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Research Interests: Rehabilitation, Exercise therapy, Medicine, Physical Therapy, Osteoarthritis, and 15 moreNorway, Humans, Female, Male, Psychological Intervention, Aged, Middle Aged, Randomized Controlled Trial, Range of Motion, Exercise Test, Pain Measurement, Postoperative care, Recovery of Function, stair climbing, and Medical and Health Sciences
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Background and aim: Pain and fear of future fractures are major problems for many women suffering from osteoporosis. We examined the changes after a multidisciplinary education programme on pain, physical- and social function. Design: a... more
Background and aim: Pain and fear of future fractures are major problems for many women suffering from osteoporosis. We examined the changes after a multidisciplinary education programme on pain, physical- and social function. Design: a prospective one-group observational study with five days intervention and follow-up at three and twelve months post treatment. Material: Forty-nine women (mean age 74 years) recruited from GP to a hospital specialised in rheumatology, were enrolled in the study. Mean lumbal T-score was –2.9. The participants had at least one previous verified vertebrae fracture. Method: The outcome variables pain and physical- and social function were assessed by means of the SF-36- questionnaire at baseline and after three months and after twelve months after five days intervention. The analyses were performed by multivariate methods for longitudinal studies. Result: The mean score at baseline regarding social function, physical function and pain was 65, 45 and 35, respectively. The mean pain improvement score (95 percent confidence interval) at three months was 7.4 (2.7-12.2) and at twelve months 10.1 (4.6-15.5) compared with the baseline score. Conclusion: Elderly women experience significant reduction in pain after participating in a multidisciplinary education programme and the improvement lasts at least one year.
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Research Interests: Rehabilitation Medicine, Rehabilitation, Treatment Outcome, Medicine, Physical Therapy, and 14 moreHumans, Walking, Fibromyalgia, Female, Male, Musculoskeletal pain, Clinical Sciences, Middle Aged, Randomized Controlled Trial, Tropical Climate, Exercise Test, Confidence Interval, Cold climate, and Severity of Illness Index
Research Interests: Rehabilitation Medicine, Treatment Outcome, Medicine, Physical Therapy, Population, and 15 moreHumans, Walking, Female, Male, Follow-up studies, Clinical Sciences, Stairs, Aged, Middle Aged, Longitudinal Studies, Time Factors, Knee Osteoarthritis, Pain Measurement, Recovery of Function, and stair climbing
Mixed methods research (MMR) involves the application of both quantitative and qualitative approaches in a single study, and has been advocated for physiotherapy research. MMR studies are considered to be useful in cases where several... more
Mixed methods research (MMR) involves the application of both quantitative and qualitative approaches in a single study, and has been advocated for physiotherapy research. MMR studies are considered to be useful in cases where several different but related research questions are examined or when the purpose is to triangulate quantitative and qualitative data addressing one research question. Few MMR studies have been published in physiotherapy journals, and no papers are found to discuss the actual experience of conducting an MMR study. In this paper an MMR study is used to exemplify how a study applying a concurrent triangulation design was performed, and some aspects related to performing MMR are discussed. Some challenges are identified, and questions are raised about how to incorporate the findings of the two data sets and which skills are needed for doing MMR.
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Research Interests: Rheumatoid Arthritis, Medicine, Physical Medicine and Rehabilitation, Physical Therapy, Activities of Daily Living, and 15 moreMuscle strength, Humans, Female, Male, SHOULDER PAIN, Aged, Middle Aged, Adult, Range of Motion, Cross Sectional Studies, Pain Measurement, Disability Evaluation, Shoulder joint, Dash, and Medical and Health Sciences
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... Takk til professorene Nina V0llestad og Astrid Klopstad Wahl, Institutt for sykepleie-vitenskap og helsefag, Universitetet i Oslo som begge har kommet med viktige kommen-tarer i tidligere utkast av manuskriptet. ... 13. Grue L.... more
... Takk til professorene Nina V0llestad og Astrid Klopstad Wahl, Institutt for sykepleie-vitenskap og helsefag, Universitetet i Oslo som begge har kommet med viktige kommen-tarer i tidligere utkast av manuskriptet. ... 13. Grue L. Normalitetens oppfinnelse. Bidrag til en forstáelse. ...
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Research Interests: Pain, Exercise therapy, Medicine, Physical Medicine and Rehabilitation, Physical Therapy, and 15 moreHumans, Female, Male, Visual Analogue Scale, Stairs, Aged, Middle Aged, Randomized Controlled Trial, Range of Motion, Continuous Passive Motion, Timed Up and Go Test, Recovery of Function, Total Knee Arthroplasty, stair climbing, and Medical and Health Sciences
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During a period of 20 weeks 18 female patients with fibromyalgia participated in a 60-minute exercise program twice a week. A control group, comprising 17 patients, was told not to change their physical activity level. Eleven patients in... more
During a period of 20 weeks 18 female patients with fibromyalgia participated in a 60-minute exercise program twice a week. A control group, comprising 17 patients, was told not to change their physical activity level. Eleven patients in the training group and fourteen in the control group completed the study. The results at entry were compared to those after 20 weeks, as well as being compared to the results of the control group. No statistically significant changes or differences in general pain, pain coping and fatigue were seen after 20 weeks. Improved dynamic endurance work performance for the upper extremity was found, however, in the training group, measured as the strength of the first (p = 0.01) and the last repetition (p = 0.003). These results differed from the results of the control group (p = 0.02 and p = 0.003). It is concluded that fibromyalgia patients may undergo low-intensity dynamic endurance training without experiencing exacerbation of their general pain and fatigue symptoms.
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Research Interests: Psychology, Dementia, Cognition, Mild Cognitive Impairment, Medicine, and 15 morePhysical Therapy, Norway, Humans, Female, Male, Registries, Posture, Clinical Sciences, Aged, Postural Balance, Cross Sectional Studies, Alzheimer Disease, Cognition disorders, Biomechanical Phenomena, and Neuropsychological Tests
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Introduction: Fibromyalgia syndrome (FMS) is a chronic musculoskeletal pain and fatigue condition. Despite extensive research, there is currently no known therapy leading to a cure for FMS. Although studies have reported that some... more
Introduction: Fibromyalgia syndrome (FMS) is a chronic musculoskeletal pain and fatigue condition. Despite extensive research, there is currently no known therapy leading to a cure for FMS. Although studies have reported that some patients can regain their health, little is known about their personal process of becoming well.Objevtive: This study aimed to explore women's narratives about the process of recovering from FMS.Methods: The empirical material consists of qualitative interviews of eight Norwegian women who all have previously had, but do not have FMS any more. Inspired by a narrative approach we analyzed their experiences of becoming better with a focus on recovery as a meaning-making process.Results: The findings revealed a recovery process consisting of two intertwined narratives that are mutually nurturing each other. The first narrative telling moments of prompting changes refers to events during the recovery process where women understood themselves and their suffering in new ways and thereby enabled them to act in new ways or take further action. The second narrative a mundane process of rebuilding a tolerable daily life refers to a lasting, mundane everyday process of exploration how they initially should act to avoid becoming worse and, later, to promote improvement.Conclusion: Our findings show how the women explain their recovery in terms of overcoming fear of movement, making sense of their symptoms and becoming more active in everyday life. The close analysis reveals a recovery narrative portraying a complex and ambiguous process consisting of small dramas about the efforts trying to rebuild a meaningful life.
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Research Interests: Biomedical Engineering, Language, Norwegian, Medicine, Distress, and 15 moreNorway, Humans, Differential Item Functioning, Chronic Disease, Female, Male, Neck Pain, Clinical Sciences, Aged, Middle Aged, Adult, Chi Square Distribution, Cross Sectional Studies, Pain Measurement, and Disability Evaluation
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External applied devices are sometimes used in the treatment of persistent knee contractures in juvenile chronic arthritis (JCA). This study examined the effect of static night traction and orthoses on passive and active extension range... more
External applied devices are sometimes used in the treatment of persistent knee contractures in juvenile chronic arthritis (JCA). This study examined the effect of static night traction and orthoses on passive and active extension range of motion (ROM) in preschool children with JCA. A single-subject design was used, comparing the outcome of periods without intervention (A) with that of periods with intervention in the form of traction and orthoses (B). Five patients, 3 girls and 2 boys, participated. Active and passive extension ROM was measured weekly. The data were examined by visual inspection of trend, slope, and mean level in each period. Greater improvement in both active and passive extension ROM was seen in the B periods than in the A periods. The intervention was not observed to have any negative effects on the children. Static night traction may be a useful supplement to physiotherapy and medication to reduce knee flexion contractures in small children with JCA. The effect of the orthoses was difficult to evaluate because they were used for an insufficient time.
Research Interests: Physiotherapy, Immunology, Juvenile Idiopathic Arthritis, Comparative Study, Medicine, and 15 morePhysical Medicine and Rehabilitation, Physical Therapy, Humans, Female, Male, Bending, Clinical Sciences, Night, Contracture, Knee Joint, Equipment Design, Orthotic Devices, Nino, Combined Modality Therapy, and Child preschool
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Research Interests: Rheumatology, Rheumatoid Arthritis, Exercise therapy, Medicine, Physical Therapy, and 15 moreActivities of Daily Living, Humans, Female, Male, Arthroplasty, Clinical Sciences, Aged, Middle Aged, Questionnaires, Adult, Retrospective Studies, Range of Motion, Pain Measurement, Activity of Daily Living, and Health assessment questionnaire
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Designed by a group of ME/CFS researchers and health professionals, the European Network on Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (EUROMENE) has received funding from the European Cooperation in Science and Technology (COST)... more
Designed by a group of ME/CFS researchers and health professionals, the European Network on Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (EUROMENE) has received funding from the European Cooperation in Science and Technology (COST) (https://www.cost.eu/cost-actions/what-are-costactions/ ) COST action 15111 from 2016 to 2020. The main goal of the Cost Action was to assess the existing fragmented knowledge and experience on health care delivery for people with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) in European countries, and to enhance coordinated research and health care provision in this field. We report on the recommendations for clinical diagnosis, heath services and care for people with ME/CFS in Europe, as prepared by the group of clinicians and researchers from 22 countries and 55 European health professionals and researchers, who have been informed by people with ME/CFS (https://www.cost.eu/actions/CA15111/#tabs|Name:overview).
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Objectives: Lasting, unexplained and high levels of pain may cause anxiety in patients with chronic fatigue syndrome. The objectives of the current study were to test assumptions of the association between pain and anxiety in patients... more
Objectives: Lasting, unexplained and high levels of pain may cause anxiety in patients with chronic fatigue syndrome. The objectives of the current study were to test assumptions of the association between pain and anxiety in patients diagnosed with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) and to clarify the role of depression in this relationship. Methods: Data were collected from 664 participants (age 18-65 years) with 133 ME/CFS patients and 201 healthy controls from Norway and 330 CFS patients from Spain. Binary logistic regression model was applied to test relationships between the included variables in the samples. Results: Both pain and depression made significant direct contributions to the level of anxiety. The strongest risk for higher levels of anxiety was the combination of high levels of depression and high levels of pain in the overall sample (OR = 49.70; P < 0.001), not so much in the Spanish cohort (OR = 11.99; P < 0.0001) and most of all in ...
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Objectives The purpose of the study was to explore the impact of perceived cognitive problems on daily life in men with fibromyalgia. Method The data were collected through life-story interviews of eight men with fibromyalgia. Narrative... more
Objectives The purpose of the study was to explore the impact of perceived cognitive problems on daily life in men with fibromyalgia. Method The data were collected through life-story interviews of eight men with fibromyalgia. Narrative analysis was conducted to create model narratives that comprise the content and storylines across the data. Results Three model narratives are presented in the findings to describe the scope and severity of the cognitive problems. The participants’ experiences of cognitive problems varied from occasional concentration problems to severe and complex difficulties in memory, problem solving and verbal fluency. The impact of these problems on daily life was substantial and overshadowed the participants’ domestic life, social relations and work performance. In some cases, maintaining a role in working life was perceived as challenging. Discussion These patients are usually examined and treated in primary health care settings and the assessment tools and i...
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Research Interests: Manual Therapy, Medicine, Comorbidity, Low back pain, Multivariate Analysis, and 15 moreNorway, Humans, Female, Cohort Study, Clinical Sciences, Adult, Physical examination, Multivariate Regression, Pelvic Pain, Indexation, Gestation, Pain Measurement, Cohort Studies, Disability Evaluation, and Multivariate linear regression
Objective: To examine whether general feelings of fatigue, exercise-induced pain in the extremities, and exertion were different in female patients with fibromyalgia syndrome (FS) compared with sedentary healthy women. Methods:... more
Objective: To examine whether general feelings of fatigue, exercise-induced pain in the extremities, and exertion were different in female patients with fibromyalgia syndrome (FS) compared with sedentary healthy women. Methods: Thirty-seven FS patients and 20 healthy subjects were studied. Cardiovascular fitness was assessed by Aastrand's indirect, submaximal method. The period of repetitive dynamic muscle contractions and sustained static muscle contraction were measured. General feelings of fatigue before exercise and exercise-induced extremity pain were assessed by visual analogue scales. Exercise-induced exertion was recorded by Borg's Rating Scale of Perceived Exertion. Results: No significant group difference in cardiovascular fitness was found (p = 0.8). In the FS patients general fatigue was (median 95% confidence interval) 69 (59 - 75) versus 32 (22 - 47) for the healthy controls (p < 0.0001). At the moment of interrupting the bicycle test, the perceived exertion score was 17 (16 - 18) among patients versus 13 (13 - 15) among controls (p < 0.0001). Compared with the controls, high exercise-induced extremity pain was found after sustained static and repetitive dynamic muscle contractions in the FS patients (p < 0.004), and 24 hours later the patients' pain intensities had not returned to pre-exercise values (p < 0.01). Conclusion: High general fatigue, exercise-induced extremity pain, exertion and 24 hours post-exercise extremity pain in FS patients compared with healthy controls could not be explained by any group difference in cardiovascular fitness.
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Touch, while ubiquitous and ever present in the practice of physiotherapy, is conspicuously absent from physiotherapy-related research. Based on a theoretical perspective inspired by phenomenology, this article explores and elaborates on... more
Touch, while ubiquitous and ever present in the practice of physiotherapy, is conspicuously absent from physiotherapy-related research. Based on a theoretical perspective inspired by phenomenology, this article explores and elaborates on the meaning and significance of touch in the practice of physiotherapy. The research data were generated through 16 close observations conducted in primary care clinics, and through interviews with 9 physiotherapists and with 9 patients suffering from chronic neck problems. The findings revealed how the use of touch in the practice of physiotherapy brings people into proximity in ways more complex than simple skin-to-skin contact. Through nontouch, touch, and movements, physiotherapists invite their patients to participate in the process of creating and performing therapy; dialogue through touch and movement is vital. Touch in physiotherapy depends on the physiotherapist&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s embodied skills; those they cultivate in order to respectfully listen to their patients and guide them to explore their own bodily capacity, limits and possibilities. The findings also suggest that observing therapy from outside and from participating in it offer significant different experiences, information, understanding, and meanings. The differences between physiotherapy as observed expression and as lived experience would seem to have important implications for understanding the practice of physiotherapy.