Självtest benstyrka – ny metod utvärderas efter tolv veckors intervention på Livsstilsmottagning i Karlskoga

Detta är en Kandidat-uppsats från Örebro universitet/Institutionen för medicinska vetenskaper

Sammanfattning: Introduction: Chronic diseases can be prevented and improved by regular physical activity and reduced sedentary time. An adequate leg strength and leg function in treatment and prevention of these disease is something to strive for. To the Lifestyle Reception at Karlskoga Hospital are patients with mild to moderate mental illness referred where a new method Self-measurement tests of leg strength is used, containing 30 seconds chair-stand test, squat, heel rise and maximal step-up test, aiming to simple training and indicating an objective measure of leg strength. Objective: To describe the group of patients referred to the Lifestyle Reception and investigate change of leg strength/leg function using Self-measurement tests, self-rated health and self-rated physical function following 12 weeks of intervention. Methods: A clinical intervention study of 29 patients referred to the Lifestyle Reception at Karlskoga Hospital between Nov 2017 and March 2018. They participated in an intervention consisting of group training twice a week for 12 weeks. A sign-in and a sign-out interview was carried out where data (tests and a questionnaire) of the study was collected. Result: 29 patients (24 women / 5 men) participated. The mean age was 39 years and the mean BMI was 31 (corresponding to obesity). All patients were on sick leave to some extent. The theoretical individual maximal step-up height (% -tMSH) improved from 65% to 75% (p <0.001). The patients could on average do 5.5 more 30s-chair-stand-test (p <0.001) and the proportion who managed to do squats without support increased from 57% to 90%. Significant improvements were seen for the self-rated health (p <0.001) and also for the HAD scale (anxiety p = 0.012; depression p = 0.04). However, the improvement of the self-rated physical function was not significant. Conclusion: Significant improvements in all four self-tests of leg strength / leg function could be measured after the intervention as well as a significant improvement of self-rated health. Self-measurement test of leg strength is considered to be a simple and useful test method in clinical practice.

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