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Sundelin, Gunnevi
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Publications (10 of 62) Show all publications
Moshi, H., Sundelin, G., Sahlén, K.-G., Anthea, R. & Sörlin, A. (2018). Coping Resources for Persons With Traumatic Spinal Cord Injury in A Tanzania Rural Area. Global Journal of Health Science, 10(5), 138-153
Open this publication in new window or tab >>Coping Resources for Persons With Traumatic Spinal Cord Injury in A Tanzania Rural Area
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2018 (English)In: Global Journal of Health Science, ISSN 1916-9736, E-ISSN 1916-9744, Vol. 10, no 5, p. 138-153Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Persons with traumatic spinal cord injury (TSCI) in Tanzanian rural settings face a variety of geographical and socioeconomic challenges that make life almost impossible for them. However, some have managed to live relatively long lives despite these difficult conditions. This study aimed at exploring secrets behind successful lives of persons with TSCI in typical resource-constrained rural Tanzanian settings.

METHODS: A modified constructivist grounded theory was employed for the analysis of data from 10 individuals who have lived between 7 and 28 years with TSCI in typical Tanzanian rural area. The 10 were purposively selected from 15 interviews that were conducted in 2011. The analysis followed the constructivist approach in which data was first open and axial coded, prior to categories being constructed. The categories were frequently reviewed in light of the available literature to determine the over-arching core category that described or connected the rest.

RESULTS: Nine categories (identified as internal and external coping resources) were constructed. The internal coping resources were: secured in God, increase in awareness on health risk, problem-solving skills and social skills. External coping resources were: having a reliable family, varying support from the community, a matter of possession and left without means for mobility. Acceptance was later identified as a core category that determines identification and utilization of the rest of the coping resources.

CONCLUSION: Persons with traumatic spinal cord injury can survive for a relatively long time despite the hostile environment. Coping with these environments requires the employment of various coping resources, acceptance being the most important.

Place, publisher, year, edition, pages
Canadian Center of Science and Education, 2018
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-147731 (URN)10.5539/gjhs.v10n5p138 (DOI)
Available from: 2018-05-16 Created: 2018-05-16 Last updated: 2018-12-11Bibliographically approved
Blomqvist, S., Lönnberg, L., Sundelin, G., Wester, A. & Rehn, B. (2017). Physical Exercise Frequency Seem not to Influence Postural Balance but Trunk Muscle Endurance in Young Persons with Intellectual Disability. Journal of Physical Education and Sports Management, 4(2), 38-47
Open this publication in new window or tab >>Physical Exercise Frequency Seem not to Influence Postural Balance but Trunk Muscle Endurance in Young Persons with Intellectual Disability
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2017 (English)In: Journal of Physical Education and Sports Management, ISSN 2373-2156, E-ISSN 2373-2164, Vol. 4, no 2, p. 38-47Article in journal (Refereed) Published
Abstract [en]

Background: The influence of various physical exercise frequencies on postural balance and muscle performance among young persons with intellectual disability (ID) is not well understood.

Method: Cross-sectional data from 26 elite athletes were compared with 37 students at a sports school and to 57 students at a special school, all diagnosed with mild to moderate ID and with different exercise frequencies. Data were also compared with a group of 149 age-matched participants without ID.

Results: There were no significant differences in postural balance between young ID groups regardless of physical exercise frequency, all of them had however impaired postural balance compared to the non-ID group. The group with high exercise performed better than the other ID groups in the trunk muscle endurance test.

Conclusions: It appears as if physical exercise frequency don’t improve postural balance but endurance in the trunk muscles for young persons with ID.

Place, publisher, year, edition, pages
American Research Institute for Policy Development, 2017
Keywords
mental retardation, young, teenager, postural control, strength
National Category
Physiotherapy
Identifiers
urn:nbn:se:umu:diva-146869 (URN)10.15640/jpesm.v4n2a5 (DOI)
Available from: 2018-04-20 Created: 2018-04-20 Last updated: 2018-06-14Bibliographically approved
Moshi, H., Sundelin, G., Sahlen, K.-G. & Sörlin, A. (2017). Traumatic spinal cord injury in the north-east Tanzania: describing incidence, etiology and clinical outcomes retrospectively. Global Health Action, 10(1), Article ID 1355604.
Open this publication in new window or tab >>Traumatic spinal cord injury in the north-east Tanzania: describing incidence, etiology and clinical outcomes retrospectively
2017 (English)In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 10, no 1, article id 1355604Article in journal (Refereed) Published
Abstract [en]

Background: Causes, magnitude and consequences of traumatic spinal cord injury depend largely on geography, infrastructure, socioeconomic and cultural activities of a given region. There is a scarcity of literature on profile of traumatic spinal cord injury to inform prevention and rehabilitation of this health condition in African rural settings, particularly Tanzania. Objective: To describe the incidence, etiology and clinical outcomes of traumatic spinal cord injury and issues related to retrospective study in underdeveloped setting.

Methods: Records for patients with traumatic spinal cord injury for five consecutive years (2010–2014) were obtained retrospectively from the admission wards and health records archives of the Kilimanjaro Christian Medical Center. Sociodemographic, cause, complications and patients’ condition on discharge were recorded and analyzed descriptively.

Results: The admission books in the wards registered 288 new traumatic spinal cord injury cases from January 2010 to December 2014. Of the 288 cases registered in the books, 224 were males and 64 females with mean age 39.1(39.1 ± 16.3) years and the majority of individuals 196(68.1%) were aged between 16 and 45 years. A search of the hospital archives provided 213 full patient records in which the leading cause of injury was falls 104(48.8%) followed by road traffic accidents 73(34.3%). Cervical 81(39.9%) and lumbar 71(34.74%) spinal levels were the most affected. The annual incidence for the Kilimanjaro region (population 1,640,087) was estimated at more than 26 persons per million population. The most docu- mented complications were pressure ulcers 42(19.7%), respiratory complications 32(15.0%) and multiple complications 28(13.1%). The mean length of hospital stay was 64.2 ± 54.3 days and the mortality rate was 24.4%.

Conclusion: Prevention of traumatic spinal cord injury in North-east Tanzania should consider falls (particularly from height) as the leading cause, targeting male teenagers and young adults. Pressure ulcers, respiratory complications, in-hospital mortality and availability of wheelchairs should be addressed. 

Keywords
Traumatic spinal cord injury, etiology, rural, Tanzania, Africa
National Category
Physiotherapy Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Physiotherapy
Identifiers
urn:nbn:se:umu:diva-138838 (URN)10.1080/16549716.2017.1355604 (DOI)000408679400001 ()28856978 (PubMedID)
Available from: 2017-09-01 Created: 2017-09-01 Last updated: 2018-12-11Bibliographically approved
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, p. 22-30Article 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

Keywords
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: 2018-06-08Bibliographically 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, p. 1049-1057Article 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
Keywords
pain, sick leave, multimodal rehabilitation
National Category
Health Sciences
Identifiers
urn:nbn:se:umu:diva-83014 (URN)10.2340/16501977-1218 (DOI)000326952800010 ()24002413 (PubMedID)
Available from: 2013-11-15 Created: 2013-11-15 Last updated: 2018-06-08Bibliographically 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, p. 36-43Article 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.

Keywords
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: 2018-06-08Bibliographically 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, p. 141-145Article 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: 2018-06-08Bibliographically 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, p. 764-773Article 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.

Keywords
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: 2018-06-08Bibliographically 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, p. 313-319Article 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.

Keywords
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: 2018-06-08Bibliographically 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, p. 87-96Article 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

Keywords
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: 2018-06-08Bibliographically approved
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