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  • 501.
    Åström, Emma
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Lundström, Vilhelm
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Arm Muscle Activation During Different Types of Isometric Loading in Stroke Subjects: A pilot study2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Introduktion: Tidigare studier har visat att personer med stroke har svårigheter att uppnå de resultat som förväntas av traditionell styrketräning. Isometrisk träning är en form av styrketräning, som kan utföras genom att muskeln utvecklar kraft mot ett fast motstånd och jobbar mot förkortning (koncentriskt) eller genom att en pålagd vikt gör att muskeln jobbar mot förlängning (excentriskt). Dessa former av kontraktioner kallas även Overcoming isometric och Yielding isometric.

    Syfte: Syftet var att jämföra EMG- amplitud mellan en isometriskt koncentrisk övning (Overcoming isometric) och en isometriskt excentrisk övning (Yielding isometric).

    Metod: Fyra personer med stroke och fyra friska kontroller deltog i studien. Belastningen till Overcoming isometric och Yielding isometric fastställdes genom att studera vilken belastning armen utsattes för i fyrfotastående, en övning kallad Dog to Cobra. Varje övning utfördes 10 gånger med fem sekunder arbete och fem sekunder vila. Muskelaktivering av valda muskler och medelkraft analyserades och jämfördes inom individerna och mellan grupperna.

    Resultat: Ingen utmärkande skillnad kunde ses mellan övningarna eller grupperna när EMG- amplitud analyserades. En något högre grad av ko-kontraktioner uppvisades i Overcoming isometric hos personerna med stroke.

    Konklusion: Resultaten visar en tendens mot att Yielding isometric skulle kunna vara fördelaktigt för personer med stroke men inga konkreta slutsatser kan dras.

  • 502. Öhberg, F
    et al.
    Grip, Helena
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Nilsson, K-G
    Edström, U
    Gustavsson, O
    Häger, Charlotte
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Lundström, R
    Gait analysis using a portable motion sensor system: measurements in subjects with hip implants as compared with healthy controls2012Conference paper (Other academic)
  • 503.
    Öhman, Ann
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Public Health Sciences. Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Profession on the move: Changing conditions and gendered development in physiotherapy2001Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Physiotherapy in Sweden has developed from a practical, hands-on, assistant job predominantly taught at college level to a university-based academic discipline emphasising evidence-based practice and research. Women are in majority although an increasing number of men have entered the profession. Women and men physiotherapists tend to undertake different career paths. The overall aim of the present thesis was to use a gender perspective to describe and analyse attitudes to the professional role, health care work and the development of the profession among actors engaged in physiotherapy education.

    A questionnaire was distributed in 1997 to all Swedish physiotherapy students in the second semester of the education (n=273). The same cohort was investigated in 1999 at the completion of the education. The response rate was 93 percent at both occasions. For an international comparison, the same questionnaire was distributed in 1997 and in 1999 to a group of Canadian physiotherapy students in their first and last semesters (n=60). Qualitative research interviews were conducted with 8 novices in physiotherapy and with 14 women educators in academia. Five focus group discussions with clinical supervisors were conducted (10 women and 5 men). Methods used were Grounded theory, factor analysis, logistic regression and path analysis. Feminist theories and Bourdieu's theory of culture constituted a theoretical framework

    Four ideal types were identified among the novices representing attitudes to the professional role. The Treater and The Supervisor were attitudes found among the women, whereas The Coach and The Entrepreneur were attitudes among the men. Type of health care facility was important for their positioning in the organisational hierarchy. Swedish students favour future employment in private practice. Sports medicine clinics and fitness centres are health care facilities highly endorsed, as is health promotion. Neither care of elderly nor hospital work are preferable fields of practice. Research is not favoured. Men students are more likely to have chosen the profession because of their interest in physical activity and sports. They are also more likely to prefer owning a private clinic and working with alternative approaches such as fitness training in sports medicine clinics. Women students are more likely to prefer an employment in private practice. The Canadian men students favour private practice whereas the women prefer the public sector of health care. The academic educators experience a gap between theory and practice which causes conflicting messages to students. Competing professions, emergent societal change and a conservative clinical practice constitute threats to the profession. The uniqueness of professional competency, theoretical development and new arenas such as home rehabilitation, consulting and research constitute a vision for future development of the profession. Masculinity is highly valued for status and power whereas femininity symbolises empathy and caring. The clinical supervisors update their theoretical knowledge base through supervision of students, but claim that students lack hands-on skills. Stress at work, unequal power relations in the hierarchy and restructuring of health care are factors that influence work satisfaction negatively. To conclude, gendered habitus, different symbolic capital and different attitudes towards health care work and development of the profession were found in the sub-fields of physiotherapy.

  • 504.
    Öhman, Ann
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Hägg, Kerstin
    Umeå University, Faculty of Social Sciences, Department of Child and Youth education, Special Education and Counselling (BUSV).
    Dahlgren, Lars
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Public Health Sciences.
    Competent women and competing professions: Physiotherapy educators' perceptions of the field1999In: Advances in Physiotherapy, ISSN 1403-8196, E-ISSN 1651-1948, Vol. 1, no 2, p. 59-72Article in journal (Refereed)
    Abstract [en]

    Career choices are still strongly gendered in health care professions. In Sweden, physiotherapy is a middle-class women's profession that nowadays also attracts men. Career strategies and professional development in physiotherapy are sparsely studied from a gender perspective. The purpose of this qualitative study was to describe and analyse perceptions of individual professional development, physiotherapy education and the profession in general, among a group of women educators in physiotherapy, using a gender theoretical framework and some of Bourdieu's theoretical concepts in the analysis. Thematized in-depth interviews with fourteen educators in physiotherapy were performed. The analysis used the Grounded Theory method of constant comparison. To increase credibility, the study design used triangulation in interviewers and investigators, member checking and reference group checking. Three core categories were identified. The Competent Woman category involves the professional development of the educators, including aspects of competence, success, efficiency and flexibility. Perceptions of femininity and masculinity reflect the symbolic dimension of gender. Femininity is regarded as symbolic capital for empathy and care, while masculinity represents status and power. The core category Theory-Practice Gap describes the isolated position of physiotherapy education in relation to the field of health care. The fragmented and disintegrated professional knowledge base does not facilitate the development of the profession. The core category Profession under Change reflects ideas about physiotherapy in society. Other female health care professions, ongoing societal change and conservative physiotherapy practices constitute a threat to the future development of the field. Visions for future development of the field emphasized the importance of professional competence and engagement in innovative activities in new arenas and new professional roles. The results shed light on the symbolic dimension of gender in a professional field where femininity is connected with academic success, empathy and care, while masculinity is related to business mentality, status and power. Notions of competition include both internal and external factors affecting the field of physiotherapy.

  • 505.
    Öhman, Ann
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Solomon, Patricia
    McMaster University, Faculty of Health Sciences, School of Rehabilitation Science, IAHS, Hamilton, Canada.
    Finch, Elspeth
    McMaster University, Faculty of Health Sciences, School of Rehabilitation Science, IAHS, Hamilton, Canada.
    Career choice and professional preferences in a group of Canadian physiotherapy students2002In: Advances in Physiotherapy, ISSN 1403-8196, E-ISSN 1651-1948, Vol. 4, no 1, p. 16-22Article in journal (Refereed)
    Abstract [en]

    This article focuses on reasons for the career choice and the longitudinal development of attitudes to healthcare work and the physiotherapy profession. The study is part of a larger project on professional development in physiotherapy. A cohort of 60 Canadian physiotherapy students was surveyed on two occasions during their educational programme. The questionnaire was constructed using a theoretical framework about professional socialization. Forty students completed both versions of the questionnaire yielding a response rate of 67%. Seventy-two per cent were women and 28% were men. Job accessibility or economic (25.5%) were the most frequently indicated reasons for the career choice. The most frequently chosen role models were the preceptors in clinical placements (52%). None of the students indicated having a faculty member as a role model. The desire to work in private practice and with adults was ranked highly in both administrations of the questionnaire. Few students regarded home care and community health as preferable healthcare facilities after graduation. Research, managerial work or occupational health were not given as preferable areas of practice. There advantages were statistically significant differences between women and men in their preferences for private practice work and the public sector of healthcare. The results are discussed in relation to gendered division of labour in healthcare and to the development of the profession.

  • 506.
    Öhman, Ann
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Stenlund, Hans
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Public Health Sciences.
    Dahlgren, Lars
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Public Health Sciences.
    Career choice, professional preferences and gender ?:  the case of Swedish physiotherapy students2001In: Advances in Physiotherapy, ISSN 1403-8196, E-ISSN 1651-1948, Vol. 3, no 3, p. 94-107Article in journal (Refereed)
    Abstract [en]

    The aim was to identify reasons for the career choice and professional preferences among students enrolled in the Swedish physiotherapy education. The study design was longitudinal and used a questionnaire administered to a cohort of 273 students in the beginning of the university programme in 1997 as well as at the completion of the programme in 1999, yielding a response rate of 93%. Data were analysed with factor analysis and univariate and multivariate logistic regression analysis. To test the relationship between the factors and outcomes that showed significant effect in the logistic regression analysis, a path analysis was performed. The two most preferred healthcare facilities after graduation were sports medicine clinics and fitness centres. Future work in private practice was highly endorsed by a majority of students. Health promotion was highly valued. Care of elderly and hospital work were not preferred. Significant differences between men and women appeared. Men were more likely to have chosen the programme because of their interest in sports and physical activity. Men were also more choice decided about future professional activities, whereas women were more open for several areas of practice. Men preferred to become the owner of a private clinic and to work with alternative approaches to healthcare, such as fitness training in sports medicine clinics.

  • 507.
    Öhman, Ann
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
    Åström, Lena
    Malmgren-Olsson, Eva-Britt
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Feldenkrais(®) therapy as group treatment for chronic pain: a qualitative evaluation2011In: Journal of Bodywork & Movement Therapies, ISSN 1360-8592, E-ISSN 1532-9283, Vol. 15, no 2, p. 153-161Article in journal (Refereed)
    Abstract [en]

    Positive experiences from the Feldenkrais group treatment were reported, especially concerning movement ability and body awareness. The exercises were however regarded as difficult to perform as self-training on a daily basis.

  • 508.
    Östberg, Emilia
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Stillasittande i kontorsmiljö En kvalitativ studie om kontorsarbetares tankar kring stillasittande och kroppslig variation i kontorsmiljö: En kvalitativ studie om kontorsarbetares tankar kring stillasittande och kroppslig variation i kontorsmiljö2013Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Samhällets teknologiska utveckling har bidragit till att människor blir alltmer stillasittande exempelvis via TV-tittande, dataarbete och bilåkning. Utöver en alltmer stillasittande fritid så består arbetslivet idag för många av någon form av dataarbete. Kontorsarbete ses som ett karaktäristiskt stillasittande arbete. Stillasittande är en oberoende riskvariabel för att utveckla diabetes, hjärt/kärlsjukdom och fetma. Syftet med studien var att fånga kontorsarbetares tankar kring stillasittande och kroppslig variation i kontorsmiljö. Datainsamlingen skedde med hjälp av två fokusgrupper där samtliga deltagare hade kontorsarbete. Deltagarna var anställda på ett större privat företag i en småstad i Sverige. Intervjuerna bearbetades på ett textnära sätt enligt kvalitativ innehållsanalys. Textanalysen gav fyra kategorier: Variation, Kunskap, Motivation och Ansvar.  Resultatet visade att det delvis fanns variationsmöjligheter på arbetsplatsen men majoriteten av deltagarna arbetade i sittande position. Det saknades kunskap kring sambandet mellan långvarigt stillasittande och metabola risker. Påminnelser ansågs var viktigt för att förändra ett stillasittande beteende. Deltagarna tyckte att arbetsgivaren hade ett arbetsmiljöansvar men att det främst var individens ansvar att variera sig under arbetsdagen.

    Slutsats: Det saknas kunskap om metabola risker med långvarigt stillasittande hos individer i kontorsmiljö. Ökad kunskap och information skulle kunna vara ett sätt att motivera kontorsarbetare till ökad variation och minska stillasittandet. Ett hinder för variation är att man glömmer av att variera sig varför påminnelser av olika slag är viktigt för att förändra ett stillasittande beteende. Det är till stor del individens eget ansvar att minska stillasittandet och skapa variation under arbetsdagen.

  • 509. Österlind, Jonas
    et al.
    Eriksson, Margareta K
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Östenson, Claes-Göran
    Eliasson, Mats
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Medicine.
    [The Swedish Björknäs study: fewer physician visits in primary health care. A randomized study of intensive life style intervention]2010In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 107, no 15, p. 976-980Article in journal (Refereed)
    Abstract [en]

    Intensive lifestyle interventions can reduce incidence of type 2 diabetes and cardiovascular risk factors in high-risk individuals. We aimed to assess the effect of the lifestyle intervention used in the The Swedish Björknäs study, previously shown to reduce cardiovascular risk factors, on health care use. In 2003, 145 high-risk individuals were randomly assigned to either a 3 months intensive lifestyle modification undertaken in the primary care setting or control. In 2009, participants' medical records were reviewed. Primary outcome was primary care health use. Secondary outcome was hospital care use. Analysis was by intention to treat. Primary care physician visits were 21% (95% CI 2%; 36%) lower in the lifestyle group during the first three years. The difference was significant for all six years when adjusting for baseline (GLM Repeated Measures; p=0.019). There were no significant differences in visits to nurses in primary health care or hospital physicians and nurses, hospitalizations or hospital days. A program of intensive lifestyle modification can not only favourably influence cardiovascular risk factors but also reduce health care use in high-risk individuals.

891011 501 - 509 of 509
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