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  • 1.
    Adolfsson, Vendela
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics.
    Karlsson, Evelina
    Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics.
    Effekten av ToeOFF på infallsvinkeln mellan kroppsmasscentrum och belastningscentrum hos patienter med droppfot2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2.
    Alanko, Rosanna
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics.
    Oskarsson, Tina
    Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics.
    Kommunikation mellan patient och ortopedingenjör: En kvalitativ studie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    En studie har genomförts med syftet att undersöka diabetespatienters tolkning av informationen som ges av deras respektive ortopedingenjör under ett patientmöte samt undersöka vad ortopedingenjören anser sig ha förmedlat för information till patienten under patientmötet. Metoden i studien är kvalitativ där intervjuer med semistrukturerade öppna frågor har använts. I studien ingick två ortopedingenjörer samt två diabetespatienter. Efter avslutade intervjuer har materialet från intervjuerna analyserats och bildat kategorier. Dessa kategorier har sedan använts för att finna skillnader samt likheter mellan ortopedingenjörens och patientens tolkningar. Patientmötens har spelats in för att få möjligheten att se vart missförstånd uppstått. Genomgående i resultatet var att ortopedingenjören anser sig ha förmedlat mer information än vad patienten beskriver under intervjuerna. Några missförstånd upptäcktes men kommunikationen mellan parterna var god.  

  • 3.
    Baek Larsen, Louise
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Elgmark Andersson, Elisabeth
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Tranberg, Roy
    Ortopeden, Sahlgrenska Universitetssjukhuset, Gothenburg University, Göteborg.
    Ramstrand, Nerrolyn
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics.
    Jämförande studie av Svensk polis rörelseförmåga vid användandet av bål och/eller bäcken fixerad utrustning2014Report (Other (popular science, discussion, etc.))
    Abstract [sv]

    Under det senaste decenniet har det blivit allt vanligare med arbetsrelaterade besvär hos uniformerad polis i yttre tjänst, främst är det besvär från nedre delen av ryggen som uppgetts. Hälsohögskolan i Jönköping har fått i uppdrag av Rikspolisstyrelsen att belysa och utreda den uppkomna problematiken. Två tidigare rapporter, Polisens fysiska arbetsmiljö och Polisens psykosociala miljö, har presenterats. I rapporten om polisens fysiska arbetsmiljö framkom en hög förekomst av besvär från muskler och leder, främst nedre delen av ryggen under förhållande med bärande av utrustningsbältet i kombination med mycket stillasittande i tjänstebilar. I den andra rapporten framkom att en stor del av poliserna arbetar treskift och i många fall långa arbetspass, vilket yttrar sig i att de har svårt att psykiskt återhämta sig, inte har tid för familj och vänner samt att de ofta upplever sig trötta. I den tredje och sammanfattande rapporten presenteras vilka bakomliggande variabler som påverkar den fysiska och psykosociala arbetsmiljön.

    Syftet med studien var att analysera vilka variabler och vilka kombinationer av variabler som påverkar den fysiska och psykosociala arbetsmiljön för uniformerad polis i yttre tjänst i Sverige. Rapporten baseras på 4244 enkätsvar från poliser i yttre uniformerad tjänst.

    Resultatet från föreliggande studie har visat att det finns skillnaden i besvärsfrekvens mellan myndigheterna när det gäller otillräcklig fysisk och psykisk återhämtning samt besvär ifrån nedre delen av ryggen. Orsakerna till skillnaden mellan myndigheterna är inte utredda. Studien har visat att besvärsfrekvensen ökar då det föreligger krav att arbeta på ett rullande treskiftsschema. Utifrån detta föreslår vi att man:

    • utför benchmarking av polismyndigheter för att öka förståelsen för de stora skillnader som förekommer

    • utvärderar olika modeller av schemaläggning avseende treskift

    • fortsätter arbetet med att utreda hur polisens uniform och kroppsburna utrustning, i kombination med bilsätets utformning, påverkar besvär från nedre delen av ryggen.

  • 4.
    Berg Lissel, Elin
    et al.
    Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics. Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Fredriksson, Erika
    Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics. Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Magnusson, Lina
    Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics. Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Living With A Physical Disability In Malawi: A Prosthetic And Orthotic Patient Perspective2013Conference paper (Refereed)
    Abstract [en]

    Introduction:Malawi is located in south-east Africa, 53% of the population live below the poverty line. Few studies have specifically investigated the situation for people with physical disabilities in Malawi. The aim of this study was to explore the opinions and feelings of how it is to live with a physical disability in Malawi from a prosthetic and orthotic patient perspective.

    Methods:A qualitative study using individual semi-structure interviews for data collection was performed with 16 patients, men and women with physical disabilities receiving services from the prosthetic and orthotic centre in Lilongwe, Malawi. Data were analysed using content analysis.

    Results:Six categories emerged from the data. People with physical disabilities felt independent and wanted to take care of themselves. They experienced mainly positive attitudes and encouragement from others. They had a positive view of life, but the disability affected their life situation. Contact with other people with physical disabilities was requested for support and experience-sharing. The major concern was work and the financial situation. Ability to work was important to meet basic needs and for the feeling of independence. Negative attitudes were a result of poor knowledge.

    DiscussionThe study showed a clear need of creating work opportunities specifically for people with physical disabilities, since having a job was found important for many reasons. Support programs profiled to help and strengthen people with physical disabilities in Malawi would be beneficial for them to access the labour market. Spreading knowledge and information about physical disabilities and orthopedic devices is a key issue to create a better understanding and to change people ́s attitudes.

    Conclusions:Work was important for the feeling of freedom, independence and for the self-image. Negative attitudes were uncommon, but when seen they were a result of poor knowledge about causes of disability and the situation for these people.

  • 5.
    Bæk Hansen, Nadia
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics.
    Jørgensen, Mia
    Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics.
    Indflydelsen af hyperhidrose på stumpen hos individer med amputation på de nedre ekstremiteter2017Independent thesis Basic level (degree of Bachelor), 10 HE creditsStudent thesis
    Abstract [en]

    Background: Sweating of the stump is a well-known problem which affects lower limb prosthetic users. The problem has not been investigated in Denmark. Therefore the aim of this study is to investigate the prevalence of sweat related problems, plus whether reasons like level of amputation, age, time since amputation etc., may affect hyperhidrosis in the socket in people with lower-limp amputations. The investigation is carried out by people who live in Denmark.

    Method: A questionnaire was used to investigate hyperhidrosis and the factors which may affect this. The questionnaire contained descriptive questions and the Hyperhidrosis Disease Severity Scale (HDSS).

    Results: In the present study 27 participants were included. 66,7 % of participants were affected by hyperhidrosis in their daily activities. The participants sweat significantly more in the summer season compared to the others seasons. 33,3 % had problems with the prosthetic fit because of sweating. Level of amputation, age, time since amputation, BMI and level of activity had no influence on hyperhidrosis.

    Conclusion: Sweating of the stump is a big problem for people with amputation in Denmark. Especially in the months of summer where sweating was reported as significantly worse when compared to other seasons. The reasons why people with amputation are affected by hyperhidrosis in the socket is still not clear. More research is therefore needed in this area.

  • 6. Cassel, Björn
    et al.
    Lundgren, Dan
    Karlsson, Dan
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics.
    Deflections of an implant-supported cantilever beam subjected to vertically directed loads: in vitro measurements in three dimensions using an optoelectronic method. I. Experimental set-up.2011In: Clinical Oral Implants Research, ISSN 0905-7161, E-ISSN 1600-0501, Vol. 22, no 3, p. 275-281Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this in vitro study was to develop and test an experimental set-up consisting of a video camera and computer-based optoelectronic motion analysis system, synchronized with a loading device, for studying load-dependent deflections in three dimensions of single implant-supported cantilever beams.

    Material and methods: One Brånemark System implant was tightly screwed into a steel plate so that the entire implant became submerged. An abutment was attached to the implant and a cast 22-mm-long cantilever gold alloy beam incorporating a prefabricated gold cylinder was attached to the abutment with a prosthetic gold screw. A force transducer was glued on the upper surface of the beam end with its centre 19.4 mm from the centre of the implant abutment gold cylinder unit to register the applied load. A specially designed loading device was used to apply increasing vertical loads of the beam end via the transducer. The motion analysis system was synchronized with the transducer to enable measurements of three-dimensional positional changes of the beam end related to known loads.

    Results: Vertical loads from 15.7 to 40.4 N were applied resulting in vertical positional changes of the beam end ranging from 40.8 to 225.2 μm (z-axis). The corresponding horizontal changes perpendicular to the long axis of the beam (y-axis) due to counterclockwise horizontal rotation of the beam around the abutment- and prosthetic cylinder threads varied from 7.4 to 77.4 μm. This rotation changed the position of the beam end from 11.9 to 49.3 μm along the x-axis of the coordinate system toward the supporting implant.

    Conclusion: It was possible to arrange an experimental set-up for optoelectronic 3-D measurements within such a limited measurement volume that would permit satisfactory registrations of small load-dependent deflections of the prosthetic beam and implant components.

  • 7. Cassel, Björn
    et al.
    Lundgren, Dan
    Karlsson, Dan
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics.
    Deflections of an implant-supported cantilever beam subjected to vertically directed loads: In vitro measurements in three dimensions using an optoelectronic method. II Analysis of methodological errors.2010In: Clinical Oral Implants Research, ISSN 0905-7161, E-ISSN 1600-0501, Vol. 22, no 6, p. 645-650Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to evaluate the accuracy, i.e. trueness (validity) and precision (repeatability) for load-dependent deflections in three dimensions of an implant-supported cantilever beam obtained with an optoelectronic motion analysis system compared with a well-known reference method.

    Materials and methods: A cantilever beam with a length of 22 mm (roughly corresponding to the width of two premolars) was screw-connected to an implant–abutment unit stiffly anchored in a steel plate. The positional changes of beam-end were measured when the beam-end step by step was subjected to four loads, 15.5–40.1 N. This measurement procedure was repeated to comprise six consecutive measurements. The trueness of the method was estimated by comparing the data obtained for vertical deflections with those from a reference method where a hydraulic test system was used to measure the load-deflection ratios of the same beam when subjected to the four mentioned vertical loads.

    Results: All applied transducer-mediated loads had accuracies (truenesses and repeatabilities below 0.05%). Also, the trueness and precision of the reference method, regarding both movements (deflections) of tested objects and magnitude of applied loads, were tested and found to be high, not exceeding 0.5%.

    The optoelectronic method however underestimated the smallest vertical deflections for the cantilever beam when compared with the data obtained from the reference method. The underestimation was 26.4%, 15.5% and 8.6% for loads 15.5, 26.6 and 32.6 N, respectively, while there was a slight overestimation of 1.2% for 40.1 N. The precision for the optoelectronic method was found to be for z-axis 1.8 μm, y-axis 3.8 μm and x-axis 1.9 μm.

    Conclusion: It can be concluded that the trueness (validity) for the optoelectronic method is very high for deflections above 143 μm. The precision (repeatability) of the optoelectronic method was found to be very high.

  • 8.
    Cassel, Björn
    et al.
    The Institute for Postgraduate Dental Education, Department of Periodontology, Jönköping.
    Lundgren, Dan
    The Institute for Postgraduate Dental Education, Department of Periodontology, Jönköping.
    Karlsson, Dan
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics.
    The influence of stiffness of implant-abutment connection on load-deflection ratios of a screw-retained stiff cantilever beam. 3-D measurements in vitro2013In: Clinical Oral Implants Research, ISSN 0905-7161, E-ISSN 1600-0501, Vol. 24, no 11, p. 1251-1256Article in journal (Refereed)
    Abstract [en]

    Aim: The purpose of this in vitro study was to investigate the influence of degree of stiffness of implant-abutment connection of a Brånemark implant system on load- deflection ratios in three dimensions of the beam-end of a screw-retained stiff cantilever beam when subjected to vertically directed loads.

    Material and methods: Two different implant-abutment connections were tested; welded and screw-retained. One of the abutments (EsthetiCone 2.0; Nobel Biocare AB) was screwed with a torque force of 20 N cm and then laser welded around its entire periphery to one of two Brånemark implants (welded unit). This unit and the other implant were tightly screwed into each of two pre-threaded holes in a steel plate so that the implants became submerged in the plate. The remaining abutment was thereafter screwed to its implant with a torque force of 20 N cm (screw-retained unit). A cantilevered gold beam of 6 mm height and width comprising a gold cylinder (Nobel Biocare AB) was attached to each abutment with a slotted, flat headed, prosthetic gold screw (torque force 10 N cm). A force transducer, synchronized with a 3-D motion analysis system, was glued on the upper surface of each beam-end 19.4 mm from the implant, to register the loads transferred from a specially built loading device. The beam-ends were stepwise subjected to vertically directed loads from 14.9 to 40.3 N and the vertical and horizontal deflections of the beam-ends were registered with the 3-D motion analysis system.

    Results: For load 14.9–40.3 N the vertical (z-axis) deflections of the beam-end were for the welded implant-abutment connection reduced with 18–46% compared with the screw-retained unit. After maximal loading (40.3 N) the horizontal counter-clockwise rotation of the beam around the screw joints (y-axis rotations) was reduced with 61% for the welded connection. The horizontal movements of the beam-end along the x-axis (x-axis deflections) were reduced with 49% at maximal loading.

    Conclusion: It was concluded that increased implant-abutment stiffness will substantially reduce both vertical and horizontal deflections of a screw-retained stiff cantilever beam subjected to vertically directed loads.

  • 9.
    Dranvik, Madeleine
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics.
    Nyholm, Hanna
    Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics.
    Jämförelse av två ankelortosers inversionsrestriktion före och efter fysisk aktivitet2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 10.
    Elgmark Andersson, Elisabeth
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Baek Larsen, Louise
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Tranberg, Roy
    Ortopeden, Sahlgrenska Universitetssjukhuset, Gothenburg University, Göteborg.
    Ramstrand, Nerrolyn
    Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics. Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Fysiska aspekter2013Report (Other (popular science, discussion, etc.))
  • 11.
    Elgmark Andersson, Elisabeth
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Baek Larsen, Louise
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Tranberg, Roy
    Ortopeden, Sahlgrenska Universitetssjukhuset, Gothenburg University, Göteborg.
    Ramstrand, Nerrolyn
    Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics. Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Psykosociala aspekter2014Report (Other (popular science, discussion, etc.))
  • 12.
    Fatone, Stefania
    et al.
    Northwestern University, Chicago, USA.
    Paul, Charlton
    Barnett, Cleveland
    Nottingham Trent University, UK.
    Ramstrand, Nerrolyn
    Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics. Jönköping University.
    Balancing Act: Exploring Clinical, Theoretical, and Evidence-Based Perspectives in the Optimization of Balance using orthoses in Peripheral Neuropathy2018In: Journal of Prosthetics and Orthotics, American Academy of Orthotists and Prosthetists 44th Academy Annual Meeting, 2018, Vol. 2, article id 0S9Conference paper (Other academic)
  • 13.
    Glemne, Maria
    et al.
    Ortopedteknik, Southern Älvsborg Hospital, Borås, Sweden.
    Ramstrand, Nerrolyn
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics.
    Crafoord, Jessica
    Ortopedteknik, Southern Älvsborg Hospital, Borås, Sweden.
    Nygren, Linus
    Ortopedteknik, Southern Älvsborg Hospital, Borås, Sweden.
    Preoperative characteristics and functional outcomes of lower limb amputees treated at Southern Älvsborg Hospital, Sweden2013In: Prosthetics and orthotics international, ISSN 0309-3646, E-ISSN 1746-1553, Vol. 37, no 4, p. 298-304Article in journal (Refereed)
    Abstract [en]

    Background:Within the prosthetics profession, there is a lack of evidence to support many clinical practices. It is therefore important that clinicians systematically document and evaluate their daily practices.Objectives:To record preoperative characteristics and functional outcomes for patients with a lower limb amputation and to investigate variations between prosthetic users and non-prosthetic users.Study Design:Prospective cohort study.Methods:A total of 23 patients (mean age = 80 years, standard deviation = 7.3) who underwent a major lower limb amputation were assessed within 2 weeks of admission and 6 months post-operatively. Locomotor Capabilities Index-5, the Timed-Up-and-Go Test and prosthetic use were used to evaluate functional outcomes.Results:A total of 13 participants (57%) received a prosthesis within 6 months of amputation. Mean time to prosthetic fitting was 48 days (range = 28-97). No statistically significant difference was found between prosthetic users and non-prosthetic users regarding age, time to rehabilitation and Locomotor Capabilities Index-5 (p > 0.05). Locomotor Capabilities Index-5 basic was significantly lower at 6 months than prior to amputation (p = 0.039).Conclusion:The functional outcome at 6 months indicates a sizable restriction in mobility among lower limb amputees. No variation in preoperative characteristics between prosthetic users and non-prosthetic users could be confirmed in this study.Clinical relevanceThis study highlights the need for prosthetists to better incorporate research findings into their daily practice and presents an example of how to implement a procedure for assessment and documentation of patients' functional outcomes in a clinical setting. Results confirm difficulties in identifying amputees who will become prosthetic users based on preoperative characteristics.

  • 14.
    Göbel, Katharina
    et al.
    Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics. Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Randboll Jensen, Katrine
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics.
    Magnusson, Lina
    Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics. Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Gosh, Ritu
    Mobility India Bangalore India.
    Quality Of Life Of Women With Disabilities Using Orthotic And Prosthetic Devices In South India2013Conference paper (Refereed)
    Abstract [en]

    Introduction:Women with disabilities living in developing countries generally suffer from triple discrimination because of their disability, gender and socio-economic position and are therefore assumed to have a lower Quality of Life (QoL). In the present study conducted in South India, women with lower-limb disabilities using orthotic or prosthetic devices were compared to non-disabled women.

    Method:119 participants. Socio-demographic data was collected and the WHOQOL-BREF in English and Kannada was used to measure QoL in four domains: physical, psychological, social relationships and environment.

    Results:No statistically significant differences (p > 0.05) were found in the mean scores of the four domains between the two groups. However, differences related to socio-demographic factors were found: The married test group had lower scores in the physical, psychological and environmental domains compared to the married control group. The test group with children had lower scores in the physical domain compared to the control group with children. Women in rural areas use their assistive devices far less than women living in the city, although no difference in device satisfaction was found.

    Discussion:QoL is not determined to be low when living with a physical disability. Marriage and life with children have a greater impact on the QoL of women with disabilities. Higher education levels might help to improve their status and enable full participation in society, underlining the importance of CBR work in this area. Though device satisfaction is quite high, taking environmental factors and women’s needs into consideration when developing assistive devices might increase daily use.

    Conclusion:Socio-demographic variables play a significant role in determining the QoL - education, income, marriage and children affect domain scores. Methodological constraints and the small sample size suggest further investigation.

  • 15.
    Hjálmarsson, Bjarki
    Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics.
    Can an insole measure torsion in two different types of prosthetic feet?2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

     

     

    Introduction: There have not been any prosthetic feet available that can match an intact foot in functionality. Little focus has been on research on prosthetic foot performance in frontal plane motions and while most have investigated sagittal plane motions.

    Background: Normal gait is an artform of falling, thus the intact anatomical foot needs to be capable of handling a wide-range of environments. A prosthesis is an external helping aid for amputees, therefore they lack the ability to adapt to different environments. Most of the researches on prosthetic feet have focused on the sagittal plane, which has limited understanding and literature towards frontal plane motions. In this study a relatively new insole measuring system was used, Vebitosolution. The Vebitosolution insole has five separate sensors. It’s made from a flexible, specially shaped material to allow the sensors to measure independently, and measures both bending and torsional moments.

    Aim: The aim of the study to investigate if the Vebitosolution system is capable of measure torsional moments in frontal plane during straight line walk in two different types of prosthetic feet.

    Method: The participants were two transtibial amputees of that used the same size and category foot. They walked in a straight line with two different prosthetic feet.

    Results: There was a statistical significant difference (P < 0,05) for all measurements except for one (P > 0,05).

    Discussion: The results give indications that the Vebitosolution system is capable in differentiating between two different types of prosthetic feet. There are also indications of both product and gait specific gait pattern, but further researches are needed.  This research is limited by its sample size and amount of measurements performed.

    Conclusion: The take-away from this research is that the Vebitosolution system might be capable of measuring differences in frontal plane moments in two different types of prosthetic feet.

  • 16. Jeleń, Piotr
    et al.
    Wit, Andrzej
    Dudziński, Krzysztof
    Nolan, Lee
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics.
    Expressing gait-line symmetry in able-bodied gait2008In: Dynamic Medicine, ISSN 1476-5918, Vol. 7, no 1, p. 17-Article in journal (Refereed)
    Abstract [en]

    ABSTRACT: BACKGROUND: Gait-lines, or the co-ordinates of the progression of the point of application of the vertical ground reaction force, are a commonly reported parameter in most in-sole measuring systems. However, little is known about what is considered a "normal" or "abnormal" gait-line pattern or level of asymmetry. Furthermore, no reference databases on healthy young populations are available for this parameter. Thus the aim of this study is to provide such reference data in order to allow this tool to be better used in gait analysis. METHODS: Vertical ground reaction force data during several continuous gait cycles were collected using a Computer Dyno Graphy in-sole system(R) for 77 healthy young able-bodied subjects. A curve (termed gait-line) was obtained from the co-ordinates of the progression of the point of application of the force. An Asymmetry Coefficient Curve (AsC) was calculated between the mean gait-lines for the left and right foot for each subject. AsC limits of +/- 1.96 and 3 standard deviations (SD) from the mean were then calculated. Gait-line data from 5 individual subjects displaying pathological gait due to disorders relating to the discopathy of the lumbar spine (three with considerable plantarflexor weakness, two with considerable dorsiflexor weakness) were compared to the AsC results from the able-bodied group. RESULTS: The +/- 1.96 SD limit suggested that non-pathological gait falls within 12-16% asymmetry for gait-lines. Those exhibiting pathological gait fell outside both the +/- 1.96 and +/- 3SD limits at several points during stance. The subjects exhibiting considerable plantarflexor weakness all fell outside the +/- 1.96SD limit from 30-50% of foot length to toe-off while those exhibiting considerable dorsiflexor weakness fell outside the +/- 1.96SD limit between initial contact to 25-40% of foot length, and then surpassed the +/- 3SD limit after 55-80% of foot length. CONCLUSION: This analysis of gait-line asymmetry provides a reference database for young, healthy able-bodied subject populations for both further research and clinical gait analysis. This information is used to suggest non-pathological gait-line asymmetry pattern limits, and limits where detailed case analysis is warranted.

  • 17.
    Jensen, Anne-Mette
    Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics. Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Effekten af Silversplints til personer med Ehlers-Danlos syndrom og hypermobilitet målt på håndfunktion og mentalt arbejde. Et crossover kontrolleret pilotstudie.2018Independent thesis Basic level (degree of Bachelor), 10 HE creditsStudent thesis
    Abstract [da]

    Introduktion: Silversplints til personer med hypermobil Ehlers-Danlos syndrom er blevet udbredt i Danmark, men der findes ingen dokumenteret evidens for fingerortoserne til denne målgruppe. Hypermobilitet gør simple greb krævende og indikerer, at personer med EDS bruger væsentligt mere mental opmærksomhed på simple håndbevægelser sammenlignet med raske personer.

    Formål: Formålet med studiet var at undersøge effekten af silversplints til personer med EDS og hypermobilitet målt på henholdsvis håndfunktion og den mentale arbejdsbyrde præfrontalt.

    Metode: 5 deltagere med EDS samt 5 matchede kontrolpersoner blev rekrutteret. Den relative koncentration af O2Hb og HHb præfrontalt blev målt med fNIRS under Box and Block testen samt 3 øvrige modificerede håndfunktionstest. Målinger af deltagerne med EDS blev foretaget under to konditioner; uden og med silversplints.

    Resultat: fNIRS målingerne viste en signifikant reducering af den relative O2Hb koncentration og en tilsvarende signifikant øgning af den relative HHb koncentration ved anvendelsen af silversplints kontra ingen ortoser. Box and Block testen viste en signifikant forskel ved de to konditioner, og mens skrivetesten demonstrerede en signifikant forskel mellem deltagerne med EDS og kontrolgruppen.

    Konklusion: Silversplints reducerer den mentale arbejdsbyrde ved personer med EDS.

  • 18. Johannesson, Anton
    et al.
    Larsson, Gert-Uno
    Ramstrand, Nerrolyn
    Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics.
    Lauge-Pedersen, Henrik
    Wagner, Philippe
    Atroshi, Isam
    Outcomes of a standardized surgical and rehabilitation program in transtibial amputation for peripheral vascular disease: a prospective cohort study2010In: American Journal of Physical Medicine & Rehabilitation, ISSN 0894-9115, E-ISSN 1537-7385, Vol. 89, no 4, p. 293-303Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To study the outcomes of a new surgical and rehabilitation program for initial unilateral transtibial amputation in patients with peripheral vascular disease. The program consists of sagittal incision, rigid dressing, compression therapy using silicone liner, and direct manufacturing prosthetic technique. DESIGN: A prospective cohort study with 1-yr follow-up. RESULTS: Of the 217 consecutive patients with peripheral vascular disease who underwent transtibial amputation (mean age, 77 yrs; 51% diabetic; 116 could walk before amputation), 119 (55%) were fitted with a prosthesis at a median time of 41 (range, 12-147) days after amputation. Of the prosthetic recipients, 76 (64%) obtained good function with the prosthesis within 6 mos. Within 1 yr, reamputation was performed on 8.2%, and contralateral amputation was performed on 5.5%. The 90-day mortality was 24% (53 patients). The total 1-yr mortality was 40% (86 patients): 17% among patients who received a prosthesis and 67% among those who did not receive a prosthesis or had undergone reamputation. CONCLUSIONS: Following this standardized surgical and rehabilitation program, prosthetic fitting was achieved in more than half of transtibial amputees, almost two-thirds of prosthetic recipients obtained good function, and the reamputation rate was low. Comparison with outcomes of alternative strategies is needed.

  • 19. Johannesson, Anton
    et al.
    Larsson, Gert-Uno
    Ramstrand, Nerrolyn
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics.
    Turkiewicz, Aleksandra
    Wiréhn, Ann-Britt
    Atroshi, Isam
    Incidence of Lower Limb Amputation in the Diabetic and Nondiabetic General Population: A 10-year population-based cohort study of initial unilateral and contralateral amputations and reamputations2009In: Diabetes Care, ISSN 0149-5992, E-ISSN 1935-5548, Vol. 32, no 2, p. 275-280Article in journal (Refereed)
    Abstract [en]

    Objective: To compare the incidence of vascular lower limb amputation (LLA) in the diabetic and nondiabetic general population. Research design & methods: A population-based cohort study was conducted in a representative Swedish region. All vascular LLA (at or proximal to transmetatarsal level) performed from 1997 through 2006 were consecutively registered and classified into initial unilateral amputation, contralateral amputation or re-amputation. The incidence rates were estimated in the diabetic and nondiabetic general population aged 45 years or older. Results: During the 10-year period, LLA was performed on 62 women and 71 men with diabetes and on 79 women and 78 men without diabetes. The incidence of initial unilateral amputation per 100,000 person-years (95% CI) was for diabetic women 192 (145-241) and for diabetic men 197 (152-244) and for nondiabetic women 22 (17-26) and for nondiabetic men 24 (19-29). The incidence increased from the age of 75 years. 74% of all amputations were transtibial. The incidence of contralateral amputation and of re-amputation per 100 amputee-years (95% CI) in diabetic women amputees was 15 (7-27) and 16 (8-28) and in diabetic men 18 (10-29) and 21 (12-32), respectively, and in nondiabetic women amputees were 14 (7-24) and 18 (10-28) and in men 13 (6-22) and 24 (15-35), respectively. Conclusions: In the general population aged 45 years or older the incidence of vascular lower limb amputation at or proximal to transmetatarsal level is 8 times higher in diabetic than in nondiabetic persons. One in four amputees may require contralateral amputation and/or re-amputation.

  • 20.
    Karlsson, Ellinor
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics.
    Medlöw, Ellen
    Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics.
    Knäkomponenters inverkan på livskvalité: En studie på individer med transfemoral amputation2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Purpose: The purpose of the study was to investigate if there is a difference in qualityof  life  (QoL)  between  individuals  with  a  transfemoral  amputation  usingmicroprocessor-controlled  knee  components  (MPK)  versus  mechanical  kneecomponents (Mech.).

    Design: Cross-sectional study

    Subjects: 14 prosthesis users with a unilateral transfemoral amputation  (10 men, 4women; 4 Mech., 10 MPK), amputated due to trauma, congenital reasons, infection ortumor and used the same prosthetic knee for at least one year.

    Method: To study QoL in the  population concerned a questionnaire was carriedout, including the RAND-36 and supplementary questions. The  participants  were divided into two groups with regard to the knee component to enable the results to be analyzed.

    Results: No significant difference in QoL were found between the groups. The largest differences were observed in physical (Mech.: 0 MPK: 50) and emotional (Mech.: 41.75MPK: 100) role function.

    Conclusion: The result of the study showed no significant difference in QoL between the groups. Furthermore, specific measuring instruments targeting individuals with amputation should be used to investigate quality of life in the population concerned.

  • 21. Katdare, K
    et al.
    Slavin, M
    Laughton, C
    Nolan, Lee
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics.
    Bean, J
    Kerrigan, DC
    Lipsitz, L
    Collins, JJ
    Motor Control Changes In Ambulatory Elderly2001In: Proceedings of American Society of Biomechanics. San Diego, August 8-11., 2001Conference paper (Other academic)
  • 22.
    Kerai, Kavita
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics.
    Roser, Louise
    Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics.
    Measuring function and mobility among clients with diabetes in Samoa2016Independent thesis Basic level (degree of Bachelor), 10 HE creditsStudent thesis
    Abstract [en]

    The aim of the thesis was to collect baseline data and to investigating suitable physical tests and a self-rapport questionnaire. Collected data was used to find a routine measurement when investigating foot health, function and mobility among clients suffering from diabetes in Samoa. Twenty-one participants suffering from diabetes were included in the study. Clients answered the Foot function index (FFI) questionnaire and performed physical tests, consisting of Bergs balance scale (BBS) and Time up and go (TUG). Results from the physical tests revealed a great balance disturbance and mobility limitations among the majority of the clients. General high weight and BMI was measured among both genders. Subjects with the highest BMI performed lowest time during TUG test. The statistic analyze revealed a strong correlation between the two physical tests, indicating that one of the tests could be applied as a routine measurement in the future, when evaluating function and mobility in Samoa. The compilation of self-report questionnaires indicated a general good foot health with a low amount of pain, disabilities and activity limitations.

  • 23.
    Kerrigan, DC
    et al.
    Jönköping University.
    Riley, PO
    Nolan, Lee
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics.
    Toe-walking: new perspectives2000In: Pediatric Gait: A New Millennium in Clinical Care and Motion Analysis Technology., Piscataway, NJ: IEEE Computer Society Press , 2000, p. 53-60Chapter in book (Other (popular science, discussion, etc.))
  • 24. Laughton, Carrie A
    et al.
    Slavin, Mary
    Katdare, Kunal
    Nolan, Lee
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics.
    Bean, Jonathan F
    Kerrigan, D Casey
    Phillips, Edward
    Lipsitz, Lewis A
    Collins, James J
    Aging, muscle activity, and balance control: physiologic changes associated with balance impairment.2003In: Gait & Posture, ISSN 0966-6362, E-ISSN 1879-2219, Vol. 18, no 2, p. 101-108Article in journal (Other academic)
  • 25.
    Lees, A
    et al.
    Jönköping University.
    Nolan, Lee
    Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics.
    The biomechanics of soccer: a review.1998In: Journal of Sports Sciences, ISSN 0264-0414, E-ISSN 1466-447X, Vol. 16, no 3, p. 211-234Article in journal (Other academic)
  • 26. Lees, Adrian
    et al.
    Nolan, Lee
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics.
    Three dimensional kinematic analysis of the instep kick under speed and accuracy conditions2002In: Science and Football IV, London: Routledge , 2002, p. 16-21Chapter in book (Other (popular science, discussion, etc.))
  • 27.
    Li, Yumeng
    et al.
    Department of Kinesiology, California State University, Chico, USA .
    Simpson, Kathy J.
    Department of Kinesiology, University of Georgia, Athens, USA .
    Nolan, Lee
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics.
    Miller, Marilyn
    Millsboro, USA .
    Johnson, Benjamin
    epartment of Kinesiology and Health Promotion, University of Kentucky, Lexington, USA.
    Lower extremity kinematics of curve sprinting displayed by runners using a transtibial prosthesis2018In: Journal of Sports Sciences, ISSN 0264-0414, E-ISSN 1466-447X, Vol. 36, no 3, p. 293-302Article in journal (Refereed)
    Abstract [en]

    The purpose of the study was to determine if the kinematics exhibited by skilled runners wearing a unilateral, transtibial prosthesis during the curve section of a 200-m sprint race were influenced by interaction of limb-type (prosthetic limb (PROS-L) vs. nonprosthetic limb (NONPROS-L)) and curve-side (inside and outside limb relative to the centre of the curve). Step kinematics, toe clearance and knee and hip flexion/extension, hip ab/adduction for one stride of each limb were generated from video of 13 males running the curve during an international 200 m transtibial-classified competition. Using planned comparisons (P < 0.05), limb-type and curve-side interactions showed shortest support time and lowest hip abduction displacement by outside-NONPROS-L; shortest step length and longest time to peak knee flexion by the inside-PROS-L. For limb-type, greater maximum knee flexion angle and lower hip extension angles and displacement during support and toe clearance of PROS-Ls occurred. For curve-side, higher hip abduction angles during non-support were displayed by inside-limbs. Therefore, practitioners should consider that, for curve running, these kinematics are affected mostly by PROS-L limitations, with no clear advantage of having the PROS-L on either side of the curve. 

  • 28.
    Lorentzen, Line Harboe
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics.
    Fleckner, Lisbeth Dauerhøj
    Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics.
    The effect on the self-selected gait velocity caused by the subjects’ position when walking on a self-paced dual-belt treadmill in a virtual reality environment while performing a color-word Stroop task: a pilot study2018Independent thesis Basic level (degree of Bachelor), 10 HE creditsStudent thesis
    Abstract [en]

    Background: When people walk while performing a cognitive dual-task, a decrease in gait velocity will occur because of the demand for some of the same cognitive resources. However, in a previous study they found an increase instead of a decrease in gait velocity when subjects walked on a self-paced treadmill while performing a color-word Stroop task. Aim: The aim of this study was to determine if the increase found in gait velocity in the previous study was a consequence of the subjects’ position. Additionally, it was investigated whether real-time feedback about the subjects’ position could substitute the lack of a reference point. Method: Position and gait velocity was measured in twelve healthy subjects during a trial consisting of eight control conditions and eight different interventions. Results: A significant difference was found in gait velocity between the interventions where the accelerations-line was moved furthest to the front and back (IzerolineA, IzerolineB) and in position between the original intervention and one with a neutral zone (Iorginal1, Ineutralzone). No differences were found in position or velocity with any of the feedback systems. Conclusion: From the results it could be concluded that the increase in gait velocity was a consequence of the subjects positioning themselves further in the forward direction on the treadmill. No conclusions could be drawn with the feedback systems.

  • 29.
    Magnusson, Lina
    Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics. Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Mobilitet och tillfredsställelse med ortopedtekniska hjälpmedel och relaterad ortopedteknisk service i Malawi och i Sierra Leone2014Conference paper (Refereed)
    Abstract [sv]

    Bakgrund: Malawi och Sierra Leone är låginkomstländer i södra och västra Afrika.

    Syfte: Att undersöka patienters mobilitet och tillfredsställelse med ortopedtekniska hjälpmedel för nedre extremiteten och relaterad ortopedteknisk service i Malawi och i Sierra Leone. Ett ytterligare syfte var att identifiera variabler som var associerade med patienternas tillfredsställelse av ortopedtekniska hjälpmedel för nedre extremiteten och tillhörandeortopedteknisk service.

    Metod: Självrapporterad data samlades in med hjälp av frågeformulär. 83 patienter i Malawi och 139 patienter i Sierra Leone besvarade frågorna. Patienterna representerade en av två ortopedtekniska verkstäder i Malawi och samtliga fyra ortopedtekniska verkständer i Sierra Leone.

    Resultat: Största delen av ortos och protes patienterna använde sina hjälpmedel, trots att ungefär hälften var trasisiga på något sätt och behövde repareras. Patienterna hade ofta ont när de använde sina ortoser och proteser. Patienterna hade god gångförmåga kortare sträckor och på jämt underlag. Patienterana hade svårigheter eller kunde inte alls gå på ojämnt underlag, upp och ner i backe och i trappor. Patienterna var ganska nöjda eller mycket nöjda med sina hjälpmedel och tillhörande ortopedteknisk service, men många problem rapporterades.

    Slutsats: Uppföljning och reparationerna av hjälpmedel var bristfälliga på grund av att patienter inte hade råd att transportera sig till ortopedteknisk verkstad för att reparationer. Patienterna gick och använde ortopedtekniska hjälpmedel tillverkade med lågpris teknologi i hög utsträckning. Patienterna hade ofta smärta och svårigheter att gå på ojämna och lutande underlag. De variabler som var associerade med patient tillfredsälleselse av ortoser och proteser för nedre extremiteten och relaterad ortopedteknisk service var förmågan att gå på ojämnt underlag och i vilken utsträckning proteserna och ortoserna var i behov av reparationer.

    Referenser: Magnusson L, Ahlström G, Ramstrand N, Fransson EI. Malawian Prosthetic and Orthotic Users’ Mobility and Satisfaction with their Lower – Limb Assistive Device.Journal of Rehabilitation Medicine 2013; 45: 385–391

    Magnusson L, Ramstrand N, Fransson EI, Ahlström G. Mobility and satisfaction with lower-limb prostheses and orthoses among users in Sierra Leone: a cross-sectional study.Journal of Rehabilitation Medicine. 2013; In Press

  • 30.
    Magnusson, Lina
    Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics. Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Prosthetic and Orthotic Services in Developing Countries2014Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Aim: The overall aim of this thesis was to generate further knowledge about prosthetic and orthotic services in developing countries. In particular, the thesis focused on patient mobility and satisfaction with prosthetic and orthotic devices, satisfaction with service delivery, and the views of staff regarding clinical practice and education.

    Methods: Questionnaires, including QUEST 2.0, were used to collect self-reported data from 83 patients in Malawi and 139 patients in Sierra Leone. In addition, 15 prosthetic/orthotic technicians in Sierra Leone and 15 prosthetists/orthotists in Pakistan were interviewed.

    Results: The majority of patients used their prosthetic or orthotic devices (90% in Malawi, and 86% in Sierra Leone), but half of the assistive devices in use needed repair. Approximately one third of patients reported pain when using their assistive device (40% in Malawi and 34% in Sierra Leone). Patients had difficulties, or could not walk at all, with their prosthetic and/or orthotic device in the following situations; uneven ground (41% in Malawi and 65% in Sierra Leone), up and down hills (78% in Malawi and 75% in Sierra Leone), on stairs (60% in Malawi and 66% in Sierra Leone). Patients were quite satisfied or very satisfied with their assistive device (mean 3.9 in Malawi and 3.7 in Sierra Leone out of 5) and the services provided (mean 4.4 in Malawi and 3.7 in Sierra Leone out of 5), (p<0.001), but reported many problems (418 comments made in Malawi and 886 in Sierra Leone). About half of the patients did not, or sometimes did not, have the ability to access services (71% in Malawi and 40% in Sierra Leone). In relation to mobility and service delivery, orthotic patients and patients using above-knee assistive devices in Malawi and Sierra Leone had the poorest results. In Sierra Leone, women had poorer results than men. The general condition of devices and the ability to walk on uneven ground and on stairs were associated with both satisfaction of assistive devices and service received. Professionals’ views of service delivery and related education resulted in four themes common to Sierra Leone and Pakistan: 1) Low awareness and prioritising of prosthetic and orthotic services; 2) Difficulty managing specific pathological conditions and problems with materials; 3) The need for further education and desire for professional development; 4) Desire for improvements in prosthetic and orthotic education. A further two themes were unique to Sierra Leone; 1) People with disabilities have low social status; 2) Limited access to prosthetic and orthotic services.

    Conclusion: High levels of satisfaction and mobility while using assistive devices were reported in Malawi and Sierra Leone, although patients experienced pain and difficulties when walking on challenging surfaces. Limitations to the effectiveness of assistive devices, poor comfort, and limited access to follow-up services and repairs were issues that needed to be addressed. Educating prosthetic and orthotic staff to a higher level was considered necessary in Sierra Leone. In Pakistan, prosthetic and orthotic education could be improved by modifying programme content, improving teachers’ knowledge, improving access to information, and addressing issues of gender equality.

  • 31.
    Magnusson, Lina
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics.
    Prosthetists/Orthotists Educational Experience & Professional Development in Pakistan2010Conference paper (Refereed)
  • 32.
    Magnusson, Lina
    et al.
    Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics. Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Ahlström, Gerd
    Lund University.
    Experiences of Providing Prosthetic and Orthotic Services In Sierra Leone - The Local Staff’s Perspective2013Conference paper (Refereed)
    Abstract [en]

    Introduction: In Sierra Leone, West Africa, there are many people with disabilities in need of rehabilitation services after a long civil war. The aim of this qualitative study was to explore the experiences of prosthetic and orthotic service delivery in Sierra Leone from the local staff’s perspective.

    Method: Fifteen prosthetic and orthotic technicians representing all the rehabilitation centres providing prosthetic and orthotic services in Sierra Leone were interviewed. The interviews were transcribed and subjected to latent content analysis.

    Results: One main theme emerged: Sense of inability to deliver high-quality prosthetic and orthotic services. This main theme was generated from eight sub-themes: Desire for professional development; Appraisals of work satisfaction and norms; Patients neglected by family; Limited access to the prosthetic and orthotic services available; Problems with materials and machines; Low public awareness concerning disabilities; Marginalisation in society and Low priority by the government.Discussion There is a need for educating more prosthetic and orthotic staff to a category I or II level in Sierra Leone. To increase access to prosthetic and orthotic services there is a need to focus on making materials available for the fabrication of prosthetic and orthotic devices and to facilitate transport for patients to reach the services.

    Conclusions:The findings illustrated traditional beliefs about the causes of disability and that the public’s attitudes need to change in order to include and assign value to people with disabilities. Support from international organizations was considered necessary as well as educating more prosthetic and orthotic staff to a higher level.

    Magnusson L, Gerd Ahlström G. Experiences of Providing Prosthetic and Orthotic Services in Sierra Leone — the Local Staff’s Perspective. Disability and Rehabilitation. Accepted for publication February 2012

  • 33.
    Magnusson, Lina
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics.
    Ahlström, Gerd
    Swedish Institute for Health Sciences, Lund University, Lund, Sweden.
    Experiences of providing prosthetic and orthotic services in Sierra Leone - the local staff's perspective2012In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 34, no 24, p. 2111-2118Article in journal (Refereed)
    Abstract [en]

    In Sierra Leone, West Africa, there are many people with disabilities in need of rehabilitation services after a long civil war. Purpose: The aim of this qualitative study was to explore the experiences of prosthetic and orthotic service delivery in Sierra Leone from the local staff’s perspective. Method: Fifteen prosthetic and orthotic technicians working at all the rehabilitation centres providing prosthetic and orthotic services in Sierra Leone were interviewed. The interviews were transcribed and subjected to latent content analysis. Results: One main theme emerged: sense of inability to deliver high-quality prosthetic and orthotic services. This main theme was generated from eight sub-themes: Desire for professional development; appraisals of work satisfaction and norms; patients neglected by family; limited access to the prosthetic and orthotic services available; problems with materials and machines; low public awareness concerning disabilities; marginalisation in society and low priority on the part of government. Conclusions: The findings illustrated traditional beliefs about the causes of disability and that the public’s attitude needs to change to include and value people with disabilities. Support from international organisations was considered necessary as well as educating more prosthetic and orthotic staff to a higher level.

  • 34.
    Magnusson, Lina
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics. Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Ahlström, Gerd
    Lunds universitet.
    Ramstrand, Nerrolyn
    Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics. Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Fransson, Eleonor
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Malawian prosthetic and orthotic users' mobility and satisfaction with their lower limb assistive device2013In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 45, no 4, p. 385-391Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To investigate patients’ mobility and satisfaction with their lower limb prosthetic or orthotic device and related service delivery in Malawi and to compare groups of patients regarding type and level of device and demographics.

    METHODS: Questionnaires were used to collect self-report data from 83 patients.

    RESULTS: Ninety percent of prostheses or orthoses were in use by patients, but approximately half of these needed repair. Thirty-nine percent reported pain when using their assistive device. The majority of patients were able to rise from a chair (77%), move around the home (80%), walk on uneven ground (59%) and travel by bus or car (56%). However, patients had difficulties walking up and down hills (78%) and stairs (60%). In general, patients were quite satisfied with their assistive device (mean of 3.9 out of 5) and very satisfied with the service provided (mean of 4.4 out of 5). Access to repairs and servicing were rated as most important, followed by durability and follow-up services. Lack of finances to pay for transport was a barrier to accessing the prosthetic and orthotic centre.

    CONCLUSION: Patients were satisfied with the assistive device and service received, despite reporting pain associated with use of the device and difficulties ambulating on challenging surfaces.

  • 35.
    Magnusson, Lina
    et al.
    Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics. Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Ahlström, Gerd
    Lund University.
    Ramstrand, Nerrolyn
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics.
    Fransson, Eleonor
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine.
    Malawian Prosthetic And Orthotic Users’ Performance And Satisfaction With Their Lower Limb Assistive Device2013Conference paper (Refereed)
    Abstract [en]

    Introduction: This study aimed to investigate patients’ performance and satisfaction with their lower limb prosthetic or orthotic device and their satisfaction with prosthetic and orthotic service delivery in Malawi.

    Method: Eighty-three patients participated in the study. Questionnaires were used to collect self- reported data.

    Result: Ninety per cent of prosthetic and orthotic devices were in use. Patients were quite satisfied with their device (mean score of 3.9 out of 5) and very satisfied with the service provided (mean score of 4.4 out of 5). The majority of patients were able to move around the home (80%), rise from a chair (77%), walk on uneven ground (59%) and travel by bus or car (56%). Patients had difficulties or could not walk at all on; stairs (60%) and hills (79%),Thirty-nine percent reported pain when using the assistive device. Forty-eight percent of the devices were in use but needed repairs and 10 % were never used or completely broken. Access to repairs and servicing were rated by patients as most important, followed by durability of the device and follow up services. Lack of finances to pay for transport was a common barrier to accessing the prosthetic and orthotic centre.

    Discussion: Prosthetic and orthotic devices can be further improved in order to accommodate for ambulation on uneven surfaces, hills and stairs, as well as increasing patients’ ability to walk long distances with reduced pain.

    Conclusion:Patients were satisfied with the device and service received and the majority of prosthetic and orthotic patients in this study reported increased mobility when using their assistive devices. However, patients reported pain associated with use of the device and difficulties were experienced when walking in hills and on stairs. Costs associated with transport to the prosthetic and orthotic facility prevented them from receiving follow-up and repair services

  • 36.
    Magnusson, Lina
    et al.
    Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics. Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Ramstrand, Nerrolyn
    Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics. Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Prosthetist/Orthotist Educational Experience & Professional Development in Pakistan2009In: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 4, no 6, p. 385-392Article in journal (Refereed)
    Abstract [en]

    PURPOSE: To explore areas in which the education at the Pakistan Institute of Prosthetic & Orthotic Science (PIPOS) could be improved or supplemented to facilitate clinical practice of graduates. To describe educational opportunities PIPOS graduates have had since their graduation and explore their further educational needs.

    METHOD: 15 graduates from PIPOS participated in semi-structured interviews. A qualitative content analysis was applied to the transcripts.

    FINDINGS: Respondents indicated a need to upgrade the education at PIPOS. This should include upgrading of resources such as literature and internet access as well as providing staff with the opportunity to further their own education. Females experienced inequality throughout their education but were supported by management. Upon entering the workforce graduates reported that they were supported by senior staff but experienced difficulties in determining appropriate prescriptions. They further indicated that a multidisciplinary approach to patient care is lacking. Graduates knowledge of workshop management was identified as a problem when entering the workforce. Limited awareness of the prosthetics and orthotics profession by both the general community and the medical community was also identified as a problem. If offered the opportunity to continue their studies the respondents would like to specialize. "Brain drain" was noted as a risk associated with post graduate education. Interaction from international collaborators and networking within the country was desired.

    CONCLUSION: The education at PIPOS meets a need in the country. Graduates indicated that P&O services for Pakistan can be better provided by modifying program content, upgrading teachers' knowledge, improving access to information and addressing issues of gender equality. PIPOS graduates have had limited opportunities for professional development and have a desire for further education.

  • 37.
    Magnusson, Lina
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics. Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Ramstrand, Nerrolyn
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics.
    Fransson, Eleonor
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Ahlström, Gerd
    Lund University.
    Mobility and satisfaction with lower-limb prostheses and orthoses among users in Sierra Leone: A cross-sectional study2014In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 46, no 5, p. 438-446Article in journal (Refereed)
    Abstract [en]

    Objectives: To investigate patients' mobility and satisfaction with their lower-limb prosthetic or orthotic device and related service delivery in Sierra Leone; to compare groups of patients regarding type and level of assistive device, gender, area of residence, income; and to identify factors associated with satisfaction with the assistive device and service. Methods: A total of 139 patients answered questionnaires, including the Quebec User Evaluation of Satisfaction with Assistive Technology questionnaire (QUEST 2.0). Results: Eighty-six percent of assistive devices were in use, but half needed repair. Thirty-three percent of patients reported pain when using their assistive device. Patients had difficulties or could not walk at all on: uneven ground (65%); hills (75%); and stairs (66%). Patients were quite satisfied with their assistive device and the service (mean 3.7 out of 5 in QUEST), but reported 886 problems. Approximately half of the patients could not access services. In relation to mobility and service delivery, women, orthotic patients and patients using above-knee assistive devices had the poorest results. The general condition of the assistive device and patients' ability to walk on uneven ground were associated with satisfaction with the assistive devices and service. Conclusion: Patients reported high levels of mobility while using their device although they experienced pain and difficulties walking on challenging surfaces. Limitations in the effectiveness of assistive devices and limited access to follow-up services and repairs were issues desired to be addressed.

  • 38.
    Magnusson, Lina
    et al.
    Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics. Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation.
    Ramstrand, Nerrolyn
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics.
    Fransson, Eleonor
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine.
    Ahlström, Gerd
    Lund University.
    Performance And Satisfaction With Assistive Devices Among Amputees And Polio Patients In Sierra Leone2013Conference paper (Refereed)
  • 39.
    Mlakar, Maja
    et al.
    University Rehabilitation Institute, Ljubljana, Slovenia.
    Ramstrand, Nerrolyn
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. Prosthetics and Orthotics.
    Burger, Helena
    University Rehabilitation Institute, Ljubljana, Slovenia.
    Vidmar, Gaj
    University Rehabilitation Institute, Ljubljana, Slovenia.
    Effect of custom-made and prefabricated orthoses on grip strength in persons with carpal tunnel syndrome2014In: Prosthetics and orthotics international, ISSN 0309-3646, E-ISSN 1746-1553, Vol. 38, no 3, p. 193-198Article in journal (Refereed)
    Abstract [en]

    Background: Based on the literature, patients with carpal tunnel syndrome are suggested to wear a custom-made wrist orthosis immobilizing the wrist in a neutral position. Many prefabricated orthoses are available on the market, but the majority of those do not assure neutral wrist position. Objectives: We hypothesized that the use of orthosis affects grip strength in persons with carpal tunnel syndrome in a way that supports preference for custom-made orthoses with neutral wrist position over prefabricated orthoses. Study design: Experimental. Methods: Comparisons of grip strength for three types of grips (cylindrical, lateral, and pinch) were made across orthosis types (custom-made, prefabricated with wrist in 20 degrees of flexion, and none) on the affected side immediately after fitting, as well as between affected side without orthosis and nonaffected side. Results: Orthosis type did not significantly affect grip strength (p = 0.661). Cylindrical grip was by far the strongest, followed by lateral and pinch grips (p < 0.050). The grips of the affected side were weaker than those of the nonaffected side (p = 0.002). Conclusions: In persons with carpal tunnel syndrome, neither prefabricated orthoses with 20 degrees wrist extension nor custom-made wrist orthoses with neutral wrist position influenced grip strength of the affected hand. Compared to the nonaffected side, the grips of the affected side were weaker. Clinical relevance The findings from this study can be used to guide application of orthoses to patients with carpal tunnel syndrome.

  • 40.
    Nolan, L
    et al.
    Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics.
    Lees, A
    An Investigation of Gait Characteristics During Walking for Above and Below Knee Amputees.1997Conference proceedings (editor) (Other (popular science, discussion, etc.))
  • 41.
    Nolan, L
    et al.
    Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics.
    Lees, ALake, MJKulkarni, J
    Shock and shock attenuation asymmetry during walking for above and below-knee amputees.1999Conference proceedings (editor) (Other (popular science, discussion, etc.))
  • 42.
    Nolan, Lee
    Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics.
    A TRAINING PROGRAMME TO IMPROVE HIP STRENGTH IN PERSONS WITH LOWER LIMB AMPUTATION2012In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 44, no 3, p. 241-248Article in journal (Refereed)
    Abstract [en]

    Objective: To investigate the effect of a 10-week training programme on persons with a lower limb amputation and to determine if this training is sufficient to enable running. Subjects: Seven transtibial, 8 transfemoral and 1 bilateral amputee (all resulting from trauma, tumour or congenital) were randomly assigned to a training (n = 8) or control group (n = 8). Methods: Isokinetic hip flexor and extensor strength at 60 and 120 degrees/s and oxygen consumption while walking at 1.0 m/s were tested pre- and post- a 10-week period. The training group followed a twice weekly hip strengthening programme, while the control group continued with their usual activities. Running ability was determined pretesting, and attempted after post-testing for the training group only. Results: The training group increased hip strength and decreased oxygen consumption. Six amputees who were previously unable to run were able to after training. The control group decreased intact limb hip extensor strength. Conclusion: The training programme is sufficient to improve hip strength and enable running in persons with a lower limb amputation. As hip strength was reduced in those not following the training programme, it is recommended that strength training be undertaken regularly in order to avoid losing limb strength following amputation.

  • 43.
    Nolan, Lee
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics.
    Carbon fibre prostheses and running in amputees: A review2008In: Foot and Ankle Surgery, ISSN 1268-7731, E-ISSN 1460-9584, Vol. 14, no 3, p. 125-129Article in journal (Refereed)
  • 44.
    Nolan, Lee
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics.
    Klara, färdiga ... spring!: En bok om att gå, motionera och idrotta med benprotes2007Book (Other (popular science, discussion, etc.))
  • 45.
    Nolan, Lee
    Jönköping University. Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics.
    Längdhopp för benamputerade2004In: Svensk Idrottsforskning: Organ för Centrum för Idrottsforskning, ISSN 1103-4629, Vol. 2, p. 13-16Article in journal (Other (popular science, discussion, etc.))
  • 46.
    Nolan, Lee
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics.
    Grigorenko, A
    Thorstensson, A
    Age and gender differences in postural control2004In: XVth Congress of the International society of electrophysiology & kinesiology, ISEK 2004: Boston, Ma. USA, June 18-21, 2004, Roma: Medimond international proceedings , 2004Conference paper (Other academic)
  • 47.
    Nolan, Lee
    et al.
    Jönköping University. Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics.
    Grigorenko, Anatoli
    Thorstensson, Alf
    Balance control: sex and age differences in 9- to 16-year-olds.2005In: Developmental Medicine & Child Neurology, ISSN 0012-1622, E-ISSN 1469-8749, Vol. 47, no 7, p. 449-454Article in journal (Refereed)
  • 48.
    Nolan, Lee
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics.
    Halvorsen, Kjartan
    Ground reaction forces during long jump take-off for transtibial amputees2007In: Proceedings of The XXV International Symposium on Biomechanics in Sports. August 32-27, Ouro Preto, Brazil, 2007Conference paper (Refereed)
  • 49.
    Nolan, Lee
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics.
    Kaczmarczyk, Katarzyna
    Factors affecting balance in stroke patients2006In: Abstracts of the 5th World Congress of Biomechanics: Journal of Biomechanics Vol 39 (Suppl 1), 2006, p. 30-Conference paper (Other academic)
  • 50.
    Nolan, Lee
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health Science, HHJ. Prosthetics and Orthotics.
    Kerrigan, D Casey
    Keep on your toes: gait initiation from toe-standing.2003In: Journal of Biomechanics, ISSN 0021-9290, E-ISSN 1873-2380, Vol. 36, no 3, p. 393-401Article in journal (Other academic)
12 1 - 50 of 98
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