Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Effekter av Vasa-konceptet på funktion i övre extremitet och på livskvalitet efter förvärvad hjärnskada: tre experimentella fallstudier
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
2017 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund

I Sverige drabbas årligen 50 000 personer av förvärvad hjärnskada. Vanliga komplikationer är funktionsnedsättning i övre extremitet, skuldersmärta, spasticitet och sänkt livskvalitet. En fysioterapeutisk rehabiliteringsmetod som försöker minska dessa komplikationer, men som ännu inte utvärderats vetenskapligt är Vasa-konceptet.

Syfte

Att undersöka vilken effekt en fem veckor lång intervention enligt Vasa-konceptet hade på nämnda komplikationer hos tre personer med förvärvad hjärnskada.

Metod  

Studien har en Singel Subject Experimentell Design med AB-design för att kunna följa förändringsprocessen över tid hos tre individer. Utfallsmått var Reaching Performance Scale, Patient-Specifik Funktionell Skala, Numerisk Skala, Modifierad Ashworth Skala och Modifierad Short version of Stroke Specific Quality of Life Scale. Studien pågick under sex veckor. Data bearbetades med visuell analys av trender, lutning och stabilitet.

Resultat

Arm/handfunktionen ökade hos två av tre deltagare. Den självskattade arm/handfunktionen ökade hos samtliga deltagare. Skuldersmärtan slutade öka hos en deltagare och övriga hade ingen smärta under interventionen, förutom vid några enstaka tillfällen. Spasticiteten i armbågsflexorer ökade hos en deltagare och förblev oförändrad hos övriga. I handledsflexorer minskade spasticiteten hos två av deltagarna och var oförändrad hos en. Livskvaliteten ökade hos samtliga deltagare.

Konklusion

Interventionen i studien hade positiva effekter på arm/handfunktion, skuldersmärta och livskvalitet. Ytterligare studier krävs dock för att kunna bekräfta dessa effekter av Vasa-konceptet.

Abstract [en]

Background

Each year 50 000 persons are affected by acquired brain injury in Sweden. Common complications include disability in the upper extremity, shoulder pain, spasticity and reduced quality of life. A physiotherapeutic rehabilitation method which tries to reduce these complications, but has not yet been evaluated scientifically is the Vasa-concept.

Purpose

To examine the impact of a five-week intervention with the Vasa-concept on the mentioned complications in three persons with acquired brain injury.

Method

The study has a Single Subject Experimental Design with an AB-design, focusing on changes over time in three individuals. Outcome measures were Reaching Performance Scale, Patient-Specific Functional Scale, Numeric scale, Modified Ashworth Scale and Modified Short version of Stroke Specific Quality of Life Scale. The entire study lasted for six weeks. Data were processed by visual analysis of trends, tilt and stability.

Results

Upper extremity function increased in two of three participants. Self-rated upper extremity function increased in all participants. Shoulder pain stopped to increase in one participant and did not occur in the remainders, except for a few occasions. Spasticity in elbow flexors increased in one participant and was unchanged in the remainders. In wrist flexors the spasticity decreased in two participants and was unchanged in one. Quality of life increased in all participants.

Conclusion

The intervention had positive effects on arm/hand function, shoulder pain and quality of life. Further studies are needed to confirm these effects of the Vasa concept.

Place, publisher, year, edition, pages
2017. , 37 p.
Keyword [en]
Stroke, brain injury, upper extremity function, quality of life, neurological rehabilitation, physical therapy
Keyword [sv]
Stroke, hjärnskada, funktion i övre extremitet, livskvalitet, neurologisk rehabilitering, fysioterapi
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:uu:diva-311953OAI: oai:DiVA.org:uu-311953DiVA: diva2:1061883
Educational program
Physiotherapy programme
Supervisors
Examiners
Available from: 2017-05-31 Created: 2017-01-03 Last updated: 2017-05-31Bibliographically approved

Open Access in DiVA

Effekter av Vasa-konceptet(1597 kB)14 downloads
File information
File name FULLTEXT01.pdfFile size 1597 kBChecksum SHA-512
f1b126a7e84e6367691c676398e814552c196181df33452f07150d8d5823af5eb3a1d3524771f8169d916adc7ce06781e02eae0b82bfb8c5d1eeb24eb3ea3d3b
Type fulltextMimetype application/pdf

By organisation
Physiotherapy
Physiotherapy

Search outside of DiVA

GoogleGoogle Scholar
Total: 14 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Total: 132 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf