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[{"key": "dc.contributor.advisor", "value": "Hautala, Arto", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Hiekkala, Sinikka", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Majam\u00e4ki, Kirsi", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2021-11-09T11:16:45Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2021-11-09T11:16:45Z", "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/123456789/78554", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Selk\u00e4ydinvamma vaikuttaa laajasti arjessa toimimiseen sek\u00e4 muihin el\u00e4m\u00e4n eri osa-alueisiin. Selk\u00e4ydinvammaisten henkil\u00f6iden toimintakyky\u00e4 ei ole tutkittu Suomessa laajasti. Selk\u00e4ydinvammaisille kohdennettujen toimintakykymittareiden valikoima on suppea ja niiden p\u00e4tevyys vaihtelee. Selk\u00e4ydinvammaisen henkil\u00f6n toimintakyvyn itsearviointimittari (The Spinal Cord Independence Measure- Self Report: SCIM-SR) on kehitetty tarkastelemaan juuri selk\u00e4ydinvammaisten henkil\u00f6iden toimintakyky\u00e4 selk\u00e4ydinvammaan liittyviss\u00e4 asioissa. Mittari painottuu fyysisen toimintakyvyn ulottuvuuksiin. SCIM-SR-mittari pisteytt\u00e4\u00e4 toimintakyky\u00e4 siten, ett\u00e4 100 pistett\u00e4 on maksimi ja samalla paras toimintakyky. Kolmen alaluokan pisteytykset jakautuvat seuraavasti: itsest\u00e4 huolehtiminen 0\u201320, hengitys ja sulkijalihaksen toiminta 0\u201340 ja liikkuminen 0\u201340. T\u00e4m\u00e4n tutkimuksen tavoitteena on kuvailla Suomessa asuvien selk\u00e4ydinvammaisten henkil\u00f6iden toimintakyky\u00e4 sek\u00e4 tutkia, miten ik\u00e4 ja sukupuoli sek\u00e4 selk\u00e4ydinvammaa kuvailevat tekij\u00e4t vamman vaikeusaste, etiologia tai vammautumisesta kulunut aika vaikuttavat SCIM-SR tuloksiin.\nTutkimus on osa selk\u00e4ydinvammaisten henkil\u00f6iden terveytt\u00e4 ja toimintakyky\u00e4 sek\u00e4 haasteita esteett\u00f6myydess\u00e4 tarkastelevaa the Finnish Spinal Cord Injury Study (FinSCI) tutkimusta. Tutkimukseen osallistuneiden tiedot ker\u00e4ttiin selk\u00e4ydinvammaisten henkil\u00f6iden hoitoon keskittyneiden kolmen yliopistollisen sairaalan rekisterien kautta. Sis\u00e4\u00e4nottokriteerein\u00e4 tutkimukseen olivat v\u00e4hint\u00e4\u00e4n 16 vuoden ik\u00e4, ei traumaattinen tai traumaattinen selk\u00e4ydinvamma ja vamman vaikeusaste luokitus The American Spinal Injury Association Impairment Scale, AIS A, B, C tai D. Kyselyn vastausprosentti oli 50 % (n=884).\nTutkimuksen tuloksia tarkasteltiin parametrisill\u00e4 testeill\u00e4. SCIM-SR:n (persentiili 25; 75) koko-naispistem\u00e4\u00e4r\u00e4n mediaani oli 76.0 (58.8; 89.0). Alaluokkien mediaanit olivat seuraavat: itsest\u00e4 huolehtiminen 18.0 (13.0; 20:0), hengitys ja sulkijalihaksen toiminta 33.0 (25.0; 39.0) ja liikkuminen 29.0 (16.0; 36.8). SCIM-SR:n korkeimmat pisteet ja samalla paras toimintakyky oli ryhm\u00e4ll\u00e4 AIS D. Ik\u00e4, traumaattinen selk\u00e4ydinvamma sek\u00e4 vammautumisesta kulunut aika oli-vat yhteydess\u00e4 heikompiin SCIM-SR pisteisiin.\nJohtop\u00e4\u00e4t\u00f6ksen\u00e4 voidaan todeta, ett\u00e4 mit\u00e4 korkeampi oli vammataso ryhmiss\u00e4 AIS A, B ja C, sit\u00e4 matalampi oli toimintakyky. Tulevaisuudessa on t\u00e4rke\u00e4\u00e4 m\u00e4\u00e4ritell\u00e4 SCIM-SR mittarille kansainv\u00e4liset viitearvot seurantatutkimuksen avulla.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2021-11-09T11:16:45Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2021-11-09T11:16:45Z (GMT). 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