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[{"key": "dc.contributor.advisor", "value": "Sipil\u00e4, Sarianna", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Hovinen, Eveliina", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2015-12-15T11:44:23Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2015-12-15T11:44:23Z", "language": null, "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:1505993", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/48116", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Kaatumisen seurauksena syntyv\u00e4t lonkkamurtumat ovat yleisi\u00e4 i\u00e4kk\u00e4ill\u00e4 henkil\u00f6ill\u00e4. Lonkkamurtumat aiheuttavat yksil\u00f6lle k\u00e4rsimyst\u00e4 ja yhteiskunnalle mittavia kustannuksia. Lonkkamurtuma saattaa johtaa liikkumiskyvyn rajoitukseen, joka voi olla pitk\u00e4aikaista tai pysyv\u00e4\u00e4. Alhainen painoindeksi on lonkkamurtuman merkitt\u00e4v\u00e4 riskitekij\u00e4, kun taas ylipainon tiedet\u00e4\u00e4n olevan yhteydess\u00e4 moniin terveyshaittoihin sek\u00e4 heikompaan liikkumiskykyyn terveill\u00e4 kotona asuvilla vanhuksilla. Painoindeksin yhteytt\u00e4 lonkkamurtuman kokeneiden liikkumiskyvyn palautumisen on aikaisemmin tutkittu niukasti. T\u00e4m\u00e4 tutkimuksen tarkoituksena on selvitt\u00e4\u00e4 kotona toteutetun kuntoutusintervention vaikutuksia lonkkamurtumasta toipuvien henkil\u00f6iden liikkumiskykyyn ja painoindeksin yhteytt\u00e4 liikkumiskyvyn palautumiseen vuosi murtuman j\u00e4lkeen. \nT\u00e4ss\u00e4 seurantatutkimuksessa k\u00e4ytettiin satunnaistetun ja kontrolloidun Promotion mobility after hip fracture (ProMo) -tutkimuksen aineistoa. Tutkittavat (n=81) olivat keskisuomalaisia, yli 60-vuotiaita lonkkamurtumasta toipuvia kotona asuvia henkil\u00f6it\u00e4. Tutkimuksen poissulkukriteerit olivat laitosasuminen, vaikea muistih\u00e4iri\u00f6 (MMSE<18), alkoholismi, vakava krooninen tai etenev\u00e4 sairaus, ala- tai neliraajahalvaus ja vakava masennus (BDI-II >29). \nTutkittavat jaettiin painoindeksin (BMI) mukaan jakaumaperustaisesti nelj\u00e4\u00e4n ryhm\u00e4\u00e4n, joista kaksi keskimm\u00e4ist\u00e4 ryhm\u00e4\u00e4 yhdistettiin. Ryhmiksi muodostuivat kevyet (BMI 18.1\u201322.2, n=19), keskipainoiset (BMI 22.3\u201327.8, n=40) ja ylipainoiset (BMI 27.9\u201333.9, n=22). Liikkumiskyky\u00e4 mitattiin Short Physical Performance Battery (SPPB) - sek\u00e4 Timed Up and Go (TUG) -testeill\u00e4 keskim\u00e4\u00e4rin yhdeks\u00e4n viikkoa murtuman j\u00e4lkeen, sek\u00e4 puoli vuotta ja vuosi alkumittauksista. ProMo -intervention vaikutusta ja painoindeksiryhmien v\u00e4lisi\u00e4 eroja liikkumiskyvyss\u00e4 analysoitiin toistettujen mittausten varianssianalyysill\u00e4. \nProMo -interventio ei vaikuttanut tutkittavien liikkumiskyvyn palautumiseen (SPPB yhdysvaikutus p=0.329, TUG yhdysvaikutus p=0.311). Painoindeksi ei ollut yhteydess\u00e4 SPPB- (yhdysvaikutus p=0.254) tai TUG -testeist\u00e4 (yhdysvaikutus p=0.381) suoriutumiseen vuosi lonkkamurtuman j\u00e4lkeen. Ajalla oli merkitsev\u00e4 vaikutus SPPB -testist\u00e4 suoriutumiseen (p=0.015). Kaikki painoindeksiryhm\u00e4t paransivat suoriutumistaan SPPB -testiss\u00e4 ensimm\u00e4isen puolen vuoden aikana, jonka j\u00e4lkeen tuloskehitys tasaantui. Painoindeksiryhm\u00e4 osoittautui melkein merkitsev\u00e4ksi tekij\u00e4ksi SPPB -testiss\u00e4 suoriutumiselle (p=0.055). Keskipainoisiin kuuluvat selviytyv\u00e4t SPPB -testist\u00e4 muita painoindeksiryhmi\u00e4 paremmin. TUG -testin osalta ajalla ja ryhm\u00e4ll\u00e4 ei ollut tilastollisesti merkitsevi\u00e4 yhteyksi\u00e4 testist\u00e4 suoriutumiseen. \nProMo -interventio ei vaikuttanut liikkumiskyvyn palautumiseen tavanomaista kuntoutusta enemp\u00e4\u00e4. My\u00f6sk\u00e4\u00e4n painoindeksi ei ollut yhteydess\u00e4 liikkumiskyvyn palautumiseen vuosi lonkkamurtuman j\u00e4lkeen. Keskipainoisten liikkumiskyky n\u00e4ytt\u00e4isi kuitenkin olevan kevyit\u00e4 ja ylipainoisempia parempi.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Hip fractures that are caused by falling are a common health challenge for elderly. Hip fractures cause suffering for individuals and substantial costs for society. It also may lead to restricted mobility which may be long lasting or permanent. Having a Low Body Mass Index (BMI) is a remarkable risk factor for hip fracture, whereas obesity is known to have a connection to many health related risks together with weaker mobility for healthy, community-dwelling elderly. The association between BMI and the mobility recovery of those patients who have had a hip fracture has hardly been studied. The aim of this study is to resolve the affection of home-based rehabilitation intervention for those who are recovering hip fracture. Another aim is to study the association of BMI and mobility recovery a year after the trauma.\nThe material of Randomized Controlled Trial study \u201cPromotion mobility after hip fracture (ProMo) was used in this follow-up study. The participants (n=81) were community-dwelling hip fracture patients, over 60 years old and from central Finland. Excluding criteria were if patients lived in an institution, suffered from severe memory problems (MMSE<18), alcoholism, severe chronical progressive disease, para- or tetraplegia or severe depression (BDI-II>29.)\nBased on their BMI the participants were divided into 4 groups, of which the 2 middle groups were merged. The groups were formulated as following: light-weight (BMI 18.1-22.2, n=19, mid-weight (BMI 22.3\u201327.8, n=40) and over-weight (BMI 27.9\u201333.9, n=22). Mobility was measured with Short Physical Performance Battery (SPPB) - and Timed Up and Go (TUG) \u2013 tests approximately 9 weeks after trauma as well as 6 months and 12 months after the baseline measurements. The effect of Promo \u2013intervention and the differences in mobility between the BMI groups were analysed with statistical method called general linear model with repeated measures.\nThe ProMo \u2013intervention was not found to have an effect to the mobility recovery of the participants (SPPB interaction p=0.329, TUG interaction p=0.311). Also BMI was not found to be in association with performance on SPPB- (interaction p=0.254) or TUG- tests (interaction p=0.381) 12 months after the hip fracture. The matter of time was statistically significant (p=0.015). All BMI groups increased their performance in a SPPB -test in the first 6 months after which the results stabilized. BMI group was proven to be a borderline significant factor (p=0.055) on SPPB \u2013test performance. The mid-weight group performed better than other BMI groups in SPPB \u2013 test. Regarding the TUG \u2013 test the factors of time and BMI group did not have statistically significant relations of performing in tests.\nProMo \u2013 intervention did not affect the mobility recovery of the studied persons more than conventional rehabilitation. Neither was the BMI in association with mobility recovery 12 months after hip fracture. The mobility of mid-weight group although seems to be better than of the light-weight and over-weight groups.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Eveliina Hovinen (tyevhovi) on 2015-12-15 11:44:22.444310. 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 2015-12-15T11:44:22Z\nNo. of bitstreams: 2\nURN:NBN:fi:jyu-201512154036.pdf: 638241 bytes, checksum: 6998974f1dc79e146cae5d1deb3000c6 (MD5)\nlicense.html: 4849 bytes, checksum: 4fe24f8616463969785408de552ba548 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2015-12-15T11:44:23Z (GMT). No. of bitstreams: 2\nURN:NBN:fi:jyu-201512154036.pdf: 638241 bytes, checksum: 6998974f1dc79e146cae5d1deb3000c6 (MD5)\nlicense.html: 4849 bytes, checksum: 4fe24f8616463969785408de552ba548 (MD5)\n Previous issue date: 2015", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (65 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": "Painoindeksi (BMI)", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "lonkkamurtuma", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "liikkumiskyky", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "kuntoutus", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "ik\u00e4\u00e4ntyneet", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Painoindeksin yhteys liikkumiskyvyn palautumiseen i\u00e4kk\u00e4ill\u00e4 lonkkamurtumapotilailla", "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-201512154036", "language": null, "element": "identifier", "qualifier": "urn", "schema": "dc"}, 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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": "2015-12-15T11:44:23Z", "language": null, "element": "date", "qualifier": "updated", "schema": "dc"}, {"key": "yvv.contractresearch.funding", "value": "0", "language": null, "element": "contractresearch", "qualifier": "funding", "schema": "yvv"}, {"key": "dc.type.coar", "value": "http://purl.org/coar/resource_type/c_bdcc", "language": null, "element": "type", 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