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Thyberg, Ingrid
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Publications (10 of 62) Show all publications
Gutefeldt, K., Lundstedt, S., Thyberg, I., Bachrach-Lindström, M., Arnqvist, H. & Spångeus, A. (2020). Clinical Examination and Self-Reported Upper Extremity Impairments in Patients with Long-Standing Type 1 Diabetes Mellitus. Journal of Diabetes Research, 2020, Article ID 4172635.
Open this publication in new window or tab >>Clinical Examination and Self-Reported Upper Extremity Impairments in Patients with Long-Standing Type 1 Diabetes Mellitus
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2020 (English)In: Journal of Diabetes Research, ISSN 2314-6745, E-ISSN 2314-6753, Journal of Diabetes Research, Vol. 2020, article id 4172635Article in journal (Refereed) Published
Abstract [en]

Aim. The aims of the current study were (1) to determine the prevalence of upper extremity impairments (UEIs) in patients with type 1 diabetes by clinical investigation; (2) to investigate if self-reported impairments were concordant with clinical findings and if key questions could be identified; and (3) to investigate if answers to our self-reported questionnaire regarding UEIs are reliable. Methods. Patients with type 1 diabetes were invited to participate in a cross-sectional study of clinical and self-reported (12 items) UEIs in adjunction to ordinary scheduled clinical visit. Before the visit, a questionnaire on UEIs was filled in twice (test-retest) followed by clinical testing at the planned visit. Results. In total, 69 patients aged and with diabetes duration were included in the study. In the clinical examination, two-thirds (65%) of the patients showed one or more UEI, with failure to perform hand against back as the most common clinical finding (40%) followed by positive Phalen’s test (27%), Tinel’s test (26%), and Prayer’s sign (24%). UEIs observed by clinical examination were often bilateral, and multiple impairments often coexisted. Self-reported shoulder stiffness was associated with impaired shoulder mobility and with Prayer’s sign. Self-reported reduced hand strength was associated to lower grip force, Prayer’s sign, trigger finger, fibrosis string structures, and reduced thenar strength as well as reduced shoulder mobility. In addition, self-reporting previous surgery of carpal tunnel and trigger finger was associated with several clinical UEIs including shoulder, hand, and finger. The test-retest of the questionnaire showed a high agreement of 80-98% for reported shoulder, hand, and finger impairments. Conclusion. UEIs are common in type 1 diabetes. Self-reported shoulder stiffness and reduced hand strength might be used to capture patients with UEIs in need of clinical investigation and enhanced preventive and therapeutic strategies, as well as rehabilitative interventions.

Place, publisher, year, edition, pages
Hindawi Publishing Corporation, 2020
National Category
Physiotherapy
Identifiers
urn:nbn:se:liu:diva-164549 (URN)10.1155/2020/4172635 (DOI)000522278400001 ()
Note

Funding agencies:  Medical Research Council of Southeast Sweden (FORSS); County council; Stiftelseforvaltningen of Region ostergotland, Sweden

Available from: 2020-03-24 Created: 2020-03-24 Last updated: 2020-04-15Bibliographically approved
Gutefeldt, K., Hedman, C., Thyberg, I., Bachrack Lindström, M., Arnqvist, H. & Spångeus, A. (2020). Low health-related quality of life is strongly linked to upper extremity impairments in type 1 diabetes with a long duration. Disability and Rehabilitation
Open this publication in new window or tab >>Low health-related quality of life is strongly linked to upper extremity impairments in type 1 diabetes with a long duration
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2020 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165Article in journal (Refereed) Epub ahead of print
Abstract [en]

Purpose: To compare health-related quality of life (HRQOL) in type 1 diabetes and non-diabetic controls and possible links to upper extremity impairments (UEIs). Prevalence of sick-leave and causes were investigated.

Materials and methods: This Swedish population-based case-control study included type 1 diabetes patients <67 years old and with a diabetes duration ≥20 years. Participants completed a postal questionnaire including Short Form 36, and questions regarding UEIs, and sick-leave.

Results: In total, 773 patients, aged 50 ± 10 years (diabetes duration 35 ± 10 years), and 708 non-diabetic controls, aged 54 ± 9 years, completed the study. Patients reported significantly lower HRQOL compared with controls. The difference was greatest for general health, vitality, and bodily pain. Patients with shoulder or hand but not finger impairments scored significantly lower than asymptomatic patients. The prevalence of sick leave was higher in patients vs. controls (23% vs. 9%, p < 0.001), and nearly half cited impairments from back, muscles, or joints as the main reason.

Conclusions: Health-related quality of life is lower in type 1 diabetes than controls and in patients with shoulder and hand impairments than in asymptomatic. Musculoskeletal impairments (back/muscle/joints) have impact on work ability. Identification of UEIs is important for initiating preventative-, therapeutic-, and rehabilitative interventions.

  • Implications for rehabilitation
  • Upper extremity impairments (UEIs) that are common in type 1 diabetes, and associated with reduced health-related quality of life, should preferably be screened for on a regular basis along with other known diabetes complications.

  • Early identification of UEIs is important to improve health by initiating preventive as well as therapeutic multi-professional rehabilitative interventions.

  • Sick leave is higher in type 1 diabetes than in controls. Musculoskeletal impairments, including the back, muscles, and joints, are a common cause for sick leave warranting further studies.

Place, publisher, year, edition, pages
Taylor & Francis, 2020
Keywords
Quality of life; type 1 diabetes; upper extremity impairments; work ability; disability
National Category
General Practice
Identifiers
urn:nbn:se:liu:diva-163405 (URN)10.1080/09638288.2019.1705924 (DOI)000505880400001 ()31906725 (PubMedID)2-s2.0-85078623672 (Scopus ID)
Note

Funding Agencies|Medical Research Council South-east Sweden (FORSS); County Council; Stiftelseforvaltningen of Region Ostergotland, Sweden

Available from: 2020-02-04 Created: 2020-02-04 Last updated: 2020-03-24Bibliographically approved
Bergström, M., Thyberg, I., Sverker, A., Östlund, G., Larsson Ranada, Å., Björk, M. & Valtersson, E. (2019). Närståendes betydelse för delaktighet i vardagen hos personer med reumatoid artrit.. Best Practice
Open this publication in new window or tab >>Närståendes betydelse för delaktighet i vardagen hos personer med reumatoid artrit.
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2019 (Swedish)In: Best Practice, ISSN 1329-1874Article in journal (Other (popular science, discussion, etc.)) Published
National Category
Nursing
Identifiers
urn:nbn:se:liu:diva-161560 (URN)
Available from: 2019-10-25 Created: 2019-11-05 Last updated: 2020-04-30
Sverker, A., Thyberg, I., Valtersson, E., Björk, M., Hjalmarsson, S. & Östlund, G. (2019). Time to update the ICF by including socioemotional qualities of participation?: The development of a ‘patient ladder of participation’ based on interview data of people with early rheumatoid arthritis (The Swedish TIRA study). Disability and Rehabilitation
Open this publication in new window or tab >>Time to update the ICF by including socioemotional qualities of participation?: The development of a ‘patient ladder of participation’ based on interview data of people with early rheumatoid arthritis (The Swedish TIRA study)
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2019 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165Article in journal (Refereed) Epub ahead of print
Abstract [en]

Purpose: The aim of was to identify and illustrate in what situations and with what qualities people with early RA experience participation in every day’s life.

Methods: 59 patients (age 18-63 years) were interviewed; 25 men and 34 women. Content analysis was used to identify meaning units which were sorted based on type of situations described and later on, categories based on quality aspects of participation were developed.

Results: Participation was described as: 1. being part of a group, where a sense of belonging arose. 2. In doing activities with others for example at work or in leisure. 3. When sharing everyday chores and responsibilities for example in domestic duties. 4. When experiencing influence on actions such as when being asked for opinions on how to conduct a specific task. 5. When having the possibility to give direction of goals in rehabilitation, or elsewhere. 6. When sharing decision making and experiencing a high degree of influence in the situation.

Conclusions: Participation from an individual’s perspective is about belonging and having influence that mediates a positive feeling of being included and that you matter as a person. The results are important when using participation as a goal in clinical care. It’s important to expand participation beyond the definitions in ICF and guidelines to include the patients’ socio-emotional participation in order to promote health.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
Keywords
Critical incident technique; patient perspective; qualitative study; rheumatoid arthritis rehabilitation; social participation
National Category
Nursing
Research subject
Public Health Sciences
Identifiers
urn:nbn:se:liu:diva-161572 (URN)10.1080/09638288.2018.1518494 (DOI)30634866 (PubMedID)2-s2.0-85059905050 (Scopus ID)
Available from: 2019-11-05 Created: 2019-11-05 Last updated: 2020-05-01Bibliographically approved
Östlund, G., Björk, M., Thyberg, I., Valtersson, E. & Sverker, A. (2018). Womens situation-specific strategies in managing participation restrictions due to early rheumatoid arthritis: A gender comparison. Musculoskeletal Care, 16(2), 251-259
Open this publication in new window or tab >>Womens situation-specific strategies in managing participation restrictions due to early rheumatoid arthritis: A gender comparison
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2018 (English)In: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681, Vol. 16, no 2, p. 251-259Article in journal (Refereed) Published
Abstract [en]

Introduction

The present study explored how women describe their use of situation‐specific strategies when managing rheumatoid arthritis (RA). The aim was also to compare women's strategies with those of men, and see the extent to which they used the same strategies.

Methods

The data were collected using semi‐structured interviews based on the critical incident technique. The sample consisted of women with early rheumatic arthritis (n = 34), and the results were compared with data reported in a previous study on men (n = 25) from the same cohort. The patient‐described participation restrictions due to RA were firstly linked to the domains of the International Classification of Functioning, Disability and Health (ICF). The different strategies used were then categorized. The study was approved by the Research Ethics Committee of the Faculty of Health Sciences, Linköping University, Sweden.

Results

The study found that women used four situation‐specific strategies: adjustment, avoidance, interaction and acceptance. The same strategies had been found previously in interviews with men with RA. Women and men used these strategies to a similar extent in the ICF domains of mobility; major life arenas; domestic life; interpersonal interactions and relationships; and community, social and civic life. However, some differences were found, relating to the reported activities in self‐care and domestic life, in which women reported using strategies to a greater extent than men.

Conclusions

Women and men used four types of situation‐specific strategies in managing RA; adjustment, avoidance, interaction and acceptance. These situation‐specific strategies provide useful knowledge, in terms of multidisciplinary rehabilitation and for patients' significant others.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2018
Keywords
chronic disease; coping strategies; gender perspective; rehabilitation; rheumatology
National Category
Nursing
Identifiers
urn:nbn:se:liu:diva-152537 (URN)10.1002/msc.1225 (DOI)000435802900002 ()29316201 (PubMedID)2-s2.0-85040178068 (Scopus ID)
Available from: 2019-03-07 Created: 2019-03-07 Last updated: 2019-07-05Bibliographically approved
Björk, M., Thyberg, I., Valtersson, E., Stenström, B. & Sverker, A. (2017). Disability in the feet related to participation in daily life in patients with early RA: – an interview study in the Swedish TIRA project. In: : . Paper presented at Annual European Congress of Rheumatology EULAR, 2017; OP0143-HPR.
Open this publication in new window or tab >>Disability in the feet related to participation in daily life in patients with early RA: – an interview study in the Swedish TIRA project
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2017 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Social Work
Identifiers
urn:nbn:se:liu:diva-161542 (URN)
Conference
Annual European Congress of Rheumatology EULAR, 2017; OP0143-HPR
Available from: 2017-07-10 Created: 2019-11-05
Östlund, G., Thyberg, I., Björk, M., Valtersson, E. & Sverker, A. M. (2017). Hur hanterar män med reumatoid artrit delaktighetsinskränkningar i vardagslivet?. Best Practice, 31(9), 10-13
Open this publication in new window or tab >>Hur hanterar män med reumatoid artrit delaktighetsinskränkningar i vardagslivet?
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2017 (Swedish)In: Best Practice, ISSN 1329-1874, Vol. 31, no 9, p. 10-13Article in journal (Other academic) Published
National Category
Medical and Health Sciences Health Sciences
Identifiers
urn:nbn:se:liu:diva-161549 (URN)
Available from: 2017-07-10 Created: 2019-11-04
Ahlstrand, I., Vaz, S., Falkmer, T., Thyberg, I. & Björk, M. (2017). Self-efficacy and pain acceptance as mediators of the relationship between pain and performance of valued life activities in women and men with rheumatoid arthritis. Clinical Rehabilitation, 31(6), 824-834
Open this publication in new window or tab >>Self-efficacy and pain acceptance as mediators of the relationship between pain and performance of valued life activities in women and men with rheumatoid arthritis
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2017 (English)In: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873, Vol. 31, no 6, p. 824-834Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To study whether personal factors (self-efficacy and pain acceptance) mediate the relationship between pain and performance of valued life activities in persons with rheumatoid arthritis.

METHODS: Persons with rheumatoid arthritis for at least four years (n = 737; 73% women) answered a questionnaire measuring self-efficacy, pain acceptance, performance of valued life activities, and self-rated pain. Relationships among these constructs were explored using univariate and multivariate analyses. Structural equation modelling was then used to examine the mediational role of personal factors on the relationship between pain and performance of valued life activities.

RESULTS: A direct negative association between pain and performance of valued life activities was identified (Beta = .34, P < .001). This suggests that people with rheumatoid arthritis who had higher levels of pain has increased difficulties in performing valued life activities. Self-efficacy and activity engagement component of pain acceptance mediated the relationship between pain and performance of valued life activities, however the pain willingness component of pain acceptance did not influence participation in valued life activities.

CONCLUSION: These findings highlight the importance of considering personal factors, such as pain acceptance and self-efficacy, in facilitating participation in valued life activities.

Place, publisher, year, edition, pages
Sage Publications, 2017
Keywords
Disability, ICF, mediation, pain, personal factors, rheumatoid arthritis, structural equation modelling, valued life activities scale
National Category
Rheumatology and Autoimmunity
Identifiers
urn:nbn:se:liu:diva-129964 (URN)10.1177/0269215516646166 (DOI)000401719500013 ()27146888 (PubMedID)
Note

Funding agencies: Medical Research Council of Southeast Sweden; Futurum - the academy for healthcare Region Jonkoping County; Swedish Rheumatism Fund; Swedish Association of Occupational Therapy; Axel Fugl-Meyer Memorial fund

Available from: 2016-07-02 Created: 2016-07-02 Last updated: 2018-05-02Bibliographically approved
Bergström, M., Sverker, A. M., Larsson Ranada, Å., Valtersson, E., Thyberg, I., Östlund, G. & Björk, M. (2017). Significant others as both barriers and facilitators for participation in daily activities in persons with rheumatoid arthritis: an interview study within the Swedish TIRA project. In: : . Paper presented at Annual European Congress of Rheumatology EULAR, 2017.
Open this publication in new window or tab >>Significant others as both barriers and facilitators for participation in daily activities in persons with rheumatoid arthritis: an interview study within the Swedish TIRA project
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2017 (English)Conference paper, Poster (with or without abstract) (Other academic)
National Category
Medical and Health Sciences Health Sciences
Identifiers
urn:nbn:se:liu:diva-161566 (URN)
Conference
Annual European Congress of Rheumatology EULAR, 2017
Available from: 2017-07-10 Created: 2019-11-05 Last updated: 2019-11-05
Östlund, G., Thyberg, I., Valtersson, E., Björk, M. & Sverker, A. M. (2016). The Use of Avoidance, Adjustment, Interaction and Acceptance Strategies to Handle Participation Restrictions Among Swedish Men with Early Rheumatoid Arthritis.. Musculoskeletal Care, 14(4), 206-218
Open this publication in new window or tab >>The Use of Avoidance, Adjustment, Interaction and Acceptance Strategies to Handle Participation Restrictions Among Swedish Men with Early Rheumatoid Arthritis.
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2016 (English)In: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681, Vol. 14, no 4, p. 206-218Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: Living with a chronic disease means learning to live under new circumstances and involves a continuous adaptation to new ways of living. There is increasing knowledge about how people cope with stressful life events and adapt to new life situations. Approximately a third of patients diagnosed with rheumatoid arthritis (RA) are men; however, few studies have described the needs and experiences of men living with RA. The aim of the present study was to explore men's strategies for handling challenges related to participation in everyday life.

METHODS: The present study was associated with the prospective Swedish multicentre early arthritis project (given the Swedish acronym TIRA), which, in 2006-2009, included patients with early RA, contemporarily treated, with a mean disease duration of three years. From this cohort, 25 men, aged 20-63 years, were recruited consecutively. Data were collected in individual interviews, using the critical incident technique. The strategies for dealing with the challenges of RA in everyday life were analysed and categorized using content analysis.

RESULTS: Men with RA described four types of strategy for dealing with participation restrictions in everyday life: (i) Adjustment strategies - adjust behaviour, movements, medication, equipment and clothing to find new ways to conduct tasks or activities; (ii) Avoidance strategies - avoid activities, movements, social contacts and sometimes medication; (iii) Interaction strategies - say no, ask for help and work together to handle participation restrictions; and (iv) Acceptance strategies - learn to accept RA, with the pain, the slower work pace and the extended time needed.

CONCLUSIONS: According to men's lived experiences, a combination of strategies was used to deal with RA, depending on the situation and the experienced restriction. The results provided an understanding of how men with RA manage their disease, to reduce physical, social and emotional challenges. This knowledge may be used further to develop multi-professional interventions and patient education tailored to men with RA.

Place, publisher, year, edition, pages
John Wiley & Sons, 2016
Keywords
Male adaptation; chronic illness; coping; patient perspective
National Category
Nursing Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:liu:diva-126435 (URN)10.1002/msc.1131 (DOI)26880258 (PubMedID)2-s2.0-84959097417 (Scopus ID)
Available from: 2016-03-24 Created: 2016-03-24 Last updated: 2019-11-05Bibliographically approved
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