Aim: To investigate if physical exercise in combination with coaching will reduce pain and improve knee function in patients with mild to moderate osteoarthritis in the knee compared to physical exercise alone.Method: The study consisted of 42 patients who were randomized to either an intervention group or a control group. Both groups followed a standardized training program at home, but the intervention group received additional support with regard to the aim of their training, as well as extra coaching during the training period of ten weeks. A Visual Analog Scale (VAS) was used to evaluate the patients? pain. A 10 metre walking test, the Index of Muscle Function (IMF) and the Knee injury and Osteoarthritis Outcome Score (KOOS) were also used to evaluate knee function.

The purpose of this study is to assess the state of health of the individuals living in Löddeköpinge during the middle ages, whose remains were excavated by Chintio, H., 1975-80. The location is thought to have been a trading community that ceased to flourish towards the end of the Viking age. The main focus of the essay is to examine the occurrence of osteoarthritis (sv. artros), trauma, and analysis of stature, in order to understand population health during this time period. Osteoarthritis has never been researched in Löddeköpinge and the analysis showed that, of the 60 skeletons examined, 68,3% demonstrated some change in the skeletal joints, which is much higher than in the comparative material obtained from Lund and Sigtuna.

ABSTRACTBackground: On behalf of the Orthopedic clinic, Västerås, a study has been conducted with focus on comparing the results after conservative and surgical treatment due to complete achillestendon rupture.Aim: To compare results when testing the active and passive range of motion, calf muscle endurance, estimation of pain related to the achillestendon and self-efficacy to be physically active for individuals who have undergone conservative or surgical treatment after complete achillestendon rupture.Method: 14 individuals afflicted by complete achillestendon rupture in 2010 were recruited as a purposive sample. Examination were conducted of: Ankle range of motion with a goniometer, calf muscle endurance through a toe-raise test, estimation of pain intensity related to the achillestendon by VAS and self-efficacy to be physically active through ?Exercise self-efficacy scale?. P-value and the median were calculated.Result: The results of ankle range of motion and calf muscle endurance were based on the difference between the injured and the healthy side. When testing active plantarflexion the conservative group had a median of 4 ? and the surgical group had a median of 10 ?.

AbstractAimThe aim of the pilot study was to compare short- and long-term effects from group exercise in water with land-based exercise on pain at rest and pain with movement, along with the effects on function in daily life and practice of sports and leisure activities in patients with knee osteoarthritis. The aims were: Is there a difference in short- and long-term effects on pain intensity at rest and pain with movement after exercise in water or land in patients with knee osteoarthritis? Is there a correlation between the degree of pain intensity at rest and with movement, respectively and long-term effects from the two different exercises on function in daily life and practice of sports and leisure? MethodThe study was a randomized intervention study without a control group. Twenty patients with radiographic knee osteoarthritis were under a total of eight weeks treated with either land- or water-based exercise lead by a physiotherapist. The patients rated pain intensity at rest and with movement on a numerical rating scale (NRS) before and after the first training session, before and after the eighth training session, before and after the fifteenth training session and before the last and sixteenth training session.

Introduktion/bakgrund: Artros är en kronisk ledsjukdom som drabbar en eller flera leder i kroppen. Vanliga symptom är smärta, stelhet, svullnad, muskelsvaghet och ledinstabilitet. Träning, viktnedgång och patientinformation är de tre viktigaste behandlingsrekommendationerna. Behandling bör påbörjas så tidigt som möjligt i sjukdomsförloppet för att ha bäst effekt. På flertalet hälsovårdscentraler i landet genomförs artrosbehandling i form av en artrosskola där träning och patientinformation står i fokus, dock är det inte infört på samtliga hälsocentraler.

Introduction: Sex and education level has demonstrated effects on health status.Osteoarthritis is a widespread disease that causes reduced health-related quality of life and isthe most common reason for total hip replacement. Osteoarthritis was ranked as the 11thhighest contributor to global disability as reported in the Global Burden of Disease 2010.Aim: The aim of this study was to explore how sex and education level together affectedhealth-related quality of life after total hip replacement. The aim was also to examine whatdimensions of EQ-5D that changed.Methods: The study is a prospective observational study with a quantitative approach. Dataconsisted of education level, obtained from Statistics Sweden (SCB) and health-relatedquality of life before and one year after total hip replacement from the Swedish HipArthroplasty Register (SHAR). Health-related quality of life was measured with astandardised instrument, the EQ-5D, and the study population consisted of 39,141 patients.Results: Womens? EQ-5D-value, before and one year after surgery, were lower in alleducational categories compared with men.

Bakgrund: Artros är en ?folksjukdom? som drabbar många, framförallt äldre. Sjukdomeninnebär en broskförändring på en led som i sin tur ger upphov till smärta, stelhet och minskadrörlighet. Det finns ingen behandling förutom kirurgi som botar sjukdomen. De läkemedelsom används är smärtstillande och inflammationshämmande läkemedel som ger olika grad avbiverkningar.

Syftet med denna studie var att undersöka hur fetma/övervikt påverkar lederna och utveckling av artros och hur sjuksköterskan kan informera, undervisa i förebyggande syfte. Metoden är en litteraturstudie. Tolv vetenskapliga artiklar granskades enl. Polit et al (2001) kriterier för vetenskaplighet. Därefter inleddes analysen där fyra huvudteman framträdde: BMI och påverkan på lederna, Smärtpåverkan vid artros, Genusskillnader vid artros och övervikt samt Sjuksköterskans undervisande roll.

Seven individuals from Surahammar in Västmanland Sweden are analyzed for the appearance of pathological and skeletal changes. The graves, all from within the walls of a fourteenth century church, are dated from the Viking age to late eighteenth century. The aim of this scientific essay is to find pathological conditions by doing an osteological analyze, x-ray analysis, an osteoporosis measurement and letting orthopedists assess the individuals. The aim is also to say something about the individuals? general health and how they experience the changes they have in the skeleton.

The high incidence of cranial cruciate ligament injury in dogs results in both suffering and significant costs due to treatment and care of affected dogs. Today there are several different technics for surgical treatment in dogs with ruptured cranial cruciate ligament. At University Animal Hospital (UDS), SLU, in Uppsala two fundamentally different methods; TPLO (Tibial Plateau Leveling Osteotomy) and external fixation with suture material are practiced. The aim of this study was to estimate if the different surgery technics result in any difference regarding the function of the dog in a long term perspective. Since motion and function are very affected by arthritis, was the purpose also to determine if there are any differences in developing arthritis between dogs surgical treated with external fixation respectively with TPLO. Development of arthritis is common after surgery or traumatic injuries in a joint, such as cruciate ligament rupture. Unfortunately was the number of dogs in the study to small to achieve two comparable groups.

SyfteSyftet med föreliggande studie var att undersöka genomförbarheten av en hög-intensiv träningsintervention efter knäplastikoperation samt hur knäplastikopererade personers självvalda gånghastighet, maximal vadmuskelstyrka, vadmuskeluthållighet och självupplevda symptom, smärta, ADL funktion och hälsorelaterad livskvalité påverkas av tidigt insatt hög-intensiv styrketräning av vadmuskulaturen.MetodFemton forskningspersoner randomiserades till en träningsgrupp (n=7), som utförde hemträningsprogram i form av hög-intensiv vadmuskelträning samt till en kontrollgrupp (n=8) som utförde samma rehabiliteringsprogram som träningsgruppen utan hög-intensiv vadmuskelträning. En testprocedur genomfördes 3 respektive 12 veckor efter knäplastikoperationen. Självvald gånghastighet mättes genom ett 30 meters gångtest, vadmuskeluthållighet mättes med ett standardiserat tåhävningstest på ett ben, maximal isometrisk vadmuskelstyrka mättes med hjälp av en isometrisk dynamometer och självskattad symptom, smärta, ADL funktion och livskvalité utvärderades genom Knee injury Osteoarthritis Outcome Score (KOOS).ResultatDenna studie påvisar viss problematik med följsamheten i träningsregim för båda grupperna. Båda gruppernas sammanslagna resultat uppvisade signikant förbättrad självvald gånghastighet, maximal vadmuskelstyrka och uthållighet över tid. Trots detta ökade träningsgruppen den självvalda gånghastigheten signifikant mer än kontrollgruppen över tid.

Bakgrund: Flertal studier visar ett samband mellan regelbunden fysiskaktivitet och livskvalité bland äldre.Syftet med studien var att beskriva hur fysiskt aktiva äldre individer uppleverhälsa, livskvalité, känsla av sammanhang och hur det kan vara enförutsättning för fysisk aktivitet. Kan KASAM-livsfrågeformulär bidra tillökad förståelse för individens upplevda hälsa och fysiska aktivitet.Metod: Kvalitativ och kvantitativ. Utifrån kvantitativ ansats användesKASAM-livsfrågeformulär med 29 frågor uppdelat utifrån treområdeskomponenter; begriplighet, hanterbarhet och meningsfullhet. Somkvalitativt komplement gjordes 15 intervjuer. Data analyserades medinnehållsanalys.

On average half of the sows in Swedish piglet producing herds are culledannually. A significant portion of the sows are euthanized because of lameness orparalysis. Young sows and gilts are overrepresented in the category of animals,culled due to injuries in the musculoskeletal system. These injuries cause pain tothe animals. Early culling of sows/gilts also have economical consequences forthe producers.

Introduction: Balance is a complicated term which includes a static, dynamic and functional part. These parts have, during a long period of time, been included into the existing training programs through several different balance exercises, which aim to prevent sports injuries mostly focused on the knee and ankle. In floorball these injuries are common and a sports injury prevention program is required.Purpose: The purpose is to explain the balance term and relate it to injury prevention training and the existing theories. A second purpose is to see whether five weeks of balance training increases the balance ability in female floorball players and thereby increase the test values in the two tests.Method: Twenty female floorball players participated in the study and were divided into a training group and a control group. They performed a Star excursion balance test (SEBT) and a Multiple single leg hop stabilization test (MSLHST) before and after a five week training period, containing exercises of balance.Results: The training group showed improvement after the training period, however only one significant result was found.

Skador i idrottssammanhang är en av de mest förekommande anledningarna för uppsökande av akutsjukvård. Knä- och fotledsskador är de två vanligaste idrottsskadorna. Att behandla idrottsskador är ofta kostsamt och tidskrävande. En längre tids bortavaro från idrott är en stor psykosocial faktor och för en professionell idrottsutövare kan det resultera i sämre lön och påverka en framtida karriär. Det förekommer en hel del olika preventiva åtgärder för att förebygga skador, exempelvis träning, tejpning och ortoser.