| 11. |
- Linton, Steven J., 1952-, et al.
(författare)
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A controlled study of the effects of an early intervention on acute musculoskeletal pain problems
- 1993
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Ingår i: Pain. - : Elsevier. - 0304-3959 .- 1872-6623. ; 54:3, s. 353-359
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Tidskriftsartikel (refereegranskat)abstract
- Current conceptions of chronic pain clearly suggest that proper care at the acute stage should prevent the development of chronic problems. Patients (198) seeking help for acute musculoskeletal pain (MSP), e.g., back and neck pain participated in two studies of the effects of an Early Active intervention which underscored 'well' behavior and function compared to a Treatment as Usual control group. The quantity of the Early Active treatment was a median of 1 doctor's appointment and 3 meetings with a physical therapist. Study I concerned patients with a prior history of sick-listing for MSP, while study II involved patients with no prior history of MSP. Treatment satisfaction, pain experience, activities and sickness absenteeism were assessed before, after and at a 12-month follow-up. In study I (patients with a history of MSP), the results showed significant improvements for both groups, but virtually no differences between the groups. Similarly, in study II (no history of MSP) both groups demonstrated significant improvements e.g., for pain intensity and activity levels. However, the Early Active treatment resulted in significantly less sick-listing relative to the control group. Moreover, the risk of developing chronic (> 200 sick days) pain was 8 times lower for the Early Activation group. This investigation shows that relatively simple changes in treatment result in reduced sickness absenteeism for 'first-time' sufferers only. Consequently, the content and timing of treatment for pain appear to be crucial. Properly administered early intervention may therefore decrease sick leave and prevent chronic problems, thus saving considerable resources.
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| 14. |
- Ekenberg, Lilly, et al.
(författare)
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Physiotherapy For Young People With Movement Disorders: Factors Influencing Commencement And Duration
- 1994
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Ingår i: Developmental Medicine & Child Neurology. - : Wiley. - 0012-1622 .- 1469-8749. ; 36:3, s. 253-262
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Tidskriftsartikel (refereegranskat)abstract
- A questionnaire sent to the parents of 105 patients aged between nine and 20 years with movement disorders was answered by 81 parents. 51 per cent of the patients were undergoing physiotherapy, and these had been having physiotherapy for almost all of their lives. Patients with lower mobility scores and those with both parents participating tended to continue with physiotherapy. Mobility scores were less of a determinant for girls than for boys for continuing or discontinuing physiotherapy. The diagnosis of cerebral palsy combined with an early start to physiotherapy also gave a higher continuation rate.
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| 19. |
- Gard, Gunvor
(författare)
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Physical and psychosocial occupational strain
- 1990
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This monography thesis is based on five empirical studies of physical and psychosocial occupational strain in working life. The first three studies concern the working environment of crane couplers. The first study, a questionnaire study, showed that monotonous postures and movements, heavy lifting and long walking distances were common reasons for regarding crane coupling as a physically strenuous work. The second study, a medical study, showed that clinical findings were more prevalent in the right neck- and shoulder region. The third study, an electromyographic study showed that the physical strain in crane coupling can be reduced by using wooden or other light weight spacers, to rearrange the layout so that slinging is always possible or by using slings mode of fibre or other light weight material. This study also indicated that crane coupling work may cause harmful effects to the shoulder- or neck region. The fourth study examined psychosocial strain and qualification in administrative computer work by using questionnaires, interviews and physiological measurements at repeated occasions. The results indicated a good agreement between level of qualification, psychosocial work load and job satisfaction. Computerisation lead to increased qualifications at work. This improved job satisfaction but at the same time resulted in an increased workload. The fifth study concerns how patients visiting primary health care perceive physical and psychosocial occupational strain. It could be shown that the patients perceived physical as well as psychosocial strain as important working environment problems
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| 20. |
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