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[{"key": "dc.contributor.author", "value": "Paukkonen, Jonna", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2014-07-20T14:22:30Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2014-07-20T14:22:30Z", "language": "", "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2014", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1438829", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/43906", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "TIIVISTELM\u00c4\r\nJonna Paukkonen (2014). Liikkumisen apuv\u00e4lineen k\u00e4ytt\u00f6 lonkkamurtuman j\u00e4lkeen. Terveystieteiden laitos, Jyv\u00e4skyl\u00e4n yliopisto, Gerontologian ja kansanterveyden pro gradututkielma,\r\n43 s. \r\nTutkimuksen tarkoituksena on selvitt\u00e4\u00e4 mitk\u00e4 tekij\u00e4t ovat yhteydess\u00e4 liikkumisen apuv\u00e4lineen k\u00e4ytt\u00f6\u00f6n keskim\u00e4\u00e4rin 70 p\u00e4iv\u00e4\u00e4 lonkkamurtuman j\u00e4lkeen aiemmin ilman apuv\u00e4lineit\u00e4 liikkuvilla\r\nhenkil\u00f6ill\u00e4.Tutkielma on osa The Promoting Mobility after Hip Fracture (ProMo) tutkimusta ja siin\u00e4 hy\u00f6dynnet\u00e4\u00e4n ProMo \u2013 tutkimuksen alkumittausaineistoa (n=81). Tutkittavat rekrytoitiin vuosina 2008 -2010 Keski-Suomen keskussairaalassa lonkkamurtuman vuoksi leikatuista yli 60-vuotiaistahenkil\u00f6ist\u00e4. T\u00e4h\u00e4n tutkielmaan valittiin ne tutkittavat, jotka eiv\u00e4t k\u00e4ytt\u00e4neet liikkumisen\r\napuv\u00e4lineit\u00e4 ennen murtumaa (n=50). Tutkittavien keski-ik\u00e4 oli 77v., naisia heist\u00e4 oli 74 %.Liikkumisen apuv\u00e4lineiden k\u00e4ytt\u00f6 ennen murtumaa ja keskim\u00e4\u00e4rin 70 p\u00e4iv\u00e4\u00e4 murtuman j\u00e4lkeen\r\n(ProMo \u2013 tutkimuksen alkumittaukset) selvitettiin kyselylomakkeella. Tutkielman analyysej\u00e4 varten tutkittavat jaettiin kolmeen ryhm\u00e4\u00e4n alkumittauksissa raportoidun apuv\u00e4lineiden k\u00e4yt\u00f6n suhteen; 1)ilman apuv\u00e4linett\u00e4, 2)k\u00e4velykepin-, kyyn\u00e4r-, ja kainalosauvojenk\u00e4ytt\u00e4j\u00e4t (keppiryhm\u00e4) ja 3)rollaattorin k\u00e4ytt\u00e4j\u00e4t.Toiminnallinen tasapaino mitattiin Berg\u2019s Balance Scale (BBS) ja koettu tasapainon varmuus The\r\nActivities-specific Balance Confidence (ABC) \u2013 mittarilla. Polven ojentajien isometrinen voima mitattiin dynamometrill\u00e4 ja molempien alaraajojen ojentajien voimantuottoteho Power Riglaitteella.\r\nTutkittavien yhteisn\u00e4\u00f6ntarkkuus testattiin Landoltin n\u00e4k\u00f6taulun avulla. Eri apuv\u00e4lineiden k\u00e4ytt\u00e4j\u00e4ryhmi\u00e4 verrattiin ristiintaulukoinnin, khiin neli\u00f6testin, yksisuuntaisen varianssianalyysin,Kruskall-Wallis- ja Bonferroni post hoc\u2013menetelmin. Rollaattorin k\u00e4ytt\u00f6\u00f6n yhteydess\u00e4 olevia\r\ntekij\u00f6it\u00e4 selvitettiin logistisella regressioanalyysill\u00e4 (n\u00e4k\u00f6, leikkaustapa, BBS, ABC ja lihasvoima).Regressioanalyysi\u00e4 varten Ilman apuv\u00e4linett\u00e4- ja keppiryhm\u00e4 yhdistettiin.\r\nHeikko n\u00e4k\u00f6, heikko toiminnallinen tasapaino, heikko tasapainon varmuus ja heikko lihasvoima olivat tilastollisesti merkitsev\u00e4sti yhteydess\u00e4 rollaattorin k\u00e4ytt\u00f6\u00f6n lonkkamurtumasta toipuvilla\r\ni\u00e4kk\u00e4ill\u00e4 henkil\u00f6ill\u00e4, jotka ennen lonkkamurtumaa olivat liikkuneet ilman apuv\u00e4linett\u00e4. Osteosynteesi leikkaustapana lis\u00e4si rollaattorin k\u00e4yt\u00f6n riski\u00e4 yli viisinkertaisesti (OR 5.464, 95 %\r\nLV 1.63-18.36). Monimuuttujamallissa tasapainon varmuus (ABC) s\u00e4ilyi edelleen tilastollisesti merkitsev\u00e4n\u00e4 rollaattorin k\u00e4ytt\u00f6\u00e4 selitt\u00e4v\u00e4n\u00e4 tekij\u00e4n\u00e4 (p=.013).Heikentynyt tasapaino, heikentynyt lihasvoima, heikentynyt n\u00e4k\u00f6 ja lonkkamurtuman leikkaustapa\r\novat yhteydess\u00e4 rollaattorin k\u00e4ytt\u00f6\u00f6n noin kaksi kuukautta lonkkamurtuman j\u00e4lkeen i\u00e4kk\u00e4ill\u00e4 henkil\u00f6ill\u00e4, jotka ennen murtumaa eiv\u00e4t olleet k\u00e4ytt\u00e4neet liikkumisen apuv\u00e4lineit\u00e4. Merkitsevin\r\nyhteys on heikentyneell\u00e4 tasapainon varmuudella. Heikentynyt tasapainon varmuus kuvaa osittain kaatumisen pelkoa. Tasapainon varmuus tulee huomioida kuntoutuksessa ja suunnata jatkotutkimukset tasapainon varmuuteen vaikuttaviin tekij\u00f6ihin.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "ABSTRACT\r\nJonna Paukkonen (2014). Mobility aid use after hip fracture. Department of Health Sciences,\r\nUniversity of Jyv\u00e4skyl\u00e4, Master\u2019s Thesis of Gerontology and Public Health, 43 pp.\r\nThe purpose of this study is to investigate which factors are associated with use of walking aids on average 70 days after hip fracture in people who doesn\u2019t have use walking aid before the fracture.The study is a part of The Promoting Mobility after Hip Fracture (ProMo) research project. The ProMo investigated effectiveness of rehabilitation intervention in over 60-year \u2013old hip fracture patients (n=81). They all were operated in the Central Finland Central Hospital. The use of walking aids before and on average 70 days after hip fracture was inquired by a\r\nquestionnaire. For this analysis only those who haven\u2019t use walking aid before the hip fracture was chosen (n=50). The participants average age was 77 years and 74 % were women. Three study groups were formed according to the use of walking aids post hip fracture; 1) without walking aid,2) cane, forearm crutch or crutch 3) walker. Functional balance was measured by Berg\u2019s Balance\r\nScale (BBS) and the balance confidence by Activities-specific Balance Confidence (ABC). The maximal voluntary isometric knee extension force was assessed with the use of an adjustable\r\ndynamometer chair and the leg extension power was measured also in both lower limbs with the use of the Power rig.\r\nDifferences between the groups were assessed by cross-tabulation and \u03c72-test, variance analysis,Kruskall-Wallis and Bonferroni post hoc tests. Logistic regression analysis was used to investigate\r\nthe factors which are associated with the use of a walker. For the logistic regression analysis the\r\nthree study group was connected in two study group; 1) without walking aid and cane, forearm crutch or crutch and 2) walker. The vision, type of the surgery treatment, BBS, ABC and the\r\nmuscular strength were investigated one at the time and then with the multivariate analysis.Poor vision, poor balance, poor balance confidence and poor muscle strength were significantly\r\nassociated with the use of walker on average 70 day after hip fracture. The osteosynthesis as a type of the surgical treatment increased the risk of using walker fivefold (OR 5.464, 95 % LV 1.63-18.36). The model where all the independent factors were together, the balance confidence remained still significant factor (p=.013). The attenuated balance, attenuated muscle strength, poor vision and the type of the surgery treatment are associated with the use of walker on average two months after the hip fracture, with people who doesn\u2019t have used walking aid before the hip fracture. The most significant association has attenuated balance confidence. The balance confidence illustrates partly the fear of falling. The balance confidence has to take into consideration in the rehabilitation and more research is needed\r\nin this area.\r\nKey words: mobility, walking aid, balance confidence", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Jonna Paukkonen (jokapauk) on 2014-07-20 14:22:29.843696. Form: Pro gradu -lomake (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake). JyX data: [jyx_publishing-allowed (fi) =True]", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by jyx lomake-julkaisija (jyx-julkaisija@noreply.fi) on 2014-07-20T14:22:30Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201407202247.pdf: 468869 bytes, checksum: 3f7a847b82d1ff4a711baf8e1b0c6817 (MD5)\r\nlicense.html: 4817 bytes, checksum: 02906d4daed960f233ab1fe7cbe42f82 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2014-07-20T14:22:30Z (GMT). No. of bitstreams: 2\r\nURN:NBN:fi:jyu-201407202247.pdf: 468869 bytes, checksum: 3f7a847b82d1ff4a711baf8e1b0c6817 (MD5)\r\nlicense.html: 4817 bytes, checksum: 02906d4daed960f233ab1fe7cbe42f82 (MD5)\r\n Previous issue date: 2014", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (43 s.)", "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": "liikkumiskyky", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "liikkumisen apuv\u00e4line", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "tasapainon varmuus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Liikkumisen apuv\u00e4lineen k\u00e4ytt\u00f6 lonkkamurtuman j\u00e4lkeen", "language": null, "element": "title", "qualifier": null, "schema": "dc"}, {"key": "dc.type", "value": "master thesis", "language": null, "element": "type", "qualifier": null, "schema": "dc"}, {"key": "dc.identifier.urn", "value": "URN:NBN:fi:jyu-201407202247", "language": null, "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu -tutkielma", "language": "fi", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Master\u2019s thesis", "language": "en", "element": "type", "qualifier": "ontasot", "schema": "dc"}, 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