| 1. |
- Aasa, Björn, et al.
(author)
-
Do we see the same movement impairments? : the inter-rater reliability of movement tests for experienced and novice physiotherapists
- 2014
-
In: European Journal of Physiotherapy. - : Informa UK Limited. - 2167-9169 .- 2167-9177. ; 16:16, s. 173-182
-
Journal article (peer-reviewed)abstract
- Study design: Inter-rater reliability study. Background: Physiotherapists (PTs) use clinical tests including movement tests to identify faulty movement patterns. Aims: To investigate the inter-rater-reliability of active movement tests in the cervical spine, shoulder joint and scapulo-thoracic joint, and to describe the reasons for judgment of a positive test. Methodology: Four PTs, two experienced and two recently educated (novice), rated performance of five movement tests for 36 participants. Twenty-one of the participants were patients under treatment because of neck and/or shoulder problems, while 15 participants declared no problem from this region of the body. All tests were video recorded and the ratings were done by observing the video recordings. First, the PTs judged the tests as negative (the movement being ideally performed) or positive (the movement not being ideally performed). Then, the PTs described why the movements that they judged positive were not being ideally performed, using a predefined protocol, which represented different movement quality aspects. The inter-rater reliability was calculated for each test using Kappa statistics between the two experienced and the two novice PTs, respectively, and between each of the experienced and each of the novice PTs. Major findings: The experienced PTs had a higher inter-rater reliability than the novice PTs. The reasons for considering a movement test being positive differed highly between the (novice) PTs. Principal conclusion: This study supports previous studies concluding that the observation of active movement tests is reliable when assessed by experienced PTs. Novice PTs might benefit from further supervision.
|
|
| 2. |
- Augustsson Ryman, Sofia, 1975, et al.
(author)
-
Reliability of the 1 RM bench press and squat in young women
- 2013
-
In: European Journal of Physiotherapy. - : Informa UK Limited. - 2167-9169 .- 2167-9177. ; 15:3, s. 118-126
-
Journal article (peer-reviewed)abstract
- Although bench press and squat are two of the most frequently performed strength training exercises today, and are used for physical performance assessment in many sports test batteries as well as in physical therapy, studies presenting interrater reliability for these tests in young women appear to be lacking in the literature. The aim of this study was to evaluate inter-rater reliability regarding the One Repetition Maximum (1 RM) in bench press and squats in young healthy women. Forty-one women, aged 21 – 30 years, participated in the present study. The subjects performed 1 RM bench press (n 21) or 1 RM squat (n 20) on two different occasions with an interval of 5 – 9 days using an inter-rater test-retest design. High reliability was noted for both the 1 RM bench press test (ICC 2,1 0.98) and the 1 RM squat test (ICC 2,1 0.85), with an SEM of 4% and 11%, respectively. The paired analysis revealed statistically signifi cant difference in 1 RM squat performance between the two test sessions (p 0.005). No statistically signifi cant difference was found in 1 RM bench press performance between the two testing sessions. While the 1RM bench press showed excellent inter-rater reliability and could be strongly suggested as a measurement of muscle strength, the squat using free weights, as in the present study, could be questioned.
|
|
| 3. |
- Bergström, Margareta, et al.
(author)
-
One-year follow-up of body awareness and perceived health after participating in a multimodal pain rehabilitation programme : A pilot study
- 2014
-
In: European Journal of Physiotherapy. - : Taylor & Francis Group. - 2167-9169 .- 2167-9177. ; 16:4, s. 246-254
-
Journal article (peer-reviewed)abstract
- Purpose: To evaluate body awareness and perceived health in patients with chronic pain after participation in a multimodal rehabilitation (MMR) programme and at 1-year follow-up.Method: Thirty-nine patients participated in a 5-week outpatient MMR programme. They were evaluated with the main outcome measures: the Body Awareness Scale (BAS) using an interview (BAS-I) and a movement test (BAS-Obs), the Nottingham Health Profile (NHP) and the Sense of Coherence (SOC). A subgroup analysis was conducted based on the BAS-Obs scores at the start of the MMR programme with cut-off at the upper quartile ≥ 26 point, classified as low body awareness; the three lower quartiles were classified as moderate/high body awareness.Results: All patients improved on the BAS-Obs and the BAS-I from the start to the end of the MMRP (p < 0.001) and at 1-year follow-up on four of the BAS-Obs subscales (p < 0.005). The moderate/high body awareness group improved on BAS-I, NHP and SOC (p < 0.01) and on two BAS-I subscales (p < 0.005), while the low body awareness group improved on one subscale (p = 0.003).Conclusion: Our results suggest that the use of the BAS-Obs assessment to identify patients with high or low levels of body awareness could play an important part in understanding the individual's clinical needs and be useful for developing an effective rehabilitation programme for patients with chronic pain.
|
|
| 4. |
- Cederbom, Sara, et al.
(author)
-
Chronic pain among older women living alone. A study focusing on disability and morale.
- 2014
-
In: European Journal of Physiotherapy. - 2167-9169 .- 2167-9177. ; 16:3, s. 139-150
-
Journal article (peer-reviewed)abstract
- Purpose: To investigate 1)how older women who are living alone perceive chronic musculoskeletal pain,Activities of Daily Living (ADL), physical activity, affective distress,pain-related beliefs, pain management, and rate pain-related disability andmorale, 2) the relationships betweendemographic variables, ADL, physical activity, affective distress, pain-relatedbeliefs, and pain management with pain-related disability and morale.Method: The study had across-sectional and correlational design. Sixty women, living alone with chronicpain and community support aged ≥65 years were included.Results: The women were on average 81 years old and had lived with pain forabout 21.5 years. They reported low scores of affective distress,catastrophizing thoughts and self-efficacy, high scores of fear of movement,low degrees of pain-related disability, and low levels of morale. The multiple regression analysisshowed that only catastrophizing thoughts significantlyexplained the variation in pain-related disability, and both affective distress and catastrophizing thoughtssignificantly explained the variation in morale. Conclusion: These older women livingalone with chronic pain reported similar prevalence ofchronic pain and pain-related disability but lower morale when comparingthe results with similar studies about older people in the same age group orolder people who are in need of help to manage their daily life. The only variable that was independely associated to bothpain-related disability and morale was catastrophizing. Further researchshould focus on identifying catastrophizing thougts,and also on developing a rehabilitation program based on a biopsychosocialperspective with the goal to decrease catastrophizing, pain-relateddisability, and increase morale for this target group
|
|
| 5. |
- Isaksson, Mats, et al.
(author)
-
Shoulder pain and concomitant hand oedema among strokepatients with pronounced arm paresis
- 2013
-
In: European journal of physiotherapy. - : Informa Healthcare. - 2167-9169 .- 2167-9177. ; 15:4, s. 208-214
-
Journal article (peer-reviewed)abstract
- Background: The aim of this prospective study was to identify clinical factors associated with the development of shoulder pain in stroke patients with pronounced arm paresis. Methods: At stroke onset, 485 patients were initially assessed in 2007 – 2009. Sixty-three patients with pronounced arm paresis completed the study, and 21 of these developed shoulder pain. Clinical findings were recorded fortnightly by the attending physiotherapist during hospital stay. Results: Hand oedemaon the paretic side was more common in patients developing shoulder pain compared with those who did not develop shoulder pain. The onset of shoulder pain was associated with concomitant hand oedema. High NIHSS score was associated with developing shoulder pain. Patients with a history of shoulder pain developed pain earlier than those without previous shoulder pain. Patients with haemorrhagic stroke were significantly more prone to developing shoulder pain. Conclusions: One-third of the stroke patients with pronounced arm paresis developed shoulder pain. Concomitant hand oedema seems to be an additional symptom of shoulder injury. Patients with low general status are more vulnerable to develop post-stroke shoulder pain.
|
|
| 6. |
- Lansinger, Birgitta, 1948, et al.
(author)
-
Health-related quality of life in persons with long-term neck pain after treatment with qigong and exercise therapy respectively
- 2013
-
In: European Journal of Physiotherapy. - : Informa UK Limited. - 2167-9169 .- 2167-9177. ; 15:3, s. 111-117
-
Journal article (peer-reviewed)abstract
- The aims of this study were to evaluate health-related quality of life (HRQoL) in individuals with long-term, non-specific neck pain before and after treatment with qigong versus exercise therapy and to compare their HRQoL with an age and sex-matched reference population. A total of 122 persons were randomly assigned to either qigong or exercise therapy. HRQoL was measured with the 36-item Short Form Health Survey (SF-36) and pain intensity was assessed with a visual analogue scale (VAS) before and immediately after treatment, and at 12-month follow-up. Both treatment groups improved on all subscales; however, no differences were observed between the treatment groups either before or after treatment. Those who experienced pain relief (at least 10 mm change on VAS; 53%) also significantly improved from baseline on all SF-36 subscales. Persons with chronic neck pain had significantly lower scores on all SF-36 subscales than normative reference values both before and after treatment. The results of this study indicate no differences between qigong and exercise therapy in HRQoL outcome; however, broad HRQoL improvements seem to be contingent on significant pain reduction. As pain reduction was achieved in roughly half of the study group, more work is needed to refine these therapies, to identify neck pain persons most likely to benefit from them and to develop other physiotherapy treatment strategies suitable to non-responders.
|
|
| 7. |
- Larsson, Ylva Hedin, et al.
(author)
-
The body image and relationship scale : A Swedish translation, cultural adaptation, and reliability and validity testing
- 2014
-
In: European Journal of Physiotherapy. - : Informa UK Limited. - 2167-9169 .- 2167-9177. ; 16:2, s. 67-75
-
Journal article (peer-reviewed)abstract
- Purpose. Testing a newly developed Swedish version of the Body Image and Relationship Scale (BIRS) for test-retest reliability, convergent validity and inter-item analysis in a Swedish context for breast cancer survivors. Methods. A Swedish BIRS version, translation involving the input of experts and breast cancer survivors, with 41 items (BIRS-S) and the Short Form 36 (SF-36) were sent to a sample of 100 breast cancer survivors, mean age 61.7 years, diagnosed with breast cancer 20-42 months prior to the study. Retest was completed within 2-3 weeks. Results. 71 persons completed both dispatches. Reliability using Cronbach's alpha for the BIRS-S total was satisfactory 0.96 (range 0.87-0.93 for the three subscales). Intra-class correlation for the three subscales ranged between 0.88 to 0.93 revealing test-retest to be satisfactory. Convergent validity between the BIRS-S and SF-36 Physical Composite Score was - 0.68 for BIRS-S total. Convergent validity between the BIRS-S and SF-36 Mental Composite Score was - 0.65 for BIRS-S total. Inter-item analysis revealed the correlation between the original BIRS and the BIRS -S to be 0.98 for all three subscales. The new items correlated with the original BIRS ranging from 0.51 to 0.81 and with the BIRS-S ranging between 0.62 and 0.81. Conclusion. The BIRS-S demonstrates satisfactory test-retest reliability and validity according to the primary hypothesis of a moderate correlation to SF-36. It is not a new scale but an adapted version of the original instrument including specific areas of importance for Swedish breast cancer survivors.
|
|
| 8. |
- Liebenhagen Andersson, Elke, et al.
(author)
-
Reliability and validity of the Swedish version of the Self-Efficacy for Rehabilitation outcome scale in persons with knee osteoarthritis
- 2014
-
In: European Journal of Physiotherapy. - : Informa UK Limited. - 2167-9169 .- 2167-9177. ; 16:1, s. 25-32
-
Journal article (peer-reviewed)abstract
- Objective: To examine reliability and validity of the Swedish version of the Self-Efficacy for Rehabilitation (SER) outcome scale. Methods: One-hundred and ninety-eight inpatients (mean age 69 years) who underwent a primary total knee arthroplasty (TKA) due to knee osteoarthritis participated. They responded pre- and postoperatively to the SER outcome scale, and preoperatively to the Hospital Anxiety and Depression Scale (HAD) and the Knee Injury and Osteoarthritis Outcome Score (KOOS). Relative and absolute reliability were assessed. Internal consistency reliability was analysed with the Cronbach's alpha (α), and test-retest reliability with the intraclass correlation coefficient (ICC 2.1) and standard error of measurement (SEM%). Construct validity was analysed with explorative principal component analysis (PCA) and convergent validity with the Spearman's rang correlation test (rs). Results: For the SER outcome scale, the Cronbach's α was 0.97. The mean total score was 101.1 points on the 14th postoperative day and 101.4 points on the 21st postoperative day, with no systematic bias (p = 0.91) between the tests. The ICC was 0.78 and SEM% was 10%. The PCA explained 84% of total variance for two components. The correlation between SER and HAD was rs = - 0.23 (p = 0.002), and between SER and KOOS's five dimensions rs = - 0.02 to 0.15 (ns). Conclusion: The Swedish version of the SER outcome scale can be considered reliable and valid for assessing self-efficacy in patients with knee osteoarthritis. Increased self-efficacy may help the patients to choose appropriate coping strategies when performing physical activities after the operation.
|
|
| 9. |
- Lilliecreutz Huitema, Eva, et al.
(author)
-
Lifestyle changes with help from Health Profile Assessment in combination with support in individual interventions for persons with aquired brain injury - a pilot study
- 2014
-
In: European Journal of Physiotherapy. - : Taylor & Francis. - 2167-9169 .- 2167-9177. ; 16:3, s. 151-158
-
Journal article (peer-reviewed)abstract
- Little is known about how to support a lifestyle change for persons with acquired brain injury (ABI), who have poor health compared with the rest of the population. This study investigates whether the Health Profile Assessment (HPA) combined with individual support in individually adjusted interventions could affect the lifestyle of persons with ABI. This longitudinal prospective and quasi-experimental study has a before and after design. HPA aims to improve health habits, perceived health and physiological measurements. In addition, this study includes interventions based on individual goals and actions decided on by the participants. The intervention process was supported through various communication methods such as Motivational Interviewing (MI) and Transactional Analyses (TA). The studied group (n = 25) included persons with cognitive impairments due to ABI who were considered for outpatient rehabilitation at a specialized facility at a university hospital in south-eastern Sweden. Results at follow-up showed significant improvements in physical activity, perceived health and diet. Significant improvements were also shown in sagittal abdominal diameter, waist circumference, body mass index (BMI) and physical fitness. Consequently, this study describes a method that successfully supported lifestyle changes in persons with ABI.Read
|
|
| 10. |
- Lindqvist, Anna-Karin, et al.
(author)
-
Fun, feasible and functioning : Students’ experiences of a physical activity intervention
- 2014
-
In: European Journal of Physiotherapy. - : Informa UK Limited. - 2167-9169 .- 2167-9177. ; 16:4, s. 194-200
-
Journal article (peer-reviewed)abstract
- Aim: The aim of this study was to describe students’ experiences of participating in a physical activity (PA) intervention. Methodology: A purposive sampling was used; 14 students (four boys and 10 girls) were interviewed and the collected data was analysed using qualitative content analysis. Major findings: One main theme was identified: fun, feasible and functioning. The following two subthemes also emerged: the multi-component intervention fits several, but not all, and manageable measuring can also be motivating. The main theme elucidates that fun was an important factor for joining the study; the students also experienced he empowerment-inspired intervention and the data collection to be fun and feasible. According to the students, the intervention was functioning since they experienced that it increased their PA. Principal conclusions: An empowerment approach that includes forming partnerships with students is a promising avenue for developing PA interventions for schools, regardless of whether the person concerned is a parent, teacher, school nurse or physiotherapist, but one size will never fit all.
|
|
