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  • 301.
    Isaksson, Gunilla
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Skär, Lisa
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Social support provides motivation and ability to participate in occupation2008Konferansepaper (Annet vitenskapelig)
  • 302.
    Isaksson, Gunilla
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Skär, Lisa
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Lexell, Jan
    Women's perception of changes in the social network after a spinal cord injury2005Inngår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 27, nr 17, s. 1013-1021Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    PURPOSE: To describe how women with a spinal cord injury (SCI) perceived changes in the social network, and how these changes affected their ability to participate in occupation. METHOD: Thirteen women, aged 25 to 61 years, with a SCI were interviewed twice. The interviews focused on their ability to participate in occupation, their relations with individuals within the social network, and changes in the social network following the SCI. The analysis was carried out using qualitative content analysis. RESULTS: The women described an emotional need for social support after the SCI to participate in occupation. This was a new experience that required time to adapt to. The women also described a need for practical social support from the social network members to manage meaningful occupation. After the SCI, the women had developed new habits through close cooperation with members in the social network. The women felt that they had become more responsible for the development of their relations. Many relations had improved after the SCI, while some had decreased. The women had also developed new relations with other persons with disabilities. CONCLUSIONS: The women perceived substantial changes in the social network following the SCI, which in several ways affected their ability to participate in occupation. To adapt to their new life situation, the women gradually developed different strategies. The results point out the need to identify persons in the social network that women with SCI develop relations with, and integrate them in the rehabilitation process.

  • 303.
    Jacobson, Inger
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Aktivitet: Hur ser en damfotbollsspelare ut?: en försäsongsstudie2000Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 304.
    Jacobson, Inger
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Aktivitet: Skadepanoramat inom svensk damfotboll samt eventuella geografiska skillnader2000Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 305.
    Jacobson, Inger
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Injuries among female football players2006Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    Background: Football is a popular female team sport played by approximately 40 million women in over 100 countries all over the world. In Sweden football is the largest female team sport with more than 56,000 players over 15 years of age. Aim: The aims of this thesis were to investigate injuries and injury incidences among female non-elite players in second division as well as elite football players in the premiere league in Sweden over an entire football season with special emphases on regional and level differences; to investigate range of motion (ROM) at the beginning of the football season in relationship to upcoming joint (sprain) and muscle-tendon (strain) injuries; to investigate if the injury incidence varied during the different phases of the menstrual cycle and if there was a difference in injury incidence according to oral contraceptive (OC) pill usage. Material and methods: Thirty teams (n=522 players) from two different league levels in Sweden, the second division (9 teams from the most Northern league and 9 teams from the most Southern league, comprising 18 teams) and the premiere league (12 teams), were studied during an entire football season. Baseline information was obtained and ROM was measured. During the season menstruation and OC usage, football exposure and injuries were registered. Result: A total of 466 injuries were studied. The overall injury incidence was 9.6 injuries/1000 hours of football in the second division and 4.6 injuries/1000 hours of football in the premiere league. Traumatic injuries were in majority (59-69%), and the most common type of traumatic injury was sprain, mainly to the ankle. The distribution of injuries varied between regions; the number of total injuries as well as the total injury incidence was higher in the northern than southern region in the second division. Both traumatic and overuse injuries occurred mainly during the early preseason and at the beginning of the competitive spring season. Increased/decreased ROM in the lower extremity did not appear to be a predisposing risk factor for joint (sprain) or muscle-tendon (strain) injuries of the lower extremity. More than half the players began their football season with physical complaints, which in most cases disturbed their football activity. A total of 2 586 menstrual cycles were studied. An increased injuries incidence was noted during the menstrual phase compared to the pre- ovulatory phase as well as during the post-ovulatory phase compared to the pre-ovulatory phase for non-OC users. An increased incidence of traumatic injuries was also noted during the menstrual phase compared to the pre- ovulatory phase for non-OC users. There were no differences between the OC/non-OC groups concerning injury incidence during practice, game or total football. Conclusion: Evidence is presented in this thesis that regional factors as well as play- level are associated with injury incidence. Preseason ROM measurements cannot identify players at risk for upcoming sprain or strain injuries. An increased injury incidence during the menstrual phase was found, however, no significant difference in injury incidence between OC-users and non- users were found.

  • 306.
    Jacobson, Inger
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Tegner, Yelverton
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Medicinsk vetenskap.
    Hur ser en damfotbollspelare ut?1999Inngår i: Svensk idrottsmedicinsk förenings vårmöte: Ystad 1999, Svensk idrottsmedicinsk förening , 1999Konferansepaper (Annet vitenskapelig)
  • 307.
    Jacobson, Inger
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Tegner, Yelverton
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Medicinsk vetenskap.
    Injuries among female football players - With special emphasis on region differences2007Inngår i: Svensk idrottsmedicinsk förenings vårmöte: Uppsala 2007, 2007, s. 43-Konferansepaper (Annet vitenskapelig)
  • 308.
    Jacobson, Inger
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Tegner, Yelverton
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Medicinsk vetenskap.
    Injuries among female football players: with special emphasis on regional differences2007Inngår i: Abstraktbok Sjukgymnastdagarna 10-12 oktober 2007, Stockholm: LSR , 2007, s. 11-12Konferansepaper (Annet vitenskapelig)
  • 309.
    Jacobson, Inger
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Tegner, Yelverton
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Medicinsk vetenskap.
    Injuries among female football players: with special emphasis on regional differences2006Inngår i: Advances in Physiotherapy, ISSN 1403-8196, E-ISSN 1651-1948, Vol. 8, nr 2, s. 66-74Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In this 1-year prospective study, the aim was to investigate if there are any differences concerning injuries and injury incidence during an entire football season between Swedish female football players from different geographical regions. A total of 130 out of 253 players (51%) sustained 229 injuries. The overall injury incidence was 9.6/1000 h of football. The incidence of injury during practice was 8.4/1000 h and during game was 13.3/1000 h. Players in the north had a higher incidence of injury during game than those in the south (19.5 vs. 7.2/1000 h, respectively, p<0.001). Fifty-nine per cent of all injuries were traumatic injuries. Both traumatic and overuse injuries occurred mainly during the early preseason and at the beginning of the competitive spring season. Of all injuries, 13% were classified as slight, 39% as minor, 37% as moderate and 11% as major injuries. Players in the north had a higher injury incidence concerning moderate injuries than players in the south (p<0.01). In the present study, evidence is presented that regional factors play a role in the injury incidence. Female football players in the north and south have different injury patterns. This could be a result of different conditions for football as a sport between the regions.

  • 310.
    Jacobson, Inger
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Tegner, Yelverton
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Medicinsk vetenskap.
    Injuries among swedish female elite football players: a prospective population study2007Inngår i: Abstraktbok Sjukgymnastdagarna 10-12 oktober 2007, Stockholm: LSR , 2007, s. 12-Konferansepaper (Annet vitenskapelig)
  • 311.
    Jacobson, Inger
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Tegner, Yelverton
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Medicinsk vetenskap.
    Injuries among Swedish female elite football players: a prospective population study2007Inngår i: Svensk idrottsmedcinsk förenings vårmöte: Uppsala 2007, 2007, s. 44-Konferansepaper (Annet vitenskapelig)
  • 312.
    Jacobson, Inger
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Tegner, Yelverton
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Medicinsk vetenskap.
    Injuries among swedish female elite football players: a prospective population study2007Inngår i: Scandinavian Journal of Medicine and Science in Sports, ISSN 0905-7188, E-ISSN 1600-0838, Vol. 17, nr 1, s. 84-91Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Injury occurrence in all 12 female elite senior football teams in premiere league was registered during 1 year. Of 269 players, 129 (48%) sustained 237 injuries. The total injury incidence was 4.6/1000 h of football. The injury incidence during practice was 2.7 and during the game time was 13.9/1000 h. The highest injury incidence during practice was to the knee (0.8/1000 h) and thigh (0.5/1000 h), and during game time was to the knee (4.4/1000 h) and head (2.2/1000 h). In total, the location for the highest injury incidence was the knee with 1.5 injuries/1000 h of football. The majority of injuries (82%) were localized to the lower extremities. Sixty-six injuries (28%) were re-occurring injuries (re-injuries). The incidence of traumatic injuries was 3.3/1000 h of football and for overuse injuries 1.3/1000 h. Overuse injuries occurred mainly during the preseason and at the beginning of the spring season. Thirty-nine percent of the injuries were slight or minor causing absence from practice or game time of less than 1 week, 39% were moderate (absence 7-28 days) and 22% were major (absence more than 28 days). The major injuries occurred often owing to trauma and were mainly to the knee.

  • 313.
    Jacobson, Inger
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Tegner, Yelverton
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Medicinsk vetenskap.
    Range of motion in relation to upcoming sprain and strain injuries among female football players2007Inngår i: Abstraktbok Sjukgymnastdagarna 10-12 oktober 2007, Stockholm: LSR , 2007, s. 32-Konferansepaper (Annet vitenskapelig)
  • 314.
    Jacobson, Inger
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Tegner, Yelverton
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Medicinsk vetenskap.
    Range of motion in relation to upcoming sprain and strain injuries among female football players2007Inngår i: Svensk idrottsmedicinsk förenings vårmöte: Uppsala 2007, 2007, s. 42-Konferansepaper (Annet vitenskapelig)
  • 315.
    Jacobson, Inger
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Tegner, Yelverton
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Medicinsk vetenskap.
    Skador inom svensk damfotboll2000Inngår i: Svensk idrottsmedicinsk förenings vårmöte: Stockholm 2000, Svensk idrottsmedicinsk förening , 2000Konferansepaper (Annet vitenskapelig)
  • 316.
    Jacobsson, Lars
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Aktivitet: Faktorer av betydelse för Hälsorelaterad livskvalitet och Livstillfredsställelse 6-15 år efter en traumatisk hjärnskada2009Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 317.
    Jacobsson, Lars
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Aktivitet: Levnadssituationen för Traumatiskt Hjärnskadade I Norrbotten2007Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 318.
    Jacobsson, Lars
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Aktivitet: Livstillfredställelse och hälsorelaterad livskvalitet 6-15 år efter en traumatisk hjärnskada2008Konferansepaper (Annet (populærvitenskap, debatt, mm))
  • 319.
    Jacobsson, Lars
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Medicinsk vetenskap. Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Levnadssituationen för traumatiskt hjärnskadade i Norrbotten2008Inngår i: Forskning i Norr, 21-22 maj 2008, Mittuniversitetet , 2008, s. 23-Konferansepaper (Annet vitenskapelig)
  • 320.
    Jacobsson, Lars
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Life satisfaction after traumatic brain injury: comparison of ratings with the Life Satisfaction Questionnaire (LiSat-11) and the Satisfaction With Life Scale (SWLS)2016Inngår i: Health and Quality of Life Outcomes, ISSN 1477-7525, E-ISSN 1477-7525, Vol. 14, nr 1, artikkel-id 10Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background An optimal life satisfaction (LS) is considered an important long-term outcome after a traumatic brain injury (TBI). It is, however, not clear to what extent a single instrument captures all aspects of LS, and different instruments may be needed to comprehensively describe LS. The aim of this study was to compare self-ratings of life satisfaction after a TBI with two commonly used instruments. Methods Life Satisfaction Questionnaire (LiSat-11), comprising eleven items and Satisfaction With Life Scale (SWLS), comprising five items, were administered to 67 individuals (51 men and 16 women). Secondary analysis of data collected as part of a survey of individuals with TBI 6 to 15 years post TBI. Results Item 1 in LiSat-11 (‘Life as a whole’) and the total SWLS score was strongly correlated (Spearman’s rho = 0.66; p < 0.001). The total score in SWLS had the strongest correlation with items in LiSat-11. All items in LiSat-11, except ‘Family life’ and ‘Partner relationship’, were moderately to strongly correlated with items in SWLS. The item ‘Partner relationship’ in LiSat-11 did not correlate with any of the items in SWLS or the total score. The item ‘If I could live my life over, I would change nothing’ in SWLS had the weakest correlations with items in LiSat-11. Items ‘Vocation’ and ‘Leisure’ in LISat-11 were most strongly correlated with items in SWLS, whereas the item ‘ADL’ in LiSat-11 was more weakly correlated with items in SWLS. Conclusions The strength of the relationships implies that the two instruments assess similar but not identical aspects of LS and therefore complement each other when it is rated.

  • 321.
    Jacobsson, Lars
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Lexell, Jan
    Department of Neurology and Rehabilitation Medicine, Skåne University Hospital, Lund-Malmö.
    Long-term outcome after traumatic brain injuries in Northern Sweden: Changes in life satisfaction and sense of coherence between 6-15 and 12-21 years post-injury2016Inngår i: Brain Injury, ISSN 0269-9052, E-ISSN 1362-301X, Vol. 30, nr 5-6, s. 574-Artikkel i tidsskrift (Annet vitenskapelig)
  • 322.
    Jacobsson, Lars
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Westerberg, Mats
    Luleå tekniska universitet, Institutionen för ekonomi, teknik och samhälle, Innovation och Design.
    Malec, J.
    Rehabilitation Hospital of Indiana and Indiana University School of Medicine.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Sense of coherence and disability and the relationship with life satisfaction 6 to 15 years after traumatic brain injuries in northern Sweden2011Inngår i: Neuropsychological rehabilitation (Print), ISSN 0960-2011, E-ISSN 1464-0694, Vol. 23, nr 1, s. 383-400Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The objective of the study was to assess sense of coherence (SOC) many years after traumatic brain injury (TBI) and explore the relationship between SOC and self-rated life satisfaction (LS) as well as measures of functioning and disability, sex, age at injury, injury severity and time post-injury. Sixty-six individuals (aged 18-65 years) who were 6-15 years post-injury were interviewed. Data on SOC (SOC-13 item scale), measures of functioning and disability (Mayo-Portland Adaptability Inventory, MPAI-4), LS (Satisfaction with Life Scale, SWLS), and sex, age at injury, injury severity and time post-injury were analysed with hierarchical multiple regression analyses. The results showed that SOC in the study group did not differ from the general population and was strongly associated with LS. Regression analyses revealed that emotional factors, social participation, SOC, and time since injury, were more influential than sex, age at injury, and injury severity in explaining LS. It was concluded that SOC in this group of individuals with TBI who were many years post-injury was similar to nondisabled individuals. SOC, together with emotional factors, social participation and injury-related factors, were determinants of LS. These results confirm that LS after TBI is a complex phenomenon dependent on several factors that are important targets for rehabilitation professionals.

  • 323.
    Jafari, Hedyeh
    et al.
    Luleå tekniska universitet, Institutionen för system- och rymdteknik, Signaler och system.
    Pauelsen, Mascha
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Röijezon, Ulrik
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nyberg, Lars
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nikolakopoulos, George
    Luleå tekniska universitet, Institutionen för system- och rymdteknik, Signaler och system.
    Gustafsson, Thomas
    Luleå tekniska universitet, Institutionen för system- och rymdteknik, Signaler och system.
    On Internal Modeling of the Upright Postural Control in Elderly2018Konferansepaper (Fagfellevurdert)
  • 324.
    Jamsa, Timo
    et al.
    Department of Medical Technology, Institute of Biomedicine, University of Oulu.
    Kangas, Maarit
    Department of Medical Technology, Institute of Biomedicine, University of Oulu.
    Vikman, Irene
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nyberg, Lars
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Korpelainen, Raija
    Department of Medical Technology, Institute of Biomedicine, University of Oulu.
    Fall detection in the older people: from laboratory to real-life2014Inngår i: Proceedings of the Estonian Academy of Sciences, ISSN 1736-6046, E-ISSN 1736-7530, Vol. 63, nr 3, s. 253-257Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Falls are an increasing problem of aging population, both in home-dwelling and institutionalized people. Automatic fall detection systems are a choice in supporting the independent and secure living of the older people. Typically, health technology applications such as fall detection systems are tested in experimental falls of young adults. However, sensitivity and specificity, and acceptability and usability of these systems in real-life conditions in end users should be the ultimate aim. This paper overviews our set of studies on the technology and algorithms for fall detection, from laboratory-based experiments to long-term real-life field tests. The data obtained during the incremental set of studies suggest that automatic accelerometric fall detection systems might offer a tool for improving safety among older people. Additional studies are needed for further improvement of fall detection sensitivity and decreasing the false alarm rate, and for the implementation of the technology to elderly care ICT platforms.

  • 325.
    Jansson, Maria
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap.
    Melander-Wikman, Anita
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    It's OK if we just get the time to get used to IT2004Inngår i: IRIS 27: plenary papers : August 14-17, 2004, Falkenberg, Sweden / / [ed] Per Flensburg; Carina Ihlström, Växjö: Växjö universitet , 2004Konferansepaper (Annet vitenskapelig)
  • 326.
    Jensen, Jane
    et al.
    Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
    Nyberg, Lars
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Rosendahl, Erik
    Gustafson, Yngve
    Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
    Lundin-Olsson, Lillemor
    Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
    Effects of a fall prevention program including exercise on mobility and falls in frail older people living in residential care facilities2004Inngår i: Aging Clinical and Experimental Research, ISSN 1594-0667, E-ISSN 1720-8319, Vol. 16, nr 4, s. 283-92Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND AND AIMS: Impaired mobility is one of the strongest predictors for falls in older people. We hypothesized that exercise as part of a fall prevention program would have positive effects, both short- and long-term, on gait, balance and strength in older people at high risk of falling and with varying levels of cognition, residing in residential care facilities. A secondary hypothesis was that these effects would be associated with a reduced risk of falling. METHODS: 187 out of all residents living in 9 facilities, > or =65 years of age were at high risk of falling. The facilities were cluster-randomized to fall intervention or usual care. The intervention program comprised: education, environment, individually designed exercise, drug review, post-fall assessments, aids, and hip protectors. Data were adjusted for baseline performance and clustering. RESULTS: At 11 weeks, positive intervention effects were found on independent ambulation (FAC, p=0.026), maximum gait speed (p=0.002), and step height (> or =10 cm, p<0.001), but not significantly on the Berg Balance Scale. At 9 months (long-term outcome), 3 intervention and 15 control residents had lost the ability to walk (p=0.001). Independent ambulation and maximum gait speed were maintained in the intervention group but deteriorated in the control group (p=0.001). Residents with both higher and lower cognition benefited in most outcome measures. Noassociation was found between improved mobility and reduced risk of falling.CONCLUSIONS: Exercise, as part of a fall prevention program, appears to preserve the ability to walk, maintain gait speed, ambulate independently, and improve step height. Benefits were found in residents with both lower and higher cognitive impairment, but were not found to be associated with a reduced risk of falling

  • 327.
    Jesinkey, Kristina
    et al.
    Karolinska Institutet, Forskningslaboratoriet för motorisk kontroll och sjukgymnastik, Institutionen Neurotec.
    Näslund, Annika
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Hirschfeld, Helga
    Karolinska Institutet, Forskningslaboratoriet för motorisk kontroll och sjukgymnastik, Institutionen Neurotec.
    Initiation of reaching when standing with and without DAFOs in children with spastic diplegia2005Inngår i: Advances in Physiotherapy, ISSN 1403-8196, E-ISSN 1651-1948, Vol. 7, nr 4, s. 144-153Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    We investigated whether the use of dynamic ankle foot orthoses (DAFOs) can improve the coordination between standing posture and a reaching movement. We investigated the temporal sequence between onset of center of pressure (CoP) displacement and onset of hand displacement by means of two AMTI force plates and a two-camera optoelectronic system (ELITE). The task was to reach for a cup. Reflective markers were placed on hand, trunk and the cup. Four children with spastic diplegia and eight control children (aged 5-12) participated. They were tested wearing DAFOs (diplegia) and the results were compared with wearing shoes (diplegia and control). The children with spastic diplegia were able to make use of anticipatory changes in CoP displacement. The results indicated that more trials in children with spastic diplegia had CoP onset preceding hand onset while wearing DAFOs (18/20) than when wearing only shoes. More trials (27/40) during the 20% reaching condition in the control group had CoP onset preceding hand onset than during the 10% reaching condition (18/40). In spite of different amounts of assistance, anticipatory postural adjustments were found in the diplegia group. Use of anticipatory postural adjustments was not consistent in the control group. Practice of reaching during standing can be carried out with DAFOs and/or hand support, and can promote motor learning of anticipatory postural adjustments.

  • 328.
    Johansson, Annie
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Tärnhuvud, Jenny
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Kartläggning av träningsvanor samt faktorer som motiverar eller hindrar till fysisk träning bland studenter vid Luleå tekniska universitet: En enkätstudie2017Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: Människans kropp är uppbyggd för en aktiv livsstil och behöver rörelse för att uppnå en god hälsa. Dessvärre visar trenden i samhället att vi blir mer och mer stillasittande och fysisk inaktiva. En stor riskgrupp för en inaktiv livsstil har visat sig vara universitetsstudenter då majoriteten av deras tid tillbringas sittandes. Syfte: Studiens syfte var att kartlägga träningsvanor samt faktorer som motiverar eller hindrar till fysisk träning hos studenter vid Luleå tekniska universitet. Metod: En egenkonstruerad digital enkät användes för att samla in material vid tre olika utbildningar vid Luleå tekniska universitet. Studien bestod utav 277 studenter varav 80 besvarade enkäten. Resultat: Studiens resultat visade att studenterna vid Luleå tekniska universitet tränade i genomsnitt 3,98 träningstillfällen i veckan med en duration på 45 minuter per träningstillfälle. I genomsnitt lades två tillfällen/vecka på måttlig intensitet och två tillfällen på hög intensitet enligt Borg-skalan. Styrke- samt konditionsträning var främsta träningsform. Deltagarna motiverades till fysisk träning av en bättre hälsa och hindrades av tidsbrist. Fysioterapeutstudenterna tränade fler tillfällen i veckan jämfört med lärar- och civilingenjörsstudenter. Könsskillnad har setts vid val av träningsform då killar tränade mer lagsport och tjejer tränade mer dans och yoga/pilates. Konklusion: Generellt pekar studiens resultat på att studenterna vid Luleå tekniska universitet uppnådde rekommenderad mängd fysisk träning utifrån FYSS rekommendationer. P.g.a. stickprov från ett universitet och det låga antalet deltagare var det svårt att dra generella slutsatser. Fler studier inom ämnet krävs.

  • 329.
    Johansson, Christina
    et al.
    Labour Market Office, Luleå Municipality.
    Isaksson, Gunilla
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Experiences of participation in occupations of women on long-term sickleave2011Inngår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 18, nr 4, s. 294-301Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The majority of individuals on long-term sick leave experience negative effects in their lives associated with limitations on their participation, decreased income, and feelings of guilt. The aim was to describe the experiences that women on long-term sick leave have of participation in occupation. Unstructured interviews were used for the data collection, which involved eight women; a grounded theory approach was used. The results showed that the women's long-term sick leave changed their roles, daily habits, and routines, and their participation in occupations was negatively influenced. Their occupational performance also diminished, thereby having a negative influence on their social relationships. However, over time they came to find different strategies that contributed to a feeling of occupational competence and thence they started to rebuild their occupational identity. Through this began the process of occupational adaptation, which resulted in an increased experience of participating in occupation. As a conclusion, it should be noted that occupational therapy interventions should be directed at women on long-term sick leave at an early stage in the rehabilitation process to address the adaptation of their roles, habits, routines, and social environment

  • 330.
    Johansson, Emma
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Rova, Josefine
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Personer med Ehler-Danlos syndrom: Upplevelsen av den fysioterapeutiska interventionen, en enkätstudie2017Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: Ehler-Danlos syndrom är en ärftlig bindvävssjukdom som drabbar kroppens leder och ligament, hud samt inre organ och blodkärl. Vanliga symtom är överrörlighet och led- och/eller muskelsmärta vilket även är förekommande symtom som dessa personer rehabiliteras för hos fysioterapeut. Tidigare forskning visar på brister inom rehabiliteringen och omhändertagandet av personer med denna diagnos. Syfte: Att sammanställa hur personer med Ehler-Danlos syndrom med tillhörande hypermobilitet och led- och/eller muskelsmärta upplever sin rehabilitering med fokus på den fysioterapeutiska interventionen. Metod: Kartläggning av personer med Ehler-Danlos i Sverige genom Ehler-Danlos syndrom riksförbund. En egenkonstruerad webbenkät som skickades ut via mail samt publicerades på riksförbundets facebooksida, totalt 163 svar samlades in. Resultat: Vanligaste typen var hypermobilitetstypen och samtliga deltagare hade minst ett av symtomen hypermobilitet, led- eller muskelsmärta. Vanligaste vårdgivaren för nämnda symtom var läkare/reumatolog och fysioterapeut. En stor andel av deltagarna upplevde sig missnöjda med sin rehabilitering och många ansåg att det fanns brister. De mest förekommande bristerna var kunskap och individanpassad träning som orsakade förvärrande av symtomen. Konklusion: Trots att studien har stora metodologiska felkällor kan författarna dra slutsatsen om att personer med EDS upplever stora brister i den fysioterapeutiska interventionen. De anser framförallt att kunskapen är låg inom professionen, att behandlingen består av för mycket träning och att individanpassning saknas. Mer forskning inom anpassade behandlingsmetoder krävs för att vi som fysioterapeuter ska kunna ge bästa möjliga rehabilitering för personer med Ehler-Danlos Syndrom med tillhörande hypermobilitet samt led- och/eller muskelsmärta.

  • 331.
    Johansson, Frida
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Fysioterapeutiska interventioner vid rehabilitering efter en idrottsrelaterad hjärnskakning: En litteraturstudie2018Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: Hjärnskakningar inom idrott uppmärksammas allt mer på grund av skadans flera potentiella faror och möjliga långvariga konsekvenser. Ett överenskommet koncept angående riktlinjer för handläggning och rehabilitering efter idrottsrelaterad hjärnskakning upprättades första gången år 2001. Rehabiliteringen efter en idrottsrelaterad hjärnskakning rekommenderas vara ett multimodalt samarbete och ske genom en stegvis återgång till idrott/aktivitet från total fysisk och kognitiv vila till en progressivt ökad grad av aktivitet. Fysioterapi som hälsoprofession syftar till att främja hälsa och minska ohälsa, tillämpar rehabiliterande insatser och har kunskapen att hantera områden som rekommenderas ingå vid rehabiliteringen efter en idrottsrelaterad hjärnskakning. Syfte: Syftet med litteraturstudien var att kartlägga vetenskaplig litteratur gällande fysioterapeuters rehabiliteringsåtgärder efter en idrottsrelaterad hjärnskakning. Metod: Litteratursökningen gjordes i PubMed, CINAHL, AMED och Web of Science. MeSH-termerna ”physical therapy modalities”, ”brain concussion” och ”athletic injuries”, respektive motsvarande ämnesord ”physical therapy”, ”brain concussion” och ”athletic injuries”, användes i sökningen. Resultat: Åtta artiklar inkluderades. Fem artiklar påvisar att kontrollerad fysisk ansträngning på måttlig nivå ger förbättring av symtom. Två påvisar att fysioterapeutiska interventioner av vestibularsystemet och cervikalen, samt att en patientspecifik och progressivt utformad behandlingsplan gynnar återhämtning. En studie påvisar att en symtomfri vänteperiod kliniskt sett inte påverkar återhämtningen. Konklusion: Denna litteraturöversikt indikerar att en individanpassad, progressivt utformad behandlingsplan innehållande fysisk ansträngning på måttlig nivå, samt rehabilitering av vestibularsystemet och cervikalen gynnar återhämtning efter en idrottsrelaterad hjärnskakning. Mer forskning krävs.

  • 332.
    Johansson, Jessica
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Jonsson, Tony
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Faktorer som möjliggör och hindrar aktivitetsutförande hos personer med tvångssyndrom: En litteraturstudie baserad på bloggar och självbiografi2017Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [en]

    Background: Obsessive-compulsive disorder (OCD) affects 2 % of the population and leads to restrictions in many occupations, in many life domains and environments. In half of the cases the existing treatment is not enough and leads to emotional and physical exhaustion. The underlying causes behind the diagnosis is not fully clarified but methods in occupational therapy has the potential for evaluation and development in symptom management. Purpose: To identify and describe the experiences in persons with OCD regarding supporting and hindering factors in occupational performance. Method: A literature review with data from three personal blogs and one self-biography was analyzed using a qualitative content analysis leading to five categories. Result: The five categories are: Occupations are restricted or can’t be performed as preferred; Strategies are used to control occupational performance but could trigger compulsions; Meaningful occupation bridges difficult tasks and promotes occupation. The degree of anticipation controls if external stimuli inspires activity or triggers compulsions; Social support increases the ability to carry out activity. The result depicts both hindering and supporting factors affecting occupational performance. Still factors are too complex to divide because supporting strategies also are self-destructive or only work in some situations. Conclusion: Persons with OCD have supporting, hindering and paradoxical strategies and there were factors to facilitate occupational performance in preferred and necessary activities. The social support was the most prominent supporting factor for quality of life and occupational performance.

  • 333.
    Johansson, Sara
    et al.
    Department of Health Sciences, Luleå University of Technology.
    Rissén, Dag
    Centre for Research & Development, Uppsala University/Region of Gävleborg, Gävle, Sweden.
    Fjellman-Wiklund, Annchristine
    Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University.
    Paarup, Helene M.
    Research Unit for Occupational & Environmental Medicine, Clinical Institute, University of Southern Denmark.
    Röijezon, Ulrik
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Musculoskeletal pain, work posture and physical activity among professional symphony and opera musicians in Sweden2015Inngår i: Musician's Health and Performance. 2nd Conference (MHPC2015): Book of Abstracts, Odense, 2015, artikkel-id 45Konferansepaper (Fagfellevurdert)
  • 334.
    Johansson Strandkvist, Viktor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Umeå University, Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine, The OLIN unit.
    Backman, Helena
    Umeå University, Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine, The OLIN unit.
    Andersson, Mikael
    Uppsala University, Department of Neuroscience.
    Larsson, Agneta
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Stridsman, Caroline
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Lindberg, Anne
    Department of Public Health and Clinical Medicine, Division of Medicine/the OLIN unit, Umeå University.
    Hand grip strength is associated with fatigue in COPD2017Konferansepaper (Fagfellevurdert)
  • 335.
    Johansson Strandkvist, Viktor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Backman, Helena
    Division of Occupational and Environmental Medicine, Department of Public Health and Clinical Medicine, The Obstructive Lung disease in Northern Sweden Unit, Umeå University.
    Röding, Jenny
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Stridsman, Caroline
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Lindberg, Anne
    Division of Medicine, Department of Public Health and Clinical Medicine, Umeå University.
    Hand grip strength is associated with forced expiratory volume in 1 second among subjects with COPD: report from a population-based cohort study.2016Inngår i: The International Journal of Chronic Obstructive Pulmonary Disease, ISSN 1176-9106, E-ISSN 1178-2005, Vol. 11, nr 1, s. 2527-2534Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Cardiovascular diseases and skeletal muscle dysfunction are common comorbidities in COPD. Hand grip strength (HGS) is related to general muscle strength and is associated with cardiovascular disease and all-cause mortality, while the results from small selected COPD populations are contradictory. The aim of this population-based study was to compare HGS among the subjects with and without COPD, to evaluate HGS in relation to COPD severity, and to evaluate the impact of heart disease.

    SUBJECTS AND METHODS: Data were collected from the Obstructive Lung disease in Northern Sweden COPD study, where the subjects with and without COPD have been invited to annual examinations since 2005. In 2009-2010, 441 subjects with COPD (postbronchodilator forced expiratory volume in 1 second [FEV1]/vital capacity <0.70) and 570 without COPD participated in structured interviews, spirometry, and measurements of HGS.

    RESULTS: The mean HGS was similar when comparing subjects with and without COPD, but those with heart disease had lower HGS than those without. When compared by Global Initiative for Chronic Obstructive Lung Disease (GOLD) grades, the subjects with GOLD 3-4 had lower HGS than those without COPD in both sexes (females 21.4 kg vs 26.9 kg, P=0.010; males 41.5 kg vs 46.3 kg, P=0.038), and the difference persisted also when adjusted for confounders. Among the subjects with COPD, HGS was associated with FEV1% of predicted value but not heart disease when adjusted for height, age, sex, and smoking habits, and the pattern was similar among males and females.

    CONCLUSION: In this population-based study, the subjects with GOLD 3-4 had lower HGS than the subjects without COPD. Among those with COPD, HGS was associated with FEV1% of predicted value but not heart disease, and the pattern was similar in both sexes.

  • 336.
    Johansson Strandkvist, Viktor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. OLIN-studierna.
    Backman, Helena
    Department of Public Health and Clinical Medicine, Division of Occupational and Environmental Medicine, The OLIN Unit, Umeå University.
    Röding, Jenny
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Stridsman, Caroline
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Lindberg, Anne
    Department of Public Health and Clinical Medicine, Division of Medicine/the OLIN unit, Umeå University.
    Impact of heart disease on hand grip strength in COPD: epidemiological data2016Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Background: Hand grip strength (HGS) and heart disease (HD) are related to mortality. Peripheral muscle dysfunction and HD are both frequently observed among subjects with COPD, but the relationship between HGS and HD in COPD is unclear.

    Aim: To evaluate HGS and the impact of HD among subjects with and without COPD.Methods: Data was collected from the OLIN (Obstructive Lung Disease in Northern Sweden) COPD study, where subjects with COPD have been invited to annual examinations since 2005 together with age- and sex-matched subjects without COPD. During 2009, 441 subjects with COPD and 570 without COPD participated in examinations including structured interviews, spirometry and measurements of HGS. COPD was defined as post-bronchodilator FEV1/VC<0.70.

    Results: Both among subjects with and without COPD, and in both sexes, those with HD had significantly lower HGS. The proportion of subjects below estimated normal value for HGS was similar in subjects with and without COPD and in both sexes; among women (35.4 vs. 33.4%, p=0.714) and men (19.1 vs 15.9%, p=0.315). In a linear regression model among subjects with COPD only, HGS was significantly associated with age, beta coefficient (B) = -0.46 (p<0.001), sex, B=19.85 (p<0.001) and FEV1 % of predicted normal value, B=0.06 (p=0.007), but not with HD or smoking habits. When a similar model was estimated among subjects without COPD, HGS was only associated with age and sex.

    Conclusions: In this population-based study, subjects with heart disease had lower hand grip strength regardless if they had COPD or not. Among COPD subjects, hand grip strength was associated with age, sex and FEV1, but not with heart disease.

  • 337.
    Johansson Strandkvist, Viktor
    et al.
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Nyberg, Lars
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Larsson, Agneta
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Röijezon, Ulrik
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Stridsman, Caroline
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Omvårdnad.
    Lindberg, Anne
    OLIN studierna Norrbottens läns landsting , Sverige.
    Project: Physical function and postural control among subjects with Chronic Obstructive Pulmonary Disease – epidemiological and laboratory studies2016Annet (Annet (populærvitenskap, debatt, mm))
  • 338.
    Jonasson, Stina B.
    et al.
    Department of Health Sciences, Lund University.
    Nilsson, Maria H.
    Department of Health Sciences, Lund University.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Psychometric properties of the original and short versions of the Falls Efficacy Scale-International (FES-I) in people with Parkinson’s disease2017Inngår i: Health and Quality of Life Outcomes, ISSN 1477-7525, E-ISSN 1477-7525, Vol. 15, nr 1, artikkel-id 116Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background

    Fear of falling is common in people with Parkinson’s disease (PD) and is associated with an increased risk for future falls, activity limitations and a reduced quality of life. The Falls Efficacy Scale-International (FES-I) assesses fear of falling conceptualized as concerns about falling. The original FES-I has good psychometric properties in people with PD, but whether this applies also for the short version of FES-I remains to be shown.

    The aim of the present study was to evaluate the psychometric properties of the short FES-I and to compare these with the original FES-I in the same sample of people with PD. The investigated psychometric properties included known groups validity, data completeness, scaling assumptions, targeting and reliability.

    Methods

    A postal survey, which included the original, full-length FES-I, was distributed to 174 people with PD. Responders received a second survey after two weeks. From these data, short FES-I total scores were calculated by extracting the items that are included in the short version of the scale.

    Results

    Median age and PD duration of the 101 responders (43% women) were 73 and 5 years, respectively. The original as well as the short FES-I scores were able to discriminate (p < 0.001) between groups with and without fear of falling, activity avoidance, falls, near falls, and with various self-rated PD severity, respectively. Both versions of FES-I had a high level of data completeness (0.7 to 0.9% missing item responses). Scaling assumptions were acceptable for the original as well as the short FES-I. While the short FES-I had 19% floor effect, the original version was better targeted. Both versions were reliable and obtained high values for internal consistency (Cronbach’s alpha >0.8) and test-retest reliability (Intraclass Correlation Coefficient > 0.9).

    Conclusions

    Both the original and short FES-I revealed generally good psychometric properties in people with PD, although the original scale was better targeted. Due to the higher floor effect in the short FES-I, the present findings favors using the original, full-length FES-I in longitudinal follow-ups, intervention studies and clinical practice when addressing concerns about falling.

  • 339.
    Jonasson, Stina B.
    et al.
    Department of Health Sciences, Lund University.
    Nilsson, Maria H.
    Department of Health Sciences, Lund University.
    Lexell, Jan
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Department of Health Sciences, Lund University, .
    Carlsson, Gunilla
    Department of Health Sciences, Lund University.
    Experiences of fear of falling in persons with Parkinson’s disease: a qualitative study2018Inngår i: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 18, nr 1, artikkel-id 44Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background

    Fear of falling is common among persons with Parkinson’s disease and is negatively associated with quality of life. However a lack of in-depth understanding of fear of falling as a phenomenon persists. This qualitative study aimed to explore the experiences of fear of falling in persons with Parkinson’s disease.

    Methods

    Individual interviews were performed with twelve persons with Parkinson’s disease (median age 70 years, median Parkinson duration 9 years, 50% women). The interviews were semi-structured and followed a study-specific interview guide. The transcribed interviews were analyzed using qualitative content analysis.

    Results

    Fear of falling was experienced as a disturbing factor in everyday life. It generated a feeling of vulnerability and made daily activities and everyday environments seem potentially hazardous. Persons also missed performing previous activities. The fear of falling was a varying experience, fueled by an awareness of falls and near falls, Parkinson-related symptoms and disabilities, and by others in their environment. The persons adopted different strategies to handle their fear of falling. Activities were adapted, avoided, performed with help, or carried out despite their fear of falling.

    Conclusions

    The experiences of fear of falling were complex, multifaceted and varied over time and in relation to different activities and environments. This indicates that interventions targeting fear of falling need to be individually tailored for persons with Parkinson’s disease and should focus on several aspects, such as Parkinson-related symptoms and disabilities, activities and environmental factors. This study provides new information that increases the understanding of fear of falling, which has implications for researchers as well as clinicians working with persons with Parkinson’s disease and fear of falling.

  • 340. Jonsson, Maria
    et al.
    Melander-Wikman, Anita
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Information and communication technology in homecare: care assistants' experiences, opinions and expectations2005Inngår i: Homecare and technology: old dreams - new means?, Luleå: Luleå tekniska universitet, 2005Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 341.
    Jonsson, Marika
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Litteraturöversikt om patienters upplevelse av fysioterapeutisk behandling genom distanskontakt via videolänk2019Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Syftet med studien var att undersöka och beskriva patienters upplevelse av telerehabilitering, närmare bestämt fysioterapeutisk intervention genom distanskontakt via videolänk. Den valda metoden var en kvalitativ litteraturstudie.

    Studiernas evidens graderades med metod beskriven av SBU. En beskrivande innehållsanalys av de inkluderade studiernas resultat gjordes, enligt anvisningar av Friberg. Som resultat framträdde ett övergripande tema med fem kategorier. Temat var Videomöte en möjlighet när den utgår från individens behov. Kategorierna var: Kompetent och erfaren fysioterapeut tillgänglig, Behandling tillgänglig i hemmet, Egen resursökning ger ökad empowerment, Relationer på distans, Teknisk utrustning.

    Slutsatsen visar att både positiva och negativa upplevelser finns beskrivna. Telerehabilitering möjliggör en professionell behandling där patientens empowerment kan öka. Individuellt anpassat stöd är viktigt, både vad det gäller den fysioterapeutiska behandlingen och hur tekniken används. Teknik som fallerar kan ge en negativ upplevelse. Telerehabilitatering har begränsningar både i fysioterapeutens möjligheter till undersökning och begränsningar i vad som syns på videon. Det är viktigt att ta hänsyn till aspekter gällande personlig integritet.

  • 342.
    Josefsson, Kristina Areskoug
    et al.
    Department of Health Sciences, Division of Physiotherapy, Lund University.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Physiotherapy as a promoter of sexual health2015Inngår i: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 31, nr 6, s. 390-395Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Despite the holistic intention of physiotherapy, sexual health receives insufficient attention by physiotherapists. Sexual health is an important part of general health and well-being, which is often negatively affected by physical and psychological disorders. There are several reasons why sexual health should be addressed by physiotherapists, and this article aims to describe the role of the physiotherapist as a promoter of good sexual health and implementation of sexual health in clinical physiotherapy.

  • 343.
    Josefsson, Kristina Areskoug
    et al.
    Division of Physiotherapy, Lund University.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Sexual Health as a Part of Physiotherapy: The Voices of Physiotherapy Students2015Inngår i: Sexuality and disability, ISSN 0146-1044, E-ISSN 1573-6717, Vol. 33, nr 4, s. 513-532Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of the project was to explore and describe the views of physiotherapy students concerning sexual health as a part of physiotherapy education, and to enable them in their future profession as physiotherapists to be able to discuss sexual health matters with patients in an informed, sensitive and relaxed way. A qualitative interview study with data collection through focus group interviews was performed and analyzed with thematic content analysis. There was a strong consensus among the physiotherapy students in believing that sexual health should be acknowledged by physiotherapists. The theme that emerged from the data was: Sexual health—a professional challenge. The interviews resulted in the following categories: professional challenge, personal life experiences, communication, perceptive patient understanding, environmental factors and need for competence development. Students are positive towards working with sexual health. They believe that sexual health is an important aspect of quality of life, and therefore should be a part of physiotherapy education. Sexual health needs to be more addressed in the physiotherapy education. Students lack knowledge of lesbian, gay, bisexual, transgender and queer, sexual health and communication about sensitive issues. Perceived barriers towards working with sexual health could probably be lessened with increased education, but further research is needed. Personal development, knowledge, experience and environmental factors facilitate communication about sexual health.

  • 344.
    Josefsson, Kristina Areskoug
    et al.
    Department of Health Sciences, Health Sciences Center, Lund University.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Sexual health in patients with rheumatoid arthritis: experiences, needs and communication with health care professionals2012Inngår i: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681, Vol. 10, nr 2, s. 76-89Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Pain, fatigue and decreased joint mobility caused by rheumatoid arthritis (RA) often decrease sexual health in RA patients. Regular physiotherapy interventions in patients with RA are often aimed at improving those factors. The aim of the present study was to explore the experiences and views of patients concerning the impact of RA on their sexual health, the possible impact of physiotherapy interventions, and communication in clinical situations. A self-administered questionnaire was sent to patients with RA at two rehabilitation clinics in Sweden. The questionnaire included questions concerning the impact of RA on intimate relationships and sexual function, as well as experiences of physiotherapy and sexual health communication with health professionals. The questionnaire was answered by 63 patients. The majority of the patients thought that pain, stiffness, fatigue and physical capacity were related to sexual health. Communication between health professionals and patients about sexual health was less common, even if the desire for communication about sexual health was higher in this study than in other studies. The authors concluded that physiotherapists need to be aware that pain, fatigue, decreased joint mobility and physical capacity can affect sexual health and that physiotherapy can make a difference in sexual health in patients with RA. The impact of RA on sexual health is rarely discussed by health professionals and RA patients, and needs greater attention

  • 345.
    Josefsson, Kristina Areskoug
    et al.
    Department of Health Sciences, Health Sciences Center, Lund University.
    Gard, Gunvor
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Women's experiences of sexual health when living with Rheumatoid Arthritis: an explorative qualitative study2010Inngår i: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 11, s. 240-247Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: The ICF core sets for patients with Rheumatoid Arthritis (RA) acknowledge sexual function and intimate relationships as important since the patients' sexual health can be affected by the disease. About 36-70% of all RA-patients experience a reduced sexual health, and their perceived problems are directly or indirectly caused by their disease. Physiotherapy is often used as non-pharmacological treatment for RA. Mobility treatment, pain reduction, and physical activities are often included in physiotherapy for patients with RA. The aim of the study was to explore sexual health in relation to physiotherapy in women living with RA. Method: An explorative qualitative interview study with a phenomenological approach was performed. The study consisted of ten interviews with women with RA. The analysis was performed according to Giorgi. Results: The main theme that emerged in the material was that the body and the total life situation affected sexual health. Three categories were included in the theme: 1) sexual health - physical and psychological dimensions, 2) Impacts of RA, and 3) Possibilities to increase sexual health - does physiotherapy make a difference?. Conclusions: Sexual health was affected by RA in different ways for the informants. Possibilities to improve sexual health were improved partner communication and physiotherapy. Physiotherapy can play an active role in improving sexual health for patients with RA

  • 346.
    Juul-Kristensen, Birgit
    et al.
    Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark and Institute of Occupational Therapy, Physiotherapy and Radiography, Bergen University College, Bergen, Norway,.
    Röijezon, Ulrik
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Hypermobility among musicians - advantage or disadvantage?2013Inngår i: Musicians' Health and Performance 1st Nordic Conference 2013, Luleå: Luleå University of Technology, Department of Health Sciences , 2013, s. 18-19Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Generalised Joint Hypermobility (GJH) is a condition frequent seen in several hereditary diseases of connective disorders. It is defined from the maximal range of motion, often by the Beighton score, representing the laxity of the involved ligaments. GJH is a genetic feature, but also susceptible to training. GJH in adults is, when present with symptoms, characterised by functional limitations (1), decreased muscle strength, stability, proprioception, and an altered gait and muscle activity pattern.There are no precise prevalence rates of adults with Generalised Joint Hypermobility (GJH), but a recent review reports a varying prevalence for adults from 2-57% depending on age, gender and ethnic origin. For children the prevalence varies from 7-36%, primarily depending on the tests and criteria (especially the cut off-points) used for diagnosing GJH. GJH is more frequent in females/ girls than males/boys (2).Several studies found GJH to be frequent among performing artists, such as ballet dancers, gymnasts, and even musicians (3) and hypothesized an association between GJH and development of musculoskeletal disorders. As an example, professional dancers have higher physical fitness (walking distance, muscle strength, estimated VO2-max) than a matched control group, but for those with GJH, this advantage was not present.In a study of musicians a clear association was found between forearm and hand pain and GJH in 35% of female and 17% of male musicians (3), and also an increased prevalence of knee and spine symptoms in musicians with GJH (4). It has been suggested, that when playing music GJH is even an advantage, especially for joints that move quickly (wrists, elbows), but a disadvantage for joints that should stabilise (knees, back). However, one study did not find such association between symptoms and GJH in pianists.In summary, there seems to be some association between musculoskeletal injuries and GJH, presumably also in musicians, although the studies of this group are few. Therefore, larger epidemiological studies are necessary to confirm an association between GJH and musculoskeletal disorders in musicians, and whether specific precautions or preventive strategies should be taken for this group.References1. Juul-Kristensen B, Hansen H, Simonsen EB, Alkjaer T, Kristensen JH, Jensen BR, et al. Knee function in 10-year-old children and adults with Generalised Joint Hypermobility. The Knee. 2012;19:773-8.2. Remvig L, Jensen DV, Ward RC. Epidemiology of general joint hypermobility and basis for the proposed criteria for benign joint hypermobility syndrome: review of the literature. J Rheumatol. 2007;34(4):804-9.3. Brandfonbrener AG. Joint laxity and arm pain in a large clinical sample of musicians. Med Probl Perform Art. 2002;17(september):113-5.4. Larsson LG, Baum J, Mudholkar GS, Kollia GD. Benefits and disadvantages of joint hypermobility among musicians. NEnglJ Med. 1993;329(15):1079-82.

  • 347.
    Jäger, Viktoria
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
    Specifik rörlighet i handled, carpalbensleder och distal underarm 6 månader efter distal radiusfraktur2017Independent thesis Advanced level (degree of Master (Two Years)), 20 poäng / 30 hpOppgave
    Abstract [sv]

    Bakgrund: Distal radiusfraktur (DRF) är en vanligt förekommande fraktur med en incidens i Sverige på 31-32 per 10000 personår. Många personer upplever kvarstående besvär efter utläkt fraktur och i dagsläget saknas evidens kring optimal behandling och rehabilitering. Fler studier har konstaterat kvarstående symtom som nedsatt greppstyrka och rörlighet samt smärta.

    Syfte: Syftet med aktuell studie varatt undersöka specifik rörlighet 6 månader efter distal radiusfraktur. Jämförelser gjordes med andra utfallsmått på rörlighet, styrka och funktion.

    Metod:Utifrån en tvärsnittsdesign undersöktes 11 personer över 18 år som ådragit sig en DRF och behandlats för den under mars-maj 2016. Utfallsmått var specifik ledrörlighet testat utifrån Kaltenborns metod för ledundersökning. Detta jämfördes med uppmätt greppstyrka, angulär aktiv och passiv rörlighet samt subjektiv funktionsskattning DASH och PRWE. Sensomotorik och upplevelse av denna adresserades också.

    Resultat:Hos samtliga personer sågs hög grad av funktionsinskränkningar i samtliga utfallsmått, förutom hos de två av deltagarna som uppgav att de i princip var återställda. Hos dessa personer noterades inga nedsättningar i specifik ledrörlighet trots att även de hade nedsatt greppstyrka och inskränkt angulär rörlighet.

    Slutsats:Trots ett litet deltagarantal fanns en indikation på att specifik ledrörlighet kan vara en faktor i kvarstående funktionsinskränkning. Inget samband noterades mellan funktion, rörlighet och greppstyrka. Fler studier bör framöver utforska detta samband samt undersöka effekten av specifik behandling av rörelseinskränkningarna. Personer som ådragit sig en DRF bör följas upp närmare avseende rörelseförutsättningar och behandlingen därefter behöver vara mer specifik än idag. Här bör fysioterapeuter med utbildning inom OMT vara en självklar del i vårdkedjan.

  • 348.
    Jäger, Werner
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Vårdhögskolan i Boden.
    Ny tid ny verklighet: arbetslivsinrikatd rehabilitering2000Inngår i: Svensk rehabilitering, ISSN 1403-4468, Vol. 2, nr 1, s. 33-35Artikkel i tidsskrift (Annet vitenskapelig)
  • 349.
    Jäger, Werner
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Vårdhögskolan i Boden.
    Ramfaktorer och dess yttre förutsättningar för genomförandet av sjukgymnastutbildningen i Norrbottens län1992Rapport (Annet (populærvitenskap, debatt, mm))
  • 350.
    Jäger, Werner
    Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering. Vårdhögskolan i Boden.
    Ramfaktorer och dess yttre förutsättningar för genomförandet av sjukgymnastutbildningen i Norrbottens län: peer-review, utvärderingsrapport : slutrapport1992Rapport (Annet (populærvitenskap, debatt, mm))
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