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  • 1.
    Alricsson, Marie
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Sjöström, Rita
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Asplund, Ragnar
    Back to work - evaluation of multidisciplinary rehabilitation programme with emphasis on musculoskeletal disorders. A two year follow-up2007In: International Journal of Rehabilitation Research, ISSN 0342-5282, E-ISSN 1473-5660, Vol. 30, no 1, p. 35-36Article in journal (Refereed)
    Abstract [en]

    Purpose. The aim of this study was to evaluate the 2-year outcome of a multidisciplinary rehabilitation programme for working-age people, regarding sick leave and mental health. Method. The test persons consisted of 40 women and 20 men (mean age 46.8 +/- SD 7.9) with musculoskeletal disorders, mainly neck and back pain. The rehabilitation programme was individually adapted and consisted of physical activity in several forms, relaxation, theoretical and practical education and individual guidance. Before, during and after the programme all participants were evaluated with the Global Self-Efficacy Index, Hospital Anxiety and Depression Scale, and stress test. Results. At the 2-year follow-up full-time sick leave had decreased by 37% (p < 0.0001) in the women, and by 25% (p < 0.05) in the men. Both women and men showed an increased quality of life (QoL) and decreased anxiety, depression and self-experienced stress at the 2-year follow-up compared with the start of the rehabilitation programme. Conclusions. The most important conclusion was that the effects of the rehabilitation programme persisted for up to 2 years. At 2 years the majority of the participants were still physically active, their QoL was increased, and most participants had returned to work.

  • 2.
    Bele, S.
    et al.
    Linnaeus University, Kalmar/Växjö, Sweden.
    Ostenberg, A. H.
    Linnaeus University, Kalmar/Växjö, Sweden.
    Sjoström, Rita
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Alricsson, Marie
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Experiences of returning to elite beach volleyball after shoulder injury2015In: Journal of Exercise Rehabilitation, ISSN 2288-176X, Vol. 11, no 4, p. 204-10Article in journal (Refereed)
    Abstract [en]

    The purpose of this study was to examine beach volleyball players' experience regarding shoulder injury and how it affects their return to play. To achieve the research aims a qualitative design with semi-structured interviews had been conducted, five elite beach volleyball players, four men and one woman aged 27-42 participated in the study. All participants had suffered a severe shoulder injury, with absence from training and competing for at least 28 days. The findings of this study indicate that it is the individual's inner motivation, together with a clear goal and support from the community, family, teammate and coach that are the most important factors when going through rehabilitation and getting back to playing beach volleyball after a shoulder injury. All participants had been affected by their injury in some way; some of the participants had been affected in a positive way since they had become mentally stronger and had developed better volleyball technique after rehabilitation. The conclusions of this study indicate that there are three distinct factors that increase the chances of getting back to playing beach volleyball after shoulder injury; it is the players' self motivation, together with a clear goal and support from the community.

  • 3.
    Essner, A.
    et al.
    Department of Neuroscience, Section of Physiotherapy, Uppsala University, Uppsala, Sweden.
    Sjöström, Rita
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences. Unit of Research, Education and Development, Region Jämtland Härjedalen, Östersund, Sweden.
    Gustås, P.
    Department of Clinical Sciences, Swedish University of Agricultural Sciences, Uppsala, Sweden.
    Edge-Hughes, L.
    Canine Fitness Centre, Calgary, AB, Canada.
    Zetterberg, L.
    Department of Neuroscience, Section of Physiotherapy, Uppsala University, Uppsala, Sweden .
    Hellström, K.
    Department of Neuroscience, Section of Physiotherapy, Uppsala University, Uppsala, Sweden .
    Validity and reliability properties of canine short-term heart rate variability measures-a pilot study2015In: Journal of Veterinary Behavior: Clinical Applications and Research, ISSN 1558-7878, E-ISSN 1878-7517, Vol. 10, no 5, p. 384-390Article in journal (Refereed)
    Abstract [en]

    The objective of the pilot study was to compare validity and reliability properties of Polar RS800CX (Polar Electro Oy, Kempele, Finland) against simultaneously recorded electrocardiogram (ECG) measuring time- and frequency-based short-term heart rate variability (HRV) parameters, in dogs during stationary standing position. Five-minute recordings with less than 5% error rates from inter-beat interval (IBI) series obtained by Polar RS800CX and ECG, in 8 adult dogs, were used for HRV analysis. Polar data were statistically compared to the ECG data to assess for systematic differences in time- and frequency-based HRV parameters. Relative and absolute reliabilities were estimated by intraclass correlation coefficient, Spearman ρ, Bland and Altman analysis, standard error of measurement, and standard error of measurements in percentage. Paired t test was used to determine the statistical significance of differences between the measurement methods. Results: There were high correlation coefficients between HRV parameters obtained from Polar RS800CX and ECG. Intraclass correlation coefficients were 0.98-1.00, and Spearman ρ was 0.93-0.98. There were differences between the methods in 2 HRV parameters, the standard deviation of normal-to-normal IBIs (SDNN) (P = 0.035) and the square root of the mean squared differences of successive normal-to normal IBIs (RMSSD) (P = 0.034). Standard error of measurements was between 2.8-11.6% in ECG and between 2.6-11.8% in Polar, indicating rather high measurement error in 3 of the HRV parameters in both measurement methods. Close agreements and high correlation estimates in this pilot study indicated acceptable relative reliability in Polar RS800CX measuring time- and frequency-based HRV parameters in the group of dogs studied. However, the present pilot study revealed differences between Polar RS800CX and ECG in time-based standard deviation of normal-to-normal and square root of the mean squared differences of successive normal-to normal parameters, and that small amounts of erroneous IBI segments from Polar negatively impact on the validity and reliability properties of Polar RS800CX. © 2015 Elsevier Inc.

  • 4.
    Essner, Ann
    et al.
    Uppsala Univ, Dept Neurosci, Uppsala, Sweden.
    Sjöström, Rita
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences. Jämtland Cty Council, Strömsund Hlth Ctr, Strömsund, Sweden.
    Ahlgren, Erik
    Evidensia Djurkliniken Gefle, SE-80321 Gävle, Sweden.
    Gustås, Pia
    e Swedish University of Agricultural Sciences, Uppsala, Sweden.
    Edge-Hughes, Laurie
    The Canine Fitness Centre, Calgary, Canada.
    Zetterberg, Lena
    Uppsala Univ, Dept Neurosci, Uppsala, Sweden.
    Hellström, Karin
    Uppsala Univ, Dept Neurosci, Uppsala, Sweden.
    Comparison of Polar® RS800CX heart rate monitor and electrocardiogram for measuring inter-beat intervals in healthy dogs2015In: Physiology and Behavior, ISSN 0031-9384, E-ISSN 1873-507X, Vol. 138, no January, p. 247-253Article in journal (Refereed)
    Abstract [en]

    The aim of the present study was to assess the criterion validity, relative reliability and level of agreement ofPolar® RS800CX heart rate monitor measuring inter-beat intervals (IBIs), compared to simultaneously recordedelectrocardiogram (ECG) in dogs.Methods: Five continuous minutes of simultaneously recorded IBIs from Polar® RS800CX and Cardiostore ECG in11 adult healthy dogs maintaining standing position were analyzed. Polar® data was statistically compared toECG data to assess for systematic differences between the methods. Three different methods for handling missingIBI data were used. Criterion validities were calculated by intraclass correlation coefficients (ICCs) and corresponding95% confidence intervals (CIs). Relative reliabilities and levels of agreement were calculated by ICCsand the Bland and Altman analysis for repeated measurements per subject.Results: Correlation coefficients between IBI data from ECG and Polar® RS800CX varied between 0.73 and 0.84depending on how missing values were handled. Polar® was over- and underestimating IBI data compared toECG. The mean difference in log transformed (base10) IBI data was 0.8%, and 93.2% of the values were withinthe limits of agreement. Internally excluding three subjects presenting IBI series containing more than 5% erroneousIBIs resulted in ICCs between 0.97 and 0.99. Bland and Altman analysis (n = 8) showed mean differencewas 1.8 ms, and 98.5% of the IBI values were plotted inside limits of agreement.Conclusion: This study showed that Polar® systematically biased recorded IBI series and that it was fundamentalto detect measurement errors. For Polar® RS800CX heart rate monitor to be used interchangeably to ECG, byshowing excellent criterion validity and reliable IBI measures in group and individual samples, only less than5% of artifacts could be accepted.

  • 5.
    Essner, Ann
    et al.
    Uppsala Universitet.
    Sjöström, Rita
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Ahlgren, Erik
    Lindmark, Birgitta
    Uppsala Universitet.
    Validity and reliability of Polar® RS800CX heart rate monitor, measuring heart rate in dogs during standing position and at trot on a treadmil2013In: Physiology and Behavior, ISSN 0031-9384, E-ISSN 1873-507X, Vol. 114-115, p. 1-5Article in journal (Refereed)
    Abstract [en]

    Abstract

    The aim of the present study was to assess criterion validity, and relative and absolute reliability of Polar® RS800CX heart rate monitor, compared to simultaneously recorded electrocardiogram (ECG) data, in measuring heart rate of dogs during standing position and at trot on a treadmill.

    Methods

    Heart beats from Polar® RS800CX and Cardiostore ECG were recorded simultaneously during seven continuous minutes in standing position and at trot, in 10 adult healthy dogs. Polar® data was statistically compared to ECG data for a variety of mean beats per minute (BPM), standard deviation and confidence interval. Criterion validity was calculated by Pearson product moment correlation method and intraclass correlation coefficient (ICC2.1). Relative and absolute reliability were calculated by ICC2.1, the Bland and Altman analysis and standard error of measurement (SEM and SEM%).

    Results

    The correlation, criterion validity, between Polar® and ECG data in standing position was r = 0.99 (p < 0.0005) and at trot r = 0.97 (p < 0.0005). Polar® data was not significantly different from ECG data. Mean difference between ECG and uncorrected Polar® data was − 0.6 BPM in standing position and − 0.6 BPM at trot. Polar® was over- and underestimating ECG data. SEM and SEM% in standing were ± 2.6 BPM and 3.0%, at trot ± 3.8 BPM and 3.1%, indicating that measurement errors were low.

    Conclusion

    This study showed that the criterion validity and the instrument reliability were excellent in Polar® RS800CX heart rate measuring system. The equipment seemed to be valid and reliable in measuring BPM in the dogs studied during submaximal cardiovascular conditions such as in standing position and at trot on a treadmill.

  • 6.
    Nordahl, Birgitta
    et al.
    Linnaeus University, Kalmar, Sweden.
    Sjöström, Rita
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Westin, Maria
    Karolinska Institutet, Stockholm, Sweden.
    Werner, Suzanne
    Karolinska Institutet, Stockholm, Sweden.
    Alricsson, Marie
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Experiences of returning to elite alpine skiing after ACL injury and ACL reconstruction2014In: International Journal of Adolescent Medicine and Health, ISSN 0334-0139, E-ISSN 2191-0278, Vol. 26, no 1, p. 69-77Article in journal (Refereed)
    Abstract [en]

    Aim: To explore the experiences of alpine skiing at the elite level after anterior cruciate ligament (ACL) injury and reconstruction.

    Design: A qualitative approach where semi-structured interviews were conducted, and an analysis of the manifest content was performed.

    Participants: Five ski high school students, two male and three female skiers, who had suffered ACL injuries and undergone ACL reconstructions.

    Results: Seven categories were identified. The participants described their perceived opportunities with regard to returning to alpine skiing after ACL injury and reconstruction as something positive to do with self-belief, being mentally and physically prepared, regaining confidence in their own ability, being given time and using active strategies. In contrast, perceived barriers to a return to elite alpine skiing gave rise to negative feelings, for example, fear, disheartenment, a total lack of or ambivalent confidence in their own ability and the use of passive strategies.

    Conclusion: The two male skiers returned to alpine skiing. They reported confidence in their own ability, active strategies and support on all levels, as well as enhanced physical ability. The female skiers did not return to their pre-injury level of competitive alpine skiing. They stated a lack of support on all levels, deterioration in their physical ability and two out of three reported passive strategies and no or ambivalent confidence in their own ability. The most important factors were family support, support on all levels, access to a physiotherapist and time given.

  • 7. Sjöström, Rita
    Bättre Omhändertagande av patienter med Artros: Jämtlands läns landsting - slutrapport2013Report (Other (popular science, discussion, etc.))
  • 8. Sjöström, Rita
    HälsoSam Ström: Slutrapport2014Report (Other (popular science, discussion, etc.))
  • 9.
    Sjöström, Rita
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Multidisciplinary rehabilitation in musculoskeletal disorders: Quantitative and qualitative follow-up studies2009Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The primary aim of this investigation was to evaluate a seven-week

    multidisciplinary rehabilitation programme, with emphasis on

    musculoskeletal disorders, for working-age people, by assessments at the

    start and end of the rehabilitation programme, and at follow-up

    examinations 6, 12 and 24 months after completion of the programme. A

    further aim was to explore the experiences of people not returning to work

    during a period of six years after participation in an extensive

    multidisciplinary rehabilitation programme.

    Sixty participants, 40 women and 20 men (mean age 46.8 ± SD 7.9), with

    musculoskeletal disorders, mainly neck and back pain, participated in a 7-

    week rehabilitation programme which was based on a combination of

    theoretical and practical education, physical activities, relaxation and

    individual guidance. Before and after the programme and at the follow-up

    occasions all participants were evaluated with the Global Self-Efficacy

    Index (GSI), Hospital Anxiety and Depression Scale (HAD), and Stress test

    (Study I). A group of participants who were still full-time sick-listed (Group

    I) at the end of the study period were compared with participants who were

    part-time or not sick-listed (Group II) at the end of the study period (II, III,

    IV). They were evaluated with the Disability Rating Index (DRI), with the

    Pain Intensity Rating Index on a visual analogue scale (VAS) (II, III)),

    mobility tests (III), GSI (III), HAD, and a stress test (IV). Seven women

    (median age 48 years) and three men (53 years) (Group I) were interviewed

    and the interviews were analysed by manifest content analysis (V).

    At the 2-year follow-up full-time sick leave, anxiety, depression and selfexperienced

    stress had decreased in both sexes. They also showed increased

    quality of life (QoL) (I). In participants with full-time sick leave (Group I),

    self-experienced physical disability and pain ratings were high and showed

    no decrease up until the 2-year follow-up. In participants with part-time or

    no sick leave (Group II), physical disability and pain ratings decreased

    gradually throughout the 2-year follow-up period (II). Cervical and

    thoracolumbar spine range of motion (ROM) was lower in Group I than in

    Group II from the start of rehabilitation to a 2-year follow-up. Only Group

    II showed a temporal improvement in ROM. No changes in DRI, VAS or

    GSI were found in parallel with corresponding temporal changes in any of

    the ROM (III). Group I experienced no change in anxiety or depression

    during the study period, in contrast to Group II, in which this decreased.

    Decreased stress was found in both groups (IV). Group I described

    perceived barriers to and possibilities of returning to work, and also gave

    information on what strategies they used, to cope with everyday life (V).

    The majority of the participants improved and they continued to be

    physically active, their QoL improved, and most participants returned to

    work. Ten of the participants, however, were on full-time sick leave

    throughout the whole study period, with high self-experienced physical

    disability, high pain rating and no improvement in anxiety and depression.

    They experienced barriers to re-entering the labour market as consequences

    of physical symptoms and fatigue. But they also believed in possibilities of

    returning to work if they could get a modified job adapted to their own

    capacity.

    Thus, persons with severe disability and pain did not improve by

    rehabilitation in this project. New methods of treatment have to be

    developed for improvement of symptoms resulting in reduction of

    functional impairment and a consequent need for sick leave.

  • 10. Sjöström, Rita
    et al.
    Alricsson, Marie
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Multidisciplinary Rehabilitation in Musculoskeletal Disorders2012In: Musculoskeletal Disorder / [ed] Marie Alricsson, InTech, 2012, p. 1-18Chapter in book (Other academic)
  • 11. Sjöström, Rita
    et al.
    Alricsson, Marie
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Asplund, Ragnar
    Back to work- evaluation of a multidisciplinary rehabilitation programme with emphasis on musculoskeletal disorders.: A two-year follow-up.2008In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 30, no 9, p. 649-655Article in journal (Refereed)
    Abstract [en]

    Purpose. The aim of this study was to evaluate the 2-year outcome of a multidisciplinary rehabilitation programme for working-age people, regarding sick leave and mental health. Method. The test persons consisted of 40 women and 20 men (mean age 46.8 +/- SD 7.9) with musculoskeletal disorders, mainly neck and back pain. The rehabilitation programme was individually adapted and consisted of physical activity in several forms, relaxation, theoretical and practical education and individual guidance. Before, during and after the programme all participants were evaluated with the Global Self-Efficacy Index, Hospital Anxiety and Depression Scale, and stress test. Results. At the 2-year follow-up full-time sick leave had decreased by 37% (p < 0.0001) in the women, and by 25% (p < 0.05) in the men. Both women and men showed an increased quality of life (QoL) and decreased anxiety, depression and self-experienced stress at the 2-year follow-up compared with the start of the rehabilitation programme. Conclusions. The most important conclusion was that the effects of the rehabilitation programme persisted for up to 2 years. At 2 years the majority of the participants were still physically active, their QoL was increased, and most participants had returned to work.

  • 12.
    Sjöström, Rita
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Alricsson, Marie
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Asplund, Ragnar
    Nordenmark, Mikael
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Back to work - A two year outcome of a multidisciplinary rehabilitation programme focused on physical function and pain2009In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 31, no 3, p. 237-242Article in journal (Refereed)
    Abstract [en]

    Purpose. To analyze why some responded positively to rehabilitation and why some did not. Method. Sixty participants with musculoskeletal disorders, mainly neck and back pain participated in a 7-week rehabilitation programme which was based on a combination of theoretical and practical education and physical activities. Before and after the programme and 6, 12 and 24 months after completion of the programme all participants were evaluated with the Disability Rating Index (DRI) and Pain Intensity Rating on a Visual analogue scale (VAS). Results. In the participants who had full-time sick leave from the start of the programme to the 2-year follow-up (Group I) self-experienced physical disability and pain ratings were high and showed no decrease and were maintained up until the 2-year follow-up. For the participants who had part-time sick leave or no sick leave (Group II) physical disability and pain ratings were initially lower than in Group I and decreased gradually, (p < 0.01) and (p < 0.05), respectively throughout the 2-year follow-up period. Conclusion. Participants in Group I did not benefit from the rehabilitation programme and did not show improvement in their physical disability and pain rating. Group II showed decreased physical disability and pain rating. The decrease was gradual and was maintained up until the 2-year follow-up period. These results may indicate that persons with musculoskeletal pain with severe disability and pain require other rehabilitation programmes than those with moderate symptoms. This research has highlighted the need for development of such programmes.

  • 13.
    Sjöström, Rita
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Asplund, Ragnar
    The Research and Development Unit, Jämtland County Council, Östersund, Sweden.
    Alricsson, Marie
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Back to work: evaluation of a multidisciplinary rehabilitation program with emphasis on mental symptoms; A two-year follow up2012In: Journal of Multidisciplinary Healthcare, ISSN 1178-2390, E-ISSN 1178-2390, Vol. 5, p. 145-151Article in journal (Refereed)
    Abstract [en]

    Background: The aim of this investigation was to analyze temporal changes in anxiety, depression, and stress in patients with musculoskeletal pain for a period of up to 2 years after a multidisciplinary rehabilitation program, in relation to sick-listing (registered with The Swedish Social Insurance Agency [Forsakringskassan] for sickness benefit). Methods: Ten persons with full-time sick leave (absence from work for medical reasons) (group 1) and 49 with part-time or no sick leave (group 2) at the end of the 2-year study period participated. It was shown in a previous study that group 1 had higher pain rating and higher subjective physical disability than group 2, with little or no improvement during and after rehabilitation. In the present study, all participants were evaluated with the Hospital Anxiety and Depression scale and a self-rated stress test. Results: Participants with full-time sick leave during the study period (group 1) showed improved stress levels but no change in anxiety and depression levels. Anxiety, depression, and stress changed more favorably in participants with part-time or no sick leave than in those with full-time sick leave. Conclusion: The results of this study indicate that investigation and appropriate treatment of psychological symptoms, including anxiety and depression, are important in multidisciplinary rehabilitation of patients with musculoskeletal disorders

  • 14.
    Sjöström, Rita
    et al.
    Strömsund Health Centre, Jämtland County Council, Strömsund, Sweden .
    Asplund, Ragnar
    Research and Development Unit, Jämtland County Council, Östersund, Sweden.
    Alricsson, Marie
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Evaluation of a multidisciplinary rehabilitation program with emphasis on musculoskeletal disorders: A 5-year follow-up2013In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 45, no 2, p. 175-182Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: The aim of this study was to perform a 5-year follow-up of a 7-week multidisciplinary rehabilitation program focusing on pain, physical disability, anxiety and depression as well as stress and sick leave and to compare the results from the baseline, a 2-year follow-up and this 5-year follow-up. PARTICIPANTS: Out of 60 participants of the original rehabilitation program 54 were followed-up after 5 years. METHODS: The rehabilitation program was individually adapted and consisted of physical activity in several forms as well as theoretical and practical education. At baseline (start of study) and 2 and 5 years after completion of the rehabilitation program all participants were evaluated in terms of sick leave, pain rating (Visual Analogue Scale), the Disability Rating Index, Hospital Anxiety and Depression Scale, and Stress Test. RESULTS: Between the start of the program and the 5-year follow-up pain rating (P < 0.017) and the rate of full-time sick leave (P < 0.0005) decreased. Physical disability, anxiety, depression and stress were maintained from the 2-year follow-up until the 5-year follow-up. CONCLUSIONS: The rehabilitation program seemed to have had an effect on the participant's ability to manage with symptoms long after the end of the rehabilitation program. Most participants had returned to work, and reported less pain. The improvements made in physical disability and mental health prior to the 2-year follow-up were maintained at the 5-year follow-up occasion.

  • 15.
    Sjöström, Rita
    et al.
    Stromsund Hlth Ctr, Jamtland Cty Council, SE-83334 Stromsund, Sweden.
    Asplund, Ragnar
    Karolinska Inst, Ctr Family Med, SE-14183 Huddinge, Sweden.
    Alricsson, Marie
    Kalmar Univ, Dept Hlth Sci, Sch Human Sci, Kalmar, Sweden.
    Two year outcome of a multidisciplinary rehabilitation programme focused on range of motion of the neck and back2010In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 37, no 4, p. 341-348Article in journal (Refereed)
    Abstract [en]

    PURPOSE: To investigate whether improvement of range of motion (ROM) in persons with musculoskeletal disorders, mainly neck and back pain, was associated with a favourable development regarding physical disability, pain, and health-related quality of life (QoL), and whether such development differed between sick-listed and non-sick-listed persons during and up to 2 years after a multidisciplinary rehabilitation programme.

    METHODS: Ten persons with full-time sick leave (Group I) and 49 with part-time or no sick leave (Group II) at the end of a previous study participated. It was shown in that study that Group I had higher pain rating and higher subjective physical disability than Group II, with little or no improvement during and after rehabilitation. In the present study, all participants were evaluated with neck and back mobility tests: Disability Rating Index (DRI); Pain Intensity Rating on a visual analogue scale (VAS); and Global Self-Efficacy Index (GSI).

    RESULTS: Cervical and thoracolumbar spine ROM were lower in Group I than in Group II from the start of rehabilitation to a 2-year follow-up. Only Group II showed a temporal improvement in ROM. No changes in DRI, VAS or GSI were found in parallel with corresponding temporal changes in any of the ROM.

    CONCLUSION: Group II but not Group I improved in active ROM during rehabilitation; further, in Group I active ROM in the cervical and thoracolumbar spine did not improve during the 2-year follow-up. Improvement of ROM showed no correlation with physical disability, pain or QoL.

  • 16.
    Sjöström, Rita
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Johansson Melin, Christina [Titti]
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Asplund, Ragnar
    Jamtland Cty Council, Res & Dev Unit, Ostersund, Sweden.
    Alricsson, Marie
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Barriers to and possibilities of returning to work after a multidisciplinary rehabilitation programme. A qualitative interview study2011In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 39, no 3, p. 243-250Article in journal (Refereed)
    Abstract [en]

    Objective: The aim of this qualitative study was to explore experiences of sick-listed persons of not returning to work during a six-year period after participation in an extensive multidisciplinary rehabilitation programme. Participants: The study comprised ten participants with musculoskeletal disorders, mainly neck and back pain. Methods: Semi-structured interviews were conducted and analysed by manifest content analysis. Results: This led to identification of three primary categories and six sub-categories, which described the participants' experiences of barriers to and possibilities of returning to work, and indicated what strategies they used to cope with everyday life. The participants described that the main barriers to returning to work were pain and somatic symptoms, fatigue, and not fulfilling the work requirements. Participants considered physical activity a key factor in coping with pain. Most participants thought that they had residual work ability, and could utilise this if they could get a modified job adapted to their own capacity. Conclusions: Our study highlights the importance of utilising residual working ability at workplaces. Finding flexible work possibilities requires an understanding and supportive attitude on the part of both the employer and the social insurance office.

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