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- Elinge, Eva, et al.
(författare)
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A group learning programme for old people with hip fracture : a randomized study
- 2003
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1103-8128 .- 1651-2014. ; 10:1, s. 27-33
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to examine whether a group learning programme would influence the participants' perceived activity performance and ability to participate in social life after a hip fracture. The study comprised 35 people aged 54-90 years with hip fracture who had completed ordinary care and rehabilitation after their hip fractures. They were randomized to an intervention group (n=21) or to a control group (n=14). The intervention group participated in the group learning programme, while the control group received no intervention. Directly after the intervention and at 12 months after the intervention, no significant change was seen in either group, regarding the ability to perform ADL activities measured by the Barthel ADL index, or the performance of activities that were identified as important to the individual. However, in the intervention group, the number of ADL items perceived to be performed with difficulties decreased, and the perceived ability to participate in social life increased. These changes were not found in the control group. When analysed between groups, however, the only significant difference was the ability to participate in social life after the intervention. Further research is needed to investigate whether an intensive or prolonged period of rehabilitation, at the hospital or in the patient's home, would increase the ability to resume meaningful participation in social life
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- Larsson, Håkan, et al.
(författare)
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Bedömningsstöd idrott och hälsa årskurs 4-6
- 2014
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Annan publikation (populärvet., debatt m.m.)abstract
- Som stöd för bedömning i idrott och hälsa i årskurs 6 finns ett material som ger tydliga exempel på bedömningar av de kunskaper som eleverna visar upp utifrån kunskapskraven. Bedömningsstödet syftar till att konkretisera delar av kunskapskraven genom elevexempel och lärares samtal kring bedömning.
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- Lindelof, Nina, et al.
(författare)
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Weighted belt exercise for frail older women following hip fracture : a single subject design
- 2002
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Ingår i: Advances in Physiotherapy. - : Informa UK Limited. - 1403-8196 .- 1651-1948. ; 4:2, s. 54-64
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Tidskriftsartikel (refereegranskat)abstract
- The aim was to investigate the possibility of increasing lower limb strength, dynamic balance and gait speed in frail older women with residual mobility problems following hip fracture by using a combined and functional training programme with a weighted belt. Three women aged 78-82 participated in this repeated single-subject experimental design study. The intervention phase consisted of a 10-week functional weight-bearing exercise programme performed twice a week. Main outcome measures were assessed twice a week during baseline and intervention phases. Graphic analyses showed substantial improvements in dynamic balance and gait speed, related to the intervention, in all three subjects. During intervention phase, gait speed improved by 16-38% and step test performance (dynamic balance) by 36-67%. The subjects also increased weight load in the belt by 25-80%. No progress was seen regarding isometric knee extension muscle strength, and the control variable, isometric hand-grip strength, remained unchanged. However, dynamic leg strength (one-repetition maximum in leg press, tested before and after intervention) showed substantial increase. Subjects experienced strong improvement and reported no discomfort. In conclusion, functional training with a weighted belt may be suitable for older women to alleviated mobility problems following hip fracture.
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- Löfgren, Britta, et al.
(författare)
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Cross-validation of a model predicting discharge home after stroke rehabilitation : validating stroke discharge predictors
- 2000
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Ingår i: Cerebrovascular Diseases. - : S. Karger AG. - 1015-9770 .- 1421-9786. ; 10:2, s. 118-125
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Tidskriftsartikel (refereegranskat)abstract
- A new sample of 116 stroke patients was collected in order to validate a logistic regression model, predicting the chances of severely affected stroke patients being discharged home to independent living. The model was found to be accurate in the new sample, especially for those patients who had a high estimated probability of being discharged home. When the dividing line for the predicted probability for discharge home was set at a value of >/=0.5, the positive and negative predictive values were 74 and 73%, respectively. Further modelling resulted in a new extended model including the variables postural stability on admission, cohabiting, age and perceptual impairment on admission that formed the basis for an index predicting discharge home. This index was then validated in the sample of 93 patients that the first developed model was derived from and showed positive and negative predictive values of 85 and 77%, respectively
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- Löfgren, Britta, et al.
(författare)
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In-patient rehabilitation after stroke : outcome and factors associated with improvement
- 1998
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Ingår i: Disability and Rehabilitation. - : Informa UK Limited. - 0963-8288 .- 1464-5165. ; 20:2, s. 55-61
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Tidskriftsartikel (refereegranskat)abstract
- A study aimed at examining the outcome of activities of daily living (ADL) of patients undergoing geriatric stroke rehabilitation was performed. Background and admission data of 99 patients surviving the acute phase and needing further hospital rehabilitation were registered. Forty per cent of the patients improved their ADL ability. The logistic regression modelling with the dichotomous dependent variable improvement versus no improvement showed the following factors associated with improvement: a diagnosis of intracerebral haemorrhage, male sex, high postural stability score at the admission and cohabitation. In conclusion, the most severely affected stroke patients, especially patients with intracerebral haemorrhage, have a great potential for improving their ADL. The results of the logistic regression model can serve as a useful guide when it comes to identifying patients that stand a fair chance of improving during their rehabilitation stay. Equally important, patients with a poor rehabilitation prognosis who may need intensified rehabilitation efforts to achieve optimum improvement can now be identified.
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- Löfgren, Britta, et al.
(författare)
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Psychological well-being 3 years after severe stroke
- 1999
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Ingår i: Stroke. - 0039-2499 .- 1524-4628. ; 30:3, s. 567-572
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND AND PURPOSE: Stroke often has a very negative influence on the victims' perception of their life situation. The aim of this study was therefore to assess the subjects' long-term psychological well-being and to explore associations between subject characteristics, impairments, disabilities, and psychological well-being. METHODS: Of 100 subjects rehabilitated at a specialized geriatric stroke ward after the acute phase, 47 survivors were assessed in their homes 3 years after discharge and interviewed regarding their psychological well-being with the Philadelphia Geriatric Center Morale Scale (PGCMS). RESULTS: Sixty-four percent of the subjects were classified as having high scores for psychological well-being or fell within the middle range. In a cluster analysis, depression was shown to have the strongest association with the subjects' PGCMS scores. Variables including the subjects' social situation and functions as well as age, gender, ability to communicate, and need for help showed a much weaker association with the PGCMS. CONCLUSIONS: More than half of the stroke subjects were classified as having levels of psychological well-being that were good or fairly good. The strong association between PGCMS scores and depression indicates the importance of detecting and treating depression and of following up initiated therapy after stroke.
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