| 1. |
- Flank, Peter, et al.
(författare)
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Dyslipidemia is common after spinal cord injury - independent of clinical measures
- 2015
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Ingår i: Jacobs Journal of Physical Rehabilitation Medicine. - 2469-3103. ; 1:1
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To survey the incidence of clinical risk markers and its correlation with established clinical measurements for cardiovascular disease (CVD) in a heterogeneous spinal cord injured (SCI) patient population.Design: Descriptive, cross-sectional study.Subjects: 78 patients with SCI, at different injury and functional level.Methods: Anthropometric data, blood pressure, a blood lipid panel, blood glucose and a questionnaire were analyzed.Results: Eighty-one percent of all patients had dyslipidemia (DL) and a majority of the patients with abdominal measures below the recommended cut-off levels had DL. Self-reported physical activity above the cut-off level was reported by 32.1%of the patients. There were no differences in clinical measures, serum lipid values and blood glucose between physically active and not active patients. No differences were seen between men/women, tetraplegia/paraplegia and wheelchair dependent/not wheelchair dependent patients.Conclusion: DL is common and seems to be not treated or undertreated in the studied SCI patient group with different neurological lesion and functional levels. General anthropometric clinical measures do not seem to be valid for evaluating risk for CVD in this patient group.
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| 2. |
- Flank, Peter, 1972-, et al.
(författare)
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Pain, anxiety and depression in spinal cord injured patients
- 2017
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Ingår i: Jacobs Journal of Physical Rehabilitation Medicine. - : Jacobs Publishers. - 2469-3103. ; 3:1
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To assess the prevalence of pain, anxiety and depression in a sample of chronic SCI patients in Northern Sweden.Design: Descriptive, cross-sectional study.Setting: Specialist Clinic at a University Hospital.Participants: 78 patients with chronic spinal cord injury, at different injury and functional level.Outcome measures: Patients registered presented pain above, at or below injury level on a Visual Analogue Scale (VAS). Patients currently on pain medication were also registered as having pain. Depression and anxiety were assessed by the Hospital Anxiety and Depression Rating Scale (HADS).Results: Out of 78 patients, 58 (74%) indicated current presence of pain or were on continuous pain medication. Pain above injury level was present in 32% of the patients, with a mean VAS of 15.9±20.1, range 0-60mm. Pain at injury level were present in 24% of the patients, mean VAS 11.0±17.0, range 0-50mm and 58% had pain below injury level with a mean VAS 31.4±22.3, range 0-80mm.Clinically significant psychological disorders were reported in 4 patients (5%) for both anxiety and depression.Conclusions: Pain is very common in persons with chronic SCI, but, at least in a drug-treated population, the pain is at a mild or moderate level. Anxiety and depression were found much less common than reported in other studies. Medication effects have been considered. Even in a presumably well-medicated and well-rehabilitated population, there is still a need for further optimization of pain management, including both pharmacological and non-pharmacological methods.Keywords: Tetraplegia; Paraplegia; Psychological Disorders; Visual Analogue Scale; Hospital Anxiety and Depression Scale
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| 3. |
- Sjödin, Fredrik, 1978-, et al.
(författare)
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Noise Exposure and Hearing Related Risks for Technical Officials during a Major Badminton Tournament
- 2018
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Ingår i: Jacobs Journal of Physical Rehabilitation Medicine. - Austin : Jacobs Publishers. - 2469-3103. ; 4:1, s. 1-11
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Tidskriftsartikel (refereegranskat)abstract
- Objective: The aim of the study was to investigate the noise exposure for different technical officials during a major badminton tournament.Methods: Individual noise exposure for technical officials was measured during the 23rd BWF World Championship, 2017 in Glasgow, Scotland during all days of the tournament.Results: Umpires and on-court-doctors had equivalent noise exposure, when working longer shifts, that exceeded the exposure limit according to the EU 2003/10/EC noise directive. Exposure limits regarding impulse sound was also exceeded during several work shifts during the tournament.Conclusions: Technical officials are exposed to noise levels that exceed current occupational health leg-islation within the EU, and may therefore be at risk of developing hearing related disorders. It is of high importance for the organizers of sports events to reduce the noise exposure for the technical officials by scheduling shorter work periods, but also by providing individual hearing protectors.
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| 4. |
- Weman Josefsson, Karin, 1975-
(författare)
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Suggesting a Synergy between Self-Determination Theory and Person-Centred Care
- 2016
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Ingår i: Jacobs Journal of Physical Rehabilitation Medicine. - Austin, TX : Jacobs Publishers. - 2469-3103. ; 2:2
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Tidskriftsartikel (refereegranskat)abstract
- There seems to be interesting commonalities between self-determination theory (SDT) and person-centred care (PCC), especially when considering their respective value systems and foundations for practice. Both perspectives are based on the fundamental view of human beings as active and capable persons who will thrive if the social environment facilitates certain essential conditions. This short communication paper addresses potential synergy effects in combining these two perspectives in order to improve future applications and assessments of person-centred care. Opportunities for theoretical guidance, concept and measurement adoption along with practical implications are briefly discussed.
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