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- Fristedt, Sofi, 1969-, et al.
(författare)
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Physical functioning associated with life-space mobility in later life among men and women
- 2022
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Ingår i: BMC Geriatrics. - London, United Kingdom : BioMed Central. - 1471-2318. ; 22:1
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundLife-space mobility is defined as the ability to access different areas extending from the room where the person sleeps to places outside one’s hometown. Life-space mobility is vital to support performance of daily life activities and autonomous participation in social life. However, there is a dearth of research that investigates a wider range of physical functions and functioning in relation to life-space mobility rather than just single aspects. Thus, the purpose of the present study was to identify and describe several measures of physical functioning associated with life-space mobility among older men and women.MethodsData used in this study was derived from the OCTO 2 study, a population-based study of health, functioning and mobility among older persons (n = 312) in Sweden. Associations between Life-Space Assessment (LSA) total score and age, sex, Short Physical Performance Battery (SPPB), dizziness, lung function i.e. Peak Expiratory Flow (PEF), grip strength, self-rated vision and hearing were analysed through bivariate and multivariate regression models.ResultsThe bivariate models showed that life-space mobility was significantly associated with sex, but also age, SPPB, PEF and grip strength in the total group as well as among men and women. In addition, hearing was significantly associated with life-space mobility among women. Those factors that were statistically significant in the bivariate models were further analysed in multivariable models for the total group, and for men and women separately. In these models, sex, grip strength and SPPB remained significantly associated with life-space mobility in the total group, as well as SPPB among both men and women.ConclusionSex, physical function in terms of physical performance measured by SPPB (balance, gait speed and chair stand), and grip strength are associated with life-space mobility. Consequently, these factors need to be considered in assessments and interventions aiming to maintain mobility in old age.
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- Fristedt, Sofi, 1969-, et al.
(författare)
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Validitet och reliabilitet för Life-Space Assessment (LSA) - ett instrument för bedömning av äldre personers mobilitet
- 2015
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Konferensbidrag (refereegranskat)abstract
- Bakgrund: Förmågan och möjligheter att förflytta (mobilitet) begränsas ofta i senare delen av livet, med negativa konsekvenser fördelaktighet i dagliga och sociala aktiviteter. Såväl i praktisk verksamhet som för forskning behövs instrument som kanbedöma mobilitet. The Life Space Assessment (LSA), utvecklat i USA, är bedömer en individs mobilitet genom attfokusera på förmågan att ta sig till olika “life-spaces”, från rummet där personen sover till platser bortom hemorten undersenaste månaden. LSA beaktar dessutom hur ofta detta sker, och om det sker med hjälpmedel eller hjälp av annanperson.Syfte: Syftet var att undersöka samtidig validitet och testa reliabilitet av LSAs svenska version.Metod: LSA översattes till svenska och inkluderades tillsammans med andra hälsorelaterade mått i en populationsbaserad studiemed slumpmässigt utvalda personer mellan 75 och 90 år (medelålder 81 år) i enskilt boende. LSA summerades till fyrapoängsummor, dvs total, oberoende, assisterad och maximal life-space poäng. 298 individer ingick i reliabilitetstudienoch besvarade LSA vid två tillfällen med 14 dagars mellanrum. 312 individer ingick i validitetsstudien där LSA jämfördesmed andra mobilitetsrelaterade mått.Resultat/preliminärt resultat: Det fanns inga signifikanta skillnader mellan skattningarna över tid för LSA fyra poängsummor. Medelvärdet för total life-space poäng var t ex 65 (22) och 65 (23) (max 120). Korrelationsvärden (ICC) mellan 0.84-0.94 visar på god till utmärktreliabilitet för total, oberoende och assisterad LSA. Vad gäller validitet påvisas signifikanta (p<0.01) och måttligt till godakorrelationer (0.50- 0.75) mellan LSAs fyra poängsummor och förmåga till förflyttning (överflyttning, balans, uppresningoch gångförmåga), transport (vardagliga resor och nöjesresor), och aktivitet i samhället (inköp och fritid)Slutsats: Den svenska versionen av LSA har god validitet samt god till utmärkt reliabilitet och kan med förtroende användas för attbedöma mobilitet hos äldre i enskilt boende.
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| 4. |
- Hermansen, Anna, 1974-, et al.
(författare)
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Balance problems and dizziness after neck surgery–associations with pain and health-related quality of life
- 2020
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Ingår i: Physiotherapy Theory and Practice. - : Informa UK Limited. - 0959-3985 .- 1532-5040.
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Symptoms of dizziness or imbalance are often present in individuals with a variety of neck-disorders. The aims of this study were to determine the prevalence of patient-reported balance problems and dizziness 10–13years after surgery for cervical degenerative disc disease; evaluate associations with neck pain and health-related quality of life; and investigate how these individuals described dizziness. Material and methods: Sixty-eight individuals, 10years or more after anterior cervical decompression and fusion surgery, who previously participated in a randomized controlled trial were included. Participants completed questionnaires including ratings of dizziness and balance problems, the Dizziness Handicap Inventory, and an open-ended question regarding their experience of dizziness. Secondary outcomes were neck pain and quality of life. Results: Seventy-two percent experienced occasional or daily symptoms of unsteadiness and/or dizziness. Intensity ratings for dizziness during movement and for balance problems were similar and rather low, but had an impact on quality of life. Ratings of dizziness at rest were even lower. Dizziness ratings were associated with neck pain. Strenuous activities were related to dizziness and dizziness was primarily described as intermittent and non-rotatory. Conclusions: Dizziness or balance problems in the long-term after surgery for cervical degenerative disc disease are common and have an impact on daily life. Ratings of problem frequency and intensity were usually low. Dizziness and balance problems may affect quality of life. Patients’ descriptions of these problems are in line with common symptoms of cervicogenic dizziness. © 2019, © 2019 The Author(s). Published by Taylor & Francis.
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- Kammerlind, Ann-Sofi, 1969-, et al.
(författare)
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Dizziness in older persons at high risk of future hospitalization : prevalence, differences between those with and without dizziness, and effect of a proactive primary care intervention
- 2022
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Ingår i: BMC Geriatrics. - London, United Kingdom : BioMed Central. - 1471-2318. ; 22:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: Dizziness is a common reason for seeking care, and frequently affects older persons. The aims were to determine the prevalence of dizziness in older persons at high risk of hospitalization, to compare subjects with and without dizziness, and to examine the effects on dizziness of a proactive primary care intervention in comparison with conventional care after one year.Methods: Data were derived from a prospective multicentre clinical trial in persons aged 75 and older and at high risk of hospitalization. A baseline questionnaire included demographic data, use of aids, questions about everyday physical activity and exercise, pain (intensity, frequency, and duration), activities of daily living measured using the ADL Staircase, and health-related quality of life measured using the EQ-5D-3L vertical visual analogue scale. Both at baseline and after one year, subjects were asked about dizziness, and those with dizziness answered the Dizziness Handicap Inventory - Screening version. Subjects in the intervention group were evaluated by a primary care team and when needed proactive care plans were established. Groups were compared using the Mann Whitney U-test or chi-squared test.Results: Of the 779 subjects, 493 (63%) experienced dizziness. Persons with dizziness differed regarding sex, homecare service, aids, activities of daily living, health-related quality of life, physical activity, and pain. The intervention did not significantly reduce the level of dizziness.Conclusions: Dizziness is common in vulnerable older persons, and individuals with dizziness differ in several respects. Further studies are needed employing more dizziness-specific assessment and individually tailored interventions.
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| 7. |
- Kammerlind, Ann-Sofi, 1969-, et al.
(författare)
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Effects of balance training in elderly people with nonperipheral vertigo and unsteadiness
- 2001
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Ingår i: Clinical Rehabilitation. - : SAGE Publications. - 0269-2155 .- 1477-0873. ; 15:5, s. 463-470
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To evaluate the effect of balance training in group in elderly people with nonperipheral vertigo and unsteadiness.Design: Randomized controlled study.Setting: Ear, nose and throat department, University Hospital, Sweden.Subjects: Twenty-three elderly subjects with nonperipheral vertigo and/or unsteadiness randomized into training group and control group.Intervention: The training group attended balance training in group twice a week for eight weeks.Main outcome measures: Timed static balance tests, walking tests and six sensory organization tests on EquiTest dynamic posturography were performed before and after the training period. Besides, the patients estimated their vertigo and unsteadiness on a visual analogue scale (VAS) before and after the training period.Results: The training group improved significantly in standing on one leg with eyes open, walking forward on a line, walking speed, in three out of six tests on dynamic posturography and estimated less vertigo and unsteadiness measured with VAS. No changes were seen in the control group.Conclusion: Balance training in elderly people with nonperipheral vertigo and unsteadiness seems to improve both objective and perceived balance.
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| 8. |
- Kammerlind, Ann-Sofi, 1969-, et al.
(författare)
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Effects of home training and additional physical therapy on recovery after acute unilateral vestibular loss : a randomized study
- 2005
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Ingår i: Clinical Rehabilitation. - : SAGE Publications. - 0269-2155 .- 1477-0873. ; 19:1, s. 54-62
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To evaluate the effects of additional physical therapy on recovery after acute unilateral vestibular loss given to patients receiving home training.Design: Randomized controlled trial.Setting: Ear, nose and throat departments in three hospitals.Subjects: Fifty-four patients (mean age 52 years) with acute unilateral vestibular loss within the last week confirmed with electronystagmography testing were included. Patients with central neurologic or auditory symptoms or other vertigo disease were excluded.Interventions: Home training with or without additional physical therapy 12 times during 10 weeks.Main measures: Electronystagmography testing was performed before and after the training period. Clinical static (Romberg?s test, sharpened Romberg?s test, standing on foam and standing on one leg) and dynamic (walking forward and backward on a line) balance tests and subjective ratings of vertigo and balance problems on a visual analogue scale were done one week, 10 weeks and six months after the start of training.Results: Similar changes were seen in the two training groups.Conclusions: No significant differences in outcome regarding balance function or perceived symptoms were found between home training with or without additional physical therapy.
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| 9. |
- Kammerlind, Ann-Sofi, 1969-, et al.
(författare)
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Influence of asymmetry of vestibular caloric response and age on balance and perceived symptoms after acute unilateral vestibular loss
- 2006
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Ingår i: Clinical Rehabilitation. - : SAGE Publications. - 0269-2155 .- 1477-0873. ; 20:2, s. 142-148
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To evaluate the influence of asymmetry of vestibular caloric response and age on balance and perceived symptoms after acute unilateral vestibular loss.Design: Prospective study.Setting: Ear, nose and throat departments in three hospitals.Subjects: Fifty-four patients (mean age 52 years) with acute unilateral vestibular loss participating in a randomized controlled training study were included.Main measures: Electronystagmography testing was performed within one week after onset of symptoms and after 10 weeks. The outcome measures clinical static balance tests (sharpened Romberg's test with eyes closed, standing on foam with eyes closed, and standing on one leg with eyes open and closed) and subjective symptom ratings on a visual analogue scale were done after one week, 10 weeks and six months. The correlation between age and asymmetry of vestibular caloric response, respectively, and the outcome measures were analysed.Results: Greater caloric asymmetry correlated with poorer performance at the sharpened Romberg's test and standing on one leg with eyes closed at all three follow-ups (rho=-0.31 to -0.54), and with higher symptom ratings at the 10-week and six-month follow-ups (rho=0.30-0.60). Higher age was associated with poorer performance on the sharpened Romberg's test and standing on one leg at all three follow-ups (rho=0.31-0.64), but did not change over time. Higher age was also associated with higher ratings of vertigo at the six-month follow-up, and less reduction of vertigo between the 10-week and six-month follow-ups (rho=0.29-0.48).Conclusions: A higher degree of asymmetry of vestibular caloric response and high age seem to be associated with poor outcome in balance and perceived symptoms after acute unilateral vestibular loss.
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| 10. |
- Kammerlind, Ann-Sofi, 1969-, et al.
(författare)
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Long-term follow-up after acute unilateral vestibular loss and comparison between subjects with and without remaining symptoms
- 2005
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Ingår i: Acta Oto-Laryngologica. - : Informa UK Limited. - 0001-6489 .- 1651-2251. ; 125:9, s. 946-953
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Tidskriftsartikel (refereegranskat)abstract
- Conclusions. About half of the subjects in this study reported remaining symptoms 3–6 years after acute unilateral vestibular loss. Differences could be seen between subjects with and without remaining symptoms regarding health-related quality of life, anxiety and depression.Objective. To evaluate the presence of self-rated remaining symptoms 3–6 years after acute unilateral vestibular loss, and to compare subjects with and without such symptoms.Material and methods. Firstly, 51 subjects answered a questionnaire which included the EuroQol EQ-5D, the Hospital Anxiety and Depression Scale, the University of California Los Angeles Dizziness Questionnaire, visual analogue scales and the Dizziness Handicap Inventory. Secondly, nine subjects with and nine without remaining symptoms participated in an extended testing procedure, including electronystagmography (ENG), determination of vestibular-evoked myogenic potentials (VEMPs) and clinical balance tests.Results. In the first part of the study, 27 subjects reported remaining symptoms, 3 reported 1 additional period of symptoms and 21 had not experienced any symptoms at all in the 3–6 years since acute unilateral vestibular loss. In the second part, the group with remaining symptoms rated a lower health-related quality of life and a higher level of anxiety and depression. There were no differences between the two groups in terms of ENG tests, VEMPs or clinical balance tests.
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