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| 2. |
- Bodin, Per, et al.
(författare)
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Effects of abdominal binding on breathing patterns during breathing exercises in persons with tetraplegia
- 2005
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Ingår i: Spinal Cord. - : Springer Science and Business Media LLC. - 1362-4393 .- 1476-5624. ; 43, s. 117-122
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Tidskriftsartikel (refereegranskat)abstract
- Study design: Cross-sectional, experimental. Objectives: To investigate and compare static lung volumes and breathing patterns in persons with a cervical spinal cord lesion during breathing at rest, ordinary deep breathing, positive expiratory pressure (PEP) and inspiratory resistance-positive expiratory pressure (IR-PEP) with and without an abdominal binder (AB). Setting: The outpatient clinic at the Spinal Unit at Sahlgrenska University Hospital, Göteborg, Sweden. Method: The study group consisted of 20 persons with complete cervical cord lesion at C5–C8 level. Breathing patterns and static lung volumes with and without an AB were measured using a body plethysmograph. Results: With an AB, static lung volumes decreased, vital capacity increased, breathing patterns changed only marginally and functional residual capacity remained unchanged during PEP and IR-PEP. Conclusion: Evidence supporting the general use of an AB to prevent respiratory complications by means of respiratory training is questionable. However, the interindividual variation in our results indicates that we cannot rule out that some patients may benefit from the treatment. Sponsorship: This work was supported by grants from the Memorial Foundation of the Swedish Association of registered Physiotherapists and the Association of Cancer and Road Accident Victims, Sweden.
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| 3. |
- Siösteen, Agneta, 1942, et al.
(författare)
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Patient-staff agreement in the perception of spinal cord lesioned patient´s problems, emotional well-being and coping pattern
- 2005
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Ingår i: Spinal Cord. ; 43, s. 179-186
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Tidskriftsartikel (refereegranskat)abstract
- A matched patient/staff study. 29 persons with spinal cord injury and 24 staff participated. Relatively high agreement between patients and staff concerning patients´problems and states is possible to obtain in a caring setting. This may be more related to the quality of caring in the studied unit than to the study methodology used. Small units with high staff density and a long stay and/or prolonged contact with the patients probably facilitate communication with and knowledge about the patients. Interventions aimed at increasing staff awareness of patients´coping efforts may further improve staff ability to understand and support patients in their adaptation process.
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| 4. |
- Johansson, C, et al.
(författare)
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Validity and responsiveness of the spinal cord index of function: an instrument on activity level.
- 2009
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Ingår i: Spinal cord : the official journal of the International Medical Society of Paraplegia. - : Springer Science and Business Media LLC.
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Tidskriftsartikel (refereegranskat)abstract
- Objectives:To evaluate the validity and responsiveness of the Spinal Cord Index of Function (SIF), a new instrument on activity level, measuring the ability to perform various transfers in non-walking patients with a spinal cord lesion.Settings:Spinal Injuries Unit, Sahlgrenska University Hospital, Gothenburg, Sweden.Methods:Twenty-nine patients with a spinal cord lesion classified as grade A, B or C according to the American Spinal Injury Association/International Medical Society of paraplegia classification were included. Each patient was evaluated from the acute phase until discharge, every second week, by their physiotherapist, according to SIF and the Swedish physiotherapy clinical outcome variables (S-COVS). To determine validity, Spearman's rho correlation coefficient was calculated between the total scores of SIF and S-COVS, and the determination coefficient was calculated. Responsiveness was determined by computing effect sizes.Results:Spearman's correlation between SIF and S-COVS was 0.933 and the determination coefficient was 0.87. The effect size for SIF was 9.1.Conclusion:The results of the study prove that SIF is a valid and sensitive instrument, which will be useful for physiotherapists in goal-planning programs and in evaluating progress during a patient's rehabilitation. SIF could also be used in research and in evaluating the patient's functional ability at follow-ups.Spinal Cord advance online publication, 16 June 2009; doi:10.1038/sc.2009.57.
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| 5. |
- Kreuter, Margareta, 1947, et al.
(författare)
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Health and quality of life of persons with spinal cord lesion in Australia and Sweden
- 2005
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Ingår i: Spinal Cord. - : Springer Science and Business Media LLC. - 1362-4393 .- 1476-5624. ; 43, s. 1123-1129
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Tidskriftsartikel (refereegranskat)abstract
- A cross sectional questionnaire study of 89 Australian and 71 Swedish spinal cord injured persons. The demonstrated health related quality of life profiles in spinal cord injured persons showed that valid measures can provide new information of clinical value beyond the self-evident physical and practical restrictions due to the injury. Illustrative comparisons between Australia and Sweden may extend our knowledge about areas where the spinal cord injured persons themselves are the logical experts, for example, maintenance of personal roles, social interaction and emotional well-being.
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| 6. |
- Hammarén, Elisabet, et al.
(författare)
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Modified exercise test in screening for mitochondrial myopathies--adjustment of workload in relation to muscle strength.
- 2003
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Ingår i: European neurology. - : S. Karger AG. - 0014-3022 .- 1421-9913. ; 51:1, s. 38-41
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to evaluate the usefulness of a modification of the bicycle ergometer test, the subanaerobic threshold exercise test (SATET), as a screening test for patients with mitochondrial myopathies. Since the original SATET is frequently found to be strenuous for weak patients, a new variable (relative muscle strength) was added to the workload formula. Plasma lactate levels were recorded at rest, then after 5 and 15 min of cycling on an ergometer, with constant workload. Nine patients with mitochondrial myopathy, 10 patients with other neuromuscular diseases and 9 healthy but sedentary volunteers undertook the test. An upper reference limit after exercise for plasma lactate was settled at 2.9 mmol/l. The modified SATET showed a sensitivity of 78% and a specificity compared to the healthy subjects of 100%. Compared to patients with other neuromuscular diseases, the specificity was lower (60%). All subjects completed the test without severe fatigue or pain.
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| 7. |
- Rosen, Eva, et al.
(författare)
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Fear of falling, balance, and gait velocity in patients with stroke
- 2005
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Ingår i: Physiother Theory Pract. - : Informa UK Limited. - 0959-3985 .- 1532-5040. ; 21:2, s. 113-20
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Tidskriftsartikel (refereegranskat)abstract
- After a stroke balance can be impaired, that may influence the physical activities which can be undertaken. A person's confidence in performing activities without falling could be as important as the real balance ability in situations of daily living. The aims of the study were to evaluate the relationship between perceived self-confidence in task performance without falling, using the Falls Efficacy Scale, Swedish version, (FES(S)) and observer-assessed balance, measured by the BDL Balance Scale (BDL BS) and also between the FES(S) and gait velocity. Thirty-one subjects with stroke, 32-62 years of age, time since onset between 3 and 104 months, participated The FES(S) was significantly correlated with the BDL BS (r = 0.49, p = 0.008). Furthermore there were significant correlations between the FES(S) and self-selected (r = 0.53, p = 0.003) as well as for maximum (r = 0.55, p = 0.002) gait velocity. The results indicate that the use of the FES(S) can be recommended in subjects with stroke and balance deficit in order to map out the dimension of self-confidence in balance problems. However, in more highly functioning subjects with stroke other fall-efficacy assessments with major demands on balance performance may be preferable due to partly ceiling effect in the study population.
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