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Health problems and treatment effects in patients with non-specific musculoskeletal disorders: a comparison between Body awareness therapy, Feldenkrais and individual physiotherapy
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy. Umeå University, Faculty of Social Sciences, Department of Psychology.
2002 (English)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Umeå: Umeå universitet , 2002.
Series
Umeå University medical dissertations, ISSN 0346-6612 ; 774
Keyword [en]
Non-specific musculoskeletal disorders, treatment effects effect-size, Body Awareness Therapy, Feldenkrais, Individual Physiotherapy, primary care
Keyword [sv]
Muskelsjukdomar
National Category
Physiotherapy Psychology
Identifiers
URN: urn:nbn:se:umu:diva-100580ISBN: 91-7305-200-0 (print)OAI: oai:DiVA.org:umu-100580DiVA: diva2:792952
Public defence
2002-03-15, Aulan, Vårdvetarhuset, Umeå Universitet, Umeå, 09:00
Opponent
Supervisors
Projects
digitalisering@umu
Note

Diss. (sammanfattning) Umeå : Umeå universitet, 2002, Härtill 5 uppsatser.

Available from: 2015-03-05 Created: 2015-03-04 Last updated: 2015-04-10Bibliographically approved
List of papers
1. Physical and psychological health and social relations in patients with prolonged musculoskeletal disorders
Open this publication in new window or tab >>Physical and psychological health and social relations in patients with prolonged musculoskeletal disorders
2001 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 15, no 2, 181-189 p.Article in journal (Refereed) Published
Abstract [en]

The purpose of this study was to describe and analyse the relationship between physical and psychological health and social relations in patients with prolonged musculoskeletal disorders in primary care. Seventy-eight patients 64 women and 14 men - were included in the study. Data from a semi-structured interview called addiction severity index (ASI), frequently used in psychiatric and drug abuse research and a visual analogue scale (VAS) symptom list as well were analysed using principal component analysis (PCA). The analysis gave a two-dimensional model with four poles of related variables characterizing the whole group. The first dimension consisted of one pole characterized by present psychiatric symptoms and many somatic symptoms. The second pole on this dimension was characterized by well-being, having work and feeling satisfaction with life. One pole on the second dimension was characterized by severe physical problems, related to sick leave and disability pension. The opposite pole on this dimension was characterized by severe psychiatric symptoms earlier in life and present relationship problems with family and other people. The ASI-instrument was considered to be relevant for describing important problem areas in patients with prolonged musculoskeletal disorders.

Keyword
musculoskeletal disorders, primary care, health problems, addiction severity index (ASI)
Identifiers
urn:nbn:se:umu:diva-61937 (URN)10.1046/j.1471-6712.2001.00022.x (DOI)000169059400009 ()
Available from: 2012-12-03 Created: 2012-12-03 Last updated: 2017-12-07
2. A comparison between three physiotherapy approaches with regard to health-related factors in patients with non-specific musculoskeletal disorders.
Open this publication in new window or tab >>A comparison between three physiotherapy approaches with regard to health-related factors in patients with non-specific musculoskeletal disorders.
2002 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 24, no 6, 308-17 p.Article in journal (Refereed) Published
Abstract [en]

PURPOSE: The main aim of this study was to compare the effects of Body Awareness Therapy (BAT), the Feldenkrais (FK) method and conventional physiotherapy on changes of health-related quality of life (HRQL), self-efficacy and sense of coherence (SOC) in patients with non-specific musculoskeletal disorders. A second aim was to explore the relationships between SOC, HRQL and self-efficacy and to examine whether SOC could be a predictor of the treatment outcome.

METHOD: A total of 78 patients, 64 women and 14 men, were recruited consecutively to the three treatment groups. The instrument used were the Swedish version of SF-36, the 20 items Arthritis Self-efficacy Scale and the 29-item questionnaire by Antonovsky.

RESULTS: The results showed that there were significant improvements on all subscales of SF-36 except for one. By using effect-size values it was found that the BAT and FK groups reached larger effect-size than did the conventional therapy group. These two groups also improved in self-efficacy of pain and stayed stable while the third group deteriorated at the one-year follow-up. There were significant correlations between the mental dimensions of SF-36 and SOC indicating that the instruments may measure aspects of the same global construct.

CONCLUSIONS: Although few significant differences between the three treatment groups the BAT and FK seemed to improve health-related quality of life and self-efficacy of pain to a somewhat higher degree than the conventional physiotherapy. SOC seemed to be a stable trait measure over time.

Identifiers
urn:nbn:se:umu:diva-61935 (URN)10.1080/09638280110087502 (DOI)12017464 (PubMedID)
Available from: 2012-12-03 Created: 2012-12-03 Last updated: 2017-12-07
3. Non-specific musculoskeletal disorders in patients in primary care: subgroups with different outcome patterns
Open this publication in new window or tab >>Non-specific musculoskeletal disorders in patients in primary care: subgroups with different outcome patterns
2003 (English)In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 19, no 3, 161-173 p.Article in journal (Refereed) Published
Abstract [en]

Patients with non-specific musculoskeletal disorders are considered to be a heterogeneous group with multifactorial problems. Appropriate and effective treatments for these patients have been hard to find. The purpose of this study was to identify subgroups of patients with different patterns of treatment outcome and to find possible predictors of outcome. A total of 78 patients, 64 females and 14 males, with non-specific musculoskeletal disorders were recruited consecutively to three different treatment approaches, Body Awareness Therapy, Feldenkrais, and conventional, individual physiotherapy in primary care. The outcome variables were calculated as effect-size values and consisted of dynamic balance; pain measurements according to pain drawing and MPI; psychological variables such as psychological distress and self-image; and health related factors with regard to quality of life, self-efficacy and sense of coherence. A cluster analysis revealed three subgroups of patients with significantly different treatment outcomes, which were systematically related to the treatment approach. With Body Awareness Therapy and Feldenkrais, the possibility to achieve positive treatment effects increased significantly in comparison to individual physiotherapy.

National Category
Physiotherapy Psychology
Identifiers
urn:nbn:se:umu:diva-64073 (URN)10.1080/09593980390230578 (DOI)
Available from: 2013-01-14 Created: 2013-01-14 Last updated: 2017-12-06Bibliographically approved

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