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[{"key": "dc.contributor.advisor", "value": "Sipil\u00e4, Sarianna", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Komulainen, Taru", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2022-06-13T06:17:01Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2022-06-13T06:17:01Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2022", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/81652", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Ik\u00e4\u00e4ntyneiden henkil\u00f6iden terveytt\u00e4, toimintakyky\u00e4 ja el\u00e4m\u00e4nlaatua heikent\u00e4v\u00e4t kaatumistapaturmat ja lonkkamurtumat, joiden seurauksena liikkumiskyky saattaa j\u00e4\u00e4d\u00e4 pysyv\u00e4sti heikommaksi ja avuntarve lis\u00e4\u00e4nty\u00e4. Lonkkamurtuman j\u00e4lkeist\u00e4 kuntoutusta on tutkittu laajasti, mutta tulokset vaikuttavuudesta ovat ristiriitaisia. Ik\u00e4\u00e4ntyneiden henkil\u00f6iden kokemusta kuntoutuksesta ei ole juurikaan tutkittu. T\u00e4m\u00e4 tutkielma selvitti lonkkamurtuman saaneiden ik\u00e4\u00e4ntyneiden henkil\u00f6iden kokemuksia vuoden kest\u00e4neest\u00e4 avokuntoutusohjelmasta ja kokemuksen yhteytt\u00e4 liikkumiskyvyn muutokseen intervention aikana. \n\nT\u00e4m\u00e4 tutkielma on alaryhm\u00e4 analyysi \u201cPromoting mobility after hip fracture\u201d (ProMo) -tutkimuksen aineistosta. ProMo- tutkimuksessa tarkasteltiin kotikuntoutuksen vaikutuksia liikkumiskyvyn palautumiseen murtuman j\u00e4lkeen. Tutkittavat olivat kotona asuvia yli 60-vuotiaita lonkkamurtumapotilaita. Laitoksessa asuvat, vakavasti sairaat, runsaasti alkoholia k\u00e4ytt\u00e4v\u00e4t sek\u00e4 masentuneet henkil\u00f6t suljettiin pois tutkimuksesta. Tutkittavat satunnaistettiin alkumittausten j\u00e4lkeen interventioryhm\u00e4\u00e4n (n=40) ja kontrolliryhm\u00e4\u00e4n (n=41). Fysioterapeutin kotik\u00e4yntein\u00e4 toteutettu interventio koostui fyysisist\u00e4 harjoitteista, kivunhallinnasta, ymp\u00e4rist\u00f6tekij\u00f6iden muokkaamisesta sek\u00e4 turvallisen k\u00e4velyn ohjauksesta. \n\nInterventioryhm\u00e4lt\u00e4 kysyttiin strukturoidulla kyselylomakkeella kokemuksia ProMo-avokuntoutusohjelmasta, sek\u00e4 fysioterapeutin kotik\u00e4ynnill\u00e4 antamasta ohjauksesta koskien voima-, liikkuvuus-, tasapaino- ja toiminnallisia harjoitteita sek\u00e4 puhelimessa k\u00e4ydyist\u00e4 keskusteluista. Interventioryhm\u00e4l\u00e4isten vastauksissa havaittiin eroja nelj\u00e4n kysymyksen vastauksissa. N\u00e4m\u00e4 erot n\u00e4kyiv\u00e4t kokemuksissa kotik\u00e4yntien m\u00e4\u00e4r\u00e4st\u00e4, liikuntasopimuksen noudattamisessa, liikkumiskyvyn palautumisesta sek\u00e4 luottamuksen lis\u00e4\u00e4ntymisest\u00e4 omiin liikkumiskykyihin vuoden avokuntoutusohjelman j\u00e4lkeen. Kokemuksesta saatua tietoa verrattiin lyhyen fyysisen suorituskyvyn testin tuloksen muutokseen avokuntoutusohjelman aikana (SPPB-suorituskykytestist\u00f6). SPPB- suorituskykytestist\u00f6n tulosta verrattiin avokuntoutusohjelman hyv\u00e4n\u00e4 tai huonona kokeneiden sek\u00e4 kontrolliryhm\u00e4n kesken yksisuuntaisella varianssianalyysill\u00e4 (One-Way Anova). \n\nInterventioryhm\u00e4l\u00e4iset kokivat ProMo- avokuntoutusohjelman positiivisena. Seitsem\u00e4nkymment\u00e4 prosenttia interventioryhm\u00e4l\u00e4isist\u00e4 koki luottamuksen lis\u00e4\u00e4ntyneen omiin kykyihin harrastaa jokap\u00e4iv\u00e4ist\u00e4 liikuntaa vuoden ProMo- avokuntoutusohjelman aikana. He paransivat SPPB- suorituskykytestist\u00f6n tulosta l\u00e4hes kaksi pistett\u00e4 enemm\u00e4n alku- ja loppumittausten v\u00e4lill\u00e4 verrattuna niihin, jotka kokivat, ettei luottamus omiin liikkumiskykyihin lis\u00e4\u00e4ntynyt. Kontrolliryhm\u00e4\u00e4n verrattuna interventioryhm\u00e4l\u00e4isten SPPB- suorituskykytestist\u00f6n alku- ja loppumittaustulos parani yhden pisteen niill\u00e4, jotka kokivat luottamuksen lis\u00e4\u00e4ntyneen kykyyn harrastaa jokap\u00e4iv\u00e4ist\u00e4 liikuntaa. Ero on tilastollisesti merkitsev\u00e4 (p=0.041). Osa tutkittavista koki, ett\u00e4 kotik\u00e4yntej\u00e4 oli liian v\u00e4h\u00e4n, mutta t\u00e4ll\u00e4 ei ollut tilastollisesti merkitsev\u00e4\u00e4 yhteytt\u00e4 liikkumiskyvyn palautumiseen kotik\u00e4yntien m\u00e4\u00e4r\u00e4n riitt\u00e4v\u00e4ksi kokeneihin tai kontrolliryhm\u00e4\u00e4n verrattuna (p=0.074). Keskim\u00e4\u00e4r\u00e4inen SPPB - suorituskykytestist\u00f6n pistem\u00e4\u00e4r\u00e4n muutos ei eronnut tilastollisesti merkitsev\u00e4sti liikuntasopimusta noudattaneiden (p=0.221) tai liikuntakyvyn palauttaneiden (p=0.127) v\u00e4lill\u00e4.\n\nJohtop\u00e4\u00e4t\u00f6ksen\u00e4 voidaan todeta, ett\u00e4 vuoden kest\u00e4nyt avokuntoutusohjelma lonkkamurtuman j\u00e4lkeen koetaan positiivisena ja interventio lis\u00e4\u00e4 ik\u00e4\u00e4ntyneiden henkil\u00f6iden luottamusta omaan liikkumiskykyyn ja parantaa alaraajojen suorituskyky\u00e4 SPPB- suorituskykytestist\u00f6ll\u00e4 mitattuna.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "As people age, fall accidents and hip fractures can impair elderly people\u2019s health, functional ability, and quality of life. After a fracture, functional ability might stay weaker permanently than before hip fracture and then the need for help increases. Rehabilitation after hip fracture has been investigated widely, but the results on effectiveness are contradictory. There is little research on the experience of the elderly. The aim of this study was to investigate the experience of a one-year long rehabilitation intervention and the impact of experience on mobility of elderly persons who have had a hip fracture.\n\nThis study is a part of the research project \u201cPromoting mobility after hip fracture\u201d (ProMo) investigating the effect of home rehabilitation among over 60-years-old hip fracture patients. People living in institutions, seriously ill, alcoholics or who are depressed, were excluded from the study. After the baseline measurements the subjects were randomly assigned into the intervention (n = 40) and to the control (n = 41) group. The intervention consisted of physical exercises, balance, muscle strength and walking exercises, pain management, modifying environmental factors and advice on safe walking. \n\nThe intervention group was asked, on a structured questionnaire, about the experience of the ProMo- outpatient rehabilitation programme and the guidance given by a physiotherapist during a home visit regarding strength, mobility, balance and functional exercises and discussions on the phone. Differences in the replies of the intervention team members were found in the answers to the four questions. These differences were reflected in the experience of the number of home visits, compliance with the sports contract, the restoration of mobility and increased confidence in one's own mobility abilities after a year of rehabilitation intervention. Experience data were compared with a change in the result of a short physical performance test during intervention (SPPB test set). The result of the SPPB test was compared between those who experienced the rehabilitation intervention as good or bad and the control group with a one-way variance analysis (One-Way Anova). \n\nProMo-intervention group had a positive experience from a year-long intervention. 70 per cent of the intervention group felt that confidence increased in their own ability to exercise daily during the one-year intervention period. Relying on one's own mobility improved the restoration of the mobility of intervention group members compared to the control group, i.e. those who did not experience improved mobility or the control group (p=0.041). Some of the subjects felt that there were too few home visits, but this did not have a statistically significant connection to the restoration of mobility compared to those who experienced the number of home visits or the control group (p=0.074). Statistically, the average change in SPPB score did not differ significantly between those who had complied with the sports agreement (p=0.221) or those who restored mobility (p=0.127).\n\nIn conclusion, the one-year long rehabilitation after hip fracture can have a positive impact increasing the confidence of the elderly in their own mobility and improving physical performance as measured by the SPPB test.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Miia Hakanen (mihakane@jyu.fi) on 2022-06-13T06:17:01Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2022-06-13T06:17:01Z (GMT). No. of bitstreams: 0\n Previous issue date: 2022", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "55", "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": "lonkkamurtuma", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "liikkumiskyky", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Ik\u00e4\u00e4ntyneiden henkil\u00f6iden kokemus avokuntoutusohjelmasta ja kokemuksen yhteys liikkumiskykyyn lonkkamurtuman j\u00e4lkeen", "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-202206133261", "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", 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