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[{"key": "dc.contributor.advisor", "value": "Nikander, Riku", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Edgren, Johanna", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Tiilikainen, Ira", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2021-05-31T17:05:47Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2021-05-31T17:05:47Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2021", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/76095", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "K\u00e4velykepin k\u00e4yt\u00f6n ja kaatumisten v\u00e4list\u00e4 yhteytt\u00e4 on tutkittu v\u00e4h\u00e4n ja niiden yhteys on ep\u00e4selv\u00e4. Alustavaa tieteellist\u00e4 n\u00e4ytt\u00f6\u00e4 on olemassa k\u00e4velykepin liikkumista tasapainottavasta ja kaatumiselta suojaavasta vaikutuksesta, mutta toisaalta my\u00f6s sen tasapainoa h\u00e4iritsev\u00e4st\u00e4 ja kaatumisia lis\u00e4\u00e4v\u00e4st\u00e4 vaikutuksesta. K\u00e4velykepin k\u00e4ytt\u00e4j\u00e4t ovat my\u00f6s olleet huolestuneempia kaatumisesta kuin ne, jotka eiv\u00e4t k\u00e4yt\u00e4 k\u00e4velykeppi\u00e4. T\u00e4m\u00e4n tutkimuksen tarkoituksena oli selvitt\u00e4\u00e4, onko edelt\u00e4v\u00e4n vuoden aikana tapahtuneella kaatumisella yhteytt\u00e4 k\u00e4velykepin k\u00e4ytt\u00f6\u00f6n yli 65-vuotiailla. Lis\u00e4ksi selvitettiin, mitk\u00e4 muut tekij\u00e4t selittiv\u00e4t k\u00e4velykepin k\u00e4ytt\u00f6\u00e4. \n\nT\u00e4m\u00e4n pro gradu -tutkielman aineisto on osa Terveysneuvonta i\u00e4kk\u00e4iden henkil\u00f6iden fyysisen aktiivisuuden ja elinpiirin laajuuden edist\u00e4misess\u00e4 ja kaatumisten ehk\u00e4isyss\u00e4 (COSMOS, ISRCTN65406039) -tutkimusta. Tutkielmassa k\u00e4ytettiin COSMOS-tutkimuksen alkumittauksissa kertynytt\u00e4 poikkileikkausaineistoa (n=345). P\u00e4\u00e4vastemuuttujana tutkimuksessa oli k\u00e4velykepin k\u00e4ytt\u00f6. Selitt\u00e4vin\u00e4 tekij\u00f6in\u00e4 olivat kaatuminen, fyysinen aktiivisuus, toimintakyky, kaatumisen pelko, n\u00e4k\u00f6kyky ja 2km:n k\u00e4vely. Tilastollisia eroja k\u00e4velykepin k\u00e4ytt\u00e4jien ja ei-k\u00e4ytt\u00e4jien v\u00e4lill\u00e4 vertailtiin ristiintaulukoinnilla, \u03c7\u00b2-testill\u00e4 ja Kruskall Wallis -testill\u00e4. Edelt\u00e4v\u00e4n vuoden aikana tapahtuneen kaatumisen ja muiden tekij\u00f6iden yhteytt\u00e4 k\u00e4velykepin k\u00e4ytt\u00f6\u00f6n tarkasteltiin logistisella regressioanalyysill\u00e4. \n\nTulosten mukaan edelt\u00e4v\u00e4n vuoden aikana tapahtuneella kaatumisella (vakioituna i\u00e4ll\u00e4, sukupuolella ja asumismuodolla) ei ollut yhteytt\u00e4 k\u00e4velykepin k\u00e4ytt\u00f6\u00f6n (OR 1.53; 95%CI 0.72-3.25). Sen sijaan k\u00e4velykepin k\u00e4ytt\u00f6\u00f6n oli yhteydess\u00e4 se, ettei pystynyt arvionsa mukaan k\u00e4velem\u00e4\u00e4n 2 kilometri\u00e4 (OR 12.79; 95%CI 4.27-38.30), pelk\u00e4si kaatumista (OR 2.40; 95%CI 1.07-5.37) ja n\u00e4k\u00f6kyky rajoitti liikkumista (OR 2.36; 95%CI 1.05-5.29). \n\nK\u00e4velykepin k\u00e4ytt\u00f6 oli selv\u00e4sti todenn\u00e4k\u00f6isemp\u00e4\u00e4 liikkumiskyvyn rajoitteita raportoivien joukossa ja jonkin verran todenn\u00e4k\u00f6isemp\u00e4\u00e4 kaatumista pelk\u00e4\u00e4vien ja n\u00e4k\u00f6kyvyn rajoitteita kokevien joukossa kuin niiden yli 65-vuotiaiden ryhm\u00e4ss\u00e4, joilla ei ollut koettua liikkumiskyvyn rajoitetta, kaatumisen pelkoa tai n\u00e4k\u00f6kyvyn haittaa. On mahdollista, ett\u00e4 k\u00e4velykepin k\u00e4ytt\u00f6 onkin osoitus kaatumisen riskitekij\u00f6iden olemassaolosta, eik\u00e4 kaatumishistoriasta. Siksi on pohdittava t\u00e4m\u00e4n kaatumiselle alttiin ryhm\u00e4n yksil\u00f6llisten kaatumisen riskitekij\u00f6iden tarkemman arvioinnin tarvetta ja kaatumisen ehk\u00e4isyn hy\u00f6dyllisyytt\u00e4 esimerkiksi liikkumiskyky\u00e4 harjoittamalla.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "The association between the use of walking stick and falls has been little studied and their association is unclear. There is preliminary scientific evidence that a walking stick can\nimprove balance. In contrast, it may also weaken balance and thus contribute to falling. Walking stick users have also been more worried about falling than non-users. The purpose of this study was to determine whether the fall in the past year was related to the use of the walking stick in people over 65 years of age. In addition, other factors that explained the use of the walking stick were investigated.\n\nThe data of this Master thesis is part of a research called Physical Activity, Life-Space Mobility and Falls Prevention in Old Age (COSMOS, ISRCTN65406039). The cross-sectional data (n=345) was collected from initial interviews collected by a nurse. In this Master thesis\u2019 research dependent variable was use of walking stick and independent variables were fall, physical activity, performance, fear of falling, vision and 2 kilometers walk. Statistical differences between walking stick users and non-users were compared by cross-tabulation, \u03c7\u00b2 test, and Kruskall Wallis\u2019 test. Associations between fall of previous year and other factors in use of walking stick were examined by logistic regression analysis.\n\nAccording to the results, the fall in the past year (adjusted by age, sex, and form of living) had no association with walking stick use (OR 1.53; 95% CI 0.72-3.25). Instead, the use of walking stick was associated with an inability to walk 2 kilometers (OR 12.79; 95% CI 4.27-38.30), fear of falling (OR 2.40; 95% CI 1.07-5.37), and limited vision (OR 2.36; 95% CI 1.05-5.29).\n\nThe use of walking stick was significantly more likely to be reported by those with mobility disabilities and somewhat more likely by those with fear of falling or visual impairments compared with those over 65 years of age who had no perceived disability, fear of falling, or visual impairment. It is possible that the use of walking stick is an indication of the existence of risk factors for falling but not of the actual falling history. Therefore, it is necessary to consider the need for a more accurate assessment of the individual\u2019s risk factors and the usefulness of exercises that can prevent falls.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2021-05-31T17:05:47Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2021-05-31T17:05:47Z (GMT). No. of bitstreams: 0\n Previous issue date: 2021", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "62", "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": "liikkumisen apuv\u00e4line", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Edelt\u00e4v\u00e4n vuoden aikana tapahtuneen kaatumisen yhteys k\u00e4velykepin k\u00e4ytt\u00f6\u00f6n yli 65-vuotiailla", "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-202105313337", "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": "ik\u00e4\u00e4ntyneet", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kaatuminen", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "k\u00e4vely", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "k\u00e4velykepit", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "apuv\u00e4lineet", "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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