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- Grönblom-Lundström, Lena, 1951-
(author)
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Health as a measure of rehabilitation : outcome for patients with low-back pain
- 1992
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In: Physiotherapy Theory and Practice. - 0959-3985 .- 1532-5040. ; 8:2, s. 67-77
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Journal article (peer-reviewed)abstract
- Low back pain (LBP) has become a serious economic problem and a multifactorial problem to be solved within medicine. Investigations have demonstrated that the problem may best be solved outside medicine or, if within, in cooperation with behavioural scientists and with involved elements outside medicine such as the National Health Insurance System. How is LBP defined? Do all people involved in the rehabilitation of LBP define it in the same way? Are there any alternative ways to define it? In this paper, I will present a humanistic-social perspective of how LBP can be denned. This perspective or theory of health takes into account these outside factors as well as a person's ability to act in relation to the social context within which that person is living. In order to provide more effective treatment, in the sense of giving people the support they need to get better, other methods of treating LBP must be developed. This humanistic-social perspective indicates that a person's goals and actual circumstances at the time of rehabilitation should be the base for the planned activity. From this perspective, the objective findings should only be the base for the choice of technical method, not the base for the overall rehabilitation strategy.
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| 2. |
- Myhr, Ulla
(author)
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Influence of different seat and backrest inclinations on the spontaneous positioning of the extremities in non-disabled children
- 1994
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In: Physiotherapy Theory and Practice. - : Informa UK Limited. - 0959-3985 .- 1532-5040. ; 10:4, s. 191-200
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Journal article (peer-reviewed)abstract
- The dynamics of linked body segments and the spontaneous positioning of the upper as well as the lower extremities relative to the axes of movement were investigated in different sitting positions in 10 non-disabled children, aged 4–9 years, in order to obtain a baseline for comparison with measurements of children with cerebral palsy. The children were photographed and video-filmed while performing standardised tasks. The results revealed that in positions with the backrest vertical and with the use of a hipbelt, all children held their feet posterior to the knee joint axis regardless of seat inclination, whereas the feet were more frequently held anterior to the knee joint axis when sitting reclined fastened across their trunks. The results of previous studies between non-disabled children and children with cerebral palsy indicated that both groups tended to position their extremities and linked body segments in a similar fashion when in comparable sitting positions. These findings may have further implications for the adaptation of chairs for children with cerebral palsy.
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| 3. |
- Myhr, Ulla, et al.
(author)
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Reducing spasticity and enhancing postural control for the creation of a functional sitting position in children with cerebral palsy: A pilot study
- 1990
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In: Physiotherapy Theory and Practice. - : Informa UK Limited. - 0959-3985 .- 1532-5040. ; 6:2, s. 65-76
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Journal article (peer-reviewed)abstract
- With the aim of creating a functional sitting position and a method to identify factors which reduce spasticity and enhance postural control, a pilot study was conducted of two girls with severe cerebral palsy. The girls were photographed and videotaped seated in six various positions, including their original adapted chairs as well as after different interventions and even a hypothetical functional sitting position. These positions were varied by changing the inclination of the seat, either with or without an abduction orthosis and with or without a table in front of the child. The total time required for postural control was recorded. The children's pathologic/spastic movements were identified and counted. The children's upper bodies relative to the rotational axis at the ischial tuberosities were analysed from photographs. The greatest reduction of spasticity was gained and postural control was markedly superior when three factors were combined: the symmetrical fixation of the child by a belt anchored under the seat; the use of an abduction orthosis; and the placement of the line of gravity of the upper body anterior to the axis of rotation at the ischial tuberosities. These factors were combined with the seat inclined forwards or placed level with the child's forearms supported against a table. Changing the inclination of the seat alone showed no discernible effect.
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