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  • 201.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Kritiska belastningssituationer vid rehabilitering i hemmet1999Inngår i: Arbete, människa, miljö och Nordisk ergonomi, ISSN 1402-859X, nr 3, s. 179-183Artikkel i tidsskrift (Annet vitenskapelig)
  • 202.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Mobil informations- och kommunikationsteknik inom rehabilitering2005Inngår i: Abstractbok för sjukgymnastdagarna 2005, Stockholm: Legitimerade sjukgymnasters riksförbund , 2005, s. 30-Konferansepaper (Annet vitenskapelig)
  • 203.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Motivating and demotivating factors in work among women as small-size enterprise leaders: a basis for improved working environment1998Inngår i: Arbete, människa, miljö och Nordisk ergonomi, ISSN 1402-859X, nr 4, s. 261-268Artikkel i tidsskrift (Annet vitenskapelig)
  • 204.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Physical and psychosocial occupational strain1990Doktoravhandling, med artikler (Annet vitenskapelig)
    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

  • 205.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Physical strain and musculoskeletal disorders among crane couplers1988Licentiatavhandling, monografi (Annet vitenskapelig)
  • 206.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Prevention of slip and fall accidents: risk factors, methods and suggestions for prevention2000Inngår i: Physical Therapy Reviews, ISSN 1083-3196, E-ISSN 1743-288X, Vol. 5, nr 3, s. 175-182Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Slips and falls are major causes of accidents and injuries at work, in public areas and at home. Studies have shown that the more risk factors an individual is exposed to, the higher risk for slips and falls. The aim of this paper is to describe risk factors for slips and falls, methods that can be used in prevention, and ideas on how physiotherapists can work with prevention of slip and fall accidents. A review of the literature has been done, searching for relevant literature published in English between 1985 and 2000, from the Medline catalogue. The result showed many different risk factors for slip and fall accidents: (a) transfer situations; (b) reduced postural control, i.e. disturbed balance together with reduced muscle strength in the lower extremity; (c) reduced mobility in the hips and feet; (d) dizziness and vestibular asymmetries; and (e) medication. The following diseases may increase the risk for slip and fall accidents: stroke, cardiovascular diseases, musculoskeletal disorders, depression, Parkinson's disease, diabetes and dementia. Preventive interventions have been described but more are needed. A standardized fall anamnesis has been described including patients' earlier fall accidents and relevant risk factors present. Walking ability, balance, medicine consumption can be registered. Preventive programmes concerning risk factors for slips and falls, physical activities for daily use, and preventive aids have been developed and can be recommended for use by patients visiting primary health care and occupational health care. Studies have shown that physical training can increase the number of activities in daily life, reduce the use of technical aids, increase balance and walking ability, which all reduce the risk for slip and fall accidents

  • 207.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Psykosocial arbetsmiljö1999Inngår i: Människan i arbetslivet: teori och praktik, Lund: Studentlitteratur AB, 1999, s. 63-78Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 208.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Stress prevention in an organizational context: A challenge for the psysiotherapist2001Inngår i: Nordisk fysioterapi, ISSN 1402-3024, Vol. 5, nr 2, s. 92-96Artikkel i tidsskrift (Annet vitenskapelig)
  • 209.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Stressprevention i ett organisatoriskt perspektiv: en utmaning för sjukgymnasten2002Inngår i: Människor, hälsa, miljö: föredrag hållna på filosofiska fakultetens dag 6 oktober 2001, Luleå: Luleå tekniska universitet, 2002, s. 19-26Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 210.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    The physical therapist - an interactional ergonomic and health expert?...: commentary on Higgs J, Hunt A, Higgs C, Neubauer D.Physiotherapy education in the changing international healthcare and educational context2000Inngår i: Advances in Physiotherapy, ISSN 1403-8196, E-ISSN 1651-1948, Vol. 2, nr 3, s. 99-102Artikkel i tidsskrift (Fagfellevurdert)
  • 211.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Towards innovative practices in surveying work2000Inngår i: Innovative theories, tools, and practices in work and organizational psychology / [ed] Matti Vartiainen; Framcesco Avallone; Neil Anderson, Hogrefe & Huber Publishers, 2000Konferansepaper (Fagfellevurdert)
  • 212.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Towards innovative practices in surveying work?1999Inngår i: Proceedings of the 10th year anniversary of M. Sc. ergonomics: International conference, Luleå, Sweden, 29-30 October 1999 / [ed] John Abeysekera; Emma-Christin Lönnroth; D. Paul T. Piamonte; Houshang Shahnavaz, Luleå: Luleå tekniska universitet, 1999, s. 185-190Konferansepaper (Fagfellevurdert)
  • 213.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Utvärdering av Durevalls förflyttningsteknik inom långvården1995Rapport (Annet vitenskapelig)
  • 214.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Utvärdering av yrkesinriktad rehabilitering1996Rapport (Annet vitenskapelig)
    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.

  • 215.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Vilja förändras: vad kan påverka motivationen?2004Inngår i: Svensk rehabilitering, ISSN 1403-4468, Vol. 6, nr 4, s. 6-9Artikkel i tidsskrift (Annet vitenskapelig)
  • 216.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Work motivating factors in rehabilitation: a brief review2001Inngår i: Physical Therapy Reviews, ISSN 1083-3196, E-ISSN 1743-288X, Vol. 6, nr 2, s. 85-89Artikkel i tidsskrift (Fagfellevurdert)
  • 217.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Work motivation: a brief review of theories underpinning health promotion2002Inngår i: Physical Therapy Reviews, ISSN 1083-3196, E-ISSN 1743-288X, Vol. 7, nr 3, s. 163-8Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Motivating people is an important issue for physiotherapists working with health promotion, aiming at maintaining and strengthening resources for health. The aim of this literature review is to describe the theoretical foundations for how to improve work motivation, and from that suggest strategies that can be used by physiotherapists in health promotion. The databases MEDLINE and Psychlit were searched for theories of importance for work motivation. Thirteen theories were found: seven were exogenous theories, focusing on aspects that can be changed by external agents; six were endogenous theories, dealing with more internal psychological aspects of motivation. Key strategies that can be used by physiotherapists in health promotion to improve work motivation were indentified: design attractive, interesting, satisfying jobs; support workers in defining specific, clear, attractive and difficult but attainable goals; focus on feedback and rewards; support workers' goal attainment; support workers' self-efficacy; establish ethical rules and norms for acceptable behaviour at work; balance workers' job demands and individual capacities; and, support workers in making priorities in work

  • 218.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Work organisational changes in surveying work1998Inngår i: 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, s. 171-182Konferansepaper (Fagfellevurdert)
  • 219.
    Gard, Gunvor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Berggård, Glenn
    Luleå tekniska universitet, Institutionen för samhällsbyggnad och naturresurser, Arkitektur och vatten.
    Assessment of anti-slip devices from healthy individuals in different ages walking on slippery surfaces2006Inngår i: Applied Ergonomics, ISSN 0003-6870, E-ISSN 1872-9126, Vol. 37, nr 2, s. 177-86Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The interest for effective preventive strategies for slips and falls is growing. Much remains to be done, however, to prevent slips and falls in the traffic environment. Using an appropriate anti-slip device may reduce the risk of slips and falls on different surfaces outdoors during winter. The aim of this study was to evaluate the best anti-slip devices of different designs in the Swedish market on a larger group of healthy individuals in different ages on five different slippery surfaces as a way to develop a standard method to test anti-slip devices. Three different designs of anti-slip devices: heel device, foot-blade device and whole-foot device were evaluated on ice surfaces uncovered or covered with gravel, sand, salt or snow. The evaluations were done according to subject's perceived walking safety and balance, videorecordings of walking postures and movements, time to take on and off each anti-slip device, advantages/disadvantages with each anti-slip device and a list of priorities for own use according to three criteria: safety, balance and appearance. The heel device was perceived to be the most safe on all five surfaces, followed by the toe device and the whole-foot device. The heel device was also perceived to be the one with the best walking balance on uncovered ice and on snow covered ice. There were some significant differences due to gender and age. Most subjects walked with a normal muscle function in the hip and knee when walking with or without an anti-slip device on all surfaces. The heel device was perceived as the most rapid one to take on and the toe device as the most rapid one to take off. All three devices were perceived as having a good foothold. The heel device was perceived to fit the shoe and to be stable at heel-strike. The toe device was easily portable and stable on uncovered ice. The whole-foot device was comfortable to walk with and safe on snow covered ice. The heel device had the highest priority according to walking safety, walking balance and choice for own use

  • 220.
    Gard, Gunvor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Berggård, Glenn
    Luleå tekniska universitet, Institutionen för samhällsbyggnad och naturresurser, Arkitektur och vatten.
    Rosander, Peter
    Luleå tekniska universitet, Institutionen för samhällsbyggnad och naturresurser, Arkitektur och vatten.
    Larsson, Agneta
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Pedestrians perceptions of community walking with anti-slip devices: an explorative case study2018Inngår i: Journal of Transport and Health, ISSN 2214-1405, E-ISSN 2214-1405, Vol. 11, s. 202-208Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 221.
    Gard, Gunvor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Brenner, Sten-Olof
    Arbetsmiljö och hälsoeffekter vid datorisering av administrativa rutiner1988Rapport (Annet vitenskapelig)
  • 222.
    Gard, Gunvor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Dagis, Daina
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Physiotherapy students´ perceptions of learning in clinical practice in Sweden and India2016Inngår i: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 36, s. 381-386Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Is it reasonable to assume that conditions for learning differ between universities and countries. Increased understanding of similarities and differences of student´s perceptions of learning environment can be useful in the development of the physiotherapy education as well as of the profession as such. Through international comparisons the benefits and challenges of educational programs can be made transparent and serve as base for improvement.Objective: The objective of this study was to describe and compare physiotherapy students´ perceptions of their learning environment in clinical practice in India and Sweden.Design and setting: A questionnaire study was performed, covering physiotherapy students' perceptions of their clinical learning environment, the physiotherapy supervisor within the clinical context, their supervisory relationship and the role of the clinical supervisor at two Universities, Luleå in Sweden and Amity in New Delhi, India.Participants: Undergraduate students at two physiotherapy programmes, in New Delhi, India and in Luleå, Sweden participated in the questionnaire study.Results: In general, both groups had high rankings of their perceptions of the clinical learning environment. The Swedish students ranked individual supervision, participation in meetings, the supervisor as a resource, being a part of the team and giving them valuable feedback higher than the Indian group. The supervisory relationship was equally satisfying in groups, providing valuable feedback and acknowledging equality and mutuality in the relationship. The Indian group ranked the supervisor as a colleague, as a support in learning, and that he/she made them feel comfortable in meetings higher than the Swedish group.Conclusions: Both groups had high ratings of the supervisor and the clinical learning context Participation at meetings was higher rated in the Swedish and the supervisor as a support in learning higher rated of the Indian students.

  • 223.
    Gard, Gunvor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Dahlgren, Annika Svensson
    Astra Zeneca, Lund.
    Stressreducerande interventioner i dagens arbetsliv: vad fungerar på grupp och organisatorisk nivå2011Konferansepaper (Annet vitenskapelig)
  • 224.
    Gard, Gunvor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Gille, Kent-Åke
    Piteå älvdals sjukhus, Sjukgymnastiken.
    Degerfeldt, Lars
    McKenzie method and functional training in back pain rehabilitation: A brief review including results from a four-week rehabilitation programme2000Inngår i: Physical Therapy Reviews, ISSN 1083-3196, E-ISSN 1743-288X, Vol. 5, nr 2, s. 107-115Artikkel i tidsskrift (Fagfellevurdert)
  • 225.
    Gard, Gunvor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Gille, Kent-Åke
    Piteå älvdals sjukhus, Sjukgymnastiken.
    Grahn, Birgitta
    Kronoberg occupational rehabilitation service, Växjö.
    Functional activities and psychosocial factors in the rehabilitation of patients with low back pain2000Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 14, nr 2, s. 75-81Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    A four-week rehabilitation programme for back patients, focusing on functional activities and psychosocial factors in the demands of work and daily living, was evaluated. The programme is a combination of training of functional activities and increased psychological knowledge, body awareness and coping. A total of 40 patients with lumbago or lumbago ischias participated in the program and were compared with a matched control group. The results showed that the patients had significantly more ergonomic and psychosocial problems in their working environment than did the controls. A significant reduction in ratings of low back pain was noted in patients compared with controls after rehabilitation. Increased functional ability and physical fitness were shown in the patient group after rehabilitation. Significantly more patients than controls returned to work after the rehabilitation.

  • 226.
    Gard, Gunvor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Gtrahn, Birgitta
    FoU Välfärd, Kronoberg County.
    Development of the motivation forchange questionnaire (MSQ)2010Inngår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 42, nr 4, s. 402-Artikkel i tidsskrift (Annet vitenskapelig)
  • 227.
    Gard, Gunvor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Karlqvist, Lena
    Different working conditions and perceived health at Gender Segregated Workplaces: Can health promotion promote equality in work demands?2013Konferansepaper (Annet vitenskapelig)
  • 228.
    Gard, Gunvor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Larsson, Agneta
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Focus on motivation in the work rehabilitation planning process: a qualitative study from the employer's perspective2003Inngår i: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688, Vol. 13, nr 3, s. 159-167Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 229.
    Gard, Gunvor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Larsson, Agneta
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    How can a work rehabilitation process be improved2004Inngår i: Final programme and abstracts, Vienna: Austrian society of physical medicine and rehabilitation , 2004Konferansepaper (Annet vitenskapelig)
  • 230.
    Gard, Gunvor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Larsson, Agneta
    How can cooperation between rehabilitation professionals in rehabilitation planning be improved?2006Inngår i: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 26, nr 2, s. 191-6Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 231.
    Gard, Gunvor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Larsson, Agneta
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Working conditions and workplace health and safety promotion in home care: a mixed method study from Swedish managers´ perspectives2017Inngår i: Archives of Environmental & Occupational Health, ISSN 1933-8244, E-ISSN 2154-4700, Vol. 72, nr 6, s. 359-365Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Today, we can see a trend towards increased psychosocial strain at work among home care managers and staff. The aim of this study is to describe home care managers' views on their own psychosocial working conditions and on how to promote workplace health and safety in a municipality in northern Sweden. A mixed methods design was used, including questionnaire and qualitative focus group data. The qualitative data were analysed by manifest content analysis. The results indicate that most managers perceived increased variety in work and opportunities for development at work, but at the same time increased demands. The managers suggested that workplace health and safety could be improved by risk assessment and improved communication, a clear communication chain by a real as well as a virtual platform for communication. In summary, workplace health and safety could be improved by risk assessments and by a physical as well as a virtual platform for communication.

  • 232.
    Gard, Gunvor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lewin, Thord
    Luleå tekniska universitet.
    Winkel, Jörgen
    Luleå tekniska universitet.
    Krankopplarnas arbetsmiljö: medicinsk undersökning av krankopplare med besvär från rörelseorganen1984Rapport (Annet vitenskapelig)
  • 233.
    Gard, Gunvor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lindström, Kari
    Institute of Occupational Health, Vantaa.
    Transition to a client-centered team organisation in daministrative surveying work: an empowerment process?2002Inngår i: First international conference on lifestyle, health and technology, Luleå: Luleå tekniska universitet, 2002Konferansepaper (Annet vitenskapelig)
  • 234.
    Gard, Gunvor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lundborg, Glenn
    Luleå tekniska universitet, Institutionen för samhällsbyggnad och naturresurser, Arkitektur och vatten.
    Pedestrians on slippery surfaces during winter: methods to describe the problems and practical tests of anti-skid devices2000Inngår i: Accident Analysis and Prevention, ISSN 0001-4575, E-ISSN 1879-2057, Vol. 32, nr 3, s. 455-60Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Every year there are thousands of pedestrians in Sweden who are injured because of slippery pavements and roadways. Using an appropriate anti-skid device may reduce the risk of slips and falls on ice and snow. Methods to describe functional problems in walking on different slippery surfaces during winter have been developed as rating scales for evaluating walking safety and walking balance and an observation method to observe posture and movements during walking. Practical tests of all 25 anti-skid devices on the market in Sweden were carried out on different slippery surfaces; gravel, sand, salt, snow and ice. The anti-skid devices were described according to the subjects' perception of walking safety, walking balance and priority for own use. The postures and movements during walking were analysed by an expert physical therapist. The wholefoot device 'studs' was perceived as the best according to walking safety and walking balance and had the highest priority for own use.

  • 235.
    Gard, Gunvor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lundborg, Glenn
    Luleå tekniska universitet, Institutionen för samhällsbyggnad och naturresurser, Arkitektur och vatten.
    Test of Swedish anti-skid devices on five different slippery surfaces2001Inngår i: Accident Analysis and Prevention, ISSN 0001-4575, E-ISSN 1879-2057, Vol. 33, nr 1, s. 1-8Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    AB - The interest for effective preventive strategies for slips and falls is growing. Much remains to be done, however, to prevent slips and falls in the traffic environment. Some pedestrians are injured because of slippery pavements and roadways. Using an appropriate anti-skid device may reduce the risk of slips and falls on different surfaces outdoors during winter. The aim of this study was to evaluate new anti-skid devices on the Swedish market representing three different designs of anti-skid devices; heel device, fore-foot device and whole-foot device on different slippery surfaces, gravel, sand, salt, snow and ice. The evaluations were done according to subject's perceived walking safety and balance, videorecordings of walking postures and movements, time to take on and off each anti-skid device, advantages/disadvantages with each anti-skid device and a list of priority for own use according to three criteria; safety, balance and appearance. Practical tests were carried out on different slippery surfaces, gravel, sand, salt, snow and ice. The subject's were randomly selected from the registered population over 55 years in a city in northern Sweden. The results showed that eight or more of the ten subjects perceived all four anti-skid devices as fairly good or good regarding walking safety and balance when walking on gravel, sand, and salt. Anti-skid device 3, a whole-foot device was perceived as having none or bad walking safety and balance on snow by seven subjects and anti-skid device 4, a heel device, as having none or bad walking balance on ice by all ten subjects. Eight subjects walked with a normal muscle function in the hip and knee with all anti-skid devices on all surfaces. Small deviations in walking posture and movements were noted in one to two subjects when walking on different surfaces, but no systematic difference between the devices. Anti-skid device 1 'Rewa', a fixed heel device, was perceived as the most rapid one to take on. All four devices were perceived as easy to use and as giving good foothold. Anti-skid device 1 'Rewa' and 4 'Thulin-spike', both heel devices, had the highest priority according to walking safety. 'Rewa' also had the highest priority according to walking balance as well as own use. When combining the criterias 'Rewa' had the highest priority according to walking safety and balance, priority for own use, time to take on and easiness to use.

  • 236.
    Gard, Gunvor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lundborg, Glenn
    Luleå tekniska universitet, Institutionen för samhällsbyggnad och naturresurser, Arkitektur och vatten.
    Transport capacity on different slippery surfaces during winter1994Inngår i: Technical report: IXth PIARC International Winter Road Congress : March 21 - 25, 1994, Seefeld, Austria, Wien: Bundesministerium für Wirtschaftl. Angelegenheiten , 1994, Vol. 1, s. 321-327Konferansepaper (Fagfellevurdert)
  • 237.
    Gard, Gunvor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Melander-Wikman, AnitaLuleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    E-hälsa: innovationer, metoder, interventioner och perspektiv2012Collection/Antologi (Annet (populærvitenskap, debatt, mm))
  • 238.
    Gard, Gunvor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Melander-Wikman, Anita
    Majamaa, Marja-Liisa
    Kemi-Tornio Polytechnic.
    Empowerment dimensions in the use of mobile information technology2005Inngår i: HCI International 2005: 11th International Conference on Human-Computer Interaction ; July 22 - 27, 2005, Caesars Palace, Las Vegas, Nevada, USA, Mahwah, NJ, 2005Konferansepaper (Annet vitenskapelig)
  • 239.
    Gard, Gunvor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Lund University, Lund, Sweden.
    Nyboe, L.
    Aarhus University Hospital, Risskov, Denmark.
    Gyllensten, A.L.
    Lund University, Lund, Sweden.
    Clinical reasoning and clinical use of basic body awareness therapy in physiotherapy: a qualitative study?2019Inngår i: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 240.
    Gard, Gunvor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Odenrick, Per
    Lunds tekniska högskola, LTH.
    Ergonomi: en kunskapsöversikt1999Inngår i: Människan i arbetslivet: teori och praktik, Lund: Studentlitteratur AB, 1999, s. 35-62Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 241.
    Gard, Gunvor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Sandberg, Ann Christine
    Karolinska institute, Department of Physical Therapy.
    Motivating factors for return to work1998Inngår i: Physiotherapy Research International, ISSN 1358-2267, E-ISSN 1471-2865, Vol. 3, nr 2, s. 100-108Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 242.
    Gard, Gunvor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Söderberg, Siv
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    How can a work rehabilitation process be improved?: a qualitative study from a perspective of the social insurance officers2005Inngår i: Proceedings of the 3rd World Congress of the International Society of Physical and Rehabilitation Medicine ISPRM, São Paulo, Brazil, April 10-15, 2005 / [ed] Linamara Rizzo Battistella; Marta Imamura, Bologna: Medimond International Proceedings , 2005Konferansepaper (Annet vitenskapelig)
  • 243.
    Gard, Gunvor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Söderberg, Siv
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    How can a work rehabilitation process be improved?: a qualitative study from the perspective of social insurance officers2004Inngår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 26, nr 5, s. 299-305Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    PURPOSE: The aim of this study is to describe social insurance officers' experiences of a work rehabilitation process at a rehabilitation centre in the northern parts of Sweden. In Sweden the social insurance company has a key role to coordinate all efforts concerning work rehabilitation planning between all rehabilitation actors. METHOD: Ten social insurance officers at the social insurance company in a city in northern Sweden were interviewed using a narrative approach about their experiences of work rehabilitation processes in general. The interviews were analysed by qualitative content analysis with a focus on their experiences of goals, content and results of a work rehabilitation process. RESULTS: The social insurance officers' experiences of how a work rehabilitation process could be improved were described in six categories; (1) Early identification of problems, needs and interventions (2) clear goal formulations, (3) a focus on psychosocial factors (4) a greater variety of possible interventions, (5) activating employers to a higher extent in work rehabilitation and (6) a closer cooperation and information exchange with other rehabilitation actors. CONCLUSIONS: It is possible to improve a work rehabilitation process by focusing on early identification of problems, needs and interventions, with a variety of interventions to choose between and with clear goal formulations and recognizing psychosocial factors in the process. To activate employers to a higher extent in work rehabilitation and to make the information exchange between rehabilitation actors more frequent may also improve work rehabilitation processes

  • 244.
    Gard, Gunvor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Tamm, Maare
    Luleå tekniska universitet.
    Följsamhet efter rehabilitering: en 2-årsuppföljning1998Inngår i: Arbete, människa, miljö och Nordisk ergonomi, ISSN 1402-859X, nr 2, s. 76-80Artikkel i tidsskrift (Annet vitenskapelig)
  • 245.
    Gard, Gunvor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Zingmark, Karin
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Nyberg, Lars
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Eriksson, Margareta K.
    Department of Public Health, Norrbotten County Council, Luleå.
    Michaelson, Peter
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. peter.michaelson@ltu.se .
    Nordin, Catharina
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Calner, Tommy
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Multimodal pain rehabilitation (MMR) with additional tailored web-based pain rehabilitation: an RCT study2014Konferansepaper (Annet vitenskapelig)
  • 246.
    Gardelli, Åsa
    et al.
    Luleå tekniska universitet, Institutionen för konst, kommunikation och lärande, Pedagogik, språk och Ämnesdidaktik.
    Backman, Ylva
    Luleå tekniska universitet, Institutionen för konst, kommunikation och lärande, Pedagogik, språk och Ämnesdidaktik.
    Gardelli, Teodor
    Luleå tekniska universitet, Institutionen för konst, kommunikation och lärande, Pedagogik, språk och Ämnesdidaktik.
    Gardelli, Viktor
    Luleå tekniska universitet, Institutionen för konst, kommunikation och lärande, Pedagogik, språk och Ämnesdidaktik.
    Jacobsson, Lars
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Luleå tekniska universitet, Institutionen för hälsovetenskap, Medicinsk vetenskap.
    Strömberg, Caroline
    Luleå tekniska universitet, Institutionen för ekonomi, teknik och samhälle, Samhällsvetenskap.
    Utbildning för delaktighet – att filosofera tillbaka ett "nytt" liv efter förvärvad hjärnskada2018Inngår i: Resultatdialog 2018, Stockholm: Vetenskapsrådet , 2018, s. 49-52Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 247.
    Gardelli, Åsa
    et al.
    Luleå tekniska universitet, Institutionen för konst, kommunikation och lärande, Pedagogik språk och Ämnesdidaktik.
    Stålnacke, Britt-Marie
    Umeå universitet.
    Jacobsson, Lars
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Folkhögskola: en aktivitetsarena för personer med förvärvad hjärnskada2016Inngår i: Hjärnkraft, Vol. 3, s. 12-13Artikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
  • 248.
    Gemark Simonsen, Jenny
    et al.
    Division of Occupational and Environmental Medicine, Lund University.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Swedish Sonographers' perceptions of ergonomic problems at work and their suggestions for improvement2016Inngår i: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 17, nr 1, artikkel-id 391Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND:

    Sonographers' perceptions of ergonomic and work-related pain problems at work have so far mostly been researched in quantitative studies by questionnaires. There is a need of experience-based research to deepen the knowledge about how sonographers perceive ergonomic problems at work. Therefore, the aim of this qualitative study was to describe sonographers' perceptions of ergonomic problems at work, and their suggestions for improvement strategies.

    METHODS:

    Twenty-two female sonographers were individually interviewed regarding different aspects of their physical working environment. Content analysis was applied.

    RESULTS:

    The sonographers perceived different ergonomic problems in their working environment, but to offer patient comfort and to obtain the best possible images were often prioritized over working posture. Echocardiography was considered demanding as the examination is performed with little variation in posture. Ergonomic improvements included reducing the manual handling of the transducer, optimizing the adjustability of equipment, and taking the patient's physique and health into account. As some examinations were perceived to be more ergonomically demanding, variation between examinations was suggested, however, this requires broader skills.

    CONCLUSION:

    Sonography, especially echocardiography is ergonomically demanding but the improvement strategies suggested were perceived useful and applicable.

  • 249.
    Ghaye, Tony
    et al.
    Reflective Learning-UK, Maisemore.
    Melander-Wikman, Anita
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Kisare, Moni
    East African Support Unit for NGOs, Arusha.
    Chambers, Philip
    Reflective Learning-UK, Maisemore.
    Bergmark, Ulrika
    Luleå tekniska universitet, Institutionen för konst, kommunikation och lärande, Pedagogik språk och Ämnesdidaktik.
    Kostenius, Catrine
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lillyman, Sue
    Faculty of Health, Birmingham City University.
    Participatory and appreciative action and reflection (PAAR): democratizing reflective practices2008Inngår i: Reflective Practice, ISSN 1462-3943, E-ISSN 1470-1103, Vol. 9, nr 4, s. 361-397Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The paper introduces a new approach to reflecting and acting called participatory and appreciative action and reflection (PAAR). It explores its potential to enable individuals and groups to move forward, to improve their working practices and lives in particular communities and contexts. The paper situates PAAR in the historical context of participatory and action methodologies and reflective learning. It suggests that using PAAR requires four strategic ‘turns'. By turn we mean a change in direction from one way of thinking and practising to another. The four turns are: (i) away from a preoccupation with changing behaviours in order to solve problems, with ‘fixing' things and an engagement in deficit-based discourses, towards the development of appreciative insight, understanding the root causes of success and sustaining strengths-based discourses in order to amplify those things that will help build a better future from the positive present; (ii) away from self-learning (individualism and isolation) and towards collective learning through interconnectedness, appreciative knowledge sharing and the use of new forms of communications technology which enable simultaneous action in dispersed geopolitical spaces; (iii) away from one way of knowing and one perspective on truth to an acceptance of more pluralistic view of ways of knowing, of understanding human experience and putting this knowing to good use; (iv) away from reflective cycles and spirals and towards the use of a reflective learning (r-learning) framework comprising four mutually supportive processes. They are those of developing an appreciative ‘gaze', of reframing experience, of building practical wisdom and of achieving and moving forward.

  • 250.
    Gillisdotter, Anna
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Att delta i en Fatigue Management kurs – upplevelser från personer med MS-fatigue2018Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [sv]

     Syftet med denna studie var att beskriva hur personer med MS-fatigue upplever upplägg och innehåll i FM-kursen, samt vilken betydelse de upplever att kursen haft för deras möjligheter att hantera sin MS-fatigue i vardagen. En kvalitativ metod med semistrukturerade intervjuer användes. Data är analyserad med riktad kvalitativ innehållsanalys. Resultatet visade att deltagarna upplevde att kursen var lärorik men ansträngande. Samtidigt gav kursen dem kunskap och strategier för att hantera MS-fatigue i vardagen. Huvudfyndet anses vara hur deltagarna upplever kursen stöttat dem hantera MS-fatiguen i vardagen genom användning av strategier och hjälpmedel. I diskussionen tas aspekten av resultatet om hur deltagarna blivit mer aktiva trots de infört vila i relation till aktivitetsbalans. Även aspekten om arbetsterapeutens expertis inom hjälpmedel och stödja deltagarna i användning av detta kunde möjliggöras i kursen. Konklusionen är att fler studier behövs för att studera Fatigue Management påverkan på aktivitet ur aktivitetsbalansperspektivet.

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