Pain, syndrome and specific disease groups

Project Title: Problems of Balance and Life Quality in Patients with Mild Traumatic Head Injury (MTBI) Four Years after Injury.

Objective/Research Question:   The objective of this study is to follow up patients with mild traumatic head injury four years post-injury in order to obtain more knowledge  of their subjective experience of problems with balance. The project seeks to address the following questions:

-How may the self-reported experience of balance four years after mild head injury compare with the equivalent reporting one year after the injury?

-What are the connections between self-reported balance measurements,  performance-based balance measurements and quality of life measurements four years after mild head injury?

-What are the differences  between those reporting balance problems and those reporting none, in relation to the performance-based tests and life quality four years after the injury?

Contact  at FHS: Associate Professor PhD Astrid Bergland, Astrid.Bergland@hf.hio.no

Cooperating in the project: Ingerid Kleffelgård, UllevålUniversityHospital

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Project Title: Mastering Stress Through Movement and the Experience of Connection: Is the Salutogenic Principle Useful as an Overall Perspective in the Movement Group?

Objective/Research Question: The objective is to investigate and describe the effects of physical movement based on psychomotoric principles. The focus is on mastery of stress through movement and consciousness raising. The aim is to  discover good tools for working with movement groups.

Contact  at FHS: Associate Professor PhD Astrid Bergland, Astrid.Bergland@hf.hio.no

Cooperating in the project: Ingvild Raudstøl, Inner Østfold Psychomotoric Physiotherapy, Askim

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Project Title: Functioning and Life Quality for People with Hip Fractures

Objective/Research Question: The main  objective is to investigate whether there are differences at the three-monthly check-up with regard to muscle strength, balance, stamina, activity and life quality in patients older than 65  who are operated for neck of the femur and per-trochanteric fractures, in comparison with a healthy control group.

Contact  at FHS: Associate Professor PhD Astrid Bergland, Astrid.Bergland@hf.hio.no

Cooperating in the project: Gunhild Berdal and Tone Wagle, AkerUniversityHospital

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Project Title: ‘Active and Steady – Even Though You Are Brittle’. Do physical training and fall-prevention interventions result in increased mobility, life quality and fewer falls for clients with osteoporosis?

Objective/Research Question:  The main objective with this clinical randomised study is the assessment of the effect of physiotherapy as part of the interdisciplinary interventions made at the osteoporosis outpatients clinic, ØstfoldHospital. Sarpsborg .

Contact  at FHS: Associate Professor PhD Astrid Bergland, Astrid.Bergland@hf.hio.no

Cooperating in the project: Hilde Thorsen, Rannveig Kåresen, Specialist Centre, ØstfoldHospital. Sarpsborg, Laila Brøndbo, ØstfoldHospital Health Area

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Project Title: Stroke Patients and Ambulatory Training: which immediate changes can be documented in stroke patients’ walking patterns when fitted with various ankle braces?

Objective/Research Question: Changes in stroke patients’ walking with and without the use of ankle braces. Emg registration, video analysis and self- reporting of own experience.

Contact at FHS: Assistant Professor  Nora Hagstrøm, Nora.Hagstrom@hf.hio.no and Assistant Professor Siri Tessem Siri.Tessem@hf.hio.no

Cooperating in the project: Siri Merethe Omang and Anne Splendrup Erichsen, AkerUniversityHospital

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Project Title: Mensendieck Treatment of Chronic Lower Abdominal Pain in Women: a randomised controlled trial.

Objective/Research Question: To investigate the effect of Mensendieck treatment in combination with standard gynæcological follow-up in patients with chronic lower abdominal pain.

Contact at FHS: Assistant ProfessorGro Killi Haugstad, GroKilli.Haugstad@hf.hio.no

Cooperating in the project: Prof. Ulrik Malt, Head of Dept. Dr. Unni Kirste, Psychologist Siv Leanger, Senior Registrar Dr. Tor S. Haugstad, Physiotherapist Slawomir Wojniuz, Physiotherapist Inger Klemmetsen

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Project Title: Assessment of Everyday Function and Motor Skills in Six Young Children with Prader Willis Syndrome (PWS),

Objective/Research Question: Initially a systematic follow-up to develop a knowledge base about the variation and similarities in patterns of motor development in small children with PWS. This knowledge could contribute to justify the need for intervention and, in the longer term, facilitate the development of more specifically directed follow-up programmes for children with PWS

Contact at FHS: Assistant professor Elisabet Hellem, Elisabet.Hellem@hf.hio.no

Cooperating in the project: Kaja Giltvedt, FrambuNationalCenter for Rare Disorders, Norway

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Project Title: Rehabilitation – Stroke Research in Early Phases of Rehabilitation

Objective/Research Question:The study targets stroke patients who are unable to walk independently on admission for rehabilitation. It will determine the efficacy of treadmill walking with partial weight support via an overhead harness on the establishment and quality of independent walking. Furthermore, by reassessing the subjects six months later, it will evaluate the longer-term effect of this physiotherapy intervention.

The experimental hypotheses are:

In patients who have recently suffered a stroke and are unable to walk, ambulatory training using a treadmill with partial weight support via an overhead harness will be more effective than assisted walking on the ground. Benefits include:

-reducing the time taken to achieve independent walking,

-improving the quality of walking and

-producing a better quality of walking 6 months later.

A randomised controlled trial. A prospective multi-centre study, in cooperation with various institutions in  Australia and Norway
Contact at FHS: Assistant Professor  Birgitta Langhammer, birgitta.langhammer@hf.hio.no

Cooperating in the project: Dr. Louise Ada l.ada@fhs.usyd.edu.au , Physiotherapist Ellen Høyer Ellen.Hoyer@sunnaas.no

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Project Title: Rehabilitation in Stroke Research - the Acute Phase

Objective/Research Question: Our broad aim is to improve outcome for the upper limb after stroke. Specifically, we will develop protocols for physiotherapy intervention to prevent secondary musculoskeletal problems in the upper limb after stroke. In doing so, we will design better supportive devices that will not only reduce the incidence of subluxation, but will also hinder the development of contractions and pain. The proposed study will determine the efficacy of an innovative intervention to prevent subluxation of the affected shoulder (using a modified lapboard while seated and a triangular sling while standing) compared with current physiotherapy intervention (using a hemisling) in patients after stroke. The experimental hypotheses are:

Patients who have recently suffered a stroke and are unable to move their arm, benefit from using a modified lapboard while seated and a triangular sling while standing . This is more effective than using a hemisling in the

-prevention of subluxation of the affected shoulder

-prevention of pain in the affected shoulder,

-maintenance of range of motion in the affected shoulder, and

-improvement of function of the affected upper arm

both after 4 weeks of intervention and after the 6 weeks follow-up. 

A randomised controlled trial. A prospective multicentre study, in cooperation with various institutions in  Australia and Norway
Contact at FHS: Assistant Professor Birgitta Langhammer, birgitta.langhammer@hf.hio.no

Cooperating in the project: Dr Louise Ada l.ada@fhs.usyd.edu.au , Physiotherapist Audhild Tørstad, Audhild.Torstad@sabhf.no

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Project Title: Rehabilitation: Stroke Research in the Rehabilitation and Post-stroke Phase

Objective/Research Question: What results from regular physical stamina, weight lifting and training balance may be gained by people who have suffered a stroke? Results are measured by recording motoric functioning, mortality and I and P-ADL at 6 and 12 months’ follow-up, and  compared with results from people who have had a stroke and received today’s follow-up as practiced in healthcare already.

A blind experimental longitudinal randomised stratified controlled study. Randomisation and stratification using  dice to divide the two groups; one control group and a treatment group upon discharge, ‘blinded’ with the envelopes remaining sealed until the last treatment of the last patient is completed two years post-stroke. The treatment group receives training in relation to stamina ( max. VO2), weight lifting and training balance four times per year,  20 times for one hour’s duration, altogether 80 hours. The other group receives functional training: walking, moving from place to place at home, according to individual need, as practiced in social healthcare today. The training begins one month after admission to hospital and continues for one year.

Contact at FHS: Assistant Professor Birgitta Langhammer, birgitta.langhammer@hf.hio.no

Cooperating in the project: Professor Johan Stanghelle Johan.Stanghelle@sunnaas.no , Professor Birgitta Lindmark Birgitta.Lindmark@sjukgym.uu.se , Asker og Bærum hospital, Physiotherpaist Audhild Tørstad audhild.torstad@sabhf.no , Bærum kommune: Head of rehabilitation Physiotherapist Gerd Bjerkaas gerd.bjerkaas@baerum.kommune.no , Head of rehabilitation Physiotherapist Aud Karlsrud Aud.R.Karlsrud@baerum.kommune.no , Head of rehabilitation Occupational Therapist trine.arvidsen@baerum.kommune.no Asker kommune Head of rehabilitation Physiotherapist  Gerd Kaasa gerd.kaasa@asker.kommune.no and private practicing physiotherapists i Asker og Bærum.

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Project Title:   People with Dizziness/Vertigo

Objective/Research Question: The objective of this project is to develop new knowledge about, and  better healthcare for, people suffering form dizziness/vertigo and/or balance disturbances. This will comprise a survey and a randomised clinical trial with a control group.

Contact at FHS: Assistant ProfessorAnne Lise Tamber, AnneLise.Tamber@hf.hio.no

Cooperating in the project: Assistant Professor  Kari Anette Bruusgaard,  Kari.Bruusgaard@hf.hio.no

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Project Title:   Good Versus Bad Respiration, Patterns of Movement and Posture in Relation to Personality and Distress

Objective/Research Question: Are there differences in respiration, patterns of movement and posture in people with psychosomatic conditions with a significant degree of personality problems and distress when compared to people with psychosomatic conditions not showing such symptoms?

Contact at FHS: Assistant Professor Slawomir Swavek Wojniusz, Slawomir.Wojniusz@hf.hio.no

Cooperating in the project: Professor Ulrik Malt, Rikshospitalet University Hospital, Dr. Toril Dammen, Ullevål University Hospital