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[{"key": "dc.contributor.advisor", "value": "Sipil\u00e4, Sarianna", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Vettenter\u00e4, Elina", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2018-06-25T07:31:33Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2018-06-25T07:31:33Z", "language": "", "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2018", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/58715", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Vettenter\u00e4, E. 2018. Fyysisen ja kognitiivisen harjoittelun vaikutus ik\u00e4\u00e4ntyneiden v\u00e4h\u00e4n liikkuvien henkil\u00f6iden kaatumisiin ja kaatumisen pelkoon, Jyv\u00e4skyl\u00e4n yliopisto, Gerontologian ja kansanterveyden pro gradu -tutkielma, 41 s., 1 liite. \r\nKaatumistapaturmat ovat ik\u00e4\u00e4ntyneen v\u00e4est\u00f6n merkitt\u00e4v\u00e4 kansanterveydellinen ongelma ja niiden merkitys tulee kasvamaan tulevina vuosina v\u00e4est\u00f6n yh\u00e4 ik\u00e4\u00e4ntyess\u00e4. Fyysisen harjoittelun lis\u00e4ksi kognitiivisella harjoittelulla on saatu lupaavia tuloksia kaatumisten ehk\u00e4isyss\u00e4. T\u00e4m\u00e4n tutkielman tarkoituksena oli selvitt\u00e4\u00e4, onko kuuden kuukauden fyysisell\u00e4 ja kognitiivisella harjoittelulla vaikutusta i\u00e4kk\u00e4iden v\u00e4h\u00e4n liikkuvien henkil\u00f6iden kaatumisten, kaatujien, vammakaatumisten ja vammakaatujien m\u00e4\u00e4r\u00e4\u00e4n sek\u00e4 kaatumisen pelkoon verrattuna pelkk\u00e4\u00e4n fyysiseen harjoitteluun.\r\n\r\nTutkielman aineisto koostui Jyv\u00e4skyl\u00e4n yliopiston Gerontologian tutkimuskeskuksen PASSWORD-tutkimuksen ensimm\u00e4isen aallon tutkittavien (n=146) ensimm\u00e4isen 6 kuukauden mittaustuloksista. Tutkimukseen rekrytoitiin v\u00e4est\u00f6tietoj\u00e4rjestelm\u00e4st\u00e4 70\u221285-vuotiaita v\u00e4h\u00e4n liikkuvia jyv\u00e4skyl\u00e4l\u00e4isi\u00e4 henkil\u00f6it\u00e4. Tutkittavat satunnaistettiin kahteen harjoitteluryhm\u00e4\u00e4n; fyysinen harjoittelu LIIKU ja yhdistetty fyysinen ja kognitiivinen harjoittelu LIIKUKO. Kaatumisia seurattiin intervention aikana kaatumisp\u00e4iv\u00e4kirjojen avulla, joista laskettiin kaatumisten, kaatujien, vammakaatumisten ja vammakaatujien m\u00e4\u00e4r\u00e4t. Kaatumisen pelkoa mitattiin alkumittauksissa sek\u00e4 6 kuukauden kohdalla Falls Efficacy Scale International (FES-I) kyselylomakkeella. Intervention vaikutuksia arvioitiin monen muuttujan varianssianalyysill\u00e4 (MANOVA) ja yleistetyll\u00e4 estimointiyht\u00e4l\u00f6ll\u00e4 (GEE). Lis\u00e4ksi kaatumisen riski\u00e4 arvioitiin Coxin regressioanalyysill\u00e4.\r\n\r\nIntervention aikana LIIKU-ryhm\u00e4ss\u00e4 kaatumisia tapahtui 50 ja vammakaatumisia 23. LIIKUKO-ryhm\u00e4ss\u00e4 kaatumisia tapahtui 42 ja vammakaatumisia 26. Kaatujia oli molemmissa ryhmiss\u00e4 30 ja vammakaatujia LIIKU-ryhm\u00e4ss\u00e4 17 ja LIIKUKO-ryhm\u00e4ss\u00e4 22. Tutkimusryhmien v\u00e4lill\u00e4 ei ollut tilastollisesti merkitsev\u00e4\u00e4 eroa kaatumisten m\u00e4\u00e4r\u00e4ss\u00e4 (p=0.732), kaatujien m\u00e4\u00e4r\u00e4ss\u00e4 (p=0.681), vammakaatumisten m\u00e4\u00e4r\u00e4ss\u00e4 (p=0.508), vammakaatujien m\u00e4\u00e4r\u00e4ss\u00e4 (p=0.219) eik\u00e4 kaatumisen riskiss\u00e4 (p=0.661). FES-I-pistem\u00e4\u00e4r\u00e4 oli LIIKU-ryhm\u00e4ss\u00e4 alkumittauksessa 22.1\u00b15.5 ja 6 kuukauden mittauksessa 21.2\u00b16.0 ja LIIKUKO-ryhm\u00e4ss\u00e4 22.4\u00b15.0 ja 22.0\u00b15.6. Ajalla ja ryhm\u00e4ll\u00e4 ei ollut tilastollisesti merkitsev\u00e4\u00e4 yhdysvaikutusta FES-I-pistem\u00e4\u00e4r\u00e4\u00e4n (p=0.476), mutta ajalla oli l\u00e4hes tilastollisesti merkitsev\u00e4 omavaikutus kaatumisen pelon m\u00e4\u00e4r\u00e4\u00e4n (p=0.051). \r\n\r\nYhdistetyll\u00e4 fyysisell\u00e4 ja kognitiivisella harjoittelulla ei ollut pelkk\u00e4\u00e4 fyysist\u00e4 harjoittelua tehokkaampaa vaikutusta i\u00e4kk\u00e4iden henkil\u00f6iden kaatumisten m\u00e4\u00e4r\u00e4\u00e4n, kaatumisen riskiin tai kaatumisen pelon m\u00e4\u00e4r\u00e4\u00e4n kuuden kuukauden intervention aikana. Tulokset viittaavat kuitenkin, ett\u00e4 fyysisell\u00e4 harjoittelulla saattaa olla vaikutusta kaatumisen pelon v\u00e4henemiseen. Tutkimuksen todelliset tulokset selvi\u00e4v\u00e4t vuoden kest\u00e4v\u00e4n intervention ja sen j\u00e4lkeisen vuoden seurannan my\u00f6t\u00e4. \r\n\r\nAsiasanat: kaatumistapaturmat, kaatumisen riski, kaatumishuolestuneisuus, gerontologia", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Vettenter\u00e4, E. 2018. The effectiveness of physical and cognitive exercise on the falls and fear of falling of older sedentary people. Faculty of Sport and Health Sciences, University of Jyv\u00e4skyl\u00e4, Master\u2019s thesis in Gerontology and Public Health, 41 pp, 1 appendice. \r\nFalls are an important public health problem among elderly population and their importance will increase, as the population continues to grow old. In addition to physical exercise, cognitive training has yielded promising results in preventing falls. The purpose of this study was to determine whether six months of physical and cognitive training have an impact on the number of falls, fallers, injurious falls, injured fallers and the amount of fear of falling of the elderly people as compared to pure physical training. \r\n\r\nThe study is based on PASSWORD research project which is carried out the Gerontology Research Center at the University of Jyv\u00e4skyl\u00e4. The study is based on six months data collected from first periods recruited participants (n=146). Participants were recruited randomly from the Finnish National Registry and they were 70\u221285-years old sedentary people living in Jyv\u00e4skyl\u00e4. Participants were randomized to two groups; physical exercise LIIKU and combined physical and cognitive exercise LIIKUKO. Falls were monitored with diaries, the number of falls, fallers, injurious falls and injured fallers were calculated. Fear of falling was measured with Falls Efficacy Scale International (FES-I) at baseline and after six months training. The effects of the intervention were analysed with multivariate analysis of variance (MANOVA) and generalized estimating equation (GEE). Risk of fall was analysed with Cox regression. \r\n\r\nLIIKU-group reported 50 falls and 23 injurious falls during the intervention. LIIKUKO-group reported 42 falls and 26 injurious falls. In both groups 30 participants fell down, 17 were injured fallers in LIIKU-group and 22 in LIIKUKO-group. There was no statistically significant difference between the research groups in the number of falls (p=0.732), fallers (p=0.681), injurious falls (p=0.508), injured fallers (p=0.219) nor risk of fall (p=0.661). FES-I-score was in LIIKU-group at baseline 22.1\u00b15.5 and at 6 months 21.2\u00b16.0 and in LIIKUKO-group 22.4\u00b15.0 and 22.0\u00b15.6. Time and group did not have a statistically significant interaction with FES-I-scores (p=0.476), but time had almost statistically significant effect on fear of falling (p=0.051). \r\n\r\nCombined physical and cognitive training did not have more effective impact than physical exercise alone on reducing falls, risk of fall and fear of falling among elderly people. However according to these findings it is possible that physical exercise might reduce fear of falling. The actual results will be clear after one year intervention and one year follow up time. \r\n\r\n\r\nKey words: accidental falls, risk of falling, fear of falling, gerontology", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Riitta Pitk\u00e4nen (rpitkane@jyu.fi) on 2018-06-25T07:31:32Z\r\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2018-06-25T07:31:33Z (GMT). No. of bitstreams: 0\r\n Previous issue date: 2018", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "47", "language": "", "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": "kaatumistapaturmat", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "kaatumisen riski", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "kaatumishuolestuneisuus", "language": "", 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