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  • 26201.
    Öberg, Åke
    Linköpings universitet, Tekniska högskolan. Linköpings universitet, Institutionen för medicinsk teknik, Fysiologisk mätteknik.
    Optical sensors for heart- and respiratory rate measurements. Academic prototypes and clinical evaluation1996Ingår i: International Conference IEEE Engineering in Medicine and Biology Society,1996, IEEE , 1996Konferensbidrag (Refereegranskat)
  • 26202.
    Öberg, Åke
    Linköpings universitet, Tekniska högskolan. Linköpings universitet, Institutionen för medicinsk teknik, Fysiologisk mätteknik.
    Optical sensors in medical care2004Ingår i: Sensors in Medicine and Health Care / [ed] Åke Öberg; Tatsuo Togawa and Francis A Spelman, Weinheim, Germany: WileyVCH Verlag , 2004, s. 15-44Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [en]

    Due to remarkable developments in the field of sensors along with miniaturization, sophisticated microsensors are part of many aspects of 21st century medicine and health care. Turning sensory inputs of all kinds into defined electrical signals that can be  interpreted and acted upon by both stationary and portable medicne  equipment as well as implants, sensors find many applications monitoring blood pressure, heart rates, glucose levels and many other parameters by which human health can be evaluated.         

    They also serve as key components in modern imaging equipment as well as operating equipment for minimally invasive surgery,catheters and other applications.         

    Taken as a whole, Sensors Applications covers all major fields  of application for commercial sensors, as well as their  manufacturing techniques and major types. Strong emphasis is placedon microsensors, microsystems and integrated electronic sensor  packages rather than bulk equipment. Each of the individual volumes is tailored to the needs and queries of readers from the relevant branches of industry and research.

  • 26203.
    Öberg, Åke
    Linköpings universitet, Tekniska högskolan. Linköpings universitet, Institutionen för medicinsk teknik, Fysiologisk mätteknik.
    Optical sensors in Medical Care2004Ingår i: Sensors Update: sensor technology, applications, markets]. Vol. 13 / [ed] H. Baltes, G.K. Fedder, J.G. Korvink, Weinheim, Germany: WileyVCH Verlag , 2004, s. 201-232Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 26204.
    Öberg, Åke
    Linköpings universitet, Tekniska högskolan. Linköpings universitet, Institutionen för medicinsk teknik, Fysiologisk mätteknik.
    Tissue motion - a disturbance in the Laser-Doppler blood flow signal?1999Ingår i: Technology and Health Care, ISSN 0928-7329, Vol. 7, s. 185-192Artikel i tidskrift (Refereegranskat)
  • 26205.
    Öberg, Åke
    et al.
    Linköpings universitet, Tekniska högskolan. Linköpings universitet, Institutionen för medicinsk teknik, Fysiologisk mätteknik.
    Salerud, Göran
    Linköpings universitet, Tekniska högskolan. Linköpings universitet, Institutionen för medicinsk teknik, Biomedicinsk instrumentteknik.
    Microprobes for blood flow measurements in tissue and small vessels1988Ingår i: SPIE Vol 94 Microsensors and Catheter-Based Imaging and Technology,1988, 1988, s. 35-Konferensbidrag (Refereegranskat)
  • 26206.
    Öberg, Åke
    et al.
    Linköpings universitet, Tekniska högskolan. Linköpings universitet, Institutionen för medicinsk teknik, Fysiologisk mätteknik.
    Spelman, Francis A.
    Dept. of Bioengineering University of Washington.
    Togawa, Tatsuo
    School of Human Sciences Waseda University.
    Introduction2004Ingår i: Sensors in Medicine and Health Care / [ed] P. Å. Öberg, Tatsuo Togawa, Francis A. Spelman, Weinheim, Germany: WileyVCH Verlag , 2004, s. -420Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [en]

    Due to remarkable developments in the field of sensors along with miniaturization, sophisticated microsensors are part of many aspects of 21st century medicine and health care. Turning sensory inputs of all kinds into defined electrical signals that can be  interpreted and acted upon by both stationary and portable medicne  equipment as well as implants, sensors find many applications monitoring blood pressure, heart rates, glucose levels and many other parameters by which human health can be evaluated.        

    They also serve as key components in modern imaging equipment as well as operating equipment for minimally invasive surgery,catheters and other applications.        

    Taken as a whole, Sensors Applications covers all major fields  of application for commercial sensors, as well as their  manufacturing techniques and major types. Strong emphasis is placedon microsensors, microsystems and integrated electronic sensor  packages rather than bulk equipment. Each of the individual volumes is tailored to the needs and queries of readers from the relevant branches of industry and research.

  • 26207.
    Öberg, Åke
    et al.
    Linköpings universitet, Tekniska högskolan. Linköpings universitet, Institutionen för medicinsk teknik, Fysiologisk mätteknik.
    Spelman, Francis A.
    Dept. of Bioengineering University of Washington, USA.
    Togawa, Tatsuo
    School of Human Sciences Waseda University.
    Sensors in Medicine and Health Care2004Bok (Övrigt vetenskapligt)
    Abstract [en]

    Due to remarkable developments in the field of sensors along with miniaturization, sophisticated microsensors are part of many aspects of 21st century medicine and health care. Turning sensory inputs of all kinds into defined electrical signals that can be  interpreted and acted upon by both stationary and portable medicne  equipment as well as implants, sensors find many applications monitoring blood pressure, heart rates, glucose levels and many other parameters by which human health can be evaluated.       

    They also serve as key components in modern imaging equipment as well as operating equipment for minimally invasive surgery,catheters and other applications.       

    Taken as a whole, Sensors Applications covers all major fields  of application for commercial sensors, as well as their  manufacturing techniques and major types. Strong emphasis is placedon microsensors, microsystems and integrated electronic sensor  packages rather than bulk equipment. Each of the individual volumes is tailored to the needs and queries of readers from the relevant branches of industry and research.

  • 26208.
    Öberg, Åke
    et al.
    Linköpings universitet, Tekniska högskolan. Linköpings universitet, Institutionen för medicinsk teknik, Fysiologisk mätteknik.
    Sundqvist, Tommy
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för molekylär och klinisk medicin, Medicinsk mikrobiologi.
    Johansson, Anders
    Linköpings universitet, Tekniska högskolan. Linköpings universitet, Institutionen för medicinsk teknik, Fysiologisk mätteknik.
    Assessment of cartilage thickness utilising reflectance spectroscopy2004Ingår i: Medical and Biological Engineering and Computing, ISSN 0140-0118, E-ISSN 1741-0444, Vol. 42, nr 1Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    A new principle for cartilage layer thickness assessments in joints is presented. It is based on the differences between the absorption spectra of cartilage and subchondral bone (containing blood). High-resolution ultrasound measurements of cartilage thickness were compared with reflection spectroscopy data from the same area of bovine hip joint condyles. A simple mathematical model allowed calculation of thickness and comparison with ultrasound data. The cartilage thickness was changed by being ground in short episodes. For thicker cartilage layers, a high degree of reflection in the 400-600nm wavelength interval was seen. For thinner cartilage layers, the characteristics of the spectra of blood and bone dominated those of cartilage. The mean (±SD) thickness of intact cartilage was 1.21± 0.30 mm (n = 30). In an exponential regression model, spectroscopic estimation of cartilage thickness showed a correlation coefficient of r= 0.69 (n = 182). For thinner cartilage layers (d<0.5mm), the mean model error was 0.19±0.17mm. Results from a bi-layer Monte Carlo simulation supported the assumption of an exponential relationship between spectroscopy data and reference ultrasound data. The conclusion is that optical reflection spectroscopy can be used for cartilage layer thickness assessment.

  • 26209.
    Öberg, Åke
    et al.
    Linköpings universitet, Tekniska högskolan. Linköpings universitet, Institutionen för medicinsk teknik, Fysiologisk mätteknik.
    Sundqvist, Tommy
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för molekylär och klinisk medicin, Medicinsk mikrobiologi.
    Johansson, Anders
    Linköpings universitet, Tekniska högskolan. Linköpings universitet, Institutionen för medicinsk teknik, Fysiologisk mätteknik.
    Sundberg, Mikael
    Linköpings universitet, Tekniska högskolan. Linköpings universitet, Institutionen för medicinsk teknik, Biomedicinsk instrumentteknik.
    Characterisation of the cartilage/bone interface utilising reflectance spectroscopy2001Ingår i: 23rd Annual International Conference IEEE EMBS,2001, IEEE , 2001, Vol. 3, s. 3002-3004Konferensbidrag (Refereegranskat)
    Abstract [en]

    Optical reflection spectra of the cartilage/bone interface from hip joints of cows were studied. When comparing to ultrasonic measurement, it was found that cartilage thickness could be extracted using optical reflectance spectroscopy. For thicker cartilage layers, a high reflection for the wavelengths 400-600 nm was seen, and for thinner cartilage layers, the characteristic spectra of blood and bone dominated. The optical reflectance spectra may be used to characterise cartilage, and specifically cartilage thickness, in connection with in situ diagnosis or autologous chondrocyte implantation (ACI).

  • 26210.
    Öberg, Åke
    et al.
    Linköpings universitet, Tekniska högskolan. Linköpings universitet, Institutionen för medicinsk teknik, Fysiologisk mätteknik.
    Tamura, T.
    Lindberg, Lars-Göran
    Linköpings universitet, Tekniska högskolan. Linköpings universitet, Institutionen för medicinsk teknik, Fysiologisk mätteknik.
    Salerud, Göran
    Linköpings universitet, Tekniska högskolan. Linköpings universitet, Institutionen för medicinsk teknik, Biomedicinsk instrumentteknik.
    A comparison between laser Doppler flowmetry and photoplethysmography1988Ingår i: Betch. AMH CCCP,1988, 1988, s. 82-Konferensbidrag (Refereegranskat)
  • 26211.
    Öcal, Fatos
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för omvårdnad.
    Säfström, Moa
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för omvårdnad.
    Livsstilsförändringar i efterförloppet av akut kranskärlssjukdom: En litteraturstudie2018Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Efter akut kranskärlssjukdom är det viktigt att förändra sin livsstil då det har stor betydelse för framtidsutsikten för dessa patienter. Trots detta så förändrar inte alla patienter sina livsstilsvanor, eller klarar av att bibehålla de nyligen förändrade vanorna.  

    Syfte: Syftet var att studera vad som påverkar genomförandet av livsstilsförändringar hos personer i efterförloppet av akut kranskärlssjukdom.  

    Metod: Litteraturstudie med ett systematiskt tillvägagångssätt. Datainsamling genomfördes i databaserna CINAHL, PsycINFO, PubMed, Swemed+ och UniSearch. Efter datainsamling och kvalitetsgranskning inkluderades 15 artiklar varav nio kvalitativa artiklar och sex kvantitativa artiklar. För bearbetning av data utfördes en analys där fyra huvudkategorier identifierades.  

    Resultat: De fyra huvudkategorierna som identifierades var: Den enskilde individen, Kunskap, Inre faktorer och Yttre faktorer. Dessa områden kunde både främja och/eller hämma genomförandet av livsstilsförändring i efterförloppet av akut kranskärlssjukdom.   

    Konklusion: Sjuksköterskan bör vara medveten om den multifaktoriella process som livsstilsförändring innebär för patienten. Patientens behov kan tillgodoses genom tydlig information om sjukdomen men även andra aspekter såsom livsstilsförändring och hantering av förändring. Patienten behöver stöd från sjukvården, likasinnade och närstående för att kunna förändra sin livsstil.

  • 26212.
    Ödkvist, L
    Östergötlands Läns Landsting, RC - Rekonstruktionscentrum, ÖNH - Öron- Näsa- Halskliniken.
    Pressure treatment versus gentamicin for MΘniΦre's disease2001Ingår i: Acta Oto-Laryngologica, ISSN 0001-6489, E-ISSN 1651-2251, Vol. 121, nr 2, s. 266-268Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    MΘniΦre's disease may be treated in different ways. After obtaining a case history and performing auditory and vestibular tests the diagnosis should be obvious. In terms of treatment, the first steps are to provide the patient with information, institute a low-salt diet and regulate internal medical disorders. The next step is pharmacological treatment using diuretics, betahistine and other drugs. Local pulsated pressure treatment in the ear canal has been used in a placebo-controlled study and showed significant improvement, primarily of vertigo, but also in terms of tinnitus and hearing. Hence, this form of treatment can be used in some phases of the disease. In more severe cases gentamicin treatment has proved successful, in the present study, vertigo was cured in all but 3 of 35 patients. On average, no extra hearing loss was caused, however, one ear became deaf, some ears showed improvement and some ears showed a certain degree of hearing loss. In cases of escalation of MΘniΦre's disease, pressure treatment should be used initially, followed by gentamicin. These two methods of treatment are not in competition as they are used to treat different stages of the disease.

  • 26213.
    Ödkvist, Lars
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för nervsystem och rörelseorgan, Oto-Rhino-Laryngologi. Östergötlands Läns Landsting, RC - Rekonstruktionscentrum, ÖNH - Öron- Näsa- Halskliniken.
    Arlinger, Stig
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för nervsystem och rörelseorgan, Teknisk audiologi. Östergötlands Läns Landsting, RC - Rekonstruktionscentrum, ÖNH - Öron- Näsa- Halskliniken.
    Billermark, Erica
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för nervsystem och rörelseorgan, Oto-Rhino-Laryngologi. Östergötlands Läns Landsting, RC - Rekonstruktionscentrum, ÖNH - Öron- Näsa- Halskliniken.
    Densert, B
    Lindholm, S
    Wallqvist, J
    Effects of middle ear pressure changes on clinical symptoms in patients with MΘniΦre's disease - A clinical multicentre placebo-controlled study2000Ingår i: Acta oto-laryngologica. Supplementum, ISSN 0365-5237, E-ISSN 1651-2464, nr 543, s. 99-101Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Different medical and surgical methods have been tried in attempting to reduce endolymphatic pressure in MΘniΦre's disease. Pressure treatment has a role on the treatment staircase, after pharmacological treatment and before destructive methods. Pressure chamber treatment has shown that some patients respond well to the treatment with diminishing inner ear symptoms and also some hearing improvement. Earlier studies have shown that electrocochlear measurements improve after local pressure treatment in the ear. The present study was a prospective randomized placebo controlled, multicentre clinical trial. 56 patients with active MΘniΦre's disease, age 20-65 years, with a hearing loss of 20-65 dB PTA participated. A total of 31 patients completed 2 weeks use with an active apparatus (Meniett) and 25 patients completed the 2 weeks with the placebo gadget. Both machines were produced by Pascal Medical, Halmstad, Sweden. Two weeks before the start of treatment a grommet was placed in the tympanic membrane. A significant improvement concerning frequency and intensity of vertigo, dizziness, aural pressure and tinnitus was reported by the active group on the visual analogue scales (VAS) questionnaire. In the placebo group no change was the most common finding, followed by worsening of the symptoms and a few improvements. The function in professional and family life improved during active treatment and did not during placebo treatment. Pure-tone audiometry did not improve after placebo treatment, but improved at the frequencies 500 Hz and 1,000 Hz after active treatment. The study showed an improvement in the inner ear symptoms after Meniett treatment. The mechanism may be explained by the influence on the round window membrane pressure receptors or an endolymphatic flow out through the pressure release points, such as the endolymphatic duct and sac, thus activating the longitudinal flow. Other mechanisms are also possible.

  • 26214.
    Ödkvist, Lars
    et al.
    Linköpings universitet. Departments of Otolaryngology, University Hospital, Linköping, Sweden.
    Arlinger, Stig
    Linköpings universitet. Audiology, University Hospital, Linköping, Sweden.
    Edling, Christer
    Östergötlands Läns Landsting. Occupational Medicine, University Hospital, Linköping, Sweden.
    Larsby, Birgitta
    Linköpings universitet. Departments of Otolaryngology, University Hospital, Linköping, Sweden.
    Bergholtz, Lars
    Östergötlands Läns Landsting. Audiology, University Hospital, Linköping, Sweden.
    Audiological and vestibulo-oculomotor findings in workers exposed to solvents and jet fuel1987Ingår i: Scandinavian Audiology, ISSN 0105-0397, E-ISSN 1940-2872, Vol. 16, nr 2, s. 75-81Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Three groups of subjects with long-term (5-41 years) occupational exposure to industrial solvents have been evaluated with extensive audiological and vestibular test batteries. Group A comprised 16 subjects with a confirmed diagnosis of psycho-organic syndrome (POS), while group B consisted of 7 subjects with suspected POS. Both groups had been exposed to mixtures of aliphatic and aromatic solvents. Eight subjects with long-term exposure to jet fuel constituted group C. In the audiological test battery, discrimination of interrupted speech and evoked cortical potentials in response to frequency glides were the tests that yielded significantly abnormal results. In the vestibular test battery, considerable pathology was seen in electronystagmography, and in addition, visual suppression test and saccade test indicated CNS disturbance. In general, when a test yielded pathological results, the incidence of pathology was highest in group A and lowest in group C.

  • 26215.
    Ödkvist, Lars
    et al.
    Linköpings universitet.
    Bergholtz, Lars
    Östergötlands Läns Landsting.
    Larsby, Birgitta
    Linköpings universitet.
    Tham, Richard
    Linköpings universitet.
    Eriksson, Birgitta
    Linköpings universitet.
    Edling, Christer
    Solvent induced central nervous system disturbances appearing in hearing and vestibulo-oculomotor tests1985Ingår i: Clinical Ecology, ISSN 0735-9306, Vol. 3, nr 3, s. 149-153Artikel i tidskrift (Refereegranskat)
  • 26216.
    Ödkvist, Lars
    et al.
    Östergötlands Läns Landsting. Department of Otolaryngology, University Hospital, Linkoping, Sweden.
    Fredrickson, John
    University of Toronto, Canada.
    Larsby, Birgitta
    Linköpings universitet. Department of Otolaryngology, University Hospital, Linkoping, Sweden.
    Projection of the vestibular nerve to the SI arm field in the cerebral cortex of the cat1975Ingår i: Acta Oto-Laryngologica, ISSN 0001-6489, E-ISSN 1651-2251, Vol. 79, nr 1-2, s. 88-95Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Evoked cortical focal potentials from electrical vestibular nerve stimulation were recorded in the Pcd-area in cats anaesthetized with Chloralose or Nembutal. For comparison, additional cortical projections were located for n. rad. superficialis and group Ia muscle afferents from n. rad. prof., n. fibularis prof., n. femuralis ramus muscularis and the motor nerve to the trapezoid muscle. Surface positive potentials, which reversed to negativity in middle cortical layers, were for vestibular nerve stimulation recorded in the S I forelimb field in a small area close to Pcd in the posterior medial part of the deep radial nerve projection field. The location of this field is compared with the vestibulo-cortical projections described earlier for rodents, squirrel monkey, and rhesus monkey. The histology shows that the field was within the cytoarchitectonic 3a area.

  • 26217.
    Ödkvist, Lars
    et al.
    Östergötlands Läns Landsting.
    Gripmark, M.
    Östergötlands Läns Landsting.
    Larsby, Birgitta
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Teknisk audiologi. Linköpings universitet, Hälsouniversitetet.
    Ledin, Torbjörn
    Östergötlands Läns Landsting.
    The subjective horizontal in eccentric rotation influenced by peripheral vestibular lesion1996Ingår i: Acta Oto-Laryngologica, ISSN 0001-6489, E-ISSN 1651-2251, Vol. 116, nr 2, s. 181-184Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Peripheral vestibular equilibrium disorders may originate in various parts of the labyrinth or the vestibular nerve. Traditionally, the function of the lateral semicircular canals has been assessed with caloric irrigation, and sometimes falsely been interpreted as a vestibular nerve lesion. the vertical semicircular canals are not easily assessed. Caloric testing with the head in different positions is not very helpful, but the canals may pairwise be tested using specific rotational techniques. Often the otolithic organs, capable of detecting linear acceleration forces, are forgotten as a source of vertigo and dizziness. We have implemented horizontal rotatory testing with the subject seated eccentrically facing the direction of rotation as a means of assessing otolithic function. the subject experiences a lateral tilt and is instructed in darkness to put a short light bar in the position he thinks a water surface would have, which is identical to his perceived tilt. in 39 normal subjects, a theoretical tilt of 24° was estimated as approximately 19.5°, and the standard deviation was 6°. A side difference index was proposed to be normal if below 25%. the preliminary findings in a few patients with known labyrinthine lesions are presented. We propose that otolithic as well as lateral semicircular canal functions are useful to monitor in patients with suspected peripheral equilibrium disorders.

  • 26218.
    Ödkvist, Lars
    et al.
    Linköpings universitet.
    Hydén, Dag
    Linköpings universitet.
    Andersson, Hans
    Östergötlands Läns Landsting.
    Larsby, Birgitta
    Linköpings universitet.
    The visual suppression test1983Ingår i: Proc NES 1983, 1983Konferensbidrag (Övrigt vetenskapligt)
  • 26219.
    Ödkvist, Lars
    et al.
    Linköpings universitet.
    Jerlvall, T.
    Andersson, Hans
    Östergötlands Läns Landsting.
    Larsby, Birgitta
    Linköpings universitet.
    Hydén, Dag
    Linköpings universitet.
    A computerized saccade test - clinical value1983Ingår i: Proc NES 1983, 1983, s. 202-208Konferensbidrag (Övrigt vetenskapligt)
  • 26220.
    Ödkvist, Lars
    et al.
    Östergötlands Läns Landsting.
    Larsby, Birgitta
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Teknisk audiologi. Linköpings universitet, Hälsouniversitetet.
    Hydén, Dag
    Linköpings universitet.
    Rotatory tests1993Ingår i: NES 1993, 1993Konferensbidrag (Övrigt vetenskapligt)
  • 26221.
    Ödkvist, Lars
    et al.
    Linköpings universitet.
    Larsby, Birgitta
    Linköpings universitet.
    Hydén, Dag
    Linköpings universitet.
    Aschan, Gunnar
    Linköpings universitet.
    Tham, Richard
    Linköpings universitet.
    Influence of industrial solvents on the balance system1977Ingår i: International symposium on the control of air pollution in the working environment, 1977, 1977, s. 80-87Konferensbidrag (Övrigt vetenskapligt)
  • 26222.
    Ödkvist, Lars
    et al.
    Östergötlands Läns Landsting.
    Larsby, Birgitta
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Teknisk audiologi. Linköpings universitet, Hälsouniversitetet.
    Ledin, Torbjörn
    Linköpings universitet. Östergötlands Läns Landsting.
    Eccentric rotation as a means to assess otolith function: normal subjects and findings in unilateral Menieres Disease1996Konferensbidrag (Övrigt vetenskapligt)
  • 26223.
    Ödkvist, Lars
    et al.
    Linköpings universitet. Departments of Otolaryngology and Clinical Pharmacology, Regional-and University Hospital, Linköping University, Linköping, Sweden.
    Larsby, Birgitta
    Linköpings universitet. Departments of Otolaryngology and Clinical Pharmacology, Regional-and University Hospital, Linköping University, Linköping, Sweden.
    Liedgren, Christer
    Linköpings universitet. Departments of Otolaryngology and Clinical Pharmacology, Regional-and University Hospital, Linköping University, Linköping, Sweden.
    Fredrickson, John
    University of Toronto, Canada.
    Tham, Richard
    Linköpings universitet. Departments of Otolaryngology and Clinical Pharmacology, Regional-and University Hospital, Linköping University, Linköping, Sweden.
    Vestibular and oculomotor disturbances caused by industrial solvents1980Ingår i: Journal of Otolaryngology, ISSN 0381-6605, Vol. 9, nr 1, s. 53-59Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Hydrocarbon solvents, xylene, styrene, methylchloroform, and trichlorethylene, given intravenously to rabbits produce a positional nystagmus. Due to their additional influence on rotatory nystagmus, one may conclude that their mode of action takes place in the central nervous system. Optokinetic (OKN) responses in rabbits, cats, and humans were also influenced by styrene. OKN responses have not yet been tested for the other solvents. A comparison is made with the effects of alpha-chloralose and the GABA-antagonists bicuculline and picrotoxin which produced similar disturbances. The GABA agonist, baclofen, prevents positional induced styrene nystagmus. It seems likely therefore that the solvents may act by blocking the cerebellar inhibition of vestibulo-oculomotor reflexes. Solvents given simultaneously in some combinations are either

  • 26224.
    Ödkvist, Lars
    et al.
    Linköpings universitet.
    Larsby, Birgitta
    Linköpings universitet.
    Liedgren, Christer
    Östergötlands Läns Landsting.
    Tham, Richard
    Linköpings universitet.
    Disturbancies of the oculomotor system caused byhydrocarbon solvents1981Ingår i: Functional basis of Ocular Motility Disorders, 1981, 1981, s. 535-536Konferensbidrag (Övrigt vetenskapligt)
  • 26225.
    Ödkvist, Lars
    et al.
    Linköpings universitet. Department of Otolaryngology and Department of Clinical Pharmacology, Regional and University Hospital, Linköping University, Linköping, Sweden.
    Larsby, Birgitta
    Linköpings universitet. Department of Otolaryngology and Department of Clinical Pharmacology, Regional and University Hospital, Linköping University, Linköping, Sweden.
    Tham, Richard
    Linköpings universitet. Department of Otolaryngology and Department of Clinical Pharmacology, Regional and University Hospital, Linköping University, Linköping, Sweden.
    Aschan, Gunnar
    Linköpings universitet. Department of Otolaryngology and Department of Clinical Pharmacology, Regional and University Hospital, Linköping University, Linköping, Sweden .
    On the mechanisms of vestibular disturbancies caused by industrial solvents1979Ingår i: Advances in Oto-Rhino-Laryngology, ISSN 0065-3071, E-ISSN 1662-2847, Vol. 25, s. 167-172Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The industrial solvents xylene, styrene, trichloroethylene and methylchloroform administered to rabbits caused a positional nystagmus and disturbances in the nystagmus response to rotatory acceleration. The positional nystagmus had a beat direction the opposite to positional alcohol nystagmus, which was in similar experiments elicited by methanol, ethanol and propanol. The three alcohols needed a ten times higher blood concentration to cause a nystagmus than the solvents did.

  • 26226.
    Ödkvist, Lars
    et al.
    Linköpings universitet.
    Larsby, Birgitta
    Linköpings universitet.
    Tham, Richard
    Linköpings universitet.
    Hydén, Dag
    Linköpings universitet.
    Vestibular oculomotor dysfunction caused by solvents1982Ingår i: Nordic symposium on data processing of eye movements 1982, 1982Konferensbidrag (Övrigt vetenskapligt)
  • 26227.
    Ödkvist, Lars
    et al.
    Linköpings universitet.
    Larsby, Birgitta
    Linköpings universitet.
    Tham, Richard
    Linköpings universitet.
    Hydén, Dag
    Linköpings universitet.
    Vestibulo-oculomotor disturbances caused by industrial solvents1983Ingår i: Otolaryngology - Head and Neck Surgery, ISSN 0194-5998, Vol. 91, nr 5, s. 537-539Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Animal experiments show that intoxication with hydrocarbon solvents influences the vestibulo-oculomotor reflex arc and indicate that the solvents block the inhibition of the vestibulo-oculomotor reflex presumably exerted by the cerebellum. The blood concentrations necessary to elicit oculomotor disturbances in animals were smaller than those that disturbed the vestibular function. Accordingly, in human experiments styrene and toluene exposure did not elicit any positional nystagmus but caused an increased saccade speed and a diminished visual suppression of vestibular nystagmus. Some cerebellar clinical pathologic process in patients who suffer from a psycho-organic syndrome caused by solvents leads us to believe that the cerebellum might be the most vulnerable part of the brain. Some patients had a positional nystagmus, but the most prominent pathologic signs were elicited by the visual suppression test. Our findings compare well with the increased saccade speed and diminished visual suppression in patients with cerebellar tumors and infarctions

  • 26228.
    Ödkvist, Lars
    et al.
    Linköpings universitet.
    Larsby, Birgitta
    Linköpings universitet.
    Tham, Richard
    Linköpings universitet.
    Liedgren, Christer
    Östergötlands Läns Landsting.
    Aschan, Gunnar
    Linköpings universitet.
    Positional nystagmus elicited by industrial solvents1978Ingår i: Vestibular mechanisms in health and disease, 1978 / [ed] Hood JD, Academic Press, 1978, s. 18-27Konferensbidrag (Övrigt vetenskapligt)
  • 26229.
    Ödkvist, Lars
    et al.
    Linköpings universitet. Departments of Otolaryngology and Clinical Pharmacology, University Hospital, Linköping, Sweden .
    Larsby, Birgitta
    Linköpings universitet. Departments of Otolaryngology and Clinical Pharmacology, University Hospital, Linköping, Sweden.
    Tham, Richard
    Linköpings universitet. Departments of Otolaryngology and Clinical Pharmacology, University Hospital, Linköping, Sweden.
    Åhlfeldt, H.
    Linköpings universitet. Departments of Otolaryngology and Clinical Pharmacology, University Hospital, Linköping, Sweden.
    Andersson, Björn
    Linköpings universitet. Departments of Otolaryngology and Clinical Pharmacology, University Hospital, Linköping, Sweden.
    Eriksson, Birgitta
    Linköpings universitet. Departments of Otolaryngology and Clinical Pharmacology, University Hospital, Linköping, Sweden.
    Liedgren, Christer
    Linköpings universitet. Departments of Otolaryngology and Clinical Pharmacology, University Hospital, Linköping, Sweden.
    Vestibulo-oculomotor disturbances in humans exposed to styrene1982Ingår i: Acta Oto-Laryngologica, ISSN 0001-6489, E-ISSN 1651-2251, Vol. 94, nr 1-6, s. 487-493Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Several reports indicate that disturbances of the vestibulo-oculomotor ability are a manifestation of the toxic action on the central nervous system exerted by some industrial solvents. The aim of the present investigation was to examine the vestibulo-oculomotor system during exposure to styrene, which is extensively used in the production of plastics. Healthy volunteers were exposed to styrene for one hour. Rotatory and optokinetic nystagmus, visual suppression as well as speed, latency and accuracy of saccades were tested before, during, and one hour after the exposure. The pulmonary uptake and the blood level of the solvent were continuously analysed by gas chromatography. The styrene blood concentration was equivalent to that which may well be reached after several hours of hard work in an industrial environment with a concentration of styrene within permitted limits. No spontaneous nystagmus appeared. The rotatory and optokinetic nystagmus was not influenced by styrene. However, the speed of the saccade was significantly enhanced. The visual suppression was disturbed, shown by an increased gain after styrene exposure. The experiments thus indicate that styrene given to healthy test persons induced disturbances, thus consistent with the theory that some organic solvents block the cerebellar inhibition of the vestibulo-oculomotor system.

  • 26230.
    Ödkvist, Lars
    et al.
    Östergötlands Läns Landsting.
    Ledin, Torbjörn
    Linköpings universitet.
    Larsby, Birgitta
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Teknisk audiologi. Linköpings universitet, Hälsouniversitetet.
    Gripmark, M.
    Noaksson, Lisbeth
    Östergötlands Läns Landsting.
    Olsson, S.
    Östergötlands Läns Landsting.
    Otolithic tests in Menière’s disease1995Ingår i: Ménièr's Disease, 1995 / [ed] Vesterhauge S, Katholm M, Mikines P, 1995, s. 259-265Konferensbidrag (Övrigt vetenskapligt)
  • 26231.
    Ödkvist, Lars
    et al.
    Östergötlands Läns Landsting.
    Liedgren, Christer
    Östergötlands Läns Landsting.
    Larsby, Birgitta
    Östergötlands Läns Landsting.
    Jerlvall, L.
    Östergötlands Läns Landsting.
    Vestibular and somatosensory inflow to the vestibular projection area in the post cruciate dimple region of the gat cerebral cortex1975Ingår i: Experimental Brain Research, ISSN 0014-4819, E-ISSN 1432-1106, Vol. 22, nr 2, s. 185-196Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In anesthetized cats 251 cells within the cortical vestibular projection area, adjacent to the post-cruciate dimple, were analyzed as to their input characteristics employing extracellular recording techniques. The post cruciate dimple vestibular field, which is located in area 3a, has a high degree of convergence between vestibular and peripheral somatosensory input. The latter is not restricted to muscle afferents but includes cutaneous modalities. The functional significance of this vestibular cortical projection field is discussed.

  • 26232.
    Ödkvist, Lars
    et al.
    Linköpings universitet.
    Möller, C.
    Linköpings universitet.
    Thell, Jan
    Östergötlands Läns Landsting.
    Larsby, Birgitta
    Linköpings universitet.
    Hydén, Dag
    Linköpings universitet.
    Gentamycin-treated Meniere's disease evaluated by rotatory tests1985Ingår i: Myers E, editor.; Elsevier SiencePublishers B.V.; 1985 / [ed] Myers E,, 1985, s. 43-44Konferensbidrag (Övrigt vetenskapligt)
  • 26233.
    Ödkvist, Lars
    et al.
    Östergötlands Läns Landsting.
    Möller, Claes
    Linköpings universitet.
    Hydén, Dag
    Linköpings universitet.
    Larsby, Birgitta
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Teknisk audiologi. Linköpings universitet, Hälsouniversitetet.
    Vestibulr Compensation Measured by the Broad-Frequency Band Rotatory Test1987Ingår i: The Vestibular system: Neurophysiologic and clinical research / [ed] Malcolm D. Graham, John L. Kemink, New York: Raven Press , 1987, s. 287-291Konferensbidrag (Refereegranskat)
  • 26234.
    Ödkvist, Lars
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för nervsystem och rörelseorgan, Oto-Rhino-Laryngologi. Östergötlands Läns Landsting, Rekonstruktionscentrum, Öronkliniken US.
    Noaksson, L M
    Greibe, Patrick
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för nervsystem och rörelseorgan, Oto-Rhino-Laryngologi. Östergötlands Läns Landsting, Rekonstruktionscentrum, Öronkliniken US.
    Ledin, Torbjörn
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för nervsystem och rörelseorgan, Oto-Rhino-Laryngologi. Östergötlands Läns Landsting, Rekonstruktionscentrum, Öronkliniken US.
    Neurootology in neck trauma patients2004Ingår i: Bárány Society XXIII International Congress,2004, 2004, s. 156-156Konferensbidrag (Övrigt vetenskapligt)
  • 26235.
    Ödkvist, Lars
    et al.
    Linköpings universitet.
    Tham, Richard
    Linköpings universitet.
    Hydén, Dag
    Linköpings universitet.
    Larsby, Birgitta
    Linköpings universitet.
    Edling, Christer
    Bergholtz, Lars
    Östergötlands Läns Landsting.
    Tidig diagnostik vid lösningsmedelsskada1982Ingår i: Sv Otolaryngol förening 1982;2, 1982, s. 2-Konferensbidrag (Övrigt vetenskapligt)
  • 26236.
    Ödkvist, Lars
    et al.
    Linköpings universitet.
    Tham, Richard
    Linköpings universitet.
    Larsby, Birgitta
    Linköpings universitet.
    Aschan, Gunnar
    Linköpings universitet.
    Liedgren, Christer
    Östergötlands Läns Landsting.
    Hur inverkar industriella lösningsmedel på balansapparaten1978Ingår i: Läkaresällskapets riksstämma 1978, 1978Konferensbidrag (Övrigt vetenskapligt)
  • 26237.
    Ödkvist, Lars
    et al.
    Linköpings universitet.
    Tham, Richard
    Linköpings universitet.
    Åhlfeldt, H.
    Linköpings universitet.
    Andersson, Björn
    Linköpings universitet.
    Liedgren, Christer
    Östergötlands Läns Landsting.
    Larsby, Birgitta
    Linköpings universitet.
    Vestibulo-oculomotor findings during styrene exposure1981Ingår i: World Congress of Otolaryngol 1981, 1981Konferensbidrag (Övrigt vetenskapligt)
  • 26238.
    Ödkvist, Lars
    et al.
    Linköpings universitet.
    Thell, Jan
    Östergötlands Läns Landsting.
    Hydén, Dag
    Linköpings universitet.
    Larsby, Birgitta
    Linköpings universitet.
    Vascular cause for vertigo1986Ingår i: Claussen C-F, Kirtane MV, editors. Vertigo, nausea,tinnitus and hearing loss in cardiovasculr disease.: Elsevier SciencePublishers B.V.; 1986, 1986, s. 61-68Konferensbidrag (Övrigt vetenskapligt)
  • 26239.
    Ödkvist, Lars
    et al.
    Linköpings universitet. Department of Otolaryngology, University Hospital, Linköping, Sweden..
    Thell, Jan
    Östergötlands Läns Landsting. Department of Otolaryngology, University Hospital, Linköping, Sweden..
    Larsby, Birgitta
    Linköpings universitet. Department of Otolaryngology, University Hospital, Linköping, Sweden..
    A comparison between smooth pursuit and visual suppression1988Ingår i: Advances in Oto-Rhino-Laryngology, ISSN 0065-3071, E-ISSN 1662-2847, Vol. 41, s. 109-115Artikel i tidskrift (Refereegranskat)
  • 26240.
    Ödkvist, Lars
    et al.
    Linköpings universitet.
    Åstrand, I.
    Arbetsmiljöinstitutet.
    Larsby, Birgitta
    Linköpings universitet.
    Käll, K.
    Arbetsmiljöinstitutet.
    Ger lösningsmedel störningar i vestibulo-oculomotorsystemet ?1980Ingår i: Arbete och Hälsa, ISSN 0346-7821, Vol. 2, nr 1Artikel i tidskrift (Övrigt vetenskapligt)
  • 26241.
    Ödkvist, LM
    et al.
    Östergötlands Läns Landsting.
    Larsby, Birgitta
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Teknisk audiologi. Linköpings universitet, Hälsouniversitetet.
    Technology in rotatory testing. 18th Bárány Society Meeting in Uppsala, June 6-8,1994.1994Ingår i: 18th Bárány Society Meeting in Uppsala, June 6-8,1994., 1994Konferensbidrag (Övrigt vetenskapligt)
  • 26242.
    Ödkvist, LM
    et al.
    Östergötlands Läns Landsting.
    Larsby, Birgitta
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Teknisk audiologi. Linköpings universitet, Hälsouniversitetet.
    Liedgren, Christer
    Östergötlands Läns Landsting.
    Influence of industrial solvents on the vestibular system.1978Ingår i: World congress on otolaryngology 1978, Miami Beach, 1978, s. 275-Konferensbidrag (Övrigt vetenskapligt)
  • 26243.
    Ödkvist, LM
    et al.
    Östergötlands Läns Landsting.
    Larsby, Birgitta
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Teknisk audiologi. Linköpings universitet, Hälsouniversitetet.
    Liedgren, Christer
    Östergötlands Läns Landsting.
    Nackafferenter and vestibularis. Sv Otolaryngol förening 1995;1:45-46.1995Ingår i: Sv Otolaryngol förening 1995, 1995, s. 45-46Konferensbidrag (Övrigt vetenskapligt)
  • 26244.
    Ödkvist, LM
    et al.
    Östergötlands Läns Landsting.
    Liedgren, Christer
    Östergötlands Läns Landsting.
    Larsby, Birgitta
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Teknisk audiologi. Linköpings universitet, Hälsouniversitetet.
    Integration mellan proprioception och N.Vestibularis i CNS.1974Ingår i: Läkaresällskapets riksstämma 1974., 1974Konferensbidrag (Övrigt vetenskapligt)
  • 26245.
    Ödkvist, LM
    et al.
    Östergötlands Läns Landsting.
    Thell, Jan
    Östergötlands Läns Landsting.
    Bengtsson, Ann
    Östergötlands Läns Landsting.
    Larsby, Birgitta
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Teknisk audiologi. Linköpings universitet, Hälsouniversitetet.
    Vertigo in fibromyalgi1986Ingår i: In: Claussen C-F, Kirtane MV, editors. Vertigo,nausea, tinnitus and hearing loss in cardiovascular diseases.: Elsevier SciencePublishers B.V. 1986 / [ed] Claussen C-F, Kirtane MV, 1986, s. 429-433Konferensbidrag (Övrigt vetenskapligt)
  • 26246.
    Ödkvist, LM
    et al.
    Östergötlands Läns Landsting.
    Thell, Jan
    Östergötlands Läns Landsting.
    Larsby, Birgitta
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Teknisk audiologi. Linköpings universitet, Hälsouniversitetet.
    A Comparison between Smooth Pursuit and Visual Suppression1988Ingår i: In Adv. Oto-Rhino-Laryng. Vol 41, 109-115. / [ed] Pirodda E, Pompeiano O., 1988, s. 109-115Konferensbidrag (Refereegranskat)
  • 26247.
    Ödman, Pia
    Linköpings universitet, Institutionen för medicin och hälsa, Sjukgymnastik. Linköpings universitet, Hälsouniversitetet.
    Intensive training in group for children with Cerebral Palsy: Evaluation from different perspectives2007Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    There is a need of more evidence‐based knowledge of different treatment/training‐approaches for children with Cerebral Palsy (CP) to better describe the objectives of interventions, effects on functioning and fulfilment of health care needs. The general aim of this thesis was to evaluate the effectiveness of intensive training in groups (ITGs) with a habilitation approach and a conductive education approach. In addition, this thesis explored different meanings of participation in ITGs to parents from a parent perspective. This thesis consists of two parts, a quantitative evaluation of the effectiveness of two ITGs (paper I‐III) and a qualitative study exploring parents’ different ways of experiencing ITGs (paper IV). Fifty‐four children, 3‐16 years old, with different types of CP, intellectual capacity and level of gross motor function, participated with their parents in a four weeks ITG with a short‐term and a one‐year follow‐up (paper I‐III). The second sample was strategically composed of parents to 15 children with CP with experiences of ITGs in different settings.

    The results showed that the proportion of clinically significant change in gross motor capability, functional skills or self‐reported individualized goal measure didn’t show any major differences between the two ITGs. One period of ITG facilitated small clinical and parent reported improvements in functioning for the short‐term. Nine children out of 54 made a clinically significant improvement in gross motor capability (GMFM‐88 total score); 36 children improved if an improvement in any dimension A‐E was counted for. Twenty‐two children out of 52 improved in one of the domains self‐care, mobility and social function (PEDI Functional Skills). Twenty‐eight parents out of 54 perceived a clinically significant improvement on the self‐reported individualized goal measure. Most individualized goals dealt with motor activities and movement‐related body functions in both ITGs. The self‐reported individualized goal measure was not found to be more sensitive to change than the clinical measures.

    The one‐year follow‐up showed that children had a stable level of functioning. No child deteriorated on the clinical measures short‐term and at the one‐year follow‐up. A higher proportion of change was seen in the social function domain at the one‐year follow‐up, indicating a better potential to change in social function than in gross motor function. The majority of children had a high consumption of training delivered by the Child and Youth Habilitation and merely half of the group continued with repeated ITGs. The differences in functional outcome between children continuing with repeated ITGs compared with only customary Child and Youth Habilitation were limited to a higher proportion of improvements in social functioning.

    Parents perceived a high service quality in both ITGs. To parents, fulfilment of health care needs was as important as functional outcome. The probability for high service quality was associated with previous experience of the ITG, high expectations of improvements, if expectations and improvements in gross motor capability were achieved and if the child participated in the ITG with the habilitation approach. Therapists in the habilitation approach were more involved in discussions with parents about expectations for the ITG and knowledge exchange than conductors were, indicating more familycenteredness.

    The qualitative study points to a variety of parental needs that may be met at ITGs but also indicates some problems that should be addressed. Five overarching meaning categories of ITGs were described: ITGs as knowledge promotion, as a complementary training resource, as a bracket to ordinary life, as building up relations with therapists, and as a leisure‐activity. An additional category – “ITGs as risk for ill‐being” – subsumed different kinds of problems that may arise. Conceptions suggest that ITGs contribute to parents’ improved knowledge, support and well‐being, but ITGs could also negatively influence family‐functioning.

    Professionals and parents need to discuss parents’ previous experiences of ITGs, expectations of functional improvements, the functioning of the child and health care needs in order to individualize goals for ITGs and make the objectives for participation clear. There were no major differences in effectiveness between the two ITGs, a habilitation approach and conductive education approach. Various training approaches should be chosen depending on the child’s and family’s needs. In the choice between different training approaches it is of equal importance to acknowledge functional needs of the child as well as health care needs of the child and parent.

    Delarbeten
    1. Effectiveness of intensive training for children with Cerebral Palsy: a comparison between child and youth rehabilitation and conductive education
    Öppna denna publikation i ny flik eller fönster >>Effectiveness of intensive training for children with Cerebral Palsy: a comparison between child and youth rehabilitation and conductive education
    2005 (Engelska)Ingår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 37, nr 4, s. 263-270Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Objectives: To compare the short-term effectiveness of 1 intensive training period in child and youth rehabilitation with Move&Walk conductive education and describe the effects of 1 intensive training period in terms of changes at 1 year. The amount and influence of additional consumption of training during the 1-year follow-up was also analysed.

    Design: Quasi-experimental with 2 groups: Lemo (n=23) and Move&Walk (n=29).

    Patients: A total of 52 children with cerebral palsy, age range 3–16 years.

    Methods: Data included repeated measures with Gross Motor Function Measure (GMFM) and Pediatric Evaluation of Disability Inventory–Functional Skills (PEDI-FS). Data on additional consumption of training was collected at the 1-year follow-up.

    Results: There was no difference in proportion of change on the clinical measures between the training programmes, except for a higher proportion of improvement on the GMFM total score in Lemo. At the group level, small improvements were shown on GMFM and PEDI FS in the short-term and on PEDI FS only at 1 year. A higher proportion of children who participated in repeated intensive training periods showed improved social functioning.

    Conclusion: No major differences were shown between the 2 training programmes. One intensive training period facilitated small improvements in gross motor function. The majority of children had a high consumption of training during the 1-year follow-up and the added value of repeated intensive training periods was limited.

    Nyckelord
    evaluation studies, exercise therapy, cerebral palsy, treatment outcome
    Nationell ämneskategori
    Medicin och hälsovetenskap
    Identifikatorer
    urn:nbn:se:liu:diva-12946 (URN)10.1080/16501970510032622 (DOI)
    Tillgänglig från: 2008-02-13 Skapad: 2008-02-13 Senast uppdaterad: 2017-12-13
    2. Effectiveness and expectations of intensive training: a comparison between child and youth habilitation and conductive education
    Öppna denna publikation i ny flik eller fönster >>Effectiveness and expectations of intensive training: a comparison between child and youth habilitation and conductive education
    2006 (Engelska)Ingår i: Disability and Rehabilitation, ISSN 0963-8288, Vol. 28, nr 9, s. 561-570Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Objective. To compare the effectiveness of two intensive training-programmes from a professional and parent perspective. To describe and compare the type of expectations of the two intensive training programmes with the self-reported individualized goals.

    Design. Quasi-experimental with two groups.

    Setting and intervention. Traditional health care and conductive education.

    Patients and their parents. Fifty-four children with cerebral palsy, 3-16 years old.

    Methods. Data included a self-reported individualized goal measure (SRIGM), before and after the ITP. Individualized goals were classified according to the International Classification of Functioning (ICF). Clinical measures (CM) included repeated measures with Gross Motor Function Measure (GMFM) and Pediatric Evaluation of Disability Inventory—Functional Skills (PEDI-FS).

    Results. Twenty-eight parents out of 54 perceived a clinically significant improvement on the SRIGM with no significant difference between the training programmes. Most individualized goals were formulated in the domain of Mobility (115 out of 248) and Neuromusculoskeletal and movement-related functions (64 out of 248 goals) of ICF in both training programmes. There was no difference in the proportion of improvement measured with SRIGM compared to the CM, if an improvement in any dimension in GMFM or domain in PEDI FS was counted.

    Conclusion. There were no major differences in outcome and expectations between the training programmes. Parents' expectations were mainly directed towards improvement in prerequisites of motor function and mobility skills. The SRIGM confirmed the outcome on the CM.

    Nyckelord
    Evaluation studies; exercise therapy; cerebral palsy; treatment outcome and goals
    Nationell ämneskategori
    Medicin och hälsovetenskap
    Identifikatorer
    urn:nbn:se:liu:diva-12947 (URN)10.1080/00222930500218821 (DOI)
    Tillgänglig från: 2008-02-13 Skapad: 2008-02-13 Senast uppdaterad: 2009-06-09
    3. Parents´ perception of the quality of two intensive training programmes for children with Cerebral Palsy
    Öppna denna publikation i ny flik eller fönster >>Parents´ perception of the quality of two intensive training programmes for children with Cerebral Palsy
    2007 (Engelska)Ingår i: Developmental Medicine and Child Neurology, ISSN 0012-1622, Vol. 49, nr 2, s. 93-100Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    This study explored parents' perceptions of the service quality of two intensive training programmes and the association between perceived service quality and predefined influential factors. Parents of 31 males and 19 females with spastic, dyskinetic, and ataxic cerebral palsy (mean age 8y 7mo [SD 3y 7mo]; range 3–16y), and Gross Motor Function Classification System Level I n=1; Level II n=9; Level III n=8; Level IV n=20; and Level V n=12 were included. Functional outcome had been evaluated previously with the clinical measures Gross Motor Function Measure-88, the Pediatric Evaluation of Disability Inventory -Functional Skills, and the Self-reported Individualized Goal Measure, before and after a 4-week intensive training period (ITP). The two training programmes used were Lemo and Move&Walk. After the ITP, a telephone interview was performed with the same cohort, using the Patient perspective On Care and Rehabilitation process. Data on previous experiences, expectations, and severity of disability were collected before the ITP, and data on achieved expectations afterwards. Previous experiences of the training programme, high expectations of improvements, achieved expectations, gross motor capacity improvements, and intensive training at the child and youth rehabilitation centre were associated with increased probability of fulfilment of needs. Severity of disability was associated with decreased probability of fulfilment of needs and functional improvements. Most parents perceived high service quality, and achieved expectations were influenced by high service quality rather than by perceived functional improvements. This suggests that needs other than functional improvements must be explained and acknowledged.

    Nationell ämneskategori
    Medicin och hälsovetenskap
    Identifikatorer
    urn:nbn:se:liu:diva-12948 (URN)10.1111/j.1469-8749.2007.00093.x (DOI)
    Tillgänglig från: 2008-02-13 Skapad: 2008-02-13 Senast uppdaterad: 2009-05-19
    4. Parents conceptions of intensive group training. The case of cerebral palsy
    Öppna denna publikation i ny flik eller fönster >>Parents conceptions of intensive group training. The case of cerebral palsy
    2009 (Engelska)Ingår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 31, nr 4, s. 293-301Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Purpose. The aim was to explore what wants and needs intensive group training (IGT) fulfil for parents of children with cerebral palsy (CP) and what problems that may arise due to participation. Methods. A phenomenograpical approach was used. Semi-structured interviews were conducted to elicit information about what participation means to parents. Results. Five overarching categories expressing positive functions of IGT were identified: IGT as knowledge promotion, as a complementary training resource, as a bracket to ordinary life, as a means to promote relations with therapists, and as a leisure-activity. One category: IGT as risk for ill-being expresses perceived problems. Each category is in turn divided into a number of subconceptions-13 conceptions of this kind were identified. Conclusions. The conceptions express positive and negative functions of IGT as perceived by parents. These functions in turn can be considered as reflections of basic wants and needs. The results demonstrate that IGT have a potential to contribute to feelings of enhanced care competence among parents, of being supported and of increased strength and vitality. All parents did not have needs of participation in IGT for themselves. There is also a risk that IGT is experienced as an additional burden and may have negative effects on family-functioning.

    Nyckelord
    Cerebral palsy, therapeutics, qualitative research, conductive education, intensive group training
    Nationell ämneskategori
    Medicin och hälsovetenskap
    Identifikatorer
    urn:nbn:se:liu:diva-17159 (URN)10.1080/09638280801945709 (DOI)
    Anmärkning
    This is an electronic version of an article published in:Pia Ödman, Bengt Richt and Birgitta Öberg, Parents’ conceptions of intensive group training. The case of cerebral palsy, 2009, DISABILITY AND REHABILITATION, (31), 4, 293-301.Disability and rehabilitation is available online at informaworld:http://dx.doi.org/10.1080/09638280801945709Copyright: Taylor Francis http://www.informaworld.com/Tillgänglig från: 2009-03-12 Skapad: 2009-03-07 Senast uppdaterad: 2017-12-13Bibliografiskt granskad
  • 26248.
    Ödman, Pia
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Sjukgymnastik. Linköpings universitet, Hälsouniversitetet.
    Krevers, Barbro
    Linköpings universitet, Institutionen för medicin och hälsa, Sjukgymnastik. Linköpings universitet, Hälsouniversitetet.
    Öberg, Birgitta
    Linköpings universitet, Institutionen för medicin och hälsa, Sjukgymnastik. Linköpings universitet, Hälsouniversitetet.
    Parents´ perception of the quality of two intensive training programmes for children with Cerebral Palsy2007Ingår i: Developmental Medicine and Child Neurology, ISSN 0012-1622, Vol. 49, nr 2, s. 93-100Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study explored parents' perceptions of the service quality of two intensive training programmes and the association between perceived service quality and predefined influential factors. Parents of 31 males and 19 females with spastic, dyskinetic, and ataxic cerebral palsy (mean age 8y 7mo [SD 3y 7mo]; range 3–16y), and Gross Motor Function Classification System Level I n=1; Level II n=9; Level III n=8; Level IV n=20; and Level V n=12 were included. Functional outcome had been evaluated previously with the clinical measures Gross Motor Function Measure-88, the Pediatric Evaluation of Disability Inventory -Functional Skills, and the Self-reported Individualized Goal Measure, before and after a 4-week intensive training period (ITP). The two training programmes used were Lemo and Move&Walk. After the ITP, a telephone interview was performed with the same cohort, using the Patient perspective On Care and Rehabilitation process. Data on previous experiences, expectations, and severity of disability were collected before the ITP, and data on achieved expectations afterwards. Previous experiences of the training programme, high expectations of improvements, achieved expectations, gross motor capacity improvements, and intensive training at the child and youth rehabilitation centre were associated with increased probability of fulfilment of needs. Severity of disability was associated with decreased probability of fulfilment of needs and functional improvements. Most parents perceived high service quality, and achieved expectations were influenced by high service quality rather than by perceived functional improvements. This suggests that needs other than functional improvements must be explained and acknowledged.

  • 26249.
    Ödman, Pia
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Sjukgymnastik. Linköpings universitet, Hälsouniversitetet.
    Richt, Bengt
    Linköpings universitet, Institutionen för medicin och hälsa, Hälsa och samhälle. Linköpings universitet, Filosofiska fakulteten.
    Öberg , Birgitta
    Linköpings universitet, Institutionen för medicin och hälsa, Sjukgymnastik. Linköpings universitet, Hälsouniversitetet.
    Parents conceptions of intensive group training. The case of cerebral palsy2009Ingår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 31, nr 4, s. 293-301Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose. The aim was to explore what wants and needs intensive group training (IGT) fulfil for parents of children with cerebral palsy (CP) and what problems that may arise due to participation. Methods. A phenomenograpical approach was used. Semi-structured interviews were conducted to elicit information about what participation means to parents. Results. Five overarching categories expressing positive functions of IGT were identified: IGT as knowledge promotion, as a complementary training resource, as a bracket to ordinary life, as a means to promote relations with therapists, and as a leisure-activity. One category: IGT as risk for ill-being expresses perceived problems. Each category is in turn divided into a number of subconceptions-13 conceptions of this kind were identified. Conclusions. The conceptions express positive and negative functions of IGT as perceived by parents. These functions in turn can be considered as reflections of basic wants and needs. The results demonstrate that IGT have a potential to contribute to feelings of enhanced care competence among parents, of being supported and of increased strength and vitality. All parents did not have needs of participation in IGT for themselves. There is also a risk that IGT is experienced as an additional burden and may have negative effects on family-functioning.

  • 26250.
    Ödman, Pia
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Sjukgymnastik. Linköpings universitet, Hälsouniversitetet.
    Öberg, Birgitta
    Linköpings universitet, Institutionen för medicin och hälsa, Sjukgymnastik. Linköpings universitet, Hälsouniversitetet.
    Effectiveness and expectations of intensive training: a comparison between child and youth habilitation and conductive education2006Ingår i: Disability and Rehabilitation, ISSN 0963-8288, Vol. 28, nr 9, s. 561-570Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective. To compare the effectiveness of two intensive training-programmes from a professional and parent perspective. To describe and compare the type of expectations of the two intensive training programmes with the self-reported individualized goals.

    Design. Quasi-experimental with two groups.

    Setting and intervention. Traditional health care and conductive education.

    Patients and their parents. Fifty-four children with cerebral palsy, 3-16 years old.

    Methods. Data included a self-reported individualized goal measure (SRIGM), before and after the ITP. Individualized goals were classified according to the International Classification of Functioning (ICF). Clinical measures (CM) included repeated measures with Gross Motor Function Measure (GMFM) and Pediatric Evaluation of Disability Inventory—Functional Skills (PEDI-FS).

    Results. Twenty-eight parents out of 54 perceived a clinically significant improvement on the SRIGM with no significant difference between the training programmes. Most individualized goals were formulated in the domain of Mobility (115 out of 248) and Neuromusculoskeletal and movement-related functions (64 out of 248 goals) of ICF in both training programmes. There was no difference in the proportion of improvement measured with SRIGM compared to the CM, if an improvement in any dimension in GMFM or domain in PEDI FS was counted.

    Conclusion. There were no major differences in outcome and expectations between the training programmes. Parents' expectations were mainly directed towards improvement in prerequisites of motor function and mobility skills. The SRIGM confirmed the outcome on the CM.

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