| 1. |
- Engberg, Wania, et al.
(author)
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Balance-related efficacy compared with balance function in patients with acute stroke.
- 2008
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In: Physiotherapy theory and practice. - : Informa UK Limited. - 1532-5040 .- 0959-3985. ; 24:2, s. 105-11
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Journal article (peer-reviewed)abstract
- It is well known that patients who have suffered a stroke have problems with balance and have feelings of unsteadiness. The aim of this study was to analyse the correlation between how patients estimate their perceived confidence in task performance without falling and the objective assessment of balance made by a physiotherapist, and whether the Falls Efficacy Scale (FES(S)) is to be recommended for use in patients in the acute phase of stroke. Sixty patients divided into two groups assessed their belief to perform daily life activities without fear of falling using the FES(S) and were assessed by using the Berg Balance Scale (BBS) and Timed Up and Go (TUG) by a physiotherapist. Group 1 assessed themselves before, whereas Group 2 assessed themselves after the objective assessment. The correlation between the FES(S) and the TUG was moderate to good, but these two scales consider different aspects and dimensions of balance, ability, and belief and are therefore not interchangeable. The correlation between FES(S) and BBS was low to moderate. The conclusion of this study was that the FES(S) is not to be recommended as a single measurement in the acute phase of stroke because it does not measure actual balance function.
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| 2. |
- Fagevik Olsén, Monika, 1964, et al.
(author)
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Procedure related chronic pain after thoracoabdominal resection of the oesophagus
- 2009
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In: Physiotherapy Theory and Practice. - : Informa UK Limited. - 0959-3985 .- 1532-5040. ; 25:7, s. 489-494
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Journal article (peer-reviewed)abstract
- Persistent pain after thoracoabdominal esophageal resection is basically unexplored. The aims of the study were to define the character, intensity, and duration of pain with onset following thoracoabdominal esophageal resection and whether this pain syndrome depended on the time elapsed since the operation, the patient's physical function, and level of activity. A questionnaire was constructed that included questions about pain before surgery and at the time of the follow-up as well as the patients’ physical function and activity level. The questionnaire was sent to 51 long-term survivors of thoracoabdominal esophageal resection and 46 patients responded. At the follow-up, 20 of the 46 patients had pain in the right shoulder, 17 in the left shoulder, 24 in the rib cage, and 23 in the neck/upper back. Six patients reported severe pain (VAS > 60 mm) in the rib cage. A significantly larger proportion of patients had pain after surgery than before (p < 0.001). No correlation was observed between pain and the time elapsed since surgery, nor was pain related to physical function and activity level (rs = 0.120–0.350). Approximately half of the patients who had undergone thoracoabdominal esophageal resection suffered from procedure-related chronic pain. These results indicate the need for focused therapeutic interventions.
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| 3. |
- Gard, Gunvor
(author)
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Factors important for good interaction in physiotherapy treatment of persons who have undergone torture: A qualitative study.
- 2007
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In: Physiotherapy Theory and Practice. - : Informa UK Limited. - 0959-3985 .- 1532-5040. ; 23:1, s. 47-55
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Journal article (peer-reviewed)abstract
- Torture can be defined as the deliberate or systematic infliction of physical or mental suffering to force another person to yield information, as a punishment or to destroy a person's identity. The aim of the physiotherapy treatment for persons who have undergone torture is to relieve or reduce pain, correct musculoskeletal dysfunctions, teach the client to cope with pain, and regain body awareness. A good interaction and communication with each refugee is needed to optimize the treatment. The aim of this study was to identify factors important for a good interaction between physiotherapist (PT) and the patient among PTs specialising in refugees who have been tortured. A qualitative multiple case study was done. Ten physiotherapists working within the Red Cross, psychiatry or primary health care, who held positions specialising in treating persons who have undergone torture were interviewed. The interviews were analysed with content analysis. The results showed that the factors important for a good interaction could be summarised into two themes; prerequisites for a good interaction and interaction factors. Five prerequisites for a good interaction with persons who have undergone torture were found: personal characteristics, professional and therapeutic competence and support, language factors, time, and frames. Five factors in the interaction situation were important for a good interaction: cultural factors, treatments tailored to the patient's needs, to develop confidence and trust, religious factors, and capacity to handle negative emotions. All these factors have to be considered to improve the interaction between PTs and persons who have undergone torture.
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| 4. |
- Hammer, Ann, et al.
(author)
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Evaluation of therapeutic riding (Sweden)/hippotherapy (United States) : a single-subject experimental design study replicated in eleven patients with multiple sclerosis
- 2005
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In: Physiotherapy Theory and Practice. - : Informa UK Limited. - 0959-3985 .- 1532-5040. ; 21:1, s. 51-77
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Journal article (peer-reviewed)abstract
- The aim of this study was to investigate whether therapeutic riding (TR, Sweden) hippotherapy (HT, United States) may affect balance, gait, spasticity, functional strength, coordination, pain, self-rated level of muscle tension (SRLMT), activities of daily living (ADL), and health-related quality of life. Eleven patients with multiple sclerosis (MS) were studied in a single-subject experimental design iSSED) study, type A-B-A. The intervention comprised ten weekly TR/HT sessions of 30 minutes each. The subjects were measured a maximum of 13 times. Physical tests were: the Berg balance scale, talking a figure of eight, the timed up and go test, 10 m walking, the modified Ashworth scale, the Index of Muscle Function, the Birgitta Lindmark motor assessment, part B, and individual measurements. Self-rated measures were. the Visual Analog Scale for pain, a scale for SRLMT, the Patient-Specific Functional Scale for ADL, and the SF-36. Data were analyzed visually, semi-statistically and considering clinical significance. Results showed improvement for ten subjects in one or more of the variables, particularly balance, and some improvements were also seen in pain, muscle tension, and ADL. Changes in SF-36 were mostly positive, with an improvement in Role-Emotional seen in eight patients. Conclusively, balance and Role-Emotional were the variables most often improved, but TR/HT appeared to benefit the subjects differently.
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| 5. |
- Jönsson, Charlotta, et al.
(author)
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Pole walking for patients with breast cancer-related arm lymphedema.
- 2009
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In: Physiotherapy Theory and Practice. - : Informa UK Limited. - 0959-3985 .- 1532-5040. ; 25:3, s. 165-173
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Journal article (peer-reviewed)abstract
- Arm lymphedema is a well-known side effect of breast cancer treatment. Studies of the effect of physical exercise on arm lymphedema are very rare. The purpose of this study was to investigate the influence of pole walking on breast cancer-related arm lymphedema when using a compression sleeve. Twenty-six women with unilateral arm lymphedema took part in a clinical study of pole walking on one occasion, 4 kilometers for 1 hour. Measurements were made before, immediately after, and 24 hours later. Results revealed no changes in total arm volume of the swollen arm, measured with water displacement method, or in subjective assessments of heaviness and tightness in the affected arm using visual analogue scale. Immediately after pole walking, a temporary increase in total arm volume of the healthy arm (P=0.037) was found. Twenty-four hours later, no differences were found compared to the measurements before walking. The median for perceived exertion immediately after pole walking, measured with Borg scale, was 11 ("fairly light"). The results suggest that a controlled, short-duration pole-walking program can be performed by patients with arm lymphedema, using a compression sleeve, without deterioration of the arm lymphedema.
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| 6. |
- Langhammer, Birgitta, et al.
(author)
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An evaluation of two different exercis regimes during the first year following stroke : a randomised controlled trail
- 2009
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In: Physiotherapy Theory and Practice. - : Informa UK Limited. - 0959-3985 .- 1532-5040. ; 25:2, s. 55-68
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Journal article (peer-reviewed)abstract
- The purpose of this randomised controlled trial was to evaluate the effects of two different exercise approaches during the first 12 months post stroke on Instrumental Activities of Daily Living (IADL), motor function, gait performance, balance, grip strength, and muscle tone. This study is a double-blind longitudinal randomised trial of first-time-ever stroke patients. Seventy-five patients were included: 35 in an intervention group and 40 in a self-initiated exercise group. After discharge from acute rehabilitation, patients assigned in the intervention group had physiotherapy for a minimum amount of 80 hours during the first year. Patients in the self-initiated exercise group were not recommended any specific therapy besides treatment when needed. Main outcome measures were Instrumental Activities of Daily Living according to Fillenbaum, Motor Assessment Scale, 6-Minute Walk Test, Berg Balance Scale, Timed Up-and-Go Test, grip strength, Modified Ashworth Scale, and pulse monitoring. The patients were tested on admission, at discharge, and after 3, 6, and 12 months post stroke by an experienced investigator, blinded to group assignment. Twelve months post stroke showed higher levels of independence in all items of the Instrumental Activities of Daily Living Test and improvements in the results of Motor Assessment Scale, 6-Minute Walk Test, Berg Balance Scale, Timed Up-and-Go, and grip strength in both groups. Only a few significant differences were seen between groups, and they were in favour of the self-initiated exercise group (e.g., ability to use the telephone independently). Attending examination sessions following each intervention phase appeared to be strong motivators for training, irrespective of group allocation.
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| 7. |
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| 8. |
- Lundberg, Mari, et al.
(author)
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Experiences of moving with persistent pain : A qualitative study from a patient perspective
- 2007
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In: Physiotherapy Theory and Practice. - : Informa UK Limited. - 0959-3985 .- 1532-5040. ; 23:4, s. 199-209
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Journal article (peer-reviewed)abstract
- Objective: The aim of the present study was to use a phenomenological approach to explore how patients with persistent musculoskeletal pain experienced moving with their pain.Design: In-depth interviews were performed by a physical therapy researcher with many years' experience with the rehabilitation of patients with persistent musculoskeletal pain.Setting: The patients took part in individual rehabilitation at two different physical therapy departments. All but one patient opted to be interviewed in a room at the physical therapy department.Method: The sample was purposive and consisted of 10 Swedish outpatients with heterogeneous nonmalignant persistent musculoskeletal pain.Subjects: The interviews were analyzed according to a qualitative method known as the Empirical Phenomenological Psychological (EPP) method. The results were coded, analyzed, and described in typologies.Results: The experience of moving with pain implied much more than pure physical movement. Pain was a threatening challenge to the informants' existence and identity. Three typologies were identified: failed adaptation, identity restoration, and finding the way out.Conclusions: In conclusion, to move with persistent pain was described by the informants as having deep existential impact on the individual's life. It was also evident that all of the informants experienced a dramatic change in their identity. These experiences would most likely affect the patients' chances of recovery. To help him/her through the rehabilitation process, we need to extend our knowledge about what it means to the patient in an existential context to be unable to move as before.
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| 9. |
- Lundberg, Mari, 1969, et al.
(author)
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On what patients does the Tampa Scale for Kinesiophobia fit?
- 2009
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In: Physiotherapy theory and practice. - : Informa UK Limited. - 1532-5040 .- 0959-3985. ; 25:7, s. 495-506
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Journal article (peer-reviewed)abstract
- The Tampa Scale of Kinesiophobia (TSK) has been used for a decade and is a valuable tool in researching pain-related fear. A variety of different factor models exist, however, and there are inconsistencies as to which model to use. The purpose of the study was twofold: 1) to thoroughly review existing factor models and 2) to empirically evaluate the previously proposed factor models in a large sample with persistent musculoskeletal pain. Subjects included 578 of 711 (81%) consecutive patients (aged 18-65 years) with persistent musculoskeletal pain from three different orthopedic outpatient clinics. We reviewed all existing factor models and performed confirmatory factor analyses on the existing models. Our review identified 11 factor models of the TSK. The identified models were tested on a large Swedish sample. All models were rejected because of unacceptable goodness-of-fit statistics in that specific sample. This study supports the fact that TSK is a multidimensional construct. Rather than searching for new factor solutions, future research should be devoted to forming a consensus for the conceptual and operational definitions of the construct kinesiophobia and the application of the Tampa Scale for Kinesiophobia. Physiotherapists are encouraged to take part in building new theories.
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| 10. |
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