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[{"key": "dc.contributor.author", "value": "Modarress, Mahsa", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2013-12-04T15:05:38Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2013-12-04T15:05:38Z", "language": "", "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:1288605", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/42592", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "TIIVISTELM\u00c4\r\n\r\nHuojunnan yhteys kaatumisen seurauksena syntyneisiin murtumiin ik\u00e4\u00e4ntyneill\u00e4 naisilla\r\n\r\nMahsa Modarress\r\nJyv\u00e4skyl\u00e4n yliopisto\r\nLiikuntatieteellinen tiedekunta\r\nTerveystieteiden laitos\r\nSyksy 2013\r\n48 sivua\r\n\r\nLiikunta- ja toimintakyky\u00e4 voidaan pit\u00e4\u00e4 keskeisen\u00e4 osana ihmisen hyvinvointia ja terveytt\u00e4. Ik\u00e4\u00e4ntymisen my\u00f6t\u00e4 lihasvoima ja -kest\u00e4vyys sek\u00e4 aistitoiminnat heikkenev\u00e4t vaikuttaen negatiivisesti liikehallintaan ja sit\u00e4 kautta tasapainoon, jolloin my\u00f6s kaatumisriski kasvaa. Samanaikaisesti vanhenevassa elimist\u00f6ss\u00e4 tapahtuvat biologiset ja biokemialliset muutokset johtavat luuston haurastumiseen, joka puolestaan altistaa murtumille ja niit\u00e4 seuraaville terveyshaitoille; liiallinen haurastuminen voi esimerkiksi johtaa luuston sairauteen, osteoporoosiin. Vuosittain noin 30 % yli 65-vuotiaista kaatuu m\u00e4\u00e4r\u00e4n kasvaessa jatkuvasti v\u00e4est\u00f6n vanhetessa. Murtumat ovat seurauksiltaan sek\u00e4 yksil\u00f6n ett\u00e4 yhteiskunnan kannalta vakavia tapahtumia, sill\u00e4 erityisesti lonkkamurtumat johtavat usein liikuntakyvytt\u00f6myyteen, laitoshoitoon ja jopa kuolemaan.\r\n\r\nTasapainoa voidaan arvioida mittaamalla vartalon huojuntaa seistess\u00e4. Huojunnan yhteydest\u00e4 murtumiin on aiemmissa kansainv\u00e4lisiss\u00e4 tutkimuksissa saatu ristiriitaisia tuloksia; osassa huonon tasapainon ja voimakkaan huojunnan on havaittu kasvattavan murtumien riski\u00e4, mutta osassa yhteytt\u00e4 ei ole havaittu. T\u00e4ss\u00e4 tutkimuksessa selvitet\u00e4\u00e4n ik\u00e4\u00e4ntyneiden naisten seistess\u00e4 mitatun vartalon huojunnan yhteytt\u00e4 kaatumisen seurauksena syntyneisiin murtumiin. Ty\u00f6ss\u00e4 keskityt\u00e4\u00e4n ik\u00e4\u00e4ntyneisiin naisiin, sill\u00e4 postmenopausaalisilla naisilla on kohonnut riski sairastua osteoporoosiin. Tutkittavana oli 1222 70\u201373 -vuotiasta naista, joiden murtumatiedot ker\u00e4ttiin sairaalarekistereist\u00e4, ja heid\u00e4n tasapainonsa mitattiin tutkimuksessa kehitetyll\u00e4 huojuntamittausmenetelm\u00e4ll\u00e4 ja kliinisill\u00e4 testeill\u00e4. Tutkimus on osa laajempaa Luumu-v\u00e4est\u00f6kohortin seurantaa, joka on k\u00e4ynnistynyt vuonna 1997 Oulun Liikuntal\u00e4\u00e4ketieteellisen Klinikan ja Oulun yliopiston terveystieteiden laitoksen yhteisty\u00f6n\u00e4.\r\n\r\nT\u00e4ss\u00e4 tutkimuksessa ik\u00e4\u00e4ntyneiden naisten seistess\u00e4 mitatun vartalon huojunnan ja kaatumisen seurauksena syntyneiden murtumien v\u00e4lill\u00e4 ei havaittu yhteytt\u00e4. N\u00e4in ollen huojunnan mittauksen ennustearvoa ik\u00e4\u00e4ntyneiden kaatumisen seurauksena syntyneiden murtumien suhteen ei toistaiseksi voida varmuudella todeta. Koska huojunnan mittaus on helppo, nopea ja turvallinen toteuttaa, aihetta olisi syyt\u00e4 tutkia lis\u00e4\u00e4 laadukkaissa seurantatutkimuksissa.\r\n\r\nVaikka huojunnan ja murtumien v\u00e4linen yhteys ei ole t\u00e4ysin yksiselitteist\u00e4, voidaan erilaisia tasapainoa ja lihaskuntoa kohentavia liikuntaohjelmia pit\u00e4\u00e4 varteen otettavina keinoina ennaltaehk\u00e4ist\u00e4 kaatumisia sek\u00e4 niiden seurauksena syntyvi\u00e4 murtumia. Tasapainotesteill\u00e4 ja huojuntaa mittaamalla voidaan lis\u00e4ksi saada arvokasta tietoa mahdollisesti riskiryhm\u00e4\u00e4n kuuluvista henkil\u00f6ist\u00e4.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "ABSTRACT\r\nAssociation between postural sway and fall related fractures in elderly women\r\n\r\nMahsa Modarress\r\nUniversity of Jyv\u00e4skyl\u00e4\r\nFaculty of Sport Sciences\r\nDepartment of Health sciences\r\nAutumn 2013\r\n48 pages\r\n\r\nMobility and ability to function have key roles in humans\u2019 health and well-being. Muscle strength and power become weaker as one gets older, so do the sensory functions. Thus the postural balance and gait will degenerate leading to increased risk of falling. At the same time biological and biochemical changes will result in fragile skeletal system, which can eventually cause skeletal disease, osteoporosis. It is estimated that about 30 % of 65 years old or older will fall during upcoming years and, with an ageing populations, it is likely that number of fallers will increase constantly for the time being. Falls and related injuries, especially hip fractures, lead commonly to immobility, institutionalization and even death of elderly. Thus it is highly essential to investigate strategies to prevent falls.\r\n\r\nBalance can be estimated by measuring the postural sway at upright position. The results of existing studies about association of the postural sway and fractures are somewhat conflicting: some of the studies implicate that high postural sway increases the fracture risk while other studies has not been capable to detect the association. The aim of this study is to investigate whether there is association between postural sway and fall related fractures in elderly women. Because the fracture and the osteoporosis risk of postmenopausal women are increased, the present study concentrates in them. The data used in the study is part of the extensive birth cohort of 1690 elderly Finnish women, whose information\u2019s were obtained from the National Population Register of Finland. A total of 1,222 postmenopausal women (aged 70\u201373) agreed to take part in the study, where their body sway was assessed by inclinometry-based method. The study was carried out in collaboration with the Deaconess Institute of Oulu and the Departments of Public Health Science of University of Oulu.\r\n\r\nBased on the present study there is no statistical significance between postural sway, measured at upright position, and fall related fractures in elderly women. Thus the result of the study is consistent with the current conception: there is no firm evidence that impaired balance and high postural sway can be risk factors for fall related fractures in elderly. While further research is needed to assess whether impaired balance and high postural sway are risk factors for fractures, suitable exercise programs, containing balance and strength exercises, are recommended to prevent falls and related injuries in order to keep the quality of life of the elderly high as possible.\r\n\r\nKeywords: postural sway, balance, fractures, elderly women", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Mahsa Modarress-Sadeghi (mamodarr) on 2013-12-04 15:05:37.662161. Form: Pro gradu -lomake (1 tekij\u00e4) (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake-1-tekijae). 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