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  • 1.
    Hjalmarson, Helene
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013).
    Radsjö, Ulrica
    Gustavsson, Yngve
    Ett mätinstrument för registrering av sjukgymnastiska åtgärder1996In: Sjukgymnasten Vetenskapligt supplement, no 1, p. 4-9Article in journal (Refereed)
    Abstract [sv]

    The need for documentation and evaluation of phystiotherapy treatment is great. The aim of this study was to develop an instrument for registration of the measures and amount of time used for individual patient treatment. This instrument was developed at the department of Geriatric rehabilitation, Umeå University Hospital, Sweden. It consists of record for registration of the measures and the amount of time used as a manual and was developed and evaluated in several steps by nine physiotherapists. This version of the instrument was then tested for inter-rate reliability. The method used to develop the instrument ensures good validity. The inter-rater reliability of the instrumentas for the registred measurs and the amount of time is high (Cohen´s kappa 0.64-1.0 and Pearson´s correlations coefficient 0.96). Therefore we conclude that this instrument is useful to physiotherapy for documentation in clinical practise, quality control and rehabilitation research.

  • 2.
    Malmberg Gavelin, Hanna
    et al.
    Umeå Universitet, Sverige.
    Eskilsson, Therese
    Umeå Universitet, Sverige.
    Boraxbekk, Carl-Johan
    Copenhagen University Hospital Hvidovre, Danmark; Umeå Universitet, Sverige.
    Josefsson, Maria
    Umeå universitet, Sverige.
    Stigsdotter Neely, Anna
    Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Department of Social and Psychological Studies (from 2013).
    Slunga Järvholm, Lisbeth
    Umeå universitet, Sverige.
    Rehabilitation for improved cognition in patients with stress-related exhaustion disorder: RECO – a randomized clinical trial2018In: Stress, ISSN 1025-3890, E-ISSN 1607-8888, Vol. 21, no 4, p. 279-291Article in journal (Refereed)
    Abstract [en]

    Stress-related exhaustion has been associated with selective and enduring cognitive impairments. However, little is known about how to address cognitive deficits in stress rehabilitation and how this influences stress recovery over time. The aim of this open-label, parallel randomized controlled trial (ClinicalTrials.gov: NCT03073772) was to investigate the long-term effects of 12 weeks cognitive or aerobic training on cognitive function, psychological health, and work ability for patients diagnosed with exhaustion disorder (ED). One-hundred-and-thirty-two patients (111 women) participating in multimodal stress rehabilitation were randomized to receive additional cognitive training (n = 44), additional aerobic training (n = 47), or no additional training (n = 41). Treatment effects were assessed before, immediately after and one-year post intervention. The primary outcome was global cognitive function. Secondary outcomes included domain-specific cognition, self-reported burnout, depression, anxiety, fatigue and work ability, aerobic capacity, and sick-leave levels. Intention-to-treat analysis revealed a small but lasting improvement in global cognitive functioning for the cognitive training group, paralleled by a large improvement on a trained updating task. The aerobic training group showed improvements in aerobic capacity and episodic memory immediately after training, but no long-term benefits. General improvements in psychological health and work ability were observed, with no difference between interventional groups. Our findings suggest that cognitive training may be a viable method to address cognitive impairments for patients with ED, whereas the effects of aerobic exercise on cognition may be more limited when performed during a restricted time period. The implications for clinical practice in supporting patients with ED to adhere to treatment are discussed

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