Pub Date : 2020-08-26DOI: 10.2340/165019771983152935
T. Ingemann-Hansen, J. Halkjaer-Kristensen
The effects of progressive resistance exercise (PRE) training for 4 weeks on the hypotrophic quadriceps muscle were investigated in 23 young healthy male soccer players, who had been immobilized in a plaster cast 4-6 weeks after knee ligament injuries. The subjects were allocated to two training regimes where the injured leg was trained for periods of varying duration, whereas the intensity and frequency of exercise were alike in the two groups. However no significant differences were detected between the two training groups. In the whole material the lean thigh volume of the injured leg increased from 4.09 to 4.47 litres (p less than 0.001), whereas the fat component of the thigh was unchanged. The dynamic strength (1 RM) of the injured leg increased from 14.0 kg to 27.0 kg and amounted to 87% of the control leg after 4 weeks of training. At this time the maximum isometric strength amounted to 114 Nm, which was 63% of strength in the control leg. Succinate dehydrogenase (SDH) in homogenates of muscle biopsy sample increased (i.e. 20%, p less than 0.05) to the same level as found in the control leg. No changes in phosphofructokinase (PFK) were observed. The type I fibre distribution was lower in the immobilized leg than in the control leg. These results indicate that, following muscular hypotrophy resulting from 4-6 weeks of immobilization, dynamic exercise can restore the oxidative potential, whereas the size and strength are only partly recovered.
{"title":"Progressive resistance exercise training of the hypotrophic quadriceps muscle in man. The effects on morphology, size and function as well as the influence of duration of effort.","authors":"T. Ingemann-Hansen, J. Halkjaer-Kristensen","doi":"10.2340/165019771983152935","DOIUrl":"https://doi.org/10.2340/165019771983152935","url":null,"abstract":"The effects of progressive resistance exercise (PRE) training for 4 weeks on the hypotrophic quadriceps muscle were investigated in 23 young healthy male soccer players, who had been immobilized in a plaster cast 4-6 weeks after knee ligament injuries. The subjects were allocated to two training regimes where the injured leg was trained for periods of varying duration, whereas the intensity and frequency of exercise were alike in the two groups. However no significant differences were detected between the two training groups. In the whole material the lean thigh volume of the injured leg increased from 4.09 to 4.47 litres (p less than 0.001), whereas the fat component of the thigh was unchanged. The dynamic strength (1 RM) of the injured leg increased from 14.0 kg to 27.0 kg and amounted to 87% of the control leg after 4 weeks of training. At this time the maximum isometric strength amounted to 114 Nm, which was 63% of strength in the control leg. Succinate dehydrogenase (SDH) in homogenates of muscle biopsy sample increased (i.e. 20%, p less than 0.05) to the same level as found in the control leg. No changes in phosphofructokinase (PFK) were observed. The type I fibre distribution was lower in the immobilized leg than in the control leg. These results indicate that, following muscular hypotrophy resulting from 4-6 weeks of immobilization, dynamic exercise can restore the oxidative potential, whereas the size and strength are only partly recovered.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"15 1 1","pages":"29-35"},"PeriodicalIF":0.0,"publicationDate":"2020-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2340/165019771983152935","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49318711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-08-26DOI: 10.2340/165019771983158996
F. Biering-Sørensen
Of participants with low back pain (LBP) at some time, about 60% said the pain had led them to consult their general practitioner, about 25% a specialist, and about 15% a chiropractor. About 30% had had an X-ray taken of their lumbar spine. Physiotherapy was the most common treatment given for the LBP. Manipulative therapy was the treatment which most often seemed to satisfy those with LBP although these cases might have been the milder acute attacks of LBP. Of the LBP complainers, 4.5% had been admitted to hospital and 1% operated on because of LBP. Work absence because of LBP occurred by 22.5% of the participants who were gainfully employed at some time. An additional 10% found it necessary to take special care on the job. Change of job or work function because of LBP was accomplished by 6.3%. Among those gainfully employed at the time of the examination, 6.7% had taken days-off within the past year because of LBP, an absence rate which corresponded to about two days per year per person. Previous, particularly recent use of medical services turned out to be a prognostic indicator for LBP in the follow-up year, while none of the work related parameters seemed to be good predictors, which may be because of the uncertainties related to these parameters.
{"title":"A prospective study of low back pain in a general population. III. Medical service--work consequence.","authors":"F. Biering-Sørensen","doi":"10.2340/165019771983158996","DOIUrl":"https://doi.org/10.2340/165019771983158996","url":null,"abstract":"Of participants with low back pain (LBP) at some time, about 60% said the pain had led them to consult their general practitioner, about 25% a specialist, and about 15% a chiropractor. About 30% had had an X-ray taken of their lumbar spine. Physiotherapy was the most common treatment given for the LBP. Manipulative therapy was the treatment which most often seemed to satisfy those with LBP although these cases might have been the milder acute attacks of LBP. Of the LBP complainers, 4.5% had been admitted to hospital and 1% operated on because of LBP. Work absence because of LBP occurred by 22.5% of the participants who were gainfully employed at some time. An additional 10% found it necessary to take special care on the job. Change of job or work function because of LBP was accomplished by 6.3%. Among those gainfully employed at the time of the examination, 6.7% had taken days-off within the past year because of LBP, an absence rate which corresponded to about two days per year per person. Previous, particularly recent use of medical services turned out to be a prognostic indicator for LBP in the follow-up year, while none of the work related parameters seemed to be good predictors, which may be because of the uncertainties related to these parameters.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"15 2 1","pages":"89-96"},"PeriodicalIF":0.0,"publicationDate":"2020-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41334589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-08-26DOI: 10.2340/165019771983154346
L. Sazbon, J. Sack, T. Najenson, B. Lunenfeld
In an attempt to examine the relationship between growth hormone (GH) and periarticular new bone formation (PNBF), we studied eight patients with brain lesions of different origins who were in a prolonged comatose state for 164 to 1320 days. Five of them developed PNBF. The latter reacted to both the specific L-Dopa test and to the non-specific TRH test with an increase in GH serum concentration. Those patients who did not develop PNBF, failed to react significantly to either tests. The difference in GH values between the two groups is statistically significant at the 95% level of confidence. We hypothesize that there may be a causal relationship between high concentrations of GH in serum and PNBF.
{"title":"Growth hormone and periarticular new bone formation--a causal relationship? A preliminary communication.","authors":"L. Sazbon, J. Sack, T. Najenson, B. Lunenfeld","doi":"10.2340/165019771983154346","DOIUrl":"https://doi.org/10.2340/165019771983154346","url":null,"abstract":"In an attempt to examine the relationship between growth hormone (GH) and periarticular new bone formation (PNBF), we studied eight patients with brain lesions of different origins who were in a prolonged comatose state for 164 to 1320 days. Five of them developed PNBF. The latter reacted to both the specific L-Dopa test and to the non-specific TRH test with an increase in GH serum concentration. Those patients who did not develop PNBF, failed to react significantly to either tests. The difference in GH values between the two groups is statistically significant at the 95% level of confidence. We hypothesize that there may be a causal relationship between high concentrations of GH in serum and PNBF.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"15 1 1","pages":"43-6"},"PeriodicalIF":0.0,"publicationDate":"2020-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41692711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-08-26DOI: 10.2340/165019771983155561
K. Sjögren, Damber Je, B. Liliequist
In a consecutive series of 51 one-stroke hemiplegics some aspects of sexuality were investigated using structured interviews. Findings were related to treatment with anti-hypertensive drugs. In most subjects the site of brain lesion was visualized by X-ray methods. Moreover, in a sub-sample of 15 consecutive males LH, FSH and prolactin were assessed using standard clinical radioimmunoassay techniques. Serum testosterone including response to HCG-stimulation was also measured. Both in males and females frequency of intercourse and durations of foreplay and of intercourse were markedly reduced. For the males erectile problems were rare before but occurred for the majority after stroke. For the females, but not for the males, orgastic dysfunction was relatively common pre-stroke. After the stroke such dysfunction occurred for 75% of the females and 64% of the males. Partnership sexual drive also decreased. Each of the 15 males hormonally screened had values within the predicted normal and responses to HCG-stimulation were also adequate. Moreover, actual levels of hormones were associated neither with change in sexual function nor with the sexual function per se at the time of the investigation. Thus, in this sample hormonal disarrangement did not appear to be the cause of sexual dysfunction. Surprisingly, no association between erectile dysfunction and use of anti-hypertensive drugs occurred. We believe that sexual dysfunctions in hemiplegics may rather be explained in terms of coping than by endocrine deficits or by anti-hypertensive treatment.
{"title":"Sexuality after stroke with hemiplegia. I. Aspects of sexual function.","authors":"K. Sjögren, Damber Je, B. Liliequist","doi":"10.2340/165019771983155561","DOIUrl":"https://doi.org/10.2340/165019771983155561","url":null,"abstract":"In a consecutive series of 51 one-stroke hemiplegics some aspects of sexuality were investigated using structured interviews. Findings were related to treatment with anti-hypertensive drugs. In most subjects the site of brain lesion was visualized by X-ray methods. Moreover, in a sub-sample of 15 consecutive males LH, FSH and prolactin were assessed using standard clinical radioimmunoassay techniques. Serum testosterone including response to HCG-stimulation was also measured. Both in males and females frequency of intercourse and durations of foreplay and of intercourse were markedly reduced. For the males erectile problems were rare before but occurred for the majority after stroke. For the females, but not for the males, orgastic dysfunction was relatively common pre-stroke. After the stroke such dysfunction occurred for 75% of the females and 64% of the males. Partnership sexual drive also decreased. Each of the 15 males hormonally screened had values within the predicted normal and responses to HCG-stimulation were also adequate. Moreover, actual levels of hormones were associated neither with change in sexual function nor with the sexual function per se at the time of the investigation. Thus, in this sample hormonal disarrangement did not appear to be the cause of sexual dysfunction. Surprisingly, no association between erectile dysfunction and use of anti-hypertensive drugs occurred. We believe that sexual dysfunctions in hemiplegics may rather be explained in terms of coping than by endocrine deficits or by anti-hypertensive treatment.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"15 2 1","pages":"55-61"},"PeriodicalIF":0.0,"publicationDate":"2020-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46915210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-08-26DOI: 10.2340/16501977198315103107
J. Diederiks, H. van der Sluijs, H. Weeda, M. G. Schobre
A number of factors predicting habitual physical activity, duration of night's rest, return to work and exercise tolerance one year after acute myocardial infarction (AMI) are studied in fifty-five male patients. Except for exercise tolerance three months after AMI, the results of this prospective study suggest that psychologic factors are more important predictors of the four outcome variables than angina pectoris, infarction size and participation in a physical training program. The most important predictor appears to be the patient's subjective opinion of his physical capabilities, measured by the perceived exercise tolerance scale. The expectation of the eventual return to work three months after MI plays also a significant role as a predictor. Both are predictors of the exercise tolerance and return to work one year after AMI. These findings suggest that physical activity--defined as exercise tolerance, habitual physical activity and duration of night's rest--and return to work are closely related.
{"title":"Predictors of physical activity one year after myocardial infarction.","authors":"J. Diederiks, H. van der Sluijs, H. Weeda, M. G. Schobre","doi":"10.2340/16501977198315103107","DOIUrl":"https://doi.org/10.2340/16501977198315103107","url":null,"abstract":"A number of factors predicting habitual physical activity, duration of night's rest, return to work and exercise tolerance one year after acute myocardial infarction (AMI) are studied in fifty-five male patients. Except for exercise tolerance three months after AMI, the results of this prospective study suggest that psychologic factors are more important predictors of the four outcome variables than angina pectoris, infarction size and participation in a physical training program. The most important predictor appears to be the patient's subjective opinion of his physical capabilities, measured by the perceived exercise tolerance scale. The expectation of the eventual return to work three months after MI plays also a significant role as a predictor. Both are predictors of the exercise tolerance and return to work one year after AMI. These findings suggest that physical activity--defined as exercise tolerance, habitual physical activity and duration of night's rest--and return to work are closely related.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"15 2 1","pages":"103-7"},"PeriodicalIF":0.0,"publicationDate":"2020-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44436021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-08-26DOI: 10.2340/165019771983153741
P. Kivi
The etiology of humeral epicondylitis and three different conservative methods of treatment were prospectively studied during two years in patients visiting a large occupational health center. Eighty-eight workers, 50 male and 38 female, out of 7600 suffered from humeral epicondylitis. The annual incidence was 59 per 10 000 workers. The mean age was 43 years. The main cause (61.4%) of tennis elbow was over-exertion of the finger and wrist extensors in trained workers. Forty-seven patients were treated with local corticosteroid and anesthetic injections (beta-methasone + lidocaine), 20 patients with methylprednisolone injections and 21 patients with wrist immobilization in combination with indomethacin. The result of therapy was excellent or good in 82% of the cases after six months and in 90% after one year. No significant differences (p greater than 0.1) in results were observed between patients treated with different therapies. Two patients (2.3%) were operated on after conservative treatment had failed.
{"title":"The etiology and conservative treatment of humeral epicondylitis.","authors":"P. Kivi","doi":"10.2340/165019771983153741","DOIUrl":"https://doi.org/10.2340/165019771983153741","url":null,"abstract":"The etiology of humeral epicondylitis and three different conservative methods of treatment were prospectively studied during two years in patients visiting a large occupational health center. Eighty-eight workers, 50 male and 38 female, out of 7600 suffered from humeral epicondylitis. The annual incidence was 59 per 10 000 workers. The mean age was 43 years. The main cause (61.4%) of tennis elbow was over-exertion of the finger and wrist extensors in trained workers. Forty-seven patients were treated with local corticosteroid and anesthetic injections (beta-methasone + lidocaine), 20 patients with methylprednisolone injections and 21 patients with wrist immobilization in combination with indomethacin. The result of therapy was excellent or good in 82% of the cases after six months and in 90% after one year. No significant differences (p greater than 0.1) in results were observed between patients treated with different therapies. Two patients (2.3%) were operated on after conservative treatment had failed.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"15 1 1","pages":"37-41"},"PeriodicalIF":0.0,"publicationDate":"2020-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41848099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-08-26DOI: 10.2340/1650197719831597101
G. Németh, J. Ekholm, U. Arborelius, K. Harms-Ringdahl, K. Schüldt
The maximum isometric extensor muscle strength was measured in 10 healthy subjects of different combinations of hip and knee angles. An ordinary exercise device was used for the measurements and the method could be useful in clinical work. The results revealed that the knee angle does not affect the hip extensor strength. The highest extensor muscular moments occurred at 90 degrees hip flexion, decreasing with decreasing hip angle. The distribution of the strength over the motion sector differed between male and female. The weight of the body segments was found to utilize 10-24% of the maximum strength at hip angles 60 degrees-0 degrees with subjects in a prone position.
{"title":"Influence of knee flexion on isometric hip extensor strength.","authors":"G. Németh, J. Ekholm, U. Arborelius, K. Harms-Ringdahl, K. Schüldt","doi":"10.2340/1650197719831597101","DOIUrl":"https://doi.org/10.2340/1650197719831597101","url":null,"abstract":"The maximum isometric extensor muscle strength was measured in 10 healthy subjects of different combinations of hip and knee angles. An ordinary exercise device was used for the measurements and the method could be useful in clinical work. The results revealed that the knee angle does not affect the hip extensor strength. The highest extensor muscular moments occurred at 90 degrees hip flexion, decreasing with decreasing hip angle. The distribution of the strength over the motion sector differed between male and female. The weight of the body segments was found to utilize 10-24% of the maximum strength at hip angles 60 degrees-0 degrees with subjects in a prone position.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"15 2 1","pages":"97-101"},"PeriodicalIF":0.0,"publicationDate":"2020-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45416117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-08-26DOI: 10.2340/165019771983152123
P. Klemp, B. Staberg, J. Korsgård, H. Nielsen, P. Crone
The muscle blood flow (MBF) in m. trapezius was studied in 7 subjects with fibromyotic pain syndrome before and during treatment with ultrasound (1 Watt/cm2) and during placebo treatment, using the local 133Xe-washout technique. MBF in the fibromyotic muscles was significantly reduced during ultrasound treatment (p less than 0.05) compared to the blood flow before the treatment and during placebo treatment 1.57 +/- SEM 0.52 and 2.51 +/- SEM 0.43 ml/100 g/min, respectively. In 6 normal trapezius muscles the mean MBF was 2.30 +/- SEM 0.44 ml/100 g/min before ultrasound treatment and 2.31 +/- SEM 0.41 ml/100 g/min during ultrasound therapy. MBF decreased in a lidocaine blocked fibromyotic muscle during ultrasound treatment while no effect on MBF was detectable during ultrasonic treatment a normal lidocaine pretreated muscle. It is concluded that ultrasound treatment decreases MBF in fibromyotic muscles and that this is paradoxical effect of ultrasound might be due to a direct effect on the vessels or a local release of vasoactive substances in the fibromyotic muscles.
采用局部133x冲洗技术，对7例纤维肌痛综合征患者在超声(1瓦特/cm2)治疗前、治疗期间及安慰剂治疗期间的斜方肌肌血流量(MBF)进行了研究。与治疗前和安慰剂治疗期间的血流量相比，超声治疗期间纤维肌的MBF显著减少(p < 0.05)，分别为1.57 +/- SEM 0.52和2.51 +/- SEM 0.43 ml/100 g/min。6块正常斜方肌超声治疗前平均MBF为2.30 +/- SEM 0.44 ml/ 100g /min，超声治疗期间平均MBF为2.31 +/- SEM 0.41 ml/ 100g /min。在超声治疗期间，利多卡因阻断的纤维肌的MBF下降，而在超声治疗期间，正常的利多卡因预处理的肌肉对MBF没有影响。结论是超声治疗可降低纤维肌肌瘤的MBF，而这种矛盾的效果可能是由于超声对血管的直接作用或纤维肌肌瘤中血管活性物质的局部释放。
{"title":"Reduced blood flow in fibromyotic muscles during ultrasound therapy.","authors":"P. Klemp, B. Staberg, J. Korsgård, H. Nielsen, P. Crone","doi":"10.2340/165019771983152123","DOIUrl":"https://doi.org/10.2340/165019771983152123","url":null,"abstract":"The muscle blood flow (MBF) in m. trapezius was studied in 7 subjects with fibromyotic pain syndrome before and during treatment with ultrasound (1 Watt/cm2) and during placebo treatment, using the local 133Xe-washout technique. MBF in the fibromyotic muscles was significantly reduced during ultrasound treatment (p less than 0.05) compared to the blood flow before the treatment and during placebo treatment 1.57 +/- SEM 0.52 and 2.51 +/- SEM 0.43 ml/100 g/min, respectively. In 6 normal trapezius muscles the mean MBF was 2.30 +/- SEM 0.44 ml/100 g/min before ultrasound treatment and 2.31 +/- SEM 0.41 ml/100 g/min during ultrasound therapy. MBF decreased in a lidocaine blocked fibromyotic muscle during ultrasound treatment while no effect on MBF was detectable during ultrasonic treatment a normal lidocaine pretreated muscle. It is concluded that ultrasound treatment decreases MBF in fibromyotic muscles and that this is paradoxical effect of ultrasound might be due to a direct effect on the vessels or a local release of vasoactive substances in the fibromyotic muscles.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"15 1 1","pages":"21-3"},"PeriodicalIF":0.0,"publicationDate":"2020-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42733457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-08-26DOI: 10.2340/165019771983157179
F. Biering-Sørensen
A general population of 928 men and women aged 30, 40, 50, and 60 years underwent a lower back examination as part of a general health survey. A 12 month follow-up questionnaire was completed by 99% of them. At the end of the follow-up year, the life time prevalence rates for low back pain (LBP) were 68-70% for men and rose with increasing age from 62% to 81% among women. The one year incidence of first attacks of LBP was 11% among the 30-year-olds and decreased in the older age-groups. Recurrences of LBP in the follow-up year were more frequent among those who had more recently and frequently experienced LBP before. Among those who had experienced LBP on some occasion, 23-31% had such symptoms daily or at least once a week. Heavy lifting, twisting and trauma were the most commonly stated causes of LBP, which 52-60% of the participants claimed to be work-related. A gradual onset and exacerbation of the LBP were of some prognostic value in the follow-up year, while the alleged cause of previous LBP was not.
{"title":"A prospective study of low back pain in a general population. I. Occurrence, recurrence and aetiology.","authors":"F. Biering-Sørensen","doi":"10.2340/165019771983157179","DOIUrl":"https://doi.org/10.2340/165019771983157179","url":null,"abstract":"A general population of 928 men and women aged 30, 40, 50, and 60 years underwent a lower back examination as part of a general health survey. A 12 month follow-up questionnaire was completed by 99% of them. At the end of the follow-up year, the life time prevalence rates for low back pain (LBP) were 68-70% for men and rose with increasing age from 62% to 81% among women. The one year incidence of first attacks of LBP was 11% among the 30-year-olds and decreased in the older age-groups. Recurrences of LBP in the follow-up year were more frequent among those who had more recently and frequently experienced LBP before. Among those who had experienced LBP on some occasion, 23-31% had such symptoms daily or at least once a week. Heavy lifting, twisting and trauma were the most commonly stated causes of LBP, which 52-60% of the participants claimed to be work-related. A gradual onset and exacerbation of the LBP were of some prognostic value in the follow-up year, while the alleged cause of previous LBP was not.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"15 2 1","pages":"71-9"},"PeriodicalIF":0.0,"publicationDate":"2020-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49360172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-08-26DOI: 10.2340/165019771983156369
K. Sjögren
Aspects of sexual function, partnership responsiveness and fulfilment after stroke were, together with sexually performance orientated and stigmatic attitudes, investigated in 51 subjects. Erectile and orgastic spectatoring were frequent after stroke and were in the males significantly associated. Retarded ejaculation occurred for no males before but for 15% after the stroke. Marked decreases in different kinds of caressive behaviour were followed by discontentment and up to and about half the subjects felt that sexual partnership responsiveness had deteriorated. After the stroke the commonly occurring reduction in general sexual satisfaction was significantly associated with symptoms of increased sexual dysfunction, disturbed partnership responsiveness and reduced sexual fulfilment. The high prevalence of sexual maladjustment in stroke victims appears mostly to be psychogenic. Important precipitating factors are performance orientation and sexual stigmatism. Moreover, lack of sexual information and counselling may contribute to deterioration of partnership sexuality.
{"title":"Sexuality after stroke with hemiplegia. II. With special regard to partnership adjustment and to fulfilment.","authors":"K. Sjögren","doi":"10.2340/165019771983156369","DOIUrl":"https://doi.org/10.2340/165019771983156369","url":null,"abstract":"Aspects of sexual function, partnership responsiveness and fulfilment after stroke were, together with sexually performance orientated and stigmatic attitudes, investigated in 51 subjects. Erectile and orgastic spectatoring were frequent after stroke and were in the males significantly associated. Retarded ejaculation occurred for no males before but for 15% after the stroke. Marked decreases in different kinds of caressive behaviour were followed by discontentment and up to and about half the subjects felt that sexual partnership responsiveness had deteriorated. After the stroke the commonly occurring reduction in general sexual satisfaction was significantly associated with symptoms of increased sexual dysfunction, disturbed partnership responsiveness and reduced sexual fulfilment. The high prevalence of sexual maladjustment in stroke victims appears mostly to be psychogenic. Important precipitating factors are performance orientation and sexual stigmatism. Moreover, lack of sexual information and counselling may contribute to deterioration of partnership sexuality.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"15 2 1","pages":"63-9"},"PeriodicalIF":0.0,"publicationDate":"2020-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41928270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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