Gunvor Hilde's research while affiliated with Oslo Metropolitan University and other places

Publications (79)

Article
Full-text available
Hand grip strength (HGS) is a key indicator of intrinsic capacity and has shown good predictive ability for morbidity and mortality. Reference values from normative populations are valuable, and such data from the Norwegian population are scarce. Normative values for the digital Jamar+ dynamometer are largely lacking.HGS was assessed in the Norwegi...
Article
Total hip replacement is considered a successful intervention for pain relief and improved function. However, poor presurgery physical function may increase the likelihood of delayed postsurgery recovery. The purpose of this study was to describe community-dwelling older adults' experiences with a prehabilitation program (preoperative exercise) bef...
Preprint
BACKGROUND Type 2 diabetes mellitus (DM2) is a leading cause of morbidity and mortality worldwide and is considered a global epidemic. Despite the growing evidence on the effectiveness of mHealth interventions in the management of DM2, the evidence on the effect of mHealth interventions in prevention of DM2 is sparse. Therefore, we have developed a...
Article
Full-text available
Background Type 2 diabetes mellitus (DM2) is a leading cause of morbidity and mortality worldwide and is considered a global epidemic. Despite the growing evidence on the effectiveness of mobile health interventions in the management of DM2, the evidence on the effect of mobile health interventions in prevention of DM2 is sparse. Therefore, we have...
Article
Full-text available
Background Patients with chronic low back pain (LBP) and lumbar disc degeneration are recommended to try out nonsurgical treatment options before surgery. There is need for good nonsurgical alternatives that can be adapted to the patient’s needs and level of function. The aim of this pilot trial was to test study feasibility of a future full random...
Article
Full-text available
Introduction and hypothesis: Vaginal delivery may lead to tearing of the levator ani (LA) muscle from its bony insertions (complete LA avulsion) and increased levator hiatus (LH) area, both risk factors for pelvic floor dysfunctions. Early active rehabilitation is standard treatment after musculo-skeletal injury. We hypothesized that pelvic floor...
Chapter
Physical activity during pregnancy is recommended and has been shown to benefit most women. However, some modifications to exercise routines may be necessary due to normal anatomic and physiologic changes and fetal requirements. Therefore, knowledge about the systemic changes of pregnancy should be considered when counseling women who wish to exerc...
Chapter
Pregnancy and childbirth bring along several changes to a woman’s body, especially to the musculoskeletal system. On one hand, pregnancy and childbirth not only represents a window of opportunity for the adoption of an active and healthy lifestyle, but it is also a risk period for the development of musculoskeletal disorders that may negatively aff...
Article
Full-text available
Introduction and hypothesis To date there has been scant knowledge on the natural recovery of the pelvic floor muscles (PFMs) after childbirth. The aims of the present study were to investigate whether PFM variables at 6 and 12 months postpartum had returned to mid-pregnancy levels and assess risk factors for reduced recovery at 12 months postpartu...
Preprint
Full-text available
Background Patients with chronic low back pain (LBP) and lumbar disc degeneration are recommended to try out non-surgical treatment options before surgery. There is need for good non-surgical alternatives that can be adapted to the patient’s needs and level of function. The aim of this pilot trial was to test study feasibility of a future full rand...
Article
Full-text available
Background The increasing prevalence of type 2 diabetes worldwide is a major global public health concern. Prediabetes is a reversible condition and is seen as the critical phase for the prevention of type 2 diabetes. The aim of this study is to identify and synthesize current evidence on the perceived barriers and facilitators of lifestyle change...
Article
Full-text available
Purpose The Timed Up and Go (TUG) test is used to assess a person’s mobility and balance. We aimed to provide updated reference values for TUG performance for the community-dwelling older population according to age and sex, and according to the presence of arthritis and non-communicable diseases (NCDs). Participants and Methods Cross-sectional da...
Article
Full-text available
Introduction: The present study aimed first to investigate the change in prevalence of major levator ani muscle (LAM) defects, also called avulsions, from six weeks to one year postpartum, and second to assess maternal and obstetric risk factors for having persistent major LAM defects/avulsions at one year postpartum. Material and methods: This...
Article
Full-text available
Introduction Health professions need to prepare for the increase of older patients with osteoarthritis requiring health services including those requiring total joint arthroplasty (TJA). The primary objective of this study is to assess the effect of a tailored prehabilitation programme of older patients awaiting primary surgery for total hip replac...
Article
Background and objective: The transition from adolescence to adulthood is a sensitive period in life for health outcomes, including back pain. The objective was to synthesize evidence on risk factors for new episodes of back pain in emerging adults (18-29 years). Methods: The protocol was registered in PROSPERO (CRD42016046635). We searched Medl...
Book
This clinically and practice oriented, multidisciplinary book is intended to fill the gap between evidence-based knowledge on the benefits of physical activity and exercise during pregnancy and the implementation of exercise programmes and related health promotion measures in pregnant women. It will provide medical, sports, and fitness professional...
Chapter
Physical activity during pregnancy is recommended and has been shown to benefit most women. However, some modification to exercise routines may be necessary due to normal anatomic and physiologic changes and fetal requirements. Therefore, knowledge about the systemic changes of pregnancy should be taken into account when counseling women who wish t...
Chapter
Pregnancy and childbirth bring along several changes to a woman’s body, especially to the musculoskeletal system. Pregnancy represents a window of opportunity for the adoption of an active and healthy lifestyle, but it is also a risk period for musculoskeletal disorders, impairments, and other discomforts. This chapter addresses the evidence-based...
Article
(Abstracted from Am J Obstet Gynecol 2018;218:427.e1–427.e5) Clinicians encourage all healthy pregnant women to be physically active throughout pregnancy. Specific recommendations include participation in at least 30 minutes of aerobic activity most days of the week, strength training of the major muscle groups 2 to 3 days per week, and pelvic floo...
Article
Full-text available
Background Diastasis recti abdominis affects a significant number of women during the prenatal and postnatal period. Objective The objective was to evaluate the effect of a postpartum training program on prevalence of diastasis recti abdominis. Design The design was a secondary analysis of an assessor-masked randomized controlled trial. Methods...
Article
Background: Today, all healthy pregnant women are encouraged to be physically active throughout pregnancy, with recommendations to participate in at least 30 min of aerobic activity on most days of the week, in addition to perform strength training of the major muscle groups 2-3 days per week, and also pelvic floor muscle training. There is, howev...
Article
This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: The primary objective of this systematic review is to assess the efficacy of a range of physical therapy interventions for the management of PGP following pregnancy. We will assess efficacy in terms of reduced pain, improved disability/functional status, improve...
Article
Full-text available
Background/aim Diastasis recti abdominis (DRA) is defined as a separation of the 2 muscle bellies of rectus abdominis. To date there is scant knowledge on prevalence, risk factors, and consequences of the condition. The present study aimed to investigate the prevalence of DRA during pregnancy and post partum, presence of possible risk factors, and...
Article
Aims: Compare vaginal resting pressure (VRP), pelvic floor muscle (PFM) strength, and endurance in women with and without diastasis recti abdominis at gestational week 21 and at 6 weeks, 6 months, and 12 months postpartum. Furthermore, to compare prevalence of urinary incontinence (UI) and pelvic organ prolapse (POP) in the two groups at the same...
Article
Objective: Evaluate effect of pelvic floor muscle training (PFMT) on vaginal symptoms and sexual matters, dyspareunia and coital incontinence in primiparous women stratified by major or no defects of the levator ani muscle. Design: Randomised controlled trial (RCT). Setting: Akershus University Hospital, Norway. Sample: About 175 primiparous...
Conference Paper
Aims: The aim of the present study was to compare vaginal resting pressure (VRP), pelvic floor muscle (PFM) strength and endurance, and prevalence of urinary incontinence (UI) at 6 weeks postpartum, in women with and without lateral or mediolateral episiotomy. Methods: Two hundred and thirty-eight nulliparous pregnant women, mean age 28.5 years...
Article
Pregnancy and especially vaginal childbirth are risk factors for pelvic floor dysfunctions such as urinary incontinence (UI). The aim of this literature review was to give an overview of how the pelvic floor may be affected by pregnancy and childbirth, and further state the current evidence on pelvic floor muscle training (PFMT) on UI. Connective t...
Article
To study postpartum changes in pelvic floor morphology in a cohort of primiparous women. Transperineal ultrasound measurements taken at five examination points, both prepartum and postpartum, provided data for comparison. Three hundred nulliparous pregnant women were examined at 21 weeks of gestation and 274 (91%) at 37 weeks of gestation. At 6 wee...
Article
IntroductionSymptoms related to sexual dysfunction postpartum are scarcely addressed in the literature, and the relationship to pelvic floor muscle (PFM) function is largely unknown.AimsThe aim of this study was to investigate primiparous women 12 months postpartum and study: (i) prevalence and bother of coital incontinence, vaginal symptoms, and s...
Article
To investigate associations between levator hiatus area and levator ani muscle function during pregnancy and major levator ani muscle defects postpartum. Observational prospective cohort study. University hospital, Norway. A cohort of 234 nulliparous women at 21 and 37 weeks of gestation, and at 6 weeks postpartum. Ultrasound measurements of the le...
Article
Background It has been suggested that women who are regular exercisers have a tighter pelvic floor and thereby have more difficulty during childbirth than non-exercising women. We investigated whether women exercising before and during pregnancy have a narrower levator hiatus (LH) area than their sedentary counterparts. We also studied whether regu...
Article
Objective To investigate ability to contract, vaginal resting pressure (VRP), pelvic floor muscle (PFM) strength and PFM endurance 6 weeks after vaginal delivery in primiparous women, with and without major defects of the levator ani (LA) muscle. Design Cross-sectional comparative study. Setting Akershus University Hospital, Norway. Sample A cohort...
Article
Objective: Pelvic organ prolapse (POP) is a common and distressing condition. The aim of the present study was to evaluate the effect of pelvic floor muscle training (PFMT) on prevention and treatment of symptoms and signs of POP in primiparous postpartum women. Study design: This was a parallel group assessor blind randomized controlled trial....
Article
The aims of the present study were to investigate the correlation among vaginal resting pressure and pelvic floor muscle (PFM) strength and endurance, and the correlation between the same variables and levator hiatus (LH) dimensions in nulliparous pregnant women. This was a cross-sectional study of 300 nulliparous pregnant women, mean age 28.7 year...
Article
Objectives To study the association between levator hiatus dimensions in late pregnancy and 1.) length of second stage of labor, and 2.) delivery mode in women delivering their first child. Study design In this cohort study, 231 nulliparous women were examined with three and four-dimensional transperineal ultrasonography at 37 weeks of gestation....
Article
There is limited knowledge on dyspareunia during pregnancy and postpartum and the role of the pelvic floor muscles (PFM) in women with dyspareunia. Aims of the study were to investigate the presence of dyspareunia before and during pregnancy and postpartum, and to compare vaginal resting pressure (VRP), PFM strength, and endurance between women wit...
Article
To evaluate whether postpartum pelvic floor muscle training decrease prevalence of any urinary incontinence (UI) in primiparous women with and without UI at inclusion (mixed population) and further to perform stratified analyses on women with and without major levator ani muscle defects. A two-armed assessor-blinded randomized controlled trial incl...
Article
To evaluate intra- and inter-rater reliability when diagnosing major defects, and inter-rater reliability of diagnosing minor defects and muscle thickness of the pubovisceral muscle in primiparous women 6 weeks after vaginal delivery, using 3D/4D transperineal ultrasound. Forty primiparous women were assessed using 3D/4D transperineal ultrasound. V...
Article
To investigate whether pregnancy affects levator hiatus dimensions and the position and mobility of the bladder neck and the levator ani muscle in nulliparous pregnant women. In the present study, 274 nulliparous pregnant women were examined at 21 weeks and 37 weeks of gestation using three-dimensional and four-dimensional transperineal ultrasonogr...
Article
To investigate ability to contract, vaginal resting pressure (VRP), pelvic floor muscle (PFM) strength and PFM endurance 6 weeks after vaginal delivery in primiparous women, with and without major defects of the levator ani (LA) muscle. Cross-sectional comparative study. Akershus University Hospital, Norway. A cohort of 175 singleton primiparous wo...
Article
Introduction and hypothesis: Theoretically, tight or strong pelvic floor muscles may impair the progress of labor and lead to instrumental deliveries. We aimed to investigate whether vaginal resting pressure, pelvic floor muscle strength, or endurance at midpregnancy affect delivery outcome. Methods: This was a prospective cohort study of women...
Article
Aims: There is level 1, grade A evidence that pelvic floor muscle training (PFMT) is effective in treatment of stress urinary incontinence (SUI), but long-term outcome has been questioned. The aim of this systematic review was to evaluate the long-term outcome of PFMT for female SUI. Methods: Computerized search on PubMed up to year 2012 was und...
Article
Objective: We sought to study impact of delivery mode on vaginal resting pressure (VRP) and on pelvic floor muscle (PFM) strength and endurance, and whether these measurements differed in women with and without urinary incontinence. Study design: We conducted a cohort study following 277 nulliparous women from midpregnancy to 6 weeks postpartum....
Article
A Cochrane review recommends antenatal pelvic floor muscle training (PFMT) in urinary incontinence (UI) prevention. The aim of the study was to investigate nulliparous pregnant women's knowledge about and practising of PFMT, their pelvic floor muscle (PFM) function, and ability to contract correctly. It was hypothesized that continent women had hig...
Article
The aim was to compare constriction of the levator hiatus (LH) and reduction of pelvic floor muscle (PFM) length during instruction of the Paula method (contraction of ring musculature of the mouth) and contraction of the PFM. Seventeen pregnant or postpartum women, mean age 28.6 (range 20-35) participated. A Voluson E8 ultrasound machine with 4-8...
Article
Low-back pain (LBP) is a common reason for consulting a general practitioner, and advice on daily activities is an important part of the primary care management of low-back pain. To assess the effects of advice to rest in bed for patients with acute LBP or sciatica. We searched the Cochrane Back Group Specialized Registry, CENTRAL, MEDLINE, EMBASE,...
Article
Low back pain is one of the most common conditions managed in primary care. Restricted activity, rest, and symptomatic analgesics are the most commonly prescribed treatment for low back pain and sciatica. To assess the effects of advice to stay active as single treatment for patients with low back pain. Computerised searches in MEDLINE, EMBASE, Spo...
Article
A systematic review within the Cochrane Collaboration Back Review Group. To report the main results from the updated version of the Cochrane Review on bed rest for low back pain. There has been a growing amount of evidence showing that bed rest is not beneficial for people with low back pain. However, existing systematic reviews are unclear regardi...
Article
Low-back pain (LBP) is a common reason for consulting a general practitioner, and advice on daily activities is an important part of the primary care management of low-back pain. To assess the effects of advice to rest in bed for patients with acute LBP or sciatica. We searched the Cochrane Back Group Specialized Registry, CENTRAL, MEDLINE, EMBASE,...
Article
A systematic review of prospective controlled clinical trials was performed to assess the effectiveness of physical therapy interventions for the prevention and treatment of pregnancy-related back and pelvic pain. Pregnancy-related low back and pelvic pain has an impact on daily life for many women. Prevention and treatment of back and pelvic pain...
Article
Evidence-based orthopaedics. Review: Bed rest is not effective for acute low-back pain or sciatica [The Journal of Bone & Joint Surgery 2001;83A(5):789]
Article
A systematic review was conducted within the Cochrane Collaboration Back Review Group. To assess the effects of advice to stay active as a single treatment for patients with acute low back pain or sciatica. Low back pain is a common reason for consulting a health care provider, and advice on daily activities constitutes an important part in the pri...
Article
Low back pain is one of the most common conditions managed in primary care. Restricted activity, rest, and symptomatic analgesics are the most commonly prescribed treatment for low back pain and sciatica. To assess the effects of advice to stay active as single treatment for patients with low back pain. Computerised searches in MEDLINE, EMBASE, Spo...
Article
Lage-rugpijn is een regelmatig voorkomende klacht in de huisartspraktijk en het geven van adviezen over dagelijkse activiteiten vormt een belangrijk onderdeel van het huisartsgeneeskundig handelen bij lage-rugpijn. bedrust-Cochrane-review-lage rugpijn
Article
A systematic review within the Cochrane Collaboration Back Review Group. To assess the effects of advice to rest in bed for patients with acute low back pain (LBP) or sciatica. Low back pain is a common reason for consulting a health care provider, and advice on daily activities constitutes an important part in the primary care management of low ba...
Article
Dette er første artikkel i en serie om kunnskapsbasert fysioterapi. Hensikten med denne første artikkelen er å klargjøre hva vi mener med kunnskapsbasert fysioterapi og belyse hva som legges i «kunnskap» i denne sammenheng. Å utøve kunnskapsbasert fysioterapi betyr å tilstrebe oppdatert og god kvalitet i fagutøvelsen og anvende gyldig og relevant f...
Article
Previous reviews have claimed that it is difficult to conclude whether exercise therapy is effective in the treatment of chronic low back pain (LBP). It has been concluded that the trials covering this area have low methodological quality. Little attention has been paid to the actual intervention applied in such trials. A potential effect has to be...
Article
Previous reviews have claimed that it is difficult to conclude whether exercise therapy is effective in the treatment of chronic low back pain (LBP). It has been concluded that the trials covering this area have low methodological quality. Little attention has been paid to the actual intervention applied in such trials. A potential effect has to be...
Article
The purpose of the present study was to conduct intra- and interobserver reproducibility tests of the measurement of spinal movement using an electronic digital inclinometer (Cybex EDI 320). Sixteen healthy subjects with no history of back pain were tested. Their mean age was 28.5 years (range 24-34). After palpation of reference points and a stand...
Article
Med forskningsbasert kunnskap mener vi rapporter, artikler og andre dokumenter som beskriver et arbeid som følger visse krav til systematikk, innhold og struktur. Hovedkilden til forskningsbasert informasjon er publiserte artikler i vitenskapelige tidsskrift. Å publisere et forskningsarbeid er en tidkrevende og lang prosess. Det stiller krav til or...

Citations

... External validity is also limited [42,43]. Furthermore, we used a focus group followed by a TA test to continue our qualitative HCD for the COMTRAC-HIV app [44][45][46][47]. These methods are common for evaluating health app design and usability. ...
... Therefore, it is unlikely to include women within six months postpartum. Nevertheless, recognizing the scarcity of prior research on postpartum SUI recovery is important [1,10,29,30]. The potential influence of regression toward the mean and the natural improvement of postpartum SUI over time, irrespective of PFMT, cannot be disregarded. ...
... Proses kehamilan akan menimbulkan perubahan pada seluruh sistem tubuh baik secara fisik maupun psikologis, salah satunya berdampak pada sistem muskuloskeletal (Quintero Rodriguez & Troynikov, 2019). Salah satu adaptasi fisiologis pada system muskuloskeletal adalah perubahan postur tubuh pada ibu hamil terutama pada kehamilan trimester III yang sering menimbulkan keluhan nyeri punggung (Bø et al., 2022). Masalah muskuloskeletal terkait kehamilan yang paling umum yang mempengaruhi kesejahteraan wanita hamil adalah low back pain (LBP), kondisi ini semakin menarik perhatian di seluruh dunia. ...
... Pregnancy affects the pelvic floor muscles, 4 as does vaginal delivery, 5,6 resulting in an enlarged levator hiatus 7,8 and weaker pelvic floor muscles during the first year postpartum. 9 Moreover, the distance between the 2 bellies of the recti abdominis muscle is significantly wider in women who are primiparous compared with women who are nulliparous. 10 An increased inter-rectus distance (ie, diastasis recti abdominis) is related to weaker abdominal muscles. ...
... Open access risk of type 2 diabetes be referred to a DPP and/or start metformin 11 along with other guidelines also recommending individualised MNT. 9 12 Despite strong evidence that diabetes can be prevented, less than 5% of eligible persons report being referred to a DPP, 13 and the prevalence of metformin use for pre-diabetes has remained low at <5%. [14][15][16] There are a number of factors influencing the low uptake of prediabetes treatment, including low knowledge among primary care physicians (PCPs) about the DPP, the lack of availability of DPPs, and low patient awareness and understanding of the importance of pre-diabetes and its management. [17][18][19][20][21][22][23][24][25] The gap between known effective strategies and successful implementation in practice is explicitly addressed by the Translating Research into Practice (TRiP) framework 26 created by Johns Hopkins researchers in 2008 to guide the process of gathering what is known to be best practice and moving this evidence into dayto-day use in patient encounters. The TRiP framework grew out of real-world implementation experience 27 28 and was informed by both quality improvement science and implementation science. ...
... In recent years, transperineal ultrasound (TPUS) has been increasingly applied to the assessment of pelvic floor dysfunction owing to its ability to provide unique visualization of multiple pelvic compartments (11,12). In addition to its noninvasive and real-time operation, TPUS has also shown advantages in the diagnosis of levator ani avulsion (11)(12)(13)(14), the assessment of pelvic floor implant materials (15), and postpartum screening (16)(17)(18). The American College of Radiology (ACR) Appropriateness Criteria also state that it is one of the most promising examination methods for PFDs (1). ...
... Compared to the normative mean values for the gen- mean scores in the present study sample were lower than those for both men and women aged more than 80 years. The scores of women in the study sample were lower than the normative values for both men and women aged more than 84 years (Svinøy et al., 2020). ...
... Strong solid evidence shows that it is associated with a complex interaction of biopsychosocial factors Belache et al. (2018). Musculoskeletal pain has been suggested to be often influenced by lifestyle and work activity, as some risk factors predispose to pain either because of the direct impact they have on the musculoskeletal system or because they affect lifestyle by promoting the onset of pain (Reis et al., 2019;Øiestad et al., 2020). ...