Bakgrund Basal kroppskännedom (BK) används idag inom fysioterapin som behandlingsmetod för att öka kroppsmedvetenhet bland patienter. Det råder brist på solid kunskap om BK som behandlingsform samt fysioterapeuters erfarenheter kring hur interventionen används.  Syfte Att undersöka fysioterapeuters uppfattningar och erfarenheter av metoden BK och hur de använder sig av BK i sin kliniska vardag.   Metod Studie är av kvalitativ design. Fem fysioterapeuter intervjuades genom enskilda semistrukturerade intervjuer. Kvalitativ innehållsanalys användes för bearbetning av data. Resultat Utifrån insamlade data identifierades tre huvudkategorier: (1) Patienter som har svårt att vara i sin kropp gynnas av metoden, (2) fysioterapeuten och patienten gör övningarna tillsammans och (3) ökad medvetenhet om sambandet mellan kropp och sinne.  Konklusion: Studiens resultat visar att fysioterapeuterna uppfattar att metoden BK används för i princip alla tillstånd men är särskilt gynnsam för personer som lider av psykisk ohälsa och långvarig smärta. Fysioterapeuterna anser att det krävs mycket av både patienten och fysioterapeuten vid denna metod och att den därför skiljer sig från andra behandlingsmetoder. Målet med behandlingen är att skapa en balans mellan kropp och sinne. Fysioterapeuterna använder BK i huvudsakligen för att de har goda kliniska erfarenheter från metoden. / Background Basic body awareness therapy (BBAT) is used today in physiotherapy as a treatment method to increase body awareness among patients. There is a lack of solid knowledge about BBAT as a form of treatment and physiotherapists' experiences of how the intervention is used. Purpose Physiotherapist understandings and experiences with BBAT and how they use it in their clinical practices. Method The study is of a qualitative design. Five physiotherapists were interviewed separately. Qualitative content analysis was used for analyzing the data. Results Based on the collected data, three main categories were identified: (1) Patients who have difficulty being in their body benefit from the method, (2) The physiotherapist and the patient do the exercises together and (3) Increased awareness of the connection between body and mind. Conclusion The results of the study showed that the physiotherapists perceived that the BBAT method is used for basically all conditions, but is particularly favorable for people suffering from mental illness and long-term pain. The physiotherapists believe that this method requires a lot from both the patient and the physiotherapist and that it therefore differs from other treatment methods. The goal of the treatment is to create a balance between body and mind. The physiotherapists use BBAT mainly because of their good clinical experience from the method.

Musculoskeletal disorders are common among musicians at all levels of performance. Since music teachers train our future musicians it is important to understand their work environment. By creating good examples of a healthy work environment, they can teach their students how to stay healthy and to prevent pain. The aim of this thesis was to study the work environment of music teachers at municipal music schools, with regard to physical and psychosocial factors and musculoskeletal disorders with the focus on neck and shoulder disorders. An additional aim was to investigate the variability of the playing technique in string players and to investigate if they could play with greater variation in the trapezius muscle activity pattern after a training intervention program. In a cross-sectional study at 23 municipal music schools, 171 out of the 208 (82%) music teachers reported that they had experienced work related musculoskeletal disorders (WMSDs) during the previous year. Women reported significantly more symptoms in the neck, the shoulders and the upper back compared to men. Both physical and psychosocial work factors were associated with neck and shoulder disorders. For women “high mental work demands” and “teaching at many schools” could be seen as risk factors and for men “lifting”, “playing the guitar” and “low social support at work” were risk factors. The occurrence of WMSDs was also investigated, over an eight-year period, in music teachers at one music school. The result showed that neck, shoulder and lower back disorders were common and tended to be of long duration and to increase over the years. In an interview study, nine music teachers focused on what they perceived to be important for their health and well-being. Replenishing and using up energy was found to be the core category. Creativity in the music and working with other musicians were perceived as sources of energy, while the goals of the organisation were experienced as stressful and used up energy. Whether the work was regarded as pedagogical or musical could affect the perception of health and the strategies for dealing with the strains of work. In two studies using electromyography, the variation in the trapezius muscle activity pattern in string musicians was investigated. The results suggested that each musician could repeat their muscular activity pattern in a similar way between two playing sessions. No difference was found in the trapezius muscle activity between five violinists who trained basic Body Awareness Therapy (BAT), a technique having its roots in Tai Chi Chuan tradition, compared to a reference group of nine violinists who did not take part in any training. However, the training group perceived positive changes in breathing, muscular tension, postural control and concentration during practice sessions. Neck and shoulder disorders were associated with physical and psychosocial factors at work. A process of replenishing and using up energy was important for music teachers’ health. The playing technique in string musicians seemed to be repeatable but difficult to affect over a short-term period. For future musicians it is crucial to learn good working technique at an early age. In the learning process the music teacher is a vital role model. / <p>Diss. (sammanfattning) Umeå : Univ., 2003, Härtill 5 uppsatser</p> / digitalisering@umu