{"id":5965,"date":"2026-10-19T09:48:15","date_gmt":"2026-10-19T09:48:15","guid":{"rendered":"https:\/\/phd.hi.is\/doktorsvorn\/doktorsvorn-i-lif-og-laeknavisindum-atli-agustsson\/"},"modified":"2026-10-19T09:48:15","modified_gmt":"2026-10-19T09:48:15","slug":"doktorsvorn-i-lif-og-laeknavisindum-atli-agustsson","status":"publish","type":"phd_defence","link":"https:\/\/phd.hi.is\/en\/doktorsvorn\/doktorsvorn-i-lif-og-laeknavisindum-atli-agustsson\/","title":{"rendered":"Doktorsv\u00f6rn \u00ed l\u00edf- og l\u00e6knav\u00edsindum – Atli \u00c1g\u00fastsson"},"content":{"rendered":"
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Mi\u00f0vikudaginn 24. apr\u00edl ver Atli \u00c1g\u00fastsson doktorsritger\u00f0 s\u00edna \u00ed l\u00edf- og l\u00e6knav\u00edsindum vi\u00f0 L\u00e6knadeild H\u00e1sk\u00f3la \u00cdslands. Ritger\u00f0in ber heiti\u00f0: St\u00f6\u00f0ustj\u00f3rnun – Mat \u00e1 l\u00edkamsst\u00f6\u00f0u<\/strong>. \u00a0Postural management \u2013 Assessment of posture<\/strong><\/p>\n

Andm\u00e6lendur eru dr. Hans Tropp, pr\u00f3fessor vi\u00f0 H\u00e1sk\u00f3lasj\u00fakrah\u00fasi\u00f0 \u00ed Link\u00f6ping, og dr. Jens Bo Nielsen, pr\u00f3fessor vi\u00f0 H\u00e1sk\u00f3lann \u00ed Kaupmannah\u00f6fn.\u00a0<\/p>\n

Umsj\u00f3narkennari var dr. \u00de\u00f3rarinn Sveinsson, pr\u00f3fessor vi\u00f0 N\u00e1msbraut \u00ed sj\u00fakra\u00fej\u00e1lfun vi\u00f0 L\u00e6knadeild, og lei\u00f0beinandi var dr. Elisabet Rodby Bousquet, d\u00f3sent vi\u00f0 H\u00e1sk\u00f3lann \u00ed Lundi. Auk \u00feeirra s\u00e1tu \u00ed doktorsnefnd \u00feau dr. Magn\u00fas K. G\u00edslason, d\u00f3sent vi\u00f0 H\u00e1sk\u00f3lann \u00ed Reykjav\u00edk, Pauline M. Pope sj\u00fakra\u00fej\u00e1lfari og dr. P\u00e1ll E. Ingvarsson, kl\u00edn\u00edskur d\u00f3sent vi\u00f0 Landsp\u00edtala.<\/p>\n

Dr. Krist\u00edn Briem, pr\u00f3fessor vi\u00f0 N\u00e1msbraut \u00ed sj\u00fakra\u00fej\u00e1lfun vi\u00f0 L\u00e6knadeild, stj\u00f3rnar ath\u00f6fninni sem fer fram \u00ed H\u00e1t\u00ed\u00f0asal H\u00e1sk\u00f3la \u00cdslands og hefst kl. 13:00.<\/p>\n

\u00c1grip af ranns\u00f3kn<\/strong><\/p>\n

Fatla\u00f0ir fullor\u00f0nir einstaklingar me\u00f0 litla sem enga hreyfigetu, eru margir hverjir me\u00f0 miklar l\u00edkamlegar aflaganir. St\u00f6\u00f0ustj\u00f3rnun er hugmyndafr\u00e6\u00f0i sem byggir \u00e1 hugmyndum um a\u00f0 samhverfa \u00ed l\u00edkamsst\u00f6\u00f0u st\u00f6\u00f0vi e\u00f0a seinki afl\u00f6gun l\u00edkamans. Markmi\u00f0 ritger\u00f0arinnar er a\u00f0 skapa grunn-matst\u00e6kni, til a\u00f0 h\u00e6gt s\u00e9 a\u00f0 afla gagnreyndrar \u00feekkingar \u00e1 svi\u00f0i st\u00f6\u00f0ustj\u00f3rnunar hj\u00e1 f\u00f6tlu\u00f0um einstaklingum. Ritger\u00f0in skiptist \u00ed tvo hluta. Annars vegar mat \u00e1 r\u00e9ttm\u00e6ti og \u00e1rei\u00f0anleika tveggja matst\u00e6kja til a\u00f0 meta l\u00edkamsst\u00f6\u00f0u \u00e1 hlutl\u00e6gan h\u00e1tt og hins vegar mat \u00e1 tengslum \u00feess a\u00f0 vera lengi \u00ed \u00f3samhverfum l\u00edkamsstellingum, \u00feess a\u00f0 vera me\u00f0 l\u00e9lega stj\u00f3rn \u00e1 l\u00edkamshreyfingum og\u00a0 vera me\u00f0 aflaga\u00f0an l\u00edkama. Ritger\u00f0in er bygg\u00f0 \u00e1 fj\u00f3rum v\u00edsindagreinum sem allar hafa birst \u00ed al\u00fej\u00f3\u00f0legum v\u00edsindat\u00edmaritum. B\u00e6\u00f0i matst\u00e6kin s\u00fdndu fram \u00e1 r\u00e9ttm\u00e6ti og \u00e1rei\u00f0anleika. Einstaklingar me\u00f0 \u00f3samhverfar sker\u00f0ingar \u00e1 mja\u00f0mabeygju s\u00fdndu aukin l\u00edkindi til a\u00f0 vera me\u00f0 skakka mja\u00f0magrind og \u00f3samhverfan bol, aukin l\u00edkindi til a\u00f0 vera me\u00f0 hryggskekkju og vindbl\u00e1snar mja\u00f0mir samanbori\u00f0 vi\u00f0 einstaklinga sem voru me\u00f0 samhverfa mja\u00f0mabeygju. Einstaklingar sem ekki geta hreyft sig \u00ed liggjandi st\u00f6\u00f0u af eigin rammleik, s\u00fdndu aukin l\u00edkindi \u00e1 a\u00f0 vera me\u00f0 hryggskekkju og vindbl\u00e1snar mja\u00f0mir, bori\u00f0 saman vi\u00f0 \u00fe\u00e1 sem geta hreyft sig \u00ed r\u00fami. Hi\u00f0 sama \u00e1 vi\u00f0 um \u00fe\u00e1 sem ekki geta r\u00e9tt \u00far hnj\u00e1m, \u00feeir s\u00fdndu aukin l\u00edkindi \u00e1 a\u00f0 vera me\u00f0 hryggskekkju og vindbl\u00e1snar mja\u00f0mir, mi\u00f0a\u00f0 vi\u00f0 \u00fe\u00e1 sem geta r\u00e9tt \u00far hnj\u00e1m. Baklega j\u00f3k l\u00edkindi \u00e1 a\u00f0 vera me\u00f0 vindbl\u00e1snar mja\u00f0mir \u00e1 me\u00f0an \u00feeir sem dv\u00f6ldu lengi \u00ed r\u00famlegu, voru me\u00f0 aukin l\u00edkindi \u00e1 a\u00f0 vera me\u00f0 hryggskekkju. Ni\u00f0urst\u00f6\u00f0ur \u00e1 r\u00e9ttm\u00e6ti og \u00e1rei\u00f0anleika matst\u00e6kjanna gefa sk\u00fdrt til kynna a\u00f0 \u00feau henti vel \u00ed kl\u00edn\u00edsku umhverfi. \u00d3samhverfar vanastellingar, \u00e1samt \u00fev\u00ed a\u00f0 dvelja lengi \u00ed s\u00f6mu l\u00edkamsst\u00f6\u00f0u, auka l\u00edkindin \u00e1 afl\u00f6gu\u00f0um l\u00edkama.<\/p>\n

Abstract<\/strong><\/p>\n

Adult individuals with disability and low motor function frequently have body deformations, such as scoliosis and windswept hips. Posture management is a component of physical management, which aims to prevent or reduce the development of a deformed body shape by maintaining a symmetrical posture. The purpose of this thesis is to establish valid and reliable methods of gathering evidence for postural management. This thesis is divided into two parts. The first focuses on the development of two tools to quantify posture, and the second focuses on the association between an asymmetrical posture, low postural ability and deformity. Four scientific peer reviewed papers are included in the thesis. Both posture evaluation tools (PPAS and a 3-D camera mounted on an iPad) were found to be reliable and valid. Individuals with asymmetrical limited hip flexion showed higher odds for developing an oblique pelvis and an asymmetrical trunk, scoliosis and windswept hips, than those who had symmetrical hip flexion. Individuals who were unable to straighten their knees had higher odds of developing scoliosis and windswept hips compared with those who could do so. It was the same for those who were immobile when lying down; the odds of developing windswept hips and scoliosis increased. Similarly, lying only in the supine position increased the odds of having windswept hips and lying for long periods of time in bed increased the odds of having scoliosis. Current publications on reliability and validity indicate clearly that both postural evaluation tools are suitable for use in clinical practise. Asymmetrical posture along with spending a long time in the same posture, increases the odds of developing a deformity among adults with CP.<\/p>\n

Um doktorsefni\u00f0<\/strong><\/p>\n

Atli \u00c1g\u00fastsson er f\u00e6ddur \u00e1ri\u00f0 1969. Hann lauk BS-pr\u00f3fi \u00ed sj\u00fakra\u00fej\u00e1lfun fr\u00e1 H\u00e1sk\u00f3la \u00cdslands \u00e1ri\u00f0 1995 og meistaragr\u00e1\u00f0u \u00ed heilbrig\u00f0isverkfr\u00e6\u00f0i fr\u00e1 University of Strathclyde \u00e1ri\u00f0 2002. Atli hefur samhli\u00f0a doktorsn\u00e1mi unni\u00f0 sem sj\u00fakra\u00fej\u00e1lfari og heilbrig\u00f0isverkfr\u00e6\u00f0ingur hj\u00e1 Endurh\u00e6fingu \u2013 \u00deekkingarsetri, \u00e1samt \u00fev\u00ed a\u00f0 vera r\u00e1\u00f0gjafi um setst\u00f6\u00f0ur \u00ed hj\u00f3last\u00f3lum og um \u00f3hef\u00f0bundna stj\u00f3rn t\u00f6lva hj\u00e1 hj\u00e1lpart\u00e6kjami\u00f0st\u00f6\u00f0 Sj\u00fakratrygginga \u00cdslands. Atli er giftur Brynd\u00edsi Dagsd\u00f3ttur og eiga \u00feau tv\u00f6 uppkomin b\u00f6rn.<\/p>\n<\/div><\/div>","protected":false},"featured_media":1117,"template":"","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"_phd_date_start":"2019-04-24T13:00:00+00:00","_phd_date_end":"2019-04-24T16:00:00+00:00","_phd_location":"A\u00f0albygging H\u00e1t\u00ed\u00f0arsalur","_phd_admission":"A\u00f0gangur \u00f3keypis","_phd_thesis_title":"St\u00f6\u00f0ustj\u00f3rnun - Mat \u00e1 l\u00edkamsst\u00f6\u00f0u. 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