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[{"key": "dc.contributor.author", "value": "Tirkkonen, Anna", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2015-06-22T16:09:35Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2015-06-22T16:09:35Z", "language": "", "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2015", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1476481", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/46384", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "I\u00e4kk\u00e4iden henkil\u00f6iden osuus v\u00e4est\u00f6ss\u00e4 kasvaa, jonka vuoksi my\u00f6s lonkkamurtumien m\u00e4\u00e4r\u00e4\r\nnousee. Lonkkamurtuma on i\u00e4kk\u00e4\u00e4lle henkil\u00f6lle dramaattinen tapahtuma, joka heikent\u00e4\u00e4\r\nel\u00e4m\u00e4nlaatua ja lis\u00e4\u00e4 laitoshoidon ja kuoleman riski\u00e4. Yksil\u00f6lle koituvan haitan lis\u00e4ksi\r\nlonkkamurtumien hoidosta ja kuntoutuksesta aiheutuu kustannuksia yhteiskunnalle. Heikon\r\nkognitiivisen toimintakyvyn on todettu olevan yhteydess\u00e4 i\u00e4kk\u00e4iden henkil\u00f6iden\r\nheikentyneeseen tasapainon hallintaan, joka osaltaan lis\u00e4\u00e4v\u00e4t kaatumisen riski\u00e4. T\u00e4m\u00e4n\r\ntutkielman tarkoitus oli selvitt\u00e4\u00e4 onko kognitiivisen toimintakyvyn taso yhteydess\u00e4\r\nlonkkamurtumasta toipuvien i\u00e4kk\u00e4iden henkil\u00f6iden tasapainon hallintaan ja tasapainon\r\nvarmuuteen.\r\nTutkielmassa k\u00e4ytettiin aineistona Promo (The Promoting Mobility after Hip fracture) \u2013\r\ntutkimuksen alkumittausaineistoa. Aineisto ker\u00e4ttiin Keski-Suomen keskussairaalassa vuosina\r\n2008-2010 reisiluun kaulan tai ison sarvennoisen alueella sijaitsevan lonkkamurtuman vuoksi\r\nleikatuista yli 60-vuotiaista Jyv\u00e4skyl\u00e4ss\u00e4 tai l\u00e4hikunnissa asuvista miehist\u00e4 ja naisista, jotka\r\nkykeniv\u00e4t asumaan ja liikkumaan itsen\u00e4isesti. Poissulkukriteerein\u00e4 olivat: vakava syd\u00e4nverisuoni\r\ntai keuhkosairaus, halvaus, etenev\u00e4 sairaus (esim. ALS), alkoholismi, masennus\r\n(BDI-11 >29) tai alhainen kognitiivinen toimintakyky (Mini-Mental State Examination,\r\nMMSE<18). Tutkittavien tasapainoa ja liikkumiskyky\u00e4 arvioitiin Bergin tasapainotestin\r\n(BBS) ja Timed up and go-testin avulla (TUG). Tasapainon varmuutta arvioitiin ABCkyselyn\r\navulla. Kognitiivisen toimintakyvyn arviointi tehtiin MMSE-testin avulla.\r\nTutkittavat jaettiin ryhmiin kognitiivisen toimintakyvyn tason mukaan. Ensimm\u00e4iseen\r\nryhm\u00e4\u00e4n kuuluivat henkil\u00f6t, joilla kognitiivinen toimintakyky oli liev\u00e4sti heikentynyt (MMSE\r\n18-24) ja toiseen ryhm\u00e4\u00e4n henkil\u00f6t, joilla oli normaali kognitiivinen toimintakyky (MMSE \u2265\r\n25). Ryhmien v\u00e4listen keskiarvojen eroja tarkasteltiin riippumattomien otosten t-testin, \u03c7\u00b2 ja\r\nMann Whitneyn U-testin avulla. Kognitiivisen toimintakyvyn yhteytt\u00e4 tasapainoon ja\r\ntasapainon varmuuteen tutkittiin lineaarisen regressioanalyysin avulla.\r\nKognitiivisen toimintakyvyn tason mukaan jaetut ryhm\u00e4t erosivat toisistaan tilastollisesti\r\nmerkitsev\u00e4sti i\u00e4n (p= 0.005) ja koulutuksen (p= 0.042) osalta. Henkil\u00f6t, joilla oli normaali\r\nkognitiivinen toimintakyky, suoriutuivat paremmin tasapainoa ja liikkumiskyky\u00e4 vaativista\r\nteht\u00e4vist\u00e4 kuin henkil\u00f6t, joilla kognitiivinen toimintakyky oli heikentynyt. Heill\u00e4 on my\u00f6s\r\nparempi koettu tasapainon varmuus. Kognitiivinen toimintakyky oli tilastollisesti\r\nmerkitsev\u00e4sti yhteydess\u00e4 tasapainoon ja koettuun tasapainon varmuuteen. I\u00e4ll\u00e4 ja\r\nkoulutuksella vakioidussa mallissa tilastollisesti merkitsev\u00e4 yhteys koettuun tasapainon\r\nvarmuuteen s\u00e4ilyi (p =0.027).\r\nJohtop\u00e4\u00e4t\u00f6s: kognitiivinen toimintakyky on yhteydess\u00e4 lonkkamurtumasta toipuvan henkil\u00f6n\r\ntasapainoon ja tasapainon varmuuteen.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "The amount of elderly people is growing, and because of that amount of hip fractures is also\r\ngrowing. For a elderly person a hip fracture is a dramatic incident which lowers quality of life\r\nand increases risk of death and risk of institutional care. Studies show that low cognitive\r\nfunctions and poor balance are associated. These factors increase risk of falling. The aim of\r\nthis study was to find out whether there is association between cognitive functions, balance\r\nand balance confidence in elderly people who are recovering from hip fracture.\r\nThis study was based on baseline measurement data of the Promo (Promoting mobility after\r\nhipfracture) study. Data was collected from Central Finland Central hospital from over 60-\r\nyear-old ambulatory and community- dwelling men and women, operated for femoral neck or\r\npertrochanteric fracture between 2008-2010, and living in city of Jyv\u00e4skyl\u00e4 or in\r\nneighbouring municipalities. Excluson criteria\u2019s of the study were living in an institution,\r\nsevere memory problems (MMSE <18), alcoholism, severe cardiovascular, pulmonary or\r\nprogressive disease, para- or tetraplegic or severe depression (BDI-II > 29). Balance and\r\nmobility of the participants were measured with the Berg\u2019s balance scale and the Time up and\r\ngo-test. Balance confidence of participant was measured with the ABC-test and cognitive\r\nfunction of the participants was measured with the Minimental state examination- test\r\n(MMSE).\r\nFor the data analyses participants were divided into two separate groups based on their\r\ncognitive function. Participants were grouped based on mild cognitive impairment (MMSE\r\n18-24) and normal cognitive function (MMSE\u226525). Mean difference between the groups\r\nwere analysed with independent samples t-test, Mann Whitneyn U-test and \u03c7\u00b2-test.\r\nAssociation between cognitive functions, balance and balance confidence were analysed with\r\nlinear regression analyses.\r\nParticipants in groups differed from each other statistically significantly by age (p=0.005)\r\nand education (p=0.042). Persons with normal cognitive function perform better in tasks\r\nrequiring balance and mobility than those with mild cognitive impairment. They also had\r\nhigher balance confidence. Linear regression analyses showed that there were statistically\r\nsignificant associations between cognitive functions, balance and balance confidence. The\r\nmodel adjusted for age and education showed that there was still statistically significant\r\nassociation between cognitive function and balance confidence (p=0.027).\r\nConclusion: cognitive function is associated with balance and balance confidence in a elderly\r\npeople recovering from hip fracture.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Anna Tirkkonen (ajarvisa) on 2015-06-22 16:09:35.273883. 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.group@korppi.jyu.fi) on 2015-06-22T16:09:35Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201506222406.pdf: 522497 bytes, checksum: 99ae5c9a65de2ca69c4aa3e7875e574b (MD5)\r\nlicense.html: 4884 bytes, checksum: a996cc14d71de871a04894b5793963c7 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2015-06-22T16:09:35Z (GMT). No. of bitstreams: 2\r\nURN:NBN:fi:jyu-201506222406.pdf: 522497 bytes, checksum: 99ae5c9a65de2ca69c4aa3e7875e574b (MD5)\r\nlicense.html: 4884 bytes, checksum: a996cc14d71de871a04894b5793963c7 (MD5)\r\n Previous issue date: 2015", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (47 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.title", "value": "Kognitiivisen toimintakyvyn yhteys tasapainoon ja tasapainon varmuuteen lonkkamurtumasta toipuvilla i\u00e4kk\u00e4ill\u00e4 henkil\u00f6ill\u00e4", "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-201506222406", "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"}, {"key": "dc.contributor.faculty", "value": "Liikuntatieteellinen tiedekunta", "language": "fi", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Faculty of Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Terveystieteiden laitos", "language": "fi", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Department of Health Sciences", "language": "en", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "University of Jyv\u00e4skyl\u00e4", "language": "en", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "Jyv\u00e4skyl\u00e4n yliopisto", "language": "fi", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Gerontologia ja kansanterveys", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Gerontology and Public Health", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.date.updated", "value": "2015-06-22T16:09:36Z", "language": "", "element": "date", "qualifier": "updated", "schema": "dc"}, {"key": "yvv.contractresearch.funding", "value": "0", "language": "", "element": "contractresearch", "qualifier": "funding", "schema": "yvv"}, {"key": "dc.type.coar", "value": "http://purl.org/coar/resource_type/c_bdcc", "language": null, "element": "type", "qualifier": "coar", "schema": "dc"}, {"key": "dc.rights.accesslevel", "value": "openAccess", "language": "fi", "element": "rights", "qualifier": "accesslevel", "schema": "dc"}, {"key": "dc.type.publication", "value": "masterThesis", "language": null, "element": "type", "qualifier": "publication", "schema": "dc"}, {"key": "dc.subject.oppiainekoodi", "value": "50423", "language": null, "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "toimintakyky", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kognitiiviset taidot", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "lonkka", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "luunmurtumat", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "tasapaino", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "ik\u00e4\u00e4ntyneet", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.format.content", "value": "fulltext", "language": null, "element": "format", "qualifier": "content", "schema": "dc"}, {"key": "dc.rights.url", "value": "https://rightsstatements.org/page/InC/1.0/", "language": null, "element": "rights", "qualifier": "url", "schema": "dc"}, {"key": "dc.type.okm", "value": "G2", "language": null, "element": "type", "qualifier": "okm", "schema": "dc"}]
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