Syfte Syftet med denna uppsats var att ta reda på vilka effekter, såväl positiva som negativa, fysisk aktivitet kan ha hos människor i rehabilitering. Följande frågeställningar användes: Vilken bakgrund har de olika smärttillstånden? Vilken form av fysisk aktivitet och vilken duration, frekvens och intensitet används? Hur påverkas personerna i fråga av den fysiska aktiviteten på smärttillståndet - positiva/negativa effekter? Metod Studien baseras på fem intervjuer med kvinnor i rehabilitering, i form av sjukgymnastik. Detta för att på bästa sätt kunna studera och belysa hur människor kan påverkas positivt eller negativt av fysisk aktivitet vid olika fysiska smärttillstånd. Svaren från intervjuerna har sedan sammanställts och jämförts med tidigare forskning och annan litteratur inom området. Litteraturstudier har även bedrivits både för bakgrundsinformation samt för ökad kunskap inom ämnet. Resultat Resultatet visade att de intervjuade kvinnorna som går på rehabilitering, upplever förbättrad fysisk kapacitet och minskad smärta vid träning, oavsett de olika smärttillstånden och smärtorsakerna för respektive intervjuperson. De aktuella smärttillstånden var arbetsskada, olycksfallsskada, idrottsskada, utbrändhet samt medfödd funktionsnedsättning. Alla intervjupersoner har tränat under olika långa perioder och de går alla på rehabilitering under obestämd tid - det beror på hur kroppen fortsätter att svara på träningen och hur man själv upplever träningens effekter. Alla upplever, hittills, att träningen givit positiva effekter förutsatt att man endast tränar efter egen förmåga samt att man inte tränar för hårt, vilket resulterar i bakslag med negativa effekter. Gemensamt för de intervjuade är att de upplever positiva effekter vid underhållen träning, det vill säga att man regelbundet tränar på en lagom nivå och inte gör långa uppehåll i sin träning. Träningsuppehåll, har enligt de intervjuade, påvisat en upplevd ökad smärta och mindre rörlighet än vid uppehållen träning. Slutsats Fysisk aktivitet som rehabilitering ger positiva effekter så länge träningen individanpassas och ser till aktuellt smärttillstånd. Regelbundenhet samt en lagom nivå på frekvens, duration och intensitet är ledorden för optimala effekter. / Aims The aim of this study was to conclude what effects, both positive and negative, physical activity can have for people in rehabilitation. The following questions were used: What background have the different pain states? What form of physical activity and the duration, frequency and intensity of use? How are the people in question affected by the physical activity on the pain state - positive / negative effects? Methods The study is based on five interviews with women in rehabilitation, in the form of physiotherapy. I thought, this way could help me to find out however people can be affected, positively or negatively, by physical activity at various physical pain. The answers from the interviews was then compiled and compared with previous researched and other material. Literature studies have also derived background information and for increased knowledge in the subject. Results The results showed that the interviewed women who go to rehabilitation, feel improved physical capacity and decreased pain during exercise, irrespective of the different painstates and painfactors for each interviewee. The current pain permits are one workrelated injury, accident injury, sports injury, overworked and congenital disabilities. All interviewees are in rehabilitation for an indefinite period of time - it depends on how their body continues to respond to exercise and how you feel effects of endurance training. Everyone feel, so far, that the exercise has positive effects, provided that you only train your own potential and that you are not training too hard, resulting in a backlash of negative effects. Interviewees also shared that they experience positive effects in maintenance training – if they train regularly on a comfortable level and not take long breaks in their training. Training paus demonstrated a perceived increased pain and less mobility, than in training periods. Conclusion Physical activity in rehabilitation showed positive effects as long workout was individualized and look at the prevailing pain. Regularity train in combination with a moderate level of frequency, duration and intensity revealed optimal positive effects.

Background: Physiotherapists are part of the medical team involved in prevention and management of football injuries in Malawi. However, in Malawi no physiotherapist is currently involved in prevention and management of football injuries in the Malawi Super League. Aim: The aim of the study was to determine the need for physiotherapy intervention in prevention and management of football injuries. Methodology: A concurrent mixed method study design was used to collect data. A self administered questionnaire was used to collect quantitative data from football players. Qualitative data was collected through in-depth interviews from team doctors and coaches respectively. Quantitative data was analysed using the SPSS version 20.0. Descriptive data was presented in the form of percentages, means, ranges, standard deviations, and frequencies using tables, figures and graphs. A chi-square test of association and Fischer’s exact test were used to study the factors associated with football injuries against prevalence of injury. Audiotaped interviews were transcribed verbatim and expressed ideas were read several times, coded and reduced into categories and themes. Ethical clearance was granted by the University of the Western Cape and relevant authorities in Malawi. Results: A response rate of 67.5% was obtained. The mean age of football players was 21.73 (SD=3.295) years. The injury prevalence was 68.9% with 64% of injuries occurring during matches and 37% during training. The majority (84%) of the injuries were sustained in the lower limbs and 52.7% of the players who reported to have incurred an injury had recurring injuries with the ankle joint (33.3%) being the most affected part. Ligament sprain was the most common type of injury (36%) and most of the injuries (36.5%) reported were severe. No medical professional is available to manage injuries during training while team doctors are always available during matches. Recurrent injury was significantly associated injury prevalence (P=0.000). Use of protective gear was also significantly associated with injury prevalence both at training (P<0.01) and matches(P<0.05). Both coaches and team doctors reported that recurrent injury, psychological, player fitness, and lack of equipment were factors contributing to injury prevalence. Regarding injury management, coaches and team doctors reported sprains and strains as the most common injuries seen in the league. Furthermore, their views regarding injury prevention were sought. Team doctors perceived use of protective equipment as the main strategy of injury prevention while coaches regarded warm up as the main injury preventative strategy. Conclusion: There is need for physiotherapy intervention in prevention and management of football injuries in Malawi. / Magister Scientiae (Physiotherapy) - MSc(Physio)

Swedish healthcare organizations have undergone substantial organizational and economic restructuring during the 1990s due to financial cutbacks. Little is known about recently graduated healthcare professionals´ work experience in healthcare and their future career preferences. The overall aims of this thesis was, to increase knowledge about how recently graduated healthcare professionals in Sweden perceive their work in healthcare organizations. A gender perspective is adopted. In this national cross-sectional study, four stratified random samples were separately drawn from the 1999 Swedish university graduates who were nurses (NS), occupational therapists (OT), physical therapists (PT) and (registered) physicians (PN) and who at the time of the sampling procedure were living in Sweden. Stratification was performed by sex. A total of 3989 were eligible and of those, 1434 were selected: 535 NS, 250 OT, 250 PT and 399 PN. A questionnaire was constructed containing questions about socio-demographic factors, working conditions, career preferences,  work satisfaction and questions about the responsibility for and actual work with home and family, the so called unpaid household work. The questionnaires also contained questions measuring psychosocial working conditions: the effort-reward imbalance questionnaire (ERI-Q) and the demand-control questionnaire (DCQ). Collection of the data for NS, OT and PT was completed in March 2002 and for PN in May 2003. The response rate was 81% and 76% respectively. The total sample thus consists of 1145 participants; 423 nurses, 212 occupational therapists, 205 physiotherapists and 305 physicians.  Most of the respondents were employed in the public sector, but many desired privately employment within the coming five year period, men more often than women. Career preferences for future work differed between women and men. A majority indicated that they did not have the opportunity to pursue knowledge development in the professional field during working hours and nearly one half could not work as independently as they wished. Satisfaction with work in general was high, but many were dissatisfied with management at work and a majority was dissatisfied with the work organization. This dissatisfaction was associated with the opportunity to work as independently as they wished and the opportunity to pursue knowledge development in the professional field. Significantly more women than men had the main responsibility for home and family and did most of the unpaid household work. Among the OT and PT working for county councils and municipalities, the results revealed that those working for municipalities, experienced low control at work compared with those working for county councils. No differences were found between OT and PT or between men and women in the two professions regarding the DCQ and the ERI-Q except for the WOC scale. Women had significantly higher scores on the WOC scale compared with men. Logistic regression analyses revealed a significant association between WOC and ERI, effort, reward and sex. One fourth of the OT and PT working for county councils and municipalities was dissatisfied with their job and this dissatisfaction was significantly associated with type of employer, reward and effort-reward imbalance (in the ERI-Q) and control (in the DCQ). Differences regarding scoring on the ERI-Q were found between nurses and physicians working in county councils but not between women and men in the same group, with the exception of the scores on overcommitment. Significantly more nurses were defined as having high effort, low reward and effort-reward imbalance compared with the physicians. More women in the NS and PN group were defined as experiencing WOC compared to men.  Logistic regression analyses revealed significant associations between experiences of WOC and ERI, effort and reward. Nearly one fifth in the NS and PN group were dissatisfied with work and this dissatisfaction was particularly high among those with high effort, low reward, those with the greatest imbalance between effort and reward and those who experienced high overcommitment. In conclusion, in order to limit future work related problems and to be able to retain well educated professionals in healthcare work, dissatisfaction among the recently graduated must be taken seriously. Healthcare employers should better utilize the knowledge that recently graduated possess, regarding for example how to be a part of the development of the profession and the job. It is also important that healthcare employers address gender (in) equality at work and that work environments allow both women and men to combine careers with family duties. / healthcare, work satisfaction, career, gender equality, health science education, recently graduated, novices, nurses, occupational therapists, physiotherapists, physicians, ERI-Q, effort, reward, effort-reward imbalance, overcommitment, DCQ, demand, control, job strain

No description available.

Chronic non-specific low back pain (CNSLBP) is prevalent in the Canadian Forces. Physiotherapists use behavioural change techniques (BCT) to challenge maladaptive cognitions and behaviours in the treatment of CNSLBP. The aim of this study was to determine the range and type of BCT used in the “Back to Fitness” class at CFB Halifax. A nomenclature integrating a psychology BCT checklist and relevant physiotherapy literature was used to create a physiotherapist BCT checklist tool that was piloted in a field study. A wide range (n=24) and type (cognitive, behavioural and motivational) of BCT were identified in three settings (lecture, two exercise sessions). The nomenclature produced in this first examination of BCT in physiotherapy practice, will be useful for future research and training. This project revealed an overlap between psychology and physiotherapy that could lead to improved interprofessional communication and earlier access to behaviour change interventions for patients with CNSLBP.

No description available.

The physiotherapist-patient interaction is the medium through which physiotherapy is practiced. However, to date little physiotherapy research literature reports on physiotherapists' interactive behaviours in clinical practice. The objectives of this study were to explore, interpret and describe experienced cardiorespiratory physiotherapists' understandings of their interactive behaviours when treating chronically breathless patients and to make recommendations for practice. The study is located in the interpretive research paradigm. It has adopted a hermeneutic phenomenological approach underpinned by a relativist ontological stance and Gadamerian philosophy (1975/2004). Five experienced cardiorespiratory physiotherapists' were video recorded in a natural treatment setting with a chronically breathless patient. Data were generated through a video-cued recall and reflection, and a follow-up interview with each physiotherapist. Three themes were derived from the physiotherapists' accounts: 'Creating a facilitative space', 'Accessing and attending to your world' and 'Sharing my world'. These were considered to be key dimensions of physiotherapists' understandings of their interactive behaviours. The concept of 'Merging Worlds - facilitating the journey to a shared understanding and purpose, and safe achievement of purpose' draws together these key dimensions and represents the nature of the interactional behaviours of experienced physiotherapists when managing chronically breathless patients. The challenge of explicating tacit practice knowledge was observed during the process of data generation. This issue was considered alongside the thematic interpretation and the concept of 'Merging Worlds' to inform the development of a new model of physiotherapy practice: Mindful, Reciprocal Interaction. A series of questions to facilitate explication of, and critical reflection on interactive behaviours were developed for use by physiotherapists to enhance their interactive behaviours during encounters with patients. The findings of this study provide new knowledge for physiotherapy practice.

Low back pain is a common health problem in all societies. It affects between 60% and 85% of adults at some time in their lives and is associated with individual suffering and substantial economic and societal costs. Non-specific acute and chronic low back pain account for about 90% of low back pain and its sufferers complain of somatic symptoms without clear specific cause. A number of studies have shown that cultural and psychosocial factors can be important in the prediction of both low back pain experience and disability. This study aims to investigate the prevalence of low back pain and the socio-cultural influences on physiotherapy management of non-specific low back pain in the Gaza Strip, with a view to developing new strategies for future physiotherapy practice.

Made available in DSpace on 2014-06-11T19:22:49Z (GMT). No. of bitstreams: 0 Previous issue date: 2012-04-28Bitstream added on 2014-06-13T18:08:37Z : No. of bitstreams: 1 alves_t_me_prud.pdf: 305421 bytes, checksum: f8beb6ba12aa7641fedd017006db3df8 (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / Exercícios localizados são usados amplamente em reabilitação. Predominantemente, as opções estão relacionadas a exercícios com ênfase em contrações concêntricas e excêntricas. Sabe-se que exercícios predominantemente excêntricos promovem maior ganho de força em comparação aos estímulos concêntricos clássicos, todavia podem provocar dano muscular durante sua execução. Objetivo: avaliar e comparar um treinamento de força composto por 10 sessões de cargas progressivas entre grupos com predomínio de contração concêntrica versus excêntrica, realizadas em baixa velocidade de contração, do grupo extensor do joelho, a partir de parâmetros funcionais (força isotônica e isométrica), clínicos (sensibilidade, dor e circunferência do membro) e marcadores sanguíneos (creatina cinase, fator de necrose tumoral alfa e cortisol). Casuística e métodos: a casuística do estudo foi composta por 120 sujeitos do sexo masculino, com idade compreendida entre 18 e 26 anos, divididos aleatoriamente em quatro grupos (G1: estresse concêntrico; G2: estresse excêntrico; G3: treinamento concêntrico e G4: treinamento excêntrico). Os voluntários dos grupos G3 e G4 foram submetidos a 10 sessões... / Resistance exercises are widely used in rehabilitation programmes. The options are related to concentric and eccentric contractions. It has been known that skeletal muscles can develop more force during eccentric actions than during concentric actions; however, eccentric exercise induces greater symptoms of muscle damage. Objective: the purpose of this study was to evaluate and compare a strength training composed by 10 sessions with progressive loads between groups with predominance of eccentric and concentric contraction of knee extensor muscles. It was been evaluated functional (isometric and isotonic strength), clinical (sensitivity, pain, and arm circumference) and blood markers (creatine kinase, tumor necrosis factor alpha and cortisol). Casuistry and Methods: 120 male individuals between 18 and 26 years were divided into four groups (G1: concentric stress G2: eccentric stress, G3: concentric training, G4: eccentric training). Individuals of training groups performed 10 bouts, 3 times per week for 3 consecutive weeks

Orientador: Carlos Marcelo Pastre / Banca: Jayme Netto Júnior / Banca: Flávia Alessandra Guarnier / Resumo: Exercícios localizados são usados amplamente em reabilitação. Predominantemente, as opções estão relacionadas a exercícios com ênfase em contrações concêntricas e excêntricas. Sabe-se que exercícios predominantemente excêntricos promovem maior ganho de força em comparação aos estímulos concêntricos clássicos, todavia podem provocar dano muscular durante sua execução. Objetivo: avaliar e comparar um treinamento de força composto por 10 sessões de cargas progressivas entre grupos com predomínio de contração concêntrica versus excêntrica, realizadas em baixa velocidade de contração, do grupo extensor do joelho, a partir de parâmetros funcionais (força isotônica e isométrica), clínicos (sensibilidade, dor e circunferência do membro) e marcadores sanguíneos (creatina cinase, fator de necrose tumoral alfa e cortisol). Casuística e métodos: a casuística do estudo foi composta por 120 sujeitos do sexo masculino, com idade compreendida entre 18 e 26 anos, divididos aleatoriamente em quatro grupos (G1: estresse concêntrico; G2: estresse excêntrico; G3: treinamento concêntrico e G4: treinamento excêntrico). Os voluntários dos grupos G3 e G4 foram submetidos a 10 sessões... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Resistance exercises are widely used in rehabilitation programmes. The options are related to concentric and eccentric contractions. It has been known that skeletal muscles can develop more force during eccentric actions than during concentric actions; however, eccentric exercise induces greater symptoms of muscle damage. Objective: the purpose of this study was to evaluate and compare a strength training composed by 10 sessions with progressive loads between groups with predominance of eccentric and concentric contraction of knee extensor muscles. It was been evaluated functional (isometric and isotonic strength), clinical (sensitivity, pain, and arm circumference) and blood markers (creatine kinase, tumor necrosis factor alpha and cortisol). Casuistry and Methods: 120 male individuals between 18 and 26 years were divided into four groups (G1: concentric stress G2: eccentric stress, G3: concentric training, G4: eccentric training). Individuals of training groups performed 10 bouts, 3 times per week for 3 consecutive weeks / Mestre