Publications by authors named "Katharina Sunnerhagen"
Introduction: Since the onset of the COVID-19 pandemic, 775 million cases have been reported globally. While many individuals recover fully, a significant proportion develop persistent symptoms. Numerous studies have investigated the long-term symptoms of COVID-19; however, the full extent and impact of these symptoms remain inadequately understood.
View Article and Find Full Text PDFBackground: Myoelectric pattern recognition (MPR) combines multiple surface electromyography channels with a machine learning algorithm to decode motor intention with an aim to enhance upper limb function after stroke. This study aims to determine the feasibility and preliminary effectiveness of a novel intervention combining MPR, virtual reality (VR), and serious gaming to improve upper limb function in people with chronic stroke.
Methods: In this single case experimental A-B-A design study, six individuals with chronic stroke and moderate to severe upper limb impairment completed 18, 2 h sessions, 3 times a week.
Background And Objectives: The most effective antiseizure medications (ASMs) for poststroke seizures (PSSs) remain unclear. We aimed to determine outcomes associated with ASMs in people with PSS.
Methods: We systematically searched electronic databases for studies on patients with PSS on ASMs.
Objective: To evaluate the usefulness of electromyography at a polio clinic in identifying unperceived muscle denervation. Second, to compare people who perceived themselves as weak in 1 or both legs with those who did not.
Design: Cross-sectional study.
Objective: To identify factors, present at 3 months after COVID-19 that are associated with the level of functioning 1 year after hospitalization.
Design: Multicenter prospective observational study.
Setting: Region Västra Götaland Sweden.
Outdoor mobility and driving among persons living with spinal cord injury in Sweden: a cross-sectional study.
Disabil Rehabil Assist Technol
December 2024
Persons living with spinal cord injury (SCI) often lacks access to outdoor mobility, which can significantly impact their ability to participate in activities outside the home, to take part in their community, and to have meaningful occupations and relationships with loved ones. To better understand the importance of outdoor mobility for persons with SCI, the aim of this cross-sectional study was to explore transport modes, car adaptations, and their perceived function and safety. A web-survey, addressing outdoor mobility and driving, was distributed among people with different physical impairments.
View Article and Find Full Text PDFBackground: A better knowledge of upper-extremity (UE) recovery in patients with stroke receiving usual care (UC) is crucial for informing clinicians on expected recovery and serves as reference for future studies.
Objectives: This systematic review and meta-analysis aimed to assess rate and amount of recovery of UE with UC in the subacute phase of stroke and identify covariates of UE recovery.
Methods: PRISMA-guidelines were used for search in PubMed, Cinahl and PEDro.
Purpose: To explore the perceptions and experiences of people with stroke participating in a novel upper limb intervention, combining myoelectric pattern recognition (MPR), virtual reality (VR), and serious gaming.
Material And Methods: Six individuals with chronic stroke and moderate to severe upper limb impairment were interviewed after 18 training sessions delivered over 6 weeks (total average practice time of 21 h). The semi-structured interviews were transcribed and analyzed with qualitative content analysis.
Objective: Early supported discharge (ESD) aims to enable the transition of care from specialised stroke units to patients' homes. Even though ESD is well-researched, little is known about the experiences faced by persons with stroke in very early supported discharge (VESD). The aim of this study was to understand these experiences when participating in a VESD rehabilitation program.
View Article and Find Full Text PDFArticle Synopsis
- The study aims to identify factors that improve the quality of life for individuals with spinal cord injury (SCI) in Sweden by using workshop and survey data from a variety of stakeholders.
- Results indicate that while many contributing factors, like relationships and leisure activities, are similar to the general population, unique influences from the healthcare system and broader societal rules significantly affect those living with SCI.
- The authors conclude that enhancing life for people with SCI requires a flexible approach that considers the diverse and individual needs within different systems over their lifespan.
Article Synopsis
- - This study tracked symptoms of depression, anxiety, post-traumatic stress disorder, and fatigue in 211 patients over a year after being hospitalized for COVID-19.
- - After 3 months, some improvements in fatigue were noted, but overall mental health indicators remained concerning at the 12-month mark, with many still experiencing anxiety, depression, or PTSD symptoms.
- - The findings suggest that most patients did not achieve full mental health recovery a year post-hospitalization, highlighting the need for ongoing mental health support.
Aims: This study aimed to investigate body function and daily life activities 18 months after Covid-19 infection, depending on the initial severity of disease and according to sex.
Methods: All 11,955 individuals on sick leave due to Covid-19 during the first wave of the pandemic in Sweden were invited to answer a questionnaire regarding experiencing negative changes in body function and daily life activities approximately 18 months after the start of sick leave. The analysis of data included descriptive statistics, group comparisons and multivariable binary logistic regressions (two groups).
Various factors may affect cognition in patients with pituitary adenoma, including size and extension of the tumor, degree of pituitary hormone deficiencies, and treatment of the tumor, most often being transsphenoidal surgery (TSS). The aim of this cross-sectional study was to evaluate cognitive function in patients with clinically significant pituitary adenoma and to identify factors influencing cognition. Sixty-eight patients with pituitary adenoma were included.
View Article and Find Full Text PDFArticle Synopsis
- A retrospective study was conducted to analyze the epidemiological and demographic characteristics of spinal cord injury (SCI) patients in Sweden using data from a national rehabilitation quality registry.
- The study found that the average age of onset for SCI was 56 years, with a predominantly male population (66%), and that traumatic spinal cord injuries (TSCI) were more common than non-traumatic injuries (NTSCI), particularly for tetraplegia.
- Key findings revealed 8% of patients required breathing aids at discharge, with 58% experiencing bowel and bladder dysfunction; the median hospital stay was 40 days, longer for those with TSCI, and the incidence rates were lower than in prior studies.
Article Synopsis
- Individuals with diabetes face a higher risk of cardiovascular issues and mortality, especially after a transient ischemic attack (TIA), and engaging in physical activity may help reduce these risks.
- This study analyzed data from over 4,200 individuals in Sweden to see how their physical activity changed post-TIA and how these changes affected their survival rates.
- Results indicated that those who increased their physical activity after a TIA experienced a significantly lower risk of all-cause and cardiovascular mortality compared to those who decreased their activity, highlighting the importance of promoting physical activity in this population.
Introduction: Cognitive impairment is a critical concern in stroke care, and international guidelines recommend early cognitive screening. The aim of this study was to determine the prognostic accuracy of both the short and standard forms of the Montreal Cognitive Assessment (MoCA) in predicting long-term cognitive recovery following a stroke.
Methods: For this study, we used data from the Efficacy of Fluoxetine - a Randomized Controlled Trial in Stroke (EFFECTS) study, which encompassed stroke patients from 35 Swedish centers over the period from 2014 to 2019.
Background: There is a well-known association between low socioeconomic status (SES), poor survival, and clinician-reported outcomes after stroke. We aimed to assess socioeconomic differences in Patient Reported Outcome Measures 3 months after stroke.
Methods: This nationwide cohort study included patients registered with acute stroke in the Swedish Stroke Register 2015-2017.
Article Synopsis
- The study investigates how different types of physical activity (leisure, work, transport, and household) relate to stroke incidence and outcomes like death or dependency on daily activities after a stroke, using long-term data from a Swedish cohort.
- Data from 3,614 individuals, tracked over a median of 20 years, showed that higher levels of leisure time physical activity significantly lowered the risk of stroke and improved post-stroke outcomes.
- Specifically, both intermediate and high leisure time physical activities reduced stroke incidence, and certain transport activity levels also showed protective effects against stroke.
Objective: To investigate whether referral for different types of rehabilitation on discharge from Swedish stroke units can predict functional outcomes at 1 and 5 years after a stroke.
Design: A longitudinal and registry-based study.
Subjects/patients: A total of 5,118 participants with index stroke in 2011 were followed-up at 1 and 5 years after the stroke.
Article Synopsis
- - The Montreal Cognitive Assessment (MoCA) is an important tool for evaluating cognitive function in stroke survivors, and the study aimed to determine the minimal detectable change (MDC) and minimal clinically important difference (MCID) in MoCA scores within 6 months post-stroke.
- - The research involved a cohort from the EFFECTS trial, with calculations showing that the MDC for MoCA was 5.1 points, while MCIDs were identified as 2 points (SIS) and 1.6 points (EQ-5D) using the anchor method, alongside a 1 point MCID using a distribution approach.
- - The findings suggest that even small changes in MoCA scores can be significant for stroke survivors, but
Background: Sex differences in stroke are well documented, with females being older at onset, with more severe strokes and worse outcomes than males. Females receive less comprehensive stroke unit treatment. Similarly, older individuals receive poorer quality care than younger ones.
View Article and Find Full Text PDFAims: To identify physical activity trajectories, explore the factors associated with them and assess their relationship with all-cause mortality.
Methods: This was a population-based longitudinal cohort study, with data from all specialist care units for type 1 diabetes in Sweden. A total of 48.
Improvements in care and rehabilitation have resulted in a higher proportion of people living with spinal cord injury (SCI), which calls for an increased focus on participation and autonomy. This observational cross-sectional study investigated the impact of SCI on autonomy and how it correlates to activity performance and upper extremity functioning. A total of 25 adults (mean age 58 years) with chronic cervical or thoracic SCI were included.
View Article and Find Full Text PDFPurpose: We describe how well general pain reported in multidomain assessment tools correlated with pain-specific assessment tools; associations between general pain, activities of daily living and independence after stroke.
Materials And Methods: Analyses of individual participant data (IPD) from the Virtual International Stroke Trials Archive (VISTA) described correlation coefficients examining (i) direct comparisons of assessments from pain-specific and multidomain assessment tools that included pain, (ii) indirect comparisons of pain assessments with the Barthel Index (BI) and modified Rankin Scale (mRS), and (iii) whether pain identification could be enhanced by accounting for reported usual activities, self-care, mobility and anxiety/depression; factors associated with pain.
Results: European Quality of Life 3- and 5-Level (EQ-5D-3L and EQ-5D-5L), RAND 36 Item Health Survey 1.
Objective: Stroke unit care is highly recommended after stroke, but patients in these units are often physically inactive. The aim of this study was to explore patient experiences of physical activity and inactivity in the stroke unit.
Design: Qualitative interview study.