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Kammerlind, Ann-Sofi
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Publications (10 of 23) Show all publications
Hermansen, A., Peolsson, A., Hedlund, R. & Kammerlind, A.-S. (2019). Balance problems and dizziness after neck surgery: associations with pain and health-related quality of life. Physiotherapy Theory and Practice, 1-8
Open this publication in new window or tab >>Balance problems and dizziness after neck surgery: associations with pain and health-related quality of life
2019 (English)In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, p. 1-8Article in journal (Refereed) Epub ahead of print
Abstract [en]

INTRODUCTION: Symptoms of dizziness or imbalance are often present in individuals with a variety of neck-disorders. The aims of this study were to determine the prevalence of patient-reported balance problems and dizziness 10-13 years after surgery for cervical degenerative disc disease; evaluate associations with neck pain and health-related quality of life; and investigate how these individuals described dizziness.

MATERIAL AND METHODS: Sixty-eight individuals, 10 years or more after anterior cervical decompression and fusion surgery, who previously participated in a randomized controlled trial were included. Participants completed questionnaires including ratings of dizziness and balance problems, the Dizziness Handicap Inventory, and an open-ended question regarding their experience of dizziness. Secondary outcomes were neck pain and quality of life.

RESULTS: Seventy-two percent experienced occasional or daily symptoms of unsteadiness and/or dizziness. Intensity ratings for dizziness during movement and for balance problems were similar and rather low, but had an impact on quality of life. Ratings of dizziness at rest were even lower. Dizziness ratings were associated with neck pain. Strenuous activities were related to dizziness and dizziness was primarily described as intermittent and non-rotatory.

CONCLUSIONS: Dizziness or balance problems in the long-term after surgery for cervical degenerative disc disease are common and have an impact on daily life. Ratings of problem frequency and intensity were usually low. Dizziness and balance problems may affect quality of life. Patients' descriptions of these problems are in line with common symptoms of cervicogenic dizziness.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2019
Keywords
Cervical spine, anterior cervical decompression and fusion, degenerative disease, dizziness
National Category
Physiotherapy
Identifiers
urn:nbn:se:liu:diva-161041 (URN)10.1080/09593985.2019.1571137 (DOI)30686102 (PubMedID)2-s2.0-85060927284 (Scopus ID)
Available from: 2019-10-17 Created: 2019-10-17 Last updated: 2020-04-28Bibliographically approved
Sjöholm, H., Hägg, S., Nyberg, L., Rolander, B. & Kammerlind, A.-S. (2019). Correction: The Cone Evasion Walk test: Reliability and validity in acute stroke (vol 24, e1744, 2019). Physiotherapy Research International, 24(3), Article ID e1801.
Open this publication in new window or tab >>Correction: The Cone Evasion Walk test: Reliability and validity in acute stroke (vol 24, e1744, 2019)
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2019 (English)In: Physiotherapy Research International, ISSN 1358-2267, E-ISSN 1471-2865, Vol. 24, no 3, article id e1801Article in journal (Other academic) Published
Abstract [en]

n/a

Place, publisher, year, edition, pages
WILEY, 2019
National Category
Physiotherapy
Identifiers
urn:nbn:se:liu:diva-164528 (URN)10.1002/pri.1801 (DOI)000476567400006 ()31321856 (PubMedID)
Available from: 2020-03-20 Created: 2020-03-20 Last updated: 2020-05-02
Sjöholm, H., Hägg, S., Nyberg, L., Rolander, B. & Kammerlind, A.-S. (2019). The Cone Evasion Walk test: Reliability and validity in acute stroke. Physiotherapy Research International, 24(1), Article ID e1744.
Open this publication in new window or tab >>The Cone Evasion Walk test: Reliability and validity in acute stroke
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2019 (English)In: Physiotherapy Research International, ISSN 1358-2267, E-ISSN 1471-2865, Vol. 24, no 1, article id e1744Article in journal (Refereed) Published
Abstract [en]

Objective

To estimate the reliability and validity of the Cone Evasion Walk test (CEW), a new test assessing the ability to evade obstacles, in people with acute stroke.

Methods

To estimate the reliability of the CEW, video recordings of 20 people with acute stroke performing the test were assessed by 10 physiotherapists on two occasions, resulting in a total of 400 ratings. Patients performed the CEW (n = 221), functional ambulation classification (FAC; n = 204), Timed Up and Go (TUG; n = 173), TUG cognitive (TUG‐cog; n = 139), Serial 7s attention task from the Montreal Cognitive Assessment (MoCA‐S7; n = 127), and the Star Cancellation Test (SCT; n = 151). These tests and side of lesion (n = 143) were used to examine construct validity. The predictive validity was evaluated in relation to falls during the following 6 months (n = 203).

Results

The intraclass correlation coefficients for intrarater and interrater reliability were 0.88–0.98. For validity, there were significant correlations between the CEW and FAC (rs = −0.67), TUG (rs = 0.45), MoCA‐S7 (rs = −0.36), and SCT total score (rs = −0.36). There was a significant correlation between the number of cones touched on the left side and the proportion of cancelled stars on the left (rs = −0.23) and right (rs = 0.23) side in the SCT. Among right hemisphere stroke participants (n = 79), significantly more persons hit cones on the left side (n = 25) than the right side (n = 8), whereas among those with a left hemisphere stroke (n = 64) significantly more persons hit cones on the right side (n = 11) than the left (n = 3). Cox regression showed that participants who touched four to eight cones had an increased risk of falls over time (hazard ratio 2.11, 95% CI [1.07, 4.17]) compared with those who touched none.

Conclusion

The new CEW test was reliable and valid in assessing the ability to evade obstacles while walking and to predict falls in patients with acute stroke.

Place, publisher, year, edition, pages
John Wiley & Sons, 2019
Keywords
accidental falls; attention; stroke; walking
National Category
Physiotherapy
Identifiers
urn:nbn:se:liu:diva-156015 (URN)10.1002/pri.1744 (DOI)000459566500004 ()30209845 (PubMedID)2-s2.0-85053302585 (Scopus ID)
Available from: 2019-04-02 Created: 2019-04-02 Last updated: 2020-05-02Bibliographically approved
Sjöholm, H., Hägg, S., Nyberg, L. & Kammerlind, A.-S. (2018). Reliability of test procedures for postural reactions in people with acute stroke. International Journal of Therapy and Rehabilitation, 25(11), 576-586
Open this publication in new window or tab >>Reliability of test procedures for postural reactions in people with acute stroke
2018 (English)In: International Journal of Therapy and Rehabilitation, ISSN 1741-1645, E-ISSN 1759-779X, Vol. 25, no 11, p. 576-586Article in journal (Refereed) Published
Abstract [en]

Regaining and maintaining balance requires postural reactions such as righting reactions, equilibrium reactions, and protective reactions. There is a lack of uniform, standardised, and reliable testing procedures for postural reactions. The aim of the present study was to examine the intra- And interrater reliability of a newly developed postural reactions assessment for use in people with acute stroke. Methods: The Postural Reactions Test was developed based on the literature, on previous tests, and on input from an expert panel. A total of 10 physiotherapists assessed a total of 20 video recordings of people with acute stroke performing each postural reaction. These assessments were carried out on two occasions at least 2 weeks apart. The study thus included 400 ratings. Findings: For intrarater reliability, the overall proportion of agreement was 86 - 93% for the different postural reactions. For interrater reliability, the most common score for each participant and the number of physiotherapists giving that score were noted. A median of 9-10 out of 10 physiotherapists scored the same value. Conclusions: The results indicate that the Postural Reactions Test can be used to reliably assess function in people with acute stroke and that the test can complement the existing assessments for people with affected postural control

Place, publisher, year, edition, pages
Mark Allen Group, 2018
Keywords
Postural reactions, Reliability, Reproducibility of results, Stroke
National Category
Physiotherapy
Research subject
Physiotherapy
Identifiers
urn:nbn:se:liu:diva-164527 (URN)10.12968/ijtr.2018.25.11.576 (DOI)000449507100003 ()2-s2.0-85056495810 (Scopus ID)
Note

Validerad;2018;Nivå 2;2018-11-29 (inah)

Available from: 2018-11-29 Created: 2020-03-20
Treleaven, J., Peterson, G., Landén Ludvigsson, M., Kammerlind, A.-S. & Peolsson, A. (2016). Balance, dizziness and proprioception in patients with chronic whiplash associated disorders complaining of dizziness: A prospective randomized study comparing three exercise programs. Manual Therapy, 22, 122-130
Open this publication in new window or tab >>Balance, dizziness and proprioception in patients with chronic whiplash associated disorders complaining of dizziness: A prospective randomized study comparing three exercise programs
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2016 (English)In: Manual Therapy, ISSN 1356-689X, E-ISSN 1532-2769, Vol. 22, p. 122-130Article in journal (Refereed) Published
Abstract [en]

Background: Dizziness and unsteadiness are common symptoms following a whiplash injury. Objective: To compare the effect of 3 exercise programs on balance, dizziness, proprioception and pain in patients with chronic whiplash complaining of dizziness. Design: A sub-analysis of a randomized study. Methods: One hundred and forty subjects were randomized to either a physiotherapist-guided neck-specific exercise (NSE), physiotherapist-guided neck-specific exercise, with a behavioural approach (NSEB) or prescription of general physical activity (PPA) group. Pre intervention, 3, 6 and 12 months post baseline they completed the University of California Los Angeles Dizziness Questionnaire (UCLA-DQ), Visual Analogue Scales (VAS) for, dizziness at rest and during activity and physical measures (static and dynamic clinical balance tests and head repositioning accuracy (HRA)). Results: There were significant time by group differences with respect to dizziness during activity and UCLA-Q favouring the physiotherapy led neck specific exercise group with a behavioural approach. Within group analysis of changes over time also revealed significant changes in most variables apart from static balance. Conclusion: Between and within group comparisons suggest that physiotherapist led neck exercise groups including a behavioural approach had advantages in improving measures of dizziness compared with the general physical activity group, although many still complained of dizziness and balance impairment. Future studies should consider exercises specifically designed to address balance, dizziness and cervical proprioception in those with persistent whiplash. Crown Copyright (C) 2015 Published by Elsevier Ltd. All rights reserved.

Place, publisher, year, edition, pages
CHURCHILL LIVINGSTONE, 2016
Keywords
Dizziness; Balance; Proprioception; Whiplash
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-127561 (URN)10.1016/j.math.2015.10.017 (DOI)000373615700021 ()26678652 (PubMedID)
Note

Funding Agencies|Swedish government through the REHSAM foundation; regional Centres for Clinical Research of Ostergotland and Sormland County Councils; Medical Research Council of Southeast Sweden; Swedish government; Swedish Social Insurance Agency through the REHSAM foundation; Centre for Clinical Research Sormland at Uppsala University Sweden; Uppsala-Orebro Regional Research Council Sweden; Swedish Research Council; County Council of Ostergotland; County Council of Jonkoping

Available from: 2016-05-04 Created: 2016-05-03 Last updated: 2017-11-30
Fristedt, S., Kammerlind, A.-S., Bravell Ernsth, M. & Fransson, E. I. (2016). Concurrent validity of the Swedish version of the life-space assessment questionnaire. BMC Geriatrics, 16, 181
Open this publication in new window or tab >>Concurrent validity of the Swedish version of the life-space assessment questionnaire
2016 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 16, p. 181-Article in journal (Refereed) Published
Abstract [en]

Background: The Life-Space Assessment (LSA), developed in the USA, is an instrument focusing on mobility with respect to reaching different areas defined as life-spaces, extending from the room where the person sleeps to mobility outside ones hometown. A newly translated Swedish version of the LSA (LSA-S) has been tested for test-retest reliability, but the validity remains to be tested. The purpose of the present study was to examine the concurrent validity of the LSA-S, by comparing and correlating the LSA scores to other measures of mobility. Method: The LSA was included in a population-based study of health, functioning and mobility among older persons in Sweden, and the present analysis comprised 312 community-dwelling participants. To test the concurrent validity, the LSA scores were compared to a number of other mobility-related variables, including the Short Physical Performance Battery (SPPB) as well as "stair climbing", "transfers", "transportation", "food shopping", "travel for pleasure" and "community activities". The LSA total mean scores for different levels of the other mobility-related variables, and measures of correlation were calculated. Results: Higher LSA total mean scores were observed with higher levels of all the other mobility related variables. Most of the correlations between the LSA and the other mobility variables were large (r = 0.5-1.0) and significant at the 0.01 level. The LSA total score, as well as independent life-space and assistive life-space correlated with transportation (0.63, 0.66, 0.64) and food shopping (0.55, 0.58, 0.55). Assistive life-space also correlated with SPPB (0.47). With respect to maximal life-space, the correlations with the mobility-related variables were generally lower (below 0.5), probably since this aspect of life-space mobility is highly influenced by social support and is not so dependent on the individuals own physical function. Conclusion: LSA was shown to be a valid measure of mobility when using the LSA total, independent LS or assistive LSA.

Place, publisher, year, edition, pages
BIOMED CENTRAL LTD, 2016
Keywords
Activities; Mobility; Older persons; Validity
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-132987 (URN)10.1186/s12877-016-0357-4 (DOI)000387600100001 ()27821138 (PubMedID)
Note

Funding Agencies|Futurum, Jonkoping County Council [FUTURUM 13282]; Eva och Oscar Ahrens foundation

Available from: 2016-12-09 Created: 2016-12-07 Last updated: 2017-11-29
Kammerlind, A.-S., Ernsth Bravell, M. & Fransson, E. I. (2016). Prevalence of and factors related to mild and substantial dizziness in community-dwelling older adults: a cross-sectional study. BMC Geriatrics, 16, 159
Open this publication in new window or tab >>Prevalence of and factors related to mild and substantial dizziness in community-dwelling older adults: a cross-sectional study
2016 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 16, p. 159-Article in journal (Refereed) Published
Abstract [en]

Background: Dizziness is highly prevalent among older people and associated with many health factors. The aim of the study was to determine the prevalence of and factors related to dizziness among community-dwelling older adults in Sweden. In contrast to previous studies, the subjects with dizziness were divided into two groups, mild and substantial dizziness, according to the frequency and intensity of dizziness. Methods: A sample of 305 older persons between 75 and 90 years of age (mean age 81 years) were interviewed and examined. Subjects with dizziness answered the University of California Los Angeles Dizziness Questionnaire and questions about provoking movements. The groups with substantial, mild, or no dizziness were compared with regard to age, sex, diseases, drugs, blood pressure, physical activity, exercises, falls, fear of falling, quality of life, general health, mobility aids, and physical performance. Results: In this sample, 79 subjects experienced substantial and 46 mild dizziness. Subjects with substantial dizziness were less physically active, reported more fear of falling, falls, depression/anxiety, diabetes, stroke/TIA, heart disease, a higher total number of drugs and antihypertensive drugs, lower quality of life and general health, and performed worse physically. Conclusions: There are many and complex associations between dizziness and factors like falls, diseases, drugs, physical performance, and activity. For most of these factors, the associations are stronger in subjects with substantial dizziness compared with subjects with mild or no dizziness; therefore, it is relevant to differ between mild and substantial dizziness symptoms in research and clinical practice in the future.

Place, publisher, year, edition, pages
BIOMED CENTRAL LTD, 2016
Keywords
Dizziness; Older persons; Diseases; Drugs; Blood pressure; Physical activity; Falling; Fear of falling; Quality of life; Physical performance
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-131664 (URN)10.1186/s12877-016-0335-x (DOI)000382621500002 ()27590725 (PubMedID)
Note

Funding Agencies|Futurum, Jonkoping, Region Jonkoping County [FUTURUM-13282]; Eva och Oscar Ahrens foundation

Available from: 2016-10-03 Created: 2016-09-30 Last updated: 2017-11-30
Hermansen, A., Peolsson, A., Kammerlind, A.-S. & Hjelm, K. (2016). Women’s experiences of daily life after anterior cervical decompression and fusion surgery: A qualitative interview study. Journal of Rehabilitation Medicine, 48(4), 352-358
Open this publication in new window or tab >>Women’s experiences of daily life after anterior cervical decompression and fusion surgery: A qualitative interview study
2016 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 48, no 4, p. 352-358Article in journal (Refereed) Published
Abstract [en]

Subjects: Fourteen women aged 39-62 years (median 52 years), were included 1.5 to 3 years after ACDF for cervical degenerative disc disease.

Methods: Individual semi-structured interviews were analyzed by qualitative content analysis with an inductive approach.

Results: The women described their experiences of daily life in five different ways; Experiences of recovery; Experiences of symptoms in daily life influence feelings and thoughts; Making daily life work; Importance of social  and occupational networks; Experiences of the influence of healthcare professionals and interventions on daily life.

Conclusion: This interview study provides insight into women’s daily life after ACDF. While improved after surgery, informants also experienced remaining symptoms and limitations in daily life. A variety of mostly active coping strategies were used to manage daily life. Social support from family, friends, occupational networks and healthcare professionals positively influenced daily life. These findings provide knowledge on aspects of daily life that should be considered in individualized postoperative care and rehabilitation in an attempt to provide better outcomes in women after ACDF.

Place, publisher, year, edition, pages
Uppsala, Sweden: Stiftelsen Rehabiliteringsinformation /Foundation for Rehabilitation Information, 2016
Keywords
Daily life, cervical spine, research interview, content analysis
National Category
Medical and Health Sciences Physiotherapy
Identifiers
urn:nbn:se:liu:diva-117344 (URN)10.2340/16501977-2076 (DOI)000372456100005 ()26999327 (PubMedID)
Note

Funding agencies: NSC FoU-fond; County Council of Ostergotland

Available from: 2015-04-23 Created: 2015-04-23 Last updated: 2017-12-04Bibliographically approved
Hermansen, A., Cleland, J. A., Kammerlind, A.-S. & Peolsson, A. (2014). Evaluation of Physical Function in Individuals 11 to 14 Years after AnteriorCervical Decompression and Fusion Surgery: A Comparison betweenPatients and Healthy Reference Samples and Between 2 Surgical Techniques. Journal of Manipulative and Physiological Therapeutics, 37(2), 87-96
Open this publication in new window or tab >>Evaluation of Physical Function in Individuals 11 to 14 Years after AnteriorCervical Decompression and Fusion Surgery: A Comparison betweenPatients and Healthy Reference Samples and Between 2 Surgical Techniques
2014 (English)In: Journal of Manipulative and Physiological Therapeutics, ISSN 0161-4754, E-ISSN 1532-6586, Vol. 37, no 2, p. 87-96Article in journal (Refereed) Published
Abstract [en]

Objective: The purpose of this study was to evaluate neck-related physical function in individuals 11 to 14 years after anterior cervical decompression and fusion (ACDF) surgery for degenerative cervical disk disease and to compare the long-term outcome of 2 surgical techniques, including the Cloward procedure and cervical intervertebral fusion cage. Methods: In this cross-sectional study, 51 individuals, 11 years or more after ACDF, underwent testing of cervical active range of motion, hand-grip strength, static and dynamic balance, neck muscle endurance, and completed pain ratings. The participants values were compared with values of age-and sex-matched healthy individuals to evaluate impairments. Correlations between different test scores and pain were performed. Group differences were analyzed between the 2 surgical techniques. Results: Sixty-five percent and 82% exhibited impairment in ventral and dorsal neck muscle endurance, respectively. Impairment rates of 18% to 39% for cervical active range of motion, 27% to 43% for hand-grip strength, 37% for standing balance, and 35% for dynamic balance were recorded. Twenty-nine percent of the participants had impairment (greater than30 mm visual analog scale) in pain. There were no significant differences in physical function between the 2 surgical treatment groups (Cloward procedure or cervical intervertebral fusion cage) (P = .10-.92). Conclusions: In those studied, a large percentage of patients who had anterior cervical decompression and fusion surgery have impairments in neck-related physical function when compared 11 to 14 years after surgery with age-and sex-matched healthy reference individuals. Neck-specific function, but not balance, was statistically correlated to pain. Neck muscle endurance was most affected, and balance impairments were also present in one-third of the individuals. There were no differences in long-term physical function between the 2 surgical techniques.

Place, publisher, year, edition, pages
Elsevier, 2014
Keywords
Cervical Vertebrae; Neck Muscles; Physical Endurance; Range of Motion; Postural Balance; Surgical Procedure
National Category
Physiotherapy
Identifiers
urn:nbn:se:liu:diva-104837 (URN)10.1016/j.jmpt.2013.11.002 (DOI)000330584200004 ()
Available from: 2014-02-28 Created: 2014-02-28 Last updated: 2020-03-23Bibliographically approved
Peolsson, A., Öberg, B., Wibault, J., Dedering, Å., Zsigmond, P., Bernfort, L., . . . Löfgren, H. (2014). Outcome of physiotherapy after surgery for cervical disc disease: a prospective randomised multi-centre trial. BMC Musculoskeletal Disorders, 15(34)
Open this publication in new window or tab >>Outcome of physiotherapy after surgery for cervical disc disease: a prospective randomised multi-centre trial
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2014 (English)In: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 15, no 34Article in journal (Refereed) Published
Abstract [en]

BACKGROUND:

Many patients with cervical disc disease require leave from work, due to long-lasting, complex symptoms, including chronic pain and reduced levels of physical and psychological function. Surgery on a few segmental levels might be expected to resolve disc-specific pain and reduce neurological deficits, but not the non-specific neck pain and the frequent illness. No study has investigated whether post-surgery physiotherapy might improve the outcome of surgery. The main purpose of this study was to evaluate whether a well-structured rehabilitation programme might add benefit to the customary post-surgical treatment for cervical disc disease, with respect to function, disability, work capability, and cost effectiveness.

METHODS/DESIGN:

This study was designed as a prospective, randomised, controlled, multi-centre study. An independent, blinded investigator will compare two alternatives of rehabilitation. We will include 200 patients of working age, with cervical disc disease confirmed by clinical findings and symptoms of cervical nerve root compression. After providing informed consent, study participants will be randomised to one of two alternative physiotherapy regimes; (A) customary treatment (information and advice on a specialist clinic); or (B) customary treatment plus active physiotherapy. Physiotherapy will follow a standardised, structured programme of neck-specific exercises combined with a behavioural approach. All patients will be evaluated both clinically and subjectively (with questionnaires) before surgery and at 6 weeks, 3 months, 6 months, 12 months, and 24 months after surgery. The main outcome variable will be neck-specific disability. Cost-effectiveness will also be calculated.

DISCUSSION:

We anticipate that the results of this study will provide evidence to support physiotherapeutic rehabilitation applied after surgery for cervical radiculopathy due to cervical disc disease.

Place, publisher, year, edition, pages
BioMed Central, 2014
Keywords
Intervertebral disc; Spine; Neck; Rehabilitation; Physical therapy
National Category
Physiotherapy Orthopaedics Neurology
Identifiers
urn:nbn:se:liu:diva-105609 (URN)10.1186/1471-2474-15-34 (DOI)000334802900002 ()24502414 (PubMedID)
Available from: 2014-03-28 Created: 2014-03-28 Last updated: 2018-01-11Bibliographically approved
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