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| 2. |
- Elmgren Frykberg, Gunilla, 1957-, et al.
(författare)
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Temporal coordination of the sit-to-walk task in subjects with stroke and in controls
- 2009
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Ingår i: Archives of Physical Medicine and Rehabilitation. - : Elsevier BV. - 0003-9993 .- 1532-821X. ; 90:6, s. 1009-1017
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: To explore events and describe phases for temporal coordination of the sit-to-walk (STW) task, within a semistandardized set up, in subjects with stroke and matched controls. In addition, to assess variability of STW phase duration and to compare the relative duration of STW phases between the 2 groups.Design: Cross-sectional.Setting: Research laboratory.Participants: A convenience sample of persons with hemiparesis (n=10; age 50–67y), more than 6 months after stroke and 10 controls matched for sex, age, height, and body mass index.Interventions: Not applicable.Main Outcome Measures: Relative duration of STW phases, SE of measurement in percentage of the mean, and intraclass correlation coefficients (ICCs).Results: Four STW phases were defined: rise preparation, transition, primary gait initiation, and secondary gait initiation. The subjects with stroke needed 54% more time to complete the STW task than the controls did. ICCs ranged from .38 to .66 and .22 to .57 in the stroke and control groups, respectively. SEs of measurement in percentage of the mean values were high, particularly in the transition phase: 54.1% (stroke) and 50.4% (controls). The generalized linear model demonstrated that the relative duration of the transition phase was significantly longer in the stroke group.Conclusions: The present results extend existing knowledge by presenting 4 new phases of temporal coordination of STW, within a semistandardized set-up, in persons with stroke and in controls. The high degree of variability regarding relative STW phase duration was probably a result of both the semistandardized set up and biological variability. The significant difference in the transition phase across the 2 groups requires further study.
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- Steinsvik, Kari, 1959-
(författare)
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Kunnskap om kroppen mellom grep og begrep
- 2008
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This study explores the immanent paradigm in clinical physiotherapy, a professional field where knowledge to a large extent is demonstrated in skilled action whose embodied character prevents this kind of knowledge from being completely articulated. The following is a hermeneutic study in which a first person perspective, based on years of professional experience, is employed as the basis for interpretation and analysis. The knowledge and insights derived from this approach are often framed through the deliberate methodological use of analogy and metaphor. The practice of clinical physiotherapy is often modelled on the mechanic's workshop inasmuch as bodily problems and diseases are putatively repaired through a technically skilled approach. This study explores the problematic nature of this dualist paradigm in relation to the professional challenge of encountering bodily experiences such as absence and alienation.This instrumental model of knowledge and practice leaves little room for the physiotherapist's own professional experience to be a source of knowledge through reflection. The study points at phenomenological perspectives on the living body as an alternative epistemological framework of the practice of physiotherapy.
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| 5. |
- Zetterberg, Lena, 1961-, et al.
(författare)
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Objective assessment in cervical dystonia
- 2004
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Ingår i: Proceedings from ESMAC 13th Annual Meeting of European Society of Movement Analysis of Adult and Children.
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Konferensbidrag (refereegranskat)
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| 6. |
- Zetterberg, Lena, 1961-, et al.
(författare)
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Objective assessment of cervical dystonia : a pilot study
- 2005
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Ingår i: Acta Neurologica Scandinavica. - : Hindawi Limited. - 0001-6314 .- 1600-0404. ; 112:4, s. 248-253
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Tidskriftsartikel (refereegranskat)abstract
- Objectives - The aims were to characterize the movements in cervical dystonia (CD) by using an estimate of the mechanical power and work involved in the movements and to describe this through a movement energy index (MEI). Materials and methods - The subjects (patients n = 6, controls n = 6) were seated in front of a screen with a laser pointer attached to a headband while they performed standardized movements. A three-dimensional motion capture system was used and a test-retest was performed. Results - The mean value of MEI was significantly higher for the patients than for the controls. There was no significant difference between MEI from test to retest for the patients but there was a significant difference between MEI from test to retest for the controls. Conclusion - This study suggests that MEI could be a useful measure for the quantification of movement dysfunction in CD and thus an objective outcome measure in comparison of different therapies.
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| 7. |
- Zetterberg, Lena, et al.
(författare)
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Physiotherapy in Cervical Dystonia : Six experimental single-case studies
- 2008
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Ingår i: Physiotherapy Theory and Practice. - : Informa UK Limited. - 0959-3985 .- 1532-5040. ; 24:4, s. 275-290
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to explore the outcome of a physiotherapy program targeted to improve the quality of life of people with cervical dystonia (CD) by reducing pain, improving awareness of postural orientation, increasing muscle strength, and reducing the effort of moving the head and neck. In six single case studies, the primary outcome measure for each case was the Cervical Dystonia Questionnaire (CDQ) to measure the impact of the program on the individuals' quality of life. Secondary outcome measures were identified for the different components of the physiotherapy program: Visual Analogue Scale (pain); Postural Orientation Index (postural orientation awareness); and Movement Energy Index (effort of moving head and neck). Each of the cases had the severity of their problems scored on the Toronto Western Spasmodic Torticollis Scale. The study period was 26 weeks: 2 weeks' baseline period, 4 weeks' treatment period, and 20 weeks' follow-up. All measures except the Movement Energy Index (MEI) and CDQ-24 were taken three times per week for the first 6 weeks of the study and then once at 3 and 6 months. The MEI was taken once a week during the pretreatment and the treatment periods and during the first 2 weeks of follow-up and also after 3 and 6 months of follow-up. The CDQ-24 was taken once in the pretreatment period, once after completion of treatment, once 2 weeks after treatment, and once at 3 and 6 months of follow-up. Five of the six case studies reported an increase in quality of life at 6-month follow-up, as measured on the CDQ-24. Three of the six cases reported a reduction in pain and severity of the dystonia and had improved scores on the postural orientation measure at 6-month follow-up. All six patients had a reduction in the movement energy scores, but this was not significant. The outcomes of the six case studies would suggest that further investigation is required to show the effectiveness of physiotherapy programs in the management of CD.
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