Publications by authors named "Gunilla Kjellby Wendt"

Article Synopsis
  • * A survey was sent to 1,014 patients about six weeks post-discharge, with 436 (93.6%) reporting ongoing symptoms, most commonly weight loss, and demonstrating decreased mobility since admission.
  • * Six months later, nearly 90% of patients sought further medical care, indicating a significant and ongoing need for rehabilitation related to COVID-19, with hospital costs for inpatient and outpatient care and related visits exceeding 9.6 million Euros.
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Article Synopsis
  • The study aimed to assess long-term outcomes in spinal range of motion (ROM) and trunk muscle endurance (TME) for patients with idiopathic scoliosis diagnosed before age ten, comparing them to untreated or treated patients with adolescent onset idiopathic scoliosis (AIS).
  • Results showed that braced early-onset scoliosis (EOS) patients had comparable ROM and TME to untreated AIS patients, while showing better outcomes than braced AIS patients.
  • Operated EOS patients demonstrated slight advantages in strength and mobility compared to AIS peers, suggesting clinically significant differences in muscle strength despite overall similar outcomes between groups.
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The aim of this study was to explore the everyday life experiences of people one year after corrective osteotomy following a symptomatic, malunited, distal radius fracture.Semi-structured interviews were conducted with twenty respondents, median age 65 (22-81) years. The respondents were recruited consecutively.

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Background: Many women develop pelvic girdle pain (PGP) during pregnancy and about 10% have chronic pain several years after delivery. Self-administered pain provocation tests are one way to diagnose and evaluate this pain. Their validity in post-partum women is not yet studied.

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Purpose: The purpose of this randomised, controlled, double-blind trial was to evaluate functional outcome during the first year after corrective osteotomy for malunited distal radius fractures, with or without filling the osteotomy void.

Method: Patients were randomised to receive a HydroSet bone substitute or no graft. Cortical contact was maintained and stabilisation of the osteotomy was carried out with a DiPhos R- or RM Plate.

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Study Design: A group of adult patients with idiopathic scoliosis, diagnosed before the age of ten, at a mean of 26.5 years after treatment with either brace or surgery during childhood and adolescence attended a clinical follow-up.

Objectives: To evaluate the relation between thoracic mobility, rib-cage deformity, and pulmonary function.

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The aim was to investigate the long-term outcome after corrective osteotomy for malunion of distal radius fractures. Radiological findings, function, activity performance, pain, health-related quality of life and self-efficacy were studied. Evaluation of 37 patients 3-10 years after osteotomy fixated with a volar plate.

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The aim of this study was to explore the everyday life experiences of people suffering from a symptomatic, malunited, distal radius fracture. Qualitative interviews were conducted with twenty respondents, median age 59 [16-85] years. The interviews were subjected to qualitative content analysis.

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Background: Studies have shown that patients with hip fracture treated in a Comprehensive Geriatric Care (CGC) unit report better results in comparison to orthopaedic care. Furthermore, involving patients in their healthcare by encouraging patient participation can result in better quality of care and improved outcomes. To our knowledge no study has been performed comparing rehabilitation programmes within a CGC unit during the acute phase after hip fracture with focus on improving patients' perceived participation and subsequent effect on patients' function.

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Background: Obesity is associated with an increased risk of pain in weight-bearing joints. Although pain often decreases after obesity surgery, this is the reverse for some patients. Hypermobility is described as an excessive range of motion in joints and has been suggested to be a possible cause of joint pain.

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Background: Pelvic girdle pain (PGP) is a multifactorial condition, which can be mentally and physically compromising both during and after pregnancy. However, long-term pregnancy-related PGP has been poorly investigated. This longitudinal follow-up study uniquely aimed to describe prevalence and predictors of PGP and its consequences on women's health and function up to 11 years after pregnancy.

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Individuals with myotonic dystrophy type 1 (DM1) have progressive muscle weakness with gait and balance impairments. We explored prospectively the natural history of muscle force, gait, balance, balance confidence and walking ability in muscular affected individuals with DM1. After five years data from 43 individuals (m/f:18/25) were analysed.

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Patients with myotonic dystrophy type 1 suffer from gait difficulties including stumbles and falls. To identify factors of importance for balance impairment and fall-risk a mapping of functional balance was performed, in a cross-sectional study of 51 adults. Walking, balance, falls and muscle force were self-assessed and measured.

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Objective: To evaluate a structured physiotherapy treatment model in patients who qualify for lumbar disc surgery.

Design: A prospective cohort study.

Patients: Forty-one patients with lumbar disc herniation, diagnosed by clinical assessments and magnetic resonance imaging.

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Objective: To describe the experience of health among patients 3 years after treatment with a structured physiotherapy model or surgery for lumbar disc herniation.

Design: A qualitative research study.

Subjects/patients: Patients were referred to the orthopaedic clinic at Sahlgrenska University Hospital with sciatica due to lumbar disc herniation.

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Article Synopsis
  • A study investigated the prevalence of kinesiophobia (fear of movement) in patients who underwent surgery for lumbar disc herniation, which had not been previously explored.
  • Out of 97 patients surveyed 10-34 months post-surgery, 36 reported kinesiophobia, and this was linked to worse overall outcomes in terms of disability, pain, and mental health measures.
  • The findings suggest that kinesiophobia is common after disc surgery and negatively impacts recovery and quality of life for those affected.
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Objective: To evaluate the effect on pain intensity and function of an exercise concept focusing on specific eccentric strength training of the rotator cuff in patients with subacromial impingement syndrome.

Design: Single-subject research design with baseline and treatment phases (AB design).

Setting: Home-based training programme supervised and supported by visits to physiotherapy clinic.

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Pregnancy-related lumbopelvic pain has varying clinical presentations and effects among subgroups. Different lumbopelvic pain subgroups require different specific management approaches which require the differentiation between lumbar and pelvic girdle pain (PGP). Thirty-one consecutive pregnant women with non-specific lumbopelvic pain were evaluated by two examiners and classified into lumbar pain, PGP, or combined pelvic girdle and lumbar pain.

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The aim of this study was to investigate sensitivity and specificity of self-administrated tests aimed at pain provocation of posterior and/or anterior pelvis pain and to investigate pain intensity during and after palpation of the symphysis. A total of 175 women participated in the study, 100 pregnant women with and 25 pregnant women without lumbopelvic back pain and 50 non-pregnant women. Standard pain provocation tests were compared with self assessed tests.

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Study Design: A randomized controlled trial was performed.

Objectives: To evaluate how 2 different treatment options affect perception of health, pain, and physical functioning over time among children and adolescents with low back pain (LBP).

Summary Of Background Data: LBP among children and adolescents has increased.

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We investigated test-retest reliability and responsiveness in two functional measuring instruments, Timed Up&Go (TUG) and Timed-Stands Test (TST), and in three self-assessment scales, Visual Analogue Scale (VAS), Borg's Category-Ratio Scale (BorgCR10) and Myotonia Behaviour Scale (MBS) when quantifying myotonic stiffness and mobility impairment. These methods were used in the assessment of treatment efficacy of mexiletine. Six male patients with myotonia congenita followed a standardised protocol with time scoring and rest on two occasions, with and without mexiletine.

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A prospective and randomized study was conducted of 52 patients who were treated by two home training programs after surgical treatment of lumbar disc herniation. Twenty-six patients followed an early active treatment program, and 26 patients followed a less active training program (control group). Forty-nine patients (82%) answered a questionnaire 5-7 years postoperatively.

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