| 1. |
- Bertilsson, Ingrid, et al.
(author)
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Physiotherapists’ experiences of the meaning of movement quality in autism: a descriptive phenomenological study
- 2022
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In: Physiotherapy Theory and Practice. - : Informa UK Limited. - 0959-3985 .- 1532-5040. ; 38:2, s. 299-308
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Journal article (peer-reviewed)abstract
- Introduction: Movement quality, represented in unrestricted movements, flow and pleasure, is often lacking in people with autism. One aspect is the non-verbal expression of the present emotional and psychological state of an individual. Purpose: To describe the meaning of movement quality in autism, as experienced by specialized physiotherapists. Method: Ten physiotherapists were interviewed. The data were recorded, transcribed verbatim, and analyzed using Giorgi᾽s descriptive phenomenological method. Findings: The general structure of movement quality in people with autism included eight key constituents: 1) reduced postural control; 2) deviant muscle tone and tension; 3) deviant sensory processing; 4) a lack of conscious awareness; 5) difficulties with body boundaries; 6) coordinating movements (including breathing); 7) lack of anticipatory preparations of movements; and 8) need of cognitive thoughts to control movements. Conclusions: This study provide an understanding of how movement quality in people with autism is expressed. Their lived bodies constantly need to protect themselves from sensory impressions from within or the surroundings, causing emotional distress and obscuring the meaning of their movements. Their bodily expression becomes restrained, fragmented, and hesitant. Understanding movement patterns and emotional reactions following their struggle with movements may facilitate constructive interaction and communication, which give important implications when designing physiotherapy interventions.
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| 2. |
- Gard, Gunvor, et al.
(author)
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Clinical reasoning and clinical use of basic body awareness therapy in physiotherapy : a qualitative study?
- 2020
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In: European Journal of Physiotherapy. - : Taylor & Francis. - 2167-9169 .- 2167-9177. ; 22:1, s. 29-35
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Journal article (peer-reviewed)abstract
- Background: Clinical reasoning is the ability to integrate and apply different types of knowledge, weigh evidence critically and reflect upon the process to arrive at a diagnosis. Body awareness is an approach directed toward an awareness of how the body is used in terms of body function, behaviour, and interaction with self and others.Methods: In the present study, 36 physiotherapists (PTs) from 13 countries working with body awareness methods, mainly Basic Body Awareness Therapy (BBAT) in mental health were interviewed in six focus groups. Content analysis was used to analyse how the informants’ reasoned around the concept of body awareness therapy, and how they use it in their clinical work with patients.Result: Body awareness was conceived as being in contact with sensations and emotions, to be able to control symptoms, such as pain, to find a balance and to develop one’s identity by relating to oneself and others. BBAT was used as a whole body treatment, to promote balance and stability, to teach about body, movements, and coping strategies, to interact in a therapeutic approach and to be integrated with other methods and professionals.Conclusion: The present results can be used to improve the PTs clinical reasoning.
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| 3. |
- Håkansson, Carita, et al.
(author)
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Perceived work stress, overcommitment, balance in everyday life, individual factors, self-rated health and work ability among women and men in the public sector in Sweden – a longitudinal study
- 2020
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In: Archives of Public Health. - : Springer Science and Business Media LLC. - 0778-7367 .- 2049-3258. ; 78:1
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Journal article (peer-reviewed)abstract
- Background: The aim was to investigate whether perceived work stress, overcommiment, balance in everyday life, individual factors and self-rated health in combination predict work ability among women and men in the public sector in Sweden. Methods: A sample was randomly selected from the employee records of the participating public health care organisation in Western Sweden. In total, 2223 employees were included and answered a postal survey twice, at a 2 year interval. The survey included questions about work ability, perceived work stress, overcommitment, balance in everyday life, individual factors and self-rated health. Odds ratios with 95% confidence intervals for work ability were estimated using logistic regression. Results: Imbalance in everyday life and overcommitment predicted reduced work ability in women and imbalance in everyday life and low educational level predicted reduced work ability in men. However, when poor self-rated health was added to the models this was the strongest predictor of work ability for both genders. Conclusion: A combination of poor self-rated health, imbalance in everyday life, and overcommitment predicted reduced work ability. This multifactorial nature of work ability should be taken into account in health promotion programmes.
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| 4. |
- Kjölstad, Gunhild, et al.
(author)
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Body awareness in healthy subjects–a qualitative study
- 2022
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In: European Journal of Physiotherapy. - : Informa UK Limited. - 2167-9169 .- 2167-9177. ; 24:4, s. 219-226
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Journal article (peer-reviewed)abstract
- Background: Qualitative research concerning body awareness has focused on how patients with different diagnosis experience body awareness. No earlier study has focused on healthy adults’ experiences of body awareness. Aim: The aim of this study was to explore and describe healthy adults’ experiences of body awareness. Methods: Fifteen healthy informants were interviewed individually, and the transcripts were analysed according to qualitative content analysis. Results: Three themes describing experiences of body awareness among healthy adults: A bodily grounding and identity forming process throughout life, Interpersonal relationships through the body, and To be visible and exposed in society. Conclusions: Body awareness among healthy adults was experienced as a bodily and identity forming process throughout life. In this process interpersonal relationships were developed through the awareness of the body. Body awareness was also experienced as being visible and exposed in society. Body awareness was not only related to individuals experiences and affects our relations and behaviours from inside and out but was also related to group norms and societal norms. This is important for health promotion in different contexts in society.
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| 5. |
- Lindgren, Ingrid, et al.
(author)
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Perceived work situation and work ability among persons who are working one year after stroke
- 2022
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In: Journal of Rehabilitation Medicine. - : Medical Journals Sweden. - 1650-1977 .- 1651-2081. ; 54
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Journal article (peer-reviewed)abstract
- Objective: To explore how persons who have returned to work perceive their work situation and work ability one year after stroke.Design: Cross-sectional design.Subjects: A total of 88 persons of working age (mean age 52 (standard deviation; SD 8) years, 36% women), with mild to moderate disabilities following stroke, who had returned to work within one year after stroke participated in the study.Methods: A survey including a questionnaire regarding psychological and social factors at work (QPS Nordic) and 4 questions from the Work Ability Index (WAI) was posted to the participants.Results: According to the QPS Nordic survey, 69- 94% of respondents perceived their work duties as well defined, and were content with their work performance. Most participants had good social support at work and at home. Between 51% and 64% of respondents reported that they seldom felt stressed at work, seldom had to work overtime, or that work demands seldom interfered with family life. According to the WAI ≥75% of respondents perceived their work ability as sufficient, and they were rather sure that they would still be working 2 years ahead.Conclusion: Persons who have returned to work within one year after stroke appear to be content with their work situation and work ability. Appreciation at work, well-defined and meaningful work duties and support seem to be important for a sustainable work situation.
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| 6. |
- Lindgren, Ingrid, et al.
(author)
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Work conditions, support, and changing personal priorities are perceived important for return to work and for stay at work after stroke : a qualitative study
- 2022
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In: Disability and Rehabilitation. - : Taylor & Francis. - 0963-8288 .- 1464-5165. ; 44:11, s. 2500-2506
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Journal article (peer-reviewed)abstract
- PurposeTo explore work related and personal facilitators and barriers for return to work (RTW) and stay at work after stroke.Materials and methodsTwenty individuals post-stroke (median age 52 years; seven women) were interviewed in focus groups. Data were analyzed by using qualitative content analysis.ResultsAn overall theme “Work conditions, support and changed personal priorities influenced RTW and stay at work after stroke” emerged and covered three categories: “Adjustments and flexibility at the work place facilitated RTW and a sustainable work situation”, “Psychosocial support and knowledge about stroke consequences facilitated work and reduced stress”, and “Changed view of work and other personal priorities”. Physical adjustments at the work place and flexibility in the work schedule were perceived facilitators. Support from family and colleagues were important, whereas lack of knowledge of stroke disabilities at the work place was perceived a barrier. Also changed personal priorities in relation to the work and the current life situation influenced RTW in various ways.ConclusionsThe individual’s opportunities to influence the work situation is a key factor for RTW and the ability to stay at work after stroke. Adjustments, flexibility, support, knowledge of stroke, and receptivity to a changed view of work are important for a sustainable work situation.
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| 7. |
- Norlander, Anna, et al.
(author)
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Fatigue in men and women who have returned to work after stroke : Assessed with the fatigue severity scale and mental fatigue scale
- 2021
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In: Journal of Rehabilitation Medicine. - : Medical Journals Sweden AB. - 1650-1977 .- 1651-2081. ; 53:9
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Journal article (peer-reviewed)abstract
- Objective: To assess the occurrence of self-reported fatigue among men and women who have returned to work after stroke, and the association between 2 fatigue rating scales. Design: A cross-sectional study. Subjects: A total of 91 adults (58 men/33 women, mean age 53 years) with mild to moderate disability. Methods: Questionnaires were posted to participants approximately one year after stroke. Fatigue was assessed with the Fatigue Severity Scale (FSS) and the Mental Fatigue Scale (MFS). Results: In total, 58% of the women and 33% of the men reported fatigue on the FSS (total score ≥ 4), and 46% of the women and 28% of the men reported mental fatigue on the MFS (total score ≥ 10.5). Being easily fatigued, decreased motivation, mental fatigability and sensitivity to stress were the most reported problems. FSS and MFS were moderately associated (rho 0.517–0.732). Conclusion: Fatigue is common among persons who have returned to work after stroke, and interferes with daily life. The long-term consequences of fatigue should be addressed after stroke, especially in women. The FSS and the MFS can be used in combination, as they provide information on different aspects of fatigue.
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| 8. |
- Skjaerven, Liv Helvik, et al.
(author)
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A vocabulary describing health-terms of movement quality : a phenomenological study of movement communication
- 2020
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In: Disability and Rehabilitation. - : Taylor & Francis. - 0963-8288 .- 1464-5165. ; 42:22, s. 3152-3161
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Journal article (peer-reviewed)abstract
- Purpose: The aim of the study was to develop a vocabulary targeting communication of health-terms ofmovement quality, establishing professional knowledge of a movement terminology usefull withinrehabilitation.Methods: A phenomenological study design was chosen, inviting movement experts working inrehabilitation to describe movement observations when a change into more functional, health relatedways of moving appeared in the rehabilitation processes. 15 physiotherapy experts were recruited,five from the field of neurology, primary health care and psychiatry. The informants had between12-38 years of clinical practice, treating patients of all ages with a wide specter of diagnoses. Datacollection followed a qualitative study design, of individual, in-depth interviews, based on a semi-structured interview guide. The interviews were taped, transcribed and sent to the informants forvalidation. Data analysis followed recommendation of Giorgi, modified by Malterud. Ethical considera-tions were followed.Results: Data revealed a vocabulary, clustered in five themes, Biomechanical, Physiological, Psycho-socio-cultural, Existential and Overarching perspective, 16 underlying categories and 122 descriptive health-terms of movement quality.Conclusion: The study demonstrated a multi-perspective movement vocabulary of 122 health characteris-tic terms, developed to facilitate movement communication within the broad field of rehabilitation. Theresult calls for further research concerning a movement vocabulary.
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