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Hermansson, LiselotteORCID iD iconorcid.org/0000-0003-4247-2236
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Publications (10 of 105) 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
Abstract [en]

Introduction: Different factors in the environment influence the use of powered wheelchairs or powered scooters, i.e. powered mobility devices (PMDs), but there is limited knowledge about how these factors interact and if any factor has a greater impact. According to the ICF the environment consists of five areas.

Aim: To describe users' experiences of how environmental factors from all ICF areas influence the use of PMDs.

Methods: Descriptive qualitative design including 14 interviews with PMD users, analyzed using inductive qualitative content analysis.

Findings: Use of PMDs means a conditional freedom depending on the interaction of several environmental factors. Regardless of environmental factor the societal attitudes were always present, directly or indirectly, and influenced the participants' feeling of being included and involved in society. The environmental factors and how they influence PMD use are described in four categories, comprising the following subjects: societal attitudes, the service delivery process, accessibility to the physical environment and financial resources.

Conclusion: The findings show that societal attitudes influence all other factors, directly by others people's attitudes, or indirectly by how legislation and guidelines are formulated, interpreted and applied. Therefore, a change of societal attitudes seems necessary to increase accessibility and participation for PMD users.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
Keywords
Powered mobility devices, environment, qualitative research, assistive technology, powered scooters, powered wheelchairs
National Category
Occupational Therapy Other Health Sciences
Identifiers
urn:nbn:se:oru:diva-71766 (URN)10.1080/11038128.2019.1573918 (DOI)000472909700001 ()30856033 (PubMedID)
Note

Funding Agencies:

Uppsala-Örebro Regional Research Council  

Research Committee of Örebro County Council, Sweden 

Available from: 2019-01-23 Created: 2019-01-23 Last updated: 2019-07-23Bibliographically 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: 2019-06-18Bibliographically 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: 2019-06-19Bibliographically approved
Spang, L., Holmefur, M., Hermansson, L. & Lidström-Holmqvist, K. (2019). Factors in daily life leading to the need for moving to a nursing home: Experiences from nursing home applicants. In: : . Paper presented at International Association of Gerontology and Geriatrics European Region Congress (IAGG-ER), Gothenburg, Sweden, May 23-25, 2019.
Open this publication in new window or tab >>Factors in daily life leading to the need for moving to a nursing home: Experiences from nursing home applicants
2019 (English)Conference paper, Poster (with or without abstract) (Other academic)
Abstract [en]

Background/Aim In Sweden, most people age in ordinary housing, called aging in place. To support aging in place, older people can apply for home-based care such as Meals on Wheels or response alarm .Despite this support, the municipalities receive applications to nursing homes on a daily basis, which indicates that aging in place does not fill everyone’s needs. The aim of this study was to describe what experiences in daily life that make older people aging in place apply for a nursing home.

Method This study has a descriptive design. Face to face interviews were conducted with older people with declining physical health who had a granted application for a place in a nursing home and were waiting for a placement. Some waited in their homes with or without home-based care and some waited in a short-term facility run by the municipality. Interviews were analyzed by qualitative content analysis according to Elo and Kyngäs.

Preliminary findings One main category emerged - “To move to a nursing home- a way to regain control over my life”. It was characterized by a feeling of decreasing level of independence which led to experiences of lack of social context or being in a state of dependence where someone else controlled decisions of their lives.  The participants had reached a point where they strongly felt that something has to be done to change their situation. This was usually associated with a critical event such as a hospitalization or after been informed of a cancer diagnosis. These experiences are described by three generic categories with seven subcategories.  The generic categories are “The opportunity to belong to a context”, “A state of dependence” and “Reaching a turning point”.

Conclusions The findings show that a feeling of lost control due to perceived dependence, falling health or critical everyday life events may lead to a nursing home application. Therefore, in order to enhance aging in place it is important to enable older people to be socially involved, get support to stay as independent as possible in their daily activities and to handle critical events such as hospitalization.

National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:oru:diva-73633 (URN)
Conference
International Association of Gerontology and Geriatrics European Region Congress (IAGG-ER), Gothenburg, Sweden, May 23-25, 2019
Available from: 2019-04-10 Created: 2019-04-10 Last updated: 2019-06-07Bibliographically 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 2019), The Lowry, Salford, UK, March 20-22, 2019.
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)
Abstract [en]

Children with upper limb malformation may present with deficiencies in many ways and the treatment that they are offered may vary greatly around the world. Handsmart is a volunteer organization with the mission to support and empower people world-wide who are engaged in this field of rehabilitation through www.handsmart.org. A web-based survey was used to gather data about treatment for children with upper limb malformation in different areas of the world. Sixty-eight respondents from 18 countries representing Oceania, Asia, Europe, and North America with 35 occupational therapists, 6 physiotherapists, 23 prosthetists, and four other health care professionals participated. Only five countries do not have governmental funding for the provision of care for people with upper limb loss. Intervention is guided by the presentation of the limb. Most surgical procedures are made for functional benefits. Not all respondents report that they fit body-powered prostheses for children. The majority of respondents stated that training is offered for use of the prosthesis in their country. In some clinics (12 of 68 respondents), no treatment other than functional prostheses is provided for these children. Overuse or repetitive strain injuries are common with this population, especially as children age into adolescence and adulthood. Many people stated they would like to see clear guidelines used by multi-disciplinary teams to fit children. Recommendations should include treatment guidelines and follow-up practices.

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 2019), The Lowry, Salford, UK, March 20-22, 2019
Available from: 2019-01-23 Created: 2019-01-23 Last updated: 2019-04-24Bibliographically approved
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
Show others...
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: Burger, Helena & Mlakar, Maja (Ed.), Book of Abstracts: . Paper presented at International Central European ISPO Conference 2018, Portoroz, Slovenia, September 20-22, 2018 (pp. 68-68). Ljubljana, Slovenia: ISPO Slovenia
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)In: Book of Abstracts / [ed] Burger, Helena & Mlakar, Maja, Ljubljana, Slovenia: ISPO Slovenia , 2018, p. 68-68Conference paper, Oral presentation with published abstract (Refereed)
Place, publisher, year, edition, pages
Ljubljana, Slovenia: ISPO Slovenia, 2018
National Category
Orthopaedics
Identifiers
urn:nbn:se:oru:diva-73834 (URN)978-961-288-734-6 (ISBN)
Conference
International Central European ISPO Conference 2018, Portoroz, Slovenia, September 20-22, 2018
Available from: 2019-04-17 Created: 2019-04-17 Last updated: 2019-04-17Bibliographically 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: 2019-03-27Bibliographically approved
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ORCID iD: ORCID iD iconorcid.org/0000-0003-4247-2236

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