Change search
Refine search result
4445464748 2301 - 2350 of 2364
CiteExportLink to result list
Permanent 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
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the Create feeds function.
  • 2301.
    Winkel, Jörgen
    et al.
    Luleå tekniska universitet.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    An EMG-study of work methods and equipment in crane coupling as a basis for job redesign1988In: Applied Ergonomics, ISSN 0003-6870, E-ISSN 1872-9126, Vol. 19, no 3, p. 178-184Article in journal (Refereed)
    Abstract [en]

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

  • 2302.
    Winkel, Jörgen
    et al.
    Luleå tekniska universitet.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Krankopplarnas arbetsmiljö: kartläggning av fysiska belastningar och förslag till åtgärder1984Report (Other academic)
  • 2303.
    Winkel, Jörgen
    et al.
    Luleå tekniska universitet.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Pettersson, Dennis
    Luleå University of Technology, Department of Business Administration, Technology and Social Sciences, Innovation and Design.
    Åkerlund, Elisabeth
    Luleå tekniska universitet.
    Fordonshytt för sophantering och varudistribution1985Report (Other academic)
  • 2304.
    Winkel, Jörgen
    et al.
    Luleå tekniska universitet.
    Tillberg, Bengt
    Luleå tekniska universitet.
    Ekblom, Berit
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Fysiska belastningar på kabinpersonal vid trafikflygning1980Report (Other academic)
  • 2305.
    Winkiel, Maria
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Ospecificerad bäckensmärta: Finns ett mervärde i livskvaliteten för denna patientgru pp med multimodal behandling.: En randomiserad studie.2014Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    Introduktion: Ospecificer ad bäckensmärta ä r ett problem som drabbar må nga kvinnor och deras dagliga funktion och livskvalitet påverkas ofta negati\1. Det finns flera olika behandlingsalternativ m en inget optimalt för denna patientgru pp och tyvär r lider många kvinnor.

     

    Syfte: Syftet med studien rnr att utreda om gynekologisk behandling i kombination med multimodal behandling kan ge ett mervä rde för patienter med ospecificerad bäckensmärta, jämfört med enbart gyn ekologisk behandling, i förändring Ö\'er tid .

     

    Metod: Öppen, pragmatisk, ra ndomiserad och kontrollerad inter\'entionsstudie inkluderande 46 öppcnvårdspaticnter med bäckensmärta .Patienterna randomiserades till experimentgrupp, som fick traditionell gynekologisk behandling och multimodal behandling, och till kontro1lgrupp, som fick enbart traditionell gynekologisk behandling. Utvärdering skedde via självskattningsformulär för att utvärdera

    Iivskvalitet.

     

    Resultat: Studien visade att det fanns en signifikant skillnad mellan grupperna  i livskvalitet i variabel n fritid t ill experimentgru ppens fördel. I nga signifikanta skillnader i övriga variabler mellan grupperna över tid.

     

    Slutsats: Det är osäkert om patient er med ospecificerad bäckensmärta kan ha ett mer\'ärde av multimodal behandling. Fler studier bchÖ\'S inom om rådet

  • 2306.
    Wisaeus, Johanna
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences.
    Traumatiska skador hos ishockeyspelare i Sverige: en registerstudie2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim

    The aim of this study was to map the injury panorama of traumatic injuries related to ice hockey in Sweden 2006-2011. In addition to that the aim was to compare whether there were any gender differences regarding traumatic ice hockey injuries.

     

    Method

    The present study was based on data from the Folksam insurance company between 2006 and 2011. The population consisted of ice hockey players in a club affiliated to the Swedish Ice Hockey Federation and that had sustained a traumatic injury related to ice hockey that resulted in medical care and then was reported to Folksam. The results are presented with descriptive statistics such as mean and standard deviation, median range and frequencies.

     

    Results

    The head was the most common injury localization followed by the upper extremity where the shoulder accounted for a high number of injuries. Fracture was the most common type of injury for both male and female players. Dental injuries were the second most common injury type. Injuries were most frequent in young players aged 10-24 years with a peak between 15-19 years of age. Female players suffered more contusion injuries, concussions and sprains than male players. Fractures to the upper extremity were the type of injury that to the highest extent led to permanent medical impairment.

     

    Conclusion

    Dental injuries constituted a great part of the injuries and have not decreased despite rules concerning dental protection. Fracture was the most frequent type of injury for both genders and was also the type of injury that led to the highest number of sports disability. Young players were more prone to injuries than older players. Concussion, contusions and distortions were more common in female than in male but there were no significant difference.

  • 2307.
    Wiström, Emma
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Gustafsson, Linnea
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Motivation sitter i huvudet, inte i benen: Upplevelser av att gå på gåband under kontorsarbete2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Introduktion: Den fysiska inaktivitet som medföljer stillasittande har visats sig ha koppling med flertalet långvariga sjukdomar och medicinska tillstånd. Att införa aktiva arbetsstationer kan därför vara ett sätt att motverka stillasittande hos kontorsarbetare. För att undersöka om gåband är ett alternativ som aktiv arbetsstation behövs det först utvärderas.

    Syfte: Syftet med denna kandidatuppsats är att undersöka deltagarnas inställningar till och upplevelser av användandet av gåband i kontorsmiljö.

    Metod: Fem kontorsarbetare har under tretton månader gått på gåband under arbetstid i syfte att minska stillasittandet. Deltagarnas upplevelser undersöktes genom semistrukturerade intervjuer vilka analyserades med hjälp av Grounded theory.

    Resultat: Analysen av intervjuerna resulterade i fyra kategorier: hinder för och svårigheter med gåband, vinster med och förutsättningar för gåband, ambivalens samt coaching behöver individualiseras. Kategorierna kunde slutligen tillsammans kopplas ihop till huvudkategorin motivation – det sitter i huvudet, inte i benen som tolkas som grunden till ett långvarigt användande av gåbandet.

    Konklusion: Sammanfattningsvis finns det flertalet åtgärder att ta till för att underlätta och således optimera användandet av gåband. Den viktigaste åtgärden är att hitta strategier för att upprätthålla motivationen hos de enskilda informanterna. Vi tror att fysioterapeuter har nytta av att hjälpa patienter att hitta sin motivation för ökad följsamhet.

  • 2308.
    Wittboldt, Susanna
    et al.
    Sahlgrenska University Hospital.
    Cider, Åsa
    Sahlgrenska University Hospital, University of Gothenburg.
    Bäck, Maria
    Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Medicine and Health Sciences.
    Reliability of two questionnaires on physical function in patients with stable coronary artery disease.2016In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 15, no 2, p. 142-149Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Exercise-based cardiac rehabilitation is highly recommended for patients with coronary artery disease, as it improves physical fitness and reduces mortality and morbidity. Physical fitness per se does not always correlate with the patient's physical function. For this reason, additional measurements of physical function could be included in cardiac rehabilitation programmes to further tailor interventions to suit the individual patient. As a result, reliable measurements to assess physical function are required for patients with coronary artery disease.

    AIM: The aim of this study was to evaluate the reliability of the Patient-Specific Functional Scale (PSFS) and the Disability Rating Index (DRI) in patients with stable coronary artery disease.

    MATERIAL: Fifty-one patients (11 women), age 63.9 (SD 7.6) years, with stable coronary artery disease and coronary-angiographic changes indicating an elective percutaneous coronary intervention, were recruited at the Cardiology Department at Sahlgrenska University Hospital, Gothenburg.

    METHODS: The reliability tests included stability over time, evaluated with a test-retest procedure using the intraclass correlation coefficient (ICC), and internal consistency, measured with Cronbach's alpha and item-total correlation coefficients.

    RESULTS: Both questionnaires were stable over time (DRI, ICC=0.74, and PSFS, ICC=0.72). The internal consistency for the DRI was good, with a Cronbach's alpha value of > 0.85 for all items. The item-total correlation coefficients presented acceptable values of > 0.40, apart from two items.

    CONCLUSION: We have provided introductory support for the reliability of the DRI and PSFS questionnaires in patients with stable CAD. These questionnaires can be used to assess physical function and to evaluate the effect of interventions in addition to measuring physical fitness.

  • 2309.
    Wittrin, A.
    et al.
    Örebro Univ Hosp, Örebro, Sweden.
    Nilsagård, Ylva
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Westerdahl, Elisabeth
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Gunnarsson, Martin
    Örebro University, School of Medicine, Örebro University, Sweden. Örebro Univ Hosp, Örebro, Sweden.
    Self-assessment of walking ability in patients with multiple sclerosis and its impact on the expanded disability status scale (EDSS) score2013In: Multiple Sclerosis, ISSN 1352-4585, E-ISSN 1477-0970, Vol. 19, no 11, p. 118-118Article in journal (Other academic)
  • 2310. Wolf, S L
    et al.
    Kwakkel, G
    Bayley, M
    McDonnell, M N
    Best practice for arm recovery post stroke: an international application.2016In: Physiotherapy, ISSN 0031-9406, E-ISSN 1873-1465, Vol. 102, no 1Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To develop an evidence-based application ('app') for post-stroke upper extremity rehabilitation that can be used globally by therapists.

    PARTICIPANTS: Twenty-three experienced neurorehabilitation therapists, applied scientists and physicians, and 10 consultants dedicated to the provision of best practice to stroke survivors.

    DESIGN: This team evaluated the evidence to support the timely and appropriate provision of interventions and the most defensible outcome measures during a 4-year voluntary information gathering and assimilation effort, as a basis for the sequencing of an algorithm informed by the data and directed by changes in impairment and chronicity.

    OUTCOME MEASURES: The primary outcome was the formulation of a testable app that will be available for minimal user cost. The app is for a smartphone, and the comments of a focus group (audience at a World Confederation for Physical Therapy 2015 presentation, approximate n=175) during a 30-minute 'Questions and Answers' session were assessed.

    RESULTS: Analysis of documented, extensive input offered by the audience indicated a highly favourable disposition towards this novel tool, with provision of concrete suggestions prior to launching the final version. Suggestions centred on: inclusion of instructions; visuals and demonstrations; monitoring of adverse responses; availability of updates; autonomous use by patients; and potential to characterise practice.

    CONCLUSIONS: A simple, user-friendly app for decision making in the treatment of upper extremity impairments following stroke is feasible and welcomed.

  • 2311.
    Wändahl, Lovisa
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Brandels, Siri
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    Gruppen som verktyg: En litteraturöversikt om gruppens inverkan för personer med fibromyalgi- ett fysioterapeutiskt perspektiv2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Introduktion Fibromyalgi är ett syndrom som betecknas av utbredd fluktuerande långvarigsmärta med andra varierande symptom. Symptomen förstärker varandra och leder vanligentill fysisk inaktivitet. Då orsaken till fibromyalgi ännu inte är fastställd används varierandemetoder som symtombehandling. Ofta utvecklas copingstrategier för att minska symtom ochfunktionsnedsättning. Som rehabilitering finns flera fysioterapeutiska behandlingsmetoder,som ofta görs i grupp. För människan är det viktigt att ingå i fungerande grupper, som kangynna rehabiliteringen. Inom detta område finns ingen funnen litteratursammanställning, tillförfattarnas kännedom, som beskriver hur grupprocessens effekt kan användas inomfysioterapi. Syfte Syftet med denna studie är att beskriva hur individer med fibromyalgipåverkas av gruppdynamik vid rehabilitering. Metod En litteratursökning i databasernaPubmed, Cinahl, Amed, Sport Discus, Medline, PsycInfo, ERIC och PsycArticlesgenomfördes. Databaserna genomsöktes med följande sökord: “Fibromyalgia ANDqualitative AND group”, “Fibromyalgia AND rehabilitation AND group AND qualitative”,“Fibromyalgia rehabilitation AND quality of life AND self-efficacy” och “FibromyalgiaAND rehabilitation AND group process”. 261 studier hittades varav elva kvalitativa studierinkluderades. Resultat Utifrån artiklarna framkom nio kategorier: samvaro med andra isamma livssituation, bli bekräftad, humor och glädje, ömsesidigt utbyte, bryta isoleringen,personlig utveckling, information, ofördelaktiga sidor och utformning av gruppinterventioner. Konklusion Gruppen visade sig vara verkningsfull i syfte att reducera isolering, känna sigsedd och förstådd samt öka tillämpning av copingstrategier. Detta tyder på att processer inomgruppen kan bidra till gemenskap och underlätta en tillvaro som är utmanande. Gruppen somverktyg genererade i ökat välmående i livssituationen för personer med fibromyalgi.

  • 2312.
    Wåhlin, Charlotte
    Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Occupational and Environmental Medicine Center. Institute for Environmental Medicine, Karolinska Institutet, Unit of Intervention and Implementation Research, Stockholm, Sweden.
    Using social media to connect, facilitate communication, and practice knowledge translation2018In: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 20, no 2, p. 65-66Article in journal (Other academic)
  • 2313.
    Wåhlin, Charlotte
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Occupational and Environmental Medicine Center. Unit of Intervention and Implementation Research for Worker Health, Institute for Environmental Medicine, Karolinska Institutet, Stockholm.
    Kvarnström, Susanne
    Region Östergötland, Heart and Medicine Center, Occupational and Environmental Medicine Center.
    Öhrn, Annica
    Region Östergötland, Heart and Medicine Center, Occupational and Environmental Medicine Center.
    Nilsing Strid, Emma
    University Healthcare Research Centre, Region Örebro County and School of Medical Sciences, Örebro University, Örebro, Sweden.
    Patient and healthcare worker safety risks and injuries. Learning from incident reporting2019In: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177Article in journal (Refereed)
    Abstract [en]

    Objectives: Learning from incident reporting systems is one core strategy to develop a culture of safety for healthcare workers and patients. The aim of this retrospective study was to explore patient injuries focussing on falls. Furthermore, on healthcare workers incidents, injuries and the situations they occurred.

    Method: A total of 65,749 patient risks and incidents were registered in the incident reporting system between 2011 and 2014. Of these, 11,006 were classified as an injury to a patient. Risks and incidents were registered and analysed for 1702 healthcare workers.

    Results: Fifteen percent of the patient injuries required treatment. Falls were reported in 17% of the cases. Patients fell mainly in unassisted situations. Healthcare workers’ incidents and injuries were registered mainly by nurses and assistant nurses. Sixteen percent of the injuries required treatment. Prevalence of incidents was on an average 3.5% each year. Common injuries were: needle stick, workplace violence, injuries during patient manual handling. The patient was present in 74% of all incidents.

    Conclusion: Patient and healthcare workers injuries are still prevalent in Swedish healthcare and a substantial part of the incidents involved a patient situation. Collaboration between employers, employees and patient representatives is needed to increase awareness of safety in healthcare.

  • 2314.
    Wåhlin Norgren, Charlotte
    et al.
    Linköping University, Department of Medical and Health Sciences, Physiotherapy. Linköping University, Faculty of Health Sciences.
    Ekberg, Kerstin
    Linköping University, Department of Medical and Health Sciences, Work and Rehabilitation. Linköping University, Faculty of Health Sciences.
    Öberg, Birgitta
    Linköping University, Department of Medical and Health Sciences, Physiotherapy. Linköping University, Faculty of Health Sciences.
    Professional based classification versus self reported measures as a basis for choice of intervention - patients’ with musculoskeletal and mental disorders2010Conference paper (Refereed)
  • 2315.
    Wåhlin-Norgren, Charlotte
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, Division of Physiotherapy. Linköping University, Department of Medical and Health Sciences.
    Ekberg, Kerstin
    Linköping University, Department of Medical and Health Sciences, Work and Rehabilitation. Linköping University, HELIX Vinn Excellence Centre. Linköping University, Faculty of Health Sciences.
    Öberg, Birgitta
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, Division of Physiotherapy. Linköping University, Department of Medical and Health Sciences.
    Health an functioning of employees with musculoskeletal or mental stress disorders - analysis of subgroups based on ICD-10 and work ability.2007In: International Scientific Conference on Prevention of Work-Related Musculoskeletal Disorders., 2007Conference paper (Refereed)
    Abstract [en]

    There is a great need in clinical practise and within the social insurance system in Sweden to learn more about classification of health and functioning and how to understand what influences work ability. This study provides evidence that sub grouping can be done from a medical approach by using ICD-10 or by using the Workability Index, but the pattern of health and functioning differs depending on which tool is used for categorization. Work- ability Index appears to provide a more distinct discrimination in terms of health and functioning than ICD-10.    

  • 2316.
    Yngve, Henny
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Edlund, Johannes
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Samstämmighet i bedömning av utfallssteg visuellt och med hjälp av videoanalysprogram2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Sammanfattning:Avvikande rörelsemönster kan medföra muskuloskeletala besvär. Därför är det viktigt att kunna göra noggranna bedömningar utav rörelser hos olika individer. Två-dimensionella videoanalysprogram är lättillgänglig teknik som kan underlätta för fysioterapeuten. Få studier till dags dato har undersökt reliabilitet och validitet hos dessa program. Syfte Syftet med undersökningen var att utvärdera överrensstämmelsen emellan och inom två bedömare som använder det två-dimensionella videoanalysprogrammet Kinovea i jämförelse med visuell bedömning på plats för att utvärdera om det kan användas som hjälpmedel vid rörelseanalys. Metod Deltagarna i studien var 15 kvinnor och 17 män (medelålder 23,5 år) Samtliga fick utföra två utfallsseg. Utfallsstegen observerades och filmades av videokamera framifrån och från sidan. Två bedömare gjorde varsin bedömning visuellt och en senare bedömning med Kinovea, samt två vinkelmätningar av knäled i Kinovea. Den procentuella överenstämmelsen och korrelationen emellan och inom bedömarna analyserades. Resultat Resultaten enligt bedömningsverktyget visade att överrensstämmelsen emellan bedömare var moderat till bra i visuellbedömning och moderat till utmärkt i Kinovea. Inom bedömare 1 var överenstämmelsen mellan visuell och Kinovea bedömning bra till utmärkt och för bedömare 2 moderat till bra. Vinkelmätning visade en medelavvikelse på 2 -6 grader och Pearson’s korrelation emellan och inom bedömare var hög (r=0,86-0,98). Konklusion Kinovea tycks kunna användas som hjälpmedel för att observera en dynamisk rörelse såsom ett utfallssteg även om felmarginalen kan vara uppemot 6 grader vid upprepade bedömningar.

  • 2317.
    Zafar, Hamayun
    et al.
    Umeå University, Faculty of Medicine, Department of Odontology, Clinical Oral Physiology. King Saud University, Saudi Arabia .
    Oluseye, Kamaldeen
    King Saud University, Saudi Arabia.
    Alghadir, Ahmad
    King Saud University, Saudi Arabia.
    Iqbal, Zaheen A.
    King Saud University, Saudi Arabia.
    Perception about the importance and use of therapeutic massage as a treatment modality among physical therapists working in Saudi Arabia2015In: Journal of Physical Therapy Science, ISSN 0915-5287, Vol. 27, no 6, p. 1827-1831Article in journal (Refereed)
    Abstract [en]

    [Purpose] To report perceptions about the importance and use of therapeutic massage as a treatment modality among physical therapists working in Saudi Arabia. [Subjects and Methods] A 21-item structured questionnaire was used to assess various domains including the demographic and professional characteristics of physical therapists and their perceptions about the importance and use of therapeutic massage in their daily practice. The questionnaire was uploaded online and the web link was sent to 140 members of the Saudi Physical Therapy Association (SPTA). [Results] The overall response rate was 86%. Among the respondents, 31% reported occasional use of therapeutic massage in their clinical practice, and 55% reported to have received formal training for therapeutic massage. Use of therapeutic massage was more common among female physical therapists. [Conclusion] Many physical therapists working in Saudi Arabia consider therapeutic massage to be an important treatment modality, but its use is relatively limited, either due to the time and effort required to dispense it, or the lack of scientific evidence for its efficacy.

  • 2318.
    Zahlander, Johanna
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotheraphy.
    Hedman, Per
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotheraphy.
    Skador inom svensk damishockey: En enkätstudie2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Ice hockey is a sport with high risk for injuries. The practitioners of the sport are both males and females, yet how the game is played differs due to gender and country. Mapping out injuries within the population makes a first step towards injury prevention. However, there are no studies regarding the prospect of injuries in Swedish female ice hockey. 

    Purpose: Mapping out age, exposure to the sport, location, occasion and time loss related to injuries. Study correlation between player age and number of injuries; exposure hours and number of injuries.

    Procedure: A web-based questionnaire was made in a retrospective design. The population were all players in riksserien and division 1 in Sweden during the season 2013-2014. Data were collected continuously during three weeks in February 2014.

    Results: The number of complete questionnaires included was 137, approximately 25 % of the population. The most common injury localisation was the knee (20 %, n = 25). Knee injuries also had the second longest absence from gameplay (mean: 6,5 weeks). The distribution of injuries between training and gameplay were equal. The highest number of injuries during gameplay occurred in the second period (45 %). A significant correlation indicated that more injuries occurred with more exposure hours. No correlation between age and injury were found. 

    Conclusions: This study shows, as studies on men’s ice hockey and female ice hockey in North America that knee injuries are common and that most of injuries during gameplay occurs in the second period. In opposite to previous studies this study shows no correlation between injuries and age. The head-injuries also showed lower numbers than previous studies. Further studies need to be done to work out interventions for injury prevention, especially for knee injuries.

  • 2319.
    Zakrisson, Ann-Britt
    et al.
    Örebro University, School of Health Sciences. University Health Care Research Center (UFC), Region Örebro County, Örebro, Sweden; Centre for Assessment of Medical Technology, Örebro University Hospital, Örebro, Sweden.
    Hiyoshi, Ayako
    Örebro University, School of Medical Sciences.
    Theander, Kersti
    Primary Care Research Unit, County Council of Värmland, Karlstad, Sweden; Department of Nursing, Karlstad University, Karlstad, Sweden.
    A three-year follow-up of a nurse-led multidisciplinary pulmonary rehabilitation programme in primary health care: a quasi-experimental study2016In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 25, no 7-8, p. 962-971Article in journal (Refereed)
    Abstract [en]

    Aims and objectives: To investigate the effects of a nurse-led multidisciplinary pulmonary rehabilitation programme conducted in primary health care on functional capacity, quality of life and exacerbation frequency over three years among patients with Chronic Obstructive Pulmonary Disease.

    Background: Although Chronic Obstructive Pulmonary Disease is a chronic respiratory disease, it has been established that pulmonary rehabilitation has positive effects on patients' everyday functioning. However, the duration of these functional improvements, especially when the rehabilitation programmes are provided in primary health care settings, remains to be established.

    Design: A quasi-experimental design.

    Method: Primary health care patients with Chronic Obstructive Pulmonary Disease (GOLD stages II and III) were included; 49 in the intervention group and 54 in the control group. The intervention comprised a six-week pulmonary rehabilitation programme. Functional capacity was assessed using a six-minute walking test and quality of life by the Clinical COPD Questionnaire at baseline, after one year and three years. Exacerbation frequency was calculated from one year before to three years after the programme.

    Results: No significant differences between the groups were observed in the six-minute walking-test or the Clinical COPD Questionnaire after one year and three years. On average, there were significant improvements in the six-minute walking-test and the Clinical COPD Questionnaire from baseline to the one-year follow-up. Exacerbation frequency tended to decrease in the intervention group and increase in the control group (interaction test was p = 0·091) but increased again in both groups after three years.

    Conclusion: There was no evidence of the benefit of the nurse-led multidisciplinary pulmonary rehabilitation programme, although the exacerbation frequency tended to decrease in the intervention group after one year. There is a need for support and coaching at regular follow-ups in primary health care.

    Relevance to clinical practice: There is a need to support and coach patients with Chronic Obstructive Pulmonary Disease in primary health care by means of regular follow-ups.

  • 2320.
    Zarur, Shirin
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Skadepanoramat hos ungdomslandslagsspelare i basket2012Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
  • 2321.
    Zetterberg, Lena
    Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Neuroscience.
    Multidimensional Aspects of Dystonia: Description and Physiotherapy Management2008Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Aims: The overall aim of this research was to increase the knowledge about dystonia by identifying factors that influence self-reported quality of life and health in this disorder and to determine what factors predict disability. A further aim was to develop an objective outcome measure for quantifying the movement dysfunction in cervical dystonia (CD) and evaluate effects of physiotherapy.

    Methods: A descriptive correlative design was adopted for study I (n=351), with a questionnaire covering physical activity, satisfaction with treatment, physiotherapy or not, and quality of life and health measured with the Craniocervical Dystonia Questionnaire (CDQ-24) and the Cervical Dystonia Impact Profile, respectively.

    In study II a CD group (n=6) was compared with a control group (n=6). Head movements were measured with a motion capture system, and a Movement Energy Index (MEI) was calculated. In study III an experimental single-case design (n=6) was used, with continuous assessments during pre-treatment, intervention and follow-up. Quality of life, measured with CDQ-24, was the primary outcome measure.

    A prospective correlative design was applied in study IV (n=179), where data from questionnaires were collected on inclusion and 2 months later. Independent variables were: duration of dystonia, severity of dystonia, pain intensity, catastrophizing, self-efficacy, fatigue, kinesiophobia, depression, anxiety and physical activity; and the dependent variables were the Neck Disability Index and the Functional Disability Questionnaire.

    Results: Study I indicated that physical activity and satisfaction with treatment were associated with quality of life and health in dystonia. In study II the groups differed significantly concerning MEI in all movement directions. Mean MEI was significantly higher in patients than in controls. Positive treatment outcomes were reported by all patients in study III, mainly with reduced pain and reduced CD severity during the treatment period. Five of the six patients reported increased quality of life at the 6-month follow-up. Perceived self-efficacy, fatigue, pain intensity and anxiety contributed significantly to disability prediction in study IV.

    Conclusion: These investigations have increased the knowledge of dystonia from a multidimensional perspective and the results could be valuable in developing new treatment strategies.

  • 2322.
    Zetterberg, Lena
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotheraphy.
    Halvorsen, Kjartan
    Färnstrand, Catarina
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Clinical Neurophysiology.
    Aquilonius, Sten-Magnus
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Neurology.
    Lindmark, Birgitta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotheraphy.
    Physiotherapy in Cervical Dystonia: Six experimental single-case studies2008In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 24, no 4, p. 275-290Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to explore the outcome of a physiotherapy program targeted to improve the quality of life of people with cervical dystonia (CD) by reducing pain, improving awareness of postural orientation, increasing muscle strength, and reducing the effort of moving the head and neck. In six single case studies, the primary outcome measure for each case was the Cervical Dystonia Questionnaire (CDQ) to measure the impact of the program on the individuals' quality of life. Secondary outcome measures were identified for the different components of the physiotherapy program: Visual Analogue Scale (pain); Postural Orientation Index (postural orientation awareness); and Movement Energy Index (effort of moving head and neck). Each of the cases had the severity of their problems scored on the Toronto Western Spasmodic Torticollis Scale. The study period was 26 weeks: 2 weeks' baseline period, 4 weeks' treatment period, and 20 weeks' follow-up. All measures except the Movement Energy Index (MEI) and CDQ-24 were taken three times per week for the first 6 weeks of the study and then once at 3 and 6 months. The MEI was taken once a week during the pretreatment and the treatment periods and during the first 2 weeks of follow-up and also after 3 and 6 months of follow-up. The CDQ-24 was taken once in the pretreatment period, once after completion of treatment, once 2 weeks after treatment, and once at 3 and 6 months of follow-up. Five of the six case studies reported an increase in quality of life at 6-month follow-up, as measured on the CDQ-24. Three of the six cases reported a reduction in pain and severity of the dystonia and had improved scores on the postural orientation measure at 6-month follow-up. All six patients had a reduction in the movement energy scores, but this was not significant. The outcomes of the six case studies would suggest that further investigation is required to show the effectiveness of physiotherapy programs in the management of CD.

  • 2323.
    Zetterberg, Lena
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotheraphy.
    Lindmark, Birgitta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotheraphy.
    Söderlund, Anne
    Åsenlöf, Pernilla
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotheraphy.
    Self-perceived non-motor aspects of cervical dystonia and their association with disability2012In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 44, no 11, p. 950-954Article in journal (Refereed)
    Abstract [en]

    Objective: To examine the multivariate association between a model of self-perceived non-motor aspects and disability in cervical dystonia. Design: A prospective and correlational design with two points of assessment. Subjects: All 273 members with cervical dystonia from the Swedish Dystonia Patient Association were invited to participate. Methods: Data were collected with one self-reported questionnaire. The questionnaire was sent by post on two separate occasions. Disability was the primary outcome variable measured by the Functional Disability Questionnaire. Results: The questionnaire was completed by 180 individuals (66%) on both occasions. The multivariate association between the non-motor model and disability was statistically significant (adjusted R-2 0.46, F(7, 149)=19.76, p = 0.001). This indicated that 46% of the variance in disability was explained by the non-motor model. Self-efficacy appeared to be the most salient predictor of disability. Conclusion: The results of this study highlight the need for increasing awareness of self-perceived non-motor aspects among care providers treating patients with cervical dystonia. This presents opportunities for new rehabilitation possibilities that apply a behavioural medicine perspective.

  • 2324.
    Zetterberg, Lena
    et al.
    Uppsala University.
    Lindmark, Birgitta
    Uppsala University.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Åsenlöf, Pernilla
    Uppsala University.
    Self-perceived non-motor aspects of cervical dystonia and their association with disability2012In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 44, no 11, p. 950-954Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To examine the multivariate association between a model of self-perceived non-motor aspects and disability in cervical dystonia.DESIGN: A prospective and correlational design with two points of assessment. SUBJECTS: All 273 members with cervical dystonia from the Swedish Dystonia Patient Association were invited to participate. METHODS: Data were collected with one self-reported questionnaire. The questionnaire was sent by post on two separate occasions. Disability was the primary outcome variable measured by the Functional Disability Questionnaire. RESULTS: The questionnaire was completed by 180 individuals (66%) on both occasions. The multivariate association between the non-motor model and disability was statistically significant (adjusted R2 0.46, F(7, 149) = 19.76, p = 0.001). This indicated that 46% of the variance in disability was explained by the non-motor model. Self-efficacy appeared to be the most salient predictor of disability.CONCLUSION: The results of this study highlight the need for increasing awareness of self-perceived non-motor aspects among care providers treating patients with cervical dystonia. This presents opportunities for new rehabilitation possibilities that apply a behavioural medicine perspective.

  • 2325.
    Zetterberg, Lena
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Urell, Charlotte
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Anens, Elisabeth
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Exploring factors related to physical activity in cervical dystonia2015In: BMC Neurology, ISSN 1471-2377, E-ISSN 1471-2377, Vol. 15, article id 247Article in journal (Refereed)
    Abstract [en]

    Background

    People with disabilities have reported worse health status than people without disabilities and receiving fewer preventive health services such as counseling around exercise habits. This is noteworthy considering the negative consequences associated with physical inactivity. No research has been conducted on physical activity in cervical dystonia (CD), despite its possible major impact on self-perceived health and disability. Considering the favorable consequences associated with physical activity it is important to know how to promote physical activity behavior in CD. Knowledge of variables important for such behavior in CD is therefore crucial. The aim of this study was to explore factors related to physical activity in individuals with cervical dystonia.

    Methods

    Subjects included in this cross-sectional study were individuals diagnosed with CD and enrolled at neurology clinics (n = 369). Data was collected using one surface mailed self-reported questionnaire. Physical activity was the primary outcome variable, measured with the Physical Activity Disability Survey. Secondary outcome variables were: impact of dystonia measured with the Cervical Dystonia Impact Scale; fatigue measured with the Fatigue Severity Scale; confidence when carrying out physical activity measured with the Exercise Self-Efficacy Scale; confidence in performing daily activities without falling measured with the Falls Efficacy Scale; enjoyment of activity measured with Enjoyment of Physical Activity Scale, and social influences on physical activity measured with Social Influences on Physical Activity in addition to demographic characteristics such as age, education level and employment status.

    Results

    The questionnaire was completed by 173 individuals (47 % response rate). The multivariate association between related variables and physical activity showed that employment, self-efficacy for physical activity, education level and consequences for daily activities explained 51 % of the variance in physical activity (Adj R 0.51, F (5, 162) = 35.611, p = 0.000). Employment and self-efficacy for physical activity contributed most strongly to the association with physical activity.

    Conclusions

    Considering the favorable consequences associated with physical activity it could be important to support the individuals with CD to remain in work and self-efficacy to physical activity as employment and self-efficacy had significant influence on physical activity level. Future research is needed to evaluate causal effects of physical activity on consequences related to CD .

  • 2326.
    Zidén, Lena
    et al.
    Vårdalinstitutet, University of Gothenburg, Dep of Clinical Neuroscience and Rehabil, Sahlgrenska Academy Univerasity odf Gothenburg.
    Häggblom-Kronlöf, Greta
    Vårdalinstitutet, University of Gothenburg, Dep of Clinical Neuroscience and Rehabil, Sahlgrenska Academy Univerasity odf Gothenburg.
    Gustafsson, Susanne
    Vårdalinstitutet, University of Gothenburg, Dep of Clinical Neuroscience and Rehabil, Sahlgrenska Academy Univerasity odf Gothenburg.
    Lundin-Olsson, Lillemor
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Dahlin-Ivanoff, Synneve
    Vårdalinstitutet, University of Gothenburg, Dep of Clinical Neuroscience and Rehabil, Sahlgrenska Academy Univerasity odf Gothenburg.
    Physical Function and Fear of Falling 2 Years After the Health-Promoting Randomized Controlled Trial: Elderly Persons in the Risk Zone2014In: The Gerontologist, ISSN 0016-9013, E-ISSN 1758-5341, Vol. 54, no 3, p. 387-397Article in journal (Refereed)
    Abstract [en]

    Purpose of the study: To investigate the effects of 2 different health-promoting interventions on physical performance, fear of falling, and physical activity at 3-month, 1-year, and 2-year follow-ups of the study Elderly Persons in the Risk Zone.

    Design and Methods: A randomized, three-armed, single-blind, and controlled study in which 459 independent and community-dwelling people aged 80 years or older were included. A single preventive home visit including health-promoting information and advice and 4 weekly senior group meetings focused on health strategies and peer learning, with a follow-up home visit, were compared with control. Functional balance, walking speed, fear of falling, falls efficacy, and frequency of physical activities were measured 3 months, 1 year, and 2 years after baseline.

    Results There were no or limited differences between the groups at the 3-month and 1-year follow-ups. At 2 years, the odds ratio for having a total score of 48 or more on the Berg Balance scale compared with control was 1.80 (confidence interval 1.11-2.90) for a preventive home visit and 1.96 (confidence interval 1.21-3.17) for the senior meetings. A significantly larger proportion of intervention participants than controls maintained walking speed and reported higher falls efficacy. At 1 and 2 years, a significantly higher proportion of intervention participants performed regular physical activities than control.

    Implications: Both a preventive home visit and senior meetings reduced the deterioration in functional balance, walking speed, and falls efficacy after 2 years. The long-term effects of both interventions indicate a positive impact on postponement of physical frailty among independent older people.

  • 2327.
    Åberg, Anna Christina
    et al.
    Akademiska sjukhuset, Uppsala.
    Lundin-Olsson, Lillemor
    Umeå universitet, Institutionen för Samhällsmedicin och Rehabilitering.
    Rosendahl, Erik
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Förebygg fall och fallskador i samband med vård: nationell satsning för ökad patientsäkerhet2008Report (Other academic)
  • 2328.
    Åberg, Anna Christina
    et al.
    Department of Public Health and Caring Sciences/Geriatrics, Uppsala University.
    Lundin-Olsson, Lillemor
    Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University.
    Rosendahl, Erik
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Implementation of evidence-based prevention of falls in rehabilitation units: A staff's interactive approach2009In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 41, no 13, p. 1034-1040Article in journal (Refereed)
    Abstract [en]

    Objective: To provide strategies to assist healthcare professionals in the area of rehabilitation to improve prevention of falls. Design: A conceptual framework is described as a foundation for the proposal of 2 intertwined strategies, of intervention and implementation, which target the questions: Which strategies for intervention represent the current best evidence? and: How can these strategies be implemented and continuously developed? Results: Strategies for multifactorial and multiprofessional fall preventive interventions are presented in terms of a "fall prevention pyramid model", including general, individualized, and acute interventions. A systematic global fall risk rating by the staff is recommended as an initial procedure. Fall event recording and follow-up are stressed as important components of local learning and safety improvement. Development of implementation strategies in 3 phases, focusing on interaction, facilitation and organizational culture, is described Conclusion: A well-developed patient safety culture focusing on prevention of falls will, when successfully achieved, be seen by staff, patients and their significant others as being characteristic of the organization, and will be evident in attitudes, routines and actions. Moreover, it provides potential for positive side-effects concerning organizational and clinical improvements in additional areas

  • 2329.
    Åberg, Anna Cristina
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Geriatrik.
    Generell Motorisk Funktionsbedömning: GMF Manual2011Book (Other academic)
  • 2330.
    Åberg, Anna Cristina
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Geriatrics.
    Generell Motorisk Funktionsbedömning: GMF Manual2011Book (Other academic)
  • 2331.
    Åberg, Anna Cristina
    et al.
    The Swedish School of Sport and Health Sciences, Box 5626, SE-114 86 Stockholm, Sweden ; Department of Public Health and Caring Sciences/Geriatrics, Uppsala University, Uppsala Science Park, SE-751 85 Uppsala, Sweden.
    Elmgren Frykberg, Gunilla
    Uppsala universitet, Rehabiliteringsmedicin.
    Halvorsen, Kjartan
    Uppsala universitet, Reglerteknik; Swedish School of Sport and Health Sciences, Stockholm, Sweden.
    Medio-lateral stability of sit-to-walk performance in older individuals with and without fear of falling2010In: Gait & Posture, ISSN 0966-6362, E-ISSN 1879-2219, Vol. 31, no 4, p. 438-443Article in journal (Refereed)
  • 2332.
    Åberg, Anna Cristina
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Geriatrics.
    Elmgren Frykberg, Gunilla
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Rehabilitation Medicine.
    Halvorsen, Kjartan
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Automatic control.
    Medio-lateral stability of sit-to-walk performance in older individuals with and without fear of falling2010In: Gait & Posture, ISSN 0966-6362, E-ISSN 1879-2219, Vol. 31, no 4, p. 438-443Article in journal (Refereed)
  • 2333.
    Åberg, Anna Cristina
    et al.
    School of Education, Health and Social Studies, Dalarna University.
    Halvorsen, Kjartan
    Department of Information Technologies, Division of Systems and Control, Uppsala University.
    From, Ingrid
    School of Education, Health and Social Studies, Dalarna University.
    Bergman Bruhn, Åsa
    School of Education, Health and Social Studies, Dalarna University.
    Oestreicher, Lars
    Department of Information Technology, Division of Visual Information and Interaction, Uppsala University.
    Melander Wikman, Anita
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
    A Study Protocol for Applying User Participation and Co-Learning: Lessons Learned from the eBalance-Project2017In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 14, no 5, article id E512Article in journal (Refereed)
    Abstract [en]

    The eBalance project is based on the idea that serious exergames-i.e., computer gaming systems with an interface that requires physical exertion to play-that are well adapted to users, can become a substantial part of a solution to recognized problems of insufficient engagement in fall-prevention exercise and the high levels of fall-related injuries among older people. This project is carried out as a collaboration between eight older people who have an interest in balance training and met the inclusion criteria of independence in personal activities of daily living, access to and basic knowledge of a computer, four staff working with the rehabilitation of older adults, and an interdisciplinary group of six research coordinators covering the areas of geriatric care and rehabilitation, as well as information technology and computer science. This paper describes the study protocol of the project's initial phase which aims to develop a working partnership with potential users of fall-prevention exergames, including its conceptual underpinnings. The qualitative methodology was inspired by an ethnographical approach implying combining methods that allowed the design to evolve through the study based on the participants' reflections. A participatory and appreciative action and reflection (PAAR) approach, accompanied by inquiries inspired by the Normalization Process Theory (NPT) was used in interactive workshops, including exergame testing, and between workshop activities. Data were collected through audio recordings, photos, and different types of written documentation. The findings provide a description of the methodology thus developed and applied. They display a methodology that can be useful for the design and development of care service and innovations for older persons where user participation is in focus.

  • 2334.
    Åberg, Anna Cristina
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Geriatrics.
    Halvorsen, Kjartan
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division of Systems and Control. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Automatic control.
    From, Ingrid
    Dalarna Univ, Sch Educ Hlth & Social Studies, SE-79188 Falun, Sweden.
    Bergman Bruhn, Åsa
    Dalarna Univ, Sch Educ Hlth & Social Studies, SE-79188 Falun, Sweden.
    Oestreicher, Lars
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division of Visual Information and Interaction. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction.
    Melander-Wikman, Anita
    Lulea Univ Technol, Div Hlth & Rehab, Dept Hlth Sci, SE-97187 Lulea, Sweden.
    A study protocol for applying user participation and co-learning: Lessons learned from the eBalance project2017In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 14, no 5, article id 512Article in journal (Refereed)
    Abstract [en]

    The eBalance project is based on the idea that serious exergames-i.e., computer gaming systems with an interface that requires physical exertion to play-that are well adapted to users, can become a substantial part of a solution to recognized problems of insufficient engagement in fall-prevention exercise and the high levels of fall-related injuries among older people. This project is carried out as a collaboration between eight older people who have an interest in balance training and met the inclusion criteria of independence in personal activities of daily living, access to and basic knowledge of a computer, four staff working with the rehabilitation of older adults, and an interdisciplinary group of six research coordinators covering the areas of geriatric care and rehabilitation, as well as information technology and computer science. This paper describes the study protocol of the project's initial phase which aims to develop a working partnership with potential users of fall-prevention exergames, including its conceptual underpinnings. The qualitative methodology was inspired by an ethnographical approach implying combining methods that allowed the design to evolve through the study based on the participants' reflections. A participatory and appreciative action and reflection (PAAR) approach, accompanied by inquiries inspired by the Normalization Process Theory (NPT) was used in interactive workshops, including exergame testing, and between workshop activities. Data were collected through audio recordings, photos, and different types of written documentation. The findings provide a description of the methodology thus developed and applied. They display a methodology that can be useful for the design and development of care service and innovations for older persons where user participation is in focus.

  • 2335. Åberg, Anna Cristina
    et al.
    Lundin-Olsson, Lillemor
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Rosendahl, Erik
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine. Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Fall och fallskador. Åtgärder för att förebygga.2011Report (Other academic)
  • 2336.
    Åberg, Anna Cristina
    et al.
    The Swedish School of Sport and Health Sciences, Stockholm, Sweden ; Department of Public Health and Caring Sciences/Geriatrics, Uppsala, Sweden.
    Thorstensson, Alf
    The Swedish School of Sport and Health Sciences, Stockholm, Sweden.
    Tarassova, Olga
    The Swedish School of Sport and Health Sciences, Stockholm, Sweden.
    Halvorsen, Kjartan
    Uppsala universitet, Avdelningen för systemteknik ; School of Technology and Health, KTH-Royal Institute of Technology, Stockholm, Sweden.
    Calculations of mechanisms for balance control during narrow and single-leg standing in fit older adults: a reliability study2011In: Gait & Posture, ISSN 0966-6362, E-ISSN 1879-2219, Vol. 34, no 3, p. 352-357Article in journal (Refereed)
  • 2337.
    Åberg, Anna Cristina
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Geriatrics.
    Thorstensson, Alf
    Tarassova, Olga
    Halvorsen, Kjartan
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Division of Systems and Control. Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Automatic control.
    Calculations of mechanisms for balance control during narrow and single-leg standing in fit older adults: a reliability study2011In: Gait & Posture, ISSN 0966-6362, E-ISSN 1879-2219, Vol. 34, no 3, p. 352-357Article in journal (Refereed)
  • 2338.
    Åberg, Joel
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Hallin, Madelene
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Har busschaufförer sämre höftledsrörlighet än vård och fritidspersonal?2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Introduktion: Det är idag välkänt att långvarigt stillasittande har många negativa effekter på vår hälsa. Forskare menar att långvarigt stillasittande ökar risken för hjärt- och kärlsjukdomar, depression och diabetes. Konsekvenserna av långvarigt stillasittande i förhållande till höftledsrörlighet är relativt okända.

    Syfte: Att undersöka samband mellan långvarigt sittande arbete, ländryggsbesvär och rörlighet i höftleder.

    Metod: Fem höftrörlighetstester genomfördes på 15 deltagare. Åtta av deltagarna var busschaufförer och tillhörde den stillasittande yrkeskategorin och sju av deltagarna var fritids/vårdpersonal och tillhörde en yrkeskategori med mer varierad arbetsposition under dagen. För att mäta höftrörligheten användes Thomas test, passiv straight leg raise test, passiv höftflexion, passiv höftextension, passiv höft utåt och inåtrotation. Resultat: I jämförelse mellan grupperna hade busschaufförerna en signifikant lägre rörlighet i straight leg raise och höftinåtrotation på båda benen samt på vänster ben i höftextension. I resterande test fanns det ingen signifikant skillnad mellan grupperna. I samtliga test visade personer med ryggsmärta lägre höftrörlighet men det fanns endast en signifikant skillnad i straight leg raise mellan personer med ryggsmärta och utan ryggsmärta. Slutsats: Resultatet visade att långvarigt stillasittande kan vara en bidragande faktor till minskad höftrörlighet och att ett lågt resultat i straight leg rasie test är vanligt förekommande hos personer med ryggsmärta. Skillnad mellan grupperna avseende, ryggsmärta och ålder samt det låga antalet deltagare gör dock att resultatet måste betraktas som osäkert. 

  • 2339.
    Åberg Viklund, Michél
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Skadefrekvens och riskfaktorer hos svenska volleybollspelare: En enkätstudie2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Volleyboll är en av världens största lagidrotter där risken för skada ofta anses vara låg. Likväl existerar det ett flertal vanligt förekommande skador hos volleybollspelare. Den vanligaste skada att drabba volleybollspelare är fotledsdistorsion följt av överbelasstningskador i patellarsenan och i skulderpartiet. Det finns i dagsläget inga evidensbaserade interventioner mot dessa skador, endast riktlinjer för hur de preventiva åtgärderna kan se ut. Det finns ett fortsatt behov av att kartlägga förekomsten av skador och riskfaktorer bland svenska volleybollspelare.

     

    Syfte:  Studiens övergripande syfte var att undersöka vilka och hur många skador som drabbar spelarna under en åtta veckors period. Mer ingående syftade studien till att undersöka vilken skada som var vanligast, när skada uppkom och om det är skillnad på skadefrekvensen beroende på faktorer som kön, exponering i form av speltimmar, tidigare skada och spelarposition.

     

    Metod:  Tre lag inkluderades i studien. Ett damlag i Elitserien, ett herrlag i Superettan och ett damlag i Divsion 1. De deltagande lagen fick efter första kontakten ett bakgrundsformulär via post att ifylla. Skadeformulär fylldes i vid uppkomst av skada. Respektive lagansvarig fyllde i närvarorapporter för träning och match. Resultaten analyserades deskriptivt samt med Chi-2 analys

     

    Resultat: Av 34 inkluderade spelare rapporterade 16 att de vid studiens start hade en skada eller besvär. Antalet nya skador uppgick till 12 stycken. Skadefrekvensen för alla lag och skador tillsammans uppgick till 6.8 skador/1000 speltimmar (12 skador/1758.5 speltimmar). Akuta skador var måttligt vanligare än överbelastningsskador. Antalet speltimmar visade på ett positivt samband med nyuppkommna skador. Akuta skador var mer än fyra gånger vanligare vid match än vid träning.

     

    Konklusion:  Studien indikerar att skador är relativt vanligt förekommande inom volleyboll i Sverige. De skador som rapporterades överenstämde generellt med tidigare kartlagda riskfaktorer och olika spelarpositioner förefaller vara utsatta för olika typer av skador.

  • 2340.
    Ågren, Helena
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Öhman, Isabell
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Skillnad i kraftutveckling mellan rak- och diagonal axelflexion: En laboratoriestudie2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund/syfte: Proprioceptiv Neuromuskulär Facilitering (PNF) är ett koncept inom sjukgymnastik där diagonala rörelsemönster har en betydande roll. En av grundtankarna är att muskler utvecklar mer styrka i diagonalerna. Tidigare forskning har visat att PNF ger goda effekter avseende både muskelstyrka och motorisk prestationsförmåga. Syftet med denna studie är att jämföra isokinetisk kraftutveckling mellan rak axelflexion och diagonal axelflexion och undersöka vad den diagonala rörelsekomponenten har för påverkan på muskelstyrka i axeln. Metod: 30 försökspersoner (17 kvinnor och 13 män) mellan 20 och 30 år deltog i studien och genomförde isokinetiska styrketest. PEAK (högsta värdet)- och MEAN (medelvärdet) styrka uppmättes under utförande av rak- och diagonal axelflexion vid två olika hastigheter, 30° /sek och 90° /sek. Parade T-Test användes för de statistiska analyserna. Resultat: Mätningarna visade att rak axelflexion gav ett signifikant (p < 0.001) högre PEAK- och MEAN värde än diagonal axelflexion i båda hastigheterna. Slutsats: Under rak axelflexion utvecklas högre muskelkraft än under diagonal axelflexion. Den diagonala rörelsekomponenten, som beskrivs inom PNF, bidrar i sig inte till en högre kraftutveckling jämfört med en rak axelflexion.

  • 2341.
    Åkesson, Karin
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Könsrelaterade skillnader avseende utfall av artrosskola: En registerstudie2015Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    Sammanfattning: 

    Bakgrund och syfte: Artros är en vanlig kronisk degenerativ ledsjukdom i hela världen. Det finns ingen botande behandling i dagsläget. Behandlingsrekommendationerna inriktas på symtomlindring. Patientutbildning, viktminskning samt träning rekommenderas som primär behandling. I Sverige finns ett nationellt kvalitetsregister, Bättre Omhändertagande av patienter med Artros (BOA), för utvärdering av behandling av patienter med artros i höft och knä. Ett program som inkluderar utbildning och träning har utvecklats av BOA för patienter med artros. Syftet med studien var att kartlägga om det fanns några könskillnader avseende utfall av artrosskola enligt BOA med hänsyn till fysisk aktivitet och livskvalitet (EQ5D).

     

    Metod: En retrospektiv studie av BOA registret utfördes. Data för registreringar vid baselinje och uppföljningar efter 3 respektive 12 månader (n=7628) för åren mellan 2008 till 2013 analyserades. Utfallsvariabler var fysisk aktivitet och EQ5D index.

     

    Resultat: Både män och kvinnor var fysiskt aktiva > 150 minuter/vecka vid baselinje. Den fysiska aktivitetsnivån samt livskvaliteten ökade efter 3 månader för både män och kvinnor. Efter 12 månader minskade både män och kvinnors fysiska aktivitetsnivå jämfört med baseline och deras livskvalitet jämfört med 3 månaders uppföljningen. Kvinnor var statistiskt signifikant mer fysiskt aktiva än män vid baseline (p=0,00) samt uppföljning efter 12 månader (p=0,04).

     

    Slutsats: Det fanns ingen skillnad mellan män och kvinnor vad gäller utfallet av artrosskolan efter 3 respektive 12 månader med hänsyn till fysisk aktivitet och livskvalitet (EQ5D).

     

     

     

  • 2342.
    Åkesson, Kerstin
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Bimanuell intensiv handträning vid cervical ryggmärgsskada Kvarstående effekt egter tre månader?: Tre "Single Subject Studies"2011Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
  • 2343.
    Åsenlöf, Pernilla
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotheraphy.
    Bring, Annika
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotheraphy.
    Söderlund, Anne
    Department of Physiotherapy, School of Health, Care and Social wellfare, Vasteras, Sweden .
    The clinical course of pain-related disability over the first year in whiplash associated disorders: Description and prediction of outcome in an initially mildly affected sample2013In: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 14, p. 361-Article in journal (Refereed)
    Abstract [en]

    Background: Different recovery patterns are reported for those befallen a whip-lash injury, but little is known about the variability within subgroups. The aims were (1) to compare a self-selected mildly affected sample (MILD) with a self-selected moderately to severely affected sample (MOD/SEV) with regard to background characteristics and pain-related disability, pain intensity, functional self-efficacy, fear of movement/(re) injury, pain catastrophising, post-traumatic stress symptoms in the acute stage (at baseline), (2) to study the development over the first year after the accident for the above listed clinical variables in the MILD sample, and (3) to study the validity of a prediction model including baseline levels of clinical variables on pain-related disability one year after baseline assessments. Methods: The study had a prospective and correlative design. Ninety-eight participants were consecutively selected. Inclusion criteria; age 18 to 65 years, WAD grade I-II, Swedish language skills, and subjective report of not being in need of treatment due to mild symptoms. A multivariate linear regression model was applied for the prediction analysis. Results: The MILD sample was less affected in all study variables compared to the MOD/SEV sample. Pain-related disability, pain catastrophising, and post-traumatic stress symptoms decreased over the first year after the accident, whereas functional self-efficacy and fear of movement/(re) injury increased. Pain intensity was stable. Pain-related disability at baseline emerged as the only statistically significant predictor of pain-related disability one year after the accident (Adj r(2) = 0.67). Conclusion: A good prognosis over the first year is expected for the majority of individuals with WAD grade I or II who decline treatment due to mild symptoms. The prediction model was not valid in the MILD sample except for the contribution of pain-related disability. An implication is that early observations of individuals with elevated levels of pain-related disability are warranted, although they may decline treatment.

  • 2344.
    Åsenlöf, Pernilla
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotheraphy.
    Bring, Annika
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotheraphy.
    Söderlund, Anne
    Department of Physiotherapy, School of Health, Care and Social wellfare, Vasteras, Sweden .
    The clinical course of pain-related disability over the first year in whiplash associated disorders: Description and prediction of outcome in an initially mildly affected sample2013In: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 14, p. 361-Article in journal (Refereed)
    Abstract [en]

    Background: Different recovery patterns are reported for those befallen a whip-lash injury, but little is known about the variability within subgroups. The aims were (1) to compare a self-selected mildly affected sample (MILD) with a self-selected moderately to severely affected sample (MOD/SEV) with regard to background characteristics and pain-related disability, pain intensity, functional self-efficacy, fear of movement/(re) injury, pain catastrophising, post-traumatic stress symptoms in the acute stage (at baseline), (2) to study the development over the first year after the accident for the above listed clinical variables in the MILD sample, and (3) to study the validity of a prediction model including baseline levels of clinical variables on pain-related disability one year after baseline assessments. Methods: The study had a prospective and correlative design. Ninety-eight participants were consecutively selected. Inclusion criteria; age 18 to 65 years, WAD grade I-II, Swedish language skills, and subjective report of not being in need of treatment due to mild symptoms. A multivariate linear regression model was applied for the prediction analysis. Results: The MILD sample was less affected in all study variables compared to the MOD/SEV sample. Pain-related disability, pain catastrophising, and post-traumatic stress symptoms decreased over the first year after the accident, whereas functional self-efficacy and fear of movement/(re) injury increased. Pain intensity was stable. Pain-related disability at baseline emerged as the only statistically significant predictor of pain-related disability one year after the accident (Adj r(2) = 0.67). Conclusion: A good prognosis over the first year is expected for the majority of individuals with WAD grade I or II who decline treatment due to mild symptoms. The prediction model was not valid in the MILD sample except for the contribution of pain-related disability. An implication is that early observations of individuals with elevated levels of pain-related disability are warranted, although they may decline treatment.

  • 2345.
    Åsenlöf, Pernilla
    et al.
    Uppsala University.
    Bring, Annika
    Uppsala University.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    The clinical course over the first year of Whiplash Associated Disorders (WAD): pain-related disability predicts outcome in mildly affected sample.2013In: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 14, p. Art.nr. 361-Article in journal (Refereed)
    Abstract [en]

    Background: Different recovery patterns are reported for those befallen a whip-lash injury, but little is known about the variability within subgroups. The aims were (1) to compare a self-selected mildly affected sample (MILD) with a self-selected moderately to severely affected sample (MOD/SEV) with regard to background characteristics and pain-related disability, pain intensity, functional self-efficacy, fear of movement/(re)injury, pain catastrophising, post-traumatic stress symptoms in the acute stage (at baseline), (2) to study the development over the first year after the accident for the above listed clinical variables in the MILD sample, and (3) to study the validity of a prediction model including baseline levels of clinical variables on pain-related disability one year after baseline assessments. Methods. The study had a prospective and correlative design. Ninety-eight participants were consecutively selected. Inclusion criteria; age 18 to 65 years, WAD grade I-II, Swedish language skills, and subjective report of not being in need of treatment due to mild symptoms. A multivariate linear regression model was applied for the prediction analysis. Results: The MILD sample was less affected in all study variables compared to the MOD/SEV sample. Pain-related disability, pain catastrophising, and post-traumatic stress symptoms decreased over the first year after the accident, whereas functional self-efficacy and fear of movement/(re)injury increased. Pain intensity was stable. Pain-related disability at baseline emerged as the only statistically significant predictor of pain-related disability one year after the accident (Adj r§ssup§ 2§esup§ = 0.67). Conclusion: A good prognosis over the first year is expected for the majority of individuals with WAD grade I or II who decline treatment due to mild symptoms. The prediction model was not valid in the MILD sample except for the contribution of pain-related disability. An implication is that early observations of individuals with elevated levels of pain-related disability are warranted, although they may decline treatment

  • 2346.
    Åsenlöf, Pernilla
    et al.
    Department of Neuroscience, Physiotherapy, Uppsala University.
    Michaelson, Peter
    Luleå University of Technology, Department of Health Sciences, Health and Rehab. peter.michaelson@ltu.se .
    Grahn, Birgitta
    Department of Orthopedics, Clinical Sciences, Lund University.
    Bergman, Stefan
    Research and Development Center Spenshult, Halmstad.
    Axelson, S.
    Swedish Agency for Health Technology Assessment and Assessment of Social Services.
    Gyllenswärd, Harald
    Swedish Agency for Health Technology Assessment and Assessment of Social Services.
    Bergström, Gunnar
    Institute of Environmental Medicine, Unit of Intervention & Implementation Research, Karolinska Institutet.
    A systematic review of randomized controlled trials studying the preventive effects of physical exercise, manual and behavioural treatments in acute low back pain and neck pain2016In: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 23, no Suppl. 1, p. S187-Article in journal (Refereed)
  • 2347.
    Åsenlöf, Pernilla
    et al.
    Institutionen för neurovetenskap, Uppsala universitet.
    Michaelson, Peter
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Grahn, Birgitta
    Kronoberg occupational rehabilitation service, Växjö, Lunds universitet, Institutionen för rörelseorganens sjukdomar, Kronoberg county council, R&D centre, R&D Welfare of Southern Småland, FoU Välfärd, Kronoberg County.
    Bergman, Stefan
    Högskolan i Halmstad.
    Gyllensvärd, Harald
    SBU.
    Bergström, Gunnar
    Enheten för interventions och implementeringsforskning, Karolinska Institutet.
    Preventiva insatser vid akut smärta från rygg och nacke: Presentation av en SBU-rapport2016In: Fysioterapi, ISSN 1653-5804, no 5, p. 34-42Article in journal (Other academic)
  • 2348.
    Åsenlöf, Pernilla
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Michaelsson, P.
    Lulea Univ Technol, Dept Hlth Sci Hlth & Rehab, Med Sci, Lulea, Sweden..
    Grahn, B.
    Lund Univ, Dept Orthoped, Clin Sci, Lund, Sweden.;Reg Kronoberg, Dept Res & Dev, Vaxjo, Sweden..
    Bergman, S.
    Res & Dev Ctr Spenshult, Halmstad, Sweden.;Univ Gothenburg, Sahlgrenska Acad, Inst Med, Dept Publ Hlth & Community Med, Gothenburg, Sweden..
    Axelsson, S.
    Swedish Agcy Hlth Technol Assessment & Assessment, Stockholm, Sweden..
    Gyllenswärd, H.
    Swedish Agcy Hlth Technol Assessment & Assessment, Stockholm, Sweden..
    Bergström, G.
    Karolinska Inst, Unit Intervent & Implementat Res, Inst Environm Med, Stockholm, Sweden.;Stockholm Cty Council, Ctr Occupat & Environm Med, Stockholm, Sweden..
    A Systematic Review Of Randomised Controlled Trials Studying The Preventive Effects Of Physical Exercise, Manual And Behavioural Treatments In Acute Low Back Pain And Neck Pain2016In: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 23, p. S187-S187Article in journal (Refereed)
  • 2349. Åsenlöf, Pernilla
    et al.
    Turk, Dennis
    Farrar, John
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Results of outcomes studies – clinically meaningful change: Workshop2008Conference paper (Refereed)
  • 2350.
    Åström, Charlotte
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation.
    Effects of vibration on muscles in the neck and upper limbs: with focus on occupational terrain vehicle drivers2008Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Introduction: Occupational drivers of terrain vehicles are exposed to several risk factors associated with musculoskeletal symptoms in the lower back as well as in the neck and upper limbs. Vibration has been suggested to be a main risk factor. These drivers are exposed to both whole-body vibration (WBV) and hand-arm vibration (HAV). Aim: This study establishes the association between driving terrain vehicles and musculoskeletal disorders (MSDs) in the neck and upper limbs as well as hand-arm vibration syndrome (HAVS). In addition, this study examines the effect on muscles in the neck and upper limbs of the type of vibration exposure that occurs in occupational driving of terrain vehicles. Methods and results: In Paper I, a cross-sectional questionnaire study on occupational drivers of terrain vehicles, increased Prevalence Odds Ratios (POR) were found for numbness, sensation of cold and white fingers (POR 1.5-3.9) and for MSDs in the neck (POR 2.1-3.9), shoulder (POR 1.8-2.6) and wrist (POR 1.7-2.6). For the shoulders, neck and elbow, there appears to be a pattern of increased odds with increasing exposure time. In Paper II, an experimental study on the trapezius muscle, which included 20 men and 17 women, the mean frequency of the electromyography signal (EMGMNF) decreased significantly more in a three minute sub-maximal contraction without vibration (-3.71Hz and -4.37Hz) compared to with induced vibration (-3.54Hz and -1.48Hz). In Paper III, a higher initial increase of the mean of the root-mean-square of the electromyography signal (EMGRMS) was seen in a three minute sub-maximal contraction with vibration exposure compared to without vibration (0.096% vs. 0.045%). There was a larger mean EMGMNF decrease for NV compared to V in the total three minutes, and a larger decrease also in the first time period was seen for the NV compared to V. A small gender effect was also noticed. In Paper IV, the combination of HAV and WBV was studied in laboratory settings and resulted in a higher trapezius EMGRMS compared to the HAV and WBV separately. Conclusion: Occupational drivers of terrain vehicles are likely to experience symptoms related to HAVS and musculoskeletal symptoms in the neck and upper limbs. Local vibration does not seem to have any negative acute effects on trapezius muscle fatigue. Vibration exposure seems to cause an initial increase in muscle activity in the trapezius that could be related to recruitment on new motor-units. A combination of HAV and WBV causes a larger muscular demand on the trapezius muscle.

4445464748 2301 - 2350 of 2364
CiteExportLink to result list
Permanent 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