| 1. |
- Wiklund-Axelsson, Sari-Anne, et al.
(författare)
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Older people's health-related ICT-use in Sweden
- 2013
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Ingår i: Gerontechnology. - : International Society for Gerontechnology (ISG). - 1569-1101 .- 1569-111X. ; 12:1, s. 36-43
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The aim of this study was to describe the degree to which information and communication technology (ICT) was utilised by older people for health information and communication with health services during a one-year period in Sweden.Methods: The participants (n=154) were aged 55 and over (mean 71.9, 52% women) and had been randomly selected from a population register. The participants responded to a survey with a set of questions about their general usage of ICT appliances, as well as their usage of different ICT tools to retrieve health information and to communicate with the health services.Results: The results showed that, in contrast to a rather frequent general ICT usage, the most common way to communicate with healthcare services was by personal contacts or by a land line telephone. A mobile phone was used by 24% of such communications, SMS messages by 11%, websites, chat forums or blogs by 4%, and audio and video communication by 2%. Self-reported overweight problems, general use of mobile phone, and general use of Internet were significantly and independently associated with having experience of using mobile phones or more advanced ICT appliances in contacts with the health services.Conclusion: The low health-related ICT usage found in this study may be understood as a low degree of implementation of ICT in contact with health services, but the relatively high experience of general ICT usage indicates a potential for a wider use in the future in Sweden.
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| 2. |
- Nordström, Birgitta, et al.
(författare)
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The ambiguity of standing in standing devices : a qualitative interview study concerning children and parents experiences of the use of standing devices
- 2014
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Ingår i: Physiotherapy Theory and Practice. - : Informa UK Limited. - 0959-3985 .- 1532-5040. ; 30:7, s. 483-489
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Tidskriftsartikel (refereegranskat)abstract
- Aim: The aim of this study was to describe children’s and parents’ experiences of the significance of standing in a standing device. Methods: Individual interviews were performed with six children/teenagers (aged 7–19 years) and 14 parents. The interviews were transcribed and analyzed using a qualitative content analysis. Findings: The analysis resulted in the major theme, the duality of uprightness and the related themes: (1) the instrumental dimension of standing; (2) the social dimension of standing; and (3) the ambivalent dimension of standing. Each of the themes comprised several subthemes. Conclusions: There is an inherent duality related to the use of a standing device. Standing in a standing device was seen as a treatment of body structures and functions, as well as a possible source of pain. Standing was considered to influence freedom in activities and participation both positively and negatively. The parents experienced that standing influenced other peoples’ views of their child, while the children experienced standing as a way to extend the body and as something that gave them benefits in some activities. Physiotherapists working with children should take into account both the social and physical dimensions of using a standing device and consider both the child’s and the parents’ views.
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| 3. |
- Vikman, Irene, et al.
(författare)
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Incidence and seasonality of falls amongst old people receiving home help services in a municipality in northern Sweden
- 2011
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Ingår i: International Journal of Circumpolar Health. - : Informa UK Limited. - 1239-9736 .- 2242-3982. ; 70:2, s. 195-204
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Tidskriftsartikel (refereegranskat)abstract
- Objectives. Falls among old people is a well-documented phenomenon; however, falls among people living in the community and receiving home help services have been under-researched. The aim of this study was to investigate the incidence, including possible seasonal variation, circumstances and injuries related to falls among community living home help receivers, and to investigate whether fall incidence is associated with the type and amount of home help services received. Study design. Prospective cohort study. Methods. All 614 persons aged 65 and over who were living in a particular northern Swedish community and receiving municipality home help were included. Data on age, sex and home help service use were collected from home help service records, and falls were reported by staff on report forms specifically designed for the study. Results. A total number of 264 falls were recorded among 122 participants. The overall fall incidence was 626 per 1,000 PY, and incidence rate ratios were significantly correlated to the total amount of services used (p<0.001), as well as to the degree of help for I-ADL needs (p<0.001), P-ADL needs (p<0.001) and escort service (p=0.007). The proportion of falls reported as resulting in injury was 33%. The monthly fall incidence was significantly associated to daylight photoperiod, however it was not associated to temperature. Conclusions. Fall incidence among home help receivers aged 65 and over seems correlated to the amount of services they receive. This is probably explained by the fact that impairments connected to ADL limitations and home help needs also are connected to an increased risk of falls. This implies that fall prevention should be considered when planning home help care for old people with ADL limitations. Further research on the connection between daylight photoperiod and fall incidence in populations at different latitudes is needed.
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| 4. |
- Melander-Wikman, Anita, et al.
(författare)
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Projekt: Äldre personers förväntningar på användandet av informations- och kommunikationsteknologi som stöd
- 2013
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Annan publikation (populärvet., debatt m.m.)abstract
- Informations- och kommunikationsteknologi används idag inom hälso- och sjukvård för bland annat livsstilsrelaterade sjukdomar som tillexempel vid övervikt och fetma, IKT är en del av den verksamhet som hälso- och sjukvården satsar på i framtiden. Användning av IKT i hälsorelaterade sammanhang för större befolkningsgrupper förutsätter en viss grad av beredskap hos befolkningen som sannolikt inte bara är relaterad till kännedom om möjligheterna och vana vid teknologin, utan en förväntan om att det kan vara av värde för personen själv. Kunskaperna är magra om befolkningens beredskap för och inställning till IKT som ett verktyg för kontakten mellan vårdtagare och vårdgivare, och de undersökningar som finns över detta visar på en bild av återhållna förväntningar. I projektet studeras vilken betydelse informations- och kommunikationsteknik har för äldre personers livskvalitet och vilka förväntningar som finns framtida IKT lösningar som stöd för viktnedgång. Datainsamlingar genomförs via enkäter som skickas ut till slumpmässigt valda personer i Sverige och genom intervjuer gemomförda individuellt och i grupp.
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| 5. |
- Näslund, Annika, et al.
(författare)
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Postural adjustments during reaching in children wth severe spastic diplegia wearing Dafos
- 2007
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Ingår i: 15th International Congress of the World Confederation for Physical Therapy. - : WCPT.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- PURPOSE: The aim of this study was to investigate the coordination among reaching kinematics, ground reaction forces and muscle activity in standing in children with severe spastic diplegia wearing dynamic ankle-foot orthoses (DAFOs)and compare the results to age matched non-disabled children. RELEVANCE: Assessment and evaluation are essential because children with spastic diplegia, classified at level III-IV according to GMFCS (Gross Motor Function Classification System), often recieve DAFOs as an adjunct to physiotherapy in order to improve sitting, standing and walking. PARTICIPANTS: All children with spastic diplegia using DAFOs in a county in northern Sweden and had regular follow-ups of their ortohoses, were invited. Six participants at GMFCS level III-IV formed the study group and six age- and sex-matched children with normal motor development served as a control group. METHODS: Bilaterally ground reaction forces and the ankle muscle activity aswell as the reach hand kinematics were investigated by the means of two AMTI forceplates, surface electromyography (EMG)and two-camera optoelectronic system (ELITE). Kinematic, EMG and forceplate signals were recorded simultaniously. The children reached for a cup filled with candy while standing on two forceplates. Reflective markers were placed on the hand and cup. In this study, standing support provided by the parent on the pelvis or by contact of the non-reach hand on the table was necessary during the standing task. ANALYSIS: Because of the small participant number and the heterogeneity of the group with pronounced difficulties in locomotion, the results are presented on group as well as on subject level. RESULTS: Children with severe spastic diplegia, wearing DAFOs, demonstrated that movement quality of upward and forward reach velocity differed regarding temporal phasing and amplitudes of velocity peaks compared to the controls. Furthermore, children with severe spastic diplegia, wearing DAFOs, lacked a coordinated muscle activity pattern and make use of postural adjustments characterized by co-activation of agonist and antagonist muscles. However, the controls demonstrated coordinated muscle activity and an interplay of the ground reaction forces on reach and non-reach side. CONCLUSIONS: In conclusion DAFOs appear to provide some benefit for children with spastic diplegia GMFCS, level III-IV, by the use of postural adjustments for balance control during a reaching movement in standing. An intervention study would be of interest, to assess whether DAFOs could be valuable in the learning of processes considering postural adjustments , since postural control is a result of both maturation and learning. IMPLICATIONS: Children with severe spastic diplegia wearing DAFOs can despite different support conditions practice reaching while standing and thereby promote motor learning of postural adjustments to improve the ability to use the hands in daily standing activities.
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| 6. |
- Näslund, Annika
(författare)
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Commentaries
- 2004
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Ingår i: International Journal of Therapy and Rehabilitation. - : MA Healthcare Ltd. - 1741-1645 .- 1759-779X. ; 11:3, s. 126-
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 7. |
- Jesinkey, Kristina, et al.
(författare)
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Initiation of reaching when standing with and without DAFOs in children with spastic diplegia
- 2005
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Ingår i: Advances in Physiotherapy. - : Informa UK Limited. - 1403-8196 .- 1651-1948. ; 7:4, s. 144-153
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Tidskriftsartikel (refereegranskat)abstract
- We investigated whether the use of dynamic ankle foot orthoses (DAFOs) can improve the coordination between standing posture and a reaching movement. We investigated the temporal sequence between onset of center of pressure (CoP) displacement and onset of hand displacement by means of two AMTI force plates and a two-camera optoelectronic system (ELITE). The task was to reach for a cup. Reflective markers were placed on hand, trunk and the cup. Four children with spastic diplegia and eight control children (aged 5-12) participated. They were tested wearing DAFOs (diplegia) and the results were compared with wearing shoes (diplegia and control). The children with spastic diplegia were able to make use of anticipatory changes in CoP displacement. The results indicated that more trials in children with spastic diplegia had CoP onset preceding hand onset while wearing DAFOs (18/20) than when wearing only shoes. More trials (27/40) during the 20% reaching condition in the control group had CoP onset preceding hand onset than during the 10% reaching condition (18/40). In spite of different amounts of assistance, anticipatory postural adjustments were found in the diplegia group. Use of anticipatory postural adjustments was not consistent in the control group. Practice of reaching during standing can be carried out with DAFOs and/or hand support, and can promote motor learning of anticipatory postural adjustments.
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