glenn
    et al.
    Luleå University of Technology, Department of Civil, Environmental and Natural Resources Engineering, Architecture and Water.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Pedestrians transportation problems on different slippery surfaces during winter and the functionality of different anti-skid devices1994In: Proceedings / Polartech '94: International Conference on Development and Commercial Utilization of Technologies in Polar Regions, March 22-25, 1994 Luleå, Sweden, 1994, p. 19-26Conference paper (Refereed)
  • 214.
    Gard, Gunvor
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Lundborg, Glenn
    Luleå University of Technology, Department of Civil, Environmental and Natural Resources Engineering, Architecture and Water.
    Transport capacity on different slippery surfaces during winter1994In: Technical report: IXth PIARC International Winter Road Congress : March 21 - 25, 1994, Seefeld, Austria, Wien: Bundesministerium für Wirtschaftl. Angelegenheiten , 1994, Vol. 1, p. 321-327Conference paper (Refereed)
  • 215.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Fysisk träning på arbetstid för städpersonal: en interventionsstudie1992Report (Other academic)
  • 216.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Durevalls förflyttningsteknik inom långvården: en interventionsstudie1991Report (Other academic)
  • 217.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Arbetsrelaterade skuldernackbesvär i administrativt arbete: riskfaktorer, prevention1990Report (Other academic)
  • 218.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Physical and psychosocial occupational strain1990Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    This monography thesis is based on five empirical studies of physical and psychosocial occupational strain in working life. The first three studies concern the working environment of crane couplers. The first study, a questionnaire study, showed that monotonous postures and movements, heavy lifting and long walking distances were common reasons for regarding crane coupling as a physically strenuous work. The second study, a medical study, showed that clinical findings were more prevalent in the right neck- and shoulder region. The third study, an electromyographic study showed that the physical strain in crane coupling can be reduced by using wooden or other light weight spacers, to rearrange the layout so that slinging is always possible or by using slings mode of fibre or other light weight material. This study also indicated that crane coupling work may cause harmful effects to the shoulder- or neck region. The fourth study examined psychosocial strain and qualification in administrative computer work by using questionnaires, interviews and physiological measurements at repeated occasions. The results indicated a good agreement between level of qualification, psychosocial work load and job satisfaction. Computerisation lead to increased qualifications at work. This improved job satisfaction but at the same time resulted in an increased workload. The fifth study concerns how patients visiting primary health care perceive physical and psychosocial occupational strain. It could be shown that the patients perceived physical as well as psychosocial strain as important working environment problems

  • 219.
    Winkel, Jörgen
    et al.
    Luleå tekniska universitet.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    An EMG-study of work methods and equipment in crane coupling as a basis for job redesign1988In: Applied Ergonomics, ISSN 0003-6870, E-ISSN 1872-9126, Vol. 19, no 3, p. 178-184Article in journal (Refereed)
    Abstract [en]

    Previous studies have shown that physical strain is perceived as the main work environment problem for crane couplers. During one year, 70% of the crane couplers at two Swedish steelworks (n = 124) indicated complaints of the locomotor system. An experimental field study comprising seven healthy female crane couplers was therefore carried out to determine if crane coupling implies too high a physical strain for healthy individuals, and to suggest ergonomics solutions to such problems if they occur. The significance of using different methods and equipment for reducing physical strain was evaluated by vocational EMG (four shoulder/neck and arm muscles), heart rate and ratings of perceived exertion. The data suggest that crane coupling may have harmful effects on the shoulder/neck. The investigated changes in work methods and equipment reduced the peak loads. If the crane coupler also has to operate the crane by radio control, this implies a rationalisation as well as a reduction in strain

  • 220.
    Gard, Gunvor
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Brenner, Sten-Olof
    Arbetsmiljö och hälsoeffekter vid datorisering av administrativa rutiner1988Report (Other academic)
  • 221.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Physical strain and musculoskeletal disorders among crane couplers1988Licentiate thesis, monograph (Other academic)
  • 222.
    Winkel, Jörgen
    et al.
    Luleå tekniska universitet.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Pettersson, Dennis
    Luleå University of Technology, Department of Business Administration, Technology and Social Sciences, Innovation and Design.
    Åkerlund, Elisabeth
    Luleå tekniska universitet.
    Fordonshytt för sophantering och varudistribution1985Report (Other academic)
  • 223.
    Winkel, Jörgen
    et al.
    Luleå tekniska universitet.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Krankopplarnas arbetsmiljö: kartläggning av fysiska belastningar och förslag till åtgärder1984Report (Other academic)
  • 224.
    Gard, Gunvor
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Lewin, Thord
    Luleå tekniska universitet.
    Winkel, Jörgen
    Luleå tekniska universitet.
    Krankopplarnas arbetsmiljö: medicinsk undersökning av krankopplare med besvär från rörelseorganen1984Report (Other academic)
  • 225.
    Calner, Tommy
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Nordin, Catharina
    Department of Primary health care, Norrbotten County Council .
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Nyberg, Lars
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Michaelson, Peter
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Physiotherapy in combination with personalized counseling and a web-based programme for persistent pain: an early stage evaluationManuscript (preprint) (Other academic)
    Abstract [en]

    Objective

    We evaluated first a self-managed web-based programme for activity compared to waiting list for persons with persistent musculoskeletal pain suited for primary health care. Thereafter, we evaluated the effects and process of a novel multimodal treatment intervention combining the web programme with counselling and physiotherapy. 

     

    Design

    A weekly comparison of measures of outcome data between those using the self-managed web-based programme to those on a waiting list. After that a Single Subject Experimental Design (SSED) evaluation of the multimodal intervention, structured interviews and log data.

     

    Setting

    Clinical setting in primary health care.

     

    Subjects

    Ten participants with persistent musculoskeletal pain.

     

    Intervention

    First, only a self-managed web-based programme for activity. Thereafter a multimodal intervention combining the web programme with counselling and physiotherapy.

     

    Main measures

    Effect measures were work ability, pain intensity, disability and self-efficacy. Process evaluation by interviews of the participants and log data of usage of the modalities.

     

    Results

    There were no conclusive effects of the self-managed web-based programme as compared to waiting list. The SSED analyses of the multi-modal showed promising short-term results regarding disability and pain intensity, but no conclusive results for work ability or self-efficacy. The multimodal intervention process seemed successfully implemented, and the importance of physiotherapy and to some extent counselling was emphasized by the participants.

     

    Conclusion

    For persons with persistent musculoskeletal pain, the newly designed multimodal intervention in primary care seemed feasible and showed some promising short-terms effects, while the implementation of a self-managed web-based programme as a single intervention seemed without effect. 

2345 201 - 225 of 225
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