| 1. |
- Ahlström, Gerd, et al.
(författare)
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Disability and quality of life in individuals with muscular dystrophy.
- 1996
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Ingår i: Scandinavian Journal of Rehabilitation Medicine. - 0036-5505 .- 1940-2228. ; 28:3, s. 147-157
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Tidskriftsartikel (refereegranskat)abstract
- In the county of Orebro, Sweden, 32 individuals with myotonic disorders and 25 with other types of muscular dystrophy were examined. Disability was assessed with functional tests and standardized observations of muscle function (mainly based on those proposed by Dr. Brooke), a new self-administered questionnaire regarding the Activities of Daily Living (ADL) and the ADL staircase (based on Katz ADL index). The results of the different tests of disability were highly correlated. The Sickness Impact Profile and the Kaasa test were used for assessing the quality of life, and no significant differences were found between the groups of muscular dystrophy. In an explanatory factor analysis three main factors of disability were found. The factors "walk and move" and "finger function" were fair to good associated with the quality of life. This study offers an approach for research on the consequences of muscular dystrophy using established as well as new methods.
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| 2. |
- Andersson, Eva A, et al.
(författare)
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Relative EMG levels in training exercises for abdominal and hip flexor muscles.
- 1998
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Ingår i: Scandinavian Journal of Rehabilitation Medicine. - : Informa UK Limited. - 0036-5505 .- 1940-2228. ; 30:3, s. 175-83
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Tidskriftsartikel (refereegranskat)abstract
- The main purpose of our study was to compare systematically EMG levels in sub-maximal training exercises for the trunk and hip flexor muscles with those voluntarily attainable in corresponding situations. Six healthy subjects performed three types of standardized training exercises, whose static positions, movement velocity and range of motion were reproduced during maximal voluntary isokinetic strength tests. EMG was recorded with wire electrodes from the iliacus muscle and with surface electrodes from the rectus femoris, sartorius, rectus abdominis, obliquus externus and internus muscles. The relative EMG values demonstrated a task dependency which could differ between individual muscles. The maximal voluntary activation levels were relatively constant across conditions. Exceptions were present, particularly for the rectus femoris and iliacus muscles. These findings highlight the consequences of using different methods of normalizing EMG. The relative EMG values presented may serve as guidelines when selecting training exercises for specific trunk and hip flexor muscles in sports and rehabilitation.
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| 3. |
- Andersson, H. Ingemar, 1950-, et al.
(författare)
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Widespread musculoskeletal chronic pain associated with smoking : an epidemiological study in a general rural population
- 1998
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Ingår i: Scandinavian Journal of Rehabilitation Medicine. - 0036-5505 .- 1940-2228. ; 30:3, s. 185-191
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Tidskriftsartikel (refereegranskat)abstract
- Data on smoking and pain symptoms from a random sample (n = 1806) of a general population were used to evaluate the association between chronic pain at various locations and smoking. In both genders current smoking was associated with reports of increased pain in low back, neck and with multiple locations. In a multiple logistic regression analysis current smoking was associated with an increase in widespread chronic musculoskeletal pain (OR 1.60, CI 1.04-2.46, in relation to non-smokers) and chronic low back pain (OR 1.58, CI 1.13-2.20, in relation to non-smokers). A dose-response relationship was found between the daily cigarette consumption and the prevalence of chronic low back pain. Smoking is associated not only with low back pain but also with chronic widespread musculoskeletal pain. No conclusive decrease in pain prevalence was found after quitting smoking. Further studies are necessary to elucidate an aetiologic relationship between smoking and chronic pain.
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| 4. |
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| 5. |
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| 6. |
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| 7. |
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| 8. |
- Cresswell, A G, et al.
(författare)
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The effect of an abdominal muscle training program on intra-abdominal pressure.
- 1994
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Ingår i: Scandinavian Journal of Rehabilitation Medicine. - 0036-5505 .- 1940-2228. ; 26:2, s. 79-86
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Tidskriftsartikel (refereegranskat)abstract
- The effect of 10 weeks' specific abdominal strength training (resisted trunk rotations) on intra-abdominal pressure was investigated in 10 healthy males. Isometric rotational force, trunk flexor and extensor torque and intra-abdominal pressure were measured as well as intra-abdominal pressure responses to Valsalva manoeuvres, maximal pulsed pressures, drop jumps and trunk perturbations. The rotational strength increased 29.7% after training without significant change in intra-abdominal pressure. The isometric flexor strength did not change, while the extensor strength increased 11.0%. Valsalva and pulsed pressures increased 11.6 and 9.2%, respectively. The rate of intra-abdominal pressure development during pulsed pressures, drop jumps and trunk perturbations increased after training. The level of intra-abdominal pressure during the latter two tasks remained unchanged. It is concluded that an increase in strength of the trunk rotators with training improves the ability to generate higher levels of voluntarily induced intra-abdominal pressure and increases the rate of intra-abdominal pressure development during functional situations.
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| 9. |
- Dahlbom, Kathe, et al.
(författare)
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Muscular dystrophy in adults : a five-year follow-up.
- 1999
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Ingår i: Scandinavian Journal of Rehabilitation Medicine. - : Informa UK Limited. - 0036-5505 .- 1940-2228. ; 31:3, s. 178-184
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Tidskriftsartikel (refereegranskat)abstract
- The aim was to describe the natural history of adults with hereditary muscular dystrophies, including myotonic dystrophy, with respect to muscular function, ventilation and electrocardiogram. In a prospective study, 46 subjects were followed over a period of five years. In 1991 and 1996, their muscle function was assessed according to an observation scheme and their lung vital capacity was measured by spirometer. Electrocardiograms were obtained in 1991, 1993 and 1996. Deterioration of muscular function was seen with regard to both the functional muscle tests and the vital capacity. The proportion of pathological electrocardiograms increased from 38% in 1991 to 54% in 1996 in the 26 patients with myotonic dystrophy without an increase in clinically detected cardiac abnormalities. Timely examinations using standard methods can reveal medically important information on deterioration, which often passes clinically unnoticed because of the insidious progress of the diseases.
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| 10. |
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| 11. |
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| 12. |
- Drake, Anna Maria, et al.
(författare)
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Reliability of isokinetic ankle dorsiflexor strength measurements in healthy young men and women
- 1999
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Ingår i: Scandinavian Journal of Rehabilitation Medicine. - : Informa UK Limited. - 0036-5505 .- 1940-2228. ; 31:4, s. 229-239
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Tidskriftsartikel (refereegranskat)abstract
- The purposes of this study were: (i) to determine the test-retest reliability of isokinetic ankle dorsiflexor strength measurements in young healthy adults using the Biodex dynamometer, and (ii) to examine several statistical measures for the interpretation of reliability. Thirty men and women (mean age 23 +/- 3 years) performed three maximal concentric contractions at 30 degrees/s, 60 degrees/s, 90 degrees/s, 120 degrees/s and 150 degrees/s. Reliability of peak torque, work and torque at a specific time were assessed by calculating the intraclass correlation coefficient (ICC 2,1), Pearson product moment correlation coefficient (r), standard error of the measurement (SEM), method error (ME) and coefficient of variation (CV), and by plotting the differences between observations against their means. Isokinetic tests of ankle dorsiflexor strength in healthy young adults using the Biodex dynamometer were highly reliable (ICC 0.61-0.93). It is recommended that test-retest reliability analyses include the ICC and assessments of measurement errors (SEM, ME or CV), as well as graphs to indicate any systematic variations in the data.
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| 13. |
- Dyrehag, L E, et al.
(författare)
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Effects of repeated sensory stimulation sessions (electro-acupuncture) on skin temperature in chronic pain patients.
- 1997
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Ingår i: Scandinavian journal of rehabilitation medicine. - 0036-5505. ; 29:4, s. 243-50
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Tidskriftsartikel (refereegranskat)abstract
- Changes in skin temperature and haemodynamics were studied during experimentally administered electro-acupuncture before and after a 4-week period of electro-acupuncture (EA) treatments. Subjective pain intensity was evaluated using a pain questionnaire. Twelve patients with long-lasting nociceptive pain were included. Before clinical treatment, skin temperature tended to decrease after 30 minutes' stimulation. In contrast, a significant increase was seen after the clinical treatment. No significant changes were seen for blood pressure, heart rate or pain intensity before and after the clinical treatment. The data indicate that an increased skin vasoconstrictor sympathetic activity may be responsible for the decreased skin temperature during the electro-acupuncture in the initial test sessions, whereas an inhibition of skin sympathetic activity and/or a release of vasodilatory substances may be responsible for the increase in temperature after completed clinical treatment. Despite a small number of subjects and correction for multiple inference, the difference in temperature effects before and up to 3 months after acupuncture treatment was significant.
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| 14. |
- Dyrehag, L E, et al.
(författare)
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Relations between self-rated musculoskeletal symptoms and signs and psychological distress in chronic neck and shoulder pain.
- 1998
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Ingår i: Scandinavian journal of rehabilitation medicine. - 0036-5505. ; 30:4, s. 235-42
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Tidskriftsartikel (refereegranskat)abstract
- The purposes of the present study were to describe physical and psychological characteristics of 55 chronic pain patients with predominantly nociceptive neck and shoulder complaints, and to explore relationships between physical assessment methods, self-reported pain and psychological distress. The physical measures included cervical and shoulder mobility and muscle tenderness. The Pain Severity and Interference subscales from the Multidimensional Pain Inventory (MPI), Becks Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI-Y), and a pain drawing assessed self-reports of pain and psychological distress. The number of tender points (TP score) correlated significantly with pain severity, (p < 0.01) Interference (p < 0.05), pain drawing score (p < 0.05), BDI (p < 0.05) and state anxiety (p < 0.05). No significant correlation was seen between TP score and age, pain duration or trait anxiety. The results suggest that there are relationships between observers' ratings of muscle tenderness (TP score) and self-reports of pain severity, interference of pain and psychological distress in patients with chronic cervico-brachial pain.
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| 15. |
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| 16. |
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| 17. |
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| 18. |
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| 19. |
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| 20. |
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| 21. |
- Engström, Carl-Peter, 1945, et al.
(författare)
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Long-term effects of a pulmonary rehabilitation programme in outpatients with chronic obstructive pulmonary disease: a randomized controlled study.
- 1999
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Ingår i: Scandinavian journal of rehabilitation medicine. - 0036-5505. ; 31:4, s. 207-13
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Tidskriftsartikel (refereegranskat)abstract
- Fifty patients with severe chronic obstructive pulmonary disease (FEV1 < 50% pred.) were randomized to a rehabilitation group and a control group. The rehabilitation group took part in an individualized multidisciplinary, outpatient 12-month rehabilitation programme. Exercise training was intensive during the first 6 weeks and was then gradually replaced by an individual home-training programme and booster sessions. Controls received the usual outpatient care. Positive effects were found in terms of maximum symptom-limited exercise tolerance and walking distance (13.5 and 12.1% increase, respectively) in the rehabilitation group compared with the controls. Quality of life measurements showed minor beneficial effects on the Sickness Impact Profile, indicating a higher level of activity. No effect was seen on the St George's Respiratory Questionnaire or the Mood Adjective Check List. Patients expressed their enthusiasm for the rehabilitation programme in a study-specific questionnaire.
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| 22. |
- Ericson, Mats O, et al.
(författare)
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Load moments about the hip and knee joints during ergometer cycling.
- 1986
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Ingår i: Scandinavian Journal of Rehabilitation Medicine. - 0036-5505 .- 1940-2228. ; 18:4, s. 165-72
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to calculate the magnitudes of moments of force acting about the bilateral hip and knee joint axes during ergometer cycling. Six healthy subjects pedalled a weight-braked bicycle ergometer at different workloads, pedalling rates, saddle heights and pedal foot position. During cycling at 120 Watts, 60 revolutions per minute with mid-saddle height and anterior pedal foot position, the mean peak flexing and extending hip load moments were 34.3 and 8.9 Nm, respectively. Mean peak flexing knee load moments was 28.8 Nm and extending moment was 11.9 Nm. Hip load moments were significantly increased by increasing the ergometer workload or pedalling rate. For knee load moments, workload was the most important factor. The flexing knee load moment did not change with changes in pedalling rate. Different saddle heights or pedal food positions had a slight but not always statistically significant influence on the hip and knee joint loads. The maximum hip and knee joint load moments induced during cycling were small compared with those obtained during other exercises or normal activities such as level walking, stair climbing, and lifting.
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| 23. |
- Ericson, Mats O, et al.
(författare)
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Muscular activity during ergometer cycling.
- 1985
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Ingår i: Scandinavian Journal of Rehabilitation Medicine. - 0036-5505 .- 1940-2228. ; 17:2, s. 53-61
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to quantify the activity as recorded by electromyography during ergometer cycling in eleven different muscles of the lower extremity. Eleven healthy subjects rode in twelve different ways at different work-load, pedalling rate, saddle height and pedal foot position. Vastus medialis and lateralis, gastrocnemius medialis and lateralis and the soleus muscle were the most activated muscles. Changes in muscle activity during different calibrations were studied in eight of the eleven muscles. An increase in work-load significantly increased the mean maximum activity in all the eight muscles investigated. An increase of the pedalling rate increased the activity in the gluteus maximus, gluteus medius, vastus medialis, medial hamstring, gastrocnemius medialis and soleus muscles. An increase of the saddle height increased the muscle activity in the gluteus medius, medial hamstring and gastrocnemius medialis muscles. Use of a posterior pedal foot position increased the activity in the gluteus medius and rectus femoris muscles, and decreased the activity in the soleus muscle.
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| 24. |
- Ericson, Mats O
(författare)
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Muscular function during ergometer cycling.
- 1988
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Ingår i: Scandinavian Journal of Rehabilitation Medicine. - 0036-5505 .- 1940-2228. ; 20:1, s. 35-41
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Tidskriftsartikel (refereegranskat)abstract
- Quantified EMG and calculated mechanical muscular power output data were combined to provide further analysis of muscular function during ergometer cycling. The single-joint muscles; gluteus maximus, gluteus medius, vastus medialis, vastus lateralis and soleus all showed a more predictable function with approximately linear relationship between calculated power output and recorded EMG. The function for the two-joint muscles was found to be more complex. Biceps femoris seemed to act mainly as a hip extensor and medial hamstring mainly as a knee flexor. Gastrocnemius medialis was proposed to act more as a plantar flexor and gastrocnemius lateralis as a knee flexor.
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| 25. |
- Ericson, Mats O, et al.
(författare)
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Quantified electromyography of lower-limb muscles during level walking.
- 1986
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Ingår i: Scandinavian Journal of Rehabilitation Medicine. - 0036-5505 .- 1940-2228. ; 18:4, s. 159-63
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Tidskriftsartikel (refereegranskat)abstract
- The electromyography (EMG) of eleven different lower limb muscles of ten healthy subjects was quantified during normal level walking. The surface EMGs obtained were normalized, in percentage, to the activity obtained during an isometric maximum voluntary test contraction of each subject. The mean peak activities of the gluteus maximus, gluteus medius, rectus femoris, vastus medialis, vastus lateralis, biceps femoris and medial hamstring muscles occurred at heel-strike and were between 5 and 15% of max isometric EMG. The magnitudes of tibialis anterior and triceps surae muscular activity were higher than those of the other muscles investigated. Mean peak activity in tibialis anterior was 27%, in gastrocnemius medialis 42%, in gastrocnemius lateralis 19% and in soleus 40%. The important role of the triceps surae during walking was reflected in comparatively high muscular activity at push-off.
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| 26. |
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| 27. |
- Gustavsson, Ann-Sofi, et al.
(författare)
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Changes in balance performance in physically active elderly people aged 73-80
- 2000
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Ingår i: Scandinavian Journal of Rehabilitation Medicine. - : Informa UK Limited. - 0036-5505 .- 1940-2228. ; 32:4, s. 168-172
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Tidskriftsartikel (refereegranskat)abstract
- In our hospital in 1989 a series of 30 healthy elderly people participated in a study to evaluate the effect of physical training on improving balance. Thereafter, the majority of the people in this group continued with some kind of balance training. Seven years later we followed up 17 of the people who had participated in the original study. We wanted to evaluate the balance performance of these physically active elderly people (mean age 80.5 years) and compare it with their balance performance 7 years previously. Balance was found to be significantly impaired compared with 1989 in four out of six static balance tests. The time required to walk 30 m had increased significantly. The subjective ratings of vertigo and balance problems had not changed significantly, neither had the number of correct steps when walking forwards on one line and backwards between two lines. In dynamic posturography, the test with sway-referenced visual cues showed improved postural control, but no change in sway was seen in the other five sensory conditions. When sudden backward translations of the platform occurred, increased latencies of force response were seen.
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| 28. |
- Herlitz, Johan, 1949, et al.
(författare)
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Impact of age on improvement in health-related quality of life 5 years after coronary artery bypass grafting.
- 2000
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Ingår i: Scandinavian journal of rehabilitation medicine. - : Stiftelsen Rehabiliteringsinformation. - 0036-5505 .- 1650-1977 .- 1651-2081. ; 32:1, s. 41-8
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to describe the relief of symptoms and improvement in other aspects of health-related quality of life 5 years after coronary artery by-pass grafting in relation to age. Patients in western Sweden were approached with an inquiry prior to surgery and 5 years after the operation. Health-related quality of life was estimated with 3 different instruments: Physical Activity Score (PAS), Nottingham Health Profile (NHP), Psychological General Well-Being Index (PGWB). Prior to surgery patients were approached either in the ward or by post and 5 years after surgery they were approached by post. A total of 1719 patients were available for the survey, of whom 876 (51%) responded to the survey both prior to and after 5 years. Among the 876 respondents 287 were <60 years, 331 were 60-67 years and 258 were >67 years. In terms of physical activity, chest pain and dyspnoea, a similar improvement was observed regardless of age. In terms of health-related quality of life questionnaires, there was an inverse association between age and improvement when using PAS and a similar trend was observed with NHP and PGWB. In conclusion, 5 years after coronary artery bypass grafting relief of symptoms and improvement in physical activity was not associated with age, whereas improvement in other aspects of health-related quality of life tended to be less marked in elderly people. Overall age seemed to have a small impact on the improved well-being 5 years after coronary surgery. However, due to the limited response rate the results may not be applicable to a non-selected coronary artery bypass grafting population.
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| 29. |
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| 30. |
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| 31. |
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| 32. |
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| 33. |
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| 34. |
- Kamwendo, Kitty, 1943-, et al.
(författare)
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Neck and shoulder disorders in medical secretaries : Part II. Ergonomical work environment and symptom profile
- 1991
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Ingår i: Scandinavian Journal of Rehabilitation Medicine. - Oslo : Scandinavian University Press. - 0036-5505 .- 1940-2228. ; 23:3, s. 135-142
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Tidskriftsartikel (refereegranskat)abstract
- Seventy-nine medical secretaries with neck and shoulder pain were included in a study aimed at an in-depth description of the ergonomical work environment and the participant's symptom profile, as well as analysing relationships between ergonomical factors and symptoms. Data were collected by daily ratings, questionnaires, and direct observation. The symptom profile showed low mean daily ratings of perceived fatigue and pain, a low medicine consumption, and few stress symptoms. A mean number of 2.1 undesirable work postures was observed. The correlations between perceived fatigue, pain, and well-being with number of shifts from sitting to standing and time spent typing, were generally small. This study suggests that risk factors for neck and shoulder pain are individual and multifactorial.
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| 35. |
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| 36. |
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| 37. |
- Kjellman, Görel, 1952-, et al.
(författare)
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A critical analysis of randomised clinical trials on neck pain and treatment efficacy : A review of the literature
- 1999
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Ingår i: Scandinavian Journal of Rehabilitation Medicine. - : Informa UK Limited. - 0036-5505 .- 1940-2228. ; 31:3, s. 139-152
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Tidskriftsartikel (refereegranskat)abstract
- The efficacy of physiotherapy or chiropractic treatment for patients with neck pain was analysed by reviewing 27 randomised clinical trials published 1966-1995. Three different methods were employed: systematic analyses of; methodological quality; comparison of effect size; analysis of inclusion criteria, intervention and outcome according to The Disablement Process model. The quality of most of the studies was low; only one-third scored 50 or more of a possible 100 points. Positive outcomes were noted for 18 of the investigations, and the methodological quality was high in studies using electromagnetic therapy, manipulation, or active physiotherapy. High methodological quality was also noted in studies with traction and acupuncture, however, the interventions had either no effect or a negative effect on outcome. Pooling data and calculation of effect size showed that treatments used in the studies were effective for pain, range of motion, and activities of daily living. Inclusion criteria, intervention, and outcome were based on impairment in most of the analysed investigations. Broader outcome assessments probably would have revealed relationships between treatment effect and impairment, functional limitation and disability.
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| 38. |
- Kosek, E, et al.
(författare)
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A comparison of pressure pain thresholds in different tissues and body regions. Long-term reliability of pressure algometry in healthy volunteers.
- 1993
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Ingår i: Scandinavian Journal of Rehabilitation Medicine. - 0036-5505 .- 1940-2228. ; 25:3, s. 117-24
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Tidskriftsartikel (refereegranskat)abstract
- Pressure pain thresholds (PPTs) were measured in 12 healthy female volunteers with a hand-held electronic pressure algometer (Somedic). The PPTs over 30 points, mainly located on the trunk, were measured in a randomized order. The measurements were repeated after one week and again 10-13 weeks later. Three spots over nerve tissue had lower PPTs than nearby muscle. There were no consistent differences between muscle and periosteum within the same region. Overall there was a tendency for points in the nape region to have the lowest PPT, and those in the lumbosacral region to have the highest. The shoulder points had intermediate values. The interindividual differences were great. There was no difference between the mean PPTs from the first session and those from the second session. However, at the third session, 10 weeks later, the average PPT value was substantially higher than in the previous sessions.
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| 39. |
- Kosek, E, et al.
(författare)
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Pressure pain thresholds in different tissues in one body region. The influence of skin sensitivity in pressure algometry.
- 1999
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Ingår i: Scandinavian Journal of Rehabilitation Medicine. - : Informa UK Limited. - 0036-5505 .- 1940-2228. ; 31:2, s. 89-93
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Tidskriftsartikel (refereegranskat)abstract
- This study aimed at determining whether there are differences in pressure pain sensitivity in different tissues in the same body region when systematically assessed, before and after skin hypoesthesia. Pressure pain thresholds (PPTs) were assessed bilaterally in 15 healthy females at the bony part of the epicondylus lateralis humeri, at the belly of m. extensor carpi ulnaris and at m. brachioradialis where the superficial radial nerve branches pass underneath ("muscle/nerve" site). Following a double blind design, a local anaesthetic cream (EMLA) or a control cream was applied to the skin and PPTs were reassessed. The PPT was significantly (p < 0.001) lower at the "muscle/nerve" site than at the bony and "pure" muscle sites. The PPTs over the bony and "pure" muscle sites did not differ. There was no significant difference when PPTs were compared before and after application of EMLA cream. However, PPTs after control cream were lower (p < 0.001) over all examined areas than those obtained prior to cream application. Thus, EMLA cream increased PPTs compared to control sites in all examined areas (p < 0.001). Under the given circumstances, skin pressure pain sensitivity was demonstrated to influence the PPT.
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| 40. |
- Kristinsdottir, E K, et al.
(författare)
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Aberrations in postural control, vibration sensation and some vestibular findings in healthy 64-92-year-old subjects
- 1997
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Ingår i: Scandinavian Journal of Rehabilitation Medicine. - 0036-5505. ; 29:4, s. 65-257
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Tidskriftsartikel (refereegranskat)abstract
- To assess changes in postural control among healthy elderly and to correlate with suspected age-related events, 33 women and 16 men were studied. Postural control was evaluated by vibration-induced body sway, measured on a force platform, and vibration sensation was tested with a tuning fork. Occurrence of spontaneous gaze and head-shake-induced nystagmus was observed with infrared charged couple device (CCD) cameras and the subjects' medical history was reviewed. Vibration perception was the major determinant for the magnitude of body sway. Although these senior citizens considered themselves healthy, they had a variety of ailments in their medical history, diminished vibration sensation and a high prevalence of vestibular asymmetry. Age per se was not a determinant factor in any of the findings. The study suggests that interest should also be directed to the status of sensation in the legs and vestibular asymmetry when assessing balance function in the elderly. Furthermore, the term "age concomitant" may be more appropriate than "age dependent" when describing decrements of functions such as postural control in elderly subjects.
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| 41. |
- Kristinsdottir, Ella K., et al.
(författare)
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Asymmetric vestibular function in the elderly might be a significant contributor to hip fractures
- 2000
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Ingår i: Scandinavian Journal of Rehabilitation Medicine. - 0036-5505. ; 32:2, s. 56-60
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to assess postural control, vestibular symmetry and health status in otherwise healthy hip fracture subjects and compare these factors with controls. The fracture subjects were recruited from 113 consecutive patients operated 12-33 months earlier. Nineteen of those were otherwise healthy and fulfilled the inclusion criteria. They were assessed and compared with 28 age- and sex-matched controls. Nystagmus after head shake was checked for by video-nystagmoscopy (charged couple device cameras). Vibration sensation was tested with a tuning fork, medical history and posturography of vibration-induced sway were studied. The subjects had a significantly higher frequency of head shake nystagmus (p = 0.03), indicating a vestibular asymmetry and a history of previous fractures (p = 0.002). Nine out of 12 subjects had fallen and sustained the hip fracture towards the slow phase of the nystagmus, which is expected in a vestibular related fall. Losing balance during testing was more frequent among the subjects than among the controls (p = 0.002). The subjects with head shake nystagmus swayed more than those without, especially in the sagittal plane during neck vibration with eyes closed (p < 0.001). Vibration perception was significantly poorer in the operated legs than in the healthy legs (p = 0.021) and in the legs of the controls (p = 0.001). The findings suggest that vestibular asymmetries may contribute to falls and fractures in elderly people. As such asymmetries can be compensated to a certain degree by specific training programs, these might be advisable for elderly people, especially those with a history of falls or fractures or where a vestibular asymmetry is suspected.
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| 42. |
- Lagerström, Christel, et al.
(författare)
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Recovery of isometric grip strength after Colles' fracture : a prospective two-year study
- 1999
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Ingår i: Scandinavian Journal of Rehabilitation Medicine. - 0036-5505 .- 1940-2228. ; 31:1, s. 55-62
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Tidskriftsartikel (refereegranskat)abstract
- Grip strength during short and sustained maximal voluntary isometric contractions was measured in 28 females and 5 males with displaced Colles' fracture involving the distal radio-ulnar joint. The patients were randomized into two groups, treated either through immobilization with plaster cast or with external fixation. The recovery of isometric grip strength was followed over a two-year period. A significant difference was registered between women with plaster casts and women with external fixators six weeks after the fracture. Regaining of grip strength occurred up to one year after the fracture. The pattern of recovery was slower for women with primary external fixation. Neither the dominant nor the non-dominant injured side regained short or sustained maximal voluntary isometric contraction. The dominant injured side showed no significant difference between sides but the non-dominant injured side remained significantly weaker. It is thus important to identify hand dominance. Pain during measurements was reduced after two years, but about one-fifth of the patients still perceived pain. The present findings may serve as guidance in physiotherapy for these patients.
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| 43. |
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| 44. |
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| 45. |
- Lundberg, Gunnar, 1948-, et al.
(författare)
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Correlations between joint and spinal mobility, spinal sagittal configuration, segmental mobility, segmental pain, symptoms and disabilities in female homecare personnel
- 2000
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Ingår i: Scandinavian Journal of Rehabilitation Medicine. - 0036-5505 .- 1940-2228. ; 32:3, s. 124-133
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Tidskriftsartikel (refereegranskat)abstract
- The aim of a study comprising 607 women working as homecare personnel was to investigate general spinal, joint and segmental mobility, different symptoms (pain and strain) and their relation to various aspects of disability. Joint mobility (mainly peripheral) was estimated using the 'Beighton' score and spinal posture and mobility were measured by kyphometer. Passive segmental mobility and pain provocation were estimated manually. Pain intensity and strain during work and leisure were estimated using visual analogue scales for defined anatomical regions. Disability was rated using defined items and two indices. The 7-day prevalence of low back pain was 48%. Peripheral joint mobility, spinal sagittal posture and thoracic sagittal mobility showed low correlations with disability. Lumbar sagittal hypomobility was associated with higher disability. Manually estimated segmental mobility and segmental pain provocation of L4-L5 and L5-S1 correlated with disability; hypo- and hypermobility or positive pain provocation tests at these levels showed higher disability than normal mobility and negative pain provocation tests, respectively. Cluster analysis revealed that the combination of positive pain provocation tests and low lumbar sagittal mobility was associated with particularly high disability levels. In conclusion, positive pain provocation tests were clearly associated with high disability levels.
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| 46. |
- Lundberg, Gunnar, et al.
(författare)
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The relationships between spinal sagittal configuration, joint mobility, general low back mobility and segmental mobility in female homecare personnel
- 1999
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Ingår i: Scandinavian Journal of Rehabilitation Medicine. - : Informa UK Limited. - 0036-5505 .- 1940-2228. ; 31:4, s. 197-206
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to investigate joint mobility, segmental and general spinal mobility and their interrelationship in 607 women working as homecare personnel. Joint mobility (mainly peripheral) was estimated using the "Beighton" score. Spinal posture and mobility were measured by Debrunner's kyphometer. Passive segmental mobility and pain provocation were estimated manually. Reliability tests between two physiotherapists of segmental mobility and pain provocation (n = 150 subjects) were performed. Positive correlations were found between joint mobility, sagittal thoraco-lumbar mobility and segmental mobility. Hyperlordosis (>39 degrees) was associated with greater lumbar mobility. The reliability of manual segmental mobility and segmental pain provocation was good, especially in the lowest back segments (kappa approximately 0.7). Joint mobility, general mobility and segmental spinal mobility intercorrelated. Segmental mobility manually estimated showed intertester reliability. The good positive correlation between sagittal lumbar mobility and manually tested segmental mobility indicates criterion validity for the latter.
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| 47. |
- Montgomery, Henry, 1943, et al.
(författare)
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Importance and attainment of life values among disabled and non-disabled people.
- 1996
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Ingår i: Scandinavian journal of rehabilitation medicine. - 0036-5505. ; 28:4, s. 233-40
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Tidskriftsartikel (refereegranskat)abstract
- How do disabled persons evaluate their life situation? To address this issue, importance and attainment ratings of 82 different life values as well as mood ratings were collected from 325 chronically ill and/or disabled persons and 504 non-disabled persons. Both groups largely agreed on what is important in life. The disabled persons, however, gave lower importance ratings on functions related to health and mobility. The attainment and mood ratings were in general slightly lower for the disabled persons. The attainment ratings for health and mobility were markedly lower. The concordance between rated importance and attainment across different life values was positive in both groups. This measure was also positively related to mood in both samples. It was suggested that disabled persons adjust to their life situation by de-emphasizing the importance of the physical functions affected by the disability and through habituation.
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| 48. |
- Nordmark, E., et al.
(författare)
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The American paediatric evaluation of disability inventory (PEDI). Applicability of PEDI in Sweden for children aged 2.0-6.9 years
- 1999
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Ingår i: Scandinavian Journal of Rehabilitation Medicine. - : Informa UK Limited. - 0036-5505. ; 31:2, s. 95-100
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Tidskriftsartikel (refereegranskat)abstract
- The American Paediatric Evaluation of Disability Inventory (PEDI) is a new instrument for evaluating functional performance in disabled children aged 6 months to 7.5 years. It was developed to determine a child's functional capacity and performance in three domains, self-care, mobility and social function, as reflected in scores on three scales: (i) functional skills (current capability in specific tasks), (ii) caregiver assistance (i.e. provided to facilitate the child's performance), and (iii) modifications (i.e. environmental or technical modifications needed to facilitate the child's function). The present study was designed to compare results obtained using the PEDI in a Swedish sample with the American normative data, and to analyse the content and relevance of PEDI items for use in Sweden. The PEDI was administered as a questionnaire in structured interview form to the parents of 52 non-disabled Swedish children aged 2.0- 6.9 years, divided into ten age groups. Correlation analysis (Pearson's r) showed scores for the Swedish sample to manifest strong correlation with the respective American normative data, both for the functional skills (r = 0.90- 0.98) and caregiver assistance (r = 0.93-0.99) scales, respectively. Scores for the modification scale were not compared. Thus, the results suggest the American normative data to be appropriate for reference purposes in Sweden.
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| 49. |
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| 50. |
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