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Hermansson, LiselotteORCID iD iconorcid.org/0000-0003-4247-2236
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Publications (10 of 103) Show all publications
Widehammar, C., Lidström-Holmqvist, K., Pettersson, I. & Hermansson, L. (2019). Attitudes is the most important environmental factor for use of powered mobility devices - users' perspectives. Scandinavian Journal of Occupational Therapy
Open this publication in new window or tab >>Attitudes is the most important environmental factor for use of powered mobility devices - users' perspectives
2019 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014Article in journal, Editorial material (Refereed) Epub ahead of print
Place, publisher, year, edition, pages
Informa Healthcare, 2019
National Category
Occupational Therapy Other Health Sciences
Identifiers
urn:nbn:se:oru:diva-71766 (URN)10.1080/11038128.2019.1573918 (DOI)30856033 (PubMedID)
Available from: 2019-01-23 Created: 2019-01-23 Last updated: 2019-03-19Bibliographically approved
Tavemark, S., Hermansson, L. & Blomberg, K. (2019). Enabling activity in palliative care: focus groups among occupational therapists. BMC Palliative Care, 18(1), Article ID 17.
Open this publication in new window or tab >>Enabling activity in palliative care: focus groups among occupational therapists
2019 (English)In: BMC Palliative Care, ISSN 1472-684X, E-ISSN 1472-684X, Vol. 18, no 1, article id 17Article in journal (Refereed) Published
Abstract [en]

Background: Activity participation may support clients in palliative care to maintain dignity and quality of life. Literature and policy documents state that occupational therapists should be part of the team in palliative care, but give limited guidance on how interventions should be employed. Thus, the aim was to describe occupational therapists’ experiences of enabling activity for seriously ill and dying clients.

Methods: In a descriptive, qualitative study, three focus groups with occupational therapists (n = 14) were conducted. The data were analysed using qualitative content analysis.

Results: The findings showed that occupational therapists were enabling activity in clients in palliative care whilst considering the client’s individual preferences. Motivation was seen to facilitate activity, while environmental restrictions act as barriers. The occupational therapists wanted to bring activities physically closer to the clients and felt a need for more client contact to enable activity.

Conclusions: Occupational therapists’ interventions in palliative care includes prioritizing and planning activities according to clients’ preferences and capacities. The individual nature of these activities makes it impossible to create standardised protocol for interventions, but the study results can be used to describe occupational therapists’ strategies and to guide their work, especially unexperienced occupational therapists in palliative care.

Place, publisher, year, edition, pages
BioMed Central, 2019
Keywords
Activities of daily living, leisure activities, client participation, quality of life, qualitative research
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:oru:diva-71694 (URN)10.1186/s12904-019-0394-9 (DOI)000458150200001 ()30732615 (PubMedID)2-s2.0-85061266778 (Scopus ID)
Note

Funding Agency:

University Health Care Research Center, Region Örebro County, Örebro, Sweden

Available from: 2019-01-23 Created: 2019-01-23 Last updated: 2019-02-25Bibliographically approved
Widehammar, C., Lidström, H. & Hermansson, L. (2019). Environmental barriers to participation and facilitators for use of three types of assistive technology devices. Assistive technology, 31(2), 68-76
Open this publication in new window or tab >>Environmental barriers to participation and facilitators for use of three types of assistive technology devices
2019 (English)In: Assistive technology, ISSN 1040-0435, E-ISSN 1949-3614, Vol. 31, no 2, p. 68-76Article in journal (Refereed) Published
Abstract [en]

The aim was to compare the presence of environmental barriers to participation and facilitators for assistive technology (AT) use and study the relation between barriers and AT use in three different AT devices. A cross-sectional survey was conducted. Inclusion criteria were ?one year of experience as a user of myoelectric prosthesis (MEP), powered mobility device (PMD), or assistive technology for cognition (ATC) and age 20-90 years. Overall, 156 participants answered the Swedish version of the Craig Hospital Inventory of Environmental Factors and a study-specific questionnaire on facilitating factors. Non-parametric tests were used for comparisons. Barriers to participation were lowest in MEP users (md = 0.12; p < 0.001), and highest in ATC users (md = 1.56; p < 0.001) with the least support for AT use (p < 0.001 - p = 0.048). A positive correlation between fewer barriers and higher use of MEP was seen (r = 0.30, p = 0.038). The greatest barriers to participation were Natural environment, Surroundings and Information, and the most support came from Relatives and Professionals. Support, training and education are vital in the use of AT. These factors may lead to a more sustained and prolonged use of AT and may enable increased participation. Future research should focus on interventions that meet the needs of people with cognitive disabilities.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
Keywords
Electronic aids to daily living, information technology and telecommunications, prosthetics, service delivery, wheelchair transportation, wheeled mobility aids
National Category
Nursing Other Health Sciences
Identifiers
urn:nbn:se:oru:diva-61735 (URN)10.1080/10400435.2017.1363828 (DOI)000458565800002 ()28783455 (PubMedID)2-s2.0-85029455687 (Scopus ID)
Note

Funding Agency:

Research Committee of Örebro County Council, Sweden  OLL-590701  OLL-615061  OLL-642141  OLL-685701

Available from: 2017-11-06 Created: 2017-11-06 Last updated: 2019-03-01Bibliographically approved
Hermansson, L. & Hill, W. (2019). Treatment for upper limb malformation in different areas of the world. In: : . Paper presented at Trent International Prosthetic Symposium (TIPS), Manchester, UK, march 20-22, 2019. University of Salford, Manchester, UK
Open this publication in new window or tab >>Treatment for upper limb malformation in different areas of the world
2019 (English)Conference paper, Oral presentation with published abstract (Refereed)
Place, publisher, year, edition, pages
University of Salford, Manchester, UK, 2019
Keywords
Upper limb, prostheses, child
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:oru:diva-71691 (URN)
Conference
Trent International Prosthetic Symposium (TIPS), Manchester, UK, march 20-22, 2019
Available from: 2019-01-23 Created: 2019-01-23 Last updated: 2019-02-01
Jarl, G. & Hermansson, L. (2018). A modified walk-in system versus scheduled appointments in a secondary-care prosthetic and orthotic clinic. Prosthetics and orthotics international, 42(5), 483-489
Open this publication in new window or tab >>A modified walk-in system versus scheduled appointments in a secondary-care prosthetic and orthotic clinic
2018 (English)In: Prosthetics and orthotics international, ISSN 0309-3646, E-ISSN 1746-1553, Vol. 42, no 5, p. 483-489Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Waiting is common in health care, delays intervention, and has negative effects on satisfaction with services.

OBJECTIVES: To evaluate effects of a modified walk-in system, where patients were invited consecutively from the waiting list to attend the clinic on a walk-in basis, on waiting times, services, and work environment.

STUDY DESIGN: Parallel-group trial.

METHODS: In all, 1286 consecutive patients in need of shoe insoles were randomized to waiting lists for modified walk-in ( n = 655) or a scheduled appointment ( n = 631). Seven staff members also participated.

RESULTS: The median indirect waiting time to first appointment was 40 days shorter for modified walk-in (135 days) than for scheduled appointment (175 days; p < 0.001); 17% of those randomized to modified walk-in did not attend the clinic compared to 6% for scheduled appointment ( p < 0.001). Mean direct waiting time in the waiting room was 9.9 min longer for modified walk-in than for scheduled appointment ( p < 0.001). Patients attending modified walk-in or a scheduled appointment reported similar levels of satisfaction with services. Staff reported more support from co-workers with modified walk-in than with scheduled appointment ( p = 0.041).

CONCLUSION: The modified walk-in can reduce indirect waiting times without any substantial worsening of direct waiting times, service quality, or work environment. Studies are needed to investigate why many patients drop out from modified walk-in. Clinical relevance A modified walk-in system can cut the queues and create more timely interventions by reducing indirect waiting times. This system can therefore be recommended in secondary-care prosthetic and orthotic clinics to reduce patients' suffering from their health condition.

Place, publisher, year, edition, pages
Sage Publications, 2018
Keywords
Rehabilitation, lower limb orthotics, orthotics
National Category
Orthopaedics
Identifiers
urn:nbn:se:oru:diva-69230 (URN)10.1177/0309364617728120 (DOI)000444981600003 ()28905683 (PubMedID)2-s2.0-85041927809 (Scopus ID)
Note

Funding Agency:

Region Örebro County, Sweden

Available from: 2018-10-04 Created: 2018-10-04 Last updated: 2018-10-04Bibliographically approved
Mastinu, E., Ahlberg, J., Lendaro, E., Hermansson, L., Håkansson, B. & Ortiz-Catalan, M. (2018). An Alternative Myoelectric Pattern Recognition Approach for the Control of Hand Prostheses: A Case Study of Use in Daily Life by a Dysmelia Subject. IEEE Journal of Translational Engineering in Health and Medicine, 6, Article ID 2600112.
Open this publication in new window or tab >>An Alternative Myoelectric Pattern Recognition Approach for the Control of Hand Prostheses: A Case Study of Use in Daily Life by a Dysmelia Subject
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2018 (English)In: IEEE Journal of Translational Engineering in Health and Medicine, E-ISSN 2168-2372, Vol. 6, article id 2600112Article in journal (Refereed) Published
Abstract [en]

The functionality of upper limb prostheses can be improved by intuitive control strategies that use bioelectric signals measured at the stump level. One such strategy is the decoding of motor volition via myoelectric pattern recognition (MPR), which has shown promising results in controlled environments and more recently in clinical practice. Moreover, not much has been reported about daily life implementation and real-time accuracy of these decoding algorithms. This paper introduces an alternative approach in which MPR allows intuitive control of four different grips and open/close in a multifunctional prosthetic hand. We conducted a clinical proof-of-concept in activities of daily life by constructing a self-contained, MPR-controlled, transradial prosthetic system provided with a novel user interface meant to log errors during real-time operation. The system was used for five days by a unilateral dysmelia subject whose hand had never developed, and who nevertheless learned to generate patterns of myoelectric activity, reported as intuitive, for multi-functional prosthetic control. The subject was instructed to manually log errors when they occurred via the user interface mounted on the prosthesis. This allowed the collection of information about prosthesis usage and real-time classification accuracy. The assessment of capacity for myoelectric control test was used to compare the proposed approach to the conventional prosthetic control approach, direct control. Regarding the MPR approach, the subject reported a more intuitive control when selecting the different grips, but also a higher uncertainty during proportional continuous movements. This paper represents an alternative to the conventional use of MPR, and this alternative may be particularly suitable for a certain type of amputee patients. Moreover, it represents a further validation of MPR with dysmelia cases.

Place, publisher, year, edition, pages
Institute of Electrical and Electronics Engineers (IEEE), 2018
Keywords
Prosthetic control, electromyogram (emg), myoelectric pattern recognition (MPR), dysmelia, assessment of capacity for myoelectric control (ACMC)
National Category
Occupational Therapy Electrical Engineering, Electronic Engineering, Information Engineering
Identifiers
urn:nbn:se:oru:diva-66718 (URN)10.1109/JTEHM.2018.2811458 (DOI)000429075900001 ()29637030 (PubMedID)2-s2.0-85043451693 (Scopus ID)
Funder
Swedish Research CouncilVINNOVA
Note

Funding Agencies:

Stiftelsen Promobilia

European Commission (H, DeTOP project)

Available from: 2018-04-24 Created: 2018-04-24 Last updated: 2018-08-30Bibliographically approved
Sjöberg, L., Hermansson, L. & Fredriksson, C. (2018). Children with congenital limb deficiency: Parent’s experiences of their role in decision and treatment. In: : . Paper presented at ISPO International Central European Conference 2018, Portoroz, Slovenia, September 20-22, 2018.
Open this publication in new window or tab >>Children with congenital limb deficiency: Parent’s experiences of their role in decision and treatment
2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Introduction: In the past decade, the relationship between parents, families and health service providers has changed. Parents are being increasingly involved in decision-making and treatment processes. A family-centered approach indicates the importance of providers to understand family belief systems with respect to the involvement of family members. Parents to children with congenital limb deficiency are facing many decisions related to their ideological standpoints and their child during the child’s first years; decisions about e.g. when or if to start interventions. Usually the interventions concern surgical and/or prosthetic treatment.

Aim: The aim of this study was to describe parent´s experiences of their role in decision-making and treatment for children with congenital limb deficiency. 

Method: A descriptive, qualitative design was used. Data were collected through semi-structured individual interviews. We used a convenience sample to comprise parents from a variety of geographical settings within Sweden. Parents to children from 1 to 10 years, with upper and/or lower limb deficiency were included. Interviews were conducted with 17 parents, including 12 mothers and 5 fathers. Mean age of their child was 5.9 years. Data was analyzed using qualitative content analysis with inductive approach.    

Results: The resulting categories are showing parents’ experiences from raising a child with limb deficiency. Categories related to the role in making decisions were feelings about and resources in decision making process, facing unwanted decisions, and, trust to the experts. Categories related to the treatment were being a collaborator within the family and between health care providers and family, being a constant supporter for challenges in everyday life, and, handling a variety of needs based on psychosocial issues.

Conclusion: The results contribute to new knowledge and understanding of parents’ as individual persons handling their role in decision-making process in different ways. The parental role in treatment shows satisfaction in collaboration with health care providers but indicate need of psychosocial support as their child grows. The results may improve family centered health service and enhance the care for children with congenital limb deficiency.

National Category
Occupational Therapy
Identifiers
urn:nbn:se:oru:diva-70786 (URN)
Conference
ISPO International Central European Conference 2018, Portoroz, Slovenia, September 20-22, 2018
Available from: 2018-12-17 Created: 2018-12-17 Last updated: 2018-12-18Bibliographically approved
Widehammar, C., Eriksson, K. & Hermansson, L. (2018). Designing a new training method for advanced hand prostheses. In: Book of Abstracts: . Paper presented at The International Central European ISPO Conference,Portorož, Slovenia, 20th-22nd September, 2018 in Portorož, Slovenia (pp. 66-66). Ljubljana, Slovenia: ISPO Slovenia
Open this publication in new window or tab >>Designing a new training method for advanced hand prostheses
2018 (English)In: Book of Abstracts, Ljubljana, Slovenia: ISPO Slovenia , 2018, p. 66-66Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

INTRODUCTION: New prosthetic hands with advanced technology making it possible to perform many different grasps and positions are now available on the market. This new advanced technology is also difficult for users to control, and studies have shown that the new hand functions are not used to the extent expected (1).

The Örebro Centre for Limb Deficiency and Arm Prostheses has a long experience of prosthetic fitting for both children and adults. About 80% of the adults report daily prosthesis use (2). Today, many prosthesis users find the advanced prosthetic hands interesting and wish to have one. However, when introducing a new prosthetic hand with questionable merits, the reasons for these results need to be considered. In light of our experience from fittings in Örebro, we decided that the training programs for the new hand models were not comprehensive enough, and there was a need for the development of a new method for training.

AIMS: To design a training method for advanced hand prosthetic hands.

METHODS: We performed a review of existing training programs for advanced myoelectric prosthetic hands and combined this with a structured training program, and a treatment philosophy with early fitting and regular follow up used in Örebro.

RESULTS AND CONCLUSIONS: The training method comprises control training and performance of ADL’s. It follows a structured program based on the 14 steps described in the Skills Index Ranking Scale. The control training focuses on control of all different grasps available with the body in different positions: sitting, standing; with and without support of the arm. The ADL’s are chosen individually through a Canadian Occupational Performance Measure interview. The capacity to use different grasps and integrating the new prosthesis when performing ADL’s is evaluated through the Assessment of Capacity for Myoelectric Control. The method is based on regular support and feedback from an occupational therapist, with follow-ups weekly the first month and then monthly the following 3-6 months. The method has been used on patients with good results.

CONCLUSION: A new method is designed to fit the new multifunctional prosthetic hands. The method can be applied upon prescription of advanced multifunctional prosthetic hands to enhance the functional use of the hands.

Place, publisher, year, edition, pages
Ljubljana, Slovenia: ISPO Slovenia, 2018
National Category
Medical and Health Sciences Orthopaedics
Identifiers
urn:nbn:se:oru:diva-71770 (URN)978-961-288-734-6 (ISBN)
Conference
The International Central European ISPO Conference,Portorož, Slovenia, 20th-22nd September, 2018 in Portorož, Slovenia
Available from: 2019-01-23 Created: 2019-01-23 Last updated: 2019-01-28Bibliographically approved
Sjöberg, L., Lindner, H. Y. & Hermansson, L. (2018). Long term results of early myoelectric prosthesis fittings: a prospective case-control study. In: : . Paper presented at WFOT Congress 2018, Cape Town, South Africa, May 21-25, 2018.
Open this publication in new window or tab >>Long term results of early myoelectric prosthesis fittings: a prospective case-control study
2018 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Introduction:  Different recommendations exist on what age is best for first-time fitting of myoelectric hand prosthesis (MEP) in children.

Objectives: To compare prosthetic skill, prosthetic use and risk for rejection over time between children fitted with MEP before or after 2½ years of age.

Method: A prospective case-control design was chosen. Cases were children fitted with MEP before age 2½ years (median 17 months, range 8-22) whereas controls were fitted with MEP from age 2½ years (median 36 months, range 33-42). The Skills Index Ranking Scale was used to classify prosthetic skill and prosthetic use was categorised based on wearing time and pattern. Independent samples tests were used to compare data based on age, prosthetic skill and prosthetic use at certain ages. To estimate and compare risk of prosthesis rejection between groups and over time, survival analysis was used.

Results: Cases showed prosthetic skill early, but controls did catch up at age 3½. Cases had a significant (p= 0.046) decrease in prosthetic use at age 9. In the long term, cases had a higher percentage of rejecting their prosthesis. 

Conclusion: Considering a young child’s development of prosthetic skill and prosthetic use over time, this study shows no additional advantages from fitting a myoelectric hand prosthesis very early. So, in conclusion, a recommended age for fitting myoelectric hand prosthesis in children is from 2½ years of age, with further consideration taken to the individual psychosocial and motor development.

National Category
Occupational Therapy
Identifiers
urn:nbn:se:oru:diva-70784 (URN)
Conference
WFOT Congress 2018, Cape Town, South Africa, May 21-25, 2018
Available from: 2018-12-17 Created: 2018-12-17 Last updated: 2018-12-18Bibliographically approved
Sjöberg, L., Lindner, H. Y. & Hermansson, L. (2018). Long-term results of early myoelectric prosthesis fittings: A prospective case-control study. Prosthetics and orthotics international, 42(5), 527-533
Open this publication in new window or tab >>Long-term results of early myoelectric prosthesis fittings: A prospective case-control study
2018 (English)In: Prosthetics and orthotics international, ISSN 0309-3646, E-ISSN 1746-1553, Vol. 42, no 5, p. 527-533Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Different recommendations exist regarding what age is best for first-time fitting of myoelectric hand prostheses in children.

OBJECTIVES: To compare prosthetic skill, prosthetic use and risk for rejection over time between children fitted with myoelectric hand prostheses before or after 2½ years of age.

STUDY DESIGN: Prospective case-control design.

METHODS: The cases were nine children fitted with myoelectric hand prostheses before the age of 2½ years, whereas the controls were 27 children who were fitted with myoelectric hand prostheses after the age of 2½ years. The Skills Index Ranking Scale was used to classify prosthetic skill, and prosthetic use was categorised based on wearing time and pattern. Independent samples tests were used to compare data between groups. To estimate and compare the risk of prosthesis rejection between groups and over time, survival analysis was used.

RESULTS: Cases showed prosthetic skill early, but controls had caught up by the age of 3½ years. Cases had a significant ( p = 0.046) decrease in prosthetic use at the age of 9 years. In the long term, cases had a higher percentage of prosthesis rejection.

CONCLUSIONS: Considering young children's development of prosthetic skill and prosthetic use over time, this study shows no additional advantages from fitting a myoelectric hand prosthesis before 2½ years of age. Clinical relevance Children may be fitted with myoelectric hand prostheses to assist in daily tasks and to prevent future over-use problems. Most children fitted with myoelectric hand prostheses before 4 years of age become regular users. No advantages of fitting myoelectric hand prostheses before 2½ years of age were observed.

Place, publisher, year, edition, pages
London, United Kingdom: Sage Publications, 2018
Keywords
Children, fitting time, limb deficiency, myoelectric prosthesis
National Category
Other Health Sciences Orthopaedics
Research subject
Occupational therapy; Medicine
Identifiers
urn:nbn:se:oru:diva-63815 (URN)10.1177/0309364617729922 (DOI)000444981600009 ()28905686 (PubMedID)2-s2.0-85041538469 (Scopus ID)
Available from: 2018-01-04 Created: 2018-01-04 Last updated: 2019-02-01Bibliographically approved
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ORCID iD: ORCID iD iconorcid.org/0000-0003-4247-2236

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