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"I can still manage": a mixed-method study of balance after stroke
Örebro universitet, Institutionen för hälsovetenskaper.
Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län.ORCID-id: 0000-0002-6768-5740
Department of University Health Care Research Centre, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län.ORCID-id: 0000-0001-7352-8234
(Engelska)Manuskript (preprint) (Övrigt vetenskapligt)
Nationell ämneskategori
Annan hälsovetenskap
Identifikatorer
URN: urn:nbn:se:oru:diva-66909OAI: oai:DiVA.org:oru-66909DiVA, id: diva2:1204923
Tillgänglig från: 2018-05-09 Skapad: 2018-05-09 Senast uppdaterad: 2018-05-09Bibliografiskt granskad
Ingår i avhandling
1. Physiotherapeutic perspectives on balance control after stroke: exercises, experiences and measures
Öppna denna publikation i ny flik eller fönster >>Physiotherapeutic perspectives on balance control after stroke: exercises, experiences and measures
2018 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Abstract [en]

The overall aim of this thesis was to investigate physiotherapeutic perspectives on balance after stroke, in terms of exercises, experiences and measurements. Study I was a pilot randomized controlled trial with 46 persons who had had a stroke, 24 of whom were included in the intervention group and 22 who were included in the control group. The intervention consisted of 8 weeks of body awareness therapy (BAT). There were no significant differences over time between the groups in the outcome measures of balance, walking, self-reported balance confidence and quality of life. Study II had a qualitative design using content analysis. Participants in the intervention group from Study I and the four physiotherapists who had been in charge of the BAT were interviewed. One overall theme emerged: "Simple yet challenging", which was based on six categories. Study III investigated the validity and test-retest reliability of the Six-Spot Step test (SSST), an instrument used to assess the ability to take load on each leg. A cross-sectional design with 81 persons who had had stroke was performed. The convergent validity was strong to moderate, and the test-retest reliability was good. In Study IV a mixed method design including both qualitative and quantitative data collection was used. The participants’ experiences of balance and its influence in everyday life were presented in two themes: "Feeling dizzy and unstable is a continuous challenge" and "Feeling trust and confidence despite dizziness and unsteadiness". Taken together, the different data sets provided complementary and confirmatory information about balance. All participants experienced the balance limitations as a continuous challenge in everyday life, yet they also felt trust and confidence.

In summary, BAT can be a complement in physiotherapeutic stroke rehabilitation and the SSST can be used as a measuring instrument of walking balance in persons with stroke. Living with balance limitations was experienced as a challenge but the participants were still able to manage their everyday life and activities.

Ort, förlag, år, upplaga, sidor
Örebro: Örebro University, 2018. s. 72
Serie
Örebro Studies in Care Sciences, ISSN 1652-1153 ; 75
Nyckelord
Stroke, balance, physiotherapy, measures, experiences
Nationell ämneskategori
Annan hälsovetenskap
Identifikatorer
urn:nbn:se:oru:diva-65418 (URN)978-91-7529-247-2 (ISBN)
Disputation
2018-06-01, Örebro universitet, Campus USÖ, hörsal C3, Södra Grev Rosengatan 32, Örebro, 09:00 (Svenska)
Opponent
Handledare
Tillgänglig från: 2018-03-02 Skapad: 2018-03-02 Senast uppdaterad: 2018-08-08Bibliografiskt granskad

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Arvidsson Lindvall, MialinnForsberg, AnetteAnderzén-Carlsson, Agneta

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Arvidsson Lindvall, MialinnForsberg, AnetteAnderzén-Carlsson, Agneta
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Institutionen för hälsovetenskaperRegion Örebro län
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