Umeå University's logo

umu.sePublications
Change search
Link to record
Permanent link

Direct link
Sundelin, Gunnevi
Alternative names
Publications (10 of 66) Show all publications
Björk, M., Dragioti, E., Alexandersson, H., Esbensen, B. A., Boström, C., Friden, C., . . . Brodin, N. (2022). Inflammatory Arthritis and the Effect of Physical Activity on Quality of Life and Self-Reported Function: A Systematic Review and Meta-Analysis. Arthritis care & research, 74(1), 31-43
Open this publication in new window or tab >>Inflammatory Arthritis and the Effect of Physical Activity on Quality of Life and Self-Reported Function: A Systematic Review and Meta-Analysis
Show others...
2022 (English)In: Arthritis care & research, ISSN 2151-464X, E-ISSN 2151-4658, Vol. 74, no 1, p. 31-43Article, review/survey (Refereed) Published
Abstract [en]

Objective: Although physical activity is an evidence-based intervention that reduces disease-related symptoms and comorbidity in rheumatoid arthritis (RA), the effect of physical activity on self-reported function and quality of life (QoL) has not yet been analyzed. The present study synthesizes the evidence for the effectiveness of physical activity on QoL and self-reported function in adults with RA, spondyloarthritis (SpA), and psoriatic arthritis (PsA).

Methods: The databases PubMed, Embase, CINAHL, and Cochrane Central Register of Controlled Trials (CENTRAL) were searched to identify relevant randomized controlled trials (RCTs). Screening, risk of bias assessment (using the RoB 2.0 tool), and data extraction were independently performed by 2 or more of the authors. Meta-analyses were conducted with a random-effects model.

Results: Systematic review included 55 RCTs, and meta-analysis included 37 RCTs. Of the 55 studies included, 76%, 20%, and 4% were designed to investigate RA, SpA, and PsA, respectively. In the RA studies, effects of physical activity on QoL and function were found compared to the group of inactive controls; no effects were found compared to the group of active controls. In the SpA studies, the effects of physical activity on QoL were in favor of the control group. Effects of physical activity on function were found compared to the group of inactive controls and sustained in fatigue and pain when compared to the group of active controls. In the PsA studies, no effects on QoL were found, but effects on function were noted when compared to the group of inactive controls. The effect size was below 0.30 in the majority of the comparisons.

Conclusion: Physical activity may improve QoL and self-reported function in individuals with RA, SpA, and PsA. However, larger trials are needed, especially in SpA and PsA.

Place, publisher, year, edition, pages
John Wiley & Sons, 2022
National Category
Rheumatology and Autoimmunity
Identifiers
urn:nbn:se:umu:diva-191125 (URN)10.1002/acr.24805 (DOI)000736128900008 ()34632707 (PubMedID)2-s2.0-85122123610 (Scopus ID)
Available from: 2022-01-10 Created: 2022-01-10 Last updated: 2023-09-05Bibliographically approved
Moshi, H. I., Sundelin, G. G., Sahlen, K.-G. G. & Sörlin, A. V. (2021). A one-year prospective study on the occurrence of traumatic spinal cord injury and clinical complications during hospitalisation in north-east Tanzania. African Health Sciences, 21(2), 788-794
Open this publication in new window or tab >>A one-year prospective study on the occurrence of traumatic spinal cord injury and clinical complications during hospitalisation in north-east Tanzania
2021 (English)In: African Health Sciences, ISSN 1680-6905, E-ISSN 1729-0503, Vol. 21, no 2, p. 788-794Article in journal (Refereed) Published
Abstract [en]

Background: Clinical complications following spinal cord injury are a big concern as they account for increased cost of rehabilitation, poor outcomes and mortality.

Objective: To describe the occurrence of traumatic spinal cord injury and associated clinical complications during hospi- talisation in North-East Tanzania.

Method: Prospective data were collected from all persons with traumatic spinal cord injury from North-East Tanzania from their admission to discharge from the hospital. Neurological progress and complications were assessed routinely. Data were captured using a form that incorporated the components of the core data set of the International Spinal Cord Society and were analysed descriptively.

Results: A total of 87 persons with traumatic spinal cord injury were admitted at the hospital with a mean age of 40.2 ± 15.8 years. There were 69 (79.3%) males, and 58 (66.6%) of the injuries resulted from falls. Spasms (41 patients, 47.1%), neuropathic pain (40 patients, 46%), and constipation (35 patients, 40.2%) were the most commonly reported complications. The annual incidence rate in the Kilimanjaro region was at least 38 cases per million.

Conclusion: The incidence of traumatic spinal cord injury in the Kilimanjaro region is relatively high. In-hospital compli- cations are prevalent and are worth addressing for successful rehabilitation.

Place, publisher, year, edition, pages
African Health Sciences, 2021
Keywords
Low income countries, Pressure ulcer, Rehabilitation, Spasm, Urinary tract infections
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-186713 (URN)10.4314/ahs.v21i2.39 (DOI)000750856500027 ()2-s2.0-85112140469 (Scopus ID)
Available from: 2021-09-06 Created: 2021-09-06 Last updated: 2023-09-05Bibliographically approved
Moshi, H., Sundelin, G., Sahlén, K.-G. & Sörlin, A. (2021). Quality of life of persons with traumatic spinal cord injury in rural Kilimanjaro, Tanzania: a community survey. Disability and Rehabilitation, 43(20), 2838-2845
Open this publication in new window or tab >>Quality of life of persons with traumatic spinal cord injury in rural Kilimanjaro, Tanzania: a community survey
2021 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 43, no 20, p. 2838-2845Article in journal (Refereed) Published
Abstract [en]

Aim: To describe the quality of life of persons with traumatic spinal cord injury (TSCI) in a rural area of a low-income country.

Methods: This was a cross-sectional descriptive study in which snowballing was used to identify persons with TSCI in their homes. A Kiswahili version of the short version of the World Health Organization quality of life questionnaire was used for data collection. Data were analyzed descriptively and independent samples t-tests were used to calculate the difference in the mean scores between groups.

Results: Eighty persons with TSCI with a mean age of 42.29 +/- 11.4 years were identified, 68.8% of whom were males. The highest scoring domains were psychological (12.76 +/- 2.55) and social relationships (12.62 +/- 2.95). The lowest scores were for physical (11.48 +/- 2.74) and environment (9.59 +/- 2.68) domains. Significantly higher scores were associated with younger age in: physical (0.05), social relationships (0.01), and environment (0.02) domains (p value < 0.05).

Conclusions: Persons with TSCI in the Kilimanjaro rural area registered a relatively low quality of life in which the most affected domains are physical health and environment.

Place, publisher, year, edition, pages
Taylor & Francis, 2021
Keywords
Rehabilitation, environmental impact, disability evaluation, developing countries, environmental health, wheelchair
National Category
Physiotherapy
Research subject
Rehabilitation Medicine
Identifiers
urn:nbn:se:umu:diva-153377 (URN)10.1080/09638288.2020.1718780 (DOI)000511791200001 ()32003248 (PubMedID)2-s2.0-85079167372 (Scopus ID)
Projects
Traumatic spinal cord injuries in rural Tanzania
Note

First published in thesis in manuscript form.

Available from: 2018-11-19 Created: 2018-11-19 Last updated: 2023-03-07Bibliographically approved
Mkoba, E. M., Sundelin, G., Sahlen, K.-G. & Sörlin, A. (2021). The characteristics of stroke and its rehabilitation in Northern Tanzania. Global Health Action, 14(1), Article ID 1927507.
Open this publication in new window or tab >>The characteristics of stroke and its rehabilitation in Northern Tanzania
2021 (English)In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 14, no 1, article id 1927507Article in journal (Refereed) Published
Abstract [en]

Background: Stroke causes great suffering and severe disability worldwide, and rehabilitation following a stroke seeks to restore lost functions. The extent to which stroke patients get access to rehabilitation in Tanzania is not well estimated, and drawing a current picture of the rehabilitation services for these persons is the first step in developing a more effective rehabilitation model in the country. Objective: The objective of this study was to establish the characteristics of stroke and its rehabilitation at the Kilimanjaro Christian Medical Centre (KCMC), a consultant referral hospital in northern Tanzania.

Methods: This was a records-based descriptive study in which demographic, clinical, and rehabilitation information of stroke patients admitted to the KCMC between January 2012 and December 2015 was collected and audited. The means, percentages, and proportions were used to summarise the demographic, clinical, and rehabilitation patterns using SPSS version 24.0 software. The chi-squared statistic was used to examine the relationships between categorical variables, and a p-value<0.05 was considered statistically significant.

Results: Of the 17,975 patients admitted to the KCMC during the period of the study, 753 (4.2%) had suffered a stroke, with a mean age of 68.8 ± 16.4 years. The predominant cause of stroke was hypertension, which accounted for 546 (72.5%) patients. A total of 357 (47.4%) patients had various forms of rehabilitation during the admission to hospital. Following a discharge home 240 (31.9%) patients did not return to the hospital for the continuation of rehabilitation.

Conclusion: Stroke patients at the KCMC lack access to rehabilitation therapies. Insufficient access to rehabilitation therapies may warrant the need to explore alternative approaches such as tele-rehabilitation technologies in Tanzania.

Place, publisher, year, edition, pages
Taylor & Francis, 2021
Keywords
Cardiovascular disease, cross-sectional audit, low-income countries, rehabilitation, stroke
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-186644 (URN)10.1080/16549716.2021.1927507 (DOI)000680679700001 ()34340643 (PubMedID)2-s2.0-85112011224 (Scopus ID)
Available from: 2021-08-19 Created: 2021-08-19 Last updated: 2023-03-07Bibliographically approved
Sundelin, G. (2020). Evidence-based physiotherapy practice-editorial. European Journal of Physiotherapy, 22(4), 183-183
Open this publication in new window or tab >>Evidence-based physiotherapy practice-editorial
2020 (English)In: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 22, no 4, p. 183-183Article in journal, Editorial material (Refereed) Published
Place, publisher, year, edition, pages
Taylor & Francis Group, 2020
National Category
Physiotherapy
Identifiers
urn:nbn:se:umu:diva-173611 (URN)10.1080/21679169.2020.1772548 (DOI)000544239500001 ()2-s2.0-85086875532 (Scopus ID)
Available from: 2020-07-22 Created: 2020-07-22 Last updated: 2023-03-24Bibliographically approved
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
Show others...
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: 2023-03-07Bibliographically 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
Show others...
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)2-s2.0-85028606598 (Scopus ID)
Available from: 2017-09-01 Created: 2017-09-01 Last updated: 2023-03-23Bibliographically 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
Show others...
2014 (English)In: European Journal of Adapted Physical Activity, 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: 2024-07-02Bibliographically 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)2-s2.0-84925559435 (Scopus ID)
Available from: 2013-11-15 Created: 2013-11-15 Last updated: 2023-03-24Bibliographically approved
Organisations

Search in DiVA

Show all publications