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Sundelin, Gunnevi
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Publications (10 of 57) Show all publications
Blomqvist, S., Wester, A., Persson, E., Sundkvist, H., Sundelin, G. & Rehn, B. (2014). Postural stability, physical activity, aerobic capacity and their associations for young people with and without intellectual disabilities. European Journal of Adapted Physical Activity, 7(1), 22-30.
Open this publication in new window or tab >>Postural stability, physical activity, aerobic capacity and their associations for young people with and without intellectual disabilities
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2014 (English)In: European Journal of Adapted Physical Activity, ISSN 1803-3857, E-ISSN 1803-3857, Vol. 7, no 1, 22-30 p.Article in journal (Other academic) Published
Abstract [en]

Previous studies show that people with intellectual disability (ID) appear to have impaired postural stability, a lower level of physical activity, and lower aerobic capacity compared to persons without ID, limitations that could affect their health. This study investigates these physical functions and their associations in a group of young people with ID compared to an age-matched group without ID. In total, this cross-sectional study included 106 high school students (16-20 years): 57 students with mild to moderate ID and 49 agematched students without ID (control group). Tests were performed for postural stability, level of physical activity, and aerobic capacity. Both females and males with ID had significantly lower estimated maximum oxygen uptake (l O2/min) (p< 0.001 for females and p=0.004 for males) and a lower aerobic capacity expressed relative to body weight (ml O2/ kg*min) (p< 0.001 for females and p=0.012 for males) compared to age-matched peers. Analyses of associations were made using the Pearson’s correlation coefficient and multivariate linear regression analysis. No significant associations could be found. Physical status appears impaired for young people with ID and functions, such as postural stability, should be evaluated separately

Keyword
Mental retardation, physical capacity, motor activity, postural equilibrium, youth, teenage
National Category
Physiotherapy
Identifiers
urn:nbn:se:umu:diva-71233 (URN)
Available from: 2013-05-23 Created: 2013-05-23 Last updated: 2017-12-06Bibliographically approved
Merrick, D., Sundelin, G. & Stålnacke, B.-M. (2013). An observational study of two rehabilitation strategies for patients with chronic pain, focusing on sick leave at one-year follow-up. Journal of Rehabilitation Medicine, 45(10), 1049-1057.
Open this publication in new window or tab >>An observational study of two rehabilitation strategies for patients with chronic pain, focusing on sick leave at one-year follow-up
2013 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 45, no 10, 1049-1057 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To follow up 2 rehabilitation strategies for patients with chronic pain: a 2-day interdisciplinary team assessment followed by either (i) a 4-week outpatient multimodal rehabilitation programme, or (ii) a subsequent rehabilitation plan.

METHODS: After a 2-day interdisciplinary team assessment at our pain rehabilitation clinic, 296 consecutive patients were selected to undergo either multimodal rehabilitation programme (n = 76) or rehabilitation plan (n = 220). They completed questionnaires regarding beliefs about the future (only at assessment), Multidimensional Pain Inventory and sick leave, both at assessment, and at 1-year follow-up.

RESULTS: Both the rehabilitation plan and multimodal rehabilitation programme groups improved significantly as regards decreased sick leave and the Multidimensional Pain Inventory scales Pain severity, Interference, and Support. The multimodal rehabilitation programme group also improved significantly regarding Life control and Affective distress. For men, low disability level and for women a positive expectation about work was associated with no sick leave at follow-up.

CONCLUSION: The multimodal rehabilitation programme had long-term positive effects on sick leave and all Multidimensional Pain Inventory scales. However, a less intense intervention (rehabilitation plan) with follow-up in primary care can decrease levels of sick leave and improve some Multidimensional Pain Inventory scales. An interdisciplinary team assessment of patients with chronic pain seems to be useful for selecting which patients should undergo different rehabilitation interventions.

Place, publisher, year, edition, pages
Stiftelsen Rehabiliteringsinformation, 2013
Keyword
pain, sick leave, multimodal rehabilitation
National Category
Health Sciences
Identifiers
urn:nbn:se:umu:diva-83014 (URN)10.2340/16501977-1218 (DOI)24002413 (PubMedID)
Available from: 2013-11-15 Created: 2013-11-15 Last updated: 2017-12-06Bibliographically approved
Enberg, B., Sundelin, G. & Öhman, A. (2013). Work experiences among nurses and physicians in the beginning of their professional careers - analyses using the effort-reward imbalance model. Scandinavian Journal of Caring Sciences, 27(1), 36-43.
Open this publication in new window or tab >>Work experiences among nurses and physicians in the beginning of their professional careers - analyses using the effort-reward imbalance model
2013 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, ISSN 0283-9318, Vol. 27, no 1, 36-43 p.Article in journal (Refereed) Published
Abstract [en]

Work experiences among nurses and physicians in the beginning of their professional careers analyses using the effortreward imbalance model The aim of the study was to scrutinise how nurses and physicians, employed by the county councils in Sweden, assess their work environment in terms of effort and reward at the start of their career. The aim was also to estimate associations between work satisfaction and the potential outcomes from the effortreward imbalance (ERI) questionnaire. The study group, 198 nurses and 242 physicians who graduated in 1999, is a subsample drawn from a national cross-sectional survey. Data were collected in the third year after graduation among the nurses and in the fourth year after graduation among registered physicians. The effortreward imbalance questionnaire, together with a question on work satisfaction, was used to evaluate psychosocial factors at work. The results reveal that nurses scored higher on effort, lower on reward and experienced higher effortreward imbalance, compared with physicians. Women scored higher on work-related overcommitment (WOC) compared with men. Among the physicians, logistic regression analysis revealed a statistically significant association between WOC and ERI, sex, effort and reward. Logistic regression analysis also revealed a statistically significant association between WOC and ERI and between WOC and effort among the nurses. Dissatisfaction with work was significantly higher among those who scored worst on all three ERI subscales (effort, reward and WOC) and also among those with the highest ERI ratios compared with the other respondents. In conclusion, to prevent future work-related health problems and work dissatisfaction among nurses and physicians in the beginning of their professional careers, signs of poor psychosocial working conditions have to been taken seriously. In future work-related stress research among healthcare personnel, gender-specific aspects of working conditions must be further highlighted to develop more gender-sensitive analyses.

Keyword
nurses, physicians, county councils, work experiences, effortreward imbalance, healthcare, overcommitment, work satisfaction
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:umu:diva-67589 (URN)10.1111/j.1471-6712.2012.00997.x (DOI)000314819900006 ()
Available from: 2013-06-04 Created: 2013-03-25 Last updated: 2017-12-06Bibliographically approved
Sundelin, G. (2012). Editorial. Advances in Physiotherapy, 14(4), 141-145.
Open this publication in new window or tab >>Editorial
2012 (English)In: Advances in Physiotherapy, ISSN 1403-8196, E-ISSN 1651-1948, Vol. 14, no 4, 141-145 p.Article in journal, Editorial material (Refereed) Published
National Category
Physiotherapy
Identifiers
urn:nbn:se:umu:diva-63608 (URN)10.3109/14038196.2012.745332 (DOI)
Available from: 2013-01-08 Created: 2013-01-03 Last updated: 2017-12-06Bibliographically approved
Merrick, D., Sundelin, G. & Stålnacke, B.-M. (2012). One-year follow-up of two different rehabilitation strategies for patients with chronic pain. Journal of Rehabilitation Medicine, 44(9), 764-773.
Open this publication in new window or tab >>One-year follow-up of two different rehabilitation strategies for patients with chronic pain
2012 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 44, no 9, 764-773 p.Article in journal (Refereed) Published
Abstract [en]

Objective: To determine outcomes for 2 rehabilitation strategies for patients with chronic pain: a 2-day interdisciplinary team assessment followed by either: (i) a 4-week outpatient multimodal rehabilitation programme, or (ii) a subsequent rehabilitation plan. Methods: After a 2-day interdisciplinary team assessment at our pain rehabilitation clinic 296 consecutive patients were selected to either multimodal rehabilitation (n = 76) or rehabilitation plan (n = 220). They completed questionnaires regarding pain intensity (Visual Analogue Scale), disability (Disability Rating Index), life satisfaction (LiSat-11), anxiety and depression (Hospital Anxiety and Depression Scale) at assessment and again at 1-year follow-up. Results: Both groups showed significant improvements at 1-year follow-up regarding pain intensity. In addition, the multimodal rehabilitation group improved in the disability items ("light work" and "heavy work"), depression and life satisfaction ("leisure", "somatic health", and "psychological health"). In the rehabilitation plan group "somatic health" improved, although not statistically significant. Conclusion: This study indicates that multimodal rehabilitation may have long-term positive effects on pain, disability, depression and domains of life satisfaction. However, a minor intervention, rehabilitation plan with follow-up in primary care, can improve pain and "somatic health". Based on the biopsychosocial approach, an interdisciplinary assessment of patients with chronic pain seems to be of value for selecting patients to different rehabilitation interventions.

Keyword
pain, pain measurement, disability, patient satisfaction, cognitive therapy, behaviour therapy, interdisciplinary health teams, motivation
National Category
Physiotherapy
Identifiers
urn:nbn:se:umu:diva-61206 (URN)10.2340/16501977-1022 (DOI)000309149000009 ()
Note

Published in manuscript form in Daniel Merricks thesis.

Available from: 2012-11-08 Created: 2012-11-07 Last updated: 2017-12-07Bibliographically approved
Blomqvist, S., Wester, A., Sundelin, G. & Rehn, B. (2012). Test-retest reliability, smallest real difference and concurrent validity of six different balance tests on young people with mild to moderate intellectual disability. Physiotherapy, 98(4), 313-319.
Open this publication in new window or tab >>Test-retest reliability, smallest real difference and concurrent validity of six different balance tests on young people with mild to moderate intellectual disability
2012 (English)In: Physiotherapy, ISSN 0031-9406, E-ISSN 1873-1465, Vol. 98, no 4, 313-319 p.Article in journal (Refereed) Published
Abstract [en]

Objectives Some studies have reported that people with intellectual disability may have reduced balance ability compared with the population in general. However, none of these studies involved adolescents, and the reliability and validity of balance tests in this population are not known. The purpose of this study was to examine the reliability of six different balance tests and to investigate their concurrent validity.

Design Test-retest reliability assessment.

Settings All subjects were recruited from a special school for people with intellectual disability in Bollnas, Sweden.

Participants Eighty-nine adolescents (35 females and 54 males) with mild to moderate intellectual disability with a mean age of 18 years (range 16 to 20 years).

Interventions All subjects followed the same test protocol on two occasions within an 11-day period.

Main outcomes Balance test performances.

Results Intraclass correlation coefficients greater than 0.80 were achieved for four of the balance tests: Extended Timed Up and Go Test, Modified Functional Reach Test, One-leg Stance Test and Force Platform Test. The smallest real differences ranged from 12% to 40%; less than 20% is considered to be low. Concurrent validity among these balance tests varied between no and low correlation.

Conclusion The results indicate that these tests could be used to evaluate changes in balance ability over time in people with mild to moderate intellectual disability. The low concurrent validity illustrates the importance of knowing more about the influence of various sensory subsystems that are significant for balance among adolescents with intellectual disability.

(C) 2011 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.

Keyword
Postural balance, Functional reach, Timed up and go, ICC, Intellectual disability
National Category
Physiotherapy
Identifiers
urn:nbn:se:umu:diva-62147 (URN)10.1016/j.physio.2011.05.006 (DOI)000310580900007 ()
Available from: 2012-12-14 Created: 2012-12-10 Last updated: 2017-12-06Bibliographically approved
Bäcklund, C., Sundelin, G. & Larsson, C. (2011). Effect of a 1-year lifestyle intervention on physical activity in overweight and obese children. Advances in Physiotherapy, 13(3), 87-96.
Open this publication in new window or tab >>Effect of a 1-year lifestyle intervention on physical activity in overweight and obese children
2011 (English)In: Advances in Physiotherapy, ISSN 1403-8196, E-ISSN 1651-1948, Vol. 13, no 3, 87-96 p.Article in journal (Refereed) Published
Abstract [en]

This study evaluated the effect of a family-based multifactor intervention programme on physical activity among overweight or obese children. Children (n = 105, mean age 10.6 ± 1.07 years) with overweight or obesity were randomized into an intervention or control group. The intervention group participated in a 1-year programme aiming at lifestyle changes regarding food habits and physical activity. All children's physical activity was measured using SenseWear Armband at baseline and after 1 year. The children in both groups had a physical activity level (PAL) of 1.67 (0.27) at baseline. When comparing the intervention and control groups, no significant differences were found in physical activity outcome variables after 1 year of intervention. Contrarily to the hypotheses, both groups decreased their energy expenditure and time spent at >3 MET, and there was no change in steps and screen time after 1 year. Despite extensive efforts, the intervention showed no significant positive effect on overweight and obese children's PAL. Further studies are needed to obtain more knowledge on how to maintain or increase the PAL successfully among overweight and obese children.

Read More: http://informahealthcare.com/doi/abs/10.3109/14038196.2011.566353

Keyword
BMI, childhood, exercise, prevention
National Category
Other Social Sciences not elsewhere specified Physiotherapy
Research subject
Food and Nutrition
Identifiers
urn:nbn:se:umu:diva-37504 (URN)10.3109/14038196.2011.566353 (DOI)
Available from: 2010-11-05 Created: 2010-11-05 Last updated: 2017-12-12Bibliographically approved
Bäcklund, C., Sundelin, G. & Larsson, C. (2011). Effects on physical activity of a 2-year lifestyle intervention in overweight and obese children. Advances in Physiotherapy, 13(3), 97-109.
Open this publication in new window or tab >>Effects on physical activity of a 2-year lifestyle intervention in overweight and obese children
2011 (English)In: Advances in Physiotherapy, ISSN 1403-8196, E-ISSN 1651-1948, Vol. 13, no 3, 97-109 p.Article in journal (Refereed) Published
Abstract [en]

The aim was to examine the effect on physical activity of a 2-year family-based lifestyle intervention among overweight and obese Swedish children 8–12 years of age; 105 children were randomized to either intervention or control group. The intervention group was offered a 2-year lifestyle programme. Physical activity was measured using SenseWear Pro2 Armband during 4 consecutive days before and after the intervention. When comparing the intervention and control groups, no significant differences were found in the physical activity outcome variables after 2 years of intervention. However, the intervention group decreased their number of steps per day by 13%, p = 0.003 but had an unchanged screen time, whereas the control group had an unchanged number of steps but increased their screen time by 15%, p = 0.02, from baseline to 2-year measurement. There were no significant change in the intervention group, whereas significantly fewer children in the control group achieved the physical activity recommendations at 2-year measurement (88%) compared with at baseline (98%), p = 0.007. Future interventions regarding physical activity among overweight and obese children are of great importance even though the present one showed limited effects. In the continuing work, a greater effect may be received with an extended and more intense intervention regarding physical activity, focusing on reducing sedentary time rather than increasing the physical activity level.

Read More: http://informahealthcare.com/doi/abs/10.3109/14038196.2011.562540

Keyword
BMI, childhood, exercise habits, prevention
National Category
Other Social Sciences not elsewhere specified Physiotherapy
Research subject
Food and Nutrition
Identifiers
urn:nbn:se:umu:diva-37507 (URN)10.3109/14038196.2011.562540 (DOI)
Available from: 2010-11-05 Created: 2010-11-05 Last updated: 2017-12-12Bibliographically approved
Bäcklund, C., Sundelin, G. & Larsson, C. (2011). Evaluation of 2-year family-based lifestyle intervention regarding physical activity among children with overweight and obesity. Paper presented at The 16th international world confederation for physical therapy, 20-23 June 2011, Amsterdam, the Netherlands. .
Open this publication in new window or tab >>Evaluation of 2-year family-based lifestyle intervention regarding physical activity among children with overweight and obesity
2011 (English)Conference paper, Published paper (Refereed)
National Category
Nutrition and Dietetics
Research subject
Food and Nutrition
Identifiers
urn:nbn:se:umu:diva-43684 (URN)
Conference
The 16th international world confederation for physical therapy, 20-23 June 2011, Amsterdam, the Netherlands
Available from: 2011-05-05 Created: 2011-05-05 Last updated: 2011-09-27Bibliographically approved
Janaudis-Ferreira, T., Sundelin, G. & Wadell, K. (2010). Comparison of the 6-minute walk distance test performed on a non-motorised treadmill and in a corridor in healthy elderly subjects. Physiotherapy, 96(3), 234-239.
Open this publication in new window or tab >>Comparison of the 6-minute walk distance test performed on a non-motorised treadmill and in a corridor in healthy elderly subjects
2010 (English)In: Physiotherapy, ISSN 0031-9406, E-ISSN 1873-1465, Vol. 96, no 3, 234-239 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To compare the 6-minute walk distance (6MWD) test performed on a non-motorised treadmill (6MWD-T) with the 6MWD test performed in a corridor (6MWD-C) in healthy elderly subjects.

PARTICIPANTS: Sixteen healthy elderly individuals.

DESIGN: Participants performed three 6MWD-T tests and three 6MWD-C tests on two different days.

OUTCOME MEASURES: Distance walked was recorded in metres. Perceived exertion and leg fatigue were rated on the modified Borg scale before and after each test.

RESULTS: Using the Bland and Altman limits of agreement analysis method, the mean difference between the two methods was 153.3m (limits of agreement: 28 to 278). The mean difference between days 1 and 2 for the 6MWD-C test was -7.2m (limits of agreement: -45.4 to 30.8), and the mean difference between days 1 and 2 for the 6MWD-T test was -1.6m (limits of agreement: -64.0 to 60.7). The mean difference between the first and second repetitions of the 6MWD-C test was -5m (limits of agreement: -41 to 31), and the mean difference between the first and second repetitions of the 6MWD-T test was -17m (limits of agreement: -85 to 51).

CONCLUSIONS: The 6MWD-C and 6MWD-T tests are not interchangeable. However, the results showed good test-retest reliability between days and between test repetitions for both tests. Therefore, the 6MWD-T test may offer an alternative option to the 6MWD-C test when a 30-m corridor is not available. These findings may have implications for execution of the 6MWT-T test within cardiac and pulmonary rehabilitation.

National Category
Physiotherapy
Research subject
Physiotherapy
Identifiers
urn:nbn:se:umu:diva-35569 (URN)10.1016/j.physio.2009.11.015 (DOI)000281889800008 ()20674656 (PubMedID)
Available from: 2010-08-24 Created: 2010-08-24 Last updated: 2017-12-12Bibliographically approved
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