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[{"key": "dc.contributor.advisor", "value": "H\u00e4kkinen, Arja", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Repo, Jussi", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Becker, Paju", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2019-05-02T06:24:46Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2019-05-02T06:24:46Z", "language": null, "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/123456789/63684", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Johdanto: Kliinisess\u00e4 ty\u00f6ss\u00e4 ja tutkimusk\u00e4yt\u00f6ss\u00e4 tarvitaan spesifisi\u00e4 mittareita alaraaja-amputaation j\u00e4lkeisen liikkumiskyvyn ja kuntoutuksen vaikutusten arviointiin. K\u00e4ytett\u00e4vien mittareiden tulee olla psykometrisilta ominaisuuksiltaan vahvaksi osoitettuja ja muilta k\u00e4ytt\u00f6kelpoisuuteen vaikuttavilta ominaisuuksiltaan tarkoitukseensa sopivia. Liikkumiskyky\u00e4 pidet\u00e4\u00e4n yhten\u00e4 t\u00e4rke\u00e4n\u00e4 alaraaja-amputaation j\u00e4lkeisen kuntoutuksen osa-alueena. Alaraaja-amputoiduille \nproteesin k\u00e4ytt\u00e4jille suunnattuja liikkumiskykymittareita ei ole ollut saatavilla suomenkielisin\u00e4. \nTutkimuksen tarkoituksena oli k\u00e4\u00e4nt\u00e4\u00e4 LCI-5 -liikkumiskykyindeksi (The Locomotor Capabilities Index-5, LCI-5) suomen kielelle, adaptoida se suomalaiseen kulttuuriin sopivaksi ja arvioida sen psykometrisi\u00e4 ominaisuuksia suomalaisilla alaraaja-amputoiduilla aikuisik\u00e4isill\u00e4 proteesin k\u00e4ytt\u00e4jill\u00e4. \n\n \n\nMenetelm\u00e4t: LCI-5 suomennettiin ja adaptoitiin suomalaiseen kulttuuriin sopivaksi noudattaen kansainv\u00e4lisi\u00e4 k\u00e4\u00e4nn\u00f6s- ja kulttuuriadaptaatioprosessin ohjeita. Tutkimus toteutettiin Helsingin ja Uudenmaan sek\u00e4 Keski-Suomen sairaanhoitopiireiss\u00e4. Alaraajaproteesin k\u00e4ytt\u00e4j\u00e4t (n= 112) t\u00e4yttiv\u00e4t postitse l\u00e4hetetyn kyselypaketin kahden viikon v\u00e4lein kaksi kertaa. Amputaatioon \nliittyv\u00e4t tiedot ker\u00e4ttiin sairaanhoitopiirien potilastietoj\u00e4rjestelmist\u00e4. LCI-5 -liikkumiskykyindeksin reliabiliteettia ja validiteettia analysoitiin tilastotieteellisin menetelmin. Rinnakkaisvaliditeetin tarkastelussa k\u00e4ytettiin vertailumittareina 15D terveyteen liittyv\u00e4n el\u00e4m\u00e4nlaadun mittarin (15D) liikkumiskykyosiota sek\u00e4 PEQ -kyselyn liikkumiskykyosaa (Mobility Section of \nthe Prosthesis Evaluation Questionnaire, PEQ-MS) ja Houghtonin kysely\u00e4 (The Houghton \nScale). \n\n \n\nTulokset: LCI-5:n k\u00e4\u00e4nn\u00f6sprosessin aikana ei tullut esiin semantiikkaan liittyvi\u00e4 ep\u00e4selvyyksi\u00e4. LCI-5:n kokonaispisteiden keskiarvo (keskihajonta) oli 42 (15). LCI-5 kyselyn toistettavuus (ICC) oli eritt\u00e4in hyv\u00e4 0.95 (95 %:n luottamusv\u00e4li 0.93-0.96). Sis\u00e4inen yhtenevyys havaittiin korkeaksi, sill\u00e4 Cronbachin \u03b1 oli 0.96 (0.95 %:n luottamusv\u00e4li 0.95-0.97). LCI-5:n \nosioiden ja koko mittarin v\u00e4liset korrelaatiot olivat vahvoja (r= 0.70-0.88; p < 0.01) osoittaen \nkyselyn homogeenisyytt\u00e4. LCI-5:n rinnakkaisvaliditeettia voidaan pit\u00e4\u00e4 hyv\u00e4n\u00e4, sill\u00e4 LCI-5 \nkorreloi voimakkaasti 15D:n liikkumiskykyosion (r = 0.76; p < 0.01), PEQ-MS:n (0.70, p < \n0.001) ja Houghtonin kyselyn (r = 0.78; p < 0.001) kanssa. LCI-5 erotteli toisistaan s\u00e4\u00e4riamputoitujen ja reisiamputoitujen ryhm\u00e4t. Ik\u00e4\u00e4ntymiseen liittyvien tekij\u00f6iden mahdolliset negatiiviset vaikutukset liikkumiskykyyn olivat havaittavissa ik\u00e4vuosien ja LCI-5:n kokonaispisteiden \nv\u00e4lisen kohtalaisena pidett\u00e4v\u00e4n negatiivisen korrelaation (r = -0.46, p < 0.01) perusteella. LCI-\n5:n kokonaispisteill\u00e4 havaittiin kattoefekti, sill\u00e4 vastaajista 24 % saavuttivat maksimipisteet. \n\n \n\nJohtop\u00e4\u00e4t\u00f6kset: Suomenkielisen LCI-5 -liikkumiskykyindeksin toistettavuus osoittautui hyv\u00e4ksi ja sis\u00e4inen yhtenevyys korkeaksi. My\u00f6s rinnakkaisvaliditeetti oli hyv\u00e4\u00e4 tasoa. Korkean \nkattoefektin vuoksi vaikuttaa silt\u00e4, ett\u00e4 suomenkielinen LCI-5 soveltuu erityisesti heikon tai \nkohtalaisen liikkumiskyvyn omaaville alaraajaproteesin k\u00e4ytt\u00e4jille.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Introduction: There has been a need for specific assessment tools in both clinical and research \nsettings for evaluation of mobility and effectiveness of rehabilitation processes after lower extremity amputation. These assessment tools should be psychometrically sound and well suitable \nfor the desired purpose. Locomotor capability is one important part of the rehabilitation process \nafter major lower extremity amputation. Assessment tools for the mobility of the lower extremity prosthesis users have not been available in Finnish. The aim of the present study was to \ntranslate and cross-culturally adapt the LCI-5 and to evaluate its psychometric properties in \nadult lower extremity prosthesis users in Finland. \n\n \n\nMethods: LCI-5 was translated and cross-culturally adapted into Finnish. The study was conducted at the Hospital District of Helsinki and Uusimaa and the Central Finland Health Care \nDistrict. Amputees fitted with a prosthesis fulfilled the questionnaire packages sent to them by \nmail with a two-week interval. Amputation related data was obtained from the patient records \nof the health care districts. The reliability and validity of the LCI-5 were statistically assessed. \nThe Mobility dimension of the 15D health-related quality of life instrument, Mobility Section \nof the Prosthesis Evaluation Questionnaire (PEQ-MS) and Houghton Scale were used for the \nconvergent validity analyses. \n\n \n\nResults: No semantic discord was encountered during the translation process of the LCI-5. The \nmean (SD) total LCI-5 score was 42 (15). An excellent intra class correlation coefficient (0.95, \n95% CI 0.93 to 0.96) was discovered which showed the relative reproducibility to be very good. \nCronbach\u2019s \u03b1 was 0.96 (95% CI 0.95 to 0.97) which demonstrated high internal consistency. \nItem-total correlations were strong (r=0.70-0.88; p < 0.01). This indicated homogeneity between the items and the total index. The convergent validity of the LCI-5 was considered to be \ngood since the LCI-5 correlated strongly with the 15D Mobility dimension (r = 0.76; p < 0.01),) \nand PEQ-MS (0.70; p < 0,001) and Houghton scale (r = 0.78; p < 0,001. The LCI-5 discriminated between transtibial and transfemoral amputation groups. The potential negative effect of \naging-related factors on the mobility could be seen in the moderate negative correlation (r = -\n0.46; p < 0.01) between age and the LCI-5 total score. A ceiling effect for the total score was \nobserved as the maximum scores were reached by 24 % of the respondents. \n\n \n\nConclusions: The Finnish LCI-5 showed good test-retest reliability and high internal consistency. The convergent validity was also at a good level. The high ceiling effect suggests that \nthe Finnish LCI-5 could be appropriate especially for lower-extremity prosthesis users with low \nto moderate locomotor capabilities.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2019-05-02T06:24:46Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2019-05-02T06:24:46Z (GMT). No. of bitstreams: 0\n Previous issue date: 2018", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "50", "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": "LCI-5", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "alaraaja", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "LCI-5 -liikkumiskykyindeksin k\u00e4\u00e4nn\u00f6s, kulttuuriadaptaatio ja psykometriset ominaisuudet suomalaisilla alaraaja-amputoiduilla proteesin k\u00e4ytt\u00e4jill\u00e4", "language": "", "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-201905022362", "language": "", "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": "Liikunta- ja terveystieteet", "language": "fi", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "Jyv\u00e4skyl\u00e4n yliopisto", "language": "fi", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "University of Jyv\u00e4skyl\u00e4", "language": "en", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Fysioterapia", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Physiotherapy", "language": "en", "element": "subject", "qualifier": "discipline", "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": "restrictedAccess", "language": null, "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": "50422", "language": "", "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "validiteetti", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "reliabiliteetti", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "amputaatio", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "proteesit", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "jalat", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "k\u00e4\u00e4nn\u00f6kset", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "liikuntakyky", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kuntoutus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "mittarit (mittaus)", "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.rights.accessrights", "value": "The author has not given permission to make the work publicly available electronically. Therefore the material can be read only at the archival workstation at Jyv\u00e4skyl\u00e4 University Library (https://kirjasto.jyu.fi/en/workspaces/facilities).", "language": "en", "element": "rights", "qualifier": "accessrights", "schema": "dc"}, {"key": "dc.rights.accessrights", "value": "Tekij\u00e4 ei ole antanut lupaa avoimeen julkaisuun, joten aineisto on luettavissa vain Jyv\u00e4skyl\u00e4n yliopiston kirjaston arkistoty\u00f6semalta. Ks. https://kirjasto.jyu.fi/fi/tyoskentelytilat/laitteet-ja-tilat..", "language": "fi", "element": "rights", "qualifier": "accessrights", "schema": "dc"}, {"key": "dc.type.okm", "value": "G2", "language": null, "element": "type", "qualifier": "okm", "schema": "dc"}]
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