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[{"key": "dc.contributor.author", "value": "Poranen-Clark, Taina", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2013-06-04T13:31:38Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2013-06-04T13:31:38Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2013", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1268927", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/41687", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Kognitiivinen ja fyysinen toimintakyky ovat t\u00e4rkeit\u00e4 tekij\u00f6it\u00e4 i\u00e4kk\u00e4\u00e4n henkil\u00f6n toimintakyvyn kannalta. Muistisairaudet heikent\u00e4v\u00e4t merkitsev\u00e4sti i\u00e4kk\u00e4iden henkil\u00f6iden kyky\u00e4 selviyty\u00e4 itsen\u00e4isesti p\u00e4ivitt\u00e4isist\u00e4 toiminnoista. Toiminnanohjaus ja tarkkaavaisuus ovat keskeisess\u00e4 roolissa i\u00e4kk\u00e4iden henkil\u00f6iden alaraajojen toimintakyky\u00e4 vaativissa motorisissa toiminnoissa. T\u00e4m\u00e4n pro gradu-tutkimuksen tarkoituksena on selvitt\u00e4\u00e4 kognitiivisen tason yhteytt\u00e4 alaraajojen toimintakykyyn. \n\nTutkimuksessa k\u00e4ytettiin Life-Space Mobility in Old Age- tutkimushankkeen vuoden 2012 haastattelu ja tutkimusaineistoa. Tutkimukseen osallistui 848 Muuramen ja Jyv\u00e4kyl\u00e4n alueella kotona itsen\u00e4isesti asuvaa 75- 90 -vuotiasta henkil\u00f6\u00e4. Muistia mitattiin Mini-Mental State Examination -testill\u00e4 (MMSE) ja tarkkaavaisuutta MMSE-testiin sis\u00e4ltyv\u00e4ll\u00e4 v\u00e4hennyslaskuteht\u00e4v\u00e4ll\u00e4. Alaraajojen toimintakyky\u00e4 mitattiin Short Physical Performance Battery -testist\u00f6ll\u00e4 (SPPB). Aineistoa tarkasteltiin frekvenssijakaumien ja ristiintaulukoinnin avulla. Ryhmien v\u00e4lisien erojen merkitsevyys tarkasteltiin \u03c72-testin tai riippumattomien muuttujien Mann-Whitney U-testin avulla. Lineaarisen ja logistisen regressioanalyysien avulla selvitettiin muistin ja tarkkaavaisuuden yhteytt\u00e4 alaraajojen toimintakykyyn.\n\nTutkittavien MMSE -testin keskiarvo oli 26,15 pistett\u00e4 (15-30). MMSE -testin v\u00e4hennyslaskuteht\u00e4v\u00e4st\u00e4 saadun pistem\u00e4\u00e4r\u00e4n keskiarvo oli 3,72 pistett\u00e4 (0-5). SPPB\u2013testin suoriutumispistem\u00e4\u00e4r\u00e4n keskiarvo oli 9,62 pistett\u00e4 (0-12). Alaraajojen toimintakyky on yhteydess\u00e4 muistiin (\u03b2= 0,173, p<0,001) ja tarkkaavaisuuteen (\u03b2=0,128, p=0.001). Yhden pisteen parempi suoriutuminen muistitestist\u00e4 lis\u00e4si 13 %:lla alaraajojen hyv\u00e4n toimintakyvyn todenn\u00e4k\u00f6issyytt\u00e4 (OR=1,134, 95 % CI=1,074-1,198) ja yhden pisteen parempi suoriutuminen tarkkavaisuutta mittaavasta v\u00e4hennyslaskuteht\u00e4v\u00e4st\u00e4 lis\u00e4si 18 %:lla alaraajojen hyv\u00e4n toimintakyvyn todenn\u00e4k\u00f6isyytt\u00e4 (OR=1,182 95 % CI=1,068-1,308) . \n\nSamoilla henkil\u00f6ill\u00e4 on usein sek\u00e4 kognitiivisen tason heikkenemist\u00e4 ett\u00e4 alaraajojen toimintakyvyn heikkoutta. Kognitiivisen toimintakyvyn yhteytt\u00e4 alaraajojen toimintakykyyn olisi syyt\u00e4 tarkastella pitkitt\u00e4isasetelmalla syy ja seuraus suhteen selvitt\u00e4miseksi. Interventiotutkimukset kognitiivisen terapian hy\u00f6dyist\u00e4 muistitoimintoihin sek\u00e4 alaraajojen toimintakykyyn antaisivat lis\u00e4tietoa yksil\u00f6llisten kuntoutussuunnitelmien suunnitteluun muistisairaille.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Cognitive and physical functions are important factors in older people`s functional capacity to maintain an independent life. Cognitive impairment weakens considerably older people\u00b4s functional capacity. For older people executive function and attention are important factors in motoric movements which require the use of the lower extremities. The purpose of this study was to investigate the association between cognitive functions and lower extremity functions in the elderly.\nThe study is part of the Life-Space Mobility in Old Age \u2013project (LISPE). The interviews and tests were performed in 2012. The study involved 848 75 to 90-year-old community-dwelling people in the Muurame and Jyv\u00e4skyl\u00e4 municipalities. Cognitive functions were measured with Mini-Mental State Examination test (MMSE). Lower extremity functions were tested with Short Physical Performance Battery (SPPB). Data were analyzed by computing frequencies and cross-tabulations. Comparisons between groups were performed using chi-square test or the independent samples Mann-Whitney U test. Linear and logistic regression analysis were used to investigate the association between SPPB and MMSE while taking the potential confounders into account.\nThe mean of MMSE \u2013test result was 26,15 points (range 15-30). The mean of subtraction was 3,72 points (range 0-5). The mean of SPPB \u2013test was 9,62 (range 0-12). Linear regression analysis showed a significant linear association between memory (\u03b2=0,173, p<0,001), attention (\u03b2=0,128, p=0.001) and lower extremity. Better memory (OR=1,134, 95 % CI=1,074-1,198) and better attention (OR=1,182 95 % CI=1,068-1,308) are factors that can increase possibility to have good lower extremity functions.\nSame people seem to have both cognitive impairment and lower extremity declining. The association between cognitive functions and lower extremities should be studied further utilizing longitudinal study designs to enable better understanding of causality. Intervention study of cognitive therapy possible effects of cognitive performance and lower extremity function could give valuable information for planning different therapies for demented persons.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Taina Poranen-Clark (talipora) on 2013-06-04 13:31:37.584740. Form: Pro gradu -lomake (1 tekij\u00e4) (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake-1-tekijae). JyX data:", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by jyx lomake-julkaisija (jyx-julkaisija@noreply.fi) on 2013-06-04T13:31:37Z\nNo. of bitstreams: 2\nURN:NBN:fi:jyu-201306041890.pdf: 321630 bytes, checksum: 364490e509676656f04fc6037b5af557 (MD5)\nlicense.html: 107 bytes, checksum: a7d86e598caa500b1b433bbb9dc8ef1c (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2013-06-04T13:31:38Z (GMT). No. of bitstreams: 2\nURN:NBN:fi:jyu-201306041890.pdf: 321630 bytes, checksum: 364490e509676656f04fc6037b5af557 (MD5)\nlicense.html: 107 bytes, checksum: a7d86e598caa500b1b433bbb9dc8ef1c (MD5)\n Previous issue date: 2013", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "43 sivua", "language": null, "element": "format", "qualifier": "extent", "schema": "dc"}, {"key": "dc.format.mimetype", "value": "application/pdf", "language": null, "element": "format", "qualifier": "mimetype", "schema": "dc"}, {"key": "dc.language.iso", "value": "fin", "language": null, "element": "language", "qualifier": "iso", "schema": "dc"}, {"key": "dc.rights", "value": "In Copyright", "language": "en", "element": "rights", "qualifier": null, "schema": "dc"}, {"key": "dc.subject.other", "value": "ik\u00e4\u00e4ntyneet henkil\u00f6t", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "fyysinen toimintakyky", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "alaraajojen toimintakyky", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "kognitiiviset toiminnot", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "muisti", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "tarkkaavaisuus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "v\u00e4est\u00f6tutkimus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Kognitiivisen tason yhteys alaraajojen toimintakykyyn i\u00e4kk\u00e4ill\u00e4 henkil\u00f6ill\u00e4", "language": null, "element": "title", "qualifier": null, "schema": "dc"}, 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