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  • 1.
    Abrahamsson, Caroline
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Jonsson, Eleonor
    Mälardalen University, School of Health, Care and Social Welfare.
    Samband mellan genetiska faktorer och korsbandsruptur - en litteraturöversikt.2011Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Personer med främre korsbandsruptur utgör en stor patientgrupp för en idrottsverksam sjukgymnast. Skadan är även vanlig hos hundar . Då hund och människa har likartad knäanatomi var det intressant att inkludera båda i samma studie. Alla bakomliggande faktorer till främre korsbandsruptur är inte helt utredda i dagsläget och detta gör det svårt att optimera preventiva åtgärder. En faktor som börjat utredas på senare år är den genetiska, dock inte i någon större utbredning. Syftet med denna uppsats var att sammanställa det aktuella kunskapsläget gällande ett eventuellt samband mellan genetiska faktorer och korsbandsruptur hos människa och hund. Detta studerades i en litteraturstudie, där data framför allt samlades in via vårdvetenskapliga och medicinska databaser. De 15 inkluderade artiklarna analyserades systematiskt genom hela processen och bevisvärde samt evidensstyrka värderades. Resultatet visar att det finns tydliga tecken på ett samband mellan genetiska faktorer och korsbandsruptur för människor. För hundar finns inte något tydligt samband. De granskade studierna visade ej signifikanta samband. Då det saknas studier med högt bevisvärde hos både människa och hund kan inte en stark slutsats dras. Därför behövs vidare forskning för att kunna bekräfta eller utesluta sambandet mellan genetiska faktorer och korsbandsruptur.

  • 2.
    Agnew, L.
    et al.
    University of Queensland, Brisbane, Australia .
    Johnston, V.
    University of Queensland, Brisbane, Australia .
    Ludvigsson, M. L.
    Linköping University, Linköping, Sweden; Rehab Väst, County Council of Östergötland, Sweden.
    Peterson, G.
    Linköping University, Linköping, Sweden; Linköping University, Linköping, Sweden.
    Overmeer, Thomas
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Johansson, G.
    Karolinska Institutet, Stockholm, Sweden.
    Peolsson, A.
    University of Queensland, Brisbane, Australia; Linköping University, Linköping, Sweden.
    Factors associated with work ability in patients with chronic whiplash-associated disorder grade II-III: A cross-sectional analysis2015In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 47, no 6, p. 546-551Article in journal (Refereed)
    Abstract [en]

    Objective: To investigate the factors related to self-perceived work ability in patients with chronic whiplash-associated disorder grades II-III. Design: Cross-sectional analysis. Patients: A total of 166 working age patients with chronic whiplash-associated disorder. Methods: A comprehensive survey collected data on work ability (using the Work Ability Index); demographic, psychosocial, personal, work- and condition-related factors. Forward, stepwise regression modelling was used to assess the factors related to work ability. Results: The proportion of patients in each work ability category were as follows: poor (12.7%); moderate (39.8%); good (38.5%); excellent (9%). Seven factors explained 65% (adjusted R2= 0.65, p < 0.01) of the variance in work ability. In descending order of strength of association, these factors are: greater neck disability due to pain; reduced self-rated health status and health-related quality of life; increased frequency of concentration problems; poor workplace satisfaction; lower self-efficacy for performing daily tasks; and greater work-related stress. Conclusion: Condition-specific and psychosocial factors are associated with self-perceived work ability of individuals with chronic whiplash-associated disorder.

  • 3.
    Akhavan, Sharareh
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Aytar, Osman
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Bogg, Lennart
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Temaledare: Vård på lika villkor – Vad kan vi lära av Lärandeprojektet?2015In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 92, no 2, p. 103-106Article in journal (Other academic)
  • 4.
    Alkenius, Amanda
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Johansson, Josefin
    Mälardalen University, School of Health, Care and Social Welfare.
    "Åldern tar ut sin rätt": En kvalitativ intervjustudie om äldre och fysisk aktivitet2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    The older population is increasing in numbers. Several biopsychosocial factors are assumed to impact the older population’s physical activity level. The physiotherapist works with health promotion for older people primarily by promoting physical activity.

    Aim:

    From a biopsychosocial perspective describe factors that the older population living at home perceive as relevant to their physical activity level. Further to describe how the older population perceive that a physiotherapist can support their physical activity.

    Method:

    A qualitative, semi-structured interview study with an inductive approach was used. A purposive, convenience sampling resulted in five participants ≥80 years. The material was interpreted with qualitative content analysis and sorted into categories and subcategories.

    Result:

    Seven categories emerged for factors influencing the participant’s physical activity level: thoughts and feelings, tiredness/ weakness, bodily limitation, aging, physical environment, everyday demands and social environment. Four categories described how a physiotherapist can support the physical activity of the participants: motivate to physical activity, perform physical activity with a physiotherapist, give suggestions on physical activity and help to improve the physical functional capacity.

    Conclusion:

    The participant’s stories about factors influencing their physical activity level can be linked to the biopsychosocial paradigm. The participants had some difficulties describing how they perceived that a physiotherapist can support their physical activity, but several suggestions emerged. Future research should mainly focus on older people’s perception of how a physiotherapist can support physical activity.

  • 5.
    Andersson, Marita
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Utvärdering av multimodal rehabilitering för patienter med långvarig smärta: En jämförande behandlingsstudie i primärvård2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Långvarig smärta är ett vanligt förekommande problem och bidrar till lidande för den det drabbar, samt för med sig stora kostnader för samhället. Multimodal rehabilitering (MMR) sker i team utifrån ett biopsykosocialt synsätt och är en lämplig rehabiliteringsform för personer med långvarig smärta. Detta betyder att förutom fysiologiska aspekter omfattar behandlingen kognitiva, psykologiska, beteendemässiga och arbetsrelaterade komponenter.

    Syfte: Att utvärdera effekten av MMR för patienter med långvarig smärta inom primärvård avseende upplevd aktivitetsbegränsning, self-efficacy, samt sömnkvalitet.

    Metod: Studien hade en jämförande kvasiexperimentell design. Redan insamlad data via självskattningsformulär från 50 patienter analyserades efter MMR jämfört med före. De mätinstrument som användes var Pain Disability Index, Self-efficacy Scale samt två frågor om sömn.

    Resultat: Patienternas upplevda aktivitetsbegränsning minskade signifikant efter rehabiliteringen och self-efficacy ökade signifikant. Inga skillnader i sömnen kunde ses efter MMR jämfört med före.

    Slutsats: MMR i denna form förbättrade patienternas upplevda aktivitetsbegränsning och ökade self-efficacy, men avseende sömnkvalitet framkom ingen skillnad. För att bättre kunna möta och behandla sömnproblem hos smärtpatienter föreslås förbättringar i innehållet i MMR angående de behandlingsmodaliteter som erbjuds.

  • 6.
    Aremyr, Ann
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Hjärtström, Carina
    Mälardalen University, School of Health, Care and Social Welfare.
    Sjukgymnastik efter cancerbehandling: Utvärdering av behandling för att minska biverkningar2010Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Hand-foot syndrome is a form of perifier sensory neuropathy caused by chemotherapy. The syndrome can cause side effects such as pain, discomfort, numbness, swelling and impaired balance. Evaluated treatment is lacking.

    Purpose: Examine how twelve week physiotherapy treatment short-wave diathermy, interference and balance training affects side effects of the foot/lower leg caused by chemotherapy in seven patients with hand-foot syndrome.

    Method: Study group, quasi-experimental outcome study. Seven patients participated. Variables measured were, pain, discomfort, numbness, and balance. Three measurements were carried out, before, after, and eight weeks after the intervention. Self-reported estimates and the physical measurement were used.

    Results: The group's pain, discomfort and numbness decreased in all measurements. For pain measurement after the intervention and eight weeks after showed significance (p = 0,027),(p = 0,042). Discomfort showed significance after the intervention (p = 0,018). Numbness showed no significance. Balance showed significance in: Sharpened Romberg, left, eyes closed, eight weeks after intervention (p = 0,043). Sharpened Romberg, left, eyes closed, after the intervention (p = 0,027), eight weeks after intervention (p = 0,028). Standing on one leg, the right, eyes closed, after the intervention (p = 0,042), eight weeks after intervention(p = 0,027). No measurements showed deterioration.

    Conclusion: The results showed that treatment with short-wave diathermy, interference and balance training reduced pain, discomfort, numbness and partial improvements in balance in hand-foot syndrome. However, it is not possible to demonstrate which treatment component that affected the most. Further studies are needed to produce results more valid.

  • 7.
    Arkkukangas, Marina
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Evaluation of the Otago Exercise Programme with or without motivational interviewing: Feasibility, experiences, effects and adherence among older community-dwelling people2017Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Falls and injuries related to falls are one of the most common health problems among older people and are becoming increasingly more frequent. Regular exercise has been identified as one of the most effective fall-prevention activities for older people; however, awareness of the impact of exercise programmes and adherence to recommended exercise among the elderly population is generally low. Research examining how an exercise programme is administered to and experienced by elderly community-dwelling people is needed.

    The overall aim of this thesis was to investigate the feasibility, experiences and effects of and adherence to the fall-preventive Otago Exercise Programme (OEP) with or without motivational interviewing (MI) among community-dwelling people aged 75 years or older.

    Four studies were performed from October 2012 to May 2016 in a sample of 175 people. Both quantitative and qualitative research methods were used. The methods included the feasibility for conducting a randomized controlled trial (RCT) (I), individual face-to-face interviews (II), an RCT (III) and a prospective cohort study (IV). The intervention was given to two groups. The participants who received OEP with or without MI were compared with a control group that received standard care.

    The feasibility of performing an exercise intervention with or without MI was acceptable from the perspective of the participating physiotherapists. From the perspective of the older participants performing the exercise with behavioural change support, the inclusion of monitored exercises in everyday life and daily routines was important. The participants also expressed experiencing more strength, improved physical functioning and greater hope for an extended active life during old age.

    From the short-term perspective, there were significant improvements within the OEP combined with MI group in terms of physical performance, fall self-efficacy, activity level, and handgrip strength. Improved physical performance and fall self-efficacy were also found within the control group; however, corresponding differences did not occur in the OEP group without MI. There were no significant differences between the study groups after 12 weeks of regular exercise. Adherence to the exercises in the pooled exercise group was 81% at the 12-week follow-up.

    At the 52-week follow-up, the behavioural factors being physically active and obtaining behavioural support in terms of MI had a significant association with adherence to the exercise programme.

    These studies provide some support for the combination of OEP with MI as the addition of MI was valuable for achieving adherence to the exercise programme over time in older community-dwelling people.

     

  • 8.
    Arkkukangas, Marina
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sundler, Annelie
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Eriksson, Staffan
    Johansson, Ann Christin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Older persons’ experiences of a home-based exercise programme with behavioural 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 wellbeing in older persons.

    Purpose: This descriptive study used a qualitative inductive approach to describe older persons’ experiences of a fall-preventive, home-based exercise programme with support for behavioural change.

    Methods: Semi-structured interviews were conducted with twelve older 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, home-based exercise can be adapted to individual circumstances in a meaningful way. By 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.

  • 9.
    Arkkukangas, Marina
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Eriksson, Staffan
    Johansson, Ann-Christin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    One- year adherence to the Otago Exercise Programme with or without motivational interviewing in older peopleManuscript (preprint) (Other academic)
  • 10.
    Aytar, Osman
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Att utvärdera med processtänkande för lärande2015In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 92, no 2, p. 162-175Article in journal (Refereed)
    Abstract [en]

    Change-projects can be evaluated in different ways. One of the ways is to evaluate with process thinking, which means that evaluators are involved in the process from the very beginning. Involvement of evaluators already in the beginning of a project can mean several challenges for both the project itself and the evaluators. This study is about describing and analyzing how and with what results the perspective of process thinking on evaluation of the national learning project Care on equal terms was used. The results indicate, among other things, that it was a good choice to bring in evaluation perspective at the beginning of the project. Process thinking has, among other things, contributed to the activities throughout the project, and played a role in learning from and implementation of the project itself.

  • 11.
    Baranowska, Marta
    Mälardalen University, School of Health, Care and Social Welfare.
    UTVÄRDERING AV HÖFTLEDSARTROSKOPI FÖR PATIENTER MED FEMUROACETABULÄRT INKLÄMNINGSSYNDROM: Samband mellan självskattning och fysisk prestationsförmåga2013Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 12.
    Barrdahl, Hanna
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Johansson, Sandra
    Mälardalen University, School of Health, Care and Social Welfare.
    FYSIOTERAPEUTERS UPPLEVELSE AV SIN YRKESROLL INOM DEMENSVÅRD2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Befolkningen blir äldre och antalet som lever med en demenssjukdom ökar.

    Fysioterapeuten kan bidra med sin kompetens och vara en del av ett multiprofessionellt team

    i vården av personer med demenssjukdom, en patientgrupp som av andra professioner

    upplevs som utmanande.

    Syfte: Syftet med uppsatsen är att undersöka fysioterapeuters upplevelse av sin yrkesroll

    inom vård av personer med demenssjukdom.

    Metod: En kvalitativ design med induktiv ansats användes. Data samlades in genom

    semistrukturerade intervjuer med sex fysioterapeuter som arbetade med personer med

    demenssjukdom, sedan utfördes en kvalitativ innehållsanalys på materialet.

    Resultat: Den kvalitativa innehållsanalysen resulterande i sex kategorier som sedan

    skapade två olika teman: “problemlösare för rehabiliteringsbeteende mot en ökad

    livskvalitet” och “kompetens, ett öppet sinne och samverkan ligger till grund för arbetet”.

    Slutsats: Fysioterapeuterna upplevde sin yrkesroll som viktig inom vården av personer med

    demenssjukdom samt att arbetet ofta är utmanande, men de upplevde att det behövdes

    större möjlighet till vidareutbildning inom området. Fysioterapeuterna ansåg att det var

    viktigt med bemötandet mot patienterna samt att ha ett samarbete med andra professioner.

    Studieförfattarna anser att fler studier behövs inom området, då med fokus på de hinder som

    finns i samarbetet med andra professioner.

    Nyckelord: Fysioterapi, hälso- och sjukvårdpersonal, kvalitativ forskning,

    neurodegenerativa sjukdomar

  • 13.
    Berggren, Emelie
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Larsson, Maria
    Mälardalen University, School of Health, Care and Social Welfare.
    Individuellt anpassat träningsprogram och/ eller gångträning i Syfte att utveckla gångförmågan hos äldre2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:  Since the population is aging the decrease in muscle function and balance impairments leads to increased disable. Which has a negative impact on walking ability, though through functional training, by training muscle strength and balance can enhance walking ability in elderly.

    Aim: The purpose of the study is to investigate how elderly people walking ability, self-efficacy and any anxiety about going, influenced by two different eight-week interventions within municipal operations, and how adherence to exercise is influenced by self-efficacy and anxiety.

    Method: The study design is an experimental variant of the pretest-posttest control group design. Nineteen participants’ ≥65 years recruited consecutively through selection. Test results from TUG, self-selected walking speed, and estimates on anxiety and self-efficacy before going was collected.

    Result: No significant difference (p>0, 05) occurred between or within groups for the test variables. The correlation analysis showed none, low, moderate correlation, both positive and negative but no significant correlations was observed.

    Conclusion: The results of the study can’t be generalized to a larger population, but can be the basis for further studies with a larger sample to be randomized on the basis of population.  More studies are needed to investigate if only walking exercise is effective for developing the walking ability.

  • 14.
    Bergman, Oskar
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Vinsander, Erik
    Mälardalen University, School of Health, Care and Social Welfare.
    Hållningens betydelse för muskelaktiviteten i övre trapezius med armarna i tre olika positioner2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Det förekommer hållningsmönster som kan leda till problem från nacke och axlar. Ett hållningsmönster med hög muskelaktivitet i övre trapezius (ÖT) är ofta förknippat med nack- och skuldersmärta. Därför var det relevant att göra en experimentell hållningskorrigeringsstudie för att studera eventuella förändringar i muskelaktiviteten i ÖT. Syftet med studien var att undersöka om en korrigering av axlarnas position har betydelse för muskelaktiviteten i ÖT när armarna hålls i tre olika positioner framför kroppen, samt beskriva muskelaktiviteten i dessa positioner. Tio personer med hopsjunken hållning och nack- eller axelproblem deltog i studien. Muskelaktiviteten i ÖT mättes med elektromyografi i tre olika positioner före och efter en korrigeringsintervention. En signifikant minskning (p<0,05) av muskelaktiviteten i ÖT registrerades för respektive position efter hållningskorrigeringen. Det fanns individuella skillnader i muskelaktiviteten i ÖT hos försökspersonerna och korrigeringseffekten för muskelaktiviteten i ÖT varierade beroende på position. Resultatet pekar på att hållningskorrigering är procentuellt sett effektivare i en armposition med låg muskelaktivitet än i en position med hög muskelaktivitet. Däremot ger en korrigering i en position med hög muskelaktivitet större reell minskning av muskelaktiviteten än i en position med låg muskelaktivitet. Vidare kunde ses att vissa individer kan vara mer mottagliga för hållningskorrigeringen än andra.

  • 15.
    Beskow, Hanna
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Larsson, Elinor
    Mälardalen University, School of Health, Care and Social Welfare.
    Undersköterskors erfarenhet av delaktighet i rehabilitering inom slutenvård2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Rehabilitation within hospital care involves teamwork between assistant nurses and physiotherapists. Assistant nurses have an important role in rehabilitation but there is a lack of research regarding their perceptions of their role.

    Aim: To investigate the assistant nurses’ experiences of participation in physiotherapy rehabilitation of patients in hospital care.

    Method: A qualitative design with inductive approach was used. The data was collected through semi-structured group interviews with assistant nurses and the material was analysed using qualitative content analysis.

    Result: The analysis resulted in five categories which became two themes, Good self-confidence and feeling of being important in the rehabilitation and Collaboration regarding the rehabilitation is affected by the individuals and the environment.

    Discussion: The assistant nurses’ perceptions of their participation is affected by consequences, individuals, behaviour and environment which is confirmed by the social cognitive theory and the operant conditioning theory.

    Conclusions: The assistant nurses experience participation in the rehabilitation because they are engaged, actively involved and feel useful. A weakness in their participation is insufficient communication about the rehabilitation. The authors consider that a replication of the study and more research on assistant nurses’ perceptions and the usefulness of their work are required.

    Keywords: nursing staff, physiotherapy, social cognitive theory, qualitative research

  • 16.
    Boman, Cecilia
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Hanna, Dalina
    Mälardalen University, School of Health, Care and Social Welfare.
    Fysioterapeuters och användares erfarenheter av Hälsoapplikationer2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Applikationer för mobiltelefoner kan användas för understödjande av fysisk aktivitet och träning. En hälsorelaterad applikation med funktioner som kartläggning eller feedback och påminnelse kan användas för att främja fysisk aktivitet och träning men också fungera som ett arbetsverktyg för fysioterapeuter för samma syfte.

     

    Syfte: Syftet med studien är att undersöka fysioterapeuters och användares erfarenheter av att använda hälsofrämjande applikationer för fysisk aktivitet och träning.

     

    Metod: Studien genomfördes med en kvalitativ design i form av en intervjustudie med en induktiv ansats. Urvalet bestod av tre fysioterapeuter och tre användare där analysen av data genomfördes med en kvalitativ innehållsanalys.

     

    Resultat: Intervjuerna resulterade i fem kategorier och 13 underkategorier berörande fysioterapeuter och användares erfarenheter av användandet applikationer för fysisk aktivitet och träning Kategorierna blev: applikationen ger feedback, applikationen underlättar kartläggning, känslomässiga reaktioner av applikationen, upplevda hinder med applikationen för en beteendeförändring och ökad motivation för fysisk träning och aktivitet.

     

    Slutsatser: Deltagarna i studien var överlag positiva till användandet av applikationer. Deltagarnas erfarenheter av applikationer pekar på att applikationer fungerar som ett bra hjälpmedel för att främja fysisk aktivitet och träning, samt fungerar också som ett hälsofrämjande arbetsverktyg för fysioterapeuter. Resultatet visade också på stress och frustration vid ouppnådda hälsomål.

     

    Nyckelord: Applikationer, ehälsa, fysioterapi, fysisk aktivitet, hälsofrämjande

  • 17.
    Borg, S.
    et al.
    Linköping University, Sweden.
    Öberg, B.
    Linköping University, Sweden.
    Nilsson, L.
    Linköping University, Sweden.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Bäck, M.
    Linköping University, Sweden.
    The role of a behavioural medicine intervention in physiotherapy for the effects of rehabilitation outcomes in exercise-based cardiac rehabilitation (ECRA) - the study protocol of a randomised, controlled trial2017In: BMC Cardiovascular Disorders, ISSN 1471-2261, E-ISSN 1471-2261, Vol. 17, no 1, article id 134Article in journal (Refereed)
    Abstract [en]

    Background: To help patients with coronary artery disease (CAD) benefit from the positive health effects attained by exercise-based cardiac rehabilitation (CR), adherence to these programmes according to international guidelines is important. Strategies to increase adherence to exercise-based CR are mainly an unexplored area. The objective of this study is to investigate the effects of a behavioural medicine intervention in physiotherapy, containing goal-setting, self-monitoring and feedback, with the aim of improving rehabilitation outcomes for exercise-based CR, compared with usual care. Methods: This is a randomised, controlled trial. A total of 160 patients with CAD will be included consecutively at the Coronary Care Unit at a university hospital in Sweden. Patients are randomised 1:1 using sealed envelopes to usual care or a behavioural medicine intervention in physiotherapy, in addition to usual care for 4 months. Outcome assessment at baseline, 4 and 12 months includes submaximal aerobic capacity (primary outcome), exercise adherence, muscle endurance, level of physical activity, biomarkers, anxiety and depression, health-related quality of life, patient enablement and self-efficacy (secondary outcomes). Discussion: This is the first study to evaluate the role of an integrated behavioural medicine intervention in exercise-based CR in the effects of rehabilitation outcomes. The results of this study will provide valuable information about the effect of these interventions in exercise-based CR and it has the potential to inform and assist in further treatment in secondary prevention for patients with CAD. Trial registration: The study include all items from the World Health Organization Trial Registration Data Set. Trial registration number: NCT02895451, 2016-08-16, retrospectively registered. 

  • 18.
    Bring, Annika
    et al.
    Uppsala University.
    Bring, Johan
    University of Gävle.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Wasteson, Elisabeth
    Mid Sweden University.
    Åsenlöf, Pernilla
    Uppsala University.
    Coping patterns and their relation to daily activity, worries, depressive mood, and pain intensity in acute Whiplash Associated Disorders2013In: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 20, no 2, p. 293-303Article in journal (Refereed)
    Abstract [en]

    BACKGROUND:

    There is a lack of knowledge regarding how individuals with acute whiplash-associated disorders (WAD) appraise and cope with situation-specific stressors.

    PURPOSE:

    The aim of the study was to describe the daily process of coping reported in a daily coping assessment by individuals with acute WAD within 1 month after the accident. More specifically, profiles of coping strategies were identified and patterns between stressors, primary and secondary appraisals, and coping strategy profiles were described in relation to reported level of activity, worries, depressed mood and pain intensity during the day.

    METHOD:

    A descriptive and exploratory design was applied. Two hundred and twenty-nine whiplash-associated disorders-daily coping assessment (WAD-DCA) collected during seven consecutive days from 51 participants with acute WAD in Sweden, were included. Cluster analysis was used to obtain coping strategy profiles and data were graphically visualised as patterns through the coping process.

    RESULTS:

    When measuring coping as a daily process relating to the specific stressful situation, different coping process patterns appeared. During days with a high degree of physical and mental well-being, high self-efficacy beliefs seemed to be working as an important secondary appraisal, whereas during days with a low degree of physical and mental well-being primary appraisals of the stressor as a threat and catastrophic thoughts were present in the coping process.

    CONCLUSIONS:

    Early identification of situational- and individual-specific stressors, appraisals and coping efforts as measured by the WAD-DCA may contribute to the understanding of the coping process in the acute stage of WAD and its possible impact on recovery and adjustment.

  • 19.
    Bring, Annika
    et al.
    Uppsala University, Sweden.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Wasteson, Elisabeth
    Mid Sweden University, Sweden.
    Åsenlöf, Pernilla
    Uppsala University, Sweden.
    Daily stressors in patients with acute Whiplash Associated Disorders2012In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 34, no 21, p. 1783-1789Article in journal (Refereed)
    Abstract [en]

    Purpose: Stressors in acute whiplash associated disorders (WAD), as reported on a daily basis, have hitherto been neglected in research. The primary aim of this study was to describe the most stressful daily situation or event reported by individuals with acute WAD within a month of a whiplash trauma. Another aim was to describe the meaning and significance of these daily stressors, i.e. primary appraisal. Method: A descriptive design with a content analysis approach was used. 260 WAD-daily coping assessments (WAD-DCA) generated during 1 week by 51 participants with acute WAD were included in the study. Stressors were analysed using qualitative content analysis. Results: The reported stressors generated 13 categories covering a wide range of stressful situations in daily life related to (i) work, (ii) physical symptoms, (iii) feelings and cognitions, (iv) family and home responsibilities and (v) recreation. The majority of the stressors were appraised as "expected" as well as "disabling". Most threatening stressors were related to work, driving and feelings/cognitions. Conclusions: The wide variety of stressors indicates that it is not only pain itself that influences daily life in acute WAD. Early identification of individual and situation-specific stressors gives new data regarding what bothers individuals suffering from WAD after a collision and may be helpful in understanding the coping process in relation to specific stressors and stressor appraisals

  • 20.
    Bring, Annika
    et al.
    Uppsala university, Sweden.
    Åsenlöf, Pernilla
    Uppsala university, Sweden.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Comparison of different treatment approaches after acute WAD – Standard-treatment compared to behavioural medicine interventions: A randomized group study2010In: European Journal of Pain, ISSN 1090-3801, E-ISSN 1532-2149, Vol. 13, no S1, p. S265-Article in journal (Refereed)
  • 21.
    Bring, Annika
    et al.
    Uppsala University, Uppsala, Sweden.
    Åsenlöf, Pernilla
    Uppsala University, Uppsala, Sweden.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    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 trial.2016Conference paper (Refereed)
  • 22.
    Bring, Annika
    et al.
    Uppsala Universitet, Sweden.
    Åsenlöf, Pernilla
    Uppsala Universitet, Sweden.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    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. 30, no 5, p. 187-188, article id Meeting Abstract: O579Article in journal (Refereed)
  • 23.
    Bring, Annika
    et al.
    Uppsala Universitet, Sweden.
    Åsenlöf, Pernilla
    Uppsala Universitet, Sweden.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    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 trial2015In: 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.

  • 24.
    Bäck, Philip
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Lindkvist, Sebastian
    Mälardalen University, School of Health, Care and Social Welfare.
    Patienters tolkning av postoperativa restriktioner inför elektiv total höftplastik: En kvalitativ intervjustudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 25.
    Cederbom, S.
    et al.
    Oslo and Akershus University College of Applied Sciences, Oslo, Norway.
    Denison, Eva
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Bergland, A.
    Oslo and Akershus University College of Applied Sciences, Oslo, Norway.
    A behavioral medicine intervention for community-dwelling older adults with chronic musculoskeletal pain: Protocol for a randomized controlled trial2017In: Journal of Pain Research, ISSN 1178-7090, E-ISSN 1178-7090, Vol. 10, p. 845-853Article in journal (Refereed)
    Abstract [en]

    Background: Chronic musculoskeletal pain is a major health problem among older adults, particularly those who live alone and/or those who are dependent on formal care. Chronic pain is associated with mobility problems, falls, fear of falling, catastrophizing thoughts, and a lower quality of life. Research shows that physical therapy interventions based on behavioral medicine approaches are beneficial for middle-aged adults with chronic pain. However, there appears to be no previous randomized controlled trials (RCTs) based on this theoretical framework that have examined the effect on older adults with chronic musculoskeletal pain who live alone at home and are dependent on formal care to manage their everyday lives. The aim of the planned study is to evaluate the effect of an individually tailored integrated physical therapy intervention based on a behavioral medicine approach compared with the effect of standard care. Methods/design: The planned study is an RCT that will include one intervention and one control group involving a total of 150 adults aged ≥75 years with chronic musculoskeletal pain who live alone at home and are dependent on formal care to manage their everyday lives. The intervention will involve a 12-week home-based individually tailored intervention that will be designed to enhance the participants’ ability to perform everyday activities by improving physical function and reducing pain-related disability and beliefs. The control group will be given standard care, including general advice about physical activity. The participants will be assessed at baseline and at 3 and 6 months after baseline. The primary outcome will be pain-related disability and physical performance. Discussion: The intervention, if effective, will have the potential to be the basis of the first evidence-based guidelines for physical therapists who work with older adults with chronic musculoskeletal pain. 

  • 26.
    Cederbom, Sara
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Karolinska Institutet, Huddinge, Sweden; The Unit for Rehabilitation in the municipality of Eskilstuna, Sweden.
    Thunborg, Charlotta
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Denison, Eva
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    von Heideken Wågert, Petra
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Home Help Service Staffs' Descriptions of Their Role in Promoting Everyday Activities Among Older People in Sweden Who Are Dependent on Formal Care.2017In: Journal of Applied Gerontology, ISSN 0733-4648, E-ISSN 1552-4523, Vol. 36, no 8, p. 971-992Article in journal (Refereed)
    Abstract [en]

    The study aimed to explore how home help service staff described their role in improving the abilities of older people, in particular, older women with chronic pain who are dependent on formal care, to perform everyday activities. Three focus group interviews were conducted, and a qualitative inductive thematic content analysis was used. The analysis resulted in one theme: struggling to improve the care recipients' opportunities for independence but being inhibited by complex environmental factors. By encouraging the care recipients to perform everyday activities, the staff perceived themselves to both maintain and improve their care recipients' independence and quality of life. An important goal for society and health care professionals is to improve older people's abilities to "age in place" and to enable them to age independently while maintaining their quality of life. A key resource is home help service staff, and this resource should be utilized in the best possible way.

  • 27.
    Danarp, Anna
    Mälardalen University, School of Health, Care and Social Welfare.
    UPPLEVELSER AV FYSISK TRÄNING PÅ FRISKVÅRDSANLÄGGNING VID REUMATOID ARTRIT: En kvalitativ intervjustudie2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Reumatoid artrit (RA) visar sig främst genom ledinflammationer, med symtom

    som smärta, nedsatt funktion och sjukdomsrelaterad trötthet. Samsjuklighet i hjärt- och

    kärlsjukdomar och osteoporos är stor. Många personer med RA kommer inte upp i nivån för

    hälsofrämjande fysisk aktivitet. Studier visar dock att fysisk träning inte ökar

    sjukdomsaktivitet hos personer med RA.

    Syfte: Syftet med studien var att undersöka vilka upplevelser personer med RA har av

    träning på friskvårdsanläggning. Vidare var syftet att undersöka hur dessa personer upplever

    träningens inverkan på den egna hälsan.

    Metod: En kvalitativ intervjustudie med induktiv ansats genomfördes. Sex kvinnor och en

    man intervjuades. Analys utfördes med kvalitativ innehållsanalys.

    Resultat: Två domäner skapades: ”Upplevelser av träning på friskvårdsanläggning” och

    ”Upplevelser av träningens inverkan på den egna hälsan”. Temana var ”Faktorer som

    underlättar träning på friskvårdsanläggning”, ”Faktorer som hanteras vid träning på

    friskvårdsanläggning”, ”Faktorer som hindrar träning på friskvårdsanläggning”, ”Positiv

    upplevelse under och direkt efter träning på friskvårdsanläggning” samt ”Ökat välbefinnande

    och önskemål om ytterligare träning”.

    Slutsatser: Framträdande är deltagarnas förmåga att anpassa träningen på

    friskvårdsanläggning utefter sjukdomens effekter och att de upplever hög self-efficacy för

    detta. Att som fysioterapeut lära en person med RA att självreglera via anpassningar under

    träningen är viktigt för att personen ska få en positiv upplevelse av träningen.

    Nyckelord: inflammatorisk ledsjukdom, fysisk aktivitet, hälsocentra, self-efficacy,

    självreglering, kvalitativ innehållsanalys

  • 28.
    de Flon-Forsberg, Pernilla
    Mälardalen University, School of Health, Care and Social Welfare.
    Assisterad patientförflyttning: Attityder och erfarenheter kopplat till belastningsskador, hos vårdpersonal på operationsavdelning.2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 29.
    Dean, Elizabeth
    et al.
    University of British Columbia.
    Nordgren, Lena
    Centre for Clinical Research in Sörmland, Sörmland County Council, Eskilstuna, Sweden.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    An Exploration of the Scientific Writing Experience of Non-native English-speaking Doctoral Supervisors and Students Using a Phenomemographic Approach2015In: Journal of Biomedical Education, ISSN 2314-5021, article id 542781Article in journal (Refereed)
    Abstract [en]

    Nonnative English-speaking scholars and trainees are increasingly submitting their work to English journals. The study’s aim was to describe their experiences regarding scientific writing in English using a qualitative phenomenographic approach. Two focus groups (5 doctoral supervisors and 13 students) were conducted. Participants were nonnative English-speakers in a Swedish health sciences faculty. Group discussion focused on scientific writing in English, specifically, rewards, challenges, facilitators, and barriers. Participants were asked about their needs for related educational supports. Inductive phenomenographic analysis included extraction of referential (phenomenon as a whole) and structural (phenomenon parts) aspects of the transcription data. Doctoral supervisors and students viewed English scientific writing as challenging but worthwhile. Both groups viewed mastering English scientific writing as necessary but each struggles with the process differently. Supervisors viewed it as a long-term professional responsibility (generating knowledge, networking, and promotion eligibility). Alternatively, doctoral students viewed its importance in the short term (learning publication skills). Both groups acknowledged they would benefit from personalized feedback on writing style/format, but in distinct ways. Nonnative English-speaking doctoral supervisors and students in Sweden may benefit from on-going writing educational supports. Editors/reviewers need to increase awareness of the challenges of international contributors and maximize the formative constructiveness of their reviews.

  • 30. Dean, Elizabeth
    et al.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Komplekse problemstillinger. (Principles for Management of the Patient with Complex Co-morbidity).2017In: Basisbog i Fysioterapi / [ed] Lund, H., Bjørnlund, I.B., Sjöberg, N.E., Copenhagen: Munksgaard Forlag, 2017, 2Chapter in book (Other academic)
  • 31. Dean, Elizabeth
    et al.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Lifestyle and musculoskeletal health.2015In: Grieve’s Modern Musculoskeletal Physiotherapy. / [ed] GA. Jull, A. Morre, D. Falla, J. Lewis, C. McGarthy, M. Sterling, London: Elsevier, 2015, 4, p. 117-125Chapter in book (Other academic)
  • 32. Dean, Elizabeth
    et al.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Role of physiotherapy in lifestyle and health promotion in musculoskeletal conditions2015In: Grieve’s Modern Musculoskeletal Physiotherapy / [ed] GA. Jull, A. Morre, D. Falla, J. Lewis, C. McGarthy, M. Sterling, London: Elsevier, 2015, 4, p. 364-378Chapter in book (Other academic)
  • 33.
    Ekström, Arvid
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Nyström, Per-Henrik
    Mälardalen University, School of Health, Care and Social Welfare.
    PATIENTERS UPPLEVELSE AVDELAKTIGHET VID NYBESÖK HOS FYSIOTERAPEUT INOM PRIMÄRVÅRD: En kvalitativ intervjustudie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    SAMMANFATTNING

    Bakgrund: Att vårdgivaren ska gör patienten delaktig är något som är lagstadgat ochefterfrågas från patienten. För fysioterapeuten är det till stor vinst om patienten kanengageras i sin behandling.Syfte: Syftet med studien var att utifrån ett beteendemedicinskt perspektiv, med densocialkognitiva teorin som referensram, beskriva patienters upplevelse av delaktighet imötet med fysioterapeut vid nybesök inom primärvård.

    Metod: Sex patienter rekryterades som varit på nybesök hos fysioterapeut.Semistrukturella intervjuer genomfördes och materialet analyserades med kvalitativinnehållsanalys.

    Resultat: De deltagande patienterna hade olika syn på begreppet delaktighet och vadsom påverkade deras upplevelse. Fysioterapeutens förmåga att få patienten delaktigbetonades men även patientens egen roll, tidigare erfarenheter och samspelet mellanpatient och fysioterapeut.

    Diskussion: Resultatet tolkades utifrån social kognitiv teori. Patientens delaktighetbetraktades som ett beteende och patientens upplevelse av sin delaktighet som enkonsekvens av detta beteende. Patientens upplevelse av delaktighet påverkades avomgivningen och individfaktorer.

    Slutsats: Fysioterapeuten var central i deltagarnas upplevelse av delaktighet men äventidsaspekter var avgörande. Deltagarna använde sina tidigare erfarenheter och förväntningarinför besöket som referenspunkt för hur de bedömde besöket.

  • 34.
    Eleonor, Jonsson
    Mälardalen University, School of Health, Care and Social Welfare.
    Fysioterapeuters och patienters uppfattning om målsättning för postoperativ rehabilitering vid knäplastikoperation: En kvalitativ intervjustudie2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 35.
    Elvén, Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Dean, Elizabeth
    Univ British Columbia, Canada.
    Factors influencing physical therapists' clinical reasoning: qualitative systematic review and meta-synthesis2017In: Physical Therapy Reviews, ISSN 1083-3196, E-ISSN 1743-288X, Vol. 22, no 1-2, p. 60-75Article in journal (Refereed)
    Abstract [en]

    Background: The capacity of physical therapists to reason effectively in patient management is essential to maximizing outcomes. Although conceptual frameworks of clinical reasoning exist, their theoretical foundations are insufficiently validated to establish those factors that are paramount in guiding physical therapists' clinical reasoning. Studies on how physical therapists clinically reason constitute important means of identifying constructs of such reasoning. Objective: This systematic review aimed to synthesize and interpret the findings of qualitative studies designed to examine factors that are inherent in physical therapists' clinical reasoning with respect to their knowledge, experiences, and practices. Methods: Searches of studies were carried out in four databases, gray literature, and reference lists. Two reviewers independently assessed methodological quality of the studies using the Critical Appraisal Skills Program (CASP) and performed the analysis: extraction and comparative appraisal of findings, identification of themes, reciprocal translation synthesis, and identification of categories and subcategories. Results: Ten studies were included. Four themes of factors influencing physical therapists' clinical reasoning emerged, namely, Physical therapist as a source, Patient as a source, Elements of the reasoning process, and Context. Conclusions: The identified themes validated some constructs underlying existing clinical reasoning frameworks. Most influencing factors were related to the physical therapist, which highlights opportunities to improve effective reasoning at this level. The notion that this process is recurrent, multifaceted, and contextual lends itself to changing in accordance with the needs of the patient, consistent with a biopsychosocial perspective. How clinicians weigh biomedical and psychosocial elements in their reasoning however warrants further study.

  • 36.
    Elvén, Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Hochwälder, Jacek
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Dean, Elizabeth
    University of British Columbia, Canada .
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    A clinical reasoning model focused on clients’ behaviour change with reference to physiotherapists: Its multiphase development and validation2014In: Abstract book. The International Conference on Health and Social Welfare and Coproduction. Mälardalen University, Eskilstuna, Sweden. 9-10 sept 2014, 2014Conference paper (Refereed)
  • 37.
    Elvén, Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Hochwälder, Jacek
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Dean, Elizabeth
    University of British Columbia, Canada .
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    A clinical reasoning model focused on clients’ behaviour change with reference to physiotherapists: Its multiphase development and validation2015In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 31, no 4, p. 231-243Article in journal (Refereed)
    Abstract [en]

    Background and purpose: A biopsychosocial approach and behaviour change strategies have long been proposed to serve as a basis for addressing current multifaceted health problems. This emphasis has implications for clinical reasoning of health professionals. This study's aim was to develop and validate a conceptual model to guide physiotherapists' clinical reasoning focused on clients' behaviour change. Methods: Phase 1 consisted of the exploration of existing research and the research team's experiences and knowledge. Phases 2a and 2b consisted of validation and refinement of the model based on input from physiotherapy students in two focus groups (n=5 per group) and from experts in behavioural medicine (n=9). Results: Phase 1 generated theoretical and evidence bases for the first version of a model. Phases 2a and 2b established the validity and value of the model. The final model described clinical reasoning focused on clients' behaviour change as a cognitive, reflective, collaborative and iterative process with multiple interrelated levels that included input from the client and physiotherapist, a functional behavioural analysis of the activity-related target behaviour and the selection of strategies for behaviour change. Conclusions: This unique model, theory- and evidence-informed, has been developed to help physiotherapists to apply clinical reasoning systematically in the process of behaviour change with their clients. 

  • 38.
    Elvén, Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Hochwälder, Jacek
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Dean, Elizabeth
    University of British Columbia, Canada .
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Development of a model of Clinical Reasoning with focus on patients’ Activity-related Behaviour and Behaviour change.2013In: Abstrakt bok. Sjukgymnastdagarna 2-4 oktober 2013, 2013, p. 110-111Conference paper (Refereed)
  • 39.
    Elvén, Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Hochwälder, Jacek
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Dean, Elizabeth
    University of British Columbia, Canada .
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Development of a tool for assessing physiotherapy students’ clinical reasoning with focus on patients’ behavioural change2013In: Nordic Advances in Health Care Sciences Research. November 13-14 2013 in Lund. Abstract book, 2013, p. 13-13Conference paper (Refereed)
  • 40.
    Eng, Marcus
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Henriksson, Daniel
    Mälardalen University, School of Health, Care and Social Welfare.
    Jämförande av Genesis Single och kliniska test: Muskelstyrka hos individer med tidigare ACL-skada2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Physiotherapy measurements of muscle strength are used to evaluate and plan rehabilitation. Isokinetic dynamometers and one repetition maximum (1RM) are two common methods for measuring muscle strength. After an injury to the anterior cruciate ligament (ACL) there is a muscle atrophy of the mm. quadriceps and the hamstring musculature among others and it is therefore important to evaluate these muscles. Genesis Single is a new exercise and evaluation machine for which no previous studies have been done to. The purpose of this study was to compare tests for maximum muscle strength of the lower extremity performed with maximal isokinetic contraction in Genesis Single and 1RM in David 200/300 for individuals with previous ACL injury. In this study, eleven people with  a previous ACL injury participated. The participants performed tests for maximum strength in knee extensors and knee flexors by 1RM in David 200/300 and through a maximum isokinetic contraction in Genesis Single. No correlation was seen between the two methods regarding side differences between the right and left leg. The results of the maximum value of the Genesis Single and 1RM in David 200/300 showed a low correlation. Because of the low number of participants, it was difficult to draw any conclusions from the study. More research is needed to evaluate the Genesis Single where standardization and stabilization are two important factors to take into consideration.

     

  • 41.
    Engh, L
    et al.
    Ortopedic Clinic, Falu Hospital, Falun, Sweden .
    Fall, M
    St. Görans Hospital, Stockholm, Sweden.
    Hennig, M
    Uppsala University, Uppsala, Sweden.
    Söderlund, Anne
    Uppsala University, Uppsala, Sweden.
    Intra- and inter-rater reliability of goniometric method of measuring head posture2003In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 19, no 3, p. 175-182Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to investigate the intra- and inter-rater reliability of a method aimed to measure the head position relative to shoulders with a universal goniometer. The subjects included 31 healthy individuals with mean age 31.5 years. To examine intra-rater reliability, two assistants carried out the measurements on two occasions with an interval of eight days. To examine inter-rater reliability, four assistants carried out the measurements. The intraclass correlation coefficient (ICC based on one factor repeated measures ANOVA) was 0.91 for the first assistantand 0.94 for the second. No significant difference was evident between the two assessment occasions for the two assistants. ICC was also used to estimate the inter-rater reliability of the four assistants' measurements and was 0.95. The mean difference between the four assistants' reading varied from 0.1 to 1.6 degrees. It was concluded that the measurement of head position relative to shoulders with a goniometer is a reliable method. However, standardisation of method is important to get reliable measurement results in this method, as it is in any measurement method.

  • 42.
    Engquist, Markus
    et al.
    Ryhov Hosp, Jönköping, Sweden..
    Lofgren, Hakan
    Ryhov Hosp, Jönköping, Sweden..
    Oberg, Birgitta
    Linköping Univ, Linköping, Sweden..
    Holtz, Anders
    Univ Uppsala Hosp, Uppsala, Sweden..
    Peolsson, Anneli
    Linköping Univ, Linköping, Sweden..
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Vavruch, Ludek
    Ryhov Hosp, Jönköping, Sweden..
    Lind, Bengt
    Univ Gothenburg, Gothenburg, Sweden..
    A 5-to 8-year randomized study on the treatment of cervical radiculopathy: anterior cervical decompression and fusion plus physiotherapy versus physiotherapy alone2017In: JOURNAL OF NEUROSURGERY-SPINE, ISSN 1547-5654, Vol. 26, no 1, p. 19-27Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE The aim of this study was to evaluate the 5- to 8-year outcome of anterior cervical decompression and fusion (ACDF) combined with a structured physiotherapy program as compared with that following the same physiotherapy program alone in patients with cervical radiculopathy. No previous prospective randomized studies with a follow-up of more than 2 years have compared outcomes of surgical versus nonsurgical intervention for cervical radiculopathy. METHODS Fifty-nine patients were randomized to ACDF surgery with postoperative physiotherapy (30 patients) or to structured physiotherapy alone (29 patients). The physiotherapy program included general and specific exercises as well as pain coping strategies. Outcome measures included neck disability (Neck Disability Index [NDI]), neck and arm pain intensity (visual analog scale [VAS]), health state (EQ-5D questionnaire), and a patient global assessment. Patients were followed up for 5-8 years. RESULTS After 5-8 years, the NDI was reduced by a mean score% of 21 (95% CI 14-28) in the surgical group and 11% (95% CI 4%-18%) in the nonsurgical group (p = 0.03). Neck pain was reduced by a mean score of 39 mm (95% CI 26-53 mm) compared with 19 mm (95% CI 7-30 mm; p = 0.01), and arm pain was reduced by a mean score of 33 mm (95% CI 18-49 mm) compared with 19 mm (95% CI 7-32 mm; p = 0.1), respectively. The EQ-5D had a mean respective increase of 0.29 (95% CI 0.13-0.45) compared with 0.14 (95% CI 0.01-0.27; p = 0.12). Ninety-three percent of patients in the surgical group rated their symptoms as "better" or "much better" compared with 62% in the nonsurgical group (p = 0.005). Both treatment groups experienced significant improvement over baseline for all outcome measures. CONCLUSIONS In this prospective randomized study of 5- to 8-year outcomes of surgical versus nonsurgical treatment in patients with cervical radiculopathy, ACDF combined with physiotherapy reduced neck disability and neck pain more effectively than physiotherapy alone. Self-rating by patients as regards treatment outcome was also superior in the surgery group. No significant differences were seen between the 2 patient groups as regards arm pain and health outcome.

  • 43.
    Eriksson, Pernilla
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Johansson, Evelina
    Mälardalen University, School of Health, Care and Social Welfare.
    Konservativa behandlingsmetoder för medial collateral ligamentskada med låst och öppen ortos2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Behandlingen av Mediala collateral ligament (MCL) skador är debatterad. En skada på MCL kan leda till sämre medial stabilitet och nedsatt aktivitetsförmåga. Målet med den konservativa behandlingsformen är att minska svullnad och smärta för att på så vis få tillbaka full rörlighet och stabilitet. Behandlingen innebär ofta någon form av öppen eller låst ortos tillsammans med ett rehabiliteringsprogram. Syftet: Syftet med studien är att utifrån litteraturen analysera studiernas bevisvärde och beskriva konservativa behandlingsmetoder för MCL, med öppna och låsta ortoser tillsammans med träning. Metod: En litteraturstudie användes, då syftet var att göra en beskrivning av kunskapsläget. Artikelsökningen resulterade i 13 inkluderade studier. För att bestämma bevisvärde för studierna användes en granskningsmall av Carlsson och Eiman (2003) och Statens beredning för medicinsk utvärderings punkt om studiedesign. Resultat: Studierna fick bevisvärden från lågt - mycket lågt. Efter analys av de inkluderade studierna framkom att den mediala knästabiliteten uppvisade ett varierat resultat i båda grupperna med öppen och låst ortos. Dock återgick de flesta patienter till sin tidigare aktivitetsförmåga efter behandlingarnas slut. Slutsats: Av litteraturstudien kan inga slutsatser dras gällande i vilken utsträckning den mediala knästabiliteten och aktivitetsförmågan förändrats efter konservativ behandling med öppen respektive låst orts tillsammans med träning. Studiernas låga bevisvärde och varierade behandlingsmetoder inom låst respektive öppen ortos försvagar slutsatsen ytterligare.

  • 44.
    Flood, Johanna
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Rolfsson, Sara
    Mälardalen University, School of Health, Care and Social Welfare.
    Effekter av funktionell träning på balans, benstyrka och self-efficacy hos äldre2009Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Physical activity can prevent and reduce age-related physiological and psychological changes. The effects of functional training on older people are poorly studied. A prevention programme in the county of Sörmland is underway, which aims to halve the number of hip fractures by 2012. The aim of this study was to examine whether the balance, leg strength and self-efficacy, a person's degree of self-confidence to perform a specific task successfully, of elderly persons was affected by performing five sitting-to-standing exercises twice a day during a four weeks period. An intervention was received by 23 participants in a service/residential home. Testing was conducted before and after the intervention. The measuring tools used were Timed Up and Go (TUG) for balance, Falls Efficacy Scale Swedish version (FES(s)) for self-efficacy and 30- seconds chair stand for leg strength. Comparative statistics with parametric test were used to analyze differences within the group. The results showed significant increased balance and leg strength, however self-efficacy was unchanged. The authors recommend that the service/residential home maintain the routine of five sitting-to-standing exercises twice a day, although further studies with a more participants, longer intervention time, a control group and follow up are needed to verify and generalize the results to other areas.

  • 45.
    Folke, Mia
    et al.
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    Brangefält, Lotta
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Cernerud, Lars
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Framja fysisk aktivitet med LACTA och motiverande samtal2010Conference paper (Refereed)
  • 46.
    Folke, Mia
    et al.
    Mälardalen University, School of Innovation, Design and Engineering, Embedded Systems.
    Brangefält, Lotta
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    CERNERUD, LARS
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    PROMOTING PHYSICAL ACTIVITY OF NON-REGULARLY ACTIVE PERSONS: the use of workload at lactate threshold and motivating interviewing2010In: 3 rd International Congress on Physical Activity and Public Health, 2010Conference paper (Refereed)
  • 47.
    Fritz, Johanna
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Elvén, Maria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Moberg, Johan
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Från klinikbesök till klinikhandledning: Om verksamhetsförlagd utbildning i fysioterapeutprogrammet vid Mälardalens Högskola2015Report (Other academic)
  • 48.
    Garpelin, Maja
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Byhlin, Emmelie
    Mälardalen University, School of Health, Care and Social Welfare.
    ”JAG BLIR LIKSOM SOM FÖRR I TIDEN”: Upplevelse av hydroterapi hos personer med reumatisk sjukdom2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    SAMMANFATTNING

    Hydroterapi har under en längre tid använts som behandlingsform, men det är brist på forskning inom området.

    Syftet med denna studie var att undersöka upplevelsen av hydroterapi hos personer med reumatisk sjukdom. En kvalitativ ansats anlades och enskilda semistrukturerade intervjuer användes.

    Deltagarna rekryterades genom bekvämlighetsurval via en kontakt på en reumatologklinik. Sex personer inkluderades: fem hade reumatoid artrit och en hade pelvospondylit.

    Resultatet tolkades med hjälp av en kvalitativ innehållsanalys, som visade på att deltagarna i denna studie var positivt inställda till hydroterapi. Deltagarna upplevde att hydroterapin ledde till minskad smärta, ökad rörlighet samt ett ökat välmående. Utöver de upplevda positiva effekterna återfanns även upplevda negativa effekter i form av träningsvärk och en ökad stelhet under sommaruppehållen. Det sociala samspel som uppstod i samband med hydroterapin upplevdes av de flesta deltagare ha haft positiv betydelse.

    Deltagarnas upplevelser kunde i diskussionen kopplas till operant och respondent inlärningsteori, där tänkbara konsekvenser och stimulin identifierades.

    Slutsatsen som drogs var att deltagarna upplevde hydroterapin som ett sätt att få tillbaka sin friska kropp genom att symtomen minskade. Då deltagarna upplevde att uppehåll orsakade försämring behövs hydroterapi som kontinuerlig behandlingsform för dem. Vidare forskning inom området bör fokuseras på enskilda patientgrupper samt inkludera ett större antal deltagare per patientgrupp.

    Nyckelord: hydroterapi, intervju, kvalitativ, pelvospondylit, reumatoid artrit.

  • 49.
    Gross, A
    et al.
    McMaster University.
    Kaplan, F
    McMaster University.
    Huang, S
    McMaster University.
    Khan, M
    McMaster University.
    Santaguida, PL
    McMaster University.
    Carlesso, LC
    McMaster University.
    MacDermid, JC
    St. Joseph’s Health Centre, London, ON, Canada.
    Walton, DM
    University of Western Ontario, London, ON, Canada.
    Kenardy, J
    The University of Queensland.
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Verhagen, A
    Erasmus Medical Centre, Utrecht, The Netherlands.
    Hartvigsen, J
    University of Southern Denmark.
    Psychological Care, Patient Education, Orthotics, Ergonomics and Prevention Strategies for Neck Pain: A Systematic Overview: Update as part of the ICON* Project.2013In: Open Orthopaedics Journal, ISSN 1874-3250, E-ISSN 1874-3250, Vol. 7, no Suppl 4:M12, p. 530-561Article in journal (Refereed)
  • 50. Gustavsson, Catharina
    et al.
    Nordlander, Jessica
    Norlund, Anders
    Söderlund, Anne
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    ALAR - Activity and life-role targeting rehabilitation for people with persistent musculoskeletal pain: a randomised controlled trial of a return-to-work intervention in primary health care REHSAM.2014Report (Other academic)
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