| fullrecord |
[{"key": "dc.contributor.advisor", "value": "Nikander, Riku", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Salo, Sira", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2019-06-20T06:12:14Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2019-06-20T06:12:14Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2019", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/64739", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Kognitio ja liikkumiskyky heikkenev\u00e4t ik\u00e4\u00e4ntyess\u00e4. Kognition osa-alueista erityisesti toiminnanohjausta tarvitaan tavoitteelliseen toimintaan ja sujuvaan liikkumiseen. T\u00e4m\u00e4n tutkimuksen tarkoituksena oli selvitt\u00e4\u00e4, onko kotona asuvien ik\u00e4\u00e4ntyneiden henkil\u00f6iden toiminnanohjauksen ja liikkumiskyvyn v\u00e4lill\u00e4 yhteytt\u00e4 sairaalajakson j\u00e4lkeen.\n\nTutkimuksessa hy\u00f6dynnettiin I\u00e4kk\u00e4iden kuntoutujien fyysisen aktiivisuuden edist\u00e4minen (Promotion of physical activity, ProPa) -tutkimuksen aineistoa. Toiminnanohjausta arvioitiin Trail Making Test (TMT) -testill\u00e4 alkutilanteessa ja liikkumiskyky\u00e4 Short Physical Performance Battery (SPPB) -testist\u00f6ll\u00e4 alkutilanteessa sek\u00e4 3 ja 6 kuukauden kohdalla. Ryhmien v\u00e4lisi\u00e4 eroja tarkasteltiin yksisuuntaisella varianssianalyysill\u00e4, ristiintaulukoinnilla (\u03c72) ja Kruskal-Wallisin testill\u00e4. Toiminnanohjauksen ja liikkumiskyvyn yhteytt\u00e4 tarkasteltiin poikkileikkaus- ja pitkitt\u00e4isasetelmassa lineaarisella regressioanalyysill\u00e4 ja General Estimating Equation (GEE) -analyysill\u00e4.\n\nTutkittavat (n=100) olivat i\u00e4kk\u00e4it\u00e4 (keski-ik\u00e4 79.4 \u00b1 8.1 vuotta) ja liikkumiskyvylt\u00e4\u00e4n heikkokuntoisia (keskim\u00e4\u00e4r\u00e4inen SPPB-tulos kaikissa aikapisteiss\u00e4 <7 pistett\u00e4). Tutkittavien MMSE-testin keskiarvo oli 25.6 (\u00b1 2.6) pistett\u00e4. Heikko toiminnanohjaus oli yhteydess\u00e4 heikompaan liikkumiskykyyn sek\u00e4 alkutilanteessa ett\u00e4 seurannassa (p\u22640.01). Seurannassa liikkumiskyky parani kaikissa ryhmiss\u00e4, ja aika (p<0.001) sek\u00e4 ik\u00e4 (p=0.004) olivat yhteydess\u00e4 liikkumiskyvyn muutokseen. Heikon toiminnanohjauksen ryhm\u00e4 paransi SPPB-summapistem\u00e4\u00e4r\u00e4\u00e4 keskim\u00e4\u00e4rin 1.4 pistett\u00e4 v\u00e4hemm\u00e4n verrattuna hyv\u00e4n toiminnanohjauksen ryhm\u00e4\u00e4n alku- ja loppumittauksen v\u00e4lill\u00e4 (p=0.009). Vakioidussa mallissa toiminnanohjaus oli vahvemmin yhteydess\u00e4 liikkumiskyvyn vaihteluun 6 kuukauden kohdalla (\u03b2=-0.240, p=0.033) kuin alkutilanteessa (\u03b2=-0.225, p=0.041), ja malli selitti liikkumiskyvyn vaihtelusta lopputilanteessa enemm\u00e4n (34 %, p<0.001) verrattuna alkutilanteeseen (25 %, p<0.001). \n\nTutkimuksen johtop\u00e4\u00e4t\u00f6ksen\u00e4 todetaan, ett\u00e4 toiminnanohjaus ja liikkumiskyky ovat yhteydess\u00e4 toisiinsa. On suositeltavaa, ett\u00e4 heikon toiminnanohjauksen omaavat ik\u00e4\u00e4ntyneet henkil\u00f6t tunnistetaan sairaalavaiheessa ja selvitet\u00e4\u00e4n, mill\u00e4 tavoin heid\u00e4n kuntoutumistaan tuetaan optimaalisella tavalla. Lis\u00e4ksi, ik\u00e4\u00e4ntyneen v\u00e4est\u00f6n toiminnanvajavuuksien ennaltaehk\u00e4isemiseksi tulisi reagoida kognitiivisten toimintojen heikkenemiseen riitt\u00e4v\u00e4n aikaisessa vaiheessa.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Declines in cognitive function and mobility are associated with ageing. Executive function (EF) which is a subdomain of cognitive functions, plays an important role in purposeful actions and mobility. The present study aimed to investigate whether EF and mobility are associated in community-dwelling older adults after hospitalization. \n\nThe data was a part of Promotion of physical activity (ProPa) -study. EF was measured with the Trail Making Test (TMT) at baseline. Mobility was assessed with the Short Physical Performance Battery (SPPB) at baseline and after three and six months. Comparison between the groups was performed with one-way analysis of variance, cross-tabulation (\u03c72) and Kruskal-Wallis test. The cross-sectional and longitudinal associations between EF and mobility were examined with linear regression analysis and by constructing a General Estimation Equation (GEE) model.\n\nParticipants (n=100) were at old age (mean age 79.4 \u00b1 8.1 years) and they had decreased mobility (SPPB score on average <7 points at baseline and follow-up). The mean MMSE score was 25.6 (\u00b1 2.6). Poor EF was associated with poorer mobility at baseline and follow-up (p\u22640.01). During follow-up, mobility increased in all groups, and time (p<0.001) as well as age (p=0.004) were associated with the rate of change in mobility. Compared to individuals with good EF, those with poor EF increased their SPPB score on average 1.4 points less between baseline and 6 months follow-up (p=0.009). EF was more strongly associated with the explained variability in mobility at 6 months follow-up (\u03b2=-0.240, p=0.033) compared to baseline (\u03b2=-0.225, p=0.041) in the adjusted model. The explained variability in mobility at 6 months follow-up was higher (34 %, p<0.001) compared to baseline (25 %, p<0.001).\n\nWe conclude that there is an association between EF and mobility. Thus, we recommend that older people with poor EF should be identified during hospitalization and examined how their physical function can be enhanced optimally during rehabilitation. Moreover it is important to react to cognitive decline in an early stage in order to prevent functional limitation among older people.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2019-06-20T06:12:14Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2019-06-20T06:12:14Z (GMT). No. of bitstreams: 0\n Previous issue date: 2019", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "71", "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.title", "value": "Kognitiivisen toiminnanohjauksen ja liikkumiskyvyn yhteys ik\u00e4\u00e4ntyneill\u00e4 henkil\u00f6ill\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-201906203326", "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": "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": "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": 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": "50423", "language": "", "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "liikuntakyky", "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.subject.yso", "value": "kognitio", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "toiminnanohjaus (psykologia)", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "ik\u00e4\u00e4ntyminen", "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"}]
|