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  • 1.
    Peolsson, Anneli
    et al.
    Linköping University, Department of Department of Health and Society, Division of Physiotherapy. Linköping University, Faculty of Health Sciences.
    Hedlund, Rune
    Department of Orthopedics, Huddinge Hospital, Karolinska Institute, Stockholm, Sweden.
    Öberg, Birgitta
    Linköping University, Department of Department of Health and Society, Division of Physiotherapy. Linköping University, Faculty of Health Sciences.
    Ertzgaard, Susanne
    Linköping University, Department of Department of Health and Society, General Practice. Linköping University, Faculty of Health Sciences.
    Intra- and inter-tester reliability and range of motion of the neck2000In: Physiotherapy Canada, ISSN 0300-0508, E-ISSN 1708-8313, Vol. 52, p. 233-242Article in journal (Refereed)
    Abstract [en]

    To our knowledge, neither reliability nor reference values have previously been investigated on the cervical measurement system (CMS) equipment. In this study we determined the intra- and intertester reliability of measuring active range of motion (AROM) in the three planes using the cervical measurement system (CMS) and the golden standard cervical range of motion device (CROM). Based on repeated measurements by two observers in 30 healthy volunteers, measurement of AAOM with the GMS equipment was shown to be a reliable method and nearly as good as the CROM equipment. Thus, the CMS equipment can be used for evaluating cervical AROM in clinical practice. Age- and sex-specific cervical range of motion was measured with the CMS equipment in 101 randomly selected asymptomatic men and women aged 25-64 years. The results from the reference- value study showed that age is a much more important determinant of cervical AROM than sex, body weight, or body mass index.

  • 2.
    Siebers, Agneta
    et al.
    Rehabiliteringsmedicinska kliniken Länssjukhuset Ryhov.
    Öberg, Ulrika
    Futurum Länssjukhuset Ryhov.
    Skargren, Elisabeth
    Linköping University, Department of Medicine and Health Sciences, Physiotherapy. Linköping University, Faculty of Health Sciences.
    The effect of modified constraint –induced movement therapy on spasticity and motor function of the affected arm in patients with chronic stroke.2010In: Physiotherapy Canada, ISSN 0300-0508, E-ISSN 1708-8313, ISSN 0300-0508, Vol. 62, no 4, p. 388-366Article in journal (Refereed)
    Abstract [en]

     

    Purpose: The purpose of this study was to explore the effect of modified constraint-induced movement therapy (CIMT) in a real-world clinical setting on spasticity and functional use of the affected arm and hand in patients with spastic chronic hemiplegia.

    Method: A prospective consecutive quasi-experimental study design was used. Twenty patients with spastic hemiplegia (aged 22–67 years) were tested before and after 2-week modified CIMT in an outpatient rehabilitation clinic and at 6 months. The Modified Ashworth Scale (MAS), active range of motion (AROM), grip strength, Motor Activity Log (MAL), Sollerman hand function test, and Box and Block Test (BBT) were used as outcome measures.

    Results: Reductions (p<0.05–0.001) in spasticity (MAS) were seen both after the 2-week training period and at 6-month follow-up. Improvements were also seen in AROM (median change of elbow extension 5°, dorsiflexion of hand 10°), grip strength (20 Newton), and functional use after the 2-week training period (MAL: 1 point; Sollerman test: 8 points; BBT: 4 blocks). The improvements persisted at 6-month follow-up, except for scores on the Sollerman hand function test, which improved further.

    Conclusion: Our study suggests that modified CIMT in an outpatient clinic may reduce spasticity and increase functional use of the affected arm in spastic chronic hemiplegia, with improvements persisting at 6 months.

     

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