Till Örebro universitet

oru.seÖrebro universitets publikationer
Ändra sökning
Avgränsa sökresultatet
1234 1 - 50 av 164
RefereraExporteraLänk till träfflistan
Permanent länk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Träffar per sida
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sortering
  • Standard (Relevans)
  • Författare A-Ö
  • Författare Ö-A
  • Titel A-Ö
  • Titel Ö-A
  • Publikationstyp A-Ö
  • Publikationstyp Ö-A
  • Äldst först
  • Nyast först
  • Skapad (Äldst först)
  • Skapad (Nyast först)
  • Senast uppdaterad (Äldst först)
  • Senast uppdaterad (Nyast först)
  • Disputationsdatum (tidigaste först)
  • Disputationsdatum (senaste först)
  • Standard (Relevans)
  • Författare A-Ö
  • Författare Ö-A
  • Titel A-Ö
  • Titel Ö-A
  • Publikationstyp A-Ö
  • Publikationstyp Ö-A
  • Äldst först
  • Nyast först
  • Skapad (Äldst först)
  • Skapad (Nyast först)
  • Senast uppdaterad (Äldst först)
  • Senast uppdaterad (Nyast först)
  • Disputationsdatum (tidigaste först)
  • Disputationsdatum (senaste först)
Markera
Maxantalet träffar du kan exportera från sökgränssnittet är 250. Vid större uttag använd dig av utsökningar.
  • 1.
    Abreu-Mendes, Pedro
    et al.
    Department of Urology, Centro Hospitalar Universitário do São João, Porto, Portugal.
    Baranowski, Andrew P.
    National Hospital for Neurology and Neurosurgery, University College London Hospitals Foundation Trust, University College London, London, UK.
    Berghmans, Bary
    Pelvic Care Centre Maastricht, Maastricht University Medical Centre, Maastricht, The Netherlands.
    Borovicka, Jan
    Department of Gastroenterology/Hepatology, School of Medicine, Cantonal Hospital of St. Gallen, University of St. Gallen, St. Gallen, Switzerland.
    Cottrell, Angela M.
    Royal Devon and Exeter Hospital, Exeter, UK.
    Dinis-Oliveira, Paulo
    Department of Urology, Centro Hospitalar Universitário do São João, Porto, Portugal.
    Elneil, Sohier
    National Hospital for Neurology and Neurosurgery, University College Hospital, London, UK.
    Hughes, John
    The James Cook University Hospital, Middlesbrough, UK.
    Messelink, Bert E. J.
    Department of Urology, Medical Centre Leeuwarden, Leeuwarden, The Netherlands.
    Tidman, Victoria
    National Hospital for Neurology and Neurosurgery, University College Hospital, London, UK.
    Pinto, Rui
    Department of Urology, Centro Hospitalar Universitário do São João, Porto, Portugal.
    Tornic, Jure
    Kantonsspital Winterthur, Winterthur, Switzerland.
    Flink, Ida
    Örebro universitet, Institutionen för juridik, psykologi och socialt arbete.
    Parsons, Brian A.
    Royal Devon and Exeter Hospital, Exeter, UK.
    Zumstein, Valentin
    Department of Urology, School of Medicine, Cantonal Hospital of St. Gallen, University of St. Gallen, St. Gallen, Switzerland.
    Engeler, Daniel S.
    Department of Urology, School of Medicine, Cantonal Hospital of St. Gallen, University of St. Gallen, St. Gallen, Switzerland.
    Myofascial Pelvic Pain: Best Orientation and Clinical Practice. Position of the European Association of Urology Guidelines Panel on Chronic Pelvic Pain2023Ingår i: European Urology Focus, E-ISSN 2405-4569, Vol. 9, nr 1, s. 172-177Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    CONTEXT: Despite the high prevalence of a myofascial pain component in chronic pelvic pain (CPP) syndromes, awareness and management of this component are lacking among health care providers.

    OBJECTIVE: To summarize the current state of the art for the management of myofascial pain in chronic primary pelvic pain syndromes (CPPPS) according to scientific research and input from experts from the European Association of Urology (EAU) guidelines panel on CPP.

    EVIDENCE ACQUISITION: A narrative review was undertaken using three sources: (1) information in the EAU guidelines on CPP; (2) information retrieved from the literature on research published in the past 3 yr on myofascial pelvic pain; and (3) expert opinion from panel members.

    EVIDENCE SYNTHESIS: Studies confirm a high prevalence of a myofascial pain component in CPPPS. Examination of the pelvic floor muscles should follow published recommendations to standardize findings and disseminate the procedure. Treatment of pelvic floor muscle dysfunction and pain in the context of CPP was found to contribute to CPP control and is feasible via different physiotherapy techniques. A multidisciplinary approach is the most effective.

    CONCLUSIONS: Despite its high prevalence, the myofascial component of CPP has been underevaluated and undertreated to date. Myofascial pain must be assessed in all patients with CPPPS. Treatment of the myofascial pain component is relevant for global treatment success. Further studies are imperative to reinforce and better define the role of each physiotherapy technique in CPPPS.

    PATIENT SUMMARY: Pain and inflammation of the body's muscle and soft tissues (myofascial pain) frequently occurs in pelvic pain syndromes. Its presence must be evaluated to optimize management for each patient. If diagnosed, myofascial pain should be treated.

  • 2.
    Adenfelt, Gunilla
    et al.
    Örebro universitet, Hälsoakademin.
    Warnemark, Elisabeth
    Örebro universitet, Hälsoakademin.
    Arbetsskador hos sjukgymnaster: -en litteraturstudie2008Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 3.
    Adolfsson, Lars
    et al.
    Department of Biomedical and Clinical Sciencies, Division of Orthopedics, Linköping University, Sweden.
    Lundin, Per
    Department of Biomedical and Clinical Sciencies, Division of Orthopedics, Linköping University, Sweden; Department of Orthopedics, Västervik County Hospital, Sweden.
    Björnsson Hallgren, Hanna
    Department of Biomedical and Clinical Sciencies, Division of Orthopedics, Linköping University, Sweden.
    The Adolfsson-Björnsson Activity Scale (ABAS) Improves Description of Patient Characteristics2022Ingår i: Archives of Clinical and Biomedical Research, E-ISSN 2572-5017, Vol. 06, nr 02, s. 408-417Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background and purpose: Age and gender have been regarded important for surgical decision making and used as inclusion criteria for clinical trials. Individual demands and level of activity have been less considered. A self-administered scale, defining subjectively assessed level of activity involving the upper extremities was therefore developed. The primary purpose of this study was to present the scale. Secondarily to investigate its reliability and correlation with age and gender.

    Patients and Methods: A scale with 8 categories ranging from extremely demanding to non-demanding activities, separated according to hand dominance, was constructed. Reliability testing was performed on 103 healthy individuals of both genders with a wide age range (20-86). 241 patients, median age 58 years (range 18-97), with different upper extremity injuries completed the scale. Participants were instructed to mark activities representative for their normal activity level. Correlation with age and gender was then investigated using Spearman Correlation Coefficient (SCC).

    Results: The level of activity ranged from 1, corresponding tominimal use of the arm, to 8 defined as elite sports. For test-retest Intraclass Correlation Coefficient (ICC) was 0.89 for the dominant and 0.90 for the non-dominant arm. Correlations between gender, age and level of activity were weak.

    Interpretation: The scale was found reliable and feasible to use. Age and gender were weakly correlated with level of activity and patients with low and high activities found in all ages and both genders. The activity scale allows improved description of patients included in clinical trials and can aid in treatment decision making but is primarily not intended for measurement of treatment outcome.

  • 4.
    Agneklev, Ulrica
    et al.
    Örebro universitet, Hälsoakademin.
    Byström Utterheim, Inga-Lisa
    Örebro universitet, Hälsoakademin.
    Fysisk aktivitet hos personer som fått diagnosen transitorisk ischemisk attack (TIA) - behov av sjukgymnastråd2009Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Syftet med denna studie var att beskriva hur fysiskt aktiva personer som fått diagnosen TIA var. Frågeställningarna rörde vilka aktiviteter studiedeltagarna ägnade sig åt, hur de upplevde sin hälsa, begränsande faktorer, eventuell förändring av aktivitetsvanor, samt om deltagarna fått råd om fysisk aktivitet. Som metod valdes enkätundersökning och 195 enkäter skickades till personer som sökt Universitetssjukhuset Örebro 2007 och fått diagnosen TIA. Resultat: Svarsfrekvensen, efter externt och internt bortfall, blev 74 %. Mer än hälften av de 144 studiedeltagarna var fysiskt aktiva mindre än 30 minuter/dag. Den vanligaste aktiviteten var promenader, vilket 72 % ägnade sig åt. Yngre personer ägnade sig oftare åt tre eller fler aktiviteter jämfört med äldre personer. De deltagare som var regelbundet fysiskt aktiva skattade sin hälsa som god till utmärkt, medan de med stillasittande fritid skattade sin hälsa som någorlunda eller dålig. De mest begränsande faktorerna var sjukdom och smärta. Av studiedeltagarna uppgav 98 personer att de inte fått råd om fysisk aktivitet och hälften av deltagarna hade inte förändrat sina aktivitetsvanor. Slutsats: Studien visar att många personer som fått diagnosen TIA är fysiskt inaktiva. Begränsande faktorer, som, sjukdom, smärta och hög ålder, medför att råd om fysisk aktivitet bör vara individanpassade. Att ge råd om fysisk aktivitet på lämplig nivå, utifrån den enskilde personens förutsättningar är ett centralt kunskapsområde för sjukgymnaster. Därför bör dessa patienter ges möjlighet att träffa sjukgymnast.

    Ladda ner fulltext (pdf)
    FULLTEXT01
  • 5.
    Andersson, Louise
    et al.
    Örebro universitet, Hälsoakademin.
    Björklund, Johanna
    Örebro universitet, Hälsoakademin.
    Hur används den transteoretiska beteendeförändringsmodellen för att främja fysisk aktivitet vid övervikt?2009Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Ladda ner fulltext (pdf)
    FULLTEXT01
  • 6.
    Anderzén-Carlsson, Agneta
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin. Region Örebro län. Centre for Health Care Sciences, Örebro University, Örebro, Sweden.
    Lundholm, Ulla Persson
    Nora Health Care Centre, Örebro County Council, Nora, Sweden.
    Kohn, Monica
    Nora Health Care Centre, Örebro County Council, Nora, Sweden.
    Westerdahl, Elisabeth
    Örebro universitet, Institutionen för hälsovetenskap och medicin. Region Örebro län. Centre for Health Care Sciences, Örebro University, Örebro, Sweden.
    Medical yoga: another way of being in the world-A phenomenological study from the perspective of persons suffering from stress-related symptoms2014Ingår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 9, artikel-id 23033Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The prevalence of stress-related illness has grown in recent years. Many of these patients seek help in primary health care. Yoga can reduce stress and thus complements pharmacological therapy in medical practice. To our knowledge, no studies have investigated patients' experiences of yoga treatment in a primary health care setting or, specifically, the experiences of yoga when suffering from stress-related illness. Thus, the aim of the present study was to explore the meaning of participating in medical yoga as a complementary treatment for stress-related symptoms and diagnosis in a primary health care setting. This study has a descriptive phenomenological design and took place at a primary health care centre in Sweden during 2011. Five women and one man (43-51 years) participated. They were recruited from the intervention group (n = 18) in a randomized control trial, in which they had participated in a medical yoga group in addition to standard care for 12 weeks. Data were collected by means of qualitative interviews, and a phenomenological data analysis was conducted. The essential meaning of the medical yoga experience was that the medical yoga was not an endpoint of recovery but the start of a process towards an increased sense of wholeness. It was described as a way of alleviating suffering, and it provided the participants with a tool for dealing with their stress and current situation on a practical level. It led to greater self-awareness and self-esteem, which in turn had an implicit impact on their lifeworld. In phenomenological terms, this can be summarized as Another way of being in the world, encompassing a perception of deepened identity. From a philosophical perspective, due to using the body in a new way (yoga), the participants had learnt to see things differently, which enriched and recast their perception of themselves and their lives.

  • 7.
    Anens, Elisabeth
    et al.
    Department of Neuroscience, Section for Physiotherapy, Uppsala, Sweden.
    Ahlström, Isabell
    Department of Neuroscience, Section for Physiotherapy, Uppsala, Sweden.
    Emtner, Margareta
    Department of Neuroscience, Section for Physiotherapy, Uppsala, Sweden.
    Zetterberg, Lena
    Department of Neuroscience, Section for Physiotherapy, Uppsala, Sweden.
    Nilsagård, Ylva
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. Region Örebro County, University Research Health Care Centre, Örebro, Sweden.
    Hellström, Karin
    Department of Neuroscience, Section for Physiotherapy, Uppsala, Sweden.
    Validity and reliability of physical activity measures in multiple sclerosis2023Ingår i: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 39, nr 1, s. 137-153Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    PURPOSE: The purpose was to evaluate the psychometric properties of physical activity measures in persons with multiple sclerosis (PwMS).

    METHODS: Adults with multiple sclerosis were recruited, n = 30 (validation) and n = 57 (test-retest). Steps measured with PiezoRX, Yamax SW200 and ActiGraph GT9X Link (AGlink) and time in different positions measured with AGlink were validated against data from video analysis. Psychometric properties of the Physical Activity and Disability Survey - Revised Swedish version (PADS-R(Sw)) was evaluated.

    RESULTS: The most valid measures were AGlink using the low-frequency extension filter, and PiezoRX with median absolute percentage errors (MeAPEs) of 0.9-3.1% and 1.3-3.3%. The MeAPEs were higher for Yamax SW200 (2.9-21.0%), AGlink display (3.6-44.8%) and AGlink normal filter (8.9-48.9%), indicating low validity. AGlink was not valid in measurements of sitting (MeAPE 12.0-12.5%) or lying (MeAPE 31.0-41.7%). The correlation between PADS-R(Sw) and AGlink steps was r = 0.492 (p = .009). The relative reliability of PADS-R(Sw) was ICC2,1 0.85 (CI 0.76-0.91), and absolute reliability was SEM 0.54.

    CONCLUSION: AGlink and PiezoRX were valid measures of steps in PwMS. The questionnaire PADS-R(Sw) was valid, with high relative reliability, but its absolute reliability was unsatisfactory.

  • 8.
    Arnell, Susann
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Jerlinder, Kajsa
    Lundqvist, Lars-Olov
    Örebro universitet, Institutionen för hälsovetenskaper.
    Participation in physical activities among adolescents with an Autism Spectrum Disorder: experiences from a parental perspective2019Konferensbidrag (Övrigt vetenskapligt)
  • 9.
    Arvidsson Lindvall, Mialinn
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län.
    Appelros, Peter
    Örebro University, Faculty of Medicine and Health, Örebro, Sweden.
    Forsberg, Anette
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län.
    Anderzen-Carlsson, Agneta
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län.
    Experiences of living with balance limitations after first-ever stroke2023Konferensbidrag (Refereegranskat)
    Abstract [en]

    Background:  

    Stroke is the leading cause of serious, long-term disability among adults. Balance control after stroke may be affected due to motor impairment such as muscle weakness, spasticity and impaired sensory function and also cognitive deficits may affect balance control. The balance limitations affect walking and independence in activities of daily living. Having good balance has been described as an important factor in outdoor walking and for participation in exercises. Studies in which persons with stroke describe their experience of balance in everyday life are scarce.

    Purpose:  

    The aim of the present presentation is to describe experiences of living with balance limitations in everyday life after first-ever stroke.

    Methods:  

    Twenty persons initially agreed to participate; however, one person later declined further participation, thus giving a sample size of 19 participants (10 females and 9 men), aged between 42-92 years. The inclusion criteria were: having had a first-ever stroke and having self-reported impaired balance, unaffected speech, independence in toileting and dressing, and walking ability indoors and outdoors with or without a walking aid. A qualitative data collection through individual interviews was conducted. Data was analysed by means of an inductive content analysis covering both the manifest and the latent content of the transcribed interviews.

    Results:  

    The participants' experiences of balance and its influence in everyday life, are presented in two themes. The first theme “Feeling dizzy and unstable is a continuous challenge”, revolves around participants' descriptions of balance as a constant feeling of dizziness and unsteadiness. The second theme “Feeling trust and confidence despite dizziness and unsteadiness” is about perceived abilities and feelings of confidence about still being able to do things oneself, despite the dizziness and unsteadiness.

    Conclusion(s):  

    All participants experienced the balance limitations as a continuous challenge in everyday life, yet they also felt trust and confidence and experienced that they still managed their everyday life. In future research it would be of interest to establish which strategies can make persons with stroke feel in balance in relation to fear of falling.

    Implications:

    In physical therapy practice, the experiences of balance limitations after stroke from the person with stroke add valuable information to various assessments. By asking the person about their abilities and challenges in daily living, rehabilitation interventions can be more individualized and based on the person's actual condition and their wishes and needs.

  • 10.
    Basic, Vladimir Tomislav
    et al.
    Department of Clinical Medicine, Örebro University, Örebro, Sweden.
    Tadele, Elsa
    Department of Clinical Medicine, Örebro University, Örebro, Sweden.
    Elmabsout, Ali Ateia
    Department of Clinical Medicine, Örebro University, Örebro, Sweden.
    Yao, Hongwei
    Department of Environmental Medicine, Lung Biology and Disease Program, University of Rochester Medical Center, Rochester NY, USA.
    Rahman, Irfan
    Department of Environmental Medicine, Lung Biology and Disease Program, University of Rochester Medical Center, Rochester NY, USA.
    Sirsjö, Allan
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Abdel-Halim, Samy M.
    Department of Environmental Medicine, Lung Biology and Disease Program, University of Rochester Medical Center, Rochester NY, USA.
    Exposure to cigarette smoke induces overexpression of von Hippel-Lindau tumor suppressor in mouse skeletal muscle2012Ingår i: American Journal of Physiology - Lung cellular and Molecular Physiology, ISSN 1040-0605, E-ISSN 1522-1504, Vol. 303, nr 6, s. L519-L527Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Cigarette smoke (CS) is a well established risk factor in the development of chronic obstructive pulmonary disease (COPD). In contrast, the extent to which CS exposure contributes to the development of the systemic manifestations of COPD, such as skeletal muscle dysfunction and wasting remains largely unknown. Decreased skeletal muscle capillarization has been previously reported in early stages of COPD and might play an important role in the development of COPD-associated skeletal muscle abnormalities. To investigate the effects of chronic CS exposure on skeletal muscle capillarization and exercise tolerance a mouse model of CS exposure was used. The129/SvJ mice were exposed to CS for 6 months, and the expression of putative elements of the hypoxia-angiogenic signaling cascade as well as muscle capillarization were studied. Additionally, functional tests assessing exercise tolerance/endurance were performed in mice. Compared to controls, skeletal muscles from CS-exposed mice exhibited significantly enhanced expression of von Hippel-Lindau tumor suppressor (VHL), ubiquitin-conjugating enzyme E2D1 (UBE2D1) and prolyl hydroxylase-2 (PHD2). In contrast, hypoxia-inducible factor-1 (HIF1-α) and vascular endothelial growth factor (VEGF) expression was reduced. Furthermore, reduced muscle fiber cross-sectional area, decreased skeletal muscle capillarization, and reduced exercise tolerance were also observed in CS-exposed animals. Taken together, the current results provide evidence linking chronic CS exposure and induction of VHL expression in skeletal muscles leading towards impaired hypoxia-angiogenesis signal transduction, reduced muscle fiber cross-sectional area and decreased exercise tolerance.

  • 11.
    Boersma, Katja
    et al.
    Örebro universitet, Institutionen för juridik, psykologi och socialt arbete.
    Linton, Steven J.
    Örebro universitet, Institutionen för juridik, psykologi och socialt arbete.
    Expectancy, fear and pain in the prediction of chronic pain and disability: A prospective analysis2006Ingår i: European Journal of Pain, ISSN 1090-3801, E-ISSN 1532-2149, Vol. 10, nr 6, s. 551-557Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Studies with (sub) acute back pain patients show that negative expectancies predict pain and disability at a one-year follow up. Yet, it is not clear how expectations relate to other factors in the development of chronic disability such as pain and fear. This study investigates the relationship between expectations, pain-related fear and pain and studies how these variables are related to the development of chronic pain and disability. Subjects (N = 141) with back and/or neck pain (duration <1 year) were recruited via primary care. They completed measures on pain, expectancy, pain-related fear (pain-related negative affect and fear avoidance beliefs) and function. A one-year follow up was conducted with regard to pain and function. It was found that pain, expectancy, pain-related fear and function were strongly interrelated. In the cross-sectional analyses negative expectancies were best explained by frequent pain and a belief in an underlying and serious medical problem. Prospectively, negative expectancy, negative affect and a belief that activity may result in (re) injury or increased pain, explained unique variance in both pain and function at one-year follow up. In conclusion, expectancy, negative affect and fear avoidance beliefs are interrelated constructs that have predictive value for future pain and disability. Clinically, it can be helpful to inquire about beliefs, expectancy and distress as an indication of risk as well as to guide intervention. However, the strong interrelations between the variables call for precaution in treating them as if they were separate entities existing in reality. 

  • 12.
    Bohm-Starke, Nina
    et al.
    Department of Clinical Sciences, Division of Obstetrics and Gynecology, Karolinska Institutet Danderyd Hospital, Stockholm, Sweden.
    Wilbe Ramsay, Karin
    Swedish Agency for Health Technology Assessment and Assessment of Social Services, Stockholm, Sweden.
    Lytsy, Per
    Swedish Agency for Health Technology Assessment and Assessment of Social Services, Stockholm, Sweden.
    Nordgren, Birgitta
    Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden; Women´s Health and Allied Health Professionals Theme, Medical Unit Occupational Therapy and Physiotherapy, Karolinska University Hospital, Solna, Sweden.
    Sjöberg, Inga
    Department of Clinical Sciences, Obstetrics and Gynecology, Umeå University, Umeå, Sweden.
    Moberg, Klas
    Swedish Agency for Health Technology Assessment and Assessment of Social Services, Stockholm, Sweden.
    Flink, Ida
    Örebro universitet, Institutionen för juridik, psykologi och socialt arbete.
    Treatment of Provoked Vulvodynia: A Systematic Review2022Ingår i: Journal of Sexual Medicine, ISSN 1743-6095, E-ISSN 1743-6109, Vol. 19, nr 5, s. 789-808Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    BACKGROUND: Treatment recommendations for provoked vulvodynia (PVD) are based on clinical experiences and there is a need for systematically summarizing the controlled trials in this field.

    AIM: To provide an overview of randomized controlled trials and non-randomized studies of intervention for PVD, and to assess the certainty of the scientific evidence, in order to advance treatment guidelines.

    DATA SOURCES: The search was conducted in CINAHL (EBSCO), Cochrane Library, Embase (Embase.com), Ovid MEDLINE, PsycINFO (EBSCO) and Scopus. Databases were searched from January 1, 1990 to January 29, 2021.

    STUDY ELIGIBILITY CRITERIA: Population: Premenopausal women with PVD.

    INTERVENTIONS: Pharmacological, surgical, psychosocial and physiotherapy, either alone or as combined/team-based interventions.

    CONTROL: No treatment, waiting-list, placebo or other defined treatment.

    OUTCOMES: Pain during intercourse, pain upon pressure or touch of the vaginal opening, sexual function/satisfaction, quality of life, psychological distress, adverse events and complications.

    STUDY DESIGN: Randomized controlled trials and non-randomized studies of interventions with a control group.

    STUDY APPRAISAL AND SYNTHESIS METHODS: 2 reviewers independently screened citations for eligibility and assessed relevant studies for risk of bias using established tools. The results from each intervention were summarized. Studies were synthesized using a narrative approach, as meta-analyses were not considered appropriate. For each outcome, we assessed the certainty of evidence using grading of recommendations assessment, development, and evaluation (GRADE).

    RESULTS: Most results of the evaluated studies in this systematic review were found to have very low certainty of evidence, which means that we are unable to draw any conclusions about effects of the interventions. Multimodal physiotherapy compared with lidocaine treatment was the only intervention with some evidential support (low certainty of evidence for significant treatment effects favoring physiotherapy). It was not possible to perform meta-analyses due to a heterogeneity in interventions and comparisons. In addition, there was a heterogeneity in outcome measures, which underlines the need to establish joint core outcome sets.

    CLINICAL IMPLICATIONS: Our result underscores the need of stringent trials and defined core outcome sets for PVD.

    STRENGTH AND LIMITATIONS: Standard procedures for systematic reviews and the Population Intervention Comparison Outcome model for clinical questions were used. The strict eligibility criteria resulted in limited number of studies which might have resulted in a loss of important information.

    CONCLUSION: This systematic review underlines the need for more methodologically stringent trials on interventions for PVD, particularly for multimodal treatments approaches. For future research, there is a demand for joint core outcome sets.

    Bohm-Starke N, Ramsay KW, Lytsy P, et al. Treatment of Provoked Vulvodynia: A Systematic Review. J Sex Med 2021;XX:XXX-XXX.

  • 13.
    Borgestig, Maria
    Linköpings universitet, Linköping, Sweden.
    The impact of gaze-based assistive technology on daily activities in children with severe physical impairments2016Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    Aim: The aim of the thesis was to investigate the impact of gaze-based assistive technology on daily activities in children with severe physical impairments and without speech. The objectives were to develop and pilot a gaze-based assistive technology intervention (GAT intervention) at home and in school for these children and to understand its impact on daily activities as experienced by their parents.

    Methods: Study I was a pilot study in which the basic components that were developed for the intervention were evaluated for students with physical impairments. The study aimed at improving the use of computers as assistive technology (AT) in school. Based on the findings in Study I, the GAT intervention was developed. The GAT intervention aimed at implementing gaze-based AT in daily activities. It consisted of two parts; having access to gaze-based AT and having access to services from a multi professional communication team during nine to ten months. Studies II-IV concerned gazebased AT for children with severe physical impairments without speech who participated in the GAT intervention. The participants were ten children (ages 1-15) (Studies II, III), and their parents (Study IV). Studies II and III had longitudinal designs and children were followed during 15-20 months with repeated measurements before, after and at follow-up. In Study II children’s repertoire of computer activities, extent of use, and goal attainment with gaze-based AT was evaluated, as well as parents’ satisfaction with the AT and with services. In Study III children’s eye gaze performance when using gaze-based AT was examined. In Study IV, parents were interviewed twice with the aim of  exploring their experiences of children’s gaze-based AT use in daily life. In Study IV a hermeneutical approach was used.

    Results: The findings of Study I showed that the basic components of intervention improved the use of computers in school. Study II showed an increased repertoire of computer activities with the gazebased AT, maintained use in daily activities for all at follow up, and that all children attained goals for gaze-based AT use in daily activities. Parents were satisfied with the gaze-based AT, and with the services in the GAT intervention. In study III, nine children improved in eye gaze performance over time when using the gaze-based AT in daily activities. Study IV revealed that children’s gaze-based AT usage in daily activities made a difference to parents since the children demonstrated agency, and showed their personality and competencies by using gaze-based AT, and for the parents this opened up infinite possibilities for the child to do and learn things. Overall, children’s gaze-based AT usage provided parents with hope of a future in which their children could develop and have influence in life.

    Conclusions: This thesis shows that these children with severe physical impairments and without speech acquired sufficient gaze control skills to use gaze-based AT for daily activities in the home and at school. The gaze-based AT had a positive impact on performing activities, for example, play activities and communication- and interaction-related activities. For the parents, children’s gaze-based AT usage made a difference since it shaped a hope of a better future for their children, where they can develop and gain influence in their future life. Furthermore, the children continued to perform daily activities with gaze-based AT over time. This finding suggests that key persons were provided with sufficient knowledge and skills to support children in maintained use of gaze-based AT after withdrawal of the services provided in the GAT intervention.

    Ladda ner fulltext (pdf)
    FULLTEXT01
  • 14.
    Brocki, Barbara Cristina
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin. Department of Physiotherapy and Occupational Therapy, Aalborg University Hospital, Aalborg, Denmark .
    Andreasen, Jan Jesper
    Aalborg University, Aalborg, Denmark.
    Langer, Daniel
    Faculty of Kinesiology and Rehabilitation Sciences, KU Leuven, Leuven, Belgium.
    Souza, Domingos S. R.
    Faculty of Medicine and Health, Surgery, Örebro University, Örebro, Sweden.
    Westerdahl, Elisabeth
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Postoperative inspiratory muscle training in addition to breathing exercises and early mobilization improves oxygenation in high-risk patients after lung cancer surgery: a randomized controlled trial2016Ingår i: European Journal of Cardio-Thoracic Surgery, ISSN 1010-7940, E-ISSN 1873-734X, Vol. 49, nr 5, s. 1483-1491, artikel-id 26489835Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES The aim was to investigate whether 2 weeks of inspiratory muscle training (IMT) could preserve respiratory muscle strength in high-risk patients referred for pulmonary resection on the suspicion of or confirmed lung cancer. Secondarily, we investigated the effect of the intervention on the incidence of postoperative pulmonary complications.

    METHODS The study was a single-centre, parallel-group, randomized trial with assessor blinding and intention-to-treat analysis. The intervention group (IG, n = 34) underwent 2 weeks of postoperative IMT twice daily with 2 × 30 breaths on a target intensity of 30% of maximal inspiratory pressure, in addition to standard postoperative physiotherapy. Standard physiotherapy in the control group (CG, n = 34) consisted of breathing exercises, coughing techniques and early mobilization. We measured respiratory muscle strength (maximal inspiratory/expiratory pressure, MIP/MEP), functional performance (6-min walk test), spirometry and peripheral oxygen saturation (SpO2), assessed the day before surgery and again 3–5 days and 2 weeks postoperatively. Postoperative pulmonary complications were evaluated 2 weeks after surgery.

    RESULTS The mean age was 70 ± 8 years and 57.5% were males. Thoracotomy was performed in 48.5% (n = 33) of cases. No effect of the intervention was found regarding MIP, MEP, lung volumes or functional performance at any time point. The overall incidence of pneumonia was 13% (n = 9), with no significant difference between groups [IG 6% (n = 2), CG 21% (n = 7), P = 0.14]. An improved SpO2 was found in the IG on the third and fourth postoperative days (Day 3: IG 93.8 ± 3.4 vs CG 91.9 ± 4.1%, P = 0.058; Day 4: IG 93.5 ± 3.5 vs CG 91 ± 3.9%, P = 0.02). We found no association between surgical procedure (thoracotomy versus thoracoscopy) and respiratory muscle strength, which was recovered in both groups 2 weeks after surgery.

    CONCLUSIONS Two weeks of additional postoperative IMT, compared with standard physiotherapy alone, did not preserve respiratory muscle strength but improved oxygenation in high-risk patients after lung cancer surgery. Respiratory muscle strength recovered in both groups 2 weeks after surgery.

  • 15.
    Brocki, Barbara Cristina
    et al.
    Aalborg University Hospital, Aalborg, Denmark.
    Andreasen, Jan Jesper
    Aalborg University Hospital, Aalborg, Denmark; Aalborg University, Aalborg, Denmark.
    Westerdahl, Elisabeth
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. Uppsala University, Uppsala, Sweden.
    Inspiratory Muscle Training in High-Risk Patients Following Lung Resection May Prevent a Postoperative Decline in Physical Activity Level2018Ingår i: Integrative Cancer Therapies, ISSN 1534-7354, E-ISSN 1552-695X, Vol. 17, nr 4, s. 1095-1102Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES: To describe postoperative self-reported physical activity (PA) level and assess the effects of 2 weeks of postoperative inspiratory muscle training (IMT) in patients at high risk for postoperative pulmonary complications following lung resection.

    METHODS: This is a descriptive study reporting supplementary data from a randomized controlled trial that included 68 patients (mean age = 70 ± 8 years), randomized to an intervention group (IG; n = 34) or a control group (CG; n = 34). The IG underwent 2 weeks of postoperative IMT added to a standard postoperative physiotherapy given to both groups. The standard physiotherapy consisted of breathing exercises, coughing techniques, and early mobilization. We evaluated self-reported physical activity (Physical Activity Scale 2.1 questionnaire) and health status (EuroQol EQ-5D-5L questionnaire), assessed the day before surgery and 2 weeks postoperatively.

    RESULTS: A significant percentage of the patients in the IG reported less sedentary activity 2 weeks postoperatively when compared with the CG (sedentary 6% vs 22%, low activity 56% vs 66%, moderate activity 38% vs 12%, respectively; P = .006). The mean difference in EQ-5D-5L between the IG and CG 2 weeks postoperatively was nonsignificant ( P = .80). The overall preoperative EQ-5D-5L index score for the study population was comparable to a reference population.

    CONCLUSION: Postoperative IMT seems to prevent a decline in PA level 2 weeks postoperatively in high-risk patients undergoing lung resection. More research is needed to confirm these findings.

  • 16. Brocki, Barbara Cristina
    et al.
    Andreasen, J.J.
    Westerdahl, Elisabeth
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län.
    Inspiratory muscle training in high-risk patients following lung cancer surgery2017Konferensbidrag (Refereegranskat)
  • 17.
    Brocki, Barbara Cristina
    et al.
    Aalborg University, Aalborg, Denmark; Örebro University, Örebro, Sweden.
    Andreasen, J.J.
    Aalborg University Hospital, Aalborg, Denmark.
    Westerdahl, Elisabeth
    Örebro universitet, Institutionen för hälsovetenskaper.
    de Souza, Domingos Ramos
    Örebro University Hospital, Örebro, Sweden.
    Improvement in physical performance and health-related quality of life one year after radical operation for primary or secondary lung cancer2015Ingår i: European Respiratory Journal, ISSN 0903-1936, E-ISSN 1399-3003, Vol. 46, nr Sup. 59, artikel-id PA4817Artikel i tidskrift (Refereegranskat)
  • 18.
    Brocki, Barbara Cristina
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin. Department of Physiotherapy and Occupational Therapy, Aalborg University Hospital, Aalborg, Denmark.
    Westerdahl, Elisabeth
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Andreasen, Jan Jesper
    Department of Cardiothoracic surgery and Clinical Medicine, Aalborg University Hospital, Aalborg, Denmark.
    Souza, Domingos S. R.
    Faculty of Medicine and Health, Surgery, Örebro University, Örebro, Sweden .
    Improvements in physical performance and health-related quality of life one year after radical operation for lung cancer2015Ingår i: Cancer Treatment Communications, ISSN 2213-0896, Vol. 4, s. 65-74Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Micro abstract: This study assessed physical performance and health-related quality of life one year after lung cancer surgery and investigated the potential association between both outcomes. We found that the walked distance was associated with the subjective perception of the physical functioning. Patients improved health-related quality of life, reaching values similar to a healthy reference population.

    Background: Resuming an acceptable level of lifestyle and health-related quality of life after lung cancer surgery has become an important issue. We aimed to evaluate the course of recovery of physical performance and health-related quality of life following pulmonary resection for lung cancer, as well as examine the potential association between these outcomes.

    Methods: In an observational design, we assessed 78 individuals radically operated for lungcancer. We measured health-related quality of life (SF-36), six-minute walk test (6MWT) and lung function (spirometry)three weeks (baseline), four and twelve months after surgery. SF-36 values were compared to an age-and gender-matched reference population.

    Results: The mean age was 65 years (SD9), 59% were males. Thoracotomy was performed in 77% of the cases. Compared to baseline values, we found significant improvements after one year in SF-36 physical and mental component summary components of large effect size (0.8 and 0.9 respectively). Values for both SF-36 summary components were comparable to those of the reference population. The improvement in 6MWT was of moderate effect size (0.6). We found a positive association between 6MWT and the SF-36 domain for physical functioning (β=0.05, 95% CI [0.00;0.09], p=0.03) one year after surgery.

    Conclusion: Individuals who were radically operated for lung cancer improved health-related quality of life one year after surgery, reaching values similar to a healthy reference population. The walked distance was positively associated with the subjective perception of physical functioning. The clinical significance of these findings deserves further investigation.

  • 19. Brocki, Barbara Cristina
    et al.
    Westerdahl, Elisabeth
    Örebro universitet, Institutionen för hälsovetenskaper.
    de Souza, Domingos Ramos
    Örebro universitet, Institutionen för medicinska vetenskaper.
    Andreasen, J.J.
    Respiratory muscle strength is not affected two weeks and six months following intended curative lung cancer surgery - preliminary results2016Ingår i: 8th Joint Scandinavian Conference in Cardiothoracic Surgery: August 17-19, 2016 Reykjavik, Iceland, 2016, s. 116-116, artikel-id P36Konferensbidrag (Refereegranskat)
  • 20. Brocki, Barbara Cristina
    et al.
    Westerdahl, Elisabeth
    Örebro universitet, Institutionen för hälsovetenskaper.
    Langer, D.
    de Souza, Domingos Ramos
    Örebro universitet, Institutionen för medicinska vetenskaper.
    Andreasen, J.J.
    Respiratory muscle strength is not affected two weeks and six months following intended curative lung cancer surgery – preliminary results2016Konferensbidrag (Refereegranskat)
  • 21.
    Brocki, Barbara Cristina
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin. Aalborg University Hospital, Aalborg, Denmark.
    Westerdahl, Elisabeth
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Souza, Domingos S. R.
    Department of Cardiothoracic Surgery and Anaesthesiology, Örebro University Hospital, Örebro, Sweden.
    Andreasen, Jan Jesper
    University Hospital, Aalborg, Denmark.
    Factors influencing postoperative pulmonary complications following pulmonary resection due to malignant or benign lung tumour: preliminary results2014Konferensbidrag (Refereegranskat)
  • 22.
    Brocki, Barbara
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin. Department of Physiotherapy and Occupational Therapy, Aalborg University Hospital, Aalborg,.
    Westerdahl, Elisabeth
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Langer, Daniel
    KU Leuven Faculty of Kinesiology and Rehabilitation Sciences, Leuven, Belgium; Respiratory Rehabilitation and Respiratory Division, University Hospital Leuven, Belgium; .
    Souza, Domingos SR
    Faculty of Medicine and Health, Surgery, Örebro University, Örebro, Sweden.
    Andreasen, Jan Jesper
    Departments of Cardiothoracic Surgery and Clinical Medicine, Aalborg University Hospital,.
    Respiratory muscle strength is not affected two weeks and six months following pulmonary resectionManuskript (preprint) (Övrigt vetenskapligt)
  • 23.
    Cameron, Michelle H.
    et al.
    Department of Neurology, Oregon Health and Science University, Portland OR, USA.
    Nilsagård, Ylva
    Region Örebro län. Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Measurement and treatment of imbalance and fall risk in multiple sclerosis using the international classification of functioning, disability and health model2013Ingår i: Physical medicine and rehabilitation clinics of North America, ISSN 1047-9651, Vol. 24, nr 2, s. 337-354Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Many people with multiple sclerosis MS (PwMS) have impaired balance and walking, and fall frequently. High-quality measures of imbalance and fall risk are essential for identifying who may benefit from interventions to improve balance and prevent falls, and for selecting the most appropriate interventions. We recommend the International Classification of Functioning, Disability and Health (ICF) model. Many measures are available to assess factors affecting balance, fall risk, and walking at the different levels of the ICF. Combining these measures provides the most complete, assessment of the individual and the best guidance for interventions by the health care team.

  • 24.
    Carlfjord, Siw
    et al.
    Department of Medical and Health Sciences, Community Medicine, Linköping University, Linköping, Sweden.
    Nilsing-Strid, Emma
    Örebro universitet, Institutionen för medicinska vetenskaper. Region Örebro län. University Health Care Research Centre.
    Johansson, Kajsa
    Department of Medical and Health Sciences, Community Medicine, Linköping University, Linköping, Sweden.
    Holmgren, Theresa
    Department of Medical and Health Sciences, Community Medicine, Linköping University, Linköping, Sweden; Department of Orthopaedics, Region Östergötland, Linköping, Sweden.
    Öberg, Birgitta
    Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    Practitioner experiences from the structured implementation of evidence-based practice in primary care physiotherapy: A qualitative study2019Ingår i: Journal of Evaluation In Clinical Practice, ISSN 1356-1294, E-ISSN 1365-2753, Vol. 25, nr 4, s. 622-629Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    RATIONALE, AIMS, AND OBJECTIVES: To provide best available care, the practitioners in primary health care (PHC) must have adequate knowledge about effective interventions. The implementation of such interventions is challenging. A structured implementation strategy developed by researchers at Linköping University, Sweden, was used for the implementation of an evidence-based assessment and treatment programme for patients with subacromial pain among physiotherapists in PHC. To further develop strategies for implementation of evidence-based practices, it was deemed important to study the implementation from the practitioners' perspective. The aim of this study was to explore the practitioners' experiences from the implementation.

    METHODS: A qualitative design with focus group discussions was applied. The implementation in terms of perceptions of process and outcome was evaluated by focus group discussions with, in total, 16 physiotherapists in the target group. Data were analysed using the method qualitative content analysis.

    RESULTS: The components of the strategy were viewed positively, and the applicability and evidence base behind the programme were appreciated. The programme was perceived to be adopted, and the practitioners described a changed behaviour and increased confidence in handling patients with subacromial pain. Both patient- and provider-related challenges to the implementation were mentioned.

    CONCLUSIONS: The practitioners' experiences from the implementation were mainly positive. A strategy with collaboration between academy and practice, and with education and implementation teams as facilitators, resulted in changes in practice. Critical voices concerned interprofessional collaboration and that the programme was focused explicitly on the shoulder, not including other components of physical function.

  • 25.
    Carling, Anna
    et al.
    Avdelningen för sjukgymnastik, Universitetssjukhuset Örebro, Örebro, Sweden.
    Andreasson, Malin
    NeuroRehab, Mälarsjukhuset, Eskilstuna, Sweden.
    Westerlin, Helena
    NeuroRehab, Mälarsjukhuset, Eskilstuna, Sweden.
    Forsberg, Anette
    Allmänmedicinskt forskningscentrum, Region Örebro län, Örebro, Sweden.
    Nilsagård, Ylva
    Vårdvetenskapligt forskningscentrum, Region Örebro län, Örebro, Sweden.
    Jämförelse mellan 5 och 10 sit-to-stand tests för personer med måttlig-avancerad Multipel Skleros2015Ingår i: Fysioterapi 2015, 2015Konferensbidrag (Refereegranskat)
    Ladda ner fulltext (pdf)
    Abstract
  • 26.
    Carling, Anna
    et al.
    Örebro universitet, Institutionen för medicinska vetenskaper.
    Forsberg, Anette
    Department of physiotherapy, Örebro University Hospital, Örebro, Sweden.
    Nilsagård, Ylva
    Örebro universitet, Institutionen för hälsovetenskaper.
    “Berg Balance Scale” and “Timed Up and Go” discriminates between fallers and non-fallers, in people with MS2016Ingår i: Sixth International Symposium on Gait and Balance in Multiple Sclerosis, 2016Konferensbidrag (Refereegranskat)
    Ladda ner fulltext (pdf)
    Abstract
  • 27.
    Carling, Anna
    et al.
    Örebro universitet, Institutionen för medicinska vetenskaper. Department of Physiology, Faculty of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Forsberg, Anette
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. Department of Physiology, Örebro University Hospital, Örebro, Sweden.
    Nilsagård, Ylva
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. Health Care Management, Region Örebro County, Örebro, Sweden.
    Fall bland personer med multipel skleros2017Ingår i: Best Practice, ISSN 1329-1874, nr 20, s. 24-27Artikel i tidskrift (Övrigt vetenskapligt)
  • 28.
    Carling, Anna
    et al.
    Örebro universitet, Institutionen för medicinska vetenskaper. University Health Care Research Centre, Faculty of Medicine and Health, Örebro University, Örebro, Sweden; Department of Physiotherapy, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
    Forsberg, Anette
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. Department of Physiotherapy.
    Nilsagård, Ylva
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län.
    Falls in people with multiple sclerosis: experiences of 115 fall situations2018Ingår i: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873, Vol. 32, nr 4, s. 526-535Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objectives: The aim was to describe falls and the perceived causes, experienced by people with multiple sclerosis shortly after falling.

    Design: A qualitative study using content analysis and quantitative data to illustrate where and why people report falls most commonly. Semi-structured telephone interviews were performed. Interviews were conducted shortly (0–10 days) after a fall.

    Subjects: In all, 67 informants who had reported at least one fall during the previous three-month period and who used a walking aid participated.

    Results: A total of 57 (85%) informants fell at least once during eight months resulting in 115 falls; 90 (78%) falls happened indoors, most commonly in the kitchen (n = 20; 17%) or bathroom (n = 16; 14%). Informants fell during everyday activities and walking aids had been used in more than a third of the reported falls. The falls were influenced of both intrinsic and extrinsic factors. Two categories emerged from the analysis: ‘activities when falling’ and ‘influencing factors’. The category contained three (basic activities of daily living, instrumental activities of daily living and leisure and work) and six (multiple sclerosis–related symptoms, fluctuating body symptoms, being distracted, losing body control, challenging surrounding and involvement of walking aid) subcategories, respectively.

    Conclusion: The majority of falls occurs indoors and in daily activities. Several factors interacted in fall situations and should be monitored and considered to reduce the gap between the person’s capacity and the environmental demands that cause fall risk. Fluctuation of bodily symptoms between and within a day is a variable not earlier targeted in multiple sclerosis fall risk research.

  • 29.
    Carling, Anna
    et al.
    Örebro universitet, Institutionen för medicinska vetenskaper.
    Nilsagård, Ylva
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län.
    Concern of falling compared to actual fallsituations in people with MS2017Konferensbidrag (Refereegranskat)
  • 30.
    Carling, Anna
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Nilsagård, Ylva
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Correlation between falls and near falls in people with moderate to advanced multiple sclerosis.2015Ingår i: Fifth International Symposium on Gait and Balance in Multiple Sclerosis, 2015Konferensbidrag (Refereegranskat)
    Ladda ner fulltext (pdf)
    Abstract
  • 31.
    Carling, Anna
    et al.
    Örebro universitet, Institutionen för medicinska vetenskaper.
    Nilsagård, Ylva
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län.
    Forsberg, Anette
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län.
    Practice in the use of a walking aid in people with multiple sclerosis2017Konferensbidrag (Refereegranskat)
  • 32.
    Carling, Anna
    et al.
    Örebro universitet, Institutionen för medicinska vetenskaper. Department of Physiotherapy, Faculty of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Nilsagård, Ylva
    Health Care Management, Region Örebro County, Örebro, Sweden.
    Forsberg, Anette
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. Department of Physiotherapy, Örebro University Hospital, Örebro, Sweden.
    Practice in the use of a walking aid in people with multiple sclerosis2017Konferensbidrag (Refereegranskat)
  • 33.
    Carstens-Söderstrand, Johan K. P.
    et al.
    Örebro universitet, Institutionen för juridik, psykologi och socialt arbete.
    Shaw, W. S.
    Liberty Mutual Research institute for Safety, Hopkinton, USA; University of Massachusetts Medical School, Worcester, USA.
    Boersma, Katja
    Örebro universitet, Institutionen för juridik, psykologi och socialt arbete.
    Reme, S. E.
    Uni Research Health, Bergen, Norway; Harvard School of Public Health, Boston, USA.
    Pransky, G.
    Liberty Mutual Research institute for Safety, Hopkinton, USA; University of Massachusetts Medical School, Worcester, USA.
    Linton, Steven J.
    When the wind goes out of the sail - declining recovery expectations in the first weeks of back pain2014Ingår i: European Journal of Pain, ISSN 1090-3801, E-ISSN 1532-2149, Vol. 18, nr 2, s. 269-278Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background Expectations for recovery are a known predictor for returning to work. Most studies seem to conclude that the higher the expectancy the better the outcome. However, the development of expectations over time is rarely researched and experimental studies show that realistic expectations rather than high expectancies are the most adaptive. This study aims to explore patterns of stability and change in expectations for recovery during the first weeks of a back-pain episode and how these patterns relate to other psychological variables and outcome.

    Methods The study included 496 volunteer patients seeking treatment for work-related, acute back pain. The participants were measured with self-report scales of depression, fear of pain, life impact of pain, catastrophizing and expectations for recovery at two time points. A follow-up focusing on recovery and return to work was conducted 3 months later. A cluster analysis was conducted, categorizing the data on the trajectories of recovery expectations.

    Results Cluster analysis revealed four clusters regarding the development of expectations for recovery during a 2-week period after pain onset. Three out of four clusters showed stability in their expectations as well as corresponding levels of proximal psychological factors. The fourth cluster showed increases in distress and a decrease in expectations for recovery. This cluster also has poor odds ratios for returning to work and recovery. Conclusion Decreases in expectancies for recovery seem as important as baseline values in terms of outcome, which has clinical and theoretical implications.

  • 34.
    Crommert, Martin Eriksson
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin. The Swedish School of Sport and Health Sciences (GIH), Stockholm, Sweden.
    Halvorsen, K.
    School of Technology and Health, KTH Royal Institute of Technology, Stockholm, Sweden; Department of Information Technology, Uppsala University, Uppsala, Sweden.
    Ekblom, M. M.
    The Swedish School of Sport and Health Sciences (GIH), Stockholm, Sweden; Department of Neuroscience, Karolinska Institutet, Stockholm, Sweden.
    Trunk Muscle Activation at the Initiation and Braking of Bilateral Shoulder Flexion Movements of Different Amplitudes2015Ingår i: PLOS ONE, E-ISSN 1932-6203, Vol. 10, nr 11, artikel-id e0141777Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to investigate if trunk muscle activation patterns during rapid bilateral shoulder flexions are affected by movement amplitude. Eleven healthy males performed shoulder flexion movements starting from a position with arms along sides (0 degrees) to either 45 degrees, 90 degrees or 180 degrees. EMG was measured bilaterally from transversus abdominis (TrA), obliquus internus (OI) with intra-muscular electrodes, and from rectus abdominis (RA), erector spinae (ES) and deltoideus with surface electrodes. 3D kinematics was recorded and inverse dynamics was used to calculate the reactive linear forces and torque about the shoulders and the linear and angular impulses. The sequencing of trunk muscle onsets at the initiation of arm movements was the same across movement amplitudes with ES as the first muscle activated, followed by TrA, RA and OI. All arm movements induced a flexion angular impulse about the shoulders during acceleration that was reversed during deceleration. Increased movement amplitude led to shortened onset latencies of the abdominal muscles and increased level of activation in TrA and ES. The activation magnitude of TrA was similar in acceleration and deceleration where the other muscles were specific to acceleration or deceleration. The findings show that arm movements need to be standardized when used as a method to evaluate trunk muscle activation patterns and that inclusion of the deceleration of the arms in the analysis allow the study of the relationship between trunk muscle activation and direction of perturbing torque during one and the same arm movement.

  • 35.
    Davidsson, Oskar
    et al.
    Nyköpings lasarett, Nyköping, Sweden.
    Franzén, Lisbeth
    Nyköpings lasarett, Nyköping, Sweden.
    Carling, Anna
    Avdelningen för sjukgymnastik, Universitetssjukhuset Örebro, Örebro, Sweden.
    Nilsagård, Ylva
    Vårdvetenskapligt forskningscentrum, Region Örebro län, Örebro, Sweden.
    Forsberg, Anette
    Allmänmedicinskt forskningscentrum, Region Örebro län, Örebro, Sweden.
    Validering av Trunk Impairment Scale version 1.0 och 2.0 för personer med måttlig till avancerad multipel skleros2015Ingår i: Fysioterapi 2015, 2015Konferensbidrag (Refereegranskat)
    Ladda ner fulltext (pdf)
    Abstract
  • 36.
    Duberg, Anna
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län.
    Högström, Sofie
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län.
    Eriksson, Mats
    Örebro universitet, Institutionen för hälsovetenskaper.
    Funktionell buksmärta - aktuellt kunskapsläge och behandlingsalternativ: Inklusive prova på Just-in-Time-metoden2024Konferensbidrag (Övrigt vetenskapligt)
  • 37.
    Edholm, Peter
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Strandberg, Emelie
    Örebro universitet, Institutionen för hälsovetenskaper.
    Kadi, Fawzi
    Örebro universitet, Institutionen för hälsovetenskaper.
    Lower limb explosive strength capacity in elderly women: effects of resistance training and healthy diet2017Ingår i: Journal of applied physiology, ISSN 8750-7587, E-ISSN 1522-1601, Vol. 123, nr 1, s. 190-196Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The effects of 24 wk of resistance training combined with a healthy diet on lower limb explosive strength capacity were investigated in a population of healthy elderly women. Participants (n = 63; 67.5 ± 0.4 yr) were randomized into three groups; resistance training (RT), resistance training and healthy diet (RT-HD), and control (CON). Progressive resistance training was performed at a load of 75-85% one-repetition maximum. A major adjustment in the healthy dietary approach was an n-6/n-3 polyunsaturated fatty acid (PUFA) ratio below 2. Lower limb maximal strength, explosive force capacity during dynamic and isometric movements, whole body lean mass, and physical function were assessed. Whole body lean mass significantly increased by 1.5 ± 0.5% in RT-HD only. Isometric strength performance during knee extension as well as the performance in the five sit-to-stand and single-leg-stance tests increased similarly in RT and RT-HD. Improvements in dynamic peak power and time to reach peak power (i.e shorter time) during knee extension occurred in both RT (+15.7 ± 2.6 and -11.0 ± 3.8%, respectively) and RT-HD (+24.6 ± 2.6 and -20.3 ± 2.7%, respectively); however, changes were significantly larger in RT-HD. Similarly, changes in peak force and rate of force development during squat jump were higher in RT-HD (+58.5 ± 8.4 and +185.4 ± 32.9%, respectively) compared with RT (+35.7 ± 6.9 and +105.4 ± 22.4%, respectively). In conclusion, a healthy diet rich in n-3 PUFA can optimize the effects of resistance training on dynamic explosive strength capacity during isolated lower limb movements and multijoint exercises in healthy elderly women.

    NEW & NOTEWORTHY Age-related decline in lower limb explosive strength leads to impaired ability to perform daily living tasks. The present randomized controlled trial demonstrates that a healthy diet rich in n-3 polyunsaturated fatty acid (n-3 PUFA) enhances resistance training-induced gains in dynamic explosive strength capacity during isolated lower limb movements and multijoint exercises in healthy elderly women. This supports the use of strategies combining resistance training and dietary changes to mitigate the decline in explosive strength capacity in older adults.

  • 38.
    Eriksson, Mats
    Örebro universitet, Institutionen för hälsovetenskaper.
    State of the Art-Interventions for Functional Abdominal Pain in Children and Adolescents2023Konferensbidrag (Refereegranskat)
    Abstract [en]

    Mats Eriksson will start the workshop with a brief introduction to the topic of new advances in the treatment of pediatric functional abdominal pain disorders, and present the speakers. In the end of the workshop he will  practically guide the attendees to try a dance and yoga intervention with focus on the key element enjoyment.

  • 39.
    Fagevik Olsén, Monika
    et al.
    Department of Physical Therapy, Sahlgrenska University Hospital, Gothenburg, Sweden; Department of Occupational and Physical Therapy, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.
    Lindstrand, Hilda
    Department of Occupational and Physical Therapy, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.
    Lind Broberg, Jenny
    Department of Occupational and Physical Therapy, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.
    Westerdahl, Elisabeth
    Örebro universitet, Institutionen för hälsovetenskap och medicin. Department of Medical Sciences, Clinical Physiology, Uppsala University Hospital, Uppsala, Sweden.
    Measuring chest expansion; a study comparing two different instructions2011Ingår i: Advances in Physiotherapy, ISSN 1403-8196, E-ISSN 1651-1948, Vol. 13, nr 3, s. 128-132Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to examine and compare the effect of two alternative instructions when measuring chest expansion. In 100 healthy subjects, chest expansion was measured using a circumference tape. In 30 healthy subjects, chest expansion was measured by a Respiratory Movement Measuring Instrument (RMMI). Both measurements were made at the level of the fourth rib and the xiphoid process. The two instructions evaluated were the traditional one: “breathe in maximally” and “breathe out maximally”, which were compared with a new one “breathe in maximally and make yourself as big as possible” and “breathe out maximally and make yourself as small as possible”. The addition of “make yourself as big/small as possible” in the new instruction resulted in a significantly increased thoracic excusion, 1.4 cm in upper and 0.9 cm in lower level of thorax, measured by tape, compared with the traditional instruction (p < 0.001). Measurements obtained using the RMMI also showed a significant difference, 2.3 mm in upper and 4.1 mm in lower level of thorax, between the two instructions in favour of the new instruction (p < 0.05). The verbal instruction during measurement of chest expansion is of importance when measured by tape and RMMI. To assess the maximal range of motion in the chest, the patient should be instructed not only to “breathe in/out maximally”, but also instructed to “make yourself as big/small as possible”

  • 40.
    Fagevik Olsén, Monika
    et al.
    Department of Health and Rehabilitation/Physiotherapy, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Physical Therapy, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Olofsson, Peter
    Tre Stiftelser, Gothenburg, Sweden.
    Frejd, Peter
    Rehab Matteus, Stockholm, Sweden.
    Lannefors, Louise
    Department of Health and Rehabilitation/Physiotherapy, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Physical Therapy, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Westerdahl, Elisabeth
    Örebro universitet, Institutionen för medicinska vetenskaper. Department of Physiotherapy, Faculty of Medicine and Health, Örebro University, Stockholm, Sweden; University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Stockholm, Sweden.
    Technical Aspects of Devices and Equipment for Positive Expiratory Pressure With and Without Oscillation2021Ingår i: Respiratory care, ISSN 0020-1324, E-ISSN 1943-3654, Vol. 66, nr 5, s. 862-877Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    BACKGROUND: Breathing exercises with positive expiratory pressure (PEP) and oscillating PEP are common treatments for patients with respiratory impairments. There are several trials evaluating the clinical effects of a variety of commercially available and self-made devices. There is a lack of evaluation concerning technical aspects and construction of the devices. The aims of this review were to describe and compare technical aspects of devices and equipment used for PEP and oscillating PEP as a basis for clinical decisions regarding prescriptions.

    METHODS: In this systematic review, we included trials evaluating different technical aspects of devices and equipment for PEP and oscillating PEP until June 2019. The literature search was performed in PubMed, CINAHL, Cochrane Library, Embase and PEDro.

    RESULTS: The literature search resulted in 812 studies, which, after being read by 2 independent reviewers, were reduced to 21 trials that matched the inclusion criteria. The achieved PEP is dependent on the given resistance or achieved expiratory flow through the devices and their separate parts. Oscillation frequency in oscillating PEP devices affects the pressure and oscillation amplitude and flow. For some devices, the device's position also has an impact on the outcome. There are similarities and differences among all of the devices, and the equipment components are not interchangeable without changing the achieved PEP levels.

    CONCLUSIONS: Many devices are available to provide PEP and oscillating PEP treatment. These devices differ substantially in design as well as in performance. When using PEP devices, it is important to understand how all parts of the devices affect outcomes. An increased understanding of how PEP is produced for the spontaneously breathing patient is important to achieve desired treatment effects.

  • 41.
    Fagevik Olsén, Monika
    et al.
    Department of Physiotherapy, Sahlgrenska University Hospital and Institute for Neuroscience and Physiology, Sahlgrenska Academy at the University of Gothenburg, Gothenburg .
    Westerdahl, Elisabeth
    Örebro universitet, Hälsoakademin.
    Positive expiratory pressure in patients with chronic obstructive pulmonary disease: a systematic review2009Ingår i: Respiration, ISSN 0025-7931, E-ISSN 1423-0356, Vol. 77, nr 1, s. 110-118Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    BACKGROUND: Breathing exercises against a resistance during expiration are often used as treatment for patients with chronic obstructive pulmonary disease (COPD). Controversy still exists regarding the clinical application and efficacy.

    OBJECTIVES: The aim of this systematic review was to determine the effects of chest physiotherapy techniques with positive expiratory pressure (PEP) for the prevention and treatment of pulmonary impairment in adults with COPD.

    METHODS: The review was conducted on randomised, controlled clinical trials in which breathing exercises with positive expiratory pressure were compared with other chest physical therapy techniques or with no treatment, in adult patients with COPD. A computer-assisted literature search of available databases from 1970 to January 2008 was performed. Two reviewers extracted data independently and assessed the trials systematically with an instrument for measuring methodological quality.

    RESULTS: In total, 11 trials met the inclusion criteria, of which 5 reached an adequate level of internal validity. Several kinds of PEP techniques with a diversity of intensities and durations of treatment have been evaluated with different outcome measures and follow-up periods. Benefits of PEP were found in isolated outcome measures in separate studies with a follow-up period <1 month. Concerning long-term effects, the results are contradictory.

    CONCLUSION: Prior to widespread prescription of long-term PEP treatment, more research is required to establish the benefit of the technique in patients with COPD.

  • 42.
    Fjerbaek, A.
    et al.
    Department of Physiotherapy and Occupational Therapy, Aalborg University Hospital, Aalborg, Denmark.
    Westerdahl, Elisabeth
    Region Örebro län. Örebro universitet, Institutionen för hälsovetenskaper.
    Andreasen, J.J.
    Department of Cardiothoracic Surgery, Aalborg University Hospital, Aalborg, Denmark; Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
    Thomsen, L.P.
    Faculty of Medicine and Health, Respiratory and Critical Care Group (rcare), Aalborg University, Aalborg, Denmark.
    Brocki, Barbara Cristina
    Department of Physiotherapy and Occupational Therapy, Aalborg University Hospital, Aalborg, Denmark.
    Change of position from a supine to a sitting position increases pulmonary function early after cardiac surgery2019Konferensbidrag (Refereegranskat)
  • 43.
    Fjerbaek, Annette
    et al.
    Department of Physiotherapy and Occupational Therapy, Aalborg University Hospital, Aalborg, Denmark.
    Westerdahl, Elisabeth
    Örebro universitet, Institutionen för medicinska vetenskaper. Region Örebro län. Department of Physiotherapy,Faculty of Medicine and Health, Örebro University, Örebro, Sweden; Department of Medical Sciences, Uppsala University, Uppsala, Sweden.
    Andreasen, Jan J.
    Department of Cardiothoracic Surgery, Aalborg University Hospital, Aalborg, Denmark; Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
    Thomsen, Lars P.
    Faculty of Medicine and Health, Respiratory and Critical Care Group (rcare), Aalborg University, Aalborg, Denmark.
    Brocki, Barbara C.
    Department of Physiotherapy and Occupational Therapy, Aalborg University Hospital, Aalborg, Denmark.
    Change of position from a supine to a sitting position increases pulmonary function early after cardiac surgery2020Ingår i: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 22, nr 6, s. 313-317Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: The aim of this study was to describe changes in pulmonary function from the supine to the sitting position following cardiac surgery.

    Methods: In a descriptive before-after design, we used the Beacon Caresystem for measurement of alveolar ventilation (V-A). The Spiropalm 6MWT was used to measure tidal volume (Vt), inspiratory capacity (IC) and peripheral oxygen saturation (SpO(2)). Assessments were performed 2-3 days post-operatively with patients in the supine position and again with patients sitting in a chair.

    Results: Fifteen patients were included. Compared to the supine position, sitting in a chair significantly improved V-A by 20% (p<.000); Vt by 25% (p=.015); IC by 21% (p=.036) and SpO(2) by 0.9% (p=.018).

    Conclusion: Lung function including alveolar ventilation was improved in the sitting compared to the supine position and was accompanied by improved oxygenation after uncomplicated, elective cardiac surgery. Further research is warranted to describe the impact of changes in positions in patients who do not follow a standardised clinical pathway.

  • 44.
    Fors, Maria
    et al.
    Unit of Physiotherapy, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden; Department of Activity and Health in Linköping, and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
    Öberg, Birgitta
    Unit of Physiotherapy, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
    Enthoven, Paul
    Unit of Physiotherapy, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
    Schröder, Karin
    Unit of Physiotherapy, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
    Hesser, Hugo
    Örebro universitet, Institutionen för beteende-, social- och rättsvetenskap. Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
    Hedevik, Henrik
    Unit of Physiotherapy, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
    Abbott, Allan
    Unit of Physiotherapy, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden; Department of Orthopaedics, Linköping University Hospital, Linköping, Sweden.
    Are illness perceptions and patient self-care enablement mediators of treatment effect in best practice physiotherapy low back pain care? Secondary mediation analyses in the BetterBack trial2023Ingår i: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, s. 1-14Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    INTRODUCTION: A best practice physiotherapy model of care (BetterBack MoC) for low back pain (LBP) aimed to improve patients' illness perceptions and self-care enablement, according to the Common-Sense Model of Self-Regulation (CSM).

    OBJECTIVE: To confirm if illness perceptions and patient self-care enablement, in line with the CSM, are mediators of treatment effects on disability and pain of the BetterBack MoC for patients with LBP compared to routine primary care. A secondary aim was to explore if illness perceptions and patient self-care enablement are mediators of guideline adherent care.

    METHODS: Pre-planned single mediation analyses tested whether hypothesized mediators at 3 months mediated the treatment effect of the MoC (n = 264) compared to routine care (n = 203) on disability and pain at 6 months. Secondary mediation analyses compared guideline adherent care with non-adherent care.

    RESULTS: No indirect effects were identified. The BetterBack intervention did not have superior effects over routine care on the hypothesized mediators. Illness perceptions and self-care enablement were significantly associated with disability and pain at 6 months. Secondary analyses showed significant indirect effects of guideline adherent care through tested mediators.

    CONCLUSION: Despite no indirect effects, patients' illness perceptions and self-care enablement were associated with disability and back pain intensity outcomes and are potentially relevant treatment targets.

  • 45.
    Forsberg, Anette
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin. Region Örebro län.
    Andreasson, Malin
    Mälardalen Hospital, Eskilstuna, Sweden.
    Nilsagård, Ylva E.
    Örebro universitet, Institutionen för hälsovetenskap och medicin. Region Örebro län.
    Validity of the Dynamic Gait Index in People With Multiple Sclerosis2013Ingår i: Physical Therapy, ISSN 0031-9023, E-ISSN 1538-6724, Vol. 93, nr 10, s. 1369-1376Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Evaluation of walking capacity and risk of falls in people with multiple sclerosis often are performed in rehabilitation. The Dynamic Gait Index (DGI) evaluates walking during different tasks, but the feasibility in identifying people at risk for falls needs to be further investigated.

    Objective: The objective of this study was to investigate (1) the construct validity (known groups, convergent, and discriminant) of the DGI and (2) the accuracy of predicting falls and establishing a cutoff point to identify fallers.

    Design: This trial was a multicenter, cross-sectional study.

    Methods: A convenience sample was composed of 81 people with multiple sclerosis with subjective gait and balance impairment who were able to walk 100 m (comparable to Expanded Disability Status Scale 1-6). Mean age of the participants was 49 years; 76% were women. The 25-Foot Timed Walk Test, Timed "Up & Go" Test, Four Square Step Test, Timed Sit-to-Stand Test, MS Walking Scale, Multiple Sclerosis Impact Scale, and self-reported falls during the previous 2 months were used for validation, to establish cutoff points for identifying fallers, and to investigate predictive values.

    Results: Significantly lower DGI scores (P <=.001) were found for participants reporting falls (n=31). High sensitivity (87%) in identifying falters was found, with a cutoff score <= 19. The positive predictive value was 50%, and the negative predictive value was 87%. The positive likelihood ratio was 1.77, and the negative likelihood ratio was 0.26. The convergent validity was moderate to strong (rho=0.58-0.80), with the highest correlation coefficient found for the 25-Foot Timed Walk Test. Discriminant validity was shown with low correlation for the psychological subscale of the Multiple Sclerosis Impact Scale.

    Limitations: The sample included ambulatory people participating in a randomized controlled trial investigating balance training.

    Conclusions: The DGI is a valid measure of dynamic balance during walking for ambulatory people with multiple sclerosis. With the cutoff point of <= 19, sensitivity was high in identifying people at risk of falls.

  • 46.
    Forsberg, Anette
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län.
    Carling, Anna
    Örebro universitet, Institutionen för medicinska vetenskaper.
    Nilsagård, Ylva
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län.
    Effects on balance and walking with a CoreStability Exercise Program in people with multiple sclerosis2017Konferensbidrag (Refereegranskat)
  • 47.
    Forsberg, Anette
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin. Örebro County Council, Örebro , Sweden.
    Lindmark, Birgitta
    Uppsala University, Uppsala, Sweden.
    Användandet av riktmärken vid gång för patienter med Parkinsons sjukdom2001Ingår i: Nordisk fysioterapi, ISSN 1402-3024, Vol. 5, nr 1, s. 35-40Artikel i tidskrift (Refereegranskat)
  • 48.
    Forsberg, Anette
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin. Region Örebro län.
    Nilsagård, Ylva
    Örebro universitet, Institutionen för hälsovetenskap och medicin. Region Örebro län.
    Validity and reliability of the Swedish version of the activities-specific balance confidence scale in people with chronic stroke2013Ingår i: Physiotherapy Canada, ISSN 0300-0508, E-ISSN 1708-8313, Vol. 65, nr 2, s. 141-147Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: To evaluate the validity and reliability of the Swedish version of the Activities-specific Balance Confidence (ABC) scale in people> 1 year after stroke.

    Method: In a multi-centre study design, using initial cross-sectional data collection with follow-up, the timed up-and-go (TUG) test, 10 m timed walk (10TW), and 6-Minute Walk Test (6MWT) were performed; ABC scale and Short Form 36 Health Survey (SF-36) were completed; and falls history data were collected during one session. One week later, the ABC scale was sent to participants for a second rating. Spearman correlation coefficients were calculated, and reliability was assessed via the intra-class correlation coefficient (ICC) and Cronbach alpha.

    Results: A convenience sample of 67 people was included (mean age 68 y). The median score for the ABC scale changed from 57 at the first rating to 43 at the second; 19 participants 28%) reported falls during the previous 3 months. Scores on the ABC scale were moderately correlated with the TUG (r¼0.48), 10TW (r¼0.52), 6MWT (r¼ 0.45), and SF-36 physical component summary score (r¼0.43). Internal consistency was high for the ABC scale at test and retest (a¼ 0.95–0.97). The ICC was 0.82 (95% CI, 0.72–0.88).

    Conclusions: The Swedish version of the ABC scale is a valid and reliable measure for investigating balance confidence in people >1 year after stroke.

  • 49.
    Franzén, Yvonne
    Örebro universitet, Hälsoakademin.
    Lateral höftsmärta vid reumatisk inflammatorisk sjukdom: Kartläggning av sjukgymnastiska undersöknings- och behandlingsmetoder2009Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 50.
    Frisk, Benny
    Örebro universitet, Hälsoakademin.
    Ökad kondition med promenader: -en jämförande studie av intervallgång och kontinuerlig gång2009Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
1234 1 - 50 av 164
RefereraExporteraLänk till träfflistan
Permanent länk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf