| 2901. |
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| 2902. |
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| 2903. |
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| 2904. |
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| 2905. |
- Juhlin, Sofia, et al.
(författare)
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Physical activity with person-centred guidance supported by a digital platform for persons with chronic widespread pain: A randomized controlled trial.
- 2021
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Ingår i: Journal of rehabilitation medicine. - : Medical Journals Sweden AB. - 1651-2081. ; 53:4
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Tidskriftsartikel (refereegranskat)abstract
- To determine the effectiveness of a person-centred intervention, including advice on physical activity, for improving pain intensity, physical activity, and other health-related outcomes in persons with chronic widespread pain , when delivered with digital eHealth support compared with standard telephone follow-up.Randomized controlled trial.Individuals with chronic widespread pain (n = 139), aged 20-65 years, who had previously participated in a pain educational programme at primary healthcare units, were contacted during the period 2018-19 and randomized to an intervention group (n = 69) or an active control group (n = 70).Together with a physiotherapist, participants in both groups developed person-centred health plans for physical activity. The intervention group was supported via a digital platform for 6 months. The active control group received support via one follow-up phone call. Primary outcome was pain intensity. Secondary outcomes were physical activity and other health-related outcomes.No significant differences were found between the groups after 6 months, except for a significant decrease in global fatigue in the active control group compared with the intervention group.Future development of interventions supporting persons with chronic pain to maintain regular exercise is warranted.
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| 2906. |
- Jönsson, C, et al.
(författare)
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Are fewer circumference measurements reliable to determine volume measurements in lower limb lymphedema compared to every 4th cm?
- 2021
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Ingår i: ; , s. 70-70
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Konferensbidrag (refereegranskat)abstract
- Objective: In lymphedema management, lower limb volume is commonly assessed by circumference measurementevery 4th cm which is however time-consuming. The aim of this study is to evaluate the agreement between volumemeasurements derived from circumference measurements every 4th cm (V4) with every 8th cm (V8) and every 12th cm(V12) in patients with lower limb lymphedema (LLL) and to determine the test-retest reliability of these methods.Material-Method: Thirty women with unilateral or bilateral LLL were measured twice, two weeks apart usingcircumference measurements every 4th cm. Inclusion criteria: (i) primary or secondary LLL; (ii) persistent lymphedemafor the past 6 months; (iii) daily treatment with compression stockings. Exclusion criteria: (i) ongoing LE treatment; (ii)comorbidity affecting lower limb volume. Volume was calculated using the truncated cone formulae. Statistics: Intraclasscorrelation coefficient (ICC), Bland-Altman plots with limits of agreement, standard error of measurement (SEM%) and thesmallest real difference (SRD%).Results (preliminary): Overall, there are high agreement between the V4 and the V8 and V12 methods (ICCs 0.99).Also, the test-retest reliability is high for all three methods (ICC 0.99 for V4, V8 and V12, respectively) and the measurementerror low both for a group of subjects (SEM%: 1.2%-1.5%) and a single subject (SRD%: 3.4%-4.1%).Conclusions: The V8 and V12 methods agree sufficiently with the V4 gold standard method. All three methods are reliablewith small measurement errors indicating that real clinical changes can be detected over time. Fewer circumferencemeasurements can therefore be recommended in the management of LLL
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| 2907. |
- Jönsson, Charlotta, et al.
(författare)
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Impedance of Extracellular Fluid, Volume, and Local Tissue Water Can Be Reliably Measured in People with Lower Limb Lymphedema
- 2022
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Ingår i: Physical Therapy. - : Oxford University Press (OUP). - 0031-9023 .- 1538-6724. ; 102:5
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: Lower limb lymphedema (LLL) is a chronic condition. To be able to evaluate changes of LLL over time and effects of interventions reliable measurement methods are important. Currently, there is limited knowledge of the reliability of commonly used measurement methods in LLL. The study objective was to evaluate the test-retest (intrarater) reliability of impedance of extracellular fluid, volume, and local tissue water measurements in people with unilateral or bilateral LLL and measurement errors both for a group of people and for a single individual.METHODS: Forty-two people with mild to moderate unilateral or bilateral, primary or secondary LLL were measured twice, 2 weeks apart. Impedance of extracellular fluid was measured by bioimpedance spectroscopy and calculated as arm-to-leg ratio, volume with circumference measurements every 4 cm, and local tissue water with tissue dielectric constant at 14 points. Test-retest reliability was evaluated using the ICC(2,1), changes in the mean, standard error of measurement in relative terms (SEM%), and the smallest real difference in relative terms (SRD%).RESULTS: For the impedance ratio, the reliability was high [ICC(2,1) = 0.79 to 0.90] and the measurement errors were acceptable (SEM% = 5.0%-5.2%; SRD% = 14.0%-14.4%). For volume, the reliability was high (ICC = 0.99) and the measurement errors were low (SEM% = 1.1%-1.7%; SRD% = 3.1%-4.6%). For the tissue dielectric constant, the reliability was fair to excellent [ICC(2,1) = 0.68 to 0.96] and the measurement errors were acceptable (SEM% = 4.2%-9.7%; SRD% = 11.7%-26.8%).CONCLUSIONS: Impedance of extracellular fluid, volume, and local tissue water are reliable in people with mild to moderate LLL. The measurement errors were acceptable in all 3 methods indicating that real, clinical changes in lymphedema can be measured both for a group of people and a single individual.
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| 2908. |
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| 2909. |
- Jönsson, Charlotta, et al.
(författare)
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Pole walking for patients with breast cancer-related arm lymphedema.
- 2009
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Ingår i: Physiotherapy Theory and Practice. - : Informa UK Limited. - 0959-3985 .- 1532-5040. ; 25:3, s. 165-173
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Tidskriftsartikel (refereegranskat)abstract
- Arm lymphedema is a well-known side effect of breast cancer treatment. Studies of the effect of physical exercise on arm lymphedema are very rare. The purpose of this study was to investigate the influence of pole walking on breast cancer-related arm lymphedema when using a compression sleeve. Twenty-six women with unilateral arm lymphedema took part in a clinical study of pole walking on one occasion, 4 kilometers for 1 hour. Measurements were made before, immediately after, and 24 hours later. Results revealed no changes in total arm volume of the swollen arm, measured with water displacement method, or in subjective assessments of heaviness and tightness in the affected arm using visual analogue scale. Immediately after pole walking, a temporary increase in total arm volume of the healthy arm (P=0.037) was found. Twenty-four hours later, no differences were found compared to the measurements before walking. The median for perceived exertion immediately after pole walking, measured with Borg scale, was 11 ("fairly light"). The results suggest that a controlled, short-duration pole-walking program can be performed by patients with arm lymphedema, using a compression sleeve, without deterioration of the arm lymphedema.
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| 2910. |
- Jönsson, Charlotta, et al.
(författare)
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Reliability test of measurements of lower limb volume and local tissue water in healthy subjects
- 2019
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Ingår i: European Journal of Lymphology and Related Problems. - 0778-5569. ; 30:79, s. 34-34
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Konferensbidrag (refereegranskat)abstract
- Background:The assessment of lower limb volume by circumferential measurements every 4th cm along the limb is common inlymphedema management. In recent years, also measurements of local tissue water by Tissue Dielectric Constant (TDC) of the skinusing a MoistureMeterD have been applied more frequently. There are very few studies assessing the reliability of these methods.Aim of the work: To evaluate the test-retest reliability of lower limb volume and local tissue water by TDC values in healthy womenand men, and to define limits that indicate real changes over time.Material & methods: In total, 33 women and 28 men completed the measurements. Inclusion criteria was 18 years or older, with astratified variety in age, and with no previous lower limb swelling. Both legs were measured by the same rater (CJ), at two occasions, 2weeks apart, preferable in the morning. Circumferential measurements every 4th cm along the limb were used to calculate the volume,and measurements of local tissue water were taken at 14 predefined points, using TDC.Statistical methods: To evaluate the reliability agreements between measurements (ICC2,1), systematic changes in the mean, thestandard of measurement (SEM and SEM%) and the smallest real difference (SRD and SRD%) were used. The SEM% gives themeasurement variability in relative values and represents the limit for the smallest change that indicates a real change for a group ofsubjects. The SRD% represents the limit for the smallest change that indicates a real change for a single subject.Results: For the volume, the reliability was excellent (ICC2,1 0.99) and the mean difference was low for both women and men. Asystematic difference was seen only in the left limb in men. The SEM% was 1.3% and the SRD% was 3.6%. For the TDCmeasurements, the ICC2,1 ranged from 0.63 to 0.93 in women and from 0.21 to 0.89 in men. The mean difference was low. Somesmall systematic differences in the mean were found in a few points. The SEM% ranged from 3.9% to 10.2% in women and from 3.9%to 14.5% in men. The SRD% ranged from 10.8% to 28.2% in women and from 10.9% to 40.1% in men.Conclusions: Lower limb volume and TDC measurements can be reliable measured in healthy subjects. Small changes in volume willindicate real clinical changes for a group of subjects as well as for single subjects. Relatively small changes in TDC values in all pointsin women and in all but 3 points in men, will indicate real clinical changes for a group of subjects as well as for single subjects.
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