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  • 451.
    Wiklund, Tobias
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Smärt och rehabiliteringscentrum.
    Linton, Steven J.
    Örebro Univ, Sweden.
    Alföldi, Peter
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Smärt och rehabiliteringscentrum.
    Gerdle, Björn
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Smärt och rehabiliteringscentrum.
    Is sleep disturbance in patients with chronic pain affected by physical exercise or ACT-based stress management? - A randomized controlled study2018Inngår i: BMC Musculoskeletal Disorders, E-ISSN 1471-2474, Vol. 19, artikkel-id 111Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Most people suffering chronic pain are plagued by sleeping difficulties. Cognitive behaviour therapy has produced promising results for insomnia comorbid with chronic pain, but the access to such treatment is often limited. Over the last ten years, interventions aiming to increase cognitive flexibility and physical activity have been assumed to be effective treatments for a variety of conditions, including insomnia and chronic pain. If proven effective, these treatments could constitute the first steps in a stepped care model for chronic pain and insomnia. Methods: Two hundred ninety-nine chronic pain subjects were randomized to Exercise, ACT-based stress management (ACT-bsm), or an active control group. Two hundred thirty-two participants (78%) received their allocated intervention at least to some extent. These participants were evaluated using mixed model analyses for changes in sleep (Insomnia Severity Index, ISI), pain intensity, depression, and anxiety immediately after treatment, six months and twelve months after treatment. Results: The mixed model analyses revealed that Exercise had a positive effect on insomnia compared with the control group and the effect remained after 12 months. No clear effect (i.e., both for completers and for completers together with treatment non-completers) upon ISI was found for the ACT-bsm. Pain intensity decreased significantly both in the exercise group and in the control group. For the two psychological variables (i.e., symptoms of anxiety and depression) were found significant improvements over time but no group differences. The treatment effects for ISI and pain intensity did not reach clinical significance per definitions presented in other relevant studies. Conclusions: Beneficial significant effects on insomnia was confirmed in the exercise condition. However, these changes were probably not clinically important. For pain intensity a general decrease was found in the Exercise condition and in the control condition, while no change occurred in ACT-bsm. No group differences were found for the two psychological variables.

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  • 452.
    Wikstrom, Lotta
    et al.
    Jonköping University, Sweden; Ryhov County Hospital, Sweden.
    Eriksson, Kerstin
    Jonköping University, Sweden; Ryhov County Hospital, Sweden.
    Fridlund, Bengt
    Jonköping University, Sweden.
    Nilsson, Mats
    Futurum Academic Health and Care, Sweden.
    Årestedt, Kristofer
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för omvårdnad. Linköpings universitet, Medicinska fakulteten. Linnaeus University, Sweden.
    Broström, Anders
    Region Östergötland, Sinnescentrum, Neurofysiologiska kliniken US. Jonköping University, Sweden.
    The clinical applicability of a daily summary of patients self-reported postoperative painA repeated measure analysis2017Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, nr 23-24, s. 4675-4684Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim and objectives(i) To determine whether a central tendency, median, based on patients self-rated pain is a clinically applicable daily measure to show patients postoperative pain on the first day after major surgery (ii) and to determine the number of self-ratings required for the calculation of this measure. BackgroundPerioperative pain traits in medical records are difficult to overview. The clinical applicability of a daily documented summarising measure of patients self-rated pain scores is little explored. DesignA repeated measure design was carried out at three Swedish country hospitals. MethodsAssociations between the measures were analysed with nonparametric statistical methods; systematic and individual group changes were analysed separately. Measure I: pain scores at rest and activity postoperative day 1; measure II: retrospective average pain from postoperative day 1. ResultsThe sample consisted of 190 general surgery patients and 289 orthopaedic surgery patients with a mean age of 65; 56% were men. Forty-four percent had a pre-operative daily intake of analgesia, and 77% used postoperative opioids. A range of 49 pain scores seem to be eligible for the calculation of the daily measures of pain. Rank correlations for individual median scores, based on four ratings, vs. retrospective self-rated average pain, were moderate and strengthened with increased numbers of ratings. A systematic group change towards a higher level of reported retrospective pain was significant. ConclusionsThe median values were clinically applicable daily measures. The risk of obtaining a higher value than was recalled by patients seemed to be low. Applicability increased with increased frequency of self-rated pain scores and with high-quality pain assessments. Relevance to clinical practiceThe documenting of daily median pain scores at rest and during activity could constitute the basis for obtaining patients experiences by showing their pain severity trajectories. The measures could also be an important key to predicting postoperative health-related consequences.

  • 453.
    Wikstrom, Lotta
    et al.
    School of Health and Welfare, Jönköping University, Jönköping, Sweden; Department of Anesthesia and Intensive Care, Ryhov County Hospital, Jönköping, Sweden.
    Nilsson, Mats
    Futurum, Academy for Health and Care, Region Jönköping County, Sweden.
    Broström, Anders
    Region Östergötland, Sinnescentrum, Neurofysiologiska kliniken US. School of Health and Welfare, Jönköping University, Jönköping, Sweden.
    Eriksson, Kerstin
    School of Health and Welfare, Jönköping University, Jönköping, Sweden; Department of Anesthesia and Intensive Care, Ryhov County Hospital, Jönköping, Sweden.
    Patients self-reported nausea: Validation of the Numerical Rating Scale and of a daily summary of repeated Numerical Rating Scale scores2019Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 28, nr 5-6, s. 959-968Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim and objectives

    To validate the Numeric Rating Scale (NRS) for postoperative nausea assessments, and determine whether a central tendency, median, based on patients’ self‐rated nausea is a clinically applicable daily measure to describe patients’ nausea after major surgery.

    Background

    Postoperative nausea causes major discomfort, risks for complications and prolonged hospital stays. The NRS is recommended for the assessment of pain but is little explored for assessing nausea.

    Design

    A repeated measure design was carried out on patients who had undergone major surgery in three Swedish hospitals.

    Methods

    Nonparametric statistical methods were used to analyse (a) associations between the NRS and a verbal scale (no, mild, moderate and severe) and (b) to analyse associations between Measure 1 (nausea scores postoperative Day 1) and Measure 2 (retrospective nausea scores at rest and during activity, postoperative Day 2). Reporting of this research adheres to the Strobe Guidelines.

    Results

    The mean age of the 479 patients (44% women) in the sample was 65 years (range, 22–93 years). Self‐assessed nausea scores from the NRS and the verbal scale correlated well (rSpearman = 0.79). Correlation between nausea at rest and nausea during activity was rSpearman = 0.81. The calculated median scores (Measure 1) showed only moderate correlations with retrospective nausea scores (Measure 2); 4–9 ratings, rSpearman = 0.41; 6–9 ratings, rSpearman = 0.54.

    Conclusions

    Numeric Rating Scale scores showed strong associations with a verbal scale; therefore, the NRS seems to be a valid tool to measure nausea intensity. The quality of daily summarised median nausea scores needs to be further explored before clinical use.

    Relevance to clinical practice

    The use of the NRS in assessments of nausea in postoperative care will facilitate communication between patients and health care professionals regarding nausea intensity. When documenting nausea, it seems unnecessary to distinguish nausea at rest from nausea during activity.

  • 454.
    Wikström, Madeleine
    et al.
    Region Östergötland, Sinnescentrum, Rehabiliteringsmedicinska kliniken.
    Levi, Richard
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Rehabiliteringsmedicinska kliniken.
    Antepohl, Wolfram
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Rehabiliteringsmedicinska kliniken.
    BLADDER IRRIGATION WITH CHLORHEXIDINE REDUCES BACTERIURIA IN PERSONS WITH SPINAL CORD INJURY2018Inngår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 50, nr 2, s. 181-184Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To explore whether bladder irrigation with chlorhexidine: (i) can reduce bacteriuria, and (ii) is a practically feasible option in subjects with spinal cord injury practicing intermittent self-catheterization. Design: A prospective, non-controlled, open, multicentre study. Methods: Fifty patients with spinal cord injury, practicing intermittent self-catheterization, with a history of recurrent urinary tract infections were screened for bacteriuria at follow-up visits to 4 spinal cord injury centres in Sweden. Twenty-three patients had a positive urine culture (amp;gt; 105 CFU/ml of amp;gt; 1 bacterial species), of which 19 completed the study. Subjects proceeded with bladder irrigation, using 120 ml of 0.2% chlorhexidine solution twice daily for up to 7 days. Urine samples were taken twice daily. Response to treatment was defined as reduction in bacterial counts to amp;lt; 103 CFU/ml. Results: Fourteen of 19 subjects reduced their bacterial counts to or below the set limit. Subsequent return of above-endpoint bacteriuria was seen in most of the subjects. However, there were significantly fewer subjects with bacteriuria after treatment (p amp;lt; 0.005). Conclusion: Bladder irrigation with chlorhexidine, using intermittent self-catheterization, reduced bacteriuria in the majority of subjects with spinal cord injury and bacteriuria. The addition of bladder irrigation was practically feasible in the short time-frame of this study.

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  • 455.
    Wittboldt, Susanna
    et al.
    Sahlgrenska University Hospital.
    Cider, Åsa
    Sahlgrenska University Hospital, University of Gothenburg.
    Bäck, Maria
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för fysioterapi. Linköpings universitet, Medicinska fakulteten.
    Reliability of two questionnaires on physical function in patients with stable coronary artery disease.2016Inngår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 15, nr 2, s. 142-149Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Exercise-based cardiac rehabilitation is highly recommended for patients with coronary artery disease, as it improves physical fitness and reduces mortality and morbidity. Physical fitness per se does not always correlate with the patient's physical function. For this reason, additional measurements of physical function could be included in cardiac rehabilitation programmes to further tailor interventions to suit the individual patient. As a result, reliable measurements to assess physical function are required for patients with coronary artery disease.

    AIM: The aim of this study was to evaluate the reliability of the Patient-Specific Functional Scale (PSFS) and the Disability Rating Index (DRI) in patients with stable coronary artery disease.

    MATERIAL: Fifty-one patients (11 women), age 63.9 (SD 7.6) years, with stable coronary artery disease and coronary-angiographic changes indicating an elective percutaneous coronary intervention, were recruited at the Cardiology Department at Sahlgrenska University Hospital, Gothenburg.

    METHODS: The reliability tests included stability over time, evaluated with a test-retest procedure using the intraclass correlation coefficient (ICC), and internal consistency, measured with Cronbach's alpha and item-total correlation coefficients.

    RESULTS: Both questionnaires were stable over time (DRI, ICC=0.74, and PSFS, ICC=0.72). The internal consistency for the DRI was good, with a Cronbach's alpha value of > 0.85 for all items. The item-total correlation coefficients presented acceptable values of > 0.40, apart from two items.

    CONCLUSION: We have provided introductory support for the reliability of the DRI and PSFS questionnaires in patients with stable CAD. These questionnaires can be used to assess physical function and to evaluate the effect of interventions in addition to measuring physical fitness.

  • 456.
    Wärlegård, Oscar
    et al.
    Linköpings universitet, Institutionen för hälsa, medicin och vård.
    Håkansson, Daniel
    Linköpings universitet, Institutionen för hälsa, medicin och vård.
    Engdahl, Simon
    Linköpings universitet, Institutionen för hälsa, medicin och vård.
    Effekterna av fysisk träning hos personer med kronisk stroke, 3 år efterinsjuknandet: – En systematisk kritiskt litteraturöversikt2022Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: Stroke är en cerebrovaskulär sjukdom som kan resultera i omfattande neurologiska skador och därtill en hög grad av mortalitet. Fysisk aktivitet och träning har visat sig vara viktig vid den akuta samt subakuta behandlingen av stroke. Det vetenskapliga stödet för träning vid stroke i ett senare skede är inte fullt efterforskat.

    Syfte:  Syftet med studien var att undersöka och sammanställa kunskapsläget över huruvida gång-, aerob- och muskelstärkande träning påverkar gångförmågan hos personer med stroke tre år eller mer efter insjuknande.

    Metod: Arbetet är en systematisk kritisk litteraturöversikt. Sökningar genomfördes i databaserna Pubmed och Cinahl via blocksökning samt Pedro med sökorden ”chronic stroke” and ”exercise”, vilket efter granskning resulterade i 10 studier. De parametrar som analyserades var gångförmåga. 

    Resultat: Gång-, aerob- och muskelstärkande träning har visat sig ha positiv signifikant effekt på gångförmåga där underlaget bedöms ha måttlig tillförlitlighet. 

    Konklusion: Det vetenskapliga stödet för gång- aerob- och muskelstärkande träning avseende gångförmåga 3 år eller mera efter insjuknande bedöms ha måttlig tillförlighet och är signifikant. Författargruppen bedömer att mer forskning på strokepatienter i ett senare skede gällande fysisk träning behövs.

    Fulltekst (pdf)
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  • 457.
    Wåhlin, Charlotte
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Hjärt- och Medicincentrum, Arbets- och miljömedicin. Institute for Environmental Medicine, Karolinska Institutet, Unit of Intervention and Implementation Research, Stockholm, Sweden.
    Using social media to connect, facilitate communication, and practice knowledge translation2018Inngår i: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 20, nr 2, s. 65-66Artikkel i tidsskrift (Annet vitenskapelig)
  • 458.
    Wåhlin, Charlotte
    et al.
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för prevention, rehabilitering och nära vård. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Medicincentrum, Arbets- och miljömedicin. Unit of Intervention and Implementation Research for Worker Health, Institute for Environmental Medicine, Karolinska Institutet, Stockholm.
    Kvarnström, Susanne
    Region Östergötland, Regionledningskontoret, Övr Regionledningskontoret.
    Öhrn, Annica
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för samhälle och hälsa. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Regionledningskontoret, Övr Regionledningskontoret.
    Nilsing Strid, Emma
    University Healthcare Research Centre, Region Örebro County and School of Medical Sciences, Örebro University, Örebro, Sweden.
    Patient and healthcare worker safety risks and injuries. Learning from incident reporting2020Inngår i: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 22, nr 1, s. 44-50Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives: Learning from incident reporting systems is one core strategy to develop a culture of safety for healthcare workers and patients. The aim of this retrospective study was to explore patient injuries focussing on falls. Furthermore, on healthcare workers incidents, injuries and the situations they occurred.

    Method: A total of 65,749 patient risks and incidents were registered in the incident reporting system between 2011 and 2014. Of these, 11,006 were classified as an injury to a patient. Risks and incidents were registered and analysed for 1702 healthcare workers.

    Results: Fifteen percent of the patient injuries required treatment. Falls were reported in 17% of the cases. Patients fell mainly in unassisted situations. Healthcare workers’ incidents and injuries were registered mainly by nurses and assistant nurses. Sixteen percent of the injuries required treatment. Prevalence of incidents was on an average 3.5% each year. Common injuries were: needle stick, workplace violence, injuries during patient manual handling. The patient was present in 74% of all incidents.

    Conclusion: Patient and healthcare workers injuries are still prevalent in Swedish healthcare and a substantial part of the incidents involved a patient situation. Collaboration between employers, employees and patient representatives is needed to increase awareness of safety in healthcare.

    Fulltekst (pdf)
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  • 459.
    Wåhlin Norgren, Charlotte
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Sjukgymnastik. Linköpings universitet, Hälsouniversitetet.
    Ekberg, Kerstin
    Linköpings universitet, Institutionen för medicin och hälsa, Arbetslivsinriktad rehabilitering. Linköpings universitet, Hälsouniversitetet.
    Öberg, Birgitta
    Linköpings universitet, Institutionen för medicin och hälsa, Sjukgymnastik. Linköpings universitet, Hälsouniversitetet.
    Professional based classification versus self reported measures as a basis for choice of intervention - patients’ with musculoskeletal and mental disorders2010Konferansepaper (Fagfellevurdert)
  • 460.
    Wåhlin-Norgren, Charlotte
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Sjukgymnastik. Linköpings universitet, Institutionen för medicin och hälsa.
    Ekberg, Kerstin
    Linköpings universitet, Institutionen för medicin och hälsa, Arbetslivsinriktad rehabilitering. Linköpings universitet, HELIX Vinn Excellence Centre. Linköpings universitet, Hälsouniversitetet.
    Öberg, Birgitta
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för hälsa och samhälle, Sjukgymnastik. Linköpings universitet, Institutionen för medicin och hälsa.
    Health an functioning of employees with musculoskeletal or mental stress disorders - analysis of subgroups based on ICD-10 and work ability.2007Inngår i: International Scientific Conference on Prevention of Work-Related Musculoskeletal Disorders., 2007Konferansepaper (Fagfellevurdert)
    Abstract [en]

    There is a great need in clinical practise and within the social insurance system in Sweden to learn more about classification of health and functioning and how to understand what influences work ability. This study provides evidence that sub grouping can be done from a medical approach by using ICD-10 or by using the Workability Index, but the pattern of health and functioning differs depending on which tool is used for categorization. Work- ability Index appears to provide a more distinct discrimination in terms of health and functioning than ICD-10.    

  • 461.
    Yasmeen, Najeeda
    et al.
    Symmetron Ltd, England.
    Sawyer, Laura M.
    Symmetron Ltd, England.
    Malottki, Kinga
    Symmetron Ltd, England.
    Levin, Lars-Åke
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för samhälle och hälsa. Linköpings universitet, Medicinska fakulteten.
    Apol, Eydna Didriksen
    LEO Pharma AS, Denmark.
    Jemec, Gregor B.
    Sjaellands Univ Hosp, Denmark.
    Targeted therapies for patients with moderate-to-severe psoriasis: a systematic review and network meta-analysis of PASI response at 1 year2022Inngår i: Journal of dermatological treatment (Print), ISSN 0954-6634, E-ISSN 1471-1753, Vol. 33, nr 1, s. 204-218Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    Purpose: To compare PASI outcomes of approved biologics and apremilast after 1 year of treatment. Methods: A systematic review identified RCTs and long-term extensions reporting PASI 75, 90, and 100 responses in adults with moderate-to-severe psoriasis. Data for analysis were modeled using a Bayesian multinomial likelihood model with probit link. Results: Twenty-eight studies reporting PASI responses were included in the network meta-analysis. Differences in study design led to a stepwise approach to synthesis, consisting of two analyses. The primary analysis included nine RCTs investigating comparative efficacy at 1 year. Results indicated risankizumab, brodalumab, and guselkumab were the most effective therapies, followed by ixekizumab and secukinumab; all demonstrated superiority to ustekinumab and etanercept. The secondary analysis extended the primary analysis with 19 further studies comparing active interventions to placebo outcomes extrapolated from induction. The interventions generating the highest PASI response were the same as the primary analysis. These therapies were more effective than apremilast, ustekinumab, adalimumab, certolizumab, etanercept, and infliximab. Conclusions: This NMA demonstrated that evaluated IL-17 and IL-23 inhibitors outperformed other biological therapies after 1 year. Risankizumab had a higher probability of achieving PASI outcomes than all other biologics, except brodalumab and guselkumab, where no significant difference could be concluded.

    Fulltekst (pdf)
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  • 462.
    Yiu, Xin Yi
    et al.
    Univ Queensland, Australia; Ng Teng Fong Gen Hosp, Singapore.
    Maguire, Andrea
    Queensland Dept Hlth, Australia.
    Johnson, Marcelle
    Univ Queensland, Australia.
    Wåhlin, Charlotte
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för prevention, rehabilitering och nära vård. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Medicincentrum, Arbets- och miljömedicin. Karolinska Inst, Sweden.
    Johnston, Venerina
    Univ Queensland, Australia.
    A 10-week exercise intervention can improve work posture but not neck/shoulder symptoms in dental health students: A pilot cohort study2020Inngår i: Work: A journal of Prevention, Assessment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 67, nr 1, s. 239-249Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Dental workers including dental health students experience a high incidence of neck/shoulder symptoms. However, research into interventions has been scarce and largely focused on tools and technological modifications. OBJECTIVE: This study investigates the feasibility and benefits of a neck/shoulder exercise intervention on work posture and local symptoms in dental health students. METHODS: Twenty-three students participated in a 10-week resistance exercise program for 2 minutes daily, 5 days per week. Work posture (evaluated with the Rapid Upper Limb Assessment tool, RULA), muscle strength measures, self-rated symptom severity and function were collected. Feasibility of the intervention was determined with six items scored on a 5-point Likert scale. RESULTS: The exercise intervention improved: work posture score by 1.88 (95%CI 1.05-2.70, p < 0.01) points on the RULA; isometric maximal strength of neck flexor and extensor muscles by 17.2% (95%CI 6.9-27.6%, p < 0.01) and 23.2% (95%CI 10.2-36.3%, p < 0.01) respectively; and clinical performance (77%). Isometric strength of the shoulder muscles, and symptom severity at the neck/shoulder showed no improvement. Adherence to training was 77%. CONCLUSION: Ten weeks of exercise was feasible for dental health students, and likely beneficial with improvements in work posture and neck muscle strength.

  • 463.
    Åhlund, Kristina
    et al.
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för prevention, rehabilitering och nära vård. Linköpings universitet, Medicinska fakulteten. NU Hosp Grp, Sweden.
    Öberg, Birgitta
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för prevention, rehabilitering och nära vård. Linköpings universitet, Medicinska fakulteten.
    Ekerstad, Niklas
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för samhälle och hälsa. Linköpings universitet, Medicinska fakulteten. NU Hosp Grp, Sweden.
    Bäck, Maria
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för prevention, rehabilitering och nära vård. Linköpings universitet, Medicinska fakulteten. Sahlgrens Univ Hosp, Sweden.
    A balance between meaningfulness and risk of harm - frail elderly patients perceptions of physical activity and exercise - an interview study2020Inngår i: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 20, nr 1, artikkel-id 490Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BackgroundThere is growing evidence of the benefits of physical activity and exercise for frail elderly patients with comorbidity. In order to improve participation in physical activity and exercise interventions, there is a need to increase our understanding of the patients perspective.AimThe aim of this study is to explore the perceptions of physical activity and exercise among frail elderly patients with a severe comorbidity burden.MethodFace-to-face, in-depth interviews were conducted with eighteen frail elderly patients with a severe comorbidity burden, median age 85.5years (min-max 75-94). The interviews were transcribed verbatim and analyzed according to content analysis inspired by Krippendorf.ResultsAn overall theme, defined as "Meaningfulness and risk of harm in an aging body" was identified, followed by three main categories, labeled physical activity in daily life, goals of physical activity and exercise and prerequisites for physical activity and exercise, and eight sub-categories.ConclusionThis study suggests that, in frail elderly patients with severe multimorbidity, physical activity and exercise is a balance between what is perceived as meaningful and the risk of harm. Patients perceived aging as an inevitable process that they needed to accept and gradually adapt their physical activities in daily life to match. As patients said they were unclear about the benefits and risks of exercise and referred to their previous life and experiences when describing physical activity and exercise, it is likely that the communication relating to this within the healthcare system needs to be further developed To promote physical activity and exercise to maintain or improve physical fitness in this frail population, healthcare providers need to use extended, personalized information to tailor the type of physical activities, goals and prerequisites for each patient.

    Fulltekst (pdf)
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  • 464.
    Ånfors, Samuel
    et al.
    Linköpings universitet, Institutionen för hälsa, medicin och vård. Linköpings universitet, Medicinska fakulteten. Dept Rehabil Med, Jönköping, Region Jönköping County, Sweden; Lund Univ, Sweden.
    Kammerlind, Ann-Sofi
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för prevention, rehabilitering och nära vård. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Öron- näsa- och halskliniken. Futurum, Region Jönköping County, Sweden.
    Nilsson, Maria H.
    Lund Univ, Sweden; Skane Univ Hosp, Sweden; Lund Univ, Sweden.
    Test-retest reliability of physical activity questionnaires in Parkinsons disease2021Inngår i: BMC Neurology, E-ISSN 1471-2377, Vol. 21, nr 1, artikkel-id 399Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background People with Parkinsons disease are less physically active than controls. It is important to promote physical activity, which can be assessed using different methods. Subjective measures include physical activity questionnaires, which are easy and cheap to administer in clinical practice. Knowledge of the psychometric properties of physical activity questionnaires for people with Parkinsons disease is limited. The aim of this study was to evaluate the test-retest reliability of physical activity questionnaires in individuals with Parkinsons disease without cognitive impairment. Methods Forty-nine individuals with Parkinsons disease without cognitive impairment participated in a test-retest reliability study. At two outpatient visits 8 days apart, the participants completed comprehensive questionnaires and single-item questions: International Physical Activity Questionnaire-Short Form (IPAQ-SF), Physical Activity Scale for the Elderly (PASE), Saltin-Grimby Physical Activity Level Scale (SGPALS) and Health on Equal Terms (HOET). Test-retest reliability was evaluated using the intraclass correlation coefficient (ICC), standard error of measurement (SEM), limits of agreement, weighted kappa or the Svensson method. Results Several of the physical activity questionnaires had relatively low test-retest reliability, including the comprehensive questionnaires (IPAQ-SF and PASE). Total physical activity according to IPAQ-SF had an ICC value of 0.46 (95% confidence interval [CI], 0.21-0.66) and SEM was 2891 MET-min/week. The PASE total score had an ICC value of 0.66 (95% CI, 0.46-0.79), whereas the SEM was 30 points. The single-item scales of SGPALS-past six months (SGPALS-6 m) and HOET question 1 (HOET-q1) with longer time frames (6 or 12 months, respectively) showed better results. Weighted kappa values were 0.64 (95% CI, 0.45-0.83) for SGPALS-6 m and 0.60 (95% CI, 0.39-0.80) for HOET-q1, whereas the single-item questions with a shorter recall period had kappa values < 0.40. Conclusions Single-item questions with a longer time frame (6 or 12 months) for physical activity were shown to be more reliable than multi-item questionnaires such as the IPAQ-SF and PASE in individuals with Parkinsons disease without cognitive impairments. There is a need to develop a core outcome set to measure physical activity in people with Parkinsons disease, and there might be a need to develop new physical activity questionnaires.

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  • 465. Öberg, Birgitta
    et al.
    Schöder, Karin
    Fors, Maria
    Lindbäck, Yvonne
    Paul, Enthoven
    Abbott, Allan
    Evidensbaserad fysioterapi för godartade ländryggsbesvär2020Inngår i: Fysioterapi, ISSN 1653-5804, Vol. 2, s. 30-36Artikkel, forskningsoversikt (Fagfellevurdert)
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