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  • 451.
    Torstensson, Frida
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Smärta, funktion, livskvalité och fysisk aktivitet hos personer medtibiofemoralleds- och patellofemoralledsartros– en tvärsnittsstudie2013Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund:

    Kunskap saknas om hur artros i tibiofemoralleden (TF) och patellofemoralleden (PF) påverkar

    symtom och funktion.

    Syfte:

    Beskriva skillnad i smärta, symtom, funktion, hälsorelaterad livskvalitét samt fysisk aktivitetsnivå

    mellan röntgenverifierad TF och PF artros.

    Metod/material:

    121 personer (45% kvinnor) från en pågående befolkningsbaserad kohortstudie med

    långvarig knäsmärta vid inklusion, medelålder 64,5 år. Röntgenologisk TF artros motsvaras av ledspringa

    (JSW) < 3mm och PF artros < 5 mm. Smärta, funktion och livskvalité skattades med Knee injury and

    Osteoarthritis Outcome Score (KOOS) och EQ-5D. Fysisk aktivitetsnivå skattades som andel patienter som

    uppnådde

    ≥150 aktivitetsminuter per vecka.

    Resultat:

    41% hade inte artros enligt JSW (ej OA), 15% hade TF artros (TF), 33% PF artros (PF) och 11%

    hade samtidig TF och PF artros (TF+PF). TF+PF rapporterade signifikant mer smärta, sämre knäfunktion

    samt sämre hälsorelaterad livskvalité. Bäst hälsorelaterad livskvalité rapporterade PF (p=0,001). Fysiska

    aktivitetsnivån var störst för PF (90 %) och minst för ej OA (70%) (p=0,128).

    Konklusion:

    PF artros är vanligt förekommande. Personer med TF+PF artros upplever mer symtom och

    sämre hälsorelaterad livskvalitet. Ytterligare studier behövs för att identifiera prognostiska faktorer för

    artrosutveckling. Preventiva åtgärder bör sättas in i ett tidigt skede för att om möjligt undvika försämring av

    symtom, funktion och livskvalitet.

  • 452.
    Troije, Anna
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Grassl, Gabriella
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Effekt och upplevelse av visuell feedback i realtid under squat jump: En kinematisk studie med elitidrottare och icke elitidrottare.2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Syftet med den här studien var att undersöka effekten och upplevelsen av visuell feedback i realtid under squat jump hos två grupper med olika träningsvanor, elitidrottande skidgymnasiestudenter och icke elitidrottande sjukgymnaststudenter.

    Metod: I studien deltog 43 personer som under två omgångar fick utföra fem squat jump utan respektive med feedback. KriMag Splineology användes för att beräkna hopphöjd samt för att ge visuell feedback i realtid. Deltagarna fick efter den andra hoppomgångens slut svara på ett frågeformulär om hur visuell realtidsfeedback upplevdes.

    Resultat: Det var ingen signifikant skillnad i hopphöjden vare sig utan eller med feedback i gruppen som helhet varken för medelvärdet av varje deltagares fem hopp (p=0.85) eller medelvärdet för varje deltagares högsta hopp (p=0.95). Resultatet från frågeformuläret visade att 72,1% av deltagarna kände sig mer motiverade under feedback omgången. De flesta av deltagarna, 74,4% trodde att de hoppade högst när de fick feedback, det visade sig dock att endast 37,2% hoppade högst när de fick feedback.

    Slutsats: Trots att visuell feedback i realtid inte påverkade hopphöjden så upplevde majoriteten av deltagarna att den här typen av feedback var motiverande.

  • 453.
    Tängman, Sofie
    et al.
    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.
    Eriksson, Staffan
    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.
    Gustafson, Yngve
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
    Lundin-Olsson, Lillemor
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Precipitating factors for falls among patients with dementia on a psychogeriatric ward2010In: International psychogeriatrics, ISSN 1041-6102, E-ISSN 1741-203X, Vol. 22, no 4, p. 641-649Article in journal (Refereed)
    Abstract [en]

    It is possible to identify many precipitating factors that may contribute to a fall. Falls in people with dementia should be regarded as a symptom of acute disease or as a drug side-effect until proven otherwise. Prompt detection of these relevant factors is, therefore, essential.

  • 454.
    Unnemyr, Frans
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Kinnunen Nassiri, Alexander
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Precissionen hos ett system med orienteringssensorer för mätning av sittande kroppshålllning2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 455.
    Vandér, Kristin
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Smärta, funktion och livskvalitetefter meniskektomi2013Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    Meniskektomi är en vanlig intervention vid meniskruptur. Många patienter har kvarstående besvär efter kirurgi och muskulär dysfunktion misstänks orsaka artrosutveckling på sikt. Syftet med denna studie var att kartlägga självskattad knäfunktion pre- och 4-6 veckor postoperativt samt postoperativ funktionell muskelstyrka och stabilitet i opererat och icke opererat ben.

    Metod: Patienter som genomgick meniskektomi fyllde i KOOS pre-och postoperativt. Mätningar av funktionell muskestyrka och stabilitet i nedre extremiteten (enbensknäböjning, enbensuppresning samt enbenshopp) gjordes av sjukgymnast, 4-6 veckor postoperativt. Tjugo patienter (7 män och 13 kvinnor) med en medelålder på 48 år (±12,6) fullföljde studien.

    Resultat: Patienterna skattade i fyra av fem områden signifikant högre på KOOS postoperativt jämfört med preoperativt, vilket innebär en förbättring. Det fanns en signifikant nedsatt funktion i opererat ben jämfört med icke opererat ben samt ett samband mellan nedsatt funktion i opererat ben och lägre skattning på KOOS postoperativ.

    Konklusion: Studiens resultat pekar på att patienter som opererats med meniskektomi

    fortfarande 4-6 veckor postoperativt har nedsatt funktion i opererat ben samt nedsatt förmåga att utföra i idrottsliga aktiviteter. Kvarstående brister i funktion har i tidigare studier diskuterats även kunna leda till ökad risk för artrosutveckling, vilket patienterna i denna studie löper ökad risk för om funktionen inte återställs fullt ut. Ett individanpassat träningsprogram postoperativt har i tidigare studier visat goda resultat på patienters funktion i opererat ben. I och med detta skulle mer sjukgymnastledd rehabilitering eventuellt kunna ge bättre resultat jämfört med enbart generella träningsprogram.

  • 456.
    Vilahamn, Sofi
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Mobiltelefonanvändning och symtom på stress, depression och sömnbesvär hos universitetsstudenter2012Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 457.
    von Heideken Wågert, Petra
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
    Gustafson, Yngve
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
    Kallin, Kristina
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
    Jensen, Jane
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Lundin-Olsson, Lillemor
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Falls in very old people: the population-based Umeå 85+ Study2009In: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 49, p. 390-396Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe incidences of falls and fall-related injuries, and to identify predisposing factors for falls in very old people in a prospective population-based follow-up study for falls. The study is part of the Umeå 85+ Study which includes half of the population aged 85, and the total population aged 90 and ≥95 (−103), in Umeå, Sweden. Of the 253 people interviewed, 220 (87%) were followed up for falls for 6 months, of whom 109 lived in ordinary and 111 in institutional housing. A comprehensive geriatric baseline assessment was made through interviews and testing during home visits. Forty percent of the participants did fall a total 304 times, corresponding to 2.17 falls per Person Year (PY). It occurred 0.83 injuries per PY, including 0.14 fractures per PY. In a Cox regression analysis, the independent explanatory risk factors for time to first fall were dependency in activities of daily living (ADL), thyroid disorders, treatment with selective serotonin reuptake inhibitors (SSRIs) and occurrence of falls in the preceding year. It could be predicted that every seventh participant and every third of the people who did fall would suffer a fracture within 1 year. ADL, thyroid disorders and treatment with SSRIs should be considered in fall prevention programmes.

  • 458.
    von Heideken Wågert, Petra
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
    Gustafson, Yngve
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
    Lundin-Olsson, Lillemor
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Large variations in walking, standing up from a chair, and balance in women and men over 85 years: an observational study2009In: Australian Journal of Physiotherapy, ISSN 0004-9514, Vol. 55, no 1, p. 39-45Article in journal (Refereed)
    Abstract [en]

    QUESTIONS: What is the physical ability of very old people? Is physical ability affected by age or sex? Is it affected by type of housing, level of independence in activities of daily living, cognition, or nutrition? DESIGN: A population-based cross-sectional observational study. PARTICIPANTS: Half the 85-year-old population, and the total population aged 90 and = 95 (range 95-103) in Umea, Sweden who were measured in the Umea 85+ Study (n = 238). OUTCOME MEASURES: Usual and fastest gait speed (m/s) over 2.4 metres, three consecutive chair stands (s), the Berg Balance Scale, and ability to perform the measures (yes/no). RESULTS: The median (10th to 90th percentile) usual gait speed was 0.49 m/s (0.23-0.75), time to perform the chair stands test was 12.6 seconds (8.5-20.2), and the Berg Balance Scale score was 45 (0-54). Men had greater physical ability than women. An age-related decline in physical ability was seen in women, but not in men. The Berg Balance Scale showed no floor or ceiling effects, but gait speed and chair stands resulted in a floor effect, especially for women. CONCLUSION: There were large variations in physical ability in these very old people. These data provide valuable reference values of physical ability in the oldest age groups for commonly-used clinical measures.

  • 459.
    von Heideken Wågert, Petra
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
    Gustavsson, Janna Mc
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
    Lundin-Olsson, Lillemor
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Kallin, Kristina
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
    Nygren, Björn
    Umeå University, Faculty of Medicine, Department of Nursing.
    Lundman, Berit
    Umeå University, Faculty of Medicine, Department of Nursing.
    Norberg, Astrid
    Umeå University, Faculty of Medicine, Department of Nursing.
    Gustafson, Yngve
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
    Health status in the oldest old: Age and sex differences in the Umeå 85+ Study.2006In: Aging Clinical and Experimental Research, ISSN 1594-0667, E-ISSN 1720-8319, Vol. 18, no 2, p. 116-126Article in journal (Refereed)
    Abstract [en]

    BACKGROUND AND AIMS: With an increasing population aged 85 years and over, the aim of this study was to describe health status and living conditions in the oldest old and to estimate age and sex differences in a Northern European population. METHODS: A population-based cross-sectional study, The Umeå 85+ Study, was carried out in the municipality of Umeå in northern Sweden. Out of 319 eligible participants aged 85, 90 and 95 years and over, 253 participated. Structured interviews and assessments were conducted with the participants in their homes, and data were also collected from relatives, caregivers and medical charts. Cognition was screened with the Mini-Mental State Examination (MMSE), depressive symptoms with the Geriatric Depression Scale-15 (GDS-15) and nutritional status with the Mini Nutritional Assessment (MNA). Activities of daily living (ADL) were assessed applying the Staircase of ADL (including Katz' Index of ADL) and morale with the Philadelphia Geriatric Center Morale Scale (PGCMS). Participants also rated their own health. RESULTS: Over half of the participants had hypertension, one out of four was depressed, and the same proportion had had a hip fracture; the mean number of drugs taken was 6.4+/-4.0. Younger participants had lower rates of diagnoses and prescribed drugs, and were less dependent in ADL and other functional variables; men had lower rates of diagnoses and reported symptoms. The majority of participants rated their general health and morale as good. CONCLUSIONS: There were large variations in social, medical and functional variables within and between age and sex groups. This northern population of the oldest old seems to have a very high prevalence of hypertension, depression, hip fractures, and many prescribed drugs.

  • 460.
    Wadell, Karin
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Water-based exercise is more effective than land-based exercise for people with COPD and physical comorbidities2014In: Journal of Physiotherapy, ISSN 1836-9553, E-ISSN 1836-9561, Vol. 60, no 1, p. 57-57Article in journal (Refereed)
    Abstract [en]

    Question: In patients with chronic obstructive pulmonary disease (COPD) who have physical comorbidities, is water-based exercise more effective than land-based exercise for improving exercise capacity and health-related quality of life (HRQoL)? Design: Randomised controlled trial with concealed allocation and blinding of outcome assessors. Setting: The outpatient department or hydrotherapy pool of a hospital in Sydney, Australia. Participants: Adults with stable COPD were included if they had at least one physical comorbid condition that was likely to compromise their capacity to participate in land-based exercise (eg, musculoskeletal conditions, peripheral vascular disease, neurological conditions or body mass index ≥32 kg/m2). Exclusion criteria were unstable cardiac disease or a contraindication to water-based exercise, such as open wounds or incontinence. Randomisation allocated 18 participants to the water-based exercise (WBE) group, 20 to the land-based exercise (LBE) group and 15 to the control group. Interventions: Both WBE and LBE required participants to attend three 60-minute sessions each week, for 8 weeks. The WBE group and LBE group were matched as closely as possible in terms of intensity and the muscle groups exercised. Intensity was titrated to achieve moderate dyspnoea. Those in the control group continued with usual medical care. Outcome measures: The primary outcome was exercise capacity measured using the endurance shuttle walk test (ESWT) at 8 weeks. Results: A total of 45 participants completed the study. On completion of the training period, compared with the control group, greater gains were seen in the distance walked during the ESWT in the WBE group (309 m, 95% CI, 96 to 522 m) but not in the LBE group (81 m, 95% CI, −136 m to 297 m). The gains seen in the WBE group were also greater than those seen on the LBE group (228 m, 95% CI, 19 to 438 m). Similar results were demonstrated for the distance achieved during the incremental shuttle walk test and the fatigue domain of the Chronic Respiratory Disease Questionnaire (ie, a domain of HRQoL). Conclusion: In people with COPD and physical comorbidities, WBE appears to confer greater gains in exercise capacity and fatigue, when compared with LBE

  • 461.
    Wadell, Karin
    et al.
    Umeå University, Faculty of Medicine, Community Medicine and Rehabilitation, Physiotherapy.
    Emnter, M
    Kronisk obstruktiv lungsjukdom: Träning ger ökad fysisk förmåga, minskat vårdbehov och förbättrad livskvalitet2006In: Fysioterapeuten, no 11, p. 36-41Article in journal (Other academic)
  • 462.
    Wadell, Karin
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy. Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Pulmonary Medicine.
    Henriksson-Larsén, Karin
    Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Sports Medicine.
    Lundgren, Rune
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Pulmonary Medicine.
    Sundelin, Gunnevi
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Group training in patients with COPD: long-term effects of decreased training frequency2005In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 27, no 10, p. 571-581Article in journal (Refereed)
    Abstract [en]

    Purpose.To investigate effects of decreased training frequency in patients with COPD.

    Methods.Forty-three COPD patients participated in a controlled study. The intervention group (30 patients) trained 3 times a week during 3 months and once a week during 6 months. Before, after 3 and 9 months all patients performed walking tests, cycle ergometer tests and responded questionnaires on health-related quality of life (HRQoL) (SGRQ, SF-36).

    Results.At 9 months compared to 3 months there were no changes in distance walked in the groups. Both groups decreased their VO2peak and the training group deteriorated in HRQoL. At 9 months compared to baseline the training group showed increased distance walked compared to the control group. In the disease-specific SGRQ the training group tended to improve their activity score while the control group tended to deteriorate in total score. In SF-36 the control group decreased their physical component score.

    Conclusion.Training once a week does not seem to be sufficient to maintain the level achieved after the 3-month period of training in COPD patients. However, training once a week during 6 months preceded by 3 months of high frequency training seems to prevent deterioration in physical capacity and HRQoL compared to baseline. Further studies are needed to investigate how to best sustain the benefits gained after physical training.

  • 463.
    Wadell, Karin
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Janaudis-Ferreira, Tania
    Arne, M.
    Lisspers, K.
    Ställberg, B.
    Emtner, M.
    Hospital-based pulmonary rehabilitation in patients with COPD in Sweden-A national survey2013In: Respiratory Medicine, ISSN 0954-6111, E-ISSN 1532-3064, Vol. 107, no 8, p. 1195-1200Article in journal (Refereed)
    Abstract [en]

    Pulmonary rehabilitation (PR) is an evidence-based, multidisciplinary and cost-effective intervention that leads to improved health in patients with chronic obstructive pulmonary disease, COPD. However, the availability of PR programs varies between and within different countries. The aim of this study was to investigate the availability and content of hospital-based PR programs in patients with COPD in Sweden. A cross-sectional descriptive design was applied using a web-based questionnaire which was sent out to all hospitals in Sweden. The questionnaire consisted of 32 questions that concerned availability and content of PR in patients with COPD during 2011. Seventy out of 71 hospitals responded the electronic survey. Forty-six (66%) hospitals offered PR for patients with COPD. Around 75% of the hospitals in southern and middle parts of Sweden and 33% of the hospitals in the northern part offered PR. Thirty-four percent of the patients declined participation. A total number of 1355 patients participated in PR which represents 0.2% of the COPD population in Sweden. All hospitals had exercise training as major component and 76% offered an educational program. Not even half a percent of the patients with COPD in Sweden took part in a hospital-based PR program during 2011. There was a considerable geographic discrepancy in availability over the country. To enable a greater part of the increasing number of patients with COPD to take part in this evidence-based treatment, there is a need of evaluating other settings of PR programs; in primary care, at home and/or over the internet.

  • 464.
    Wadell, Karin
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Sundelin, Gunnevi
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Henriksson-Larsén, Karin
    Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Sports Medicine.
    Lundgren, Rune
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Pulmonary Medicine.
    High intensity physical training in water: an effective training modality for patients with COPD2004In: Respiratory Medicine, ISSN 0954-6111, E-ISSN 1532-3064, Vol. 98, no 5, p. 428-438Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to examine the effect of high intensity physical group training in water and on land for patients with COPD with regard to physical capacity and health related quality of life (HRQoL). A controlled, semi-randomised study was conducted where 30 patients were randomised to training either in water or on land. Thirteen patients constituted a control group. Forty-three outpatients, with moderate to severe COPD (27w/16m), from two local hospitals in northern Sweden, were included in the study. High intensity physical group training in water (water group) or on land (land group) was performed for 12weeks, three times per week, 45min per session. The control group received no intervention. Pre- and post-intervention, all patients performed incremental and endurance shuttle walking tests (ISWT and ESWT), cycle ergometer tests and responded questionnaires about HRQoL (St. Georges Respiratory Questionnaire--SGRQ and SF-36). The patients trained with a mean heart rate of 80-90% of peak heart rate. Both training groups increased the distance walked, i.e. land group in ISWT (25m) and water group in ESWT (179m). The water group increased the distance in ESWT significantly more that both the land and the control groups. Both training groups increased the time cycled (40-85s) and work load (10-20W) in the cycle ergometer test. The control group deteriorated in HRQoL according to total score in SGRQ while the training groups remained constant. The water group improved their activity score in SGRQ and their physical health score in SF-36 and those improvements were significant as compared to the land and the control groups. In conclusion, high intensity physical group training in water is of benefit for patients with COPD. It was in some areas found to be even more effective regarding improvements in physical capacity and experienced physical health compared to the same kind of training on land.

  • 465.
    Wadell, Karin
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Sundelin, Gunnevi
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Lundgren, Rune
    Henriksson-Larsén, Karin
    Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Sports Medicine.
    Lindström, Britta
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Muscle performance in patients with chronic obstructive pulmonary disease: Effects of a physical training programme2005In: Advances in Physiotherapy, ISSN 1403-8196, E-ISSN 1651-1948, Vol. 7, no 2, p. 51-59Article in journal (Refereed)
    Abstract [en]

    The main aim was to evaluate how thigh muscle performance in patients with chronic obstructive pulmonary disease (COPD) is affected after a 3-month training programme. Another aim was to investigate if responders to training could be discriminated from non-responders. Thirty patients participated in high-intensity physical training in water or on land, three times per week, and 13 patients constituted a non-training control group. Maximal dynamic strength and endurance in thigh muscles were tested in an isokinetic dynamometer (KinCom) before and after training. At baseline, physical and pulmonary function were tested and used in the analysis of responders/non-responders. Maximal knee flexion strength improved in both training groups, whereas knee extension was improved in the land and control group. Sixty-four percent of all patients were not able to complete the muscle endurance test at baseline and no change was seen in muscle endurance after training within or between groups. A normal body mass index seemed to predict an improvement in muscle performance in responders. We conclude that physical training in water and on land is effective regarding maximal thigh muscle strength in COPD patients. BMI seems to be a discriminating factor for an increased muscle strength. Thigh muscle endurance was decreased in the majority of the patients and did not improve with the evaluated training programme.

  • 466.
    Wadell, Karin
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy. Department of Medicine, Queen's University & Kingston General Hospital, Kingston, Ontario, Canada.
    Webb, Katherine A.
    Preston, Megan E.
    Amornputtisathaporn, Naparat
    Samis, Lorelei
    Patelli, Jennifer
    Guenette, Jordan A.
    O'Donnell, Denis E.
    Impact of Pulmonary Rehabilitation on the Major Dimensions of Dyspnea in COPD2013In: COPD: Journal of Chronic Obstructive Pulmonary Disease, ISSN 1541-2555, E-ISSN 1541-2563, Vol. 10, no 4, p. 425-435Article in journal (Refereed)
    Abstract [en]

    The evaluation of dyspnea and its responsiveness to therapy in COPD should consider the multidimensional nature of this symptom in each of its sensory-perceptual (intensity, quality), affective and impact domains. To gain new insights into mechanisms of dyspnea relief following pulmonary rehabilitation (PR), we examined effects on the major domains of dyspnea and their interaction with physiological training effects. This randomized, controlled study was conducted in 48 subjects with COPD. Subjects received either 8-weeks of PR or usual care (CTRL). Pre- and post-intervention assessments included: sensory-perceptual (i.e., exertional dyspnea intensity, dyspnea descriptors at end-exercise), affective (i.e., intensity of breathing-related anxiety during exercise, COPD self-efficacy, walking self-efficacy) and impact (i.e., activity-related dyspnea measured by the Baseline/Transition Dyspnea Index, Chronic Respiratory Questionnaire dyspnea component, St. George's Respiratory Disease Questionnaire activity component) domains of dyspnea; functional performance (i.e., 6-minute walk, endurance shuttle walk); pulmonary function; and physiological measurements during constant work rate cycle exercise at 75% of the peak incremental work rate. Forty-one subjects completed the study: PR (n = 17) and CTRL (n = 24) groups were well matched for age, sex, body size and pulmonary function. There were no significant between-group differences in pre- to post-intervention changes in pulmonary function or physiological parameters during exercise. After PR versus CTRL, signifi cant improvements were found in the affective and impact domains but not in the sensory-perceptual domain of dyspnea. In conclusion, clinically meaningful improvements in the affective and impact domains of dyspnea occurred in response to PR in the absence of consistent physiological training effects.

  • 467.
    Waenerlund, Anna-Karin
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Hammarström, Anne
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Wiklund, Maria
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    “Worn, worried and wrathful”: experiences and illness in an exposed position as temporarily employedManuscript (preprint) (Other academic)
  • 468.
    Wahlström Edling, Cecilia
    et al.
    Department of Paramedicine, Brommageriatriken AB, Bromma, Sweden.
    Fjellman-Wiklund, Anncristine
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Musculoskeletal Disorders and Asymmetric Playing Postures of the Upper Extremity and Back in Music Teachers: A Pilot Study2009In: Medical problems of performing artists, ISSN 0885-1158, E-ISSN 1938-2766, Vol. 24, no 3, p. 113-118Article in journal (Refereed)
    Abstract [en]

    To play a musical instrument, Such as the violin or flute, requires controlled, adequate movements performed by the arm, hand, and fingers in an asymmetric playing posture. The movements are monotonous and often of long duration, involving static and repetitive muscle work of the upper extremity and neck-shoulder Muscles. This situation may lead to in increased risk of contracting musculoskeletal problems. The aim of this cross-sectional Study was to investigate the relationship between physical workload, defined as playing Posture and playing time per week, and musculoskeletal disorders in music teachers. A questionnaire was distributed, with items based on work,related musculoskeletal disorders and physical working conditions. The study population consisted of music teachers employed at a Swedish municipal music School. Out of 61 Music teachers, 47 (77%) agreed to participate, including 28 women and 19 men. The study group was divided into two groups depending oil if they had an asymmetric or symmetric upper extremity/back playing position. Of the total participants, 77% reported musculoskeletal disorders during the preceding 12 months. Female teachers reported significantly more symptoms in the neck, shoulders, and Upper back that male teachers. Music teachers with an asymmetric playing Posture had significantly more musculoskeletal disorders than music teachers with a symmetric playing posture. This Study demonstrates that in asymmetric playing position may affect the amount Of musculoskeletal disorders in the upper extremity and back.

  • 469.
    Wahlström, Jens
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine.
    Mathiassen, Svend Erik
    Liv, Per
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine.
    Hedlund, Pernilla
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine.
    Ahlgren, Christina
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Forsman, Mikael
    Upper arm postures and movements in female hairdressers across four full working days2010In: Annals of Occupational Hygiene, ISSN 0003-4878, E-ISSN 1475-3162, Vol. 54, no 5, p. 584-594Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: To describe upper arm postures and movements among female hairdressers, including the variability between hairdressers, between days within hairdresser, and between tasks, as a basis for understanding the characteristics of exposures in the job, considering possible sources of variation and recovery, and discussing appropriate exposure assessment strategies.

    METHODS: Data on upper arm postures were collected using inclinometers during four working days the same week from 28 female hairdressers working in 13 salons. Twenty of the hairdressers noted customer on and off times in a diary, to allow separate analyses of customer tasks (CT) and auxiliary non-customer tasks (AT), including breaks. For a number of posture and movement variables, mean values and variance components between subjects (BS) and within subjects between days (BD) were estimated using restricted maximum likelihood algorithms in one-way random effect models.

    RESULTS: For the 20 hairdressers with diaries, CT accounted for 279 min (58%) (SD(BS) = 39 min and SD(BD) = 85 min) of the working day and AT and breaks for 207 min (42%) (SD(BS) = 46 min and SD(BD) = 88 min). The hairdressers worked with the right arm elevated >60 degrees for 6.8% of the whole job (SD(BS) = 2.8% and SD(BD) = 2.0%). On average, the hairdressers worked with the right arm elevated >60 degrees for 9.0% of the time during CT, compared to 3.7% during AT, resulting in a contrast between tasks of 0.35.

    CONCLUSIONS: Hairdressers may be at risk for developing musculoskeletal disorders in the neck and shoulders due to a considerable occurrence of highly elevated arms, especially during CT. On the other hand, we do not find reasons to classify hairdressing as a job with too little variation. Posture variability between days within hairdressers was in the same order of magnitude as that between hairdressers, suggesting that 'typical' workdays do not exist. The exposure contrast between CT and AT for variables describing elevated arm postures indicates that for these variables a simple task-based approach for estimating job exposure could be successful.

  • 470.
    Waldegren, Tomas
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Neurological soft signs in double-diagnosed adults assessed for AD/HD : Towards a psychiatric evaluation scale2011Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
  • 471.
    Wallin, Stina
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Uppföljning av arbetsfönnåga, livstillfredsställelse och hälsa efter multidisciplinär yrkesinriktad rehabilitering: Utvärdering av TYK-rehabilitering vid Norrvalla Rehab Center2013Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Multidisciplinär yrkesinriktad  rehabilitering rekommenderas för att förbättra arbetsfönnåga samt för att minska risken för sjukskrivning och invalidpension. Multidisciplinära rehabiliteringsprogram  har ifrågasatts beträffande resultat och kostnadseffektivitet  och är därför angelägna att utvärdera.

    Syfte: Syftet var att utvärdera förändring i arbetsfönnåga, livstillfredsställelse och upplevd hälsa efter yrkesinriktad  rehabilitering  (TYK-rehabilitering)  samt undersöka  om resultaten skiljer  sig mellan  kvinnor  och  män.  Syftet  var  även  att  utreda  om  förändringar  kvarstått över tid och upplevd nytta av rehabiliteringen.

    Metod: Alla personer som avslutat TYK-rehabilitering vid Folkhälsan Botnia/Norrvalla Rehab Center åren 2009-2010 inkluderades (n=55) av vilka 38 samtyckte (27 kvinnor,  1 1 män). Data från rehabiliteringsstart,  avslutad rehabilitering och enkätuppföljning  14-36 månader efter avslutad rehabilitering hämtades från självskattningsinstrument  för arbetsfönnåga, livstillfredsställelse och upplevd hälsa. Frågor om upplevd nytta av rehabiliteringen tillades i uppföljningsenkäten.

    Resultat: Resultaten visade en förbättrad arbetsförmåga, livstillfredsställelse och upplevd hälsa speciellt för kvinnorna. De förbättrades mer och bibehöll i större utsträckning resultaten än männen. Både kvinnor och män upplevde nytta av rehabiliteringen.

    Konklusion: TYK-rehabilitering visade förbättringar i arbetsförmåga, livstillfredsställelse och hälsa i större utsträckning för kvinnor än för män. Resultaten bibehölls även mer för kvinnorna. Minskad sjukfrånvaro såg ut att övergå i pension och ökade inte andelen heltidsarbetande. Resultaten tyder på att kvinnorna tillgodogjorde sig TYK-rehabiliteringen bättre och på behovet att utreda ändamålsenliga rehabiliteringsmodeller  även för män.

  • 472.
    Widgren, Ylva
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Kroppsbild och välbefinnande hos kvinnor med sekundärt lymfödem efter bröstcancer: en deskriptiv tvärsnittsstudie2013Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Introduktion:

    Den vanligaste lokalisationen för sekundärt lymfödem efter cancerbehandling är armen och övre kroppskvadranten. Studier har visat att psykisk ohälsa är vanligare bland bröstcancerpatienter med än uta sekundärt lymfödem. Detta kan påverka deras kroppsbild negativt.

    Syfte:

    Syftet med denna studie var att undersöka kroppsbilden och välbefinnandet hos kvinnor med sekundärt lymfödem efter bröstcancer samt att undersöka om det finns  något samband mellan välbefinnande och kroppsbild hos dessa kvinnor. Hypotesen var att dåligt välbefinnande har samband med dålig kroppsbild. Metod och material:

    Som studiedesign valdes en deskriptiv tvärsnittsstudie. Femtiosex kvinnor med sekundärt lymfödem efter bröstcancer inkluderades. Kroppsbild mättes med hjälp av ett studiespecifikt frågeformulär om lymfödem, välbefinnande och kroppsbild. Spearman' s rangkorrelation  användes för att beräkna sambandet mellan kroppsbild och välbefinnande. Sannolikheten att lågt välbefinnande också innebär dålig kroppsbild räknades ut med logistisk regressionsanalys.

    Resultat:

    Tjugosex procent av deltagarna uppgav sig ha dålig eller mycket dålig kroppsbild. Korrelationen mellan kroppsbild och välbefinnande var låg till måttlig. De frågor om välbefinnande som bäst förutspådde dålig kroppsbild var de som rörde socialt eller allmänt välbefinnande.

    Slutsats:

    Resultaten visade att en av fyra kvinnor med sekundärt lymfödem efter bröstcancer upplever att de har dålig eller mycket dålig kroppsbild. Resultaten visar vidare att kvinnor med sekundärt lymfödem efter bröstcancer som uppger sig ha lågt socialt eller allmänt välbefinnande också har dålig kroppsbild. Detta samband behöver dock utvärderas vidare.

  • 473. Wiitavaara, Birgitta
    et al.
    Björklund, Martin
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Nilsson, Annika
    An initial factor analysis of prominent aspects of health experiences for women with neck-shoulder pain2012In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 34, no 11, p. 934-942Article in journal (Refereed)
    Abstract [en]

    Purpose: The prospect of adequate comparisons is essential to decide on the effectiveness of different treatments. As there is a lack of unity in choice of questionnaires and included measures concerning musculoskeletal disorders, further investigations based on international recommendations are of interest. The intention of present study was to initiate the development of a clinically useful short-form questionnaire. The aim was to select items that capture prominent health aspects for women with neck-shoulder pain and thereby reduce the number of items to a clinically more convenient amount, and to determine the underlying structure of included items.

    Method: Data were collected in a randomised controlled trial including women with non-specific neck-shoulder pain > 3 months (n = 117). Data collection included three core domains: pain intensity, physical and emotional functioning, and analysis was performed using Principal component analysis, and Varimax rotation.

    Results: The resulting 9-factor solution included interference, solicitous/distracting responses, mood and feelings about self and relations, pain intensity, punishing responses, personal growth, life control, sleep, and appetite (29 items).

    Conclusions: The results will contribute to the development of a reduced battery of questions representing core dimensions. Such questionnaire would lighten the assessment load in the clinic as well as in research.

  • 474.
    Wikberg, Johan
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Sandberg, André
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Jakobsson, Erik
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Measuring head biomechanics in rugby related movements: Comparing different placements of the Shimmer accelerometer system2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

     Introduktion: Hjärnskakning är en vanlig idrottsrelaterad skada som kan ge allvarliga konsekvenser. Trots att hjärnskakningar är en vanlig skada så har ofta idrottare en låg kunskapnivå om hur man rehabiliterar efter denna skada. Detta leder ofta till ett för tidigt återvändande till idrottande. Syftet med denna studie är att mäta acceleration för huvudet och ryggen och jämföra dem mot varandra samt nuvarande riktlinjer för återvändande till spel efter en hjärnskakning.

    Metod:Denna pilotstudie involverade tio manliga deltagare som utförde nio stycken rugbyrelaterade övningar. Övningarna innehöll varken tacklingar eller kollisioner. Deltagarna var utrustade med två accelerometrar som var placerade i en sport väst och i en ”scrum cap” med syftet att mäta rörelserna för huvud och kropp.

    Resulat: I sju av de nio mätta övningarna (övning 2-8) uppmättes högre genomsnittlig peak accelerationsresultant i accelerometern på deltagerens rygg än den på huvudet. Högsta graden av sammstämmighet mellan de två metoderna fanns vid övning ett (gång). Lägst nivå av sammstämmighet fanns vid övning sex (vertikala hopp).

    Slutsats: Huvudets rörelser underskattades inte jämfört med de rörelser bålen utsattes för. Störst kraft utsattes både huvud och bål för under ”counter movement” rörelser så som de upprepade vertikala hoppen.

  • 475.
    Wiklund, Maria
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy. Umeå University, Faculty of Social Sciences, Umeå Centre for Gender Studies (UCGS).
    At the Interstices of Disciplines: Early Career Researchers and Research Collaborations Across Boundaries2013In: The Social Politics of Research Collaboration / [ed] Gabriele Griffin, Katarina Hamberg, Britta Lundgren, New York: Routledge, 2013, 1, p. 1-188Chapter in book (Other academic)
  • 476.
    Wiklund, Maria
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health. Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Close to the edge: discursive, gendered and embodied stress in modern youth2010Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Background Adolescent subjective health and mental problems have become a public health concern not only in Sweden but worldwide. The overall aim of this thesis is to deepen and widen the understanding of young peoples’ subjective health, psychosomatic and stress-related problems. A special focus is put on experienced stress among adolescent girls and young women. The study setting is one youth health centre, and three upper secondary schools in Umeå, a university town in northern Sweden. The research design combines qualitative and quantitative methods with the main focus on qualitative methods. An interdisciplinary theoretical synthesis is utilised, primarily based on bio-psycho-social, phenomenological, and social constructionist approaches.

    The three qualitative papers (I-III) are based on the same sample of 40 young women who had sought help at the youth health centre because of their stress-related problems. Paper I explores the stressors experienced by the young women, whereas Paper II explores the lived experiences of stress. Paper III examines the young women’s experiences of living in a violent partner relationship as young teenagers, and how this has affected their lives and health over time. Paper IV investigates perceived stress and subjective health complaints among older adolescents in upper secondary school.

     

    Methods Data was derived from: a) a qualitative interview study with 40 adolescent girls and young women, aged between 16–25 years, who had sought help at the youth health centre for stress problems. Qualitative content analysis was used in combination with discourse-orientated analysis (Paper I); a phenomenological approach (Paper II), and narrative method (Paper III); b) a school-based survey with a sample of 16–18-year-old boys and girls (n=1027), in upper secondary school, grades 1 and 2, from different educational programs at three schools. Perceived stress, self-rated health, subjective health complaints, anxiety, and depression, were measured with a questionnaire including a set of instruments. Statistical analyses were descriptive and analytical.

     

    Results Paper I identified multiple stressors of modernity, gender orders and youth. Contextual factors, including social constructions and practices of gender, played an important role for the stress experienced by these young women. The results revealed that multiple and intersecting stressors and demands connected to essential life spheres, contributed not only to experiences of distress but also to feelings of constraint. Moreover, the roles of excessive taking of responsibility and failing adult support were revealed.

    Paper II illuminated multidimensional lived and embodied experiences of distress. ‘Living close to the edge’ emerged as the common theme running through all of the interviews and captured the young women’s sometimes unbearable situations. The theme contains dimensions of physical, emotional, cognitive, social, and existential distress, as well as dimensions of distrust and disempowerment.

    Paper III examined two Swedish adolescent girls’ experiences of living in a violent relationship as teenagers, and how this has affected their lives and health over time. The analysis revealed violation, stress, trauma, coping, and agency during adolescence and the transition into adulthood.

    Paper IV showed a high level of perceived stress, and subjective health and stress complaints among boys and girls. High pressure and excessive demands from school were experienced by a majority of boys and girls. Perceived stress was correlated with subjective health and stress complaints and anxiety. There was a clear gender difference: two to three times as many girls than boys reported subjective health complaints, e.g. headaches, tiredness and sleeping difficulties, musculoskeletal pain, sadness and anxiety.

     

    Conclusion Several issues of relevance to public health were raised throughout the thesis. According to the interview results, the young women face multiple and intersecting stressors of modernity, gender orders and being young, which correspond to their multidimensional experiences of ‘living close to the edge’. Their experiences of stress are multidimensional, and include physical, emotional, cognitive, social and existential dimensions. Findings from the qualitative study were also mirrored in the findings from the larger group of adolescents in the school survey, where a high proportion of older adolescents, particularly girls, reported perceptions of stress. Moreover, perceived stress correlated to a variety of subjective health complaints and anxiety. The results can be understood and explained from a variety of perspectives. The experience of ‘managing alone’ indicated perceptions of inadequate social support. The overall results indicated a risk of more negative health development, particularly among adolescent girls and young women. Stressors of modernity, gender orders and youth were prominent. The continuation and normalisation of oppression and violence are also discussed as a severe gendered stressor in young women’s lives. This calls for a broad contextualised and gender-sensitive approach to young people’s stress and health problems. In conclusion, the age and gender gap in adolescent health needs to be further explored, and processes of distress, distrust and disempowerment have to be taken more seriously.

  • 477.
    Wiklund, Maria
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy. Umeå University, Faculty of Social Sciences, Umeå Centre for Gender Studies (UCGS).
    ”He wrecked me”: Young men’s violence as a severe form of doing gendered ill-health in Swedish teenage girls2008In: 10th International Interdisciplinary Congress of women, Mundos De Mujeres/ Women’s Worlds. Madrid, Spanien, July, 2008. / [ed] Bárbara de Braganza, 12 - 3º D - 28004 Madrid, SpainPh.: + 34 91 310 43 76 - Fax: + 34 91 319 57 46e-mail: mmww08@unicongress.com, 2008Conference paper (Refereed)
  • 478.
    Wiklund, Maria
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Stress-related and psychosomatic problems among girls: How to understand and handle?2006In: / [ed] Dr Barbara Richardson, Reader in Physiotherapy, School of Allied Health Professions, 2006Conference paper (Refereed)
  • 479.
    Wiklund, Maria
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Bengs, Carita
    Umeå University, Faculty of Social Sciences, Department of Sociology.
    Embodied dimensions of distress: young Swedish women's mental health in a context of gendered neoliberalisation2013In: BSA Medical Sociology Group 45th Annual Conference 2013, York University, York, UK, 2013Conference paper (Other academic)
  • 480.
    Wiklund, Maria
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy. Umeå University, Faculty of Social Sciences, Umeå Centre for Gender Studies (UCGS).
    Bengs, Carita
    Umeå University, Faculty of Social Sciences, Department of Sociology.
    Working Hard to Create a Visible Self: Social Constructions of (In)Visibility in Relation to Girls' Stress2012In: Invisible Girl: "Ceci n'est pas une fille" / [ed] Gun-Marie Frånberg, Camilla Hällgren & Elza Dunkels, Umeå: Umeå University , 2012, p. 21-31Chapter in book (Refereed)
    Abstract [en]

    In this article we problematise the stress girls experience in the light of invisibility and visibility, including the gendered tensions around the social constructions of girls as (in)visible. Our analysis is based on a rereading of narrative interviews with Swedish girls experiencing stress-related problems. Issues of girl's health and illness are found to be undeveloped in the wider sociocultural context of both health research and cultural youth studies. Our analysis suggests that stress as an illness among girls seems invisible and diminished, and also that girls themselves feel invisible and not good enough. We emphasise that girls' efforts and the external demands on them need to be acknowledged and addressed instead of individualised. Furthermore, we relate the tension between visibility and invisibility, which seems central to the girl's distress, to limiting norms of femininity and gender orders. According to our analysis the girls' efforts to create a visible self seem to come at a price.

  • 481.
    Wiklund, Maria
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health. Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Bengs, Carita
    Umeå University, Faculty of Social Sciences, Department of Sociology.
    Malmgren-Olsson, Eva-Britt
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Öhman, Ann
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health. Umeå University, Faculty of Social Sciences, Umeå Centre for Gender Studies (UCGS).
    Young women facing multiple and intersecting stressors of modernity, gender orders and youth2010In: Social Science and Medicine, ISSN 0277-9536, E-ISSN 1873-5347, Vol. 71, no 9, p. 1567-1575Article in journal (Refereed)
    Abstract [en]

    This article aims to explore stressors experienced by Swedish adolescent girls and young women, specifically understood in relation to social context and gender theory. Interviews were conducted with 40 young Swedish women, aged 16–25 years, who had sought help at a youth health centre for stress problems. Using qualitative content analysis we identified three clusters of stressors: “the stressors of modernity”, “the stressors of gendered orders”, and “the stressors of youth”. The results revealed that multiple and intersecting discourse-shaped stressors and demands connected to essential life spheres contribute not only to experiences of distress but also to feelings of constraint. Gendered individualism and healthism proved to be essential in understanding the young women’s experienced stress. Failing social support from adults, gendered demands and responsibility taking were also illuminated. This calls for a broad contextualized and gender-sensitive approach to young women’s stress and health problems.

  • 482.
    Wiklund, Maria
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Danielsson, Ulla
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Strömbäck, Maria
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy. Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry.
    Bengs, Carita
    Umeå University, Faculty of Social Sciences, Department of Sociology.
    Dissonanser och möjligheter: i ljuset av genus, normativitet och samhällets individualisering2015In: När livet känns fel: ungas upplevelser kring psykisk ohälsa / [ed] Myndigheten för ungdoms- och civilsamhällsfrågor, Stockholm: mucf.se , 2015, p. 153-173Chapter in book (Other academic)
    Abstract [sv]

    I denna fördjupande artikel riktar vi blickarna mot ungas psykiska ohälsa – dissonanser och möjligheter – i förhållande till genuskonstruktioner, normativitet och inflytelserika samhällstrender som individualisering.

  • 483.
    Wiklund, Maria
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy. Umeå University, Faculty of Social Sciences, Umeå Centre for Gender Studies (UCGS).
    Fjellman-Wiklund, Anncristine
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Stress hos unga - samband med ångest, hälsobesvär och genus2013In: BestPractice - Psykiatri/Neurologi. Yrkesdialog mellan specialister, Vol. 4, no 14, p. 7-11Article in journal (Other academic)
  • 484.
    Wiklund, Maria
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health. Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Malmgren-Olsson, Eva-Britt
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Bengs, Carita
    Umeå University, Faculty of Social Sciences, Department of Sociology.
    Öhman, Ann
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health. Umeå University, Faculty of Social Sciences, Umeå Centre for Gender Studies (UCGS).
    "He messed me up": Swedish adolescent girls' experiences of gender-related partner violence and its consequences over time2010In: Violence against Women, ISSN 1077-8012, E-ISSN 1552-8448, Vol. 16, no 2, p. 207-232Article in journal (Refereed)
    Abstract [en]

    This article illuminates two Swedish adolescent girls' experiences of living in a violent relationship as teenagers and how this has affected their lives and health over time. Interviews were conducted in a youth health center. A combination of qualitative content analysis and narrative analysis describes violation, stress, trauma, coping, and agency during the period of adolescence and transition into adulthood. Despite Swedish progressive public policies on men's violence against women, teenage girls are exposed to male partners' violation, a severe gendered stressor. There is a need for the development of health policy and gender-responsive interventions geared specifically toward adolescent girls.

  • 485.
    Wiklund, Maria
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy. Umeå University, Faculty of Social Sciences, Umeå Centre for Gender Studies (UCGS).
    Malmgren-Olsson, Eva-Britt
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Öhman, Ann
    Umeå University, Faculty of Social Sciences, Umeå Centre for Gender Studies (UCGS). Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
    Bergström, Erik
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics.
    Fjellman Wiklund, Anncristine
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Subjective health complaints in older adolescents are related to perceived stress, anxiety and gender: a cross-sectional school study in Northern Sweden2012In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 12, no 993Article in journal (Refereed)
    Abstract [en]

    Purpose: Adolescent subjective health has become a public health concern in Sweden and worldwide. The purpose of this study is to investigate perceived stress and subjective health complaints among older adolescents.

    Methods: Data were derived from a school-based survey with a sample consisting of 16–18 year olds (n=1027), boys and girls, in high school grades 1 and 2, from different educational programs in three public high schools within a university municipality in northern Sweden. Perceived stress, self-rated health, subjective health complaints, anxiety, and depression, were measured with a questionnaire including a set of instruments.

    Results: A large proportion of both girls and boys reported health complaints and perceived stress. There was a clear gender difference; girls reported two to three-fold higher proportions of subjective health complaints such as headache, tiredness and sleeping difficulties, musculoskeletal pain, as well as sadness and anxiety. Pressure and demands correlated strongly with psychosomatic symptoms (r=0.71) and anxiety (r=0.71).

    Conclusions: The results indicate that subjective health complaints are prevalent during adolescence, especially in girls, and furthermore that perceived stress and demands may be important explanatory factors. Future studies should pay attention to the balance between gender-related demands, perceived control and social support, particularly in the school environment, in order to prevent negative strain and stress-related ill-health. The gender gap in adolescent health needs to be further explored.

  • 486.
    Wiklund, Maria
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy. Umeå University, Faculty of Social Sciences, Umeå Centre for Gender Studies (UCGS).
    Strömbäck, Maria
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy. Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry.
    Challenging individualized discourses on girls’ stress2011Conference paper (Refereed)
  • 487.
    Wiklund, Maria
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy. Umeå University, Faculty of Social Sciences, Umeå Centre for Gender Studies (UCGS). Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Strömbäck, Maria
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy. Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry.
    Från genusblind till genusmedveten: Teoridriven interventionsutveckling i ungdomsvänlig miljö2015In: Fysioterapi, ISSN 1653-5804, no 03, p. 24-30Article in journal (Other academic)
    Abstract [sv]

    Ungas psykiska och psykosomatiska hälsa är ett högaktuellt område där fysioterapeuter kan bidra med kunskap om det komplexa samspelet mellan kropp och psyke – i den här artikeln tolkad i en samhällskontext genomsyrad av genus. Resultaten och erfarenheterna kommer från ett forskningsprojekt där vi utvecklat och utvärderat stresshanteringskurser för tjejer vid en ungdomshälsomottagning i Umeå, Ungdomshälsan. Ungdomshälsan är specifikt inrättad för unga med psykosociala och psykiska problem. Under tiden för forskningsprojektet upptäckte man på Ungdomshälsan nyttan av fysioterapeutisk kompetens. I denna artikel ger vi några exempel från den genusmedvetna teori- och metodutveckling som vi själva bedriver med fokus på ungas hälsa, kroppslighet och rörelsefrihet ur olika sociokulturella och genusteoretiska perspektiv. Inför framtiden ser vi en stor potential i genus- och kontextmedveten metod och teori inom olika grenar av fysioterapi.

  • 488.
    Wiklund, Maria
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy. Umeå University, Faculty of Social Sciences, Umeå Centre for Gender Studies (UCGS).
    Strömbäck, Maria
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy. Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry. Umeå University, Faculty of Social Sciences, Umeå Centre for Gender Studies (UCGS).
    Bengs, Carita
    Umeå University, Faculty of Social Sciences, Department of Sociology.
    En ribba att nå: Unga kvinnors förkroppsligade stress i en neoliberal och könad kontext2013In: Tidskrift för Genusvetenskap, ISSN 1654-5443, E-ISSN 2001-1377, no 2-3, p. 57-85Article in journal (Refereed)
    Abstract [sv]

    I föreliggande artikel är vårt syfte att synliggöra och problematisera tonårsflickors och unga kvinnors upplevda och förkroppsligade stress och psykiska ohälsa i förhållande till en könad samhällelig kontext – vilket vi menar har relevans för såväl folkhälsovetenskaplig forskning som för genusvetenskaplig flickforskning. Genom sammanförandet av historiska, sociokulturella, politiska och hälsorelaterade infallsvinklar från olika forskningsfält belyser vi komplexiteten och motstridigheterna i fenomenet/problemet ”unga tjejers stress” med utgångspunkt i vår empiriskt baserade forskning om unga kvinnor, kroppslighet och psykisk ohälsa. Några av våra frågeställningar lyder: Vad och hur berättar unga kvinnor själva om sin upplevda stress och livssituation, och vilka centrala teman kan vi skönja i deras berättelser? Hur kan unga kvinnors stress och psykiska ohälsa kontextualiseras, förstås och begripliggöras utifrån historiska, politiska, sociokulturella och genusrelaterade perspektiv? Hur förkroppsligas den sociala kontexten i unga kvinnors berättade upplevelser och uttryck av stress?

  • 489.
    Wiklund, Maria
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health. Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Öhman, Ann
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health. Umeå University, Faculty of Social Sciences, Umeå Centre for Gender Studies (UCGS).
    Bengs, Carita
    Umeå University, Faculty of Social Sciences, Department of Sociology.
    Malmgren-Olsson, Eva-Britt
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Living close to the edge: embodied dimensions of distress during emerging adulthood2014In: SAGE Open, ISSN 2158-2440, E-ISSN 2158-2440, Vol. 2, no 4, p. 1-17Article in journal (Refereed)
    Abstract [en]

    Although self-reported stress-related problems are common among Swedish adolescent girls and young women, few qualitative studies have been made of young people’s own understandings and descriptions of their situation. The aim of our present study, therefore, is to explore and analyze the lived experiences of stress among adolescent girls and young women who had sought help at a youth health center. Interviews were conducted with 40 girls and young women, aged 16-25 years. The interviews were analyzed by qualitative content analysis. “Living close to the edge” is interpreted as the common theme running through all of the interviews and represents the participants’ sometimes unbearable situations. The theme contains dimensions of physical, emotional, cognitive, social, and existential distress, as well as dimensions of distrust and disempowerment. Findings highlight the importance of addressing these dimensions in youth health interventions. The importance of contextualizing young women’s distress is furthermore emphasized.

  • 490. Yoshimura, Eri
    et al.
    Fjellman-Wiklund, Anncristine
    Umeå University, Faculty of Medicine, Community Medicine and Rehabilitation, Physiotherapy.
    Mia Paul, Pamela
    Aerts, Cyriel
    Chesky, Kris
    Risk factors for playing-related pain among piano teachers2008In: Medical problems of performing artists, ISSN 0885-1158, E-ISSN 1938-2766, Vol. 23, p. 107-113Article in journal (Refereed)
  • 491.
    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.

  • 492. Zijlstra, A
    et al.
    Ufkes, T
    Skelton, D A
    Lundin-Olsson, Lillemor
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Zijlstra, W
    Do dual tasks have an added value over single tasks for balance assessment in fall prevention programs? A mini-review.2008In: Gerontology, ISSN 1423-0003, Vol. 54, no 1, p. 40-9Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The Prevention of Falls Network Europe (ProFaNE) aims to bring together European researchers and clinicians to focus on the development of effective falls prevention programs for older people. One of the objectives is to identify suitable balance assessment tools. Assessment procedures that combine a balance task with a cognitive task may be relevant since part of all falls occurs during dual-task performance of walking or other balance activities. OBJECTIVE: To evaluate whether dual-task balance assessments are more sensitive than single balance tasks in predicting falls and detecting changes in balance performance after fall interventions. METHODS: A systematic literature search was performed in the databases PubMed, EMBASE, CINAHL, AMED, PsycINFO and Cochrane. Articles were selected according to the following inclusion criteria: (1) population: older adults (mean age > or =65 years), (2) assessment tool: dual task combining gait or other balance task with a cognitive task, (3) design: prospective or retrospective data collection of falls, or intervention study. Analysis of papers focused on measures of predictive ability or sensitivity-to-change for both tasks during dual-task performance as well as for the single balance and cognitive task. RESULTS: Out of 114 dual-task studies in older people, 19 articles matched the inclusion criteria. Fourteen studies had sample sizes of 60 subjects or less; the studied populations, task combinations as well as other methodological aspects varied. None of the articles reported the same statistical measures for both tasks during dual-task performance as well as single balance and cognitive task. In two studies with prospective data collection of falls, higher odds ratios were found for the dual compared to the single balance task. CONCLUSIONS: Upon the available literature, conclusions for an added value of dual balance tasks for fall prediction or assessing fall intervention effects cannot be made due to incomplete comparisons of single and dual balance tasks. Nevertheless, two studies do provide an indication that dual balance tasks may have added value for fall prediction.

  • 493. 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)
  • 494. 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.
    Implementation of evidence-based prevention of falls in rehabilitation units: a staff's interactive approach.2009In: Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine, 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.

  • 495. Åberg, K
    et al.
    Öhman, Ann
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
    Lundin-Olsson, Lillemor
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Disparata yrkesfunktioner och ett okänt team: uppfattningar från äldreomsorgen2004In: Nordisk fysioterapi, ISSN 1402-3024, Vol. 8, p. 3-11Article in journal (Refereed)
  • 496.
    Åberg, Karin
    et al.
    Umeå University, Faculty of Medicine, Community Medicine and Rehabilitation, Physiotherapy.
    Öhman, Ann
    Umeå University, Faculty of Medicine, Community Medicine and Rehabilitation, Physiotherapy.
    Lundin-Olsson, Lillemor
    Umeå University, Faculty of Medicine, Community Medicine and Rehabilitation, Physiotherapy.
    Disparata yrkesfunktioner och ett okänt team: Sjuksköterskors och boendechefers uppfattning om sin egen, sjukgymnastens och arbetsterapeutens yrkesfunktion i äldreomsorgen2004In: Nordisk Fysioterapi, Vol. 8, no 1, p. 3-11Article in journal (Other academic)
  • 497.
    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
  • 498.
    Åström, Charlotte
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Lindkvist, Markus
    Umeå University, Faculty of Medicine, Department of Radiation Sciences, Radiation Physics.
    Burström, Lage
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine.
    Sundelin, Gunnevi
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Karlsson, J Stefan
    Umeå University, Faculty of Medicine, Department of Radiation Sciences, Radiation Physics.
    Changes in EMG activity in the upper trapezius muscle due to local vibration exposure.2009In: Journal of Electromyography & Kinesiology, ISSN 1050-6411, E-ISSN 1873-5711, Vol. 19, no 3, p. 407-415Article in journal (Refereed)
    Abstract [en]

    Exposure to vibration is suggested as a risk factor for developing neck and shoulder disorders in working life. Mechanical vibration applied to a muscle belly or a tendon can elicit a reflex muscle contraction, also called tonic vibration reflex, but the mechanisms behind how vibration could cause musculoskeletal disorders has not yet been described. One suggestion has been that the vibration causes muscular fatigue. This study investigates whether vibration exposure changes the development of muscular fatigue in the trapezius muscle. Thirty-seven volunteers (men and women) performed a sub-maximal isometric shoulder elevation for 3min. This was repeated four times, two times with induced vibration and two times without. Muscle activity was measured before and after each 3-min period to look at changes in the electromyography parameters. The result showed a significantly smaller mean frequency decrease when performing the shoulder elevation with vibration (-2.51Hz) compared to without vibration (-4.04Hz). There was also a slightly higher increase in the root mean square when exposed to vibration (5.7% of maximal voluntary contraction) compared to without (3.8% of maximal voluntary contraction); however, this was not statistically significant. The results of the present study indicate that short-time exposure to vibration has no negative acute effects on the fatiguing of upper trapezius muscle.

  • 499.
    Åström, Charlotte
    et al.
    Umeå University, Faculty of Medicine, Community Medicine and Rehabilitation, Physiotherapy.
    Rehn, Börje
    Umeå University, Faculty of Medicine, Community Medicine and Rehabilitation, Physiotherapy.
    Ahlgren, Christina
    Umeå University, Faculty of Medicine, Community Medicine and Rehabilitation, Physiotherapy.
    Sundelin, Gunnevi
    Umeå University, Faculty of Medicine, Community Medicine and Rehabilitation, Physiotherapy.
    Neuromusculoskeletal symptoms in the trunk and upper extremities among proffessional drivers of all-terrain vehicles in Sweden2007Conference paper (Other academic)
  • 500.
    Åström, Charlotte
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Rehn, Börje
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Lundström, Ronnie
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine.
    Nilsson, Tohr
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine.
    Burström, Lage
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine.
    Sundelin, Gunnevi
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Hand-arm vibration syndrome (HAVS) and musculoskeletal symptoms in the neck and the upper limbs in professional drivers of terrain vehicles: a cross sectional study2006In: Applied Ergonomics, ISSN 0003-6870, E-ISSN 1872-9126, Vol. 37, no 6, p. 793-799Article in journal (Refereed)
7891011 451 - 500 of 509
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