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Försäkringsmedicin för arbetsskador i rörelseorganen : lagstiftning, exponering, analys. Vol. 1 / Jorma Styf (red.)
- 2014
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Editorial collection (other academic/artistic)abstract
- Verket Försäkringsmedicin för arbetsskador i rörelseorganen består av två böcker, volym I och volym II. Denna volym I handlar om det försäkringsmedicinska gränssnittet mellan medicin och juridik när det gäller att bedöma vad som kan vara arbetsskada i rörelseorganen. Det generella arbetsskadebegreppet innebär att Försäkringskassan och domstolarna måste kartlägga och bedöma alla faktorer som kan ge upphov till den försäkrade individens aktuella besvär. Processen ska vara kunskapsstyrd men lagstiftarens krav på kunskap har varierat genom åren med olika bevisregler om vad som kan vara arbetsskada i Arbetsskadelagens mening. Därför ger volym I en bakgrund, presenterar lagstiftningen, resonerar kring epidemiologiska, statistiska och medicinska begrepp som är användbara i det försäkringsmedicinska arbetet.
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- Grävare Silbernagel, Karin, 1965, et al.
(author)
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Underben
- 2018
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In: Ortopedi : patofysiologi, sjukdomar och trauma hos barn och vuxna. - : Studentlitteratur. - 9789144090849 ; , s. 379-396
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Book chapter (other academic/artistic)
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| 4. |
- Hellström, Christina, et al.
(author)
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Perceived future as a life-span factor in chronic pain: Multidimensional scaling
- 2000
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In: International Journal of Psychology. - 0020-7594. ; 35:3-4, s. 264-264
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Conference paper (peer-reviewed)abstract
- Perceived future has been found to be a significant factor in chronic pain. In this explorative study, a new psychometric instrument, the Future scale was constructed to investigate how chronic pain patients perceive the future. By use of multidimensional scaling a two-dimensional conceptual space was constructed which showed how 107 patients clustered according to the main factors of the scale. Two dimensions were recognized: activity-passivity and preceived obstacles-coping, respectively. Further, the patients were compared to a sample from a normal population (N=104). Significant differences in perceived future related to age between these two groups were found.
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| 6. |
- Hultenheim Klintberg, Ingrid, 1959, et al.
(author)
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Early activation or a more protective regime after arthroscopic subacromial decompression--a description of clinical changes with two different physiotherapy treatment protocols--a prospective, randomized pilot study with a two-year follow-up.
- 2008
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In: Clinical rehabilitation. - : SAGE Publications. - 0269-2155 .- 1477-0873. ; 22:10-11, s. 951-65
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Journal article (peer-reviewed)abstract
- OBJECTIVES: To describe clinical changes with two protocols of physiotherapy following arthroscopic subacromial decompression (ASD) over two years. Reliability of Functional Index of the Shoulder was performed. DESIGN: A prospective, randomized pilot study, within-subject design. SUBJECTS: Thirty-four shoulders (13 women), mean age 46 (SD 7) years with primary shoulder impingement, listed for arthroscopic subacromial decompression. INTERVENTIONS: The traditional group (n = 20) started with active assisted range of motion exercises on the day of surgery, dynamic exercises for the rotator cuff after six weeks and strengthening exercises after eight weeks. The progressive group (n = 14) started active assisted range of motion and dynamic exercises for the rotator cuff on the day of surgery. Strengthening exercises started after six weeks. MAIN MEASURES: A clinical evaluation was made preoperatively, six weeks, three, six, 12 and 24 months after surgery. Pain, patient satisfaction, active range of motion and muscular strength were evaluated. Shoulder function was evaluated using Constant score, Hand in neck, Pour out of a pot and Functional Index of the Shoulder. RESULTS: Both groups showed significant improvements in pain during activity and at rest, in range of motion in extension and abduction, in strength of external rotation and in function. There were no clinical differences in changes between groups. Most patients were pain-free from six months. After two years, the majority of patients achieved > or = 160 degrees in flexion, > or = 175 degrees in abduction and 80 degrees in external rotation, the traditional achieved 67 and the progressive group 87 with Constant score. CONCLUSIONS: Early activation using a comprehensive, well-defined and controlled physiotherapy protocol can be used safely after arthroscopic subacromial decompression.
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- Hultenheim Klintberg, Ingrid, 1959, et al.
(author)
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Early loading in physiotherapy treatment after full-thickness rotator cuff repair: a prospective randomized pilot-study with a two-year follow-up.
- 2009
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In: Clinical rehabilitation. - : SAGE Publications. - 0269-2155 .- 1477-0873. ; 23:7, s. 622-38
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Journal article (peer-reviewed)abstract
- OBJECTIVE: To describe the clinical changes following two different physiotherapy treatment protocols after rotator cuff repair. DESIGN: A prospective, randomized pilot study with a two-year follow-up. SUBJECTS: Five women and nine men, 55 (40-64) years old, were included. INTERVENTION: The progressive group (n = 7) started with dynamic, specific muscle activation of the rotator cuff the day after surgery as well as passive range of motion. After four weeks of immobilization the loading to the rotator cuff increased and in a progressive manner throughout the rehabilitation. In the traditional group (n = 7) the rotator cuff was protected from loading. Patients were immobilized for six weeks and started with passive range of motion the day after surgery. No specific exercises to the rotator cuff were introduced during this period. MAIN MEASURES: A clinical evaluation was made preoperatively, 3, 6, 12 and 24 months after surgery. Pain rating during activity and at rest, patient satisfaction, active range of motion and muscle strength, Constant score, hand in neck, hand in back and pour out of a pot, as well as Functional Index of the Shoulder were used. RESULTS: At two years follow-up, the progressive group and traditional group scored pain during activity visual analogue scale (VAS) 2/0 mm and pain at rest 0/0 mm, respectively. The groups attained 170/175 degrees in active abduction in standing and 70/90 degrees in passive external rotation while lying in supine. Using Constant score, the groups attained 82/77 points respectively. CONCLUSION: The present study showed that the progressive protocol produced no adverse effects compared with the traditional protocol.
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- Karladani, Abbas, 1954, et al.
(author)
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Ankle arthrodesis using dowel bone graft and cancellous-bone screws: a mechanical study in cadavers
- 2004
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In: Acta Orthop Scand. - 0001-6470. ; 75:4, s. 471-6
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Journal article (peer-reviewed)abstract
- BACKGROUND: There are numerous techniques for ankle arthrodesis. MATERIAL AND METHODS: We studied the stability of an ankle arthrodesis with the use of two cross-screws combined with dowel graft technique in 14 fresh-frozen ankles from amputees. The arthrodesis was performed by a dowel graft technique, in the coronal plane in 7 specimens (group 1) and in the diagonal plane in the remaining 7 (group 2). Allocation into the two groups took place after normalization according to the bone mineral content of the specimens. All ankles were fixed with two 6.5-mm diameter cancellous-bone screws, with the ankle in neutral position. Tibiotalar motion was measured during 5 Nm torque loading in plantar flexion-dorsiflexion, abduction-adduction and eversion-inversion planes of the ankle joint. Two testing sequences were performed and the mean value of both tests in each direction was used for the analysis. RESULTS: In all 3 planes, the torque applied caused more motion with the dowel graft in the coronal plane (group 1) than with the graft in the diagonal plane (group 2). The differences between the two groups were significant for abduction-adduction and eversion-inversion planes. Statistical analysis of differences between the first and second test showed significantly greater stiffness in group 2 than in group 1 in plantar flexion-dorsiflexion torque. INTERPRETATION: The placement of a dowel graft in the diagonal plane in comparison to the coronal plane significantly increased the initial stability of an ankle arthrodesis.
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| 9. |
- Kjellby-Wendt, Gunilla, 1965, et al.
(author)
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Early active rehabilitation after surgery for lumbar disc herniation: a prospective, randomized study of psychometric assessment in 50 patients.
- 2001
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In: Acta orthopaedica Scandinavica. - : Medical Journals Sweden AB. - 0001-6470. ; 72:5, s. 518-24
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Journal article (peer-reviewed)abstract
- In a randomized study, using psychometric assessment, we evaluated two training programs before and after surgical treatment of lumbar disc herniation. 26 patients were treated according to an early active training program (treatment group). 24 patients followed a traditional less active training program (control group). Before surgery, the patients filled in the following questionnaires 3 and 12 months after surgery: Multidimensional Pain Inventory (MPI), State and Trait Anxiety Inventory, and Beck Depression Inventory. Pain was assessed by the patient's pain drawing and a visual analog scale. Both groups improved as regards pain severity and state of anxiety. The MPI parameter, pain interference, improved more in the early active treatment group than in the control group. This suggests that the early active training program has a positive effect on the way patients cope with pain in their daily lives.
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| 10. |
- Kjellby-Wendt, Gunilla, 1965, et al.
(author)
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Results of early active rehabilitation 5-7 years after surgical treatment for lumbar disc herniation.
- 2002
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In: Journal of spinal disorders & techniques. - 1536-0652. ; 15:5, s. 404-9
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Journal article (peer-reviewed)abstract
- A prospective and randomized study was conducted of 52 patients who were treated by two home training programs after surgical treatment of lumbar disc herniation. Twenty-six patients followed an early active treatment program, and 26 patients followed a less active training program (control group). Forty-nine patients (82%) answered a questionnaire 5-7 years postoperatively. The reoperation rate was two of 49 patients. None of these patients had followed the early active treatment program. Patients with signs of depression before surgery were not significantly less satisfied with the outcome than patients with no signs of depression before surgery.
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