JOURNAL OF REHABILITATION The International JRM Non-profit Journal VOL. 51. OCTOBER 2019

6th Baltic and North Sea Conference on Physical and Rehabilitation Medicine Rehabilitation towards future health and participa- tion - an evidence-based strategy Oslo, Norway, October 9–10, 2019

ABSTRACT BOOK

Immediate Open Access Official journal of the – UEMS European Board and Section of Physical and Rehabilitation Medicine (EBPRM) – European Academy of Rehabilitation Medicine (EARM) – Baltic and North Sea Forum for Physical and Rehabilitation Medicine (BNFPRM) Published in association with the – European Society of Physical and Rehabilitation Medicine (ESPRM) – Canadian Association of Physical Medicine and Rehabilitation (CAPM&R) – Asia Oceania Society of Physical and Rehabilitation Medicine (AOSPRM) – Baltic and North Sea Forum for Physical and Rehabilitation Medicine (BNFPRM) Journal of Rehabilitation Medicine VOL. 51. OCTOBER 2019

Journal of Rehabilitation Medicine

Journal of Rehabilitation Medicine is an international peer-review journal published in English with ten regular issues per year. It is owned by a Swedish nonprofit organi- zation: Foundation for Rehabilitation Information. Journal of Rehabilitation Medicine was former called Scandinavian Journal of Rehabilitation Medicine, which was founded by Olle Höök in 1968. The name was changed to Journal of Rehabilitation Medicine in 2001. Journal of Rehabilitation Medicine aims to be a leading worldwide forum for research in physical and rehabilitation medicine, aiming to increase knowledge in evidence- based clinical rehabilitation. Contributions from all parts of the world and from different professions in rehabilitation are encouraged. Original articles, Reviews (including Educational reviews), Special reports, Short communications, Case reports, and Letters to the Editor are published. Clinical studies on rehabilitation in various patients groups, within neurological and musculoskeletal as well as in other relevant rehabilitation areas, reports on physical and behavioural treatment methodology, including rehabilitation technology, development and analysis of methodology for outcome measurements, epidemiological studies on disability in relation to rehabilitation, and studies on vocational and socio-medical aspects of rehabilitation will be considered for publication. The journal emphasizes the need for randomized controlled studies of various rehabilitation interventions, the use of the International Classification of Functioning, Disability and Health (ICF) as a background for reports when appropriate, and the use of modern psychometric methodology in treating and reporting data from ordinal scales.

Editors-in-Chief Antii Malmivaara, Helsinki, Finland Kristian Borg, Stockholm, Sweden Nancy Mayo, Montreal, Canada Henk Stam, Rotterdam, The Netherlands Jean-Michel Mazaux, Bordeaux, France Frans Nollet, Amsterdam, The Netherlands Past Editor-in-Chief Levent Özçakar, Ankara, Turkey Bengt H. Sjölund, Malmö, Sweden Chang-il Park, Seoul, Korea Associate Editors Michael Quittan, Vienna, Austria Ian Cameron, Sydney, Australia Carol Richards, Quebec, Canada Franco Franchignoni, Veruno, Italy Nicola Smania, Verona, Italy Ayse Küçükdeveci, Ankara, Turkey Johan Stanghelle, Oslo, Norway Jianan Li, Nanjing, China Simon F.T. Tang, Tao-Yuan, Taiwan Klaas Postema, Groningen, The Netherlands Jean-Louis Thonnard, Bruxelles, Belgium Leanne Togher, Sydney, Australia Cecilie Røe, Oslo, Norway Lynne Turner-Stokes, London, United Kingdom Gerold Stucki, Nottwil, Switzerland Rita van den Berg-Emons, Rotterdam, The Netherlands Britt-Marie Stålnacke, Umeå, Sweden Jean-Michel Viton, Marseilles, France Katharina Stibrant Sunnerhagen, Göteborg, Sweden Anthony B. Ward, Stoke on Trent, United Kingdom Alan Tennant, Leeds, United Kingdom Günes Yavuzer, Istanbul, Turkey Guy Vanderstraeten, Gent, Belgium Alain Yelnik, Paris, France Honorary Editor Gunnar Grimby, Göteborg, Sweden Editorial Board Contact persons for the organizations: Olavi Airaksinen, Kuopio, Finland UEMS European Board of Physical and Rehabilitation Masami Akai, Saitama, Japan Medicine: Rolf Frischknecht, Lausanne, Switzerland John R. Bach, Newark, USA Fin Biering-Sørensen, Copenhagen, Denmark European Academy of Rehabilitation Medicine: Guy Vander- Jörgen Borg, Stockholm, Sweden straeten, Gent, Belgium Helena Burger, Ljubljana, Slovenia Anne Chamberlain, Leeds, United Kingdom European Society of Physical and Rehabilitation Medicine: Andrea Cheville, Rochester, USA Elena Milkova Ilieva, Plovdiv, Bulgaria and Calogero Foti, Richard Crevenna, Vienna, Austria Rome, Italy Alain Delarque, Marseilles, France Jan Ekholm, Stockholm, Sweden Canadian Association of Physical Medicine and Andrea Furlan, Toronto, Canada Rehabilitation: Colleen O’Connell, Fredericton, New Björn Gerdle, Linköping, Sweden Brunswick, Canada Martin Grabois, Houston, USA Christoph Gutenbrunner, Hannover, Germany Asia Oceania Society of Physical and Rehabiliation Medicine: Marta Imamura, São Paulo, Brasil Simon F.T. Tang, Tao-Yuan, Taiwan Fary Khan, Melbourne, Australia Baltic and North Sea Forum for Physical and Rehabilitation Yun-Hee Kim, Seoul, South Korea Medicine: Christoph Gutenbrunner, Hannover, Germany Gert Kwakkel, Amsterdam, The Netherlands Jan Lexell, Lund, Sweden Meigen Liu, Tokyo, Japan

All correspondence concerning manuscripts, editorial matters and subscription should be addressed to: Editorial Manager: Mrs Agneta Andersson, Editorial assistant: Åsa Lundell, [email protected] [email protected] For postal address: see inside back cover

Publication information: Journal of Rehabilitation Medicine (ISSN 1650-1977) volume 51 comprises ten issues published in January, February, March, April, May, June, July, September, October and November.

Indexing: Journal of Rehabilitation Medicine is indexed in Index Medicus/MEDLINE, Excerpta Medica/EMBASE, Biological Abstracts, Cur- rent Contents/Clinical Practice, Allied and Database (AMED), Applied Social Sciences Index & Abstracts, Ergonomic Abstracts, Psychological Abstracts PsycINFO, PSYCLIT DATABASE, Cumulative Index to & Allied Health Literature (CINAHL), Developmental Medicine and Child , Exceptional Child Education Resources, Periodicals Scanned and Abstracted: Life Sciences Collection, Faxon Finder, Focus On Sports Science & Medicine, Research Alert, SCISEARCH, SportSearch. JRM Journal of Rehabilitation Medicine JRM Journal of Rehabilitation Medicine JRM This isanopenaccess articleundertheCCBY-NC license. www.medicaljournals.se/jrm J Rehabil Med2019;51:1–16 Journal Compilation ©2018Foundation ofRehabilitation Information. ISSN 1650-1977 Rehabilitation towardsfuture healthandparticipation-anevidence-based Physical andRehabilitationMedicine 6 th Baltic andNorthSeaConference on Baltic &NorthSeaConferences onPRM October 9–10,2019 Abstract book Oslo, Norway strategy doi: 10.2340/16501977-2612

JRM Journal of Rehabilitation Medicine JRM Journal of Rehabilitation Medicine JRM www.medicaljournals.se/jrm 2 Tamar Abzhandadze, LenaRafsten, ÅsaLundgren Nilsson, Annie Palstam,KatharinaS.Sunnerhagen OP6: The Montreal Cognitive Assessment: thecut-offscores for predicting the functionaldependenceafter stroke, IL10: Participation, IL9: RehabilitationServicesin Australia –ModelsofCare &UnderlyingGuidingPrinciples, IL8: Goal-centered outpatientrehabilitation programs, LaraineWinter IL7: Family-basedrehabilitation, MariRasmussen IL6: Physicalactivityfor improving healthinchronic pain,MonikaLöfgren IL5: Familymattersinneurorehabilitation: why, when,whoandhow? IL4: Future challengesinpublishingscientificjournals,HenkStam IL3: MultidisciplinaryassessmentsinPRM,pastandfuture, UnniSveen Medicine, IL2: Historic perspective on thedevelopmentofPhysicalMedicine and RehabilitationinJournalof IL1: OlleHöökLecture –Stroke rehabilitation: stateoftheart, Invited lectures Streibelt, Miriam Markus,MichaelSchuler, ChristianGerlin,MatthiasBethge IL15: PRMorganizationintheBalticcountries, IL14: ChallengesinPRMeducationandtraining,Grethe Maanum IL13: Howtooptimizetheimpactofrehabilitation inhealthcare, AnttiMalmivaara IL 12:Personalandenvironmental factorspromoting participationinchildren withspecialneeds,MatsGranlund IL11: The useofrobot technologyinrehabilitation, BeataTarnacka WS3: HowtouseICSO-R, WS2: Laywritingandpresenting, KristianBorg WS1: Dilemmagame,HenkStam Workshops IL17: Multiprofessional teamworkand future healthservicesneeds, IL16: PMRorganizationintheScandinaviancountries,CatharinaDeboussard OP5: Effectiveness of work-related medi­ facilitation inchronic lowbackpainpatients,Pattanasin Areeudomwong, Vitsarut Buttagat OP4: Painandelectromyographic improve­ database ofaphasiaafter stroke, FrankBecker OP3: Advancing rehabilitation research by creating arobust databaseofindi­ Astrid Nyquist,ReidunJahnsen bilitation andsustainableeffectsatfollow-up?LinePreede, Cecilie Røe Helene Søberg, HåkonDalen,ErikBautz-Holter, OP2: Individualgoalsfor rehabilitation;is thecontentofgoals?Dotheypredict what improvement duringreha- Marika Augutis, PeterNew, SusanneSällström, JohanStanghelle,KirstiSkavberg Roaldsen OP1: Spinal cord injury in the pediatric population - an international multicenter study, Free OralPresentations Joint congress oftheDCRM,BNF-PRMandRBSPRM–9–10Nov2017,inMaastricht,TheNetherlands Gunnar Grimby Dominique vandeVelde Christoph Gutenbrunner, BoyaNugraha cal rehabilitation in patients with chronic musculoskeletal diseases, ments ofcore stabilizationexercise andproprioceptive neuromuscular Guna Berzina Katharina StibrantSunnerhagen Christoph Gutenbrunner Anne Norup vidual participant data: theRELEASE Wiebke Höfers,Vivien Jørgensen, Andrew MCole Marco 9 9 6 5 5 5 5 5 5 5 5 6 6 6 6 6 7 7 7 7 9 8 8 8 7 JRM Journal of Rehabilitation Medicine JRM Journal of Rehabilitation Medicine JRM Juocevičius Poster Abstracts Signe Tomsone S. Sunnerhagen, Margit Alt Murphy Torgeir Hellstrøm,Nada Andelic OP17: Patientsfunctioning2monthsafter mild-to-moderate TBI, EmilieIsagerHowe,SiljeC.R.Fure, MarianneLøvstad, S Sunnerhagen stroke, with people in changes balance ofpostural study OP16: Longitudinal Katharina Rafsten, Lena Johansson, Dongni A topicreview, Nada Andelic, JuanLu,Christoph Gutenbrunner, BoyaNugraha,CecilieRøe OP15: The descriptionofhealth-related rehabilitation serviceprovision anddeliveryinrandomizedcontrolled trials. Hanna C. Persson,DanielHörsell,EmmaWesterlind OP14: Dependingonfunctionaldependencyatdischarge;different predictors are importantfor outcomeafter stroke, Johansen, Angelika Sorteberg, IngeridKleffelgård, HeleneLundgaard Søberg OP13: High-level mobility after an aneu­ OP12: Inhospitalathome.ServiceInnovationwithFocusonInterdisciplinaryCollaboration,Ingebjørg Irgens Märta Berthold-Lindstedt,JanJohansson,Ygge,KristianBorg OP11: Visual dysfunction in acquired brain injury: clinical findings and their as OP10: Fear Avoidance BeliefsQuestionnaire (FABQ): Doesitreally measure fear beliefs?CecilieRøe OP9: Transition ofcare inpatientswith TBI –Resultsfrom theCenter-TBI study, NadaAndelic ment duetopermanentworkdisability, UweEgner, Marco Streibelt OP8: Predictive validityofthedailyworkcapacityinmedicalrehabilitation regarding theaccesstoearlyretire ­ Pattanasin AreeudomwongPomsuwan, pain associated with myofascial trigger points, Vitsarut Buttagat, Kanokwan Muenpan, Witawit Wiriyasakunphan, Saowalak OP7: Comparingtheeffectsoftraditional chronicwith patients muscle energytechniqueon and Thai massage neck PP4: Cognitive fatigue after an acquired brain injury causes a lower health-related quality of life, in twodifferent populations, PP3: Analysis ofdailyphysical activities by combinationaccelerometer anddiarymonitoringdata: feasibility study stroke: study, after observational years longitudinal five A autonomy and Participation PP2: sification of Functioning, Disability and Health, PP1: Improvement of mobility of patients with spinal cord injury in C4–C8 segments based on the International Clas- OP24: Decision-making process inthe selection of mobility assistive devices in the Latvian context, matic pilotrandomizedcontrolled trial, OK23: Intensiveaugmentedspeech-languagetherapyfor poststroke aphasiadelivered bytelerehabilitation –aprag- OP22: Kinematic movement analysis of upper extremity in persons with spinal cord injury, Sjödin, KatharinaSSunnerhagen unit, OP21: Provision of a multi-professional health-related rehabilitation service in day hospitalsin the Riga territorial Palstam hagen, Annie OP20: Pre-stroke physical activity could affect cognition early after stroke, OP19: The effectivenessofvideo-guidedexercise after astroke, MadeleineKenny, RoryO’Connor OP18: Home-basedstroke rehabilitation serviceevaluation, Hanna C.Persson,Katharina S.Sunnerhagen Liga Korosevska, GunaBerzina

Lina Butane,DainaSmite, Andris Skride 1 rysmal subarachnoid haemorrhage, Ludvig Toftedahl, Tanja Karic, Kristin Heier Hege PragOra,MelanieKirmess,MarianBrady, FrankBecker Laura Gulbinaitė, Aušra Adomavičienė, Evelina Narutytė, Alvydas Aija Voitkevica, GunaBerzina Malin Reinholdsson, Katharina S. Sunner sociation ­sociation with self-reported symptoms, Lamprini Lili,Katharina Free OralPresentations Annie Palstam, Astrid Annie Elisabeth Åkerlund, Zoya Osipova, J Rehabil Med51,2019 - 10 14 13 13 15 15 15 16 14 12 10 10 10 10 13 13 12 12 11 11 11 11 3 JRM Journal of Rehabilitation Medicine JRM Journal of Rehabilitation Medicine JRM ing the rehabilitation it is important to work with the whole family. family members is essential in neurorehabilitation, and WHEN dur neurorehabilitation. This talkemphasizes WHY includingtheclosest ily matters thatprofessionals dealwitheverydaywhenworkingin The objective of this talk is to describe the different types of fam- Family matters in neurorehabilitation: why, when, whoand how? Department ofNeurorehabilitation/ Anne Norup,PhD AND HOW? NEUROREHABILITATION: WHY, WHEN,WHO FAMILY MATTERS IN IL5 Abstract isnotavailable. Medical Centre, Rotterdam, TheNetherlands Department of Rehabilitation Medicine, Erasmus MC,University Henk Stam,MD,PhD SCIENTIFIC JOURNALS FUTURE CHALLENGESINPUBLISHING IL4 Abstract isnotavailable. Ulleval,Oslo,Norway Department ofPhysicalMedicineandRehabilitation, OsloUniversity Unni Sveen,PhD PASTFUTURE AND MULTIDISCIPLINARY ASSESSMENTS INPRM, IL3 Abstract isnotavailable. Göteborg, Sweden Department ofRehabilitation,Sahlgrenska UniversityHospital, Gunnar Grimby, MD,PhD REHABILITATION MEDICINE AND REHABILITATION INJOURNAL OF DEVELOPMENT OF PHYSICAL MEDICINE HISTORIC PERSPECTIVEON THE IL2 Abstract isnotavailable. Göteborg, Sweden Department ofRehabilitation,Sahlgrenska UniversityHospital, Katharina StibrantSunnerhagen,MD,PhD REHABILITATION: STATE OF THE ART OLLE HÖÖKLECTURE–STROKE IL1 www.medicaljournals.se/jrm 4 Baltic andNorthSeaCongress ofPRM–9–10Oct2019,inOslo,Norway TBI unit INVITED LECTURE ABSTRACTS INVITED - IL6 thefamilyindifferent with towork possible rehabilitationphases. of poorcaregiveroutcome.Lastly, thetalk willaddressHOW itis timepoints. The talk will examine WHO inthefamily is more at risk different at needs family identified as well as process rehabilitation Furthermore, thetalksummarizes family reactions throughout the IL7 the exercisesaccordingtoindividuals’ EIA function. They also need to supportpatients in their exercise, in how toadjust patients. to EIA explain to knowledge sufficient have to need pain and othersusingexercise in the treatment of patients with chronic specific to the needs of different groups of patients. Physiotherapists mendations forexerciseprescription.Recommendations should be benefit from exercise. The function of EIA has implications for recom a majorbarrierandneedstobeaddressedallowthesepatients EIA. Inpatientswithpainexacerbations from exercise,thiswill be functioning show painorrheumatoidarthritis low-back with patients pattern is seeninpatients with whiplashassociated disorders, while increased painsensitivityduringandfollowingexercise. A similar For example, in fibromyalgia no function of EIA is seen, resulting in with chronic pain,researchhasshownalterations in thefunctionofEIA. patients In factors. external and internal by both influenced EIA is a result of centrally mediated top-down pain inhibition and sensitivity, aneffect ofso-called exercise inducedanalgesia (EIA). a single bout of exercise leads immediately to a decrease in pain seen in patients with chronic pain. In healthy, pain free populations, turbed function of endogenouspaincontrol mechanisms, as isoften exercise is pain exacerbation during andafter exercise due toadis- to willingness the influences strongly which factor One programs. long-term pain toexerciseand/orshowlong-termadherence to theirexercise with patients for difficult be to shown been has it Still, from serioussideeffects compared to pharmacological treatment. of activity, function and quality of life. Exercise is a treatment safe term, as well as having positive effects on health, increased levels based treatment.Exercisereduceslevels ofpain,atleastinthelong- In chronicpain,exerciseisthemostoftenrecommended evidence- Stockholm, Sweden. of rehabilitation medicine,Painrehabilitation hospital Danderyd Department of Clinical Sciences Karolinska Institutet andDepartment Monika Löfgren,PhD HEALTH INCHRONICPAIN PHYSICAL ACTIVITY FORIMPROVING Abstract isnotavailable. Philadelphia VA MedicalCenter, USA Laraine Winter,PhD REHABILITATION PROGRAMS GOAL-CENTERED OUTPATIENT IL8 Abstract isnotavailable. Hospital Ulleval,Oslo,Norway Department ofPhysicalMedicineandRehabilitation, OsloUniversity Mari Rasmussen,PhD FAMILY-BASED REHABILITATION - JRM Journal of Rehabilitation Medicine JRM Journal of Rehabilitation Medicine JRM IL10 vices, bench-markedagainstexternalcarestandards. t andimprovement ofprofessionally-accountable rehabilitation ser powerful toolsallowingtheestablishment, development, assessmen skill mix.Conclusion: Appropriately-applied ModelsofCareare drive MoC development, with reviews of workforce standards and care setting.Newandemerging therapiesandworkforcerolesshould for rehabilitation admissions andfortransferofcare,in/outeach comparative service performance and improvements. Criteria are set ment health departments) set Key Performance Indicators (KPIs) for present situation, and future possibilities. Jurisdictions (e.g. govern- documents, eachserviceundertakesa‘gapanalysis’ betweentheir ing Models of Care Improvements: Havingaccess to agreed MoC links between larger and smaller care program centres. infrastructure and referral pathways, often with ‘hub-and-spoke’ community services; improvements in technology; and appropriate integrated assessment and care coordination, between hospital and data collection/collation for performancereviewand improvement; bilitation, including: a well-trained and sufficient workforce; accurate of Quality Rehabilitation Home-based care; f) Out-reach to non-specialist settings. Day Hospital care; d) Ambulatory single- outpatient care; e) either co-locatedwith or off-site from an acute hospital; c) Ambulatory In-reach into acute hospital wards; b) Subacute inpatient services, Rehabilitation care in Australia is described in 6 defined settings: a) bilitation now occurselsewhere however. Care ModelsandSettings may start their rehabilitation in acute inpatient care;increasingly, reha- based care; and careprovidedintheright/appropriate setting. A patient timely accesstopatient-centredmultidisciplinarycare;evidence- guiding rehabilitationprinciplesinclude:serviceleadership;equitable nation-wide, withpublichospitalsadministered by thestates. Our healthcare, our community health andagedcareservices arefunded the oldest continuing aboriginal culture in theworld. With universal British colonial states andterritories,planteduponthelandscape of social democratic nation, formed bythe1901federation of former liberal multicultural a is Principles. Australia Guiding and Context habilitation care to ever-better levels of quality and care. Australian MoC are used todevelop new orexisting services, progressing re- guiding principles(explicitornot)informingModelsofCare(MoC). to bestqualityoflife. They functioninsocio-political contexts, with Introduction sor, UNSW, Sydney, Australia Care,Hammond SydneyNSW Australia; Conjoint Assocaite Profes- Andrew MCole,MBBS(Hons)FAFRM (RACP) PRINCIPLES MODELS OF CARE&UNDERLYING GUIDING REHABILITATION SERVICES IN AUSTRALIA – IL9 Abstract isnotavailable. tional Therapyprogramme, Genth,Belgium Department ofRehabilitation Sciences and Physiotherapy, Occupa- Dominique vandeVelde, PhD PARTICIPATION : Rehabilitation services restore people and their carers, : Numerousfactorsunderpinqualityreha- Implement- Enablers - : IL 12 with gaitproblemswillbepresented. of therapy. At theendoflecture, cases ofrehabilitated patients are most commonly used and how patients are qualified for this type systems what issues: on emphasis special with shown are Poland in In the presentation the possibilities of robotic rehabilitation of gait walking systems are most often used to improve the ability of walk. overground and stationary the Poland In state. the by refunded not is Poland in rehabilitation of type This rehabilitation. with dealing increase in interest in this therapy, especially for commercial centers robotics is a very new field in Poland and we are seeing a very large problems withconventionalphysicaltherapy. Gaitrehabilitationusing has beenconstructedandintroduced to thesalesmarketovercome ical rehabilitation. Recently, the number of different robotic devices upper limbarethereforethemostimportanttherapygoalsinneurolog- patient’s functioning andquality of life. Improving gait function and Disorders ofgait and dexterity of the hand often negatively affect the Rehabilitation, Warsaw, Poland Eleonora Reicher NationalInstituteofGeriatrics, and Faculty of Medicine, Warsaw, Poland, Department of Rehabilitation, IL11 Department ofRehabilitation,MedicalUniversityWarsaw, I Beata Tarnacka, PhD REHABILITATION THE USEOF ROBOT TECHNOLOGY IN Abstract isnotavailable. dtangen, Oslo,Norway Department ofResearch, SunnaasRehabilitation Hospital, Nesod- Grethe Maanum,PhD TRAINING CHALLENGES INPRMEDUCATION AND IL14 Abstract isnotavailable. Finland Helsinki, Unit, Scientific / Economics Social and Health Centrefor Antti Malmivara,MD,PhD REHABILITATION INHEALTH CARE HOW TO OPTIMIZE THE IMPACT OF IL13 Abstract isnotavailable. School ofHealthSciences,JönköpingUniversity, Jönköping,Sweden Mats Granlund,PhD WITH SPECIAL NEEDS PROMOTING PARTICIPATION INCHILDREN PERSONAL AND ENVIRONMENTAL FACTORS Invited Lecturers J Rehabil Med51,2019 5 st

JRM Journal of Rehabilitation Medicine JRM Journal of Rehabilitation Medicine JRM access was launched in many scientific journal, articles were financed libraries, and national and international organizations. When open tific journal. They used to befinanced by subscription from university During the last decade there has been a shift in the financing of scien- Institutet, DandrydUniversityHospital,StockholmSweden Div ofRehabilitationmedicine,deptClinicalSciences,Karolinska Kristian Borg,MD,PhD LAYPRESENTING WRITING AND WS2 Abstract isnotavailable. Medical Centre, Rotterdam, TheNetherlands Department of Rehabilitation Medicine, Erasmus MC,University Henk Stam,MD,PhD DILEMMA GAME on theintensivecareunitatOsloUniversityHospitalallowsanun- developments in all countries: 1) Norway: integrated rehabilitation incorporating organisational aspectscanprovideinspirationforfuture cessful Scandinavian examples of braininjuryrehabilitation models and other authorities, locally, regionally and nationally. Somesuc- between rehabilitation professionalsandwithacutecarecolleagues presents multiple challenges and requires continuous dialogue both offerof thesystem uptodate,evidence-basedrehabilitationcare larger units)andtertiary(regional)services.Ensuringthatalllevels primary, secondary(morespecialised,oftenbasedinhospitalsor Services are structured similarly to otherformsofhealthcare, with evidence-based careforallaccordingtoneed,onanequalbasis. are groundedontheprinciplesofprovidinghighqualityhealth systems forrehabilitation in the Scandinavian countries holm, Sweden Karolinska Institutet,DepartmentofRehabilitation Medicine,Stock- Catharina Deboussard,MD,PhD COUNTRIES PMR ORGANIZATION IN THE SCANDINAVIAN IL16 Abstract isnotavailable. Riga, Latvia university, Stradiņš Riga Medicine, Rehabiliation and Physical Guna Berzina,PhD COUNTRIES PRM ORGANIZATION IN THE BALTIC IL15 www.medicaljournals.se/jrm 6 WS1 Baltic andNorthSeaCongress ofPRM–9–10Oct2019,inOslo,Norway WORKSHOP ABSTRACTS IL17 complexity ofthepatient’s condition. ing thatthisveryprocessneedstobeadapted to theseverity and when. and assessment, this understand- sufficient be to needs There assessment ofthepatient’s rehabilitation needs, who shouldperform care. Health care systems need to define what constitutes an adequate language andclarity at theinterface between acuteandrehabilitation in discussions with acute care colleagues is the need for a common , and addiction care for brain injury). A recurring theme (e.g., boundaries specialty rehabilitationmedicine, care canonlybeaccomplishedwithimprovedcollaboration across office, insurance office) to offer optimal support. Truly patient-centred working withnon-health care organisations (schools,employment from beingachildwithanacquiredbraininjuryintoadulthoodand for young adults with acquired brain injuries, supporting the transition rehabilitation unit for Stockholm at Danderyd hasdeveloped a team to the most specialised (tertiary) resources. 3) Sweden: the regional access prioritised with defined, clearly is patients injured severely over adecade: chain ofcarefromcoma to community for themost of patients withseveretraumatic brain injuryhas beeninplace for benefits. 2) Denmark: a centralised care model focusing on the needs been shownbothtoimprove outcome, andtohavehealth-economic broken chain of care for patients with traumatic brain injury, and has Christoph Gutenbrunner, MD,PhD FUTURE HEALTH SERVICES NEEDS MULTIPROFESSIONAL AND TEAMWORK Abstract isnotavailable. Germany Hannover , Dept. Rehabilitation Medicine, Hannover, Abstract isnotavailable. Germany Hannover Medical School, Dept. Rehabilitation Medicine, Hannover, PhD Christoph Gutenbrunner, MD,PhD,BoyaNugraha, HOW TO USEICSO-R WS3 do nothavepriorknowledgeofthesubject. background, methods, resultsandtheconclusion for someonewho mary inordertosummarizearesearchprojectandexplainideas a scientific article. Thus, there is a need of lay abstract or a lay sum- organizations funding research should be able to read and understand public, patientandorganizations, mediaaswelldonorsand for everyone and that there is a demand that members of the general download and read to free are nowadays articles scientific the that by theauthors,inmanycasesoffundingorganizations. This means JRM Journal of Rehabilitation Medicine JRM Journal of Rehabilitation Medicine JRM Dalen OP2 outcome measuresforthesepatients. with SCI. Phase II will contribute to the use of common and reliable models and quality ofcare and rehabilitation foryoungpersons enabling comparison, discussionanddevelopment of organizational broaden thebodyofknowledgeonpediatricSCIinternationally, thus methodological outcomestudies.Discussion: Phase I of the study will data collection is finalized by Juni 30, 2019. Phase II will consist of collection is conducted in agoodmanner, washeldinMay2018,and 24 study team members, where the main focus was to ensure that data and thestudyisregisteredatClinicalTrial-gov. Afor the workshop interview guide. Ethical approval has beenapplied for ineach unit, treatment, from each unit will interviewed using a semi-structured Two adolescents, aged 13-16 years and at least 6 monthspost-acute the psychosocial aspects of living with a childhood acquired SCI. pediatric SCI patients. In addition, a qualitative study willexplore systems ofcareanddeliveryinpatient rehabilitation services for descriptive study using a web-survey to describe and compare the following in Phase II (2021–2023). Phase I consists of a quantitative sectional studies is conducted to set the scene forthe outcome studies and Sweden.Method: In Phase I of the project (2018­ Rehabilitation (SIN); China, USA, Russia, Israel, Palestine, Norway countries, cooperating within the Sunnaas International Network in of common outcome measures in10rehabilitation units fromseven qualitatively psychosocial aspects of individuals and to establish use of children and adolescents <18 yearsofage with SCI,toexplore The aimofthestudyistomaporganization ofcareandrehabilitation problem, andalsouniformityintreatmentmeasurementmethods. needed to build a solidandsharedunderstanding of theextent of the high demandforknowledgeandresearch,internationalcooperationis Due tothelowincidenceofpediatricspinalcordinjury(SCI)and University, Oslo,Norway rehabilitation program basedonadaptedphysicalactivity and how the goals set among individuals with chronic disabilities attending a not beenfullyexplored. The presentstudywasundertakentoidentify and effect ofrehabilitation. However, the process ofgoal setting has Background: University ofOslo,Norway Beitostølen, and 1 Line Preede AT FOLLOW-UP? REHABILITATION AND SUSTAINABLE EFFECTS DO THEY PREDICT IMPROVEMENT DURING WHAT IS THE CONTENT OF THE GOALS? INDIVIDUAL GOALSFORREHABILITATION; 4 1 Wiebke Höfers,MSc,PhD-student MULTICENTER STUDY POPULATION - AN INTERNATIONAL SPINAL CORDINJURY IN THE PEDIATRIC OP1 Professor Jahnsen versity HospitalUllevål,Oslo, PhD Sundsvall, Sweden professor Department ofPhysicalMedicineandRehabilitation,OsloUni- Sunnaas RehabilitationHospital,Oslo,Norway, Karolinska Institutet,Stockholm,Sweden, 1 Marika Augutis, PhD , MarikaAugutis, 2 , ErikBautz-Holter 2 3 1 , SusanneSällström,MSc , KirstiSkavberg Roaldsen, Associate prof Goal settingisconsideredimportant for compliance 1,3 3 , CecilieRøe Institute of Clinical Medicine, Faculty of Medicine, Institute ofClinicalMedicine,Faculty 3 Caulfield Hospital, Melbourne, Caulfield Hospital,Melbourne, Australia 1,3 1,3 2 Beitostølen HealthsportsCentre, , 2 HeleneSøberg Peter New,, Peter Associate Astrid Nyquist 1 , Vivien Jørgensen, 1 , JohanStanghelle, 5 2 Oslo Metropolitan Sundsvall Hospital, Sundsvall Hospital, –2020) two cross- 2 1 , Reidun , Håkon Free OralPresentations 1, 4,5

OP3 program basedonadaptedphysicalactivity. ICF categoryof“activities and participation” after arehabilitation the towards profile goal in shift a to tendency a shows study This and their influence on function remains to be analysed. the goalsnominatedbysubjectsaloneandwithphysician secondly mostusedwere“bodyfunction”. The associationbetween ICF domainmostfrequentlyusedwere“activitiesandparticipation”, tivities andparticipation”. At discharge, 362codeswereapplied. The frequently used were“bodyfunction”, secondly most usedwere“ac that 417 ICFcodes were applied at admission. The ICF domain most Result: Medical OutcomesStudy12-item Short FormHealthSurvey (SF-12). ing rules. As outcome, physical functioning weremeasured by the was performed using the Norwegian translation and the ICF link- classification of functioning, disability and health (ICF). The linking a uponarrival, were codedandlinked to theinternational at discharge. The goalstogetherwithsetincollaboration with Participants were asked to nominate two goals at admission and two rehabilitation, four weeksandtwelvemonthsaftertherehabilitation. four weeksbeforetherehabilitation, at admissionanddischarge of were collectedbyawrittenquestionnaireadministeredeightand rehabilitation at Beitostølen Healthsports Centrewereeligible. Data als andmethods:Allpatients aged 18 yearsto67admitted to to assess if outcome was influenced by the type of goals set. health professionals’ guidance modified their goals. We also wanted Results: intervention datasets). Data on overall aphasia severity (IPD 2699; electronic datasets; 45 RCT (1,766 IPD), and 91 (2,746 IPD) SLT primary research datasets across 28 countries (3,940 IPD from 75 records, forming the RELEASE database with 5,928 IPD from 174 subpopulations thatmaypredictrecoverybutwouldhaveinsuf subtle populationpatterns,heterogeneitiesandcommonalitiesof information. Itbringsnewopportunitiesforstatisticallyexamining research byallowingtoprocesshighvolumeandhighlydiverse Intervention Description and Replication (TIDieR) checklist intervention detailswere captured supported by the Template for double extracted,andspeechlanguagetherapyrehabilitation in the public domain.Demographic, stroke and aphasia data were of Aphasia Trialists forcontributions andsearched foreligible data contribute their datasets, approached members ofthe Collaboration ment. We invitedcorrespondingauthorsofthesepublicationsto stroke andinformation about time since stroke and language impair after aphasia with people 10 of IPD minimum a included which TRAL, HTA], LLBA,EMBASE,andSpeechBITE)fordatasets CEN DARE, [CDSR, CochraneLibraryDatabases CINAHL, cally searched (Cochrane Stroke Group Trials, MEDLINE, AMED, analyses. secondary for IPD of resource ‘RELEASE’ database:aninternational,multidisciplinaryresearch REhabilitation andrecoveryofpeopLEwith Aphasia afterStrokE subpopulations. The aimofthepresentstudywastocreate offers theoptimum opportunitytofullyexplorerecoveryacross and unbiased methodologically is analyses secondary for (IPD) individualparticipantdata pre-existing sourcing systematically by database a Building data. small in detected be to power ficient Background andaims: sity ofOslo,InstituteClinicalMedicine,Norway Sunnaas Rehabilitation Hospital, Nesoddtangen,Norway& Univer Frank Becker, MD,PhD DATABASEOF APHASIASTROKE AFTER VIDUAL PARTICIPANT DATA: THE RELEASE BY CREATING A ROBUST DATABASE OF INDI­ ADVANCING REHABILITATION RESEARCH Goals were set by 150 subjects. Preliminary data results show We identified 524 eligible records from 5,276 screened 5,276 from records eligible 524 identified We Big dataoffers advantages torehabilitation Invited Lecturers Methods: J Rehabil Med51,2019 We systemati Conclusion: Materi- 7 ------. JRM Journal of Rehabilitation Medicine JRM Journal of Rehabilitation Medicine JRM is feasible while IPD enhances the insights into a highly heteroge Marco Streibelt,Dr CHRONIC MUSCULOSKELETAL DISEASES CAL REHABILITATION INPATIENTS WITH EFFECTIVENESS OF WORK-RELATED MEDI­ OP5 CLBP patients. on painintensity with increased activation of deep trunk muscle in effects short-term provide training PNF and CSE four-week The (p<0.05). Conclusion: intervention four-week after (LM) tifidus mul- lumbar of fibres superficial and (TrA) abdominis transversus pain intensity (p < 0.01), and deep trunk muscle activity including in improvements significant showed groups training PNF and CSE intervention. trunk muscles were evaluate before and after the finished four-week deep and superficial of activities and intensity Pain exercises. trunk CSE, a four-week PNF training or a control group receiving general patients aged 18-50yearswererandomlyassignedtoafour-week CLBPpatients. in activity muscle trunk and intensity pain on training PNF and CSE of effects the compare ToObjective: lacking. still are CLBP in interventions the between treating chronic low back pain (CLBP), but evidences of comparison for prescribed been have training (PNF) facilitation neuromuscular Background: Core stabilization exercise (CSE) and proprioceptive Thailand School ofHealthScience, Mae FahLuangUniversity, ChiangRai, PhD, Pattanasin Areeudomwong, PATIENTS FACILITATION INCHRONICLOW BACKPAIN AND PROPRIOCEPTIVENEUROMUSCULAR MENTS OF CORESTABILIZATION EXERCISE PAIN AND ELECTROMYOGRAPHICIMPROVE­ OP4 Worrall, HeatherHarris Wrigh.t de Sandt-Koenderman,InekevanderMeulen,Evy Visch-Brink, Linda Snell, Benjamin Stahl, Jerzy P Szaflarski, Shirley A Thomas, Mieke van L Rose,Charlotte Rosso, IlonaRubi-Fessen,MarinaBRuiter, Claerwen Martins, Cathy Price, Tatjana Prizl Jakovac, Elizabeth Rochon, Miranda Pavão Isabel Patricio, F Brigida Papathanasiou, Ilias Palmer, Rebecca Paik, Nam-Jong Noé, Enrique Nilipour, Reza Meinzer, Marcus Maviş, İlknur Mattioli, Flavia Marshall, Shisler Rebecca MacWhinney, Brian Laska, Béatrice Leemann, Alexander P Leff, Roxele R Lima, Antje Lorenz, Kukkonen, Marina Laganaro, Matthew ATarja Lambon Ralph, Ann Charlotte Kong, Pak-Hin Anthony Khedr, M Eman Kang, Kyoung Eun Kambanaros, Maria Jesus, MT Luis Jefferies, Elizabeth Jaecks, Petra Katerina Hilari,JacquelineHinckley, SimonHorton,DavidHoward, Galli, Marialuisa Gandolfi, Bertrand Glize, Erin Godecke,Neil Hawkins, Lucia Federica Fillingham, Enderby,Joanne Pamela Pietro-Bachmann, itenstein, Stefanie Bruehl, David A Copland, Tamara B Cranfill, Marie di Abo, FrankBecker, Audrey Bowen, Caitlin Brandenburg, Caterina Bre- Kathryn VandenBerg, Linda J Williams, Louise R Williams, Masahiro The RELEASE Collaboration – author list: Marian C Brady, Myzoon Ali, personalizing therapeuticcareandimprovinglanguagerecovery. to highlighttherapyoptionsforsubgroups;avitalsteptowards opportunity the affords stratification subpopulation performing sizes, population. sample neous IPD Additionally,sufficient with planned analyses. in use for available were 12.2%) 724; (IPD writing and 13.0%) functional communication (IPD 1,591; 26.8%), reading (IPD 770; other IPD 380; 6.4%), auditory comprehension (IPD 2,750; 46.4%), 48.7%; 2,886; IPD (naming production language spoken 45.5%), www.medicaljournals.se/jrm 8 Schuler, Dr ProfDr 4 Joint congress oftheDCRM,BNF-PRMandRBSPRM–9–10Nov2017,inMaastricht,TheNetherlands

Results: Compared with the controls, participants in the 3 , ChristianGerlin,Dipl Conclusions: 1 , MiriamMarkus,Dipl Big datainrehabilitationresearch Vitsarut Buttagat,PhD Forty-five CLBPForty-five Methods: 3 , MatthiasBethge, 2 , Michael -

OP6 may improveoutcomesinrealcare. ommendations of the work-related medical rehabilitation guideline work andimprovingthetreatment consistency according to therec- participation. Reaching patientswithahighriskoffailingreturnto medical rehabilitationinGermancentersaffected work medical rehabilitation. Conclusions: Implementation ofwork-related cal rehabilitation revealed stronger effects infavorofwork-related mandatory for allpatients in theguideline for work-related medi as described thatis actually receivedtheminimaltreatmentdose patients with a high risk of failing return to work and patients who better self-management skills. A per-protocol analysis including only were alsoless depressed,hadless fear-avoidance beliefs and reported tion program. Patients treated in work-related medical rehabilitation to 0.72)compared to participation in acommon medical rehabilita self-rated work ability was slightly better (b =0.38;95%CI:0.05 1.02 to1.96).Moreover,decreased and was timetoreturnwork treated in work-relatedmedical rehabilitation (OR =1.42;95%CI: The rateofstablereturntoworkincreasedfrom7581%inpatients treatedinacommonmedicalrehabilitationprogram. and 641patients included 641 patients treated in work-related medical rehabilitation 10 monthsaftercompleting the rehabilitation program. Results:We balanced samples. Effects wereassessed bypatient-reported outcomes rehabilitation medical program. Propensity work-related score matching a was used or to create common a either received Participants assess the effects of the programs under real-life conditions. Methods: and approvedseveralnewdepartments. Our studywaslaunched to guideline a developed Insurance Pension German Federal the care, rehabilitation programs. To implement these programsintoroutine can beincreasedbyabout20pointscomparedtocommonmedical Randomized controlled trials have shownthat return toworkrates grams were developed for patients with musculoskeletal disorders. Background: InGermany, work-related medical rehabilitation pro- Lübeck, Germany 1 the MoCA cut-off of ≤20 and ≤26 had the best specificity (86%) and predicting functionaldependence3 monthsafterstroke.Furthermore, ity (65%). Thus, it was chosen as the most optimal cut-off score for specific- and (70%) sensitivity good equally had function cognitive and 126 were female. The MoCA cut-off of ≤23 points for impaired were includedinthestudy. The mean agewas69yearsatstrokeonset predicting functional dependence. Results: were used foridentifying the optimal cut-off score on the MoCA for specificity and sensitivity (AUC), curves Characteristic Operating Receiver Riksstroke. the from questions five on based calculated of globaldisability3monthsafterstrokewasstudiedwithmRS, function was assessedwiththeMoCA 36-48hafter stroke. Level were linked with the Swedish Stroke Register – Riksstroke. Cognitive Clinical data from a stroke unit at Sahlgrenska University hospital 3 months after stroke. cut-off score on theMoCA forpredicting the functional dependence later stage ofstroke. The aim for the study wasto identify an optimal investigated correlation ofearlyMoCA withfunctional outcome at used forpredictingtheneedofhelplaterafterstroke,fewstudieshave cognitive function. theMoCAAlthough atstrokeunitisoften assessed used screening toll, the score of > 26 p (range 0–30 p) indicates normal mon. The MontrealCognitive is acommonly Assessment (MoCA) Backgroundand Aim: Cognitive impairment after stroke is verycom- University ofGothenburg. Gothenburg, Sweden Institute of Neuroscience and Physiology, Rehabilitation Medicine, Palstam, PhD,KatharinaS.Sunnerhagen,MD,PhD MS, PhDstudent,ÅsaLundgren Nilsson,PhD, Tamar Abzhandadze, MS,PhDstudent,LenaRafsten, FUNCTIONAL DEPENDENCE AFTER STROKE THE CUT-OFF SCORESFORPREDICTING THE THE MONTREAL COGNITIVE ASSESSMENT: Lübeck, German FederalPensionInsurance,Berlin, 3 UniversityofWürzburg, Würzburg, Methods: This is a longitudinal cohort study. A total of 305 participants 2 4 University ofLübeck, University ofLübeck, Annie - -

JRM Journal of Rehabilitation Medicine JRM Journal of Rehabilitation Medicine JRM OP8 motion inthispatientpopulation. of PPT,range pain, neck improve METcan and and disability neck of all parameters when compared with group 3.Conclusions:TTM Moreover, group group. 1 and control 2 were in significantly outcomes higher in all the improvement in improvement significant no was there parameters after2weeksofthetreatments (p<0.05).Whereas, that both intervention groups showed a significant improvement in all before and after the intervention period. of pain, PPT, neck disability and neck range of motion were measured of whichhad8treatmentoveraperiod2weeks.Intensity sessions 1) TTM, 2)MET and3)control (restinginbed,nointervention), each points. in patients withchronicneck pain associated with myofascial trigger sure pain threshold (PPT), neck disability and neck range of motion was aimedtoinvestigate the effect of TTM andMET onpain,pres- of theseinterventions have notbeenestablished. The presentstudy treat patients with MPS for long time but head-to-head comparisons sage (TTM)andmuscle energy technique (MET) havebeenusedto located within taut bands ofskeletal muscle. Traditional Thai mas- most common form of muscle disorders caused by trigger points the is (MPS) syndrome pain Myofascial Backgroundand Aims: Luang University, ChiangRaiProvince, Thailand Department ofPhysicalTherapy, SchoolofHealthScience,MaeFah BPT,PhD PattanasinAreeudomwong, Witawit Wiriyasakunphan, BPT, SaowalakPomsuwan, Vitsarut Buttagat,PhD,KanokwanMuenpan,BPT, TRIGGER POINTS NECK PAIN ASSOCIATED WITH MYOFASCIAL TECHNIQUE ONPATIENTS WITH CHRONIC THAI MASSAGE AND MUSCLEENERGY COMPARINGOFEFFECTS THE TRADITIONAL OP7 the hospitalandstructuredfollow-upafterdischarge. in-depth activity and cognitive assessments before discharge from pendence 3 months after stroke. Thus, this group might benefit from for impaired cognition are more likely to demonstrate functional de- 3 monthsafter stroke. Conclusions: People with a MoCA score ≤23 sensitivity (92%),respectively for predicting functional dependence (1.1%) had adocumented workcapacity of3to 6hrsper day and481 included data of 93,783 patients (48 ±8years).Ofall patients, 1,027 paid employment six yearsbeforerehabilitationandage.Results: We were adjustedforsickleave in the year before rehabilitation, days in capacity, multiple regression modelswerecalculated. The models than 3 yoursper day. To test the predictive validity of the daily work mented in three categories: more than 6 hours, 3 to 6 hours and less docu- was capacity work The rehabilitation. after years five and to of therehab-discharge reportandtheworktrajectoriessixyearsprior diseases. We used routine data of the GPI including the information included all medical rehabilitation measures duetomusculoskeletal the claim for WDP after medical rehabilitation. mented. The aimofourstudywas toanalyzewhetherthiscanpredict discharge report, a rating of the work-capacity after rehab is docu- has to prevent work disability pension (WDP). In the medical rehab- Purpose: German FederalPensionInsurance,Berlin,Germany Uwe Egner, Math,MarcoStreibelt,Dr DISABILITY RETIRE­ REGARDING THE ACCESS TOEARLY CAPACITY IN THE MEDICAL REHABILITATION PREDICTIVE VALIDITYOF DAILY THE WORK Methods: Forty-five participants were randomly allocated into Rehabilitation on behalf of the German pension insurance MENTDUE TOPERMANENT WORK Results: Results indicated The analysis analysis Methods: The OP9 transition fromactiveworktoearlyretirement. was low. The resultsunderlinethemulti-complex,hardlypredictable proportion of patients with reduced work capacity per day in the rehab the to compared But WDPfollow-up. 5-year the in the rates, access to the access to early retirement due to permanent work disability capacity The documented work in therehabisstronglyassociated of all 10,473 WDP patients could be identified (9.3%). to 6hrs:OR=9.23;lessthan3OR=15.28).However, only972 WDP of (3 chance higher significantly a to led rehab the in day per WDP.a capacity received (11.2%)work Apersons reduced 10,473 (0.5%) wereevaluated withlessthan3hrs.Inthe5-year-follow-up, Stockholm, Cecilie Røe,PhD BELIEFS? (FABQ): DOESIT REALLY MEASURE FEAR FEAR AVOIDANCE BELIEFSQUESTIONNAIRE OP10 Abstract isnotavailable. Hospital, Oslo,Norway Department ofPhysicalMedicineandRehabilitation, OsloUniversity PhD Nada Andelic, – RESULTS FROM THE CENTER-TBISTUDY TRANSITION OF CAREINPATIENTS WITH TBI 1 Märta Berthold-Lindstedt,PhDstudent SYMPTOMS SELF-REPORTED WITH AS­SOCIATION INJURY: CLINICAL FINDINGS AND THEIR VISUAL DYSFUNCTIONIN ACQUIRED BRAIN OP11 Abstract isnotavailable. Oslo, Norway els & Services, Institute of Health and Society,Faculty of Medicine, CHARM Research Centre forHabilitation andRehabilitation Mod- Professor Johansson, PhD most commonclinicalsignswere relatedtoperseveranceofeye issues andageneral concern about vision weremostcommon. The the patientsexperienced at least onesymptomwherereading-related examination madebyanoptometrist. Results:Eighty-ninepercentof The Visual Interview (VI)wascompleted by thephysicianandan rehabilitation period at a rehabilitation center in Stockholm, Sweden. and vision assessment were made at the enrollment for a day-care mostly causedbystrokeandtraumatic brain injury. The interview patients, suffering from a medium to severe acquired brain injury, specialist. interview of visual disturbances with a measurement made by a vision dysfunctions with a two-folded approach, to compare a self-reported The purposeofthisstudywastoestimate the frequency of vision lack ofcooperation between vision-andrehabilitation specialists. overlooked inneurorehabilitation. One ofthereasonsmay bethe showed ahighrateofvisualimpairment,theseimpairmentsareoften ability.of dailylife,social-andwork Though severalreportshave range ofvisualdysfunctionshavinganegative impact on activities about theenvironment andanacquiredbraininjurymay causea Background: Vision isthemostimportant tool togetinformation Karolinska Institutet,Stockholm,Sweden Department of Rehabilitation Medicine, Danderyds sjukhus, Methods: The studywascross-sectional and included 72 1 2

Eye andvision,DepartmentofClinicalNeuroscience, 2 Jan Ygge, Professor , JanYgge, Invited Lecturers J Rehabil Med51,2019 2 , KristianBorg, 1 , Jan Conclusions: 9 JRM Journal of Rehabilitation Medicine JRM Journal of Rehabilitation Medicine JRM Angelika Sorteberg,MD,PhD Hospital, NorwayandUniversityinOslo, 2 1 Ludvig Toftedahl, PT, Master’s degree RYSMAL SUBARACHNOIDHAEMORRHAGE HIGH-LEVELMOBILITY AFTERANANEU­ OP13 consuming follow-up. for outpatient treatment ofconditions in needofinterdisciplinary time presented. faction. healing, changes in quality of life, cost-benefit and the patient satis- home usingtelemedicineinterventions,arecompared,measuringthe The outpatientfollow-upinahospitalversusfromthepatient`s for individuals with spinal cord injury and . Aim: Present an effective and less time consuming follow- p treatment Sunnaas RehabilitationHospital,Nesoddtangen,Norway Ingebjørg Irgens,Cand.med. COLLABORATION WITH FOCUSONINTERDISCIPLINARY IN HOSPITAL AT HOME.SERVICE INNOVATION Affected visualfield Double vision General visionconcern Visual acuity Symptom Clinical sign signs foundinthevisualexamination Table 1.Associationsbetweensymptomsaccording toVIandclinical address howthismaybeincorporated. be combined tostrengthen the assessment. Ourfuture research will This suggeststhat both methodsareneeded but probablyoughtto but thestrengthsofassociationsbetweentwoweremoderate. dysfunctions visual of signs significant identified both examination symptoms andclinicalsigns.Conclusion: The VI andthevisual square and Fisher Exact tests found significant associations between that are important for maintaining clear vision comfortably. Chi- functions i.e. (49%), flexibility to and (83%) (vergence), alignment www.medicaljournals.se/jrm OP12 *p <0.05,**0.01,***0.001 Frequently bumpingintopeople/objects Problems recognizingfaces 10 patients’ medicalrecordsandquestionnaires.Mobilitywere testedwith Demographic data and aSAH characteristics werecollected from the intermediate ward at Oslo University Hospital, Oslo in 2011-2012. a longitudinalcohortstudyofallaSAH patientsadmittedtotheneuro- predicted mobility12monthsafteran aSAH.Methods: The studywas an aSAH,assesschangesinmobility, andexaminewhichvariables The aimwastoexaminehigh-level mobility3and12monthsafter and aneurysmalsubarachnoidhaemorrhage(aSAH)remainsunclear. a common disability after stroke, but the relationship between mobility Background and Aims:Mobilityisanimportantfactorindailylife Metropolitan University, Norway University Hospital, NorwayandFaculty of Health Sciences, Oslo PhD Norway Physical MedicineandRehabilitation,OsloUniversityHospital, MD, PhD sity Hospital, Norway Department of Rehabilitation, The municipality of Strömstad, Sweden Department of Physical Medicine and Rehabilitation, Oslo Univer 4 , Helene LundgaardSøberg,PT, PhD Results: The resultsfromanewlyterminated study willbe 5 Department of Physical Medicine and Rehabilitation, Oslo Joint congress oftheDCRM,BNF-PRMandRBSPRM–9–10Nov2017,inMaastricht,TheNetherlands Conclusion: The results might influence future guidelines 2 , Kristin HeierJohansen,PT, Master’s degree 3 Depart÷ment ofNeurosurgery, OsloUniversity 3 , Ingerid Kleffelgård, PT, Phi 0.34** Phi 0.26** Phi range0.29–0.41* Visual fielddefect Eye alignment (Vergence) Phi 0.30* Phi 0.29* 1 , Tanja Karic, 5 4 Department of Phi 0.49*** Method: 2 - , PhD OP14 tively associatedwithmobilityatthe12-monthfollow-up. a smallimprovementbetween3and12months.Higheragewasnega- at 3 and 12 months post-injury compared to thenormative values and performance mobility lower had aSAH an with Patients Conclusion: at 12monthsforpatientsafteranaSAH(B=-0.34,R2=0.21,p from 3to12months(p HiMATthe in score progress greater had aSAH severe with Patients months (p for HiMAT (p 9.9) pointsat12 months, whichis lower thanthenormativevalues total HiMAT score at 3 months was 32.6 (SD 9.3) points and 34.8 (SD Neurological Surgeons (WFNS)score, WFNS score1-2,at ictus. Mean (73%) whoperformedHiMAT hadgoodgrade World Federationof 113 patients performed only the 12-month follow-up. 91ofthe patients both follow-ups. 82 patientsperformedonly the 3-month follow-up and years weretested3and12monthspostinjury. 70patientsperformed values. 54 [best])andthepatients’ scoreswerecomparedtoHiMAT normative the High-levelmobilityassessmenttool(HiMAT) (scores0[worst]to Westerlind, MD,PhDstudent Hanna C. Persson,PhD,DanielHörsell,MD,Emma IMPORTANT FOR OUTCOME AFTER STROKE AT DISCHARGE; DIFFERENT PREDICTORS ARE DEPENDING ONFUNCTIONAL DEPENDENCY Nada Andelic, Prof,PhD REVIEW TRIALS. ATOPIC DELIVERY INRANDOMIZEDCONTROLLED REHABILITATION SERVICE PROVISION AND THE DESCRIPTIONOF HEALTH-RELATED OP15 burden ofstrokeforthosewhoaremostvulnerable. and treatment of modifiable factors give an opportunity to reduce the that were functionally dependent at discharge. Prevention, detection, dependency, and modifiable factors were only present in participants predicting afavourableoutcomediffered duetotheleveloffunctional dictors ofunfavourableoutcome.Conclusions:Importantfactorsfor cardiovascular risk factors, and recurrent stroke were significant pre - depressed, feeling as such factors modifiable participants, pendent predictors ofabetteroutcome.However, forthefunctionallyde- significant were type) stroke sex, (age, factors non-modifiable only functionally dependent. Forthose whowere functionally independent, ported significantly better scores in all SIS domains compared to the The functionally independent participants at hospitaldischarge re- outcome. potential predictors of better strength, participation, and emotional identified regression Logistic post-stroke. years five out mailed outcome was basedonthe Stroke Impact Scale (SIS) questionnaire and 2010.Baselinedataweregatheredfrommedical charts andthe ing in Gothenburg that were diagnosed with first ever stroke in 2009 Methods: This observational cohort studyincluded participants liv- on functional dependency at discharge from hospital. based stroke after years five outcome emotional and participation, self-perceived outcome andidentify possible predictors of strength, tional dependency. The aim of thecurrentstudywastoinvestigate known aboutimportant predictors foroutcome depending onfunc- is important for long-termoutcomeinseveralaspects,butlessis Background andobjectives:Levelofdependencyafterastroke Gothenburg, Sweden Neuroscience, Sahlgrenska Academy, University of Gothenburg, Institute ofNeuroscience andPhysiology, DepartmentofClinical Christoph Gutenbrunner, Prof,PhD 3 , CecilieRøe,Prof,PhD 125 patients (66% women), mean age 53 (SD 10.4) Results: 125patients(66%women),meanage53(SD10.4) Results: A total of 266 participants responded to the SIS. =0.03), which is less than the minimal detectable change. =0.03), whichislessthantheminimaldetectablechange. <0.001). Mobility changed 1.8 points between 3 and 12 <0.001). Mobilitychanged1.8pointsbetween3and12 =0.017). Lower age predicted better mobility =0.017). Loweragepredictedbettermobility 1 , JuanLu,Prof,PhD 1 3 , BoyaNugraha, Materials & 2 , <0.001). <0.001). JRM Journal of Rehabilitation Medicine JRM Journal of Rehabilitation Medicine JRM Medicine and Population Health OP16 elderly). The final review results will be presented at the conference. abilities, musculoskeletal conditions, heart diseases, diabetes and different organizational unitsandtarget groups(neurologicaldis- abstract. The remaining 43 studiestobescreenedbyfull-textcover by 37 and title, RCTs by 96 excluded were 16 identified; been have Other Categories of Service Delivery. Preliminary Results: Overall, Reporting andDocumentation,FundingofServiceDelivery, and Centeredness, Aspects of Time and Intensity; Rehabilitation Team, Patients- Care, of Integration Setting, Facility,Delivery, Services gies, ServiceGoals, Target Groups,ModesofReferral, Location of describes characteristics of service delivery including Health Strate optimal functioning within an organizational context. This dimension and clients)aimingatachievingormaintaining and/or otherusers etc.) to a specific group of individuals (patients, informal caregivers, set ofproducts(interventions, procedures,devices,pharmaceuticals, of offer as defined is dimension Delivery Service Provider.The of man Resources, Technical Resources, FundingandOthercategories Governance/Leadership, Quality Assurance and Management, Hu- tion services,including categories of Context,Ownership,Location, organizational units withtheprimarygoalofprovidingrehabilita as defined is dimension Provider The data. the summarize to used 2.0. Descriptiveanalysiswillbe categories as proposedbyICSO-R descriptions andcomparethemtotwodimensionscorresponding been developed to extract relevant information regarding service rehabilitation services asprimarygoals. A standardized protocol has ies fromhospitals or other organizational units that did notprovide provision and delivery of rehabilitation services. We excluded stud- was to provide rehabilitation and trial report included descriptions of to identify eligible RCTs. All RCTs wereeligible if the primary goal January andDecember2018amongindexedEnglishlanguagestudies by ICSO-R2.0.Methods: A Medline search wasperformed between proposed dimensions classification and criteria uniformed the with scriptions inrecentlycompletedrandomizedcontrolledtrails(RCTs) research is fundamental. an understanding of howICSO-Rmay be applied in rehabilitation and classify rehabilitationservices. To describe advancetheservicedelivery, to criteria uniform define to intends 2.0) (ICSO-R System for Service Organization in Health-Related Rehabilitation Classification International developed recently The Background: Rehabilitation Medicine,Hannover, Germany 1 were included in the analysis. the in included were improvements significant were There [39%]) female 55 37–96, range years, 76 age (median participants hundred-forty One results Preliminary assessed. also were function dependence in activities of daily living, stroke severity and motor Demographic characteristics were recordedandcognitive function, discharge, onemonth,threemonthsandyearafterstroke onset. after hours 24 within onset, after days five occasions: different five mixed effect time-varying-effect modelswithSASmacro,across with Time UpandGotest.Longitudinalchangeswereanalyzedusing sessed usingBerg Balance Scale and dynamic balance was assessed design with blinded assessors. The static postural balance was as- enburg Very Early Discharge) conducted in arandomized controlled Method: The longitudinal data isasubsetoflarge project (Goth- investigate postural balance changes in stroke patients over one year. to evaluate fall risk forstrokepatients. The aim of thisstudywasto Background: Longitudinal changes in postural balance can be useful University ofGothenburg, Gothenburg, Sweden Institute ofNeuroscience andPhysiology, Sahlgrenska Academy, Rehabilitation Medicine,DepartmentofClinicalNeuroscience, student, KatharinaS.Sunnerhagen,MD,PhD Dongni Johansson,PhDstudent,LenaRafsten, BALANCE CHANGESINPEOPLE WITH STROKE LONGITUDINAL STUDY OF POSTURAL tation University ofOslo,Research Centre forHabilitation and Rehabili 2 Virginia Commonwealth University, Department of Family Aim: To compare rehabilitation service de- 3 Hannover Medical School, Dept. - - - mentioned. Inaddition,environmental factors,suchassafetyaspec- As facilitative factors thecompliance of thepatient and relatives is remuneration. insuffiecient and expenses travel compensated not time spent for transfer and documentation; financial factors, such as in different regionsofLatvia. The barriersofservicedelivery are the to organisational factors andtheavailability of functional specialists ences inservice delivery between service providers areattributable has beencoveredinalloftheserviceproviders,thoughdiffer ICSO-R service provider, servicedelivery andfundingoftheservice sion: This qualitative study showedthat almost every category of the were alsoseveral subthemes foreach of themain themes. there factors, environmental the and finances relatives, and patients main service delivery barriers and facilitatory factors identified – time, four were there analysis thematic out region. carrying Pieriga After and Vidzeme and from one nationwide rehabilitation institution in in Kurzeme,ZemgaleandRiga,fromtwolocalinstitutionsLatgale tion specialists participated from four regional health care instiutions thematic analysis were chosen for data analysis. ICSO-R dimensions andcategories. Qualitative content analysis and Semi-structured interview questions were developed on the basis of Latvia. in region statistical every in out carried doctors) PRM pists, or nurse)discussionsandfourindividual interviews (physiothera- service provider focus group(functional specialists, PRM doctors and/ patients servicedelivery.Qualitative study, Methods: five including stroke for HBR in facilitators and barriers defining and system tion Classifica- ICSO-R using by Latvia in providers service patients and service delivery dimensions between various HBR for stroke delivery. Aim ofthestudyEvaluation ofserviceprovider, funding years, thoughthereisverylittle knownaboutorganisation oftservice services forstrokepatientshavebeenavailable in Latvia for seven (HBR) rehabilitation Home-based system. Classification ICSO-R – classification system for evaluating rehabilitation services developed rehabilitation services delivered at home. There has been special ing gatheringofinternationallycomparableinformation,alsofor bilitation service evaluation using systemic approach, thus enhanc- Objective: MD OP17 of intensityandvolume. prediction offallriskandadjustmentrehabilitationtraininginterm knowledge ofposturalbalance change over time would facilitate a are desirable. Those who are older have particular needs. A better and along-term rehabilitation schedule focused onbalance training postural balance over time.Conclusions:Moreindividual tailoring extremity motor function had negative impact of static and dynamic after stroke onset. Higher age, dependency and decreased lower and three months post stroke. Postural balance stabilized one month of posturalbalance within 24hoursafterdischarge andbetweenone 1 Emilie IsagerHowe,CandPsych MILD-TO-MODERATE TBI PATIENTS FUNCTIONING2MONTHS AFTER 1 Aija Voitkevica, M.H.Sc.(To beawarded2019June) SERVICE EVALUATION HOME-BASED STROKEREHABILITATION Guna Berzina,PhD sity Hospital,Oslo, PhD OP18 Abstract isnotavailable. Norway Health Center 4, Riga, Latvia, Department of Physical Medicine and Rehabilitation, Oslo Univer 1 1 , MarianneLøvstad,PhD , Nada Andelic, MD,PhD There has beenmuch attention given recently to reha- 2 Sunnaas Rehabilitation Hospital, Nesoddtangen, Sunnaas RehabilitationHospital,Nesoddtangen, 2

2 Riga Stradins university, Riga, Latvia 2 , Torgeir Hellstrøm,MD, 1 1 Invited Lecturers , SiljeC.R.Fure, J Rehabil Med51,2019 Results: Rehabilita Conclu- 1 , 11 - - -

JRM Journal of Rehabilitation Medicine JRM Journal of Rehabilitation Medicine JRM MD, PhD Background and aims: Sweden Institute of Neuroscience and Physiology, University of Gothenburg, done. most commonsymptomsafterstrokeandnosimilarstudyhasbeen important since post-stroke cognitive impairment (PSCI) is one of the predictors couldaffect cognition early afterstroke. This researchis a more severe stroke. In this project the aim is to see if PA and other study weshowedthat olderageandphysical inactivitycould resultin on thedifferent consequencesafterstrokeareuncertain.Inaprevious PAof effects the while stroke prevent (PA)to activity known cal is 1 Malin Reinholdsson,MSc AFFECT COGNITIONEARLY AFTER STROKE PRE-STROKE PHYSICAL ACTIVITY COULD OP20 criteria andtheinterventionitselfwereallinformedbythisstudy. eligibility measures, outcome design, to changes Potential deliver. Conclusions: A video-guided exercise after stroke trial is feasible to the needs formotivation and supporttoexercise were highlighted. and physiotherapyparticipantsfoundtheinterventionacceptable,but patients/group would need to be recruited for 92 a five, powered of study. difference significant Patient clinically minimal a Using /week ercising and self-efficacy. Recruitment rate was 1 patient participant measures usedshowedutility in thistrial, except for time spent ex outcome The collected.Results: were (interviews) patient participants and group) (Focus therapists the of experience the and self-efficacy retention, time exercisinginandoutoftherapy, movement quality, calculate sample sizes forapoweredstudy. Data on recruitment and measure wastheMotorStatusScaleforupperlimb. This wasusedto guide topractiseoutsideoftherapysessions. The mainoutcome the used then They sessions. therapy their during filmed been had computer tablet, upon whichtheirprescribedtailoredarmexercises or interventiongroup. The intervention groupwereprovidedwitha usual as treatment a either to randomised were Participants study. pants were recruited (new strokediagnosis), eleven completed the the stroke wardsin a large UK teaching hospital. Fourteen partici feasibility study with an embedded qualitative study, carried out on sessions. stroke practisetheirprescribedarmexercisesoutsideoftherapy video guides onacomputer tablet to help hospitalised people with investigates the feasibility and acceptability of usingindividualised to be received, and sow the seeds of later self-management This study recovery couldallow opportunities for agreater intensity of therapy stroke to develop skills in exercising independently early in their Background andaims:Findingpractical ways tohelppeoplewith Yorkshire, UK Leeds Teaching HospitalsTrust/The UniversityofLeeds,West Madeleine Kenny, PT, BSc,RoryO’Connor, MD EXERCISE AFTERASTROKE THE EFFECTIVENESSOF VIDEO-GUIDED OP19 home-based rehabilitation. Stroke rehabilitation;Deliveryofrehabilitationservice;ICSO-R; cts andrehabilitation possibilities are also important. Key words: www.medicaljournals.se/jrm 12 Academy, Gothenburg, Institute of Clinical neuroscience andphysiology, Sahlgrenska Methods: This isacross-sectional study design,basedon data Joint congress oftheDCRM,BNF-PRMandRBSPRM–9–10Nov2017,inMaastricht,TheNetherlands Methods: This is single-blind pilot randomised control 2 , Annie Palstam,MedDr, PhD,PT Physical inactivity is a global pandemic. Physi 2 Department ofClinicalNeuroscience at 1 , KatharinaS.Sunnerhagen, 2

- - - Liga Korosevska,Master’s UNIT IN DAY IN THE RIGA TERRITORIAL HEALTH-RELATED REHABILITATION SERVICE PROVISION OF A MULTI-PROFESSIONAL OP21 seems tobeevenmoreeffective. 2-3times/week exercise although beneficial was hours/week 4 least in preserved cognitive function. In this study, PA such as walking at Conclusions: This study suggests that PA and younger age could result (OR=0.54) couldpredictpreservedcognitivefunctionafterstroke. fibrillation atrial no and (OR=0.58) diabetes no (OR=0.96), age younger PA(3.81), high and moderate PA(OR=1.65), light that or 25 Regression analysisshowed less pointswhenassessedwithMoCA. with PSCI had 43% and inactive were 42% patients, the of common (93%),87%ofthepatients had amildstroke. Almost half further adjusted. provision, thoughcertaincategoriesandsubcategoriesshouldbe tion system is suitable for description and comparison of the service classifica ICSO-R intensity.The and group target delivery service 555, butthereareinconsistenciesin Latvia CabinetRegulationsNo. unit. Itsprovisiondoesnotdiffer substantially from theRepublic of is providedsimilarly inthe8dayhospitals Rigaterritorial clusions: The multi-professional health-related rehabilitationservice his familyorassistantsandcarersintherehabilitation process. Con a multi-professional rehabilitation team involving the user andoften functions andactivity andparticipation. The service is providedby basic orintensiverehabilitation course aimed atimprovingthebody adults withacute,subacuteandchronicfunctional limitations as a ous organization and contextmedical institutions, tochildrenand/or in dayhospitaltheRigaterritorial unit isfunded bystateinvari Results: service the system, classification ICSO-R the to According results were collated in structured tables and compared by content. A dataanalysismatrixwascreated in accordance to ICSO-R. The with persons responsible for organizing and coordinating the service. medical institutions. Eight semi-structured interviews were conducted Cabinet Regulation No.555andanalysis of medical records in3 in thestudy. Documentanalysiswascarried out: Republic of Latvia Territorial Unit, which provide the service in day hospital, participated tive contentanalysisapproach.Eightmedical institutions oftheRiga ICSO-R classification system. tion serviceindayhospitaltheRigaterritorial unit byusingthe content the provision of multi-professional health-related rehabilita national and international level. Aim:todescribeandcompareby models. Hence,existingservicesshouldbecomparedatregional, services, itisnecessarytodevelop comprehensive service delivery ally achieve equal access tohigh-qualityhealth-related rehabilitation that there is a growing need for rehabilitation worldwide. To gradu Background: Global demographic andepidemiological trendsindicate 1 Stradins University, Riga,Latvia 42% womenwithameanageof71years.Ischemic stroke wasmore study. University HospitalinGothenburg 2014-2018,wereincluded in the Sahlgrenska to admitted stroke first with patients Adult Results: Activity Level Scale. Logistic regression analyseswereperformed. Physical Saltin-Grimby with assessed PAwas Prestroke (MoCA). Assessment Cognitive Montreal with assessed PSCI was outcome treatments such asstatin or hypertension treatments while the main diabetes, prestroke PA, atrial fibrillation, previous TIA andsmoking, protective sex, age, were Predictors registries. stroke Swedish from Korosevska Liga-Physiotherapist Practice, Riga, Preliminary Results: The study population was 1,297 patients, Methods: Qualitative research – deduc 1 , GunaBerzina,PhD Latvia 2

2 Riga ------JRM Journal of Rehabilitation Medicine JRM Journal of Rehabilitation Medicine JRM Brady, PhD 1 Hege PragOra,MD CONTROLLED TRIAL – A PRAGMATIC PILOT RANDOMIZED BYDELIVERED TELEREHABILITATION THERAPY FORPOST STROKE APHASIA SPEECH-LANGUAGE INTENSIVE AUGMENTED prioritized by personswith spinal cord injury (SCI) and has acen Background Upperextremity(UE)functionishighly andaims: Sahlgrenska Academy, UniversityofGothenburg, Sweden Institute of Neuroscience and Physiology, Rehabilitation medicine, Associate Professor Professor, chiefphysician,Margit Alt Murphy, PhD, Lamprini Lili,PhDstudent,KatharinaS.Sunnerhagen, INJURY EXTREMITY INPERSONS WITH SPINAL CORD KINEMATIC MOVEMENT ANALYSIS OF UPPER OP22 ( female, mean age58years)withtetraplegia (n=17)andparaplegia with established SCI. quality during adailytaskusingkinematic analysis inindividuals in SCI. The presentstudywillmeasuremovement performance and measures available,kinematicanalysisisseldomusedasmeasurement tral role in rehabilitation. However, despite the plethora of outcome OP23 and selectioninSCIrehabilitation. analysis canbeemployedtoguidegoalsetting,treatment evaluation kinematic how and limitations UE these of significance clinical the function after SCI. Further studies are needed to more closely define in movementperformanceandqualityindividualswithlimitedUE deficits specific identify to sensitive is task daily common a during Results fromthisstudyshowthat kinematic analysis of UEfunction tion (ARAT=57 pts) were not different from controls. to healthy controls.Kinematic variables in those with full UE func- compared function UE limited with those in different significantly tion duringdrinkingandelbowangularvelocity in reaching were of movementtime,smoothness,trunkdisplacement,armabduc- Test. or limited (n=10)UEfunction according to Action Research Arm (n=18) full having as categorized were SCI with Participants lated. speed, smoothnsess,andjointtrunkdisplacements were calcu was performedunimanuallywithbothhands.Measuresofmovement 13 incomplete (AIS CandD).Kinematic analysis ofdrinkingtask Among individuals withSCI,15hadcomplete (AIS A andB) versity of Oslo, Institute of Clinical Medicine, Oslo, Sunnaas Rehabilitation Hospital, Nesoddtangen,Norway&Uni- n =11) alongwithage-andgender-matched 54healthycontrols. Results: 3 The preliminary results showthatkinematic variables , FrankBecker, MD Methods: 1 , MelanieKirmess,PhD Intotal 28 individuals (20 males, 8 1 2 2 Conclusions: Sunnaas Re- , Marian - - Department ofSpecialNeedsEducation,Oslo,Norway, habilitation Hospital, Nesoddtangen,Norway&University of Oslo, Rehabilitation RigaStradinsUniversity, Riga,Latvia assistive device. the factors andtheir interactions that affect the choice of mobility measures to ensure access to personal mobility devices. Aim: Describe Disabilities emphasizes the responsibility of states to take effective with Persons of Rights the on Convention Nations United The life. assistive devicesencourageparticipationindailyactivitiesandpublic body position and walk and move from one place to another. Mobility personal mobility – this relates to their ability to change and maintain Topicality: Mobilitydevicesdesignedtofacilitateorenhanceauser’s 1 Zoya Osipova,MHSc IN THE LATVIAN CONTEXT SELECTION OF MOBILITY ASSISTIVE DEVICES DECISION-MAKING PROCESSIN THE of Rehabilitation Riga Stradins University Riga Latvia OP24 Abstract isnotavailable. Caledonian University, Scotland Midwifery and Allied Health Professions Research Unit, Glasgow professionals atdifferent levelsofhealthandsocialcare. out thelackoffeedback. There isalackofcompetencebetween - makingprocessmorecomplicated. All oftheparticipants pointed functional disorders, especially cognitive disorders, makedecision effective with knowledgeable, experienced orinterested user. Multiple aids. Collaboration of health care specialists and providersisonly mobility assistive devices affected by anational system oftechnical pect. as- financial the of impact and eligibility of determination by ized specialist’sand dependency responsibility. character sector Private public sectorcharacterized by determination of eligibility, budgetary a in devices assistive of Provision private. and public – groups two in divided Providers choice. affecting factors experience, disability to assistivedevices.User’s groupcharacterizedbycategoriesof process characterizedbycategoriesofevaluationprocess,access collaboration. Health care providers involving in decision-making participants is specialist’s competencies, feedback and perception of analysing discussionscontent.Commoncategories for allinvolved structured content.Results: Twelve categorieshave beencreatedafter In studywereconducted eight focus groupdiscussionswithsemi- represented bothgroupsfrom the public and privatesectors. Methods: users. Nine people represented assistive device providers. Providers care . Twelve peoplerepresentedmobilityassistivedevice physical medicine and rehabilitation physicians, and three primary specialists, sixoccupational therapists, threephysiotherapists,four sistive device. Sixteen specialists were involved, including functional enced in the decision-making process onthe selection ofmobility as- approach. National rehabilitation center VAIVARI, Jurmala, Latvia/Faculty Conclusions: The decision-making processontheselection of Participants: The studyinvolved37participants experi- Design: Qualitative study usingagroundedtheory 1 , SigneTomsone, PhD Invited Lecturers J Rehabil Med51,2019

2 2 Faculty of 3 Nursing, 13 -

JRM Journal of Rehabilitation Medicine JRM Journal of Rehabilitation Medicine JRM Evelina Narutytė,MD Vilnius, Medicine Center, Vilnius Santaros Hospital University Klinikos, PP2 of assistanceremained). in inpatient rehabilitation unit (mostly moderate or minimum need mobility in patients’ with cervical spinal cord injury after treatment predominated. end ofinpatient rehabilitation, moderate ormildseverityinmobility observed in almost half (up to 47.7%) of patients (p <0.001) at the ment inthebeginningofrehabilitation.Improvementmobilitywas (100%) hadcomplete (4 points)orsevere(3mobility impair at thebeginningandendofrehabilitation. problems wereassessedbytheComprehensive ICF CoreSetforSCI bilitation program lasted an average of 123.1± 12 days.Functional injury in C4 – C8 segment level were evaluated. The inpatient reha- 25 patients (22(88.0%)men and 3 (12.0%)women) with spinal cord of patientswhoweretreated in inpatient rehabilitation unit afterSCI. change during inpatient rehabilitation. Methods: Prospective analysis to identify the most common difficulties of mobility and assess their cord injuryindependenceandparticipationinactivitiesofdailyliving, description of functioning. and Health (ICF) is the universally accepted conceptual model for the social life. The International Classification of Functioning, Disability and loss offunctions, independence and physical activity in daily and the levelofneurological lesion. That causesmedical disorders Background: Spinal cord injury (SCI) affects all body functions below alive; of these, 281 responded to the follow-up survey. Participation restrictions. analyses were used to analyze factors associated with participation & Education, and Social Life & Relationships. Logistic regression domains: Autonomy Indoor, FamilyRole, Autonomy Outdoor, Work ticipation and Autonomy-questionnaire (IPA-E), which comprised five Par of Impact the Gothenburg.included in survey 2009–2010, The study included individuals diagnosed with a first-time stroke during participation and autonomy. Methods: This five-year follow-up survey potential associations between factors and perceived restrictions in tonomy of persons with stroke, five years after a stroke, and to explore The purpose ofthis study wastoevaluate the participation and au- Stroke is the second most common cause of disability in the world. Gothenburg, Sweden neuroscience, Sahlgrenska Academy, University of Gothenburg, Institute ofneuroscience andphysiology, Departmentofclinical Sunnerhagen, professor Annie Palstam,PhD, OBSERVATIONAL STUDY STROKE: ALONGITUDINALYEARS AFTER PARTICIPATION ANDAUTONOMYFIVE 1 Laura Gulbinaitė,MD HEALTHDISABILITY AND CLASSIFICATION OF FUNCTIONING, SEGMENTS BASEDON THE INTERNATIONAL WITH SPINAL CORDINJURY INC4–C8 IMPROVEMENT OF MOBILITY OF PATIENTS PP1 www.medicaljournals.se/jrm Klaipėda, Hospital, Seamen`s 14 (HP) Physical Medicine and Rehabilitation Department, Klaipėda Department, Rehabilitation and Medicine Physical 2 3 Medical SPA „Eglėssanatorija“,Druskininkai,Lithuania Baltic andNorthSeaCongress ofPRM–9–10Oct2019,inOslo,Norway Results: At 5yearsafterastroke,457patients were There was significant improvement of improvement significant was There Conclusions: Astrid Sjödin,MSc,KatharinaS. 3 1 , Aims: To evaluate patients’ with spinal , Alvydas Juocevičius,Prof. Aušra Adomavičienė, PhD 2 Rehabilitation, Physical and Sports All patients Results: All POSTER ABSTRACTS 2 , - - Andris Skride,Dr.med. PP3 physical, social,andcognitiveabilities. perceived as mostrestricted were thosethat required high levels of among persons with stroke at five years after the stroke. The domains this studyshowedthat participation and autonomy were restricted of mobility, leisure,andhelp/supportfromotherpeople.Inconclusion, with participation restrictions weremostfrequently observed inthe areas associated Problems stroke. after years five at depression of feelings by explained partly were restrictions Participation stroke. a after years five at restrictions participation predicted sex female Autonomy IndoorsandFamilyRole.Severestroke,olderage, IPA-Ethe in pronounced less were restrictions contrast, of domains Outdoors, Work/Education, andSocialLifeRelationships. In restrictions were most pronounced in the IPA-E domains of Autonomy optimal physicalactivities. to developindividualized interventions toimproveparticipation in data isfeasibletooltoanalyze daily physicalactivities that allows methodology with combination accelerometer and diarymonitoring tested recorded irritation to the skin under sensor). Conclusions:The results supportappropriate applicability (with onlyoneparticipant based ratio of its intensity, time spent in each activity. Questionnaire (total and awaketime), types ofdailyactivities and theirsaturation unit - second)and time ratio spent in each activity level for each day that combinated data monitoringallowedtoanalyze time (minimal about the applicability ofaccelerometer. Results: The results approved environment). At the end of the study, patients completed survey was distributedbyhoursandincluded type ofactivity, self-feeling, instrument - MOX Physical Activity Monitor) and patient’s diary (it established cooperation with Maastricht University andusedtheir weekends. The assessmentinstrumentswere:accelerometer(we 4 – children in days, consecutive 7 analyzed were patients COPD In 12–13). (age children age school healthy 4 and patients COPD 4 purposely: selected were Participants design. study case multiple motion sensor(accelerometer)intwodissimilarpopulations. We used by thedevelopedmethodologyandtotestacceptability of wearable bility studytotestopportunitiesinanalysisofdailyphysicalactivities (COPD) and healthy school age children. in analysis in two distinct population – persons with chronic disease feasibility of combination accelerometer anddiarymonitoring data environmental influences gives more comprehensive view. diaries about activities kinds (daily habits), subjective experience and disease is growing. Along with quantitative data collection analysis of and/orchronic functionallimitations severe with example, inpersons instruments and ability to detect different motions/movements, for of steps and covered distance, but the necessity to use more specific quently monitored data about level of physical activities are number of successfulfunctionalrecoveryduringrehabilitation.Mostfre- is essential goal both inhealth promotion as well fundamental part healthy population. To foster participation in daily physical activities cial in awiderangeofdiseases,andalsostronglyrecommended in benefi- be to shown been has and options, treatment cost-effective and safest important, most the of one are activities Purposeful life. Background: Physical activities is natural and essential part of human University, FacultyofRehabilitation(Riga/Latvia) 1 Lina Butane,PhDStudent TWO DIFFERENT POPULATIONS MONITORING DATA: FEASIBILITY STUDY IN COMBINATIONDIARY ACCELEROMETERAND ANALYSIS OF DAILY PHYSICAL ACTIVITIES BY University, Faculty of Rehabilitation (Riga/Latvia) P.Stradins ClinicalUniversityHospital (Riga/Latvia); RigaStradins 1,2

1,2 , DainaSmite,Dr.med. Methods: We carriedfeasi- 2 Riga Stradins Aim: Test 2 , JRM Journal of Rehabilitation Medicine JRM Journal of Rehabilitation Medicine JRM WAIS-III workingmemory tests together with the self-rating scales: with an identified working memory problem, were assessed with the emotional status. Methods:Outpatients at therehabilitation clinic, of life (HRQoL) aswell as in relation to executive functioning and the impact of cognitive fatigue after an ABI in health-related quality treatment is imprecise. The aimsofthisstudyweretoinvestigate brain injury (ABI),limiting activity and participating. Adequate executive dysfunctions are common consequences after an acquired Backgroundand Aims:Cognitivefatigue,emotionaldistress University ofGothenburg, Sweden Institute ofNeuroscience andPhysiology, theSahlgrenska Academy, Rehabilitation Medicine,DepartmentofClinicalNeuroscience, Sunnerhagen, Professor, MD,PhD Persson, MedDr. PhD.Psysioterapist,KatharinaS. Elisabeth Åkerlund,PhDstudent,HannaC. RELATED QUALITY OF LIFE BRAIN INJURY CAUSES A LOWERHEALTH- FATIGUECOGNITIVE AFTERANACQUIRED PP4 be infocusrehabilitationafteran ABI. problem.Thus, understandingandhandlingcognitivefatigueshould and depressionresp.executive dysfunctioning stresses thefatigue was seen low. The moderate correlations between cognitive fatigue of thegroupreportedemotional distress whileexperienced HRQoL an ABI andadirect partial cause toalowerHRQoL.Lessthanhalf understanding of cognitive fatigue as a common consequence after with impact on HRQoL. Conclusion: These results strengthens the regression analysis, cognitive fatigue was the only significant factor sion (0.631),andbetweenanxietydepression(0.699).Inthe seen between executive functioning and anxiety (0.603) resp. depres- executive dysfunctioning (0.555).Moderatecorrelationswere also fatigue correlated on amoderate level with depression,(0.579)and 25%, while 93% perceived a lower HRQoL than average. Cognitive by 90%,executive dysfunctioning 48%, anxiety 39% anddepression Median timesince ABI was8months.Cognitivefatiguereported agnose (n=31),followedbytrauma (n=5) andotherdiagnoses=5). (22 women),median age51years.Strokewasthemostcommon di- dependent variablewasused.Results: The studyincluded41patients statistics, correlations andalogistic regression withHRQoL asthe of health-related quality of life (HRQoL) EQ-5D-3L. Descriptive Hospital and thedimension Anxiety andDepressionScale(HADS) Fatigue ImpactScale(FIS),DysexecutiveQuestionnaire(DEX), J Rehabil Med51,2019 Posters 15 JRM Journal of Rehabilitation Medicine JRM Journal of Rehabilitation Medicine JRM Howe, EmilieIsager11 Hörsell, Daniel10 Höfers, Wiebke 7 Hellstrøm, Torgeir 11 H Gutenbrunner, Christoph6,10 Gulbinaitė, Laura14 Grimby, Gunnar4 Granlund, Mats5 Gerlin, Christian8 G Fure, SiljeC.R.11 F Egner, Uwe9 E Deboussard, Catharina6 Dalen, Håkon7 D Buttagat, Vitsarut 8,9 Butane, Lina14 Brady, Marian13 Borg, Kristian6,9 Bethge, Matthias8 Berzina, Guna6,11, 12 Berthold-Lindstedt, Märta9 Becker, Frank7,13 Bautz-Holter, Erik7 B Augutis, Marika7 Areeudomwong, Pattanasin8,9 Andelic, Nada10,11 Alt Murphy, Margit 13 Adomavičienė, Aušra 14 Abzhandadze, Tamar 8 A www.medicaljournals.se/jrm 16 Baltic andNorthSeaCongress ofPRM–9–10Oct2019,inOslo,Norway Osipova, Zoya13 Ora, HegePrag13 O’Connor, Rory12 O Nyquist, Astrid 7 Nugraha, Boya6,10 Norup, Anne 4 New, Peter7 Narutytė, Evelina14 N Markus, Miriam8 Maanum, Grethe5 M Lundgren Nilsson, Åsa8 Lundgaard Søberg, Helene10 Lu, Juan10 Løvstad, Marianne11 Löfgren, Monika4 Lili, Lamprini13 L Korosevska, Liga12 Kleffelgård, Ingerid10 Kirmess, Melanie13 Kenny, Madeleine12 Karic, Tanja 10 K Juocevičius, Alvydas 14 Jørgensen, Vivien 7 Johansson, Jan9 Johansson, Dongni11 Johansen, KristinHeier10 J Irgens, Ingebjørg 10 I Author Index Sveen, Unni4 Sunnerhagen, KatharinaS.4,8,11, 12,13, Streibelt, Marco8,9 Stanghelle, Johan7 Stam, Henk4,6 Sorteberg, Angelika 10 Søberg, Helene7 Smite, Daina14 Skride, Andris 14 Skavberg Roaldsen, Kirsti7 Sjödin, Astrid 14 Schuler, Michael8 Sällström, Susanne7 S Røe, Cecilie7,10 Reinholdsson, Malin12 Rasmussen, Mari4 Rafsten, Lena8,11 R Preede, Line7 Persson, HannaC10,15 Palstam, Annie 8,12,14 P Åkerlund, Elisabeth15 Å Ygge, Jan9 Y Wiriyasakunphan, Witawit 9 Winter, Laraine4 Westerlind, Emma10 Voitkevica, Aija 11 van de Velde, Dominique5 V Tomsone, Signe13 Toftedahl, Ludvig10 T 14, 15