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Degerstedt, F., Enberg, B., Ng, N., Keisu, B.-I. & Björklund, M. (2025). Quality of life, physical activity, and social determinants in teenagers with cerebral palsy: a cross-sectional study in Sweden. Disability and Health Journal, Article ID 101785.
Open this publication in new window or tab >>Quality of life, physical activity, and social determinants in teenagers with cerebral palsy: a cross-sectional study in Sweden
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2025 (English)In: Disability and Health Journal, ISSN 1936-6574, E-ISSN 1876-7583, article id 101785Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background: The associations between physical activity and various social determinants with quality of life (QoL) among teenagers with cerebral palsy (CP) are inconclusive.

Objective: To explore associations between perceived QoL among teenagers with CP in Sweden and participation in physical leisure activity and physical education in school, as well as sex, gross motor function, pain and bother, caregivers’ birth country and socioeconomic status.

Methods: A cross-sectional study with teenagers who have CP, aged 15–18 years. The survey, including the assessment form Cerebral Palsy Quality of Life-teenager (CP QoL-teen), was sent to all youths in the national patient registry held by the Swedish National Board of Health and Welfare (n = 900). Survey data was complemented with data from other national health registries containing information on demographics, physical leisure activity, physical education, and gross motor function. Multivariable linear- and quantile regression analyses were performed.

Results: The survey was answered by 149 participants. Physical leisure activity was positively associated with the QoL-domain Communication and physical health. Gross motor function was associated with domains referring to physical function and participation; more severe motor difficulties indicated lower QoL. Pain was negatively associated with all QoL domains. Low caregiver educational levels were associated with higher social well-being domain.

Conclusion: Minimizing pain and facilitating physical activity may enhance QoL for teenagers who have CP. To improve participation for teenagers with severe disabilities, with non-Nordic caregivers, and caregivers without postgraduate education, targeted measures to facilitate participation are needed.

Place, publisher, year, edition, pages
Elsevier, 2025
Keywords
Cerebral palsy, Educational level, Leisure, Pain, Physical education, Quality of life
National Category
Epidemiology Public Health, Global Health and Social Medicine
Identifiers
urn:nbn:se:umu:diva-235848 (URN)10.1016/j.dhjo.2025.101785 (DOI)2-s2.0-85217933203 (Scopus ID)
Funder
Stiftelsen drottning Silvias jubileumsfond
Available from: 2025-02-25 Created: 2025-02-25 Last updated: 2025-02-25
Oxfeldt, M., Tegner, H., Björklund, M. & Christensen, J. (2024). Danish short form Örebro musculoskeletal pain screening questionnaire: translation, cross-cultural adaptation, and evaluation of measurement properties. Journal of Back and Musculoskeletal Rehabilitation, 37(6), 1529-1536
Open this publication in new window or tab >>Danish short form Örebro musculoskeletal pain screening questionnaire: translation, cross-cultural adaptation, and evaluation of measurement properties
2024 (English)In: Journal of Back and Musculoskeletal Rehabilitation, ISSN 1053-8127, E-ISSN 1878-6324, Vol. 37, no 6, p. 1529-1536Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Low back pain (LBP) is the leading cause of disability and an increasing sick leave in Denmark. Psychosocial risk factors have been linked to the development of LBP-related disability and work-absenteeism. The short form Örebro Musculoskeletal Pain Screening Questionnaire (ÖMPSQ-sf) was developed to screen for psychosocial risk factors and assess the risk of long-term disability and work-absenteeism.

OBJECTIVE: To translate and cross-culturally adapt ÖMPSQ-sf into Danish and evaluate test-retest reliability with relative and absolute reliability and internal consistency in LBP-patients in a secondary setting.

METHODS: A six-step translation and cross-culturally adaptation process was used. Forty-four patients with subacute and chronic LBP were recruited at an outpatient clinic.

RESULTS: Test-retest reliability (n= 37) was found to be excellent (ICC2.1= 0.92), Internal Consistency (n= 44) was adequate (Cronbach's alpha = 0.72). Absolute reliability included Standard Error of Measurement (SEM = 3.97 points), 95% Limits of Agreement (95% LOA = 0.08, -15.90-15.74), and Smallest Detectable Change (SDC = 10.87 points).

CONCLUSION: The Danish ÖMPSQ-sf showed acceptable measurements properties in subacute and chronic LBP-patients. Further research is needed to assess other measurement properties of the ÖMPSQ-sf, in relation to validity, responsiveness, and the predictive ability before application in research or clinical practice.

Place, publisher, year, edition, pages
IOS Press, 2024
Keywords
disability, Low back pain, psychosocial risk factors, reliability, work absenteeism, Örebro questionnaire
National Category
Physiotherapy
Identifiers
urn:nbn:se:umu:diva-232283 (URN)10.3233/BMR-230363 (DOI)001385687200011 ()38968042 (PubMedID)2-s2.0-85209828341 (Scopus ID)
Available from: 2024-11-28 Created: 2024-11-28 Last updated: 2025-04-24Bibliographically approved
Grinberg, A., Strong, A., Strandberg, J., Selling, J., Liebermann, D. G., Björklund, M. & Häger, C. K. (2024). Electrocortical activity associated with movement-related fear: a methodological exploration of a threat-conditioning paradigm involving destabilising perturbations during quiet standing. Experimental Brain Research, 242(8), 1903-1915
Open this publication in new window or tab >>Electrocortical activity associated with movement-related fear: a methodological exploration of a threat-conditioning paradigm involving destabilising perturbations during quiet standing
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2024 (English)In: Experimental Brain Research, ISSN 0014-4819, E-ISSN 1432-1106, Vol. 242, no 8, p. 1903-1915Article in journal (Refereed) Published
Abstract [en]

Musculoskeletal trauma often leads to lasting psychological impacts stemming from concerns of future injuries. Often referred to as kinesiophobia or re-injury anxiety, such concerns have been shown to hinder return to physical activity and are believed to increase the risk for secondary injuries. Screening for re-injury anxiety is currently restricted to subjective questionnaires, which are prone to self-report bias. We introduce a novel approach to objectively identify electrocortical activity associated with the threat of destabilising perturbations. We aimed to explore its feasibility among non-injured persons, with potential future implementation for screening of re-injury anxiety. Twenty-three participants stood blindfolded on a translational balance perturbation platform. Consecutive auditory stimuli were provided as low (neutral stimulus [CS]) or high (conditioned stimulus [CS+]) tones. For the main experimental protocol (Protocol I), half of the high tones were followed by a perturbation in one of eight unpredictable directions. A separate validation protocol (Protocol II) requiring voluntary squatting without perturbations was performed with 12 participants. Event-related potentials (ERP) were computed from electroencephalography recordings and significant time-domain components were detected using an interval-wise testing procedure. High-amplitude early contingent negative variation (CNV) waves were significantly greater for CS+ compared with CS– trials in all channels for Protocol I (> 521-800ms), most prominently over frontal and central midline locations (P ≤ 0.001). For Protocol II, shorter frontal ERP components were observed (541-609ms). Our test paradigm revealed electrocortical activation possibly associated with movement-related fear. Exploring the discriminative validity of the paradigm among individuals with and without self-reported re-injury anxiety is warranted.

Place, publisher, year, edition, pages
Springer Nature, 2024
Keywords
CNV, EEG, ERP, Kinesiophobia, Moving platform, Re-injury anxiety
National Category
Neurology Physiotherapy Sport and Fitness Sciences
Identifiers
urn:nbn:se:umu:diva-227914 (URN)10.1007/s00221-024-06873-0 (DOI)001251688200002 ()38896295 (PubMedID)2-s2.0-85196275390 (Scopus ID)
Funder
Swedish Research Council, 2016-02763Swedish Research Council, 2017‐00892Swedish Research Council, 2022-00774Region Västerbotten, VLL-358901Region Västerbotten, 7002795Region Västerbotten, RV966109Region Västerbotten, 2022–2024Region Västerbotten, RV 967112Region Västerbotten, 2022–2024Swedish National Centre for Research in Sports, FO‐2018‐0034Swedish National Centre for Research in Sports, FO-2019-00082Swedish National Centre for Research in Sports, 2020/9 P2020-0035Swedish National Centre for Research in Sports, 2021/9 P2022Swedish National Centre for Research in Sports, 2022/10 P2023-003The Kempe Foundations
Available from: 2024-07-19 Created: 2024-07-19 Last updated: 2025-02-11Bibliographically approved
Diarbakerli, E., Thoreson, O., Björklund, M., Dahlberg, L. E., Englund, M., Gerdhem, P., . . . Abbott, A. (2024). Swedish musculoskeletal researchers view on a collaborative network and future research priorities in Swedish healthcare. Musculoskeletal Care, 22(1), Article ID e1865.
Open this publication in new window or tab >>Swedish musculoskeletal researchers view on a collaborative network and future research priorities in Swedish healthcare
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2024 (English)In: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681, Vol. 22, no 1, article id e1865Article in journal (Refereed) Published
Abstract [en]

Background: Musculoskeletal disorders (MSK) are a global burden causing significant suffering and economic impact. Systematic identification and targeting of research questions of highest interest for stakeholders can aid in improving MSK disorder knowledge and management.

Objective: To obtain Swedish MSK researchers' opinions and views on a collaborative Swedish MSK network (SweMSK) and identify future research areas of importance for Swedish MSK research.

Methods: A web-based survey was conducted July to September 2021 to collect data from 354 Swedish MSK researchers. The survey focused on the need, objectives, and structure of a SweMSK network and identified prioritised areas for future MSK research.

Results: The study included 141 respondents, of which 82 were associate professors or professors. The majority (68%) supported the creation of a new musculoskeletal network. The most supported element was increased collaboration regarding nationwide and multicenter studies. Respondents recommended the creation of a homepage and the establishment of national work groups with different specific interests as the primary elements of a new network.

Conclusion: The results demonstrated a need and desire for increased national research collaboration and the creation of a new musculoskeletal network. The high academic experience and active research participation of the respondents suggest the need for MSK disorder knowledge and management improvement in Sweden. Therefore, the SweMSK network may help facilitate effective collaboration and research efforts that can contribute to the advancement of MSK disorder management and care. This study may provide valuable insights for policymakers, clinicians, and researchers to improve MSK disorder care and management in Sweden.

Place, publisher, year, edition, pages
John Wiley & Sons, 2024
Keywords
clinical study, musculoskeletal, network, pain, researcher, survey
National Category
Orthopaedics Public Health, Global Health and Social Medicine
Identifiers
urn:nbn:se:umu:diva-221116 (URN)10.1002/msc.1865 (DOI)001158247800001 ()2-s2.0-85184404909 (Scopus ID)
Funder
Swedish Research Council, 2019‐06101
Available from: 2024-02-23 Created: 2024-02-23 Last updated: 2025-02-20Bibliographically approved
Bergqvist, M., Möller, M. C., Björklund, M., Borg, J. & Palmcrantz, S. (2023). The impact of visuospatial and executive function on activity performance and outcome after robotic or conventional gait training, long-term after stroke—as part of a randomized controlled trial. PLOS ONE, 18(3), Article ID e0281212.
Open this publication in new window or tab >>The impact of visuospatial and executive function on activity performance and outcome after robotic or conventional gait training, long-term after stroke—as part of a randomized controlled trial
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2023 (English)In: PLOS ONE, E-ISSN 1932-6203, Vol. 18, no 3, article id e0281212Article in journal (Refereed) Published
Abstract [en]

Introduction: Visuospatial and executive impairments have been associated with poor activity performance sub-acute after stroke. Potential associations long-term and in relation to outcome of rehabilitation interventions need further exploration.

Aims: To explore associations between visuospatial and executive function and 1) activity performance (mobility, self-care and domestic life) and 2) outcome after 6 weeks of conventional gait training and/or robotic gait training, long term (1–10 years) after stroke.

Methods: Participants (n = 45), living with stroke affecting walking ability and who could perform the items assessing visuospatial/executive function included in the Montreal Cognitive Assessment (MoCA Vis/Ex) were included as part of a randomized controlled trial. Executive function was evaluated using ratings by significant others according to the Dysexecutive Questionnaire (DEX); activity performance using 6-minute walk test (6MWT), 10-meter walk test (10MWT), Berg balance scale, Functional Ambulation Categories, Barthel Index and Stroke Impact Scale.

Results: MoCA Vis/Ex was significantly associated with baseline activity performance, long-term after stroke (r = .34-.69, p < .05). In the conventional gait training group, MoCA Vis/Ex explained 34% of the variance in 6MWT after the six-week intervention (p = 0.017) and 31% (p = 0.032) at the 6 month follow up, which indicate that a higher MoCA Vis/Ex score enhanced the improvement. The robotic gait training group presented no significant associations between MoCA Vis/Ex and 6MWT indicating that visuospatial/executive function did not affect outcome. Rated executive function (DEX) presented no significant associations to activity performance or outcome after gait training.

Conclusion: Visuospatial/executive function may significantly affect activity performance and the outcome of rehabilitation interventions for impaired mobility long-term after stroke and should be considered in the planning of such interventions. Patients with severely impaired visuospatial/executive function may benefit from robotic gait training since improvement was seen irrespective of visuospatial/executive function. These results may guide future larger studies on interventions targeting long-term walking ability and activity performance.

Place, publisher, year, edition, pages
Public Library of Science, 2023
National Category
Physiotherapy Neurology
Identifiers
urn:nbn:se:umu:diva-205802 (URN)10.1371/journal.pone.0281212 (DOI)000949067800050 ()36893079 (PubMedID)2-s2.0-85149781296 (Scopus ID)
Funder
Swedish Research CouncilRegion StockholmThe Swedish Brain FoundationPromobilia foundationThe Swedish Stroke Association
Available from: 2023-03-20 Created: 2023-03-20 Last updated: 2025-02-11Bibliographically approved
Grinberg, A., Strong, A., Strandberg, J., Selling, J., Liebermann, D. G., Björklund, M. & Häger, C. (2022). An electroencephalography-based approach to evaluate movement-related anxiety in physically active adults and following anterior cruciate ligament injury. In: : . Paper presented at Society for Neuroscience 2022 Meeting, San Diego, Carliforna, USA, November 12-16, 2022. , Article ID 84186.
Open this publication in new window or tab >>An electroencephalography-based approach to evaluate movement-related anxiety in physically active adults and following anterior cruciate ligament injury
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2022 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Background: Psychophysiological consequences often persist following musculoskeletal trauma and can result in vastly decreased quality of life. Re-injury anxiety is particularly common among individuals following anterior cruciate ligament (ACL) injury. Existing assessments of re-injury anxiety are, however, restricted to subjective suboptimal questionnaires, which may result in under-reporting and thus poorer injury management. We propose a novel approach to objectively quantify arousal response to movement-related anxiety. A new experimental paradigm was implemented to induce and record a conditioned electrophysiological response to a sudden perturbation, experienced to be potentially injurious.

Objective: To explore the feasibility of detecting anxiety-associated electrocortical response and to evaluate its discriminative ability between asymptomatic individuals and those who had experienced an ACL injury.

Methods: Physically-active asymptomatic persons and individuals post-ACL reconstruction stood blindfolded on a perturbation platform capable of generating high-acceleration translations (1.5 m/s2). Auditory stimuli were repeatedly presented in four-second intervals, as either low- or high-frequency tones. Half of the high-frequency tones were followed 1.5 seconds later by a destabilizing perturbation in one of eight randomized directions. The two tone conditions were thus termed ‘Neutral’ and ‘Anxiety’, as the high-frequency tone was intended to invoke an arousal response in anticipation of a potential perturbation. Event-related potentials (ERP) were computed for nine electrodes by averaging 100 Neutral and 100 Anxiety trials. Significant ERP components were identified using functional data analysis. Paired difference-waves’ amplitudes (Neutral - Anxiety) were compared between groups.

Results: ERP correlates of anxiety were detected for both groups in frontal and central midline locations, with an observable contingent negative variation (CNV) from 500 ms post-stimulus in Anxiety compared with Neutral trials. This ERP component is reflective of a threat-induced arousal response, associated with attention and expectancy of an anxiety-relevant event. Preliminary data indicate no group differences in CNV amplitudes.

Conclusions: Objective evaluation of an arousal response to movement-related anxiety was found to be feasible, resulting in a threat-induced CNV. Further investigation will elucidate the discriminative power of such an approach to differentiate between individuals with high and low re-injury anxiety, as well as potential associations with existing patient-reported outcome measures.

National Category
Health Sciences Psychology
Research subject
Physiotherapy
Identifiers
urn:nbn:se:umu:diva-223317 (URN)
Conference
Society for Neuroscience 2022 Meeting, San Diego, Carliforna, USA, November 12-16, 2022
Available from: 2024-04-12 Created: 2024-04-12 Last updated: 2024-04-15Bibliographically approved
Diarbakerli, E., Thoreson, O., Björklund, M., Dahlberg, L. E., Englund, M., Gerdhem, P., . . . Abbott, A. (2022). Learning from the past to plan for the future: a scoping review of musculoskeletal clinical research in Sweden 2010-2020. Upsala Journal of Medical Sciences, 127(1), Article ID e8709.
Open this publication in new window or tab >>Learning from the past to plan for the future: a scoping review of musculoskeletal clinical research in Sweden 2010-2020
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2022 (English)In: Upsala Journal of Medical Sciences, ISSN 0300-9734, E-ISSN 2000-1967, Vol. 127, no 1, article id e8709Article, review/survey (Refereed) Published
Abstract [en]

Background: The aims of this study are to 1) determine the scope of musculoskeletal (MSK)-related clinical research in Sweden; 2) collate the amount of first-tier funding received; 3) discuss strategies and infrastructure supporting future MSK clinical trials in Sweden.

Methods: A systematic scoping review protocol was applied in PubMed, Scopus, and SweCRIS databases. The articles were examined, and data were extracted in multiple stages by three blinded authors.

Results: The search strategy resulted in 3,025 publications from 479 Swedish-affiliated authors. Primary health care was the basis for 14% of the publications, 84% from secondary health care, and 2% from occupational health care with a similar proportional distribution of first-tier research grant financing. Approximately one in six publications were randomized controlled trials (RCTs), while the majority were of observational cohort design. The majority of publications in primary and occupational health care were related to pain disorders (51 and 67%, respectively), especially diagnosis, prognosis, and healthcare organizational-related interventions (34%) and rehabilitation (15%) with similar proportional distribution of first-tier research grant financing. In secondary health care, rheumatic inflammatory disorder-related publications were most prevalent (30%), most frequently concerning diagnosis, prognosis, and healthcare organizational-related interventions (20%), attracting approximately half of all first-tier funding. Publications related to degenerative joint disorders (25%), fractures (16%), and joint, tendon, and muscle injuries (13%) frequently concerned surgical and other orthopedic-related interventions (16, 6, and 8%, respectively). Pain disorder-related publications (10%) as well as bone health and osteoporosis-related publications (4%) most frequently concerned diagnosis, prognosis, and healthcare organizational-related interventions (5 and 3%, respectively).

Conclusions: Swedish-affiliated MSK disorder research 2010-2020 was predominantly observational cohort rather than RCT based. There was skewed first-tier funding allocation considering prevalence/incidence and burden of disease. Use of infrastructure supporting register-based RCTs, placebo-controlled RCTs, and hybrid effectiveness-implementation studies on prevention and clinical intervention is important strategies for the future in all healthcare sectors.

Place, publisher, year, edition, pages
Upsala medical society, 2022
Keywords
clinical research, Musculoskeletal disorders, occupational health care, primary health care, research design, research funding, secondary health care, Sweden
National Category
Public Health, Global Health and Social Medicine
Identifiers
urn:nbn:se:umu:diva-201253 (URN)10.48101/ujms.v127.8709 (DOI)000879744700001 ()36337277 (PubMedID)2-s2.0-85141355356 (Scopus ID)
Funder
Swedish Research Council, 2019-06101
Available from: 2022-12-05 Created: 2022-12-05 Last updated: 2025-02-20Bibliographically approved
Arumugam, A., Björklund, M., Mikko, S. & Häger, C. K. (2021). Effects of neuromuscular training on knee proprioception in individuals with anterior cruciate ligament injury: A systematic review and GRADE evidence synthesis. BMJ Open, 11(5), Article ID e049226.
Open this publication in new window or tab >>Effects of neuromuscular training on knee proprioception in individuals with anterior cruciate ligament injury: A systematic review and GRADE evidence synthesis
2021 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 11, no 5, article id e049226Article, review/survey (Refereed) Published
Abstract [en]

Objective: To systematically review and summarise the evidence for the effects of neuromuscular training compared with any other therapy (conventional training/sham) on knee proprioception following anterior cruciate ligament (ACL) injury.

Design: Systematic Review.

Data sources: PubMed, CINAHL, SPORTDiscus, AMED, Scopus and Physical Education Index were searched from inception to February 2020.

Eligibility criteria: Randomised controlled trials (RCTs) and controlled clinical trials investigating the effects of neuromuscular training on knee-specific proprioception tests following a unilateral ACL injury were included.

Data extraction and synthesis: Two reviewers independently screened and extracted data and assessed risk of bias of the eligible studies using the Cochrane risk of bias 2 tool. Overall certainty in evidence was determined using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) tool.

Results: Of 2706 articles retrieved, only 9 RCTs, comprising 327 individuals with an ACL reconstruction (ACLR), met the inclusion criteria. Neuromuscular training interventions varied across studies: whole body vibration therapy, Nintendo-Wii-Fit training, balance training, sport-specific exercises, backward walking, etc. Outcome measures included joint position sense (JPS; n=7), thresholds to detect passive motion (TTDPM; n=3) or quadriceps force control (QFC; n=1). Overall, between-group mean differences indicated inconsistent findings with an increase or decrease of errors associated with JPS by ≤2°, TTDPM by ≤1.5° and QFC by ≤6 Nm in the ACLR knee following neuromuscular training. Owing to serious concerns with three or more GRADE domains (risk of bias, inconsistency, indirectness or imprecision associated with the findings) for each outcome of interest across studies, the certainty of evidence was very low.

Conclusions: The heterogeneity of interventions, methodological limitations, inconsistency of effects (on JPS/TTDPM/QFC) preclude recommendation of one optimal neuromuscular training intervention for improving proprioception following ACL injury in clinical practice. There is a need for methodologically robust RCTs with homogenous populations with ACL injury (managed conservatively or with reconstruction), novel/well-designed neuromuscular training and valid proprioception assessments, which also seem to be lacking.

PROSPERO registration number CRD42018107349.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2021
Keywords
knee, orthopaedic sports trauma, rehabilitation medicine, sports medicine
National Category
Physiotherapy
Identifiers
urn:nbn:se:umu:diva-183724 (URN)10.1136/bmjopen-2021-049226 (DOI)000729767000012 ()34006560 (PubMedID)2-s2.0-85106149490 (Scopus ID)
Available from: 2021-05-31 Created: 2021-05-31 Last updated: 2025-02-11Bibliographically approved
Degerstedt, F., Björklund, M., Keisu, B.-I. & Enberg, B. (2021). Unequal physical activity among children with cerebral palsy in Sweden: A national registry study. Health Science Reports, 4(3), Article ID e342.
Open this publication in new window or tab >>Unequal physical activity among children with cerebral palsy in Sweden: A national registry study
2021 (English)In: Health Science Reports, E-ISSN 2398-8835, Vol. 4, no 3, article id e342Article in journal (Refereed) Published
Abstract [en]

Aim: To examine the extent to which sex, country of birth, and functional aspects influence participation in physical education and physical leisure activity among children with cerebral palsy (CP) in Sweden.

Methods: This national cross-sectional registry study included children with CP aged 6 to 18 years who participated in the Swedish national quality registry, the Cerebral Palsy Follow-up Program, CPUP, in 2015. Comparisons and associations between sex, country of birth, and functional aspects and physical leisure/physical education were examined using chi-squared and multivariable logistic regression analysis.

Results: The study included 1935 children. Of them, 1625 (87%) reported participating in physical education and 989 (53%) reported participating in physical leisure activity. Children born in Sweden had higher odds of participating in physical education (OR: 1.99; 95% CI: 1.20-3.28) and physical leisure activity (OR: 2.51; 95% CI: 1.70-3.72) compared with children born outside Europe. Greater impairment of gross motor function was associated with lower participation levels. Boys participated slightly more frequently in leisure activities than girls.

Conclusion: Enhancing social inclusion with regard to disability, birth country, and sex are important and achievable goals for policymakers and practitioners for promoting participation in physical activity for children and adolescents with CP.

Place, publisher, year, edition, pages
John Wiley & Sons, 2021
Keywords
inequality, leisure, norms, physical education, youth
National Category
Gender Studies Physiotherapy
Research subject
physiotherapy
Identifiers
urn:nbn:se:umu:diva-186647 (URN)10.1002/hsr2.342 (DOI)000700814100054 ()34401523 (PubMedID)2-s2.0-85115821642 (Scopus ID)
Available from: 2021-08-16 Created: 2021-08-16 Last updated: 2025-02-11Bibliographically approved
Degerstedt, F., Enberg, B., Keisu, B.-I. & Björklund, M. (2020). Inequity in physiotherapeutic interventions for children with Cerebral Palsy in Sweden: a national registry study. Acta Paediatrica, 109(4), 774-782
Open this publication in new window or tab >>Inequity in physiotherapeutic interventions for children with Cerebral Palsy in Sweden: a national registry study
2020 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 109, no 4, p. 774-782Article in journal (Refereed) Published
Abstract [en]

Aim: The aim of this study was to investigate the distribution of physiotherapeutic interventions for children with Cerebral Palsy in Sweden from an equity perspective, considering sex, country of birth and geographical region.

Method: This national cross‐sectional registry study includes children with Cerebral Palsy aged 0‐18 years who participated in 2015 in the Swedish national quality registry, the Cerebral Palsy follow‐up programme, CPUP. Comparisons and associations between physiotherapeutic interventions and sex, country of birth and geographical regions were conducted using chi‐square and logistic regression analysis, controlling for cognitive level, level of motor function, age group and dominating symptom.

Results: Of the 2855 participants, 2201 (79%) had received physiotherapy. Children born in Sweden had 1.60 times higher odds (95% CI 1.10‐2.33) of receiving physiotherapy compared with children born in foreign countries. Distribution of physiotherapeutic interventions differed significantly between geographical regions. No associations between sex and physiotherapeutic interventions were observed.

Conclusion: The results of this study indicate inequity in care in Sweden towards children with Cerebral Palsy born in other counties. Further, physiotherapeutic interventions were not equally distributed in different geographical regions of Sweden. Knowledge of inequity is crucial in order to address the problem.

Place, publisher, year, edition, pages
John Wiley & Sons, 2020
Keywords
adolescents, cerebral palsy, CPUP, inequity, physiotherapy
National Category
Physiotherapy Gender Studies Pediatrics
Identifiers
urn:nbn:se:umu:diva-163637 (URN)10.1111/apa.14980 (DOI)000488167100001 ()31435959 (PubMedID)2-s2.0-85073965380 (Scopus ID)
Available from: 2019-10-01 Created: 2019-10-01 Last updated: 2025-02-11Bibliographically approved
Projects
Forte-centre Working Life: The Body at Work - from problem to potential [2009-01761_Forte]; University of GävleRehabilitation of people with neck pain. Effects of individualized treatment based on prognostic indicators and tests of functioning [2009-01403_Forte]; University of GävleRehabilitering för personer med nackbesvär: Effekter av individanpassad rehabilitering baserad på prognostiska indikatorer och funktionstest [090288]; University of Gävle
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-7543-4397

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