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  • 1.
    Ahlström, Olivia
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Ek, Emma
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Nyförlösta kvinnors upplevelse av information angående fysisk aktivitet och träning efter förlossning2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Background

    Regular physical activity is an important part of a woman’s health. There are no Swedish guidelines regarding physical activity during the postpartum period which leads to limited knowledge in healthcare. This lack of knowledge shows a need to examine postpartum women´s personal experience of information regarding physical activity and exercise after childbirth.

     

    Objectives

    To investigate postpartum women’s experience of information regarding physical activity and exercise after childbirth. 

     

    Method

    A quality descriptive study design was used. Six semi-structured interviews with postpartum women were conducted and analysed with a quality content analysis. 

     

    Results

    The analysis revealed six categories and nine subcategories regarding the informants’ experiences. The informants experienced insufficient information regarding physical activity and exercise after childbirth. All the informants described the information as general and desired to obtain personalized advice regarding physical activity and exercise.

     

    Conclusion

    Women experience lack of information after childbirth. There is no guidance on how physical activity and exercise should be performed. Individualized information regarding physical activity and exercise could contribute to better health for the postpartum woman. 

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    Nyförlösta kvinnors upplevelse av information angående fysisk aktivitet och träning efter förlossning
  • 2.
    Bastås, Josefine
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Lind, Josefine
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Det behövs en knuff liksom nu och då för att man ska komma vidare: En kvalitativ intervjustudie om upplevelser och erfarenheter av att få rehabiliterande insatser i ett varmt klimat bland patienter med neurologiska sjukdomar2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Patients with neurological diseases are often in need of rehabilitative medical care in order to sustain body-function and manage activities in daily life. In some cases, rehabilitation in a warm climate is offered to patients within this group. The rehabilitation period often includes multidisciplinary medical care and will go on for 3-4 weeks. Physiotherapy is commonly a central part of the period. There is limited knowledge in regard to the experiences of receiving physiotherapy during a rehabilitation period in a warm climate and its effects.

    Purpose/Aim of the study The aim of the present study was to explore and describe experiences of receiving physiotherapy during a rehabilitation stay in a warm climate among patients with neurological diseases.

    Design & Method This study had a qualitative and exploratory design were data was collected through five semi-structured interviews. To analyze the data a qualitative, inductive approach was used.

    Result The result of this study suggest that physiotherapy was a central part of the rehabilitation stay and that intensive and individually designed exercise programs were beneficial. Patient-centered care was described as important to the result of the stay. Factors such as the warm climate, social support and being away from one’s daily environment were reported to be crucial in regard to the total rehabilitation experience. An enhanced level of motivation to physical activity was described as an important effect of receiving medical care in a warm climate.

    Conclusion Social support, a warm climate and responsive health care professionals contributed to a positive experience of receiving physiotherapy as a part of a rehabilitation stay. Experiences of enhanced motivation towards physical activity and more positive health outcomes suggest that a rehabilitation stay in a warm climate could be considered as a medical care complement. 

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  • 3.
    Benedictsson, Clara
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Carlsson, Jonna
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Kartläggning av utförande av knäkontrollträning hos flickfotbollslag i åldrarna 12-17 år2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Anterior cruciate ligament (ACL) injuries are common in young female soccer players. There is evidence that neuromuscular training can reduce the risk of ACL injury with 64–88 %. Knee control is a neuromuscular training programme that was implemented in the national education for soccer coaches in 2010.

    Aim: The aim of the study was to examine how well girl soccer teams, ages 12–17, follow the existing recommendations regarding knee control training to prevent ACL injuries and if adherence was higher in teams where the coach was educated later than 2010.

    Method: The study design was a quantitative, non experimental cross-sectional study. A self-composed questionnaire was answered through e-mail by 33 coaches for girl soccer teams. Participants were a random sample of a larger population with a geographical spread across Sweden.

    Results: The result of the study was that four (12 %) coaches were placed in the category Following the recommendations fully, 21 (64 %) coaches in the category Following the recommendations partly and eight coaches in the category Do not follow recommendations. A difference in adherence to the programme Knee control could not be seen based on if the coach had completed the national education for soccer coaches later than 2010 or lacked this education.

    Conclusion: The conclusion of the study was that the majority of coaches for girl soccer teams, ages 12–17, followed the recommendations partly for performance of the programme Knee control. No difference could be seen in adherence to the programme Knee control based on the coach’s education.

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  • 4.
    Bergander, Andreas
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Rask, Jesper
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Samband mellan spänst och långdistanslöpning hos unga elitaktiva orienterare- en tvärsnittsstudie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: Running economy (RE) is known to be a strong indicator for performance on long distance running. RE is improved by plyometric training through an increase in stiffness in the musculotendinous system. Stretch shorten cycle (SSC) is a function in the muscle where a contraction is preceded by a stretch or an eccentric action. Orienteering is an endurance sport where RE is important for performance. Purpose: The purpose of the study was to examine whether or not there is a correlation between jumping performance and performance on long distance running in young elite orienteers 16-19 years old. Methods: 34 young elite orienteers did drop jumps (DJ) and countermovement jumps (CMJ) on an ErgoJump Bosco System contact mat. In conjunction with the jumps time on a 5 or 7 km (for girls and boys respectively) running test was collected. Pearson's correlation test was then used to determine the correlation between jumping height and running velocity. Results: The jumping height of the CMJ was on average 30,46 cm and 28,24 cm for the DJ. The running velocity was on average 14,19 km/h. Pearson's correlation test for the correlation between DJ and running velocity was 0,463 and for the correlation between CMJ and running velocity it was 0,461. In both cases the significance was 0,006. Conclusions: There is a significant, moderate to strong correlation between jump height in DJ and CMJ and performance on long distance running on a running test in young elite orienteers.

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  • 5.
    Birgegård, Fredrik
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy. Uppsala University, Uppsala University Innovation (UU Innovation).
    Månsson, Maja
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy. Uppsala University, Uppsala University Innovation (UU Innovation).
    Effekter av meditation på upplevd stress: en experimentell fallstudie2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:Cases of stress-related disorders have increased in Sweden. Stress is related to several diseases and mental illness and could cause or aggravate pain. Meditation has previously shown positive effects on brain functioning and could reduce perceived stress. Problem: Few studies have examined the subjective experience of stress in association with meditation. To reduce and prevent stress is of interest from a physiotherapeutic perspective, as stress could deteriorate health conditions. Purpose:To examine if meditation during five weeks could reduce stress in a small number of meditation-practitioners with no or little experience. Method:Three participants assessed perceived stress using a modified version of the PSS-14 existing of three questions during baseline and intervention concerning the sensation of stress and anxiety, sources of irritation and the ability to control important things in life. The intervention included taking part of a beginners’ course in sitting meditation including four course meetings consisting of both theoretical and practical teachings and 45-60 minutes of meditation practice daily. Results:Perceived stress and anxiety were reduced, the ability to control irritations in life was improved and the feeling of being unable to control important things in life was reduced in all participants. No distinct differences were noted between assessments of all three aspects of stress in every individual separately. Conclusion: Meditation could havepositive effects on all three aspects of stress. Other methods such as multiple baseline design, longer baseline and strategies to identify external factors should have been used which might have produced more credible results. 

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  • 6.
    Borgén, Carina
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Johansson, Hanna
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Faktorer som upplevs påverka deltagande i fysisk aktivitet hos fysiskt aktiva äldre på Träffpunkter2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Background: Older adults are a growing population in society as the life expectancy increases in Sweden. Many are physically inactive and are exposed to chronic diseases. This has resulted in a considerable load on healthcare which could be decreased if this group would increase their physical activity.

    Aim: The aim of this study was to explore factors that affects participation in physical activity for older adults that are exercising regularly at Träffpunkter and their experience of the exercise provided.

    Method: A qualitative interview study was used. Participants were selected using a strategic sample procedure. A qualitative content analysis approach was used for data analysis.

    Results: Individual factors such as negative feelings linked to physical activity and reduced bodily function, were mentioned as challenges to participation. Participants expressed that they need to be flexible to overcome barriers and that the society need to provide accessible and adjustable exercise. The motivators were similar for all participants such as the positive effects of exercise and they appreciated the adjustable training and the social climate at Träffpunkten.

    Conclusion: Factors that affects participation in physical activity are factors relating to the individual such as negative feelings, physical limitations and flexibility. They interact with environmental factors such as facility- and exercise design and transportation. Träffpunkter are viewed to provide adjustable training and a positive social climate. A increased variety of exercise could motivate participation in physical activity. More research in the field is needed.

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    C Borgen & H Johansson
  • 7.
    Boström, Hanna
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Gustafsson, Alexander
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Samband mellan självrapporterad psykisk ohälsa och nivå av fysisk aktivitet hos unga kvinnor och män - En undersökning av 18-åriga gymnasieelever på naturvetenskapligt program: 2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The presence of mental illness, like depression, anxiety and stress (DAS), is common among young adults, especially among females. There is strong evidence of physical activity having a reducing effect on DAS. Furthermore, research shows variation in stress and psychosomatic disorders related to different programs in high school.

     

    Purpose: To investigate possible correlations between level of physical activity and experienced DAS among 18-year olds, studying natural science programme. Also, to investigate possible gender differences regarding experienced DAS and self-reported level of physical activity.

     

    Method: The study consisted of a quantitative, non-experimental cross section study with comparative design. For data collection, two self-administered forms (IPAQ-SF and DASS-21) were used. The implementation took place at four high schools that had natural science programs within Uppsala municipality. A total of 35 students from nine classes attended.

     

    Results: All participants exceeded recommendations for physical activity. There was no significant difference between the sexes. Most of the participants showed none, or low levels of DAS. The results showed differences in level of anxiety, where females reported a higher level. A correlation between DAS and physical activity was detected among males and females together as a group, as well as among the males.

     

    Conclusion: Most of the 18-year old males and females investigated within this study reported high levels of physical activity, and none or low levels of DAS. The females reported higher levels of anxiety. Among the females, no correlation was found between level of physical activity and perceived DAS, but a strong correlation was found among the males. These gender differences should be further investigated.

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  • 8.
    Boyer, Christopher
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Sandberg, Bartlomiej
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    “Once you have the physical activity started. Then you can begin to feel that you are not in this prison anymore”. Refugee experience of post-traumatic stress physiotherapy2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Background

    There is limited research and guidelines regarding physiotherapy as a treatment approach      for post-traumatic stress (PTS). Refugee experience of physiotherapy interventions is hoped                      to contribute to awareness of the subject and to give insight into this developing field of the         profession.

    Purpose

    The purpose of the study was to investigate and describe refugees experience of post-             traumatic stress physiotherapy. The study was interested in both refugee experience of          treatment itself and of possible effects.

    Design and Method

    Qualitative explorative design. The study was based on five semi-structured interviews. A        qualitative, content analysis was used to process the data.

    Results         

    The analysis showed that the refugees faced many physical and psychological barriers to         treatment, especially relating to pain and somatisation, however they were able to                    experience increased bodily comfort during treatment itself. The relationship to         physiotherapist, the psychological impact of the treatment environment and other social      factors were also described as important to experience.

    Physiotherapy was described as positively affecting patient outcomes both in physical and mental health, despite certain uncontrollable/unmanageable symptoms making this difficult. The refugees were able to achieve generalisation of physiotherapy into their day-to-                     day life enabling them to self-manage to some extent and feel liberated from PTS symptoms.

    Conclusion

    The study agrees with the available literature on the effectiveness of treating refugee              patients suffering from post-traumatic stress with physiotherapy, not just to improve            physical health outcomes but even to give holistic improvements. 

    Keywords

    Post-traumatic stress, refugee, physiotherapy, experiences

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  • 9.
    Bryngelsson, Sofie
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Jönsson, Elin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Ländryggssmärta hos piloter inom kommersiell luftfart, en tvärsnittsstudie.  Low back pain among commercial flying pilots, a cross-sectional study.2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background.Low back pain is common among commercial flying pilots and may possibly be a reason for future long- term sick leave. Possible influencing factors are the number of working years and exercise habits. There are few studies researching commercial flying pilots.

    Purpose.To describe the prevalence of low back pain among commercial flying pilots and to investigate the risk of long- term sick leave. Furthermore, identify differences in the incidence of low back pain among pilots who has worked <10 compared to >10 years, as well as to investigate the correlation between low back pain and self-assessed exercise habits.

    Method.A cross-sectional study was conducted with a web survey. The survey initially consisted of self-designed questions followed by “Örebroformuläret kortversion” by Steven Linton.

    Results.The study contained 73 respondents, which corresponded to a response rate of 30%. A total of 57.5% of the 73 respondents indicated that they had low back pain, of which the majority had been suffering for over a year.  The results showed that the pilots who had low back pain had no risk of long-term sick leave. There was a difference in the incidence of low back pain in those who worked over compared to under ten years (p=0.017). The correlation between exercise habits and the incidence of low back pain was not statistically significant (r=0.03), (p=0.08).

    Conclusion.The prevalence of nonspecific low back pain in commercial flying pilots was high and seemed to increase with the number of working years. Further research needs to investigate which factors contribute to the high incidence of nonspecific low back pain.

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  • 10.
    Danielsson, Andreas
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Teichter, Timothy
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Patellofemoral smärta relaterat till överbelastning och dess behandling hos barn och unga - en litteraturstudie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Patellofemoral pain (PFP) is common in children and adolescents that are physically active, if untreated it may lead to persistent inconvenience and an abrupt end to adolescents involvement in sports. Individual physiotherapeutic treatment is commonly used in primary care to assess this problem. The purpose of this study was to investigate the concept individual physiotherapeutic treatment in PFP while assessing their evidence and to investigate the prevalence of PFP related to early sport specialisation.

     

    Method: Systematic review. The search was conducted in databases PubMed and PEDro. Eight studier were included in the study. These studies were assessed to evidence quality according to PEDro-scale, SBUs regular- and modified GRADE. One study investigated the prevalence of PFS related to early sports specialization (ESS). Six studies investigated a multimodal treatment involving biopsychological factors. One study investigated the effect of knee- and hip-training with Theraband. 

     

    Results: Early sport specialization increased the risk for PFP 1.5 times. Six studies showed promising results on factors as knee pain and self-assessed function within the population using a multimodal treatment, the combined evidence was estimated as insufficient. One study with high evidence concluded that knee- and hip-training with Theraband decreased knee pain and increased muscle strength. 

     

    Conclusion: ESS is associated with an increased risk of developing PFP, this could be a factor that clinicians should be aware of when treating PFP. An intervention treating PFP should include musclestrenghtening and involve psycosocial factors, one method could be through patient education.

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  • 11.
    Demmelmaier, Ingrid
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Lifestyle and rehabilitation in long term illness.
    L Brooke, Hannah
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Lifestyle and rehabilitation in long term illness.
    Henriksson, Anna
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Lifestyle and rehabilitation in long term illness. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
    Mazzoni, Anne-Sophie
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Lifestyle and rehabilitation in long term illness.
    Helgesen Björke, Ann Christin
    University of Agder, Department of Sport Science and Physical Education, Kristiansand, Norway .
    Igelström, Helena
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Lifestyle and rehabilitation in long term illness. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Ax, Anna-Karin
    Linköping University Department of Oncology and Department of Medical and Health Sciences.
    Sjövall, Katarina
    Lund University, Department of Oncology and Skåne University Hospital, Department of Oncology.
    Hellbom, Maria
    Stockholm Health Care Services, Centre for Cancer Rehabilitation, Stockholm, Sweden.
    Pingel, Ronnie
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Statistics. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Lifestyle and rehabilitation in long term illness.
    Lindman, Henrik
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Experimental and Clinical Oncology.
    Johansson, Silvia
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Experimental and Clinical Oncology. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences.
    Galina, Velikova
    University of Leeds, Leeds Cancer Centre, Leeds Institute of Medical Research at St James's, Leeds, UK .
    Raastad, Truls
    Norwegian School of Sport Sciences, Department of Physical Performance, Oslo, Norway .
    M Buffart, Laurien
    Amsterdam Public Health Research Institute, Department of Epidemiology and Biostatistics, and Amsterdam UMC, Department of Medical Oncology, Cancer Center Amsterdam, Amsterdam, The Netherlands .
    Åsenlöf, Pernilla
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Aaronson, Neil K
    The Netherlands Cancer Institute, Division of Psychosocial Research & Epidemiology, Amsterdam, The Netherlands .
    Glimelius, Bengt
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Experimental and Clinical Oncology.
    Nygren, Peter
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Experimental and Clinical Oncology. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Cancer Pharmacology and Computational Medicine. Uppsala University, Science for Life Laboratory, SciLifeLab.
    Johansson, Birgitta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Experimental and Clinical Oncology. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
    Börjesson, Sussanne
    , Linköping University Department of Oncology and Department of Medical and Health Sciences, Linköping, Sweden .
    Berntsen, Sveinung
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Lifestyle and rehabilitation in long term illness. University of Agder, Department of Sport Science and Physical Education, Kristiansand, Norway .
    Nordin, Karin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Centre for Research Ethics and Bioethics. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Lifestyle and rehabilitation in long term illness.
    Does exercise intensity matter for fatigue during (neo)adjuvant cancer treatment?: The PhysCan -RCTManuscript (preprint) (Other academic)
  • 12.
    Ekström, Magnus
    et al.
    Lund Univ, Fac Med, Resp Med & Allergol, Dept Clin Sci, Lund, Sweden;Blekinge Hosp, Dept Med, Karlskrona, Sweden.
    Bornefalk, Hans
    Hans Bornefalk AB, Vallentuna, Sweden.
    Sköld, Magnus
    Karolinska Inst, Dept Med Solna, Resp Med Unit, Stockholm, Sweden;Karolinska Inst, Ctr Mol Med, Stockholm, Sweden.
    Jansson, Christer
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Lung- allergy- and sleep research.
    Blomberg, Anders
    Umea Univ, Publ Hlth & Clin Med, Umea, Sweden.
    Sandberg, Jacob
    Jamjo Primary Hlth Care Cent, Karlskrona, Sweden;Lund Univ, Dept Clin Sci, Lund, Sweden.
    Bornefalk Hermansson, Anna
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, UCR-Uppsala Clinical Research Center.
    Igelström, Helena
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Sundh, Josefin
    Orebro Univ, Sch Med Sci, Dept Resp Med, Orebro, Sweden.
    Validation of the Swedish Multidimensional Dyspnea Profile (MDP) in outpatients with cardiorespiratory disease2019In: BMJ OPEN RESPIRATORY RESEARCH, ISSN 2052-4439, Vol. 6, no 1, article id UNSP e000381Article in journal (Refereed)
    Abstract [en]

    Introduction Breathlessness is a cardinal symptom in cardiorespiratory disease. An instrument for measuring different aspects of breathlessness was recently developed, the Multidimensional Dyspnea Profile (MDP). This study aimed to validate the MDP in terms of the underlying factor structure, internal consistency, test-retest reliability and concurrent validity in Swedish outpatients with cardiorespiratory disease. Methods Outpatients with stable cardiorespiratory disease and breathlessness in daily life were recruited. Factor structure of MDP was analysed using confirmatory factor analysis; internal consistency was analysed using Cronbach's alpha; and test-retest reliability was analysed using intraclass correlation coefficients (ICCs) for patients with unchanged breathlessness between assessments (baseline, after 30-90 min and 2 weeks). Concurrent validity was evaluated using correlations with validated scales of breathlessness, anxiety, depression and health-related quality of life. Results In total, 182 outpatients with cardiorespiratory disease and breathlessness in daily life were included; 53.3% were women; main diagnoses were chronic obstructive pulmonary disease (24.7%), asthma (21.4%), heart failure (19.2%) and idiopathic pulmonary fibrosis (18.7%). The MDP total, immediate perception and emotional response scores, and individual item scores showed expected factor structure and acceptable measurement properties: internal consistency (Cronbach's alpha, range 0.80-0.93); test-retest reliability at 30-90 min and 2 weeks (ICC, range 0.67-0.91); and concurrent validity. There was no evidence of a learning effect. Findings were similar between diagnoses. Discussion MDP is a valid instrument for multidimensional measurement of breathlessness in Swedish outpatients across cardiorespiratory diseases.

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  • 13.
    Eliasson, Victoria
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Eneberg, Emma
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Upplever fysioterapeutstudenter icke formella förväntningar gällande träning under utbildningen?: En kvalitativ intervjustudie2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Previous knowledge about exercise is not a demand in the basic eligibility to attend the physiotherapy program. Previous studies show that there is a stereotypical idea of the physiotherapy profession and that exercise is a part of the profession. The physiotherapy program is also highlighted as a program which can be stressful.

    Purpose: The purpose of the study was to investigate perceptions and experiences of non-formal expectations regarding exercise from teachers/course leaders and other students in a group of physiotherapy students at Uppsala university. The purpose was also to investigate how the non-formal expectations affected the students.

    Method: Descriptive and qualitative design. Data was gathered through six semi-structured interviews with students from semester 5 attending the physiotherapy program at Uppsala university. The interviews were analyzed using qualitative content analysis.

    Result: Students experienced non-formal expectations from teachers, other students and guest teachers. Some students did not experience any expectations. Students were affected positive, negative or not at all by these expectations. They also experienced stereotypical ideas towards how a physiotherapy student should behave. Students perceptions of stereotypical ideas changed over time.

    Conclusion: The students experienced non-formal expectations regarding exercise from teachers, other students and guest teachers. These non-formal expectations affected the students differently, ranging from motivational to stressful while some did not experience any effect at all. The result of this study could contribute to the development of the program and treatment of the students.

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  • 14.
    Elisson, Annika
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    En kalibreringsstudie av accelerometer Lifee - för barn 8-12 år2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 15.
    Fernqvist, Per
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Upplevelser av strokerehabilitering med Vasa-konceptet: -En kvalitativ intervjustudie2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Stroke is a serious disease that affects many people and costs society very large amounts. There are no rehabilitation measures with evidence that provides good post-acute recovery. The Vaasa concept has provided good recovery according to proven experience but lacks scientific evidence.

    Objectives Examine stroke patients experience of the Vasa concept to create evidence and facilitate future studies.

    Design and method A qualitative descriptive content analysis of three recorded semi-structured interviews with three patients and two interpreting relatives.

    Results The analysis resulted in an overall theme, 5 categories and 19 subcategories. The informants perceived rehabilitation as safe, secure and motivating. It was found to provide good sensory, motor and cognitive recovery. Many have been observed to be helped by the concept which is highly recommended by the informants. Much time spent with the assistant may be required as well as weekly adjustments with the therapist.

    Conclusion The Vasa concept seems to have features of several rehabilitation methods that the National Board of Health recommends and seems to include several rehabilitation principles that have evidence of neuroplastic recovery. The Vasa concept's founders 'attitude, actions, reputation and other environmental factors may have contributed significantly to the informants' very positive experiences of neuromuscular and cognitive recovery. The Vasa concept may include techniques that can help the patient make better use of existing resources.

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    P. Fernqvist, Upplevelser av strokerehabilitering med Vasa-konceptet
  • 16.
    Forsberg, Sandra
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Englund, Emilia
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Fysioterapeuters syn på skadeförebyggande träning för knäskador inom fotboll: -en kvalitativ intervjustudie2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Soccer is one of the largest sports in the world and one of the foremost in Sweden. Injuries are common in the sport where knee injuries are one of the most common. Research shows that injury prevention reduces the injury incidence, but few studies have explored Swedish physiotherapists views on injury prevention in soccer.

    Purpose: The purpose was to investigate physiotherapists views and experiences of injury prevention for knee injuries, among physiotherapists employed by Swedish soccer teams. Method: A qualitative design was used. Five semi-structured interviews were conducted. Qualitative content analysis was used in data processing. Results: The result shows that the participants have a varied view of injury prevention. The physiotherapists describe the importance of good training planning, training of stability and control, neuromuscular control and time for recovery. Furthermore, knowledge should be communicated to players and coaches about injury prevention to increase implementation. Mental preparation is also seen as an important factor in reducing the risk of injury. The physiotherapists in the study all knew about the knee control program and felt that it is a well-designed program with good and simple exercises, but the program can be shortened. Conclusion: The knee control program, neuromuscular warm up and that players have good knee control are an important aspects of injury prevention. The physiotherapists emphasized mental preparation as an important factor, which was not emphasized in previous studies. Further studies are needed to investigate the importance of mental preparation.

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  • 17.
    Frennessen, Sebastian
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Ericsson, Jens
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Sambandet mellan skotthastighet, handgreppstyrka samt skridskohastighet hos manliga elithockeyspelare2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sportsfysiotherapists help athletes improve their sport-specific abilities. In ice-hockey, the slap shot is the shot-technique that produces the greatest puck velocity. Hand grip strength have shown to be important to hockey players sport-specific abilities and stick movements. Skating speed is an important variable for the hockey players overall performance. 

     

    Aim: To investigate the mean hand grip strength, skating speed and shooting speed on a group swedish male elite ice-hockey players and investigate the correlation between these factors.  

     

    Methods: A team of twentythree male elite hockey players were asked to participate in the study. Twenty players participated. A cross-sectional study with a quantitative approach consisting of single measures on one group. Puck velocity, handgrip strength and skating speed were measured one time per player on three separate sessions. 

     

    Results: Seventeen hockey players completed the studie. The mean puck velocity was 128,167 km/h. The mean hand grip strength were 60,2 kg. The mean shooting speed were 1,405s measured on a distance of 15 meters. The correlation between puck velocity and hand grip strength were not statistically significant weak negative (r=-0,042; p=0,876). The correlation between mean puck velocity and shooting speed were not statistically significant weak negative(r=-0,177; p=0,508). 

     

    Conclusion: The mean maximal values of puck velocity, hand grip strength and shooting speed are comparable with similar values from other studies. The correlation between puck velocity and hand grip strength and shooting speed were weak which indicate that these factors do not affect the puck velocity from a slap shot. Further studies are needed to strengthen this study's result. 

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  • 18.
    Frygner-Holm, Sara
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Russ, Sandra
    Case Western Reserve University, Cleveland, OH, USA.
    Quitmann, Julia
    University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
    Ring, Lena
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Research group (Dept. of women´s and children´s health), Clinical Psychology in Healthcare.
    Zyga, Olena
    Case Western Reserve University, Cleveland, OH, USA.
    Hansson, Mats G.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Centre for Research Ethics and Bioethics.
    Ljungman, Gustaf
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Research group (Dept. of women´s and children´s health), Neuropediatrics/Paediatric oncology.
    Höglund, Anna T.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Centre for Research Ethics and Bioethics.
    Pretend Play as an Intervention for Children With Cancer: A Feasibility Study2019In: Journal of Pediatric Oncology Nursing, ISSN 1043-4542, E-ISSN 1532-8457, Vol. 37, no 1, p. 65-75Article in journal (Refereed)
    Abstract [en]

    Children with cancer suffer from symptoms and burdensome treatments that often cause distress to children and their families. Mortality is one aspect of cancer diagnosis, while another is the quality of life and well-being during and after the treatment. By supporting children's communication, self-efficacy and coping ability in the care situation, children are given the possibilities for increased independence and participation and are allowed to develop an influence over their care. The aim of this study was to develop and evaluate the feasibility and acceptability of an adult-facilitated pretend play intervention for children with cancer. Five children with ongoing treatment for cancer were invited to a play intervention that consisted of six to eight sessions of structured pretend play aimed at increasing participation, independence, and well-being. A mixed method design was used to evaluate the feasibility and acceptability of the play intervention. Measures were collected before and after interventions, and in conjunction with every play session. Results suggest that the children enjoyed the play intervention. Findings indicate small improvements regarding self-efficacy in care situations and equal or increased quality of life for participants. A main finding was that no adverse events or increased worrying was reported in conjunction with play sessions. Therefore, the intervention is regarded as safe, feasible, and acceptable as reported by participants and their primary caregivers and a possible means of increasing participation and independence in children with a cancer diagnosis.

  • 19.
    Granström, Fredrik
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centrum för klinisk forskning i Sörmland (CKFD).
    Hedlund, Mattias
    Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden.
    Lindström, Britta
    Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden.
    Eriksson, Staffan
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centrum för klinisk forskning i Sörmland (CKFD). Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Test-retest reliability of the twenty-five-hole peg test in patients who had a stroke2019In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 9, no 12, article id e032560Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: Weaknesses of the nine-hole peg test include high floor effects and a result that might be difficult to interpret. In the twenty-five-hole peg test (TFHPT), the larger number of available pegs allows for the straightforward counting of the number of pegs inserted as the result. The TFHPT provides a comprehensible result and low floor effects. The objective was to assess the test-retest reliability of the TFHPT when testing persons with stroke. A particular focus was placed on the absolute reliability, as quantified by the smallest real difference (SRD). Complementary aims were to investigate possible implications for how the TFHPT should be used and for how the SRD of the TFHPT performance should be expressed.

    DESIGN: This study employed a test-retest design including three trials. The pause between trials was approximately 10-120 s.

    PARTICIPANTS, SETTING AND OUTCOME MEASURE: Thirty-one participants who had suffered a stroke were recruited from a group designated for constraint-induced movement therapy at outpatient clinics. The TFHPT result was expressed as the number of pegs inserted.

    METHODS: Absolute reliability was quantified by the SRD, including random and systematic error for a single trial, SRD2.1, and for an average of three trials, SRD2.3. For the SRD measures, the corresponding SRD percentage (SRD%) measure was also reported.

    RESULTS: The differences in the number of pegs necessary to detect a change in the TFHPT for SRD2.1 and SRD2.3 were 4.0 and 2.3, respectively. The corresponding SRD% values for SRD2.1 and SRD2.3 were 36.5% and 21.3%, respectively.

    CONCLUSIONS: The smallest change that can be detected in the TFHPT should be just above two pegs for a test procedure including an average of three trials. The use of an average of three trials compared with a single trial substantially reduces the measurement error.

    TRIAL REGISTRATION NUMBER: ISRCTN registry, reference number ISRCTN24868616.

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  • 20.
    Hallqvist, Caroline
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Utvärdering avseende gångförmåga och hälsorelaterad livskvalité hos patienter med idiopatisk normaltryckshydrocefalus efter shuntoperation2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Patients with idopatic normal pressure hydrocephalus (iNPH) that are investigated och treated with shunt surgery may improve their walking ability and health related quality of life after surgery. There is limited knowledge regarding the investigation that leads to shunt surgery at Karolinska University Hospital, and how the surgery affects walk ability and health related quality of life, in patients with iNPH. The study investigated the differences regarding gait ability as well as health related quality of life, among patients with iNPH, before and three months after surgery. The study included 118 patients with iNPH, that underwent shunt surgery. The patients performed walking tests and estimated their health related quality of life, before and three months after surgery. The patients had a significant better walking ability after surgery. No clinical significant difference was seen regarding health related quality of life. Patients with suspected iNPH who were investigated and treated with shunt surgery at Karolinska University Hospital, had a better walking ability and a higher health related quality of life after surgery. Idopatic normal pressure hydrocephalus, gait, gait ability, health related quality of life, shunt surgery.

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  • 21.
    Hansson, Anna
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Marsnäs, Nicole
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Fysisk aktivitet och upplevd fatigue hos kvinnor med bröstcancer2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Background: The cases of cancer in Sweden continues to increase. Breast cancer is the most common form of female cancer. Cancer treatments side-affects are many, a common one is fatigue. Physical activity has shown to work as a nonpharmacological treatment to decrease fatigue.

    Aim: The aim of this study was to investigate the association between the level of physical activity and self-perceived fatigue, also to investigate the association between time since diagnosis and self-perceived fatigue in women with breast cancer.

    Method: This cross-sectional study has a quantitative design where physical activity and fatigue is examined with a web based questionaire. Physical activity was measured with The International Physical Activity Questionnaire (IPAQ-SF) and fatigue with Functional Assessment of Chronic Illness Therapy – Fatigue (FACIT-F).

    Results: The results of this study showed that 80% of the respondents (n=70, median age 58 years) had high or moderate physical activity level, a median of 1 905 MET-minutes(metabolic equivalent)/week. The respondents (n=70) experienced a moderate to high fatigue, median value 35 of 52. The correlation between physical activity and fatigue was low, r=0,08, p=0,57 as well as between time since diagnosis and fatigue, r=0,08, p=0,49.

    Conclusion: Women with breast cancer in this study have shown to have a physical activity level that is higher than the average population of Sweden. They experienced fatigue, which was not affected of time since diagnosis.  No significant correlation was shown in any of the questions at issue. Further research is necessary to determine how fatigue is affected by time since diagnosis.

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  • 22.
    Hauffman, Anna
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Experimental and Clinical Oncology.
    Alfonsson, Sven
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Research group (Dept. of women´s and children´s health), Clinical Psychology in Healthcare. Karolinska Inst, Ctr Psychiat Res, Dept Clin Neurosci, Stockholm, Sweden; Stockholm Hlth Care Serv, Stockholm, Sweden.
    Igelström, Helena
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Experimental and Clinical Oncology.
    Johansson, Birgitta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Experimental and Clinical Oncology. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Research group (Dept. of women´s and children´s health), Clinical Psychology in Healthcare.
    Experiences of Internet-Based Stepped Care in Individuals With Cancer and Concurrent Symptoms of Anxiety and Depression: Qualitative Exploration Conducted Alongside the U-CARE AdultCan Randomized Controlled Trial2020In: Journal of Medical Internet Research, ISSN 1438-8871, E-ISSN 1438-8871, Vol. 22, no 3, article id e16547Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Individuals with newly diagnosed cancer may experience impaired health in several aspects and often have a large need for information and support. About 30% will experience symptoms of anxiety and depression, with varying needs of knowledge and support. Despite this, many of these patients lack appropriate support. Internet-based support programs may offer a supplement to standard care services, but must be carefully explored from a user perspective.

    OBJECTIVE: The purpose of this study was to explore the participants' perceptions of the relevance and benefits of an internet-based stepped care program (iCAN-DO) targeting individuals with cancer and concurrent symptoms of anxiety and depression.

    METHODS: We performed a qualitative study with an inductive approach, in which we used semistructured questions to interview 15 individuals using iCAN-DO. We analyzed the interviews using content analysis.

    RESULTS: The analysis found 17 subcategories regarding the stepped care intervention, resulting in 4 categories. Participants described the need for information as large and looked upon finding information almost as a survival strategy when receiving the cancer diagnosis. iCAN-DO was seen as a useful, reliable source of information and support. It was used as a complement to standard care and as a means to inform next of kin. Increased knowledge was a foundation for continued processing of participants' own feelings. The optimal time to gain access to iCAN-DO would have been when being informed of the diagnosis. The most common denominator was feeling acknowledged and supported, but with a desire for further adaptation of the system to each individual's own situation and needs.

    CONCLUSIONS: Users saw the internet-based stepped care program as safe and reliable and used it as a complement to standard care. Similar interventions may gain from more personalized contents, being integrated into standard care, or using symptom tracking to adjust the contents. Offering this type of program close to diagnosis may provide benefits to users.

    TRIAL REGISTRATION: ClincalTrials.gov NCT-01630681; https://clinicaltrials.gov/ct2/show/NCT01630681.

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  • 23.
    Hedbys, Fredrik
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    A COMPARISON BETWEEN ACCELERATED AND STANDARD REHABILITATION REGIME ON STRENGTH OUTCOMES UP TO 24 MONTHS POST-OPERATIVE FOLLOWING ACL-RECONSTRUCTION2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Anterior Cruciate Ligament(ACL)-injuriy is a serious knee injury prevalent in pivoting sports and recreation, often leading to decreased activity levels. Few studies have examined isokinetic strength(ISO) differences between an accelerated rehabilitation regime(ACC) or standard rehabilitation regime(STAND) following ACL-reconstruction(ACLR).

    Purpose: To evaluate the strength outcomes of an ACC compared to a STAND among patients following an ACLR.

    Method: 161 patients planned for an ACLR were randomized to ACC or STAND postoperative rehabilitation. Differences between the groups in Quadriceps Limb Symmetry Index(Q-LSI) and change from baseline strength(CBS) were analyzed at 4,6,8,12 and 24 months; and if the effect of allocated rehabilitation regime was modified by graft-choice.

    Results: There was an observed, smaller and non-significant initial strength decrease, and later a larger quadriceps strength increase in the operated leg, in the ACC group (p’s 0,056). A larger number of participants who reached >90% Q-LSI was observed in the ACC (p’s>0.105). 

    Conclusion: A tendency of a larger quadriceps strength increase in the operated leg, and patients reaching >90 Q-LSI, in the ACC was observed in the study sample. The differences between the groups were however not statistically significant and the changes in strength was not modified by graft-choice.

  • 24.
    Helgesson, Frida
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Föräldrars följsamhet till träning på mage vid lägesbetingad skallasymmetri och/eller tortikollis – en intervjustudie2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
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  • 25.
    Henriksson, Anna
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Lifestyle and rehabilitation in long term illness. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
    Igelström, Helena
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Arving, Cecilia
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Lifestyle and rehabilitation in long term illness.
    Nordin, Karin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
    Johansson, Birgitta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Experimental and Clinical Oncology.
    Demmelmaier, Ingrid
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Lifestyle and rehabilitation in long term illness.
    The Phys-Can study: meaningful and challenging - supervising physical exercise in a community-based setting for persons undergoing curative oncological treatment.2020In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, p. 1-10Article in journal (Refereed)
    Abstract [en]

    Introduction: Supervised exercise may improve physical function and quality of life during oncological treatment. Providing supervised exercise to all patients at hospitals may be impractical, with community-based settings (e.g. public gyms) as a possible alternative. To facilitate implementation, knowledge about the experiences of professionals who deliver exercise programs in community-based settings is crucial.Objective: To explore how physical therapists and personal trainers experience supervising exercise in a community-based setting for persons undergoing curative oncological treatment. Methods: Nine physical therapists and two personal trainers (coaches) were interviewed individually. The semi-structured interviews lasted 33-67 minutes and were analyzed using thematic analysis. Results: Two main themes emerged: "A meaningful task" and "A challenging task," with nine sub-themes. The coaches experienced supervising exercise for persons undergoing treatment as meaningful, as they became a link between oncology care and health promotion. They grew more confident in the role and ascertained that exercising during treatment was feasible. Challenges included managing side effects of treatment and contradictory information from oncology care staff at hospitals, advising patients not to exercise.Conclusion: Supervising exercise for persons undergoing oncological treatment in a community-based setting may be highly rewarding for professionals who deliver exercise programs, which is promising for implementation. However, patients receive contradictory information about exercise, which may prevent physical activity. Also, supervising exercise for persons undergoing oncological treatment requires skills training; this is suggested for inclusion in educational programs for physical therapists and others. Future research should focus on strategies for cooperation between oncology care and health promotion.

  • 26.
    Henriksson, Anna
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Lifestyle and rehabilitation in long term illness. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
    Johansson, Birgitta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Experimental and Clinical Oncology. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences. Uppsala universitet.
    Radu, Calin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Experimental and Clinical Oncology.
    Igelström, Helena
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Lifestyle and rehabilitation in long term illness. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Nordin, Karin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Centre for Research Ethics and Bioethics. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Lifestyle and rehabilitation in long term illness.
    Is it safe to exercise during oncological treatment?: A study of adverse events during exercise - data from the Phys-Can studyManuscript (preprint) (Other academic)
  • 27.
    Hjalmarsson, Erica
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Odman, Adam
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Ishockeyspelares upplevelser och erfarenheter av hjärnskakningar samt dess påverkan ur ett biopsykosocialtperspektiv.2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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  • 28.
    Högström, sofie
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Föräldrars upplevelser av hur deras döttrar, med återkommande magsmärta, påverkts av att delta i en interventionsstudie med dans och yoga.2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 29.
    Johansson, Henrik
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Lung- allergy- and sleep research. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Clinical Physiology. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Norlander, Katarina
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Otolaryngology and Head and Neck Surgery.
    Malinovschi, Andrei
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Clinical Physiology.
    Increased prevalence of exercise-induced airway symptoms: A five-year follow-up from adolescence to young adulthood2019In: Respiratory Medicine, ISSN 0954-6111, E-ISSN 1532-3064, Vol. 154, p. 76-81Article in journal (Refereed)
    Abstract [en]

    Background: Exercise-induced airway symptoms are common in adolescents. Little is known about the development of symptoms from adolescence to early adulthood. Therefore, we studied the prevalence, incidence, and remission of exercise-induced airway symptoms (including wheeze, cough, chest and throat tightness, hoarseness, and stridor) in adolescents, over a five-year period.

    Methods: In 2011, all adolescents aged 12-13 years in Uppsala (n=3 838) were invited to answer a questionnaire on exercise-induced airway symptoms. All responding adolescents (n=2 309) were invited to answer the same questionnaire again after five years. In total, 1 002 adolescents responded (43.4%).

    Results: The prevalence of exercise-induced airway symptoms increased from 25% at baseline to 49% at follow-up (p<0.001). More females than males reported symptoms at both time points. The incidence of airway symptoms was 42.2%, with no sex differences. More males than females reported symptom remission (20.2 vs. 10.7%, p<0.001). Females reported a higher asthma prevalence at follow-up than at baseline (7.6 vs. 15.2%), while males did not (10.9 vs. 8.0%), leading to a sex difference in prevalence at follow-up (p<0.001). Smoking and baseline respiratory symptoms were associated with an increased risk of reporting symptoms at follow-up.

    Conclusions: A twofold increase in the prevalence of exercise-induced airway symptoms over a five-year period was found in this cohort. Females were more likely to report symptoms at both time points. Knowledge of these age-related changes in symptoms and their association to female gender is useful for future studies and healthcare providers.

  • 30.
    Kullberg, Isabelle
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Skoghammar, Lovisa
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Kartläggning av tidiga tecken på bröstcancer-relaterat lymfödem hos kvinnor efter kurativ behandling mot bröstcancer, samt undersökning av samband mellan patientrapporterade besvär och läkarbedömning – en tvärsnittsstudie2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Breast cancer-related lymphedema (BCRL) is a complication following breast cancer treatment, it is probably underdiagnosed and the prevalence varies in previous studies. Early signs can be subtle sensations of heaviness and/or tightness in limbs. BCRL can have several negative impact, this motivates the importance of early detection because early intervention improves the prognosis.  

    Aim: Investigate the prevalence of early signs/symtoms of BCRL and investigate the association between patient reported outcomes and the physician assessment of BCRL. 

    Method: Women who underwent curative treatment of breast cancer was included. Data was collected at the follow-up 3 months after finished treatment in purpose for a clinical project. A questionnaire was used for the patient (regarding signs/symtoms from the arm) and physician rescpectively.

    Results: 61 participants were included. 22 participants reported signs from the arm on the affected side. 70% of those who reported symptoms, reported a presence of ≥1 symtoms. The physicians estimated no signs in 76% of 55 participants. There was an association between the frequency of patient reported signs from the arm and the physicians assessment of armswelling (p=0,005), hand edema (p=0,003) and between patient reported symtoms and the physicians assessment of armswelling (p=0,008). When the patient reported signs/symptoms, there was a significant proportion where the physician estimated no edema/swelling. In cases when the patient reported no signs/symptoms, the physician also assessed absence of edema/swelling.

    Conclusion: Patients often experience signs/symptoms from the arm on the affected side, and patients reports symptoms more frequent than physicians assess presence of early signs of BCRL.

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  • 31.
    Larsson, Robin
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Skålberg, Christian
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Fysisk aktivitet och kognitiv funktion hos personer med övervikt och obstruktiv sömnapné – en sambandsanalys2020Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
    Abstract [en]

    Background: Obstructive sleep apnea (OSA) is a disease with repeated episodes of partially or completely blocked airways during sleep, which leads to a lower blood saturation. OSA is known to decrease cognitive abilities like memory and learning. There is a lack of studies which investigate if there is an association between cognitive function, symptoms and physical activity in patients with OSA.

     

    Purpose: To describe the cognitive function in a group of patients who are overweight and has OSA. Examine the association between cognitive function (short-term memory) and moderate to vigorous physical activity (MVPA) and examine the association between cognitive function and severity of OSA.

     

    Method: This paper is a cross-sectional study with correlational design. The severity of the disease was measured with apnea-hypopnea index (AHI). The cognitive function was measured by digit span test and physical activity with an accelerometer. The study includes 86 patients diagnosed with OSA (AHI >15), with a BMI >25 and a self-assessed moderate intensity physical activity less than 150 minutes/week.

     

    Results :The digit span test in this study showed a mean value of 15,7. There was no significant correlation (r=-0.10, p=0.38) between amount of MVPA and short-term memory in patients with OSA (p=0.38). There was neither any significant correlation (r=0.09, p=0.40) between patients AHI and the cognitive functions.

     

    Conclusion: The amount of physical activity didn’t seem to have any effect on cognitive function. There doesn't seem to be any association between AHI and patients cognitive function. Further research is needed to confirm the results from this study.

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  • 32.
    Lind, Anne-Li
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Just, David
    KTH Royal Inst Technol, Dept Prot Sci, Div Affin Prote, SciLifeLab, Tomtebodvagen 23A, Stockholm, Sweden.
    Mikus, Maria
    KTH Royal Inst Technol, Dept Prot Sci, Div Affin Prote, SciLifeLab, Tomtebodvagen 23A, Stockholm, Sweden.
    Fredolini, Claudia
    KTH Royal Inst Technol, Dept Prot Sci, Div Affin Prote, SciLifeLab, Tomtebodvagen 23A, Stockholm, Sweden.
    Ioannou, Marina
    KTH Royal Inst Technol, Dept Prot Sci, Div Affin Prote, SciLifeLab, Tomtebodvagen 23A, Stockholm, Sweden.
    Gerdle, Bjorn
    Linkoping Univ, Pain & Rehabil Ctr, Linkoping, Sweden;Linkoping Univ, Dept Med & Hlth Sci, Linkoping, Sweden.
    Ghafouri, Bijar
    Linkoping Univ, Pain & Rehabil Ctr, Linkoping, Sweden;Linkoping Univ, Dept Med & Hlth Sci, Linkoping, Sweden.
    Backryd, Emmanuel
    Linkoping Univ, Pain & Rehabil Ctr, Linkoping, Sweden;Linkoping Univ, Dept Med & Hlth Sci, Linkoping, Sweden.
    Tanum, Lars
    Akershus Univ Hosp, Dept R&D Mental Hlth, Lorenskog, Norway.
    Gordh, Torsten
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Anaesthesiology and Intensive Care.
    Manberg, Anna
    KTH Royal Inst Technol, Dept Prot Sci, Div Affin Prote, SciLifeLab, Tomtebodvagen 23A, Stockholm, Sweden.
    CSF levels of apolipoprotein C1 and autotaxin found to associate with neuropathic pain and fibromyalgia2019In: Journal of Pain Research, ISSN 1178-7090, E-ISSN 1178-7090, Vol. 12, p. 2875-2889Article in journal (Refereed)
    Abstract [en]

    Objective: Neuropathic pain and fibromyalgia are two common and poorly understood chronic pain conditions that lack satisfactory treatments, cause substantial suffering and societal costs. Today, there are no biological markers on which to base chronic pain diagnoses, treatment choices or to understand the pathophysiology of pain for the individual patient. This study aimed to investigate cerebrospinal fluid (CSF) protein profiles potentially associated with fibromyalgia and neuropathic pain. Methods: CSF samples were collected from 25 patients with neuropathic pain (two independent sets, n=14 patients for discovery, and n=11 for verification), 40 patients with fibromyalgia and 134 controls without neurological disease from two different populations. CSF protein profiling of 55 proteins was performed using antibody suspension bead array technology. Results: We found increased levels of apolipoprotein C1 (APOC1) in CSF of neuropathic pain patients compared to controls and there was a trend for increased levels also in fibromyalgia patients. In addition, levels of ectonucleotide pyrophosphatase family member 2 (ENPP2, also referred to as autotaxin) were increased in the CSF of fibromyalgia patients compared to all other groups including patients with neuropathic pain. Conclusion: The increased levels of APOC1 and ENPP2 found in neuropathic pain and fibromyalgia patients may shed light on the underlying mechanisms of these conditions. Further investigation is required to elucidate their role in maintaining pain and other main symptoms of these disorders.

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  • 33.
    Ljungvall, Hanna
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Ekselius: Psychiatry. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Persson, Anna
    Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden.
    Åsenlöf, Pernilla
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Heilig, Markus
    Linkoping Univ, Dept Clin & Expt Med, Ctr Social & Affect Neurosci, Linkoping, Sweden.
    Ekselius, Lisa
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Ekselius: Psychiatry.
    Reliability of the Addiction Severity Index self-report form (ASI-SR): a self-administered questionnaire based on the Addiction Severity Index composite score domains2019In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725Article in journal (Refereed)
    Abstract [en]

    Objectives:

    The Addiction Severity Index (ASI) is a standardized interview used to assess problems associated with substance use. Although widely used, the time required for the interview remains an obstacle to its acceptance in many clinical settings. We examined if a self-administered questionnaire based on the composite score (CS) items, the ASI Self-Report form (ASI-SR), offers a reliable alternative to the ASI in assessing current substance use and related problems.

    Methods:

    Participants were 59 treatment seeking individuals entering outpatient programs at the Addiction Psychiatric Clinic at Uppsala University Hospital who were assessed with Swedish versions of the ASI and ASI-SR. Agreement between the ASI interview's CS and ASI-SR's CS was evaluated on the individual basis by intraclass correlation analysis (ICC) and on group level with the Wilcoxon signed rank test. Reliability and internal consistency were evaluated using Cronbach's alpha.

    Results:

    For 6 out of 7 CS domains, the ICC for the ASI interview and ASI-SR were good to excellent. Internal consistency was acceptable for 6 out of 7 CS domains on the ASI interview and for 5 out of 7 CS domains on the ASI-SR.

    Conclusions:

    The present study suggests that the ASI-SR is a reliable alternative to the ASI interview for assessing current patient functioning and evaluation of problems related to alcohol and drug use.

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  • 34.
    Ljungvall, Hanna
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Rhodin, Annika
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Anaesthesiology and Intensive Care.
    Wagner, Sofia
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Zetterberg, Hedvig
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Åsenlöf, Pernilla
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    "My life is under control with these medications": an interpretative phenomenological analysis of managing chronic pain with opioids2020In: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 21, article id 61Article in journal (Refereed)
    Abstract [en]

    Background: The use of opioids to relieve chronic pain has increased during the last decades, but experiences of chronic opioid therapy (COT) (> 90 days) point at risks and loss of beneficial effects. Still, some patients report benefits from opioid medication, such as being able to stay at work. Guidelines for opioid use in chronic pain do not consider the individual experience of COT, including benefits and risks, making the first person perspective an important scientific component to explore. The aim of this study was to investigate the lived experience of managing chronic pain with opioids in a sample who have severe chronic pain but are able to manage their pain sufficiently to remain at work.

    Methods: We used a qualitative research design: interpretative phenomenological analysis. Ten individuals with chronic pain and opioid therapy were purposively sampled in Swedish tertiary care.

    Results: Three super-ordinate themes emerged from the analyses: Without opioids, the pain becomes the boss; Opioids as a salvation and a curse, and Acknowledgement of the pain and acceptance of opioid therapy enables transition to a novel self. The participants used opioids to regain control over their pain, thus reclaiming their wanted life and self, and sense of control over one's life-world. Using opioids to manage pain was not unproblematic and some of the participants had experienced a downward spiral of escalating pain and uncontrollable opioid use, and stigmatisation.

    Conclusions: All participants emphasised the importance of control, regarding both pain and opioid use. To accomplish this, trust between participants and health care providers was essential for satisfactory treatment. Regardless of the potential sociocultural benefits of staying at work, participants had experiences of balancing positive and negative effects of opioid therapy, similar to what previous qualitative research has found. Measurable improvement of function and quality of life, may justify the long-term use of opioids in some cases. However, monitoring of adverse events should be mandatory. This requires close cooperation and a trusting relationship between the patients and their health care provider.

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  • 35.
    Lodin, Helena
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    ”A small pet animal is often an excellent companion”: Vårdhund på särskilda boenden för äldre – en litteraturstudie2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The population of Sweden is getting older. It is a big and heterogeneous group in need of health care and a number of older people are living in a nursing home. It is common with physical and mental disorders, loneliness and lack of social interaction in nursing homes. It is shown that animal assisted therapy with dogs can reduce physical and mental illness and motivate older people to participate in physiotherapy. Objective: Examine and compile evidence of animal assisted therapy with dogs on physical, mental och social function in elderly living in a nursing home. Methods: The search was done in the PubMed database and eight articles became included. The articles were assessed for study quality confirmed by the PEDro scale. The evidence from the articles were assessed confirmed by the SBU GRADE. Results: Limited evidence was shown for that animal asssisted therapy with dogs can improve symptoms of depression, apathy, anxiety, agitation, quality of life, emotions and loneliness. Insufficent evidence was found for energy expenditure, physical activity, ADL, weight, BMI, cognition and social interaction. Conclusions: Results show varying evidence for animal assisted therapy with dogs. This study shows that animal assisted therapy with dogs can improve some limited effects in the population of older people at nursing homes, especially for mental health effects. More well made research with larger groups is indicated to ensure and value these effects.

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  • 36.
    Lundqvist, Therese
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Faktorer som påverkar implementering av evidensbaserade program i primärvård – Chefers uppfattning2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
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    Faktorer som påverkar implementering av evidensbaserade program i primärvård – Chefers uppfattning
  • 37.
    Lyrén, Sara
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Funktionsnivå, kognition, fallrisk, ålder och könsskillnader i den akuta fasen av stroke - skillnader och samband2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
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  • 38.
    Meyer-Lie, Tove
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Violiniststudenters upplevelser och erfarenheter av att spela med smärta eller skada: En kvalitativ studie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    It is well known that musicians, both students and working professionals, often are affected by pain related problems and there is a high prevalence for violinists to get pain in the neck, shoulders, arms and hands.

     

    Purpose

    The purpose of the study was to describe the violin student experiences of pain and/or injuries whilst playing, experiences of aggravating and mitigating factors for playing music and their experiences with therapy/possibilities for therapy.

     

    Design and method

    The design used was a qualitative and explorative design with semi-structured interviews as the method to collect the data.

     

    Result

    From the analysis five categories were identified: “Consequences of pain and injurie when playing”, “the pains effect in day to day life”, “aggravating factors for playing”, “mitigating factors for playing” and “experiences with treatments”. The music teacher’s knowledge, ergonomics and physical training was perceived as aggravating factors. The instruments form and high demands was described by the students as mitigating factors for playing music and that it had a negative impact on their pain. Their experiences with therapy/possibilities for therapy was of the sort that the healthcare professionals were uncomprehending about their complex of problems and that more knowledge about how to sufficiently help the students is needed.

     

    Conclusion

    Physical training, ergonomics and coping are examples of factors that is aggravating for playing and that it has decreased the pain for the students. Healthcare and especially physical therapy can help with this but further research is needed to develop proper treatments to minimize pain for violinist students.

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  • 39.
    Norenlind, David
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Andersson Sjaunja, Isac
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Styrketräning av höftmuskulatur vid behandling av kvinnor med patellofemoralt smärtsyndrom: - En litteraturstudie2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Background: Patellofemoral pain syndrome (PFPS) is a common musculoskeletal condition among women and is characterized by pain around or behind the patella, which is aggravated by weightbearing activities. Since the prevalence among women is high, it is of great importance that they receive a well-adjusted treatment based on the latest available evidence.

    Objective: To investigate through a literature study the effect of strength training on the outcome measures pain and function among women with PFPS

    Method: The litterature search was conducted in the database PubMed. Nine papers were included. The papers were evaluated by each author using the TESTEX scale and then the level of evidence was assessed according to SBU’s GRADE.

    Results: There is limited evidence that strength training of the hip musculature reduces pain. There is also limited evidence that combined strength training of the hip and knee musculature reduces pain and increases function. Compared to strength training of the knee musculature, isolated strength training of the hip musculature is no better to increase function but the evidence is limited. The study quality of the included papers varied between 7–13 points after evaluation with TESTEX scale.

    Conclusion: The evidence suggests that combined strength training of the hip and knee musculature should be used as the first line of treatment when treating PFPS, but further research is warranted.

    Key words: Exercise, hip musculature, patellofemoral pain syndrome, quadriceps musculature

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    I. Andersson Sjaunja & D. Norenlind
  • 40.
    Norlander, Katarina
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Otolaryngology and Head and Neck Surgery.
    Johansson, Henrik
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Emtner, Margareta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Jansson, Christer
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Lung- allergy- and sleep research.
    Nordvall, Lennart
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Research group (Dept. of women´s and children´s health), Paediatric Inflammation, Metabolism and Child Health Research.
    Nordang, Leif
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Otolaryngology and Head and Neck Surgery.
    Differences in laryngeal movements during exercise in healthy and dyspnoeic adolescents.2020In: International Journal of Pediatric Otorhinolaryngology, ISSN 0165-5876, E-ISSN 1872-8464, Vol. 129, article id 109765Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: To compare glottic and supraglottic movements in healthy adolescents and adolescents experiencing dyspnoea during strenuous exercise.

    METHODS: Using the continuous laryngoscopy exercise (CLE)-test laryngeal movements during exercise were analysed in healthy controls (n = 28) and compared to subjects with exercise induced bronchoconstriction (EIB) (n = 10), exercise induced laryngeal obstruction (EILO) (n = 10) and subjects experiencing exercise-induced dyspnoea without having any of these diagnoses (n = 31). Images from the video recordings were assessed regarding glottic angle, glottic area and supraglottic area using the software measuring tool EILOMEA.

    RESULTS: No significant differences were detected between controls, the dyspnoea group without a diagnosis of EIB or EILO and the EIB group regarding glottis angle, glottis area or supraglottic area at maximum effort. All three parameters differed significantly in the EILO group compared to the other groups (p=<0.001). In the group with EILO all but one had supraglottic obstruction (corresponding to a CLE-test score ≥2). Movement of the laryngeal structures, corresponding to a CLE-test score of 1, at glottic and/or supraglottic level was seen in 26 of 35 (74%) of controls, 34 out of 41 (83%) of patients in the dyspnoea group, and in 25 of 38 (66%) of EIB-subjects.

    CONCLUSION: Minor movements at both glottic and supraglottic level are equally common in healthy controls as among adolescents with exercise induced dyspnoea without EIB or EILO and adolescents with EIB. Adolescents with EILO had a statistically significant more pronounced supraglottic obstruction than the other groups.

  • 41.
    Norén, Fanny
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    Jarefors, Emma
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Åsenlöf: Physiotheraphy.
    ”Det är en enormt stor fråga”: En kvalitativ intervjustudie kring skolsköterskors uppfattningar om behovet av fysioterapeuter inom elevhälsan, samt vad de anser ha betydelse för att främja fysisk aktivitet i skolan2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background 

    Physical activity during school hours is of great importance since children and adolescents move less and less. The school health services, including school nurses, is working to promote physical activity in school. Studies who aim to examine how a physiotherapist can contribute to the school health services are limited. To examine how school nurses perceive the need for a physiotherapist in the school health services was therefore of interest to investigate. 

    Purpose

    To examine how school nurses perceive the need for a physiotherapist in the school health services, as well as examining what they consider to play a significant role in promoting physical activity in school.

    Method 

    The study was of qualitative design. Five school nurses were interviewed through individual semi-structured interviews. Qualitative content analysis was used to analyzing the data.  

    Result

    A total of nine categories and thirty-two subcategories was identified from the collected data. Categories about the need for a physiotherapist were “Requested expertise”, “Refers to external competence”, “Uncertainty about the role of the physiotherapist”. Categories about the promotion of physical activity were “Individualized”, “Home situation affects”, “Organized activities”, “The environment affects physical activity”, “Common approach” and “Challenges to relate to”. 

    Conclusion 

    The school nurses perceive that there is a need for a physiotherapist within the school health services. At the same time, it appears that they are a bit unsure about the physiotherapists’ role. The promotion of physical activity in school is considered to be affected by the schools’ organization, school staff, pupils and parents. The work with physical activity in school has certain challenges which is described to depend on shortage of time and lack of knowledge in the area.

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    F. Norén, E. Jarefors
  • 42.