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Gustafsson, K., Rolfson, O., Eriksson, M., Dahlberg, L. & Kvist, J. (2018). Study protocol for an observational register-based study on health and risk factors in patients with hip and knee osteoarthritis. BMJ Open, 8(10), Article ID e022812.
Open this publication in new window or tab >>Study protocol for an observational register-based study on health and risk factors in patients with hip and knee osteoarthritis
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2018 (English)In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 8, no 10, article id e022812Article in journal (Refereed) Published
Abstract [en]

Introduction Hip and knee osteoarthritis is a leading cause of disability worldwide. Currently, the course of deterioration in pain and physical functioning in individuals with osteoarthritis is difficult to predict. Factors such as socioeconomic status and comorbidity contribute to progression of osteoarthritis, but clear associations have not been established. There is a need for early identification of individuals with slow disease development and a good prognosis, and those that should be recommended for future joint replacement surgery.

Methods and analysis This nationwide register-based study will use data for approximately 75 000 patients who sought and received core treatment for osteoarthritis in primary healthcare, and were registered in the Swedish population-based National Quality Register for Better Management of Patients with Osteoarthritis. These data will be merged with data for replacement surgery, socioeconomic factors, healthcare consumption and comorbidity from the Swedish Hip Arthroplasty Register, the Swedish Knee Arthroplasty Register, Statistics Sweden and the National Board of Health and Welfare, Sweden. The linkage will be performed using personal identity numbers that are unique to all citizens in Sweden.

Ethics and dissemination The study was approved by the Regional Ethical Review Board in Gothenburg, Sweden (dnr 1059–16). The results from this study will be submitted to peer-reviewed journals and reported at suitable national and international meetings.

Trial registration number NCT03438630.

Place, publisher, year, edition, pages
British Medical Journal Publishing Group, 2018
National Category
Occupational Therapy
Identifiers
urn:nbn:se:liu:diva-151890 (URN)10.1136/bmjopen-2018-022812 (DOI)000454739500118 ()
Note

Funding agencies: AFA Insurance, Sweden [160176]; Futurum-Academy for Health and Care, Region Jonkoping County, Sweden [559951, 557821]

Available from: 2018-10-09 Created: 2018-10-09 Last updated: 2019-05-03
Gustafsson, K., Fältström, A., Öberg, U. & Kammerlind, A.-S. (2017). Written instructions versus physiotherapist-supervised rehabilitation after acute ankle sprain. European Journal of Physiotherapy, 19(2), 76-83
Open this publication in new window or tab >>Written instructions versus physiotherapist-supervised rehabilitation after acute ankle sprain
2017 (English)In: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 19, no 2, p. 76-83Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to compare the effects of written instructions (WIs) versus physiotherapist-supervised rehabilitation on patient-rated ankle function, satisfaction and physical activity ability after an acute ankle sprain. Thirty-nine patients with an acute ankle sprain, recruited from an emergency department, received WIs on functional rehabilitation (WI group). The patients were evaluated six weeks and three months after their injury with the disease-specific Foot and Ankle Outcome Score (FAOS). The patients also rated how satisfied they were with their ankle and physical activity ability using visual analogue scales. The results from the WI group were compared with a group of patients (n ¼ 33) who received physiotherapist-supervised rehabilitation in a previous study (PT group). We found that compared with the PT group, the WI group had significantly worse scores in all of the FAOS subscales six weeks after the injury, and in three of five subscales three months after the injury. They also rated significantly lower satisfaction and significantly lower physical activity ability at both follow-ups. In conclusion, physiotherapist-supervised rehabilitation was more effective than WIs on improving patient-rated ankle function, satisfaction and physical activity ability after an acute ankle sprain.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2017
Keywords
FAOS, home-based physiotherapy treatment, Patient education hand out, self-care
National Category
Medical and Health Sciences Health Sciences Physiotherapy
Identifiers
urn:nbn:se:liu:diva-136104 (URN)10.1080/21679169.2016.1251966 (DOI)
Available from: 2017-03-27 Created: 2017-03-27 Last updated: 2018-11-20
Hultman, K., Fältström, A. & Öberg, U. (2010). The effect of early physiotherapy after an acute ankle sprain. Advances in Physiotherapy, 12(2), 65-73
Open this publication in new window or tab >>The effect of early physiotherapy after an acute ankle sprain
2010 (English)In: Advances in Physiotherapy, ISSN 1403-8196, E-ISSN 1651-1948, Vol. 12, no 2, p. 65-73Article in journal (Refereed) Published
Abstract [en]

Ankle sprain is one of the most common injuries treated in emergency departments (ED). In clinical practice, these injuries are expected to heal by themselves, often without any treatment other than short information about the RICE regime (rest, ice, compression and elevation). Still, remaining symptoms are reported to occur in 30% of the cases. The aim of this study was to evaluate the effect of early physiotherapy intervention after an acute ankle sprain. Sixty-five patients were recruited from the ED at a general hospital in Sweden (mean age 35 years; 30 women), and allocated into an intervention group with early physiotherapy or a control group. Both groups were evaluated 6 weeks and 3 months after their injury. As primary outcome, the disease-specific Foot and Ankle Outcome Score (FAOS) was used. The patients also rated their physical activity ability and how satisfied they were with their ankle on a visual analogue scale (VAS). The intervention group made significant improvements compared with the control group at both evaluations measured with FAOS and the VAS questions. These findings indicate that early physiotherapy intervention has a positive effect on patient-focused foot and ankle function after an acute ankle sprain. © 2010 Informa UK Ltd.

Place, publisher, year, edition, pages
Taylor & Francis, 2010
Keywords
FAOS, Outcome, Rehabilitation, Self-care, acute disease, adult, aged, ankle sprain, article, controlled study, early intervention, emergency ward, female, human, joint function, major clinical study, male, outcome assessment, physical activity, physiotherapy, therapy effect
National Category
Health Sciences
Identifiers
urn:nbn:se:liu:diva-152672 (URN)10.3109/14038190903174262 (DOI)2-s2.0-77953218583 (Scopus ID)
Note

Cited By :5; Export Date: 12 November 2018; Article; CODEN: APDHA; Correspondence Address: Hultman, K.; Department of Physiotherapy, Ryhov County Hospital, S-551 85 Jönköping, Sweden; email: kristin.hultman@lj.se

Available from: 2018-11-12 Created: 2018-11-12 Last updated: 2018-11-16Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-3403-229x

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