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  • 1.
    Ahlström, Isabell
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Hellström, Karin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Emtner, Margareta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotheraphy. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Respiratory Medicine and Allergology.
    Anens, Elisabeth
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Reliability of the Swedish version of the Exercise Self-Efficacy Scale (S-ESES): a test-retest study in adults with neurological disease2015In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 31, no 3, p. 194-199Article in journal (Refereed)
    Abstract [en]

    Objective: To examine the test-retest reliability of the Swedish translated version of the Exercise Self-Efficacy Scale (S-ESES) in people with neurological disease and to examine internal consistency.

    Design: Test-retest study.

    Subjects: A total of 30 adults with neurological diseases including: Parkinson's disease; Multiple Sclerosis; Cervical Dystonia; and Charcot Marie Tooth disease.

    Method: The S-ESES was sent twice by surface mail. Completion interval mean was 16 days apart. Weighted kappa, intraclass correlation coefficient 2,1 [ICC (2,1)], standard error of measurement (SEM), also expressed as a percentage value (SEM%), and Cronbach's alpha were calculated.

    Results: The relative reliability of the test-retest results showed substantial agreement measured using weighted kappa (MD = 0.62) and a very high-reliability ICC (2,1) (0.92). Absolute reliability measured using SEM was 5.3 and SEM% was 20.7. Excellent internal consistency was shown, with an alpha coefficient of 0.91 (test 1) and 0.93 (test 2).

    Conclusion: The S-ESES is recommended for use in research and in clinical work for people with neurological diseases. The low-absolute reliability, however, indicates a limited ability to measure changes on an individual level.

  • 2.
    Ahmadi, Zainab
    et al.
    Univ Lund Hosp, Div Resp Med & Allergol, Dept Clin Sci, SE-22100 Lund, Sweden..
    Lundstrom, Staffan
    Stockholms Sjukhem Fdn, Palliat Care Serv, Stockholm, Sweden.;Karolinska Inst, Dept Oncol Pathol, Stockholm, Sweden..
    Janson, Christer
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences. Uppsala Univ, Dept Med Sci Resp Med & Allergol, Uppsala, Sweden..
    Strang, Peter
    Stockholms Sjukhem Fdn, Palliat Care Serv, Stockholm, Sweden.;Karolinska Inst, Dept Oncol Pathol, Stockholm, Sweden..
    Emtner, Margareta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Currow, David C.
    Flinders Univ S Australia, Discipline Serv, Adelaide, SA 5001, Australia.;Flinders Univ S Australia, Palliat Serv, Adelaide, SA 5001, Australia.;Flinders Univ S Australia, Support Serv, Adelaide, SA 5001, Australia..
    Ekström, Magnus
    Univ Lund Hosp, Div Resp Med & Allergol, Dept Clin Sci, SE-22100 Lund, Sweden.;Flinders Univ S Australia, Discipline Serv, Adelaide, SA 5001, Australia.;Flinders Univ S Australia, Palliat Serv, Adelaide, SA 5001, Australia.;Flinders Univ S Australia, Support Serv, Adelaide, SA 5001, Australia..
    End-of-life care in oxygen-dependent COPD and cancer: a national population-based study2015In: European Respiratory Journal, ISSN 0903-1936, E-ISSN 1399-3003, Vol. 46, no 4, p. 1190-1193Article in journal (Refereed)
  • 3.
    Andersson, Andreas
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Rydmark, Fredrika
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Hinder och underlättande faktorer för initiering till fysisk träning efter hjärtinfarkt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Myocardial infarction is one of the biggest health issues in Sweden. Over 25000 swedes get affected every year. There is strong evidence to show physical exercise can reduce heart related diseases and death. Only about 50 % of the patients participate in physical exercise after myocardial infarction. More knowledge about which biopsychosocial barriers and facilitators that can influence initiation to physical exercise in myocardial patients is therefore demanded.

    Purpose: The aim of this study was to investigate experienced barriers and facilitators to initiate physical exercise after a myocardial infarction.

    Method: A qualitative design with semi-structured interviews was used in this study. Five informants which experienced a myocardial infarction in the last 24 months. For the process and analysis of data a qualitative content analysis was used.

    Results: Other priorities, fatigue, fears and lack of self awareness to exercise activity-level was found as barriers for initiating physical exercise after myocardial infarction.Social support, importance of exercise, goals and individualised activity was found to be facilitators for initiating physical exercise after myocardial infarction.

    Conclusion: A good relationship, trust and information about the effects of physical exercise together with individualised exercise recommendations is important for facilitating initiationof physical exercise in myocardial patients.

  • 4.
    Andersson, Ellinor
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Asklöf, Josefine
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    CrossFit-tränares uppfattning av skadepreventiva åtgärder och betydelsen av tränarnärvaro: en intervjustudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background CrossFit is defined as constantly varied functional training and is performed in high intensity. It combines olympic lifting, gymnastics and metabolic conditioning. The rapid growth of the sport has caused concerns for injuries. There has been shown that the involvement and presence of CrossFit trainers reduces injury but there is no requirement for practitioners to participate in supervised training.

    Purpose To explore the facilitating and aggravating factors that CrossFit trainers experience for implementation of injury prevention. Furthermore, study the trainers’ view of how important the trainer’s prescense is for injury prevention.

    Design and method A qualitative design was used in this study. Five CrossFit trainers with more than one year experience of being a trainer participated. A qualitative content analysis was used according to Granehiem and Lundman’s inductive strategy for data processing.

    Results Among the faciliating factors were for example Competence described which included knowledge and education. Amongst aggravating factors insufficient knowledge were for exampel described. The presence of the trainer was described as meaningful to prevent injuries. Experiences of fewer injuries, correction of performance and greater focus on technique were brought to attention.

    Conclusion The result supports the importance of focusing on presence of the CrossFit trainer and presents facilitating and aggravating factors that may be relevant to the development of future education for CrossFit trainers.

  • 5.
    Andersson, Mikael
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Respiratory Medicine and Allergology.
    Stridsman, Caroline
    Ronmark, Eva
    Lindberg, Anne
    Emtner, Margareta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Respiratory Medicine and Allergology. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Physical activity and fatigue in chronic obstructive pulmonary disease - A population based study2015In: Respiratory Medicine, ISSN 0954-6111, E-ISSN 1532-3064, Vol. 109, no 8, p. 1048-1057Article in journal (Refereed)
    Abstract [en]

    Background: In subjects with chronic obstructive pulmonary disease (COPD), symptoms of fatigue, concomitant heart disease and low physical activity levels are more frequently described than in subjects without COPD. However, there are no population-based studies addressing the relationship between physical activity, fatigue and heart disease in COPD. The aim was to compare physical activity levels among subjects with and without COPD in a population based study, and to evaluate if concomitant heart disease and fatigue was associated to physical activity. Methods: In this, 470 subjects with COPD and 659 subjects without COPD (non-COPD) participated in examinations including structured interview and spirometry. A ratio of the forced expiratory volume in one second (FEV1)/best of forced vital capacity (FVC) and vital capacity (VC) <0.7 was used to define COPD. Physical activity was assessed with the International Physical Activity Questionnaire (IPAQ), and fatigue with the Functional Assessment of Chronic Illness Therapy - Fatigue scale (FACIT-F). Results: The prevalence of low physical activity was higher among subjects with FEV1 <80% predicted compared to non-COPD subjects (22.4% vs. 14.6%, p = 0.041). The factors most strongly associated with low physical activity in subjects with COPD were older age, OR 1.52, (95% CI 1.12-2.06), a history of heart disease, OR 2.11 (1.10-4.08), and clinically significant fatigue, OR 2.33 (1.31-4.13); while obesity was the only significant factor among non-COPD subjects, OR 2.26 (1.17-4.35). Conclusion: Physical activity levels are reduced when lung function is decreased below 80% of predicted, and the factors associated with low physical activity are different among subject with and without COPD. We propose that the presence of fatigue and heart disease are useful to evaluate when identifying subjects for pulmonary rehabilitation.

  • 6.
    Andréasson, Amanda
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Wirén, Tove
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    ”För mig har det här varit livsavgörande”: En kvalitativ intervjustudie om upplevelser och erfarenheter av fysioterapeutiska åtgärder vid rehabilitering i varmt klimat hos individer med ankyloserande spondylit2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 7.
    Anens, Elisabeth
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Emtner, Margareta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Respiratory Medicine and Allergology.
    Hellström, Karin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Exploratory Study of Physical Activity in Persons With Charcot-Marie-Tooth Disease2015In: Archives of Physical Medicine and Rehabilitation, ISSN 0003-9993, E-ISSN 1532-821X, Vol. 96, no 2, p. 260-268Article in journal (Refereed)
    Abstract [en]

    Objectives: To explore and describe the perceived facilitators and barriers to physical activity, and to examine the physical activity correlates in people with Charcot-Marie-Tooth (CMT) disease. Design: Cross-sectional survey study. Setting: Community-living subjects. Participants: Swedish people with CMT disease (N=44; men, 54.5%; median age, 59.5y [interquartile range, 45.3-64.8y]). Interventions: Not applicable. Main Outcome Measures: The survey included open-ended questions and standardized self-reported scales measuring physical activity, fatigue, activity limitation, self-efficacy for physical activity, fall-related self-efficacy, social support, and enjoyment of physical activity. Physical activity was measured by the Physical Activity Disability Survey-Revised. Results: Qualitative content analysis revealed that personal factors such as fatigue, poor balance, muscle weakness, and pain were important barriers for physical activity behavior. Facilitators of physical activity were self-efficacy for physical activity, activity-related factors, and assistive devices. Multiple regression analysis showed that self-efficacy for physical activity (beta=.41) and fatigue (beta=-.30) explained 31.8% of the variation in physical activity (F-2,F-40=10.78, P=.000). Conclusions: Despite the well-known benefits of physical activity, physical activity in people with CMT disease is very sparsely studied. These new results contribute to the understanding of factors important for physical activity behavior in people with CMT disease and can guide health professionals to facilitate physical activity behavior in this group of patients. (C) 2015 by the American Congress of Rehabilitation Medicine

  • 8.
    Anens, Elisabeth
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotheraphy.
    Emtner, Margareta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotheraphy. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Respiratory Medicine and Allergology.
    Zetterberg, Lena
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotheraphy.
    Hellström, Karin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotheraphy.
    Physical activity in subjects with multiple sclerosis with focus on gender differences: a survey2014In: BMC Neurology, ISSN 1471-2377, E-ISSN 1471-2377, Vol. 14, p. 47-Article in journal (Refereed)
    Abstract [en]

    Background: There is increasing research that examines gender-issues in multiple sclerosis (MS), but little focus has been placed on gender-issues regarding physical activity. The aim of the present study was to describe levels of physical activity, self-efficacy for physical activity, fall-related self-efficacy, social support for physical activity, fatigue levels and the impact of MS on daily life, in addition to investigating gender differences. Methods: The sample for this cross-sectional cohort study consisted of 287 (84 men; 29.3%) adults with MS recruited from the Swedish Multiple Sclerosis Registry. A questionnaire was sent to the subjects consisting of the self-administrated measurements: Physical Activity Disability Survey - Revised, Exercise Self-Efficacy Scale, Falls-Efficacy Scale (Swedish version), Social Influences on Physical Activity, Fatigue Severity Scale and Multiple Sclerosis Impact Scale. Response rate was 58.2%. Results: Men were less physically active, had lower self-efficacy for physical activity and lower fall-related self-efficacy than women. This was explained by men being more physically affected by the disease. Men also received less social support for physical activity from family members. The level of fatigue and psychological consequences of the disease were similar between the genders in the total sample, but subgroups of women with moderate MS and relapsing remitting MS experienced more fatigue than men. Conclusions: Men were less physically active, probably a result of being more physically affected by the disease. Men being more physically affected explained most of the gender differences found in this study. However, the number of men in the subgroup analyses was small and more research is needed. A gender perspective should be considered in strategies for promoting physical activity in subjects with MS, e. g. men may need more support to be physically active.

  • 9.
    Anens, Elisabeth
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Zetterberg, Lena
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Urell, Charlotte
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Emtner, Margareta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Hellström, Karin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Self-reported physical activity correlates in Swedish adults with multiple sclerosis: a cross-sectional study2017In: BMC Neurology, ISSN 1471-2377, E-ISSN 1471-2377, Vol. 17, article id 204Article in journal (Refereed)
    Abstract [en]

    Background: The benefits of physical activity in persons with Multiple Sclerosis (MS) are considerable. Knowledge about factors that correlate to physical activity is helpful in order to develop successful strategies to increase physical activity in persons with MS. Previous studies have focused on correlates to physical activity in MS, however falls self-efficacy, social support and enjoyment of physical activity are not much studied, as well as if the correlates differ with regard to disease severity. The aim of the study was to examine associations between physical activity and age, gender, employment, having children living at home, education, disease type, disease severity, fatigue, self-efficacy for physical activity, falls self-efficacy, social support and enjoyment of physical activity in a sample of persons with MS and in subgroups with regard to disease severity.

    Methods: This is a cross-sectional survey study including Swedish community living adults with MS, 287 persons, response rate 58.2%. The survey included standardized self-reported scales measuring physical activity, disease severity, fatigue, self-efficacy for physical activity, falls self-efficacy, and social support. Physical activity was measured by the Physical Activity Disability Survey – Revised.

    Results: Multiple regression analyzes showed that 59% (F(6,3)=64.9, p=0.000) of the variation in physical activity was explained by having less severe disease (β=-0.30), being employed (β=0.26), having high falls self-efficacy (β=0.20), having high self-efficacy for physical activity (β=0.17), and enjoying physical activity (β=0.11). In persons with moderate/severe MS, self-efficacy for physical activity explained physical activity.

    Conclusions: Consistent with previous research in persons with MS in other countries this study shows that disease severity, employment and self-efficacy for physical activity are important for physical activity. Additional important factors were falls self-efficacy and enjoyment. More research is needed to confirm this and the subgroup differences.

  • 10. Arkkukangas, Marina
    et al.
    Sundler, Annelie J
    Söderlund, Anne
    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, Physiotherapy.
    Johansson, Ann-Christin
    Older persons' experiences of a home-based exercise program with behavioral change support2017In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 33, no 12, p. 905-913Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: It is a challenge to promote exercise among older persons. Knowledge is needed regarding the maintenance of exercise aiming at preventing falls and promoting health and well-being in older persons.

    PURPOSE: This descriptive study used a qualitative inductive approach to describe older persons' experiences of a fall-preventive, home-based exercise program with support for behavioral change.

    METHODS: Semi-structured interviews were conducted with 12 elderly persons aged 75 years or older, and a qualitative content analysis was performed.

    RESULTS: Four categories emerged: facilitators of performing exercise in everyday life, the importance of support, perceived gains from exercise, and the existential aspects of exercise.

    CONCLUSION: With support from physiotherapists (PTs), home-based exercise can be adapted to individual circumstances in a meaningful way. Including exercises in everyday life and daily routines could support the experience of being stronger, result in better physical functioning, and give hope for an extended active life in old age.

  • 11. Arkkukangas, Marina
    et al.
    Söderlund, Anne
    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, Physiotherapy.
    Johansson, Ann-Christin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Clinical Research, County of Västmanland.
    Fall Preventive Exercise With or Without Behavior Change Support for Community-Dwelling Older Adults: A Randomized Controlled Trial With Short-Term Follow-up2017In: Journal of Geriatric Physical Therapy, ISSN 1539-8412, E-ISSN 2152-0895Article in journal (Refereed)
    Abstract [en]

    BACKGROUND AND PURPOSE: In Western countries, falls and fall-related injuries are a well-known threat to health in the aging population. Studies indicate that regular exercise improves strength and balance and can therefore decrease the incidence of falls and fall-related injuries. The challenge, however, is to provide exercise programs that are safe, effective, and attractive to the older population. The aim of this study was to investigate the short-term effect of a home-based exercise program with or without motivational interviewing (MI) compared with standard care on physical performance, fall self-efficacy, balance, activity level, handgrip strength, adherence to the exercise, and fall frequency.

    METHOD: A total of 175 older adults participated in this randomized controlled study. They were randomly allocated for the Otago Exercise Program (OEP) (n = 61), OEP combined with MI (n = 58), or a control group (n = 56). The participants' mean age was 83 years. The recruitment period was from October 2012 to May 2015. Measurements of physical performance, fall self-efficacy, balance, activity level, handgrip strength, adherence to the exercise, and fall frequency were done before and 12 weeks after randomization.

    RESULTS AND DISCUSSION: A total of 161 participants were followed up, and there were no significant differences between groups after a period of 12 weeks of regular exercise. Within the OEP + MI group, physical performance, fall self-efficacy, physical activity level, and handgrip strength improved significantly; likewise, improved physical performance and fall self-efficacy were found in the control group. A corresponding difference did not occur in the OEP group. Adherence to the exercise was generally high in both exercise groups.

    CONCLUSION: In the short-term perspective, there were no benefits of an exercise program with or without MI regarding physical performance, fall self-efficacy, activity level, handgrip strength, adherence to the exercise, and fall frequency in comparison to a control group. However, some small effects occurred within the OEP + MI group, indicating that there may be some possible value in behavioral change support combined with exercise in older adults that requires further evaluation in both short- and long-term studies.

  • 12. Arkkukangas, Marina
    et al.
    Söderlund, Anne
    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, Physiotherapy. Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden .
    Johansson, Ann-Christin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Clinical Research, County of Västmanland. School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.
    One-Year Adherence to the Otago Exercise Programme with or Without Motivational Interviewing In Community-Dwelling Older People2018In: Journal of Aging and Physical Activity, ISSN 1063-8652, E-ISSN 1543-267X, Vol. 26, no 3, p. 390-395Article in journal (Refereed)
    Abstract [en]

    This study investigated if behavioral factors, treatment with behavioral support, readiness to change, fall self-efficacy and activity habits could predict long-term adherence to an exercise program. Included in this study were 114 community-dwelling older people who had participated in one of two home-based exercise interventions. Behavioral factors associated with adherence to the exercise program over 52 weeks were analyzed. The behavioral factors, specifically activity habits at baseline, significant predicted adherence to the exercise program, with an odds ratio (OR) of 3.39 and 95% CI = 1.38-8.32 for exercise and an OR of 6.11 and 95% CI = 2.34-15.94 for walks. Being allocated to a specific treatment including motivational interviewing (MI) was also significantly predictive: OR = 2.47 and 95% CI = 1.11-5.49 for exercise adherence. In conclusion, activity habits and exercise in combination with MI had a significant association with adherence to the exercise program at a one-year follow up.

  • 13.
    Arkkukangas, Marina
    et al.
    School of Health, Care and Social Welfare, Mälardalen University, Box 883, SE-721 23 Västerås, Sweden.
    Tuvemo Johnson, Susanna
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Hellström, Karin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Söderlund, Anne
    School of Health, Care and Social Welfare, Mälardalen University, Box 883, SE-721 23 Västerås, Sweden.
    Eriksson, Staffan
    Centre for Clinical Research Sörmland, Uppsala University, Kungsgatan 41, 631 88 Eskilstuna, Sweden.; Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, SE-901 87 Umeå, Sweden.
    Johansson, Ann-Christin
    School of Health, Care and Social Welfare, Mälardalen University, Box 883, SE-721 23 Västerås, Sweden.
    A feasibility study of a randomised controlled trial comparing fall prevention using exercise with or without the support of motivational interviewing2015In: Preventive Medicine Reports, ISSN 0350-1159, E-ISSN 2211-3355, Vol. 2, p. 134-140Article in journal (Refereed)
  • 14.
    Arvidsson, Malin
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Skogs, Lisa
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Muskuloskeletal skadeprevalens i nedre extremitet hos rekryter efter genomförd grundläggande militär utbildning.2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    BACKGROUND: Previous studies have shown a high injury rate in the lower extremities among military recruits. A correlation has been shown between female gender or a low level of physical activity prior to basic military training and a higher risk of injury.

    AIM: To investigate the self-reported injury rate in the lower extremities among Swedish recruits and the difference in injury rate between men and women. Another aim was to investigate correlation between self-reported injury rate in the lower extremities and self-reported physical activity, and to study this correlation for both men and women.

    METHOD: A quantitative study with a prospective, descriptive, comparative and correlative design. Data from two different questionnaires were answered by 177 recruits.

    RESULTS: 26% of the recruits reported injury in lower extremities after completing the basic training. There was a significant difference (p=0.006) in self-reported injury between female and male recruits. The level of prior physical activity and the injury rate amongst the recruits had a low correlation.

    CONCLUSION: The results indicate a high injury rate among Swedish recruits, especially among the female recruits. No correlation between self-reported physical activity and the injury rate in lower extremities was found. 

  • 15.
    Backlund, Hanna
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Wallén, Frida
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Pre-professionella balettdansares upplevelser och erfarenheter av dansrelaterade skador2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Ballet demands great physical skills on the dancer and injuries are common. Many dancers have had an injury before the start of their career. However, there is a limited amount of research on the impact of injuries and rehabilitation for pre-professional ballet dancers.

    Method: Qualitative exploratory design. Five pre-professional ballet dancers interviewed with semi-structured interviews. For data processing using a qualitative content analysis.

    Results: The analysis showed 4 categories and 9 subcategories that showed that pressure from the environment, unclear guidelines for the management and treatment of current injury influenced dance practice. Although uncertainty about the cause of the problem / injury created frustration, which in turn impact on the injury rehabilitation and dance practice. In addition to the physical consequences for dance practice the dancers also experienced psychological stress of not being able to practice the dance.

    Conclusion: Pre-professional ballet dancers are adversely affected both physically and psychologically by injury. It is required with more training in injury prevention and management today and needed to reduce the risk of injury, and in order to correctly treat a possible injury. Injuries have a significant impact on pre-professional ballet dancers perceived outlook, and could be handled earlier and in better order not to foreclose a possible continued dancing career.

  • 16.
    Barck, Hanna
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Estrada Hidalgo, Sebastian
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Upplevelser av dans hos personer med ryggmärgsskada - ett bio-psyko-socialt perspektiv2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In physiotherapy you look at the individual through a bio-psycho-social perspective. “International Classification of Function, Disability and Health” (ICF) is an instrument to measure health from a bio-psycho-social perspective. The knowledge about how dance as a physical activity effects people with spinal cord injury is insufficient. Qualitative research in this area is nonexistent.     Purpose: The purpose with the study was to examine people with spinal cord injury’s experiences with dance as a physical activity in a bio-psycho-social manner. Method: The study design was qualitative and inductive, based on semi-structured interviews with five study-participants: two men and three women in the ages 21-57, who had been dancing in wheelchair 2-33 years. The data was analyzed with qualitative content analysis. Results: The participants experienced that dancing had an impact on bodily functions: improved strength, condition, flexibility, coordination and balance. Changes in body perception (more contact with the body). They had also reduced pain. They experienced effects in personal factors: Psychological wellbeing (improved self-efficacy, self-esteem and joy) and physical wellbeing. The dance had also been generating anxiety. They experienced impact on factors involving their surroundings: social (they got more friends, experienced a unique fellowship and developed social interaction skills). They had met acceptance, some ignorance but support from close ones. They experienced impact on their activity and participation: More independent in daily life (they had become better in locomotion). Participating in the community (participating in more activities, participating in having an impact on the community). Conclusion: People with spinal cord injury experience that dancing has many positive outcomes on bio-psycho-social factors.  Physiotherapists and other professionals in health care, and people with spinal cord injury need to get knowledge about the profits of dance as a physical activity for people with spinal cord injury so that more people can take part of the benefits of dancing.

  • 17.
    Bendrik, Regina
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Research and Development, Gävleborg. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine. Reg Gavleborg, Gavle, Sweden..
    Kallings, Lena
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine. Swedish Sch Sport & Hlth Sci, Stockholm, Sweden..
    Broms, K.
    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, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Research and Development, Gävleborg. Reg Gavleborg, Gavle, Sweden..
    Emtner, Morgan
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Maximal Step-Up Test A New Functional Test In Hip Or Knee Osteoarthritis2016In: Osteoarthritis and Cartilage, ISSN 1063-4584, E-ISSN 1522-9653, Vol. 24, p. S471-S471Article in journal (Other academic)
  • 18.
    Bengtsson, Maria
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Glaas, Jessica
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Fotbollstränares användande av ett skadeförebyggande träningsprogram för flickor i åldrarna 13-19 år2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Knäskador är vanligt bland fotbollsspelande flickor och kan avsluta en karriär i förtid. Studier har gjorts där skadeförebyggande träning visat på god effekt, dock saknas studier som följer upp användningen av träningsprogrammen.

    Syfte: Beskriva och utvärdera användandet av det skadeförebyggande träningsprogrammet Knäglädje.

    Metod: En deskriptiv, komparativ design. Totalt 37 fotbollstränare till flicklag i åldrarna 13-19 år svarade på en webbaserad enkät.

    Resultat: viktigaste faktorerna för användandet av träningsprogrammet var : minskad skaderisk för spelarna, enkelt att lägga in i ordinarie träning och det var kostnadsfritt. De viktigaste faktorerna för att inte använda programmet var: tid försvann från ordinarie träning, tog tid att lära sig programmet samt följde ett annat skadeförebyggande program.

    Ingen signifikant skillnad sågs vad gäller användandet av träningsprogrammet i förhållande till tränarerfarenhet och tränarutbildning. Tränare som fått utbildning i träningsprogrammet använde det i högre utsträckning än de som inte fått någon utbildning. Skillnaden var signifikant.

    Konklusion: Viktiga faktorer för användandet av Knäglädje var den minskande skaderisken, att det var kostnadsfritt samt enkelt att lägga in i träningen. Programmet användes i större utsträckning av tränare som fått utbildning i det. Det framkom i studien att de flesta tränare visade en medvetenhet om vikten av skadeförebyggande träning för att minska risken för skador.

  • 19.
    Berg, Frida
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Samband mellan smärta, rörelserädsla och katastroftankar hos barn och ungdomar med smärta2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 20.
    Berg, Sally
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Holm, Madeleine
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    ”Det kan ibland vara en ingång till att nå patientens tankar och känslor och på så sätt påverka deras förhållningssätt till sig själva och andra”: En kvalitativ intervjustudie om en grupp fysioterapeuters erfarenheter och upplevelser av sitt arbete inom den svenska ätstörningsvården.2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    Eating disorders are psychiatric conditions that contribute to problems such as impaired body perception and increased muscular tension. The patients also run an increased risk of executing an unhealthy exercise behaviour. Physiotherapeutic treatment aims to help these patients regain a realistic self-image and a positive perception of the body.

    Purpose

    To explore what experiences physiotherapists in Sweden had regarding their work and what they could contribute within the treatment of eating disorders, as well as to find what factors they judge were important for compliance within physiotherapeutic treatment.

    Design and method

    A qualitative design was used in this study. Six physiotherapists with at least six months experience working with eating disorders in specialist care were selected to participate. A qualitative content analysis was used according to Graneheim and Lundman's inductive strategy.

    Results

    The work as a physiotherapist in eating disorder care was described as important and challenging. Experiences about physiotherapeutic expertise, patient-centered work, insufficient guidelines and treatment methods were mentioned. The facilitating factors for compliance with the physiotherapeutic treatment were fewer than the aggravating factors and included social support and patience from the healthcare provider. Aggravating factors were above all a longterm illness and exercise stops.

    Conclusion

    Physiotherapists can contribute with their knowledge of the body, physical activity and exercise in the treatment of eating disorders. Patience from the healthcare provider, social support, longterm illness, and exercise stops are some of the factors that, according to this study, will influence compliance with the physiotherapeutic treatment.

  • 21.
    Bergström, Johan
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Linnér, Marcus
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Kan en målad trappa förändra beteenden?: En interventionsstudie om människors beteende när miljön de interagerar med förändras.2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Infrastructure and how we choose to build our cities control the population's patterns of activity. Infrastructure and technology have evolved into society and provided alternative approaches to get up and down between different floors. More people choose the escalators and the elevator before the stairs and miss out on the positive effects that are connected to everyday stairwells. Purpose: The purpose of the study was to investigate whether it could affect people's behavior to take the stairs instead of the escalator, by changing the environment with a stairway painting. Method: The study was a prospective, quasi-experimental, descriptive intervention study with a consecutive selection. The people who passed the stairs / escalators for a predetermined period of time were studied. The measurements were made using a traffic measurement system (OTUS3D) and lasted for three weeks. First, a baseline was measured during week one, painting the staircase during week two, and measurement for the intervention week three. Summary of results: This study showed no improvement in behavioral change in pedestrians. The statistically significant decrease of pedestrians in the stairs can be explained by the large number of participants in the study. Conclusion: There are many unresolved questions about what affects people's behavior in their daily lives. The number of factors is greater than this study has tested. Other interventions in the form of another motive or architectural design may produce other results.

  • 22.
    Berman, Anne H.
    et al.
    Karolinska Inst, Dept Clin Neurosci, Ctr Psychiat Res, Stockholm, Sweden.
    Bodenlos, Jamie
    Hobart & William Smith Coll, Dept Psychol, Geneva, NY 14456 USA.
    Pekmezi, Dori
    Univ Alabama Birmingham, Sch Publ Hlth, Dept Hlth Behav, Birmingham, AL 35294 USA.
    Lian, Wong Mee
    Natl Univ Singapore, Saw Swee Hock Sch Publ Health, Singapore, Singapore.
    Griva, Konstadina
    Imperial Coll, London, England;Nanyang Technol Univ, Ctr Populat Hlth Sci CePHaS, Lee Kong Chian Sch Med, Singapore, Singapore.
    Åsenlöf, Pernilla
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Yang, Yanjie
    Harbin Med Univ, Dept Med Psychol, Coll Publ Hlth, Harbin, Heilongjiang, Peoples R China.
    Dekker, Joost
    Vrije Univ Amsterdam Med Ctr, Dept Psychiat, Amsterdam, Netherlands;Vrije Univ Amsterdam Med Ctr, Dept Rehabil Med, Amsterdam, Netherlands.
    Teaching Behavioral Medicine: An Inspirational Workshop2018In: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 25, p. S2-S2Article in journal (Other academic)
  • 23.
    Berntsen, Sveinung
    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.
    Aaronson, Neil K
    Buffart, Laurien
    Börjeson, Sussanne
    Demmelmaier, Ingrid
    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.
    Hellbom, Maria
    Hojman, Pernille
    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.
    Johansson, Birgitta
    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 Immunology, Genetics and Pathology, Experimental and Clinical Oncology.
    Pingel, Ronnie
    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.
    Raastad, Truls
    Velikova, Galina
    Åsenlöf, P.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Nordin, Karin
    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.
    Design of a randomized controlled trial of physical training and cancer (Phys-Can) - the impact of exercise intensity on cancer related fatigue, quality of life and disease outcome2017In: BMC Cancer, ISSN 1471-2407, E-ISSN 1471-2407, Vol. 17, no 1, article id 218Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Cancer-related fatigue is a common problem in persons with cancer, influencing health-related quality of life and causing a considerable challenge to society. Current evidence supports the beneficial effects of physical exercise in reducing fatigue, but the results across studies are not consistent, especially in terms of exercise intensity. It is also unclear whether use of behaviour change techniques can further increase exercise adherence and maintain physical activity behaviour. This study will investigate whether exercise intensity affects fatigue and health related quality of life in persons undergoing adjuvant cancer treatment. In addition, to examine effects of exercise intensity on mood disturbance, adherence to oncological treatment, adverse effects from treatment, activities of daily living after treatment completion and return to work, and behaviour change techniques effect on exercise adherence. We will also investigate whether exercise intensity influences inflammatory markers and cytokines, and whether gene expressions following training serve as mediators for the effects of exercise on fatigue and health related quality of life.

    METHODS/DESIGN: Six hundred newly diagnosed persons with breast, colorectal or prostate cancer undergoing adjuvant therapy will be randomized in a 2 × 2 factorial design to following conditions; A) individually tailored low-to-moderate intensity exercise with or without behaviour change techniques or B) individually tailored high intensity exercise with or without behaviour change techniques. The training consists of both resistance and endurance exercise sessions under the guidance of trained coaches. The primary outcomes, fatigue and health related quality of life, are measured by self-reports. Secondary outcomes include fitness, mood disturbance, adherence to the cancer treatment, adverse effects, return to activities of daily living after completed treatment, return to work as well as inflammatory markers, cytokines and gene expression.

    DISCUSSION: The study will contribute to our understanding of the value of exercise and exercise intensity in reducing fatigue and improving health related quality of life and, potentially, clinical outcomes. The value of behaviour change techniques in terms of adherence to and maintenance of physical exercise behaviour in persons with cancer will be evaluated.

    TRIAL REGISTRATION: NCT02473003 , October, 2014.

  • 24.
    Björk, Johan
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Lagerqvist, Fredrik
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Handbollstränares upplevelser och erfarenheter av knäskadeförebyggandeträning inom handboll2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    Knee injury within handball are well heard of. Female handball players have shown a greater risk developing long term knee injury. Injury to the knee is well investigated from incidence and also what kind of training is beneficial for preventing knee injury. However no studies have yet enlightened what experiences handball coaches possess in the area.

    Purpose

    The purpose of the study was to investigate and to survey what experiences regarding knee injury prevention training handball coaches’, coaching girls between the ages of 10- 19 years old possessed.

    Design and method

    A qualitative explorative design was used. Five semi-structured interviews based on a interview guide fort. A qualitative content analysis was used for data processing.

    Result

    The handball coaches looked at knee injury prevention as an important part of the overall training though there were variations in set up and content. A great deal of factors about injury prevention where mentioned, for example, resources, knowledge and motivation to participate in knee injury preventive exercises among the players.

    Conclusion

    Amongst the factors affecting the possibility for effective knee injury prevention training, motivation of young players was one of the most important ones. If coaches acquire education within the area`s behavior and motivation and how they affect each other it might lead to knee injury prevention being more effective.

  • 25.
    Bremfält, Julia
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Vesterlund, Anja
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    "Naturen sviker aldrig, den möter alltid": - En kvalitativ intervjustudie om fysioterapeuters erfarenheter av att använda naturen i arbetet med personer med utmattningssyndrom2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Background

     Long term sick leave due to stress-related diseases, including burnout syndrome, is an increasing problem in Sweden. A relatively new and sparsely studied treatment method is nature based therapy. Several clinics aim at rehabilitation of the burnout syndrome, where physiotherapist is one of the professions of a multimodal team.

     

    Purpose

     To study the physiotherapists experience in work with nature based rehabilitation for patients with burnout syndrome.

     

    Design and method

     A qualitative method was used in this study. Four physiotherapists which currently are working or have the experience from working with nature based rehabilitation were selected to participate. Semi-structured interviews were used followed by a content analysis with an inductive approach.

     

    Results

    The first theme from our result is stress reducing environment and the categories are Undemanding, Nature gives peace and quiet, Nature makes lines and gives a different focus, and Nature gives inspiration. The other theme is The physiotherapists guidance in body and mind and the categories are Guidance to physical activity in nature, Sensitive response to patient, Help to reflect, and Participating patient.

     

    Conclusion

    Physiotherapist can contribute with their knowledge of the body and mind in the rehabilitation of patients with burnout syndrome. In combination with a stress reducing environment that nature can offer, an effectual rehabilitation is possible.

     

    Key words

    Physiotherapy, nature based rehabilitation, burnout, mental health, nature assisted therapy

  • 26.
    Bring, Annika
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Martin, Cathrin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Åsenlöf, Pernilla
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    A New Core Curriculum For Integration Of Behavioural Medicine And Physiotherapy In Graduate Studies: Planning, Implementation, And Expected Outcomes2016In: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 23, p. S18-S18Article in journal (Refereed)
  • 27.
    Bring, Annika
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Åsenlöf, Pernilla
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Söderlund, A.
    Malardalen Univ, Sch Hlth Care & Social Welf, Physiotherapy, Vasteras, Sweden..
    What Is The Comparative Effectiveness Of Current Standard Treatment, Against An Individually Tailored Behavioural Programme Delivered Either On The Internet Or Face-To-Face For People With Acute Whiplash Associated Disorder?: A Randomized Controlled Trial2016In: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 23, p. S187-S188Article in journal (Refereed)
  • 28.
    Bring, Annika
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Åsenlöf, Pernilla
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Söderlund, Anne
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    What is the comparative effectiveness of current standard treatment, against an individually tailored behavioural programme delivered either on the Internet or face-to-face for people with acute whiplash associated disorder? A randomized controlled trial2016In: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873, Vol. 30, no 5, p. 441-453Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To investigate the comparative effectiveness of current standard treatment, against an individually tailored behavioural programme delivered via the Internet or face-to-face for people with acute whiplash associated disorders.

    DESIGN: A multicentre, randomized, three-group design, with concealed allocation.

    SUBJECTS AND SETTINGS: A total of 55 participants (37 female), age 18-65, with acute Whiplash Associated Disorder (Grade I-II), recruited at two emergency clinics in Sweden.

    INTERVENTIONS: Before randomization all participants received standard self-care instructions. The Internet and face-to-face groups followed a seven-week behavioural programme involving individual tailoring, via email (Internet group), or in sessions at a physical therapy unit (face-to-face group). The control group only received the self-care instructions.

    MAIN MEASURES: Pain-related disability, pain intensity, self-efficacy in daily activities, catastrophizing and fear of movement/(re)injury. Assessments were performed at baseline (2-4 weeks postinjury) and at three, six and 12 months postintervention.

    RESULTS: Both the Internet (n = 16) and face-to-face (n = 14) group showed a larger decrease in pain-related disability than the control group (n = 16); -12 and -11, respectively, compared with -5 in the control group at 12-months follow-up. Significant differences between the groups in overall treatment effect were shown in all outcomes except pain intensity. All groups improved significantly over time in all outcomes, except for fear of movement/(re)injury and catastrophizing in the control group.

    CONCLUSION: An individually tailored behavioural programme improved biopsychosocial factors in patients with whiplash associated disorders up to 12 months after treatment. Internet-delivered intervention was as effective as clinic-based face-to-face therapy sessions.

  • 29.
    Bring, Johan
    et al.
    Gävle Univ, Dept Math & Stat, Gävle, Sweden.
    Bring, Annika
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Measuring gait – how the choice of measure can affect the statistical results and the clinical interpretation2017In: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 19, no 1, p. 8-12Article in journal (Refereed)
    Abstract [en]

    Aims: The aim of this study was to illustrate how the choice of gait measure could affect the statistical analysis of data and the resulting clinical conclusions.

    Methodology: A descriptive design in which the results from different tests from 10 patients with normal pressure hydrocephalus illustrates the potential to generate different clinical conclusions.

    Major findings and principal conclusion: The results illustrate how the choice of measure can affect the statistical results and the clinical interpretation of a study. It is possible to have the paradoxical situation in which one group has a better walking ability if the variable speed is used but the other group has a better walking ability if the variable time is used. An important message is that the choice of measurement and the transformation of data are not primarily statistical issues. If the statistical results are to be useful for clinical decisions, the variables used must be directly related to the utility for the subjects. An understanding of the clinical relevance of different outcomes is required. The distinction between when numbers are purely descriptive and when numbers represent a valuation is subtle and difficult to comprehend.

  • 30.
    Brolin, Linda
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Värnqvist, Emma
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Morgonuppvärmning, smärta och livskvalitet hos byggarbetare – en jämförande studie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 31.
    Byfält, Lydia
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Hellerström, Charlotte
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Friskis&Svettis ”Börja träna”-kurs och skillnader på livskvalitet och skattad fysisk aktivitet2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Regelbunden fysisk aktivitet leder till positiva hälsoeffekter och är därmed viktig som primär- och sekundärprevention för flera olika sjukdomar och för tidig död. Primärprevention ges dock begränsat utrymme inom sjukvården och därmed kan ett samarbete med andra hälsofrämjande aktörer i samhället vara motiverat.

    Syfte: Att undersöka om deltagare skattar högre upplevd livskvalitet och fysisk aktivitetsnivå efter Friskis&Svettis (F&S) tio veckor långa ”Börja träna”-kurs samt undersöka om det fanns en korrelation mellan livskvalitet och fysisk aktivitetsnivå.

    Metod: 95 deltagare (81 kvinnor, 14 män) med en medelålder på 50 år fyllde i två enkäter, en före och en efter interventionen. En inomgruppsjämförelse samt en korrelationsanalys gällande livskvalitet och fysisk aktivitetsnivå gjordes.

    Resultat: Medianen för livskvalitet var 7 före interventionen och 8 efter vilket var en signifikant ökning (p=0,022). Även för fysisk aktivitet var ökningen signifikant med en median på 3 före interventionen och 4 efter (p<0,001). I studien sågs ett mycket svagt samband mellan livskvalitet och fysisk aktivitetsnivå före interventionen (r=-0,172, p=0,122).

    Konklusion: Efter deltagande i F&S ”Börja träna”-kurs skattade deltagarna högre livskvalitet och fysisk aktivitetsnivå. På grund av ett stort bortfall och flera metodologiska felkällor bör resultatet användas med försiktighet och vidare studier är därmed nödvändiga.

  • 32.
    Cahlenstein, Anna-Maria
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Svensson, Klara
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Hälsorelaterad livskvalitet och fysisk aktivitet hos läkarstuderande och civilingenjörsstuderande vid Uppsala universitet2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 33.
    Carling, Carl
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Sjukgymnastikbehandling av patienter med nacksmärta efter klassificering i subgrupper enligt Treatment Based Classification, TBC.: Tre kvasi-experimentella fallstudier med AB-design och 1-månadsuppföljning2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Objective: In three kvasi-experimental single-case studies regarding patients with neck-pain who after sub-grouping using Treatment Based Classification (TBC), was placed in the subgroups centralization or mobilization, describe how and why they were placed in that particular subgroup and then to evaluate the effect on pain and function of the specific treatment proposed for that subgroup.   Method: The process of sub-grouping is described. Function and pain were measured with the Neck Disability Index (NDI) and Numeric Pain Rating Scale 0-10 before and after the treatment-period and 1 month after the treatment-period had ended.    Results: The use of TBC showed positive results with decreased patient-reported neck pain and increased levels of function i all three single-cases.   Conclusion: The TBC-system may be used for improving pain and function in patients with neck pain. More studies of the validity and reliability and randomized studies of the TBCsystem are needed before it could be recommended generally for physiotherapist.      

  • 34.
    de Belder Tesséus, Charlotte
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Upplevelse av orättvisa hos personer med långvarig smärta; psykometriska aspekter av den svenska versionen av IEQ2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 35.
    Demmelmaier, Ingrid
    et al.
    Karolinska Inst, Div Physiotherapy, Dept Neurobiol Care Sci & Soc, 23100,Alfred Nobels Alle 23, S-14183 Huddinge, Sweden..
    Åsenlöf, Pernilla
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Bergman, Patrick
    Linnaeus Univ, Sch Educ Psychol & Sports Sci, Kalmar, Sweden..
    Nordgren, Birgitta
    Karolinska Inst, Div Physiotherapy, Dept Neurobiol Care Sci & Soc, 23100,Alfred Nobels Alle 23, S-14183 Huddinge, Sweden..
    Opava, Christina H.
    Karolinska Inst, Div Physiotherapy, Dept Neurobiol Care Sci & Soc, 23100,Alfred Nobels Alle 23, S-14183 Huddinge, Sweden.;Karolinska Univ Hosp, Dept Rheumatol, Stockholm, Sweden..
    Pain rather than self-reported sedentary time explains variation in perceived health and activity limitation in persons with rheumatoid arthritis: a cross sectional study in Sweden2017In: Rheumatology International, ISSN 0172-8172, E-ISSN 1437-160X, Vol. 37, no 6, p. 923-930Article in journal (Refereed)
    Abstract [en]

    To investigate (1) the amount of self-reported time spent sedentary among a large cohort of persons with rheumatoid arthritis (RA), and (2) the contribution of sedentary time to explain perceived health and activity limitation in RA beyond that of previously known correlates. This cross-sectional study used data from a postal questionnaire and the Swedish Rheumatology Quality registers (SRQ). The International Physical Activity Questionnaire was used to assess sedentary time (sitting) and moderate, vigorous and walking activity (MVPA). Sociodemographics, pain, fatigue, fear-avoidance beliefs, anxiety/depression, disease duration, MVPA and sedentary time were included in multiple regression models with perceived health (Visual Analogue Scale 0-100) and activity limitation (Stanford Health Assessment Questionnaire) as dependent variables. Results: In all 3152 (59%) of 5391 persons identified as eligible from the SRQ, responded to the questionnaire. 2819 individuals with complete data on all study variables were analysed. Mean time (SD) spent sedentary was 257 (213) minutes per day. Sedentary time did not contribute significantly to explain perceived health and only minimally to explain activity limitation. Instead, variation was mainly explained by pain; for perceived health (Beta = 0.780, p < 0.001) and for activity limitation (Beta = 0.445, p < 0.001).The results indicate a non-significant role of sedentary time and a need for increased focus on pain in the management of RA. Future studies should use prospective designs and objective assessment methods to further investigate the associations between sedentary time and health outcomes in persons with RA.

  • 36. Dennersten Ulrika, Ulrika
    et al.
    Lannefors, Lousie
    Höglund, Peter
    hellberg, Katharina
    Johansson, Henrik
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Lagerkvist, Anna-Lena
    Ortfelt, Malin
    Sahlberg, Margareta
    Eriksson, Leif
    Lung function in the aging Swedish cystic fibrosis population2009In: Respiratory Medicine, ISSN 0954-6111, E-ISSN 1532-3064Article in journal (Refereed)
  • 37.
    Djurback, Ingrid
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Rörlighet i ländryggen, sittposition och förekomst av ländryggssmärta hos landsvägscyklister.2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Ländryggsmärta orsakad av överbelastning är vanligt inom cykelidrotten med en prevalens mellan 15 % -60 % hos landsvägscyklister på motions- och elitnivå. Vid sittande förändras ryggradens kurvatur vilket gör att belastningen förändras och det ger obalanser och större risk för smärta och skada än vid stående och gående. Sittpositionen på cykeln kan anpassas genom justering av cykeln, även kallad bike fit. Det finns få vetenskapliga studier hur denna anpassning ska ske för att undvika ryggsmärta.

    Syfte: Syftet med studien var att undersöka hur strukturer i ländryggen och säte/ben påverkar sittposition och förekomsten av ländryggssmärta vid landsvägscykling.

    Metod: Totalt 33 deltagare analyserades för hamstringslängd, total lumbal flexion samt sittposition på cykeln. Deltagarna tillfrågades angående erfarenheter av ländryggssmärta vid cykling.

    Resultat: Studien kunde påvisa en signifikant korrelation (r=0,57, P= 0,00082) mellan sittposition på cykeln samt total lumbal flexion. Hamstringslängd eller lumbal flexion på cykel visade sig ej korrelera med ländryggssmärta på cykel. Ingen skillnad förelåg mellan de cyklister som rapporterat ländryggssmärta eller ej gällande total lumbal flexionsrörlighet, lumbal flexion på cykeln eller hamstringslängd visades.

    Konklusion: Rörlighet i ländryggen och position på cykel verkar inte ensamt kunna förklara förekomst av cykelrelaterad ländryggssmärta. Hamstringslängden tycks inte påverka sittposition eller ländryggssmärta vid cykling.

  • 38.
    Dodd-Reynolds, Caroline Jane
    et al.
    Univ Durham, Sch Appl Social Sci, Durham, England..
    Åsenlöf, Pernilla
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Hellström, Karin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Editorial: Special issue - physical activity and health2017In: Physical Therapy Reviews, ISSN 1083-3196, E-ISSN 1743-288X, Vol. 22, no 3-4, p. 101-102Article in journal (Other academic)
  • 39.
    Dunder, Elin
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Hovgard, Susanna
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Fysioterapeuters syn på orsaker till skador samt hur dessa kan förebyggas, inom svensk elitfotboll - en intervjustudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Soccer is the world´s biggest sport and is responsible for a lot of all the sports related injuries. These injuries can result in impaired health, expenses for the society and the end of a career. The main focus of today´s research regarding injury preventions are different types of training. There may also be other components that might reduce the risk of getting injured that hasn´t been explored as much. 

    Purpose: The aim was to investigate the perceptions and experiences of physiotherapists working for elite soccer clubs, regarding causes of injuries and important injury preventive methods.

    Method: A qualitative descriptive design was used in this study. Five semi structured interviews were performed and a qualitative content analysis was used.

    Result: Based on ”Causes of injuries”, five categories were identified; "Physical load", "Psychological and social pressure", "Type of trainer", "Game situation" and "Social situation". ”Injury prevention methods” generated six categories; "The team´s resources", "Planning Load", "Communication between the medical team, coaches and players", "Education of the medical team, coaches and players", "Finding balance in players' everyday life," and "How the players feel physically and psyochologically."

    Conclusion: Several aspects affect the occurrence of injuries, and therefore several components need to be taken into account in the prevention of these. Further studies are needed to cover additional areas and to draw conclusions about which of the possible components that should be prioritized.

  • 40.
    Edlund, Hanna
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Wahlqvist, Tobias
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Upplevelser av chorea och dess påverkan på fysisk aktivitet hos fem personer med Huntingtons sjukdom: En kvalitativ intervjustudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Huntington's disease results in a combination of motor, cognitive and psychiatric symptoms. Chorea is an early symptom which entails involuntary movements that can affect various body parts. There are few studies addressing the subjective experiences of having chorea.

     

    Purpose: To investigate experiences of having chorea in five people with Huntington's disease and to investigate how the chorea affected their ability to be physically active.

     

    Design and method: Explorative qualitative design. Semi-structured interviews of five people with Huntington's disease. A qualitative content analysis was conducted.

    Results: Based on the two questions of the study, three themes were identified: Finding your place; Finding yourself in change; Revaluating movement. These themes consist of nine categories: Concern; Everyday obstacles; A disobedient body; Comprehension from others; An accepting approach; Surroundings; Facing setbacks; Finding the right strategies; Realizing your limitations.

     

    Conclusion: Some of the informants were unaware of their chorea while in others it caused a great suffering. They also underlined how chorea in different ways could imply a physical limitation. This could function as an incentive for person-centered care when meeting people with Huntington's disease.

  • 41.
    Ekberg, Theres
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Bergqvist, Agnes
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    En jämförande studie mellan styrketräning i gym och bodypump avseende skadeprevalens, typ och orsak till skada samt skillnader hos män respektive kvinnor.2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    Strength training has many positive health aspects, however, injuries are common. There has been no previous research comparing the injury prevalence of strength training on your own in the gym and at bodypump, two strength training exercise performed in slightly different ways, but both focusing on strength.

     

    The aim was to investigate whether there were differences regarding injury prevalence, type of injury between strength training on your own in the gym and bodypump and if there were any differences between men and between women, respectively. The study also aimed at investigating and describing the factors that seemed to have caused injuries in strength training on your own in the gym and at bodypump.

     

    Method

    The study had a descriptive and comparative design. A total of 60 people from SATS Sofo participated in the survey, 30 people who did strength training on their own in the gym and 30 people participating in bodypump. Data was collected by respondents to a self-designed questionnaire with questions about their training and possible injury and cause of injury.

     

    Results

    Differences in injury prevalence were seen between strength training on your own in gym and bodypump, p=0,01. On the other hand, no differences were observed regarding men’s injury prevalence (p=0,09) and in women (p=0,06) respectively, between the two types of exercise. There were also no differences regarding the type of injury between the two types of exercise (p=1), nor in men (p=1) or in women (p=1).

     

    Conclusion

    There is less risk for injuries at bodypump than at strength training on your own in the gym. More and larger studies are needed to be able to generalize the type of injury, cause and gender differences.

  • 42.
    Eklundh, Emma
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Bergqvist, Hanna
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Skillnader och samband mellan genus, ålder, utfallsförväntningar och self-efficacy inom kontexten fysisk aktivitet2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In social cognitive theory, the terms self-efficacy and outcome expectations are often used. These can indirectly affect how physically active a person is, which is important for a physiotherapist to adress. To our knowledge, these terms have never been studied from an age and gender perspective in larger groups in Sweden.

     

    Purpose: To examine the estimated physical activity level as well as outcome expectations and self-efficacy in the context of physical activity from a gender and age perspective.

     

    Method: A cross sectional study using answers from three self-assessment forms: MOEES-SV, ESES-S and Frändin and Grimby's activity scale. The population consisted of 125 people (56 women and 69 men).

     

    Results: No statistical significant differences were found between how men and women estimate outcome expectations for physical activity, percieved activity level or self-efficacy in the context of physical activity. Regarding estimated outcome expectations, no statistical correlation between women and age or men and age was found.

     

    Conclusion: From an age and gender perspective, no differences or correlations were found regarding estimated physical activity level or outcome expectations and self-efficacy in the context of physical activity. Further studies on larger and more diverse groups are considered necessary to draw general conclusions on the subject.

  • 43.
    Elomaa, Angelica
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Wiberg, Mikaela
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Följsamhet till hemträningsprogram -primärvårdspatienters erfarenheter av att följa träningsråd.2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Home-based exercise program is a common form of physiotherapy treatment to reduce symptoms and improve function in various musculoskeletal disorders. Many patients don´t follow their training program which is ineffective. The patient's adherence to the prescribed treatment is important to achieve a good outcome. By finding out what factors influence adherence to home-exercise, the physiotherapy treatment results can improve.

    Purpose: The purpose of this study was to investigate primarycare patients perceived factors that could have influenced them to pursue, or not to pursue, the home-based exercise program they received from their physiotherapist.

    Method: A qualitative, exploratory and descriptive design was used. Semi-structured interviews were conducted in five patients from two physiotherapists in primarycare. Qualitative content analysis was conducted in the dataprocess.

    Results: Eleven categories of facilitating factors emerged: Have a goal, high confidence in training, routine, reminders, available time, trust in the physiotherapist, discipline, clarity, positive feedback, follow-up and pain management.

    Three categories of barriers emerged: Not individually tailored programs, the absence of a reminder and a lack of time

    Conclusions: This study shows several perceived facilitators and barriers to home-based exercise program among patients. More studies about how this can be implemented in the physiotherapy work is needed.

  • 44.
    Emilson, Christina
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Demmelmaier, Ingrid
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Bergman, S.
    Univ Gothenburg, Sahlgrenska Acad, Inst Med, Dept Publ Hlth & Community Med, Gothenburg, Sweden.
    Pettersson, S.
    Karolinska Inst, Dept Neurobiol Care Sci & Soc, Div Physiotherapy, Stockholm, Sweden.
    Åsenlöf, Pernilla
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Concurrent Validity and Stability of Subgroup Assignment to Three Levels of Pain Condition Severity in Patients With Musculoskeletal Pain2018In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 77, p. 1835-1835Article in journal (Other academic)
  • 45.
    Emilson, Christina
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Demmelmaier, Ingrid
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Bergman, Stefan
    Res & Dev Ctr Spenshult, Halmstad, Sweden.; Univ Gothenburg, Dept Publ Hlth & Community Med, Gothenburg, Sweden..
    Lindberg, Per
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
    Denison, Eva
    Malardalen Univ, Sch Hlth Care & Social Welf, Vasteras, Sweden..
    Åsenlöf, Pernilla
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    A 10-year follow-up of tailored behavioural medicine treatment and exercise-based physiotherapy in persistent musculoskeletal pain2017In: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873, Vol. 31, no 2, p. 186-196Article in journal (Refereed)
    Abstract [en]

    Objective: To study the long-term outcomes of two interventions targeting patients with sub-acute and persistent pain in a primary care physiotherapy setting.

    Design: A 10-year follow-up of a two-armed randomised controlled trial, initially including 97 participants.

    Interventions: Tailored behavioural medicine treatment, applied in a physiotherapy context (experimental condition), and exercise-based physiotherapy (control condition). Main measures: Pain-related disability was the primary outcome. The maximum pain intensity, pain control, fear of movement, sickness-related absence (register data) and perceived benefit and confidence in coping with future pain problems were the secondary outcomes.

    Results: Forty-three (44%) participants responded to the follow-up survey, 20 in the tailored behavioural medicine treatment group and 23 in the exercise-based physiotherapy group. The groups did not differ in terms of the change in the scores for the primary outcome (p=0.17) of pain-related disability between the experimental group (median: 2.5, Q1-Q3: -2.5-14.25), and the control group (median: 0, Q1-Q3: -5-6). Further, there were also no significant differences found for the secondary outcomes except for sickness-related absence, where the exercise-based physiotherapy group had more days of sickness-related absence three months before treatment (p= 0.02), and at the 10-year follow-up (p=0.03).

    Discussion: The beneficial effects favouring tailored behavioural medicine treatment that observed post-treatment and at the two-year follow-up were not maintained 10 years after treatment.

  • 46.
    Emilson, Christina
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Demmelmaier, Ingrid
    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.
    Bergman, Stefan
    Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa, Göteborgs universitet.
    Pettersson, Susanne
    Department of Rheumatology, Karolinska university hospital.
    Åsenlöf, Pernilla
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
    Concurrent validity and stability of subgroup assignment based on three levels of pain condition severity in patients with musculoskeletal painIn: Article in journal (Refereed)
    Abstract [en]

    Pain screening instruments have been used to identify risk factors for poor prognosis and are recommended for the stratification of treatment for musculoskeletal pain. The aim of this study was to investigate the concurrent validity of subgroup assignment based on the Örebro Musculoskeletal Pain Screening Questionnaire compared with reference instruments: The Pain Disability Index, the Tampa Scale for Kinesiophobia, and the Pain Catastrophizing Scale. A secondary aim was to investigate the stability of the subgroup assignment over a defined period of time. Participants (n=40) aged 18-65 years were recruited from five primary health care centers in Sweden. Data were collected using self-reported questionnaires. The subgroups based on the Örebro Musculoskeletal Pain Screening Questionnaire were predefined to low, moderate or high pain condition severity. The reference instrument data were dichotomized into low or high level based on previously used cut-off scores. Concurrent validity was analyzed with Fisher´s exact test. Stability was calculated using quadraticweighted kappa analysis. The results indicated acceptable psychometric properties of the subgroup assignment based on the Örebro Musculoskeletal Pain Screening Questionnaire regarding concurrent validity, and the stability over two to three weeks. To further increase validity, it is suggested that subgroup assignment is complemented with other measures assessing e.g. pain catastrophizing. In conclusion, assignment to subgroups with low, moderate and high pain condition severities based on the Örebro Musculoskeletal Pain Screening Questionnaire, could be used as a valid base for stratified treatment for patients with musculoskeletal pain.   

  • 47.
    Emilson, Christina
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.