Pub Date : 2020-08-26DOI: 10.2340/165019771983154753
A. Fugl-Meyer, K. Sjögren
In 283 students in various branches of the health profession commonly involved in physical medicine and rehabilitation, experiences of sexual life were investigated together with parameters of sexual function and of sexual performance-orientation. The findings were related to attitudes towards sexuality of disabled subjects. Results indicate that sexual performance-orientation, frustration and dysfunction are common features for the students. Sexual performance-orientation was associated with alienation towards the sexuality and the sexual counselling needs of the disabled. It is therefore recommended that the curriculae of these students should include sexual education and possibilities for sexual counselling.
{"title":"Sexuality of health care students.","authors":"A. Fugl-Meyer, K. Sjögren","doi":"10.2340/165019771983154753","DOIUrl":"https://doi.org/10.2340/165019771983154753","url":null,"abstract":"In 283 students in various branches of the health profession commonly involved in physical medicine and rehabilitation, experiences of sexual life were investigated together with parameters of sexual function and of sexual performance-orientation. The findings were related to attitudes towards sexuality of disabled subjects. Results indicate that sexual performance-orientation, frustration and dysfunction are common features for the students. Sexual performance-orientation was associated with alienation towards the sexuality and the sexual counselling needs of the disabled. It is therefore recommended that the curriculae of these students should include sexual education and possibilities for sexual counselling.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"15 2 1","pages":"47-53"},"PeriodicalIF":0.0,"publicationDate":"2020-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47939533","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: 10.2340/1650197719831519
K. Bengtsson
The effects of a rehabilitation programme one year after myocardial infarction (MI) were investigated in 171 patients under 65 years of age. These patients were allocated at random to rehabilitation and control groups before discharge from hospital. The groups were comparable with regard to age, sex and clinical data. The programme included physical exercise, counselling of patients and relatives, and social measures over a 3-month period during the convalescent stage. One year after MI patients in the rehabilitation group showed lower systolic blood pressure at rest and lower diastolic pressure on submaximal exercise than controls. No differences were found with regard to mean work capacity, days off work, return to work, psychological status, and understanding of the illness. At 12 months all patients were less physically and socially active than before MI, they were more dependent on their relatives than before, and they had poor understanding of their illness.
{"title":"Rehabilitation after myocardial infarction. A controlled study.","authors":"K. Bengtsson","doi":"10.2340/1650197719831519","DOIUrl":"https://doi.org/10.2340/1650197719831519","url":null,"abstract":"The effects of a rehabilitation programme one year after myocardial infarction (MI) were investigated in 171 patients under 65 years of age. These patients were allocated at random to rehabilitation and control groups before discharge from hospital. The groups were comparable with regard to age, sex and clinical data. The programme included physical exercise, counselling of patients and relatives, and social measures over a 3-month period during the convalescent stage. One year after MI patients in the rehabilitation group showed lower systolic blood pressure at rest and lower diastolic pressure on submaximal exercise than controls. No differences were found with regard to mean work capacity, days off work, return to work, psychological status, and understanding of the illness. At 12 months all patients were less physically and socially active than before MI, they were more dependent on their relatives than before, and they had poor understanding of their illness.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"15 1 1","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2020-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41503466","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: 10.2340/165019771983151116
Karvetti Rl, Knuts Lr
The effect of a comprehensive rehabilitation programme, including diet therapy, was studied in overweight male myocardial infarction (MI) patients randomly assigned to a rehabilitation group (n = 69) and a control group (n = 64). The results show a mean weight decrease of 3.8 kg in the rehabilitation group and a mean weight increase of 1.1 kg in the control group (t = -5.78, p less than 0.001). The proportion of patients reducing their weight more than 5 kg was 33% in the rehabilitation group and 5% in the control group (chi 2 = 15.6, p less than 0.001). Patient characteristics which significantly affected the weight change by univariate analysis were age, level of overweight, smoking habits, employment situation and social problems. Multivariate analyses yielded a two-variable model with moderate explanatory power in the rehabilitation group. The model includes the variables Body Mass Index and cessation of smoking before MI.
对超重男性心肌梗死(MI)患者随机分为康复组(n = 69)和对照组(n = 64)，研究了包括饮食治疗在内的综合康复方案的效果。结果显示，康复组平均体重减轻3.8 kg，对照组平均体重增加1.1 kg (t = -5.78, p < 0.001)。康复组患者体重减轻大于5 kg的比例为33%，对照组为5% (chi 2 = 15.6, p < 0.001)。单因素分析对体重变化有显著影响的患者特征为年龄、超重程度、吸烟习惯、就业情况和社会问题。多变量分析显示康复组的双变量模型具有中等解释力。该模型包括身体质量指数和心肌梗死前戒烟的变量。
{"title":"Effects of comprehensive rehabilitation on weight reduction in myocardial infarction patients.","authors":"Karvetti Rl, Knuts Lr","doi":"10.2340/165019771983151116","DOIUrl":"https://doi.org/10.2340/165019771983151116","url":null,"abstract":"The effect of a comprehensive rehabilitation programme, including diet therapy, was studied in overweight male myocardial infarction (MI) patients randomly assigned to a rehabilitation group (n = 69) and a control group (n = 64). The results show a mean weight decrease of 3.8 kg in the rehabilitation group and a mean weight increase of 1.1 kg in the control group (t = -5.78, p less than 0.001). The proportion of patients reducing their weight more than 5 kg was 33% in the rehabilitation group and 5% in the control group (chi 2 = 15.6, p less than 0.001). Patient characteristics which significantly affected the weight change by univariate analysis were age, level of overweight, smoking habits, employment situation and social problems. Multivariate analyses yielded a two-variable model with moderate explanatory power in the rehabilitation group. The model includes the variables Body Mass Index and cessation of smoking before MI.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"15 1 1","pages":"11-6"},"PeriodicalIF":0.0,"publicationDate":"2020-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41867362","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: 10.2340/165019771983158188
F. Biering-Sørensen
In this paper the analyses focus primarily on statements from those 62% (281 men and 294 women) of the participants who at the primary examination reported previous or present low back pain (LBP). In a subsample the most frequent location of the LBP was in the lower lumbar area. Pain radiating to the leg(s) was felt at some time by 36% of the men and 51% of the women. Intense pain was more frequently reported by men, and a feeling of weakness or fatique more frequently by women. Most of the participants felt that the LBP became worse during the day. The most common aggravating factor was stooping, reported by 65% of the participants, followed by the sitting position, reported by 30%. Factors of highest importance for the relief of LBP were lying down (52-54%) and walking around (34-39%). A stated history of pain radiating to the leg(s) was the best indicator for occurrence of LBP in the follow-up year.
{"title":"A prospective study of low back pain in a general population. II. Location, character, aggravating and relieving factors.","authors":"F. Biering-Sørensen","doi":"10.2340/165019771983158188","DOIUrl":"https://doi.org/10.2340/165019771983158188","url":null,"abstract":"In this paper the analyses focus primarily on statements from those 62% (281 men and 294 women) of the participants who at the primary examination reported previous or present low back pain (LBP). In a subsample the most frequent location of the LBP was in the lower lumbar area. Pain radiating to the leg(s) was felt at some time by 36% of the men and 51% of the women. Intense pain was more frequently reported by men, and a feeling of weakness or fatique more frequently by women. Most of the participants felt that the LBP became worse during the day. The most common aggravating factor was stooping, reported by 65% of the participants, followed by the sitting position, reported by 30%. Factors of highest importance for the relief of LBP were lying down (52-54%) and walking around (34-39%). A stated history of pain radiating to the leg(s) was the best indicator for occurrence of LBP in the follow-up year.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"15 2 1","pages":"81-8"},"PeriodicalIF":0.0,"publicationDate":"2020-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45545175","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 : 2020-08-06DOI: 10.2340/16501977198618101106
E. Olsson, A. Barck
A group of 21 patients with total knee joint replacement was followed-up ten years after the operation. The clinical assessment including pain, range of motion, muscle strength and knee function was related to an objective gait analysis which included ground reaction force patterns and joint angular motion. This method of gait analysis not only confirmed in an objective way the impression from the clinical assessment but also provided a more accurate gradation of the results. The method is applicable to patients with weight bearing problems.
{"title":"Correlation between clinical examination and quantitative gait analysis in patients operated upon with the Gunston-Hult knee prosthesis.","authors":"E. Olsson, A. Barck","doi":"10.2340/16501977198618101106","DOIUrl":"https://doi.org/10.2340/16501977198618101106","url":null,"abstract":"A group of 21 patients with total knee joint replacement was followed-up ten years after the operation. The clinical assessment including pain, range of motion, muscle strength and knee function was related to an objective gait analysis which included ground reaction force patterns and joint angular motion. This method of gait analysis not only confirmed in an objective way the impression from the clinical assessment but also provided a more accurate gradation of the results. The method is applicable to patients with weight bearing problems.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"18 3 1","pages":"101-6"},"PeriodicalIF":0.0,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48124681","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 : 2020-08-06DOI: 10.2340/16501977198618147153
I. Söderback, L. Normell
Intellectual Function Training (IFT) is an occupational therapy method for remediating cognitive functions in patients with acquired brain damage and has been presented in a previous paper. It has been evaluated by comparing a group of trained patients (n = 13) using the IFT method with a control group (n = 13) which underwent conventional rehabilitation. The trained group received IFT for 40 min each day, 5 days a week for about three months. Age, education and neurological status did not differ between the groups. The measurement methods of evaluation were Intellectual Function Assessment (IFP) and three psychometric test batteries. At the beginning of the study there was no significant difference in any subtest between the two groups. After the training period there was a significant difference of at least p less than 0.05 between the trained and the control group in the IFP battery, except for the Long-term Memory subtest. The improvement for the trained group was evident six months later at the time of the follow-up measurement, clearly indicating a significant difference between the groups. In one psychometric subtest a significant difference of p less than 0.01 was found. Within the experimental group over the study time there was a slight increase in performance which was notable in seven of the psychometric subtests p less than 0.05-p less than 0.001. The positive effect of IFT is considered to be specific for the type of task in which the patients were trained, while evidence of the effect on general intellectual function is inconclusive.(ABSTRACT TRUNCATED AT 250 WORDS)
{"title":"Intellectual Function Training in adults with acquired brain damage. Evaluation.","authors":"I. Söderback, L. Normell","doi":"10.2340/16501977198618147153","DOIUrl":"https://doi.org/10.2340/16501977198618147153","url":null,"abstract":"Intellectual Function Training (IFT) is an occupational therapy method for remediating cognitive functions in patients with acquired brain damage and has been presented in a previous paper. It has been evaluated by comparing a group of trained patients (n = 13) using the IFT method with a control group (n = 13) which underwent conventional rehabilitation. The trained group received IFT for 40 min each day, 5 days a week for about three months. Age, education and neurological status did not differ between the groups. The measurement methods of evaluation were Intellectual Function Assessment (IFP) and three psychometric test batteries. At the beginning of the study there was no significant difference in any subtest between the two groups. After the training period there was a significant difference of at least p less than 0.05 between the trained and the control group in the IFP battery, except for the Long-term Memory subtest. The improvement for the trained group was evident six months later at the time of the follow-up measurement, clearly indicating a significant difference between the groups. In one psychometric subtest a significant difference of p less than 0.01 was found. Within the experimental group over the study time there was a slight increase in performance which was notable in seven of the psychometric subtests p less than 0.05-p less than 0.001. The positive effect of IFT is considered to be specific for the type of task in which the patients were trained, while evidence of the effect on general intellectual function is inconclusive.(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"18 4 1","pages":"147-53"},"PeriodicalIF":0.0,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45147573","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 : 2020-08-06DOI: 10.2340/165019771986183543
J. Sandström
Physical signs, medical history and social factors were analyzed and evaluated in 52 patients (17 women and 35 men) with chronic low back pain, in order to determine if any factors were predictive for return to work after rehabilitation. Factors discriminating between the working and sick-disabled groups were: Sex (only men returned to full time work), Duration of sick-leave (the older half of the study population exhibited a negative correlation between time on sick-leave and frequency of return to work), Reported need for analgesics (the working group reported less need of analgesics), Pain in the cervical and dorsal areas of the spine as well as in the lumbar region (less frequent in the working group), The patients' attitude to his own ADL-capacity (those who returned to full-time work were more positive), After work fatigue (less frequent in the working group).
{"title":"Clinical and social factors in rehabilitation of patients with chronic low back pain.","authors":"J. Sandström","doi":"10.2340/165019771986183543","DOIUrl":"https://doi.org/10.2340/165019771986183543","url":null,"abstract":"Physical signs, medical history and social factors were analyzed and evaluated in 52 patients (17 women and 35 men) with chronic low back pain, in order to determine if any factors were predictive for return to work after rehabilitation. Factors discriminating between the working and sick-disabled groups were: Sex (only men returned to full time work), Duration of sick-leave (the older half of the study population exhibited a negative correlation between time on sick-leave and frequency of return to work), Reported need for analgesics (the working group reported less need of analgesics), Pain in the cervical and dorsal areas of the spine as well as in the lumbar region (less frequent in the working group), The patients' attitude to his own ADL-capacity (those who returned to full-time work were more positive), After work fatigue (less frequent in the working group).","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"18 1 1","pages":"35-43"},"PeriodicalIF":0.0,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48193091","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 : 2020-08-06DOI: 10.2340/1650197719861857
S. Solgaard, A. Carlsen, M. Kramhøft, V. Petersen
The wrist motion in 31 healthy probands was measured by four observers with a simple goniometer under standardized conditions. The INTRA-observer variation was calculated to 5 to 8 degrees and the INTER-observer variation to 6 to 10 degrees. No difference between experienced and non-experienced observers was found. The difference between the right and the left wrist was negligible, indicating that the opposite wrist can be used as reference when evaluating restrictions in motion.
{"title":"Reproducibility of goniometry of the wrist.","authors":"S. Solgaard, A. Carlsen, M. Kramhøft, V. Petersen","doi":"10.2340/1650197719861857","DOIUrl":"https://doi.org/10.2340/1650197719861857","url":null,"abstract":"The wrist motion in 31 healthy probands was measured by four observers with a simple goniometer under standardized conditions. The INTRA-observer variation was calculated to 5 to 8 degrees and the INTER-observer variation to 6 to 10 degrees. No difference between experienced and non-experienced observers was found. The difference between the right and the left wrist was negligible, indicating that the opposite wrist can be used as reference when evaluating restrictions in motion.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"18 1 1","pages":"5-7"},"PeriodicalIF":0.0,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43418812","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 : 2020-08-06DOI: 10.2340/16501977198618915
Björn Gerdle, B. Hedberg, K. Ängquist, A. Fugl-Meyer
Isokinetic plantar flexor peak torques (PT) and contractional work (CW) of the triceps surae muscle have been measured in 24 patients with peripheral arterial insufficiency and intermittent claudication and in 15 controls. Tests were performed both during non-fatiguing (30-180 degrees/s) and fatiguing (200 repeated plantar flexions at 60 degrees/s) conditions. The electromyographic signals (iEMG) from all three heads of the triceps surae were measured. The patients were significantly weaker (PT) and produced significantly less contractional work (CW) than the controls. In contrast, similar iEMGs of the triceps surae heads indicated similar levels of activation. At 40 contractions the majority of the patients had already given up and the remainder showed significantly greater declines in PT (50%) and CW (55%) than did the controls (13% and 18%, respectively). The decline in muscular excitations was similar in both groups. The ratio CW/iEMG showed a dramatic decline in the patients but was virtually constant in the controls. These results indicate a fatigue of low-frequency type in the patient group. There were close correlations between maximum walking tolerance and total work production.
{"title":"Isokinetic strength and endurance in peripheral arterial insufficiency with intermittent claudication.","authors":"Björn Gerdle, B. Hedberg, K. Ängquist, A. Fugl-Meyer","doi":"10.2340/16501977198618915","DOIUrl":"https://doi.org/10.2340/16501977198618915","url":null,"abstract":"Isokinetic plantar flexor peak torques (PT) and contractional work (CW) of the triceps surae muscle have been measured in 24 patients with peripheral arterial insufficiency and intermittent claudication and in 15 controls. Tests were performed both during non-fatiguing (30-180 degrees/s) and fatiguing (200 repeated plantar flexions at 60 degrees/s) conditions. The electromyographic signals (iEMG) from all three heads of the triceps surae were measured. The patients were significantly weaker (PT) and produced significantly less contractional work (CW) than the controls. In contrast, similar iEMGs of the triceps surae heads indicated similar levels of activation. At 40 contractions the majority of the patients had already given up and the remainder showed significantly greater declines in PT (50%) and CW (55%) than did the controls (13% and 18%, respectively). The decline in muscular excitations was similar in both groups. The ratio CW/iEMG showed a dramatic decline in the patients but was virtually constant in the controls. These results indicate a fatigue of low-frequency type in the patient group. There were close correlations between maximum walking tolerance and total work production.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"18 1 1","pages":"9-15"},"PeriodicalIF":0.0,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44546545","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 : 2020-08-06DOI: 10.2340/165019771986189399
E. Olsson, K. Oberg, T. Ribbe
A method for clinical studies of ground reaction forces during gait is presented. A walkway consisting of two force measuring platforms, each five meter long, allows the recording from several consecutive steps from both feet. Signals from photocells and goniometers have been added and a microcomputer system for on line recording and processing have been developed. The accuracy of the system is tested.
{"title":"A computerized method for clinical gait analysis of floor reaction forces and joint angular motion.","authors":"E. Olsson, K. Oberg, T. Ribbe","doi":"10.2340/165019771986189399","DOIUrl":"https://doi.org/10.2340/165019771986189399","url":null,"abstract":"A method for clinical studies of ground reaction forces during gait is presented. A walkway consisting of two force measuring platforms, each five meter long, allows the recording from several consecutive steps from both feet. Signals from photocells and goniometers have been added and a microcomputer system for on line recording and processing have been developed. The accuracy of the system is tested.","PeriodicalId":76523,"journal":{"name":"Scandinavian journal of rehabilitation medicine","volume":"18 3 1","pages":"93-9"},"PeriodicalIF":0.0,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43171851","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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