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[{"key": "dc.contributor.advisor", "value": "Rantanen, Taina", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Nikander, Riku", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Kettula, Anne", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2022-08-11T07:15:18Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2022-08-11T07:15:18Z", "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/123456789/82464", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Kun akillesj\u00e4nne repe\u00e4\u00e4 \u00e4killisesti, liikkuminen loppuu v\u00e4litt\u00f6m\u00e4sti. Keski-ik\u00e4isten liikuntavammana tunnettu repe\u00e4m\u00e4 on lis\u00e4\u00e4ntynyt aktiivista arkea viett\u00e4vill\u00e4 60-80-vuotiailla ja ilmaantuvuus on miehill\u00e4 kolme kertaa yleisemp\u00e4\u00e4 kuin naisilla. I\u00e4kk\u00e4\u00e4t ohjautuvat konservatiiviseen hoitoon, mutta systemaattista ja n\u00e4ytt\u00f6\u00f6n perustuvaa kuntoutuksen sis\u00e4lt\u00f6\u00e4 ei ole tutkimuksilla osoitettu. T\u00e4ss\u00e4 pro gradu tutkielmassa selvitin, i\u00e4n, fysioterapiaohjauksen ja hoitomuotojen yhteytt\u00e4 akillesj\u00e4nteen repe\u00e4m\u00e4n j\u00e4lkeiseen toimintakykyyn ja fyysiseen aktiivisuuteen. \nKer\u00e4sin aineistoni postikyselyn\u00e4 vuonna 2019 Keski-Suomen sairaanhoitopiiriss\u00e4 akillesj\u00e4nteen repe\u00e4m\u00e4st\u00e4 vuosien 2009\u20132016 aikana hoidetuilta henkil\u00f6ilt\u00e4. Tutkimusaineistossa (n=184) oli miehi\u00e4 73 % ja naisia 27 %. Tutkittavien keski-ik\u00e4 oli 57 vuotta (14\u201389 vuotta). Vastemuuttujina olivat toimintakyvyn rajoitukset ja fyysinen aktiivisuus. Luokittelin kaksi ryhm\u00e4\u00e4 ATRS-kyselyss\u00e4 alaraajojen puolieron odotusarvon (85 %) perusteella ja Leppilahti kyselyss\u00e4 mediaanin perusteella. Suurempi pistem\u00e4\u00e4r\u00e4luokka kuvasi v\u00e4hemm\u00e4n toimintakyvyn rajoituksia (referenssi). UKK-Instituutin terveysliikuntasuosituksen mukaista kest\u00e4vyysliikuntaa ja lihasvoimaharjoittelua kartoittavasta kyselyst\u00e4 luokittelin, toteutuivatko (referenssi) suositukset reippaan liikunnan (2 tuntia 30 minuuttia viikossa) ja lihasvoimaharjoittelun (2 tuntia viikossa) osalta vai ei. Selitt\u00e4vi\u00e4 kategorisia muuttujia olivat konservatiivinen tai operatiivinen hoitomuoto (referenssi), riitt\u00e4v\u00e4 (referenssi) tai riitt\u00e4m\u00e4t\u00f6n fysioterapiaohjaus sek\u00e4 alle 57-vuotiaiden (referenssi) ja sit\u00e4 vanhempien luokat. Tilastollisina testein\u00e4 k\u00e4ytin ristiintaulukointia, Khiin neli\u00f6n -testi\u00e4 sek\u00e4 logistista bin\u00e4\u00e4rist\u00e4 regressioanalyysi\u00e4.\n\nTulosten mukaan hoidoilla, fysioterapiaohjauksella ja i\u00e4ll\u00e4 oli yhteytt\u00e4 toimintakyvyn rajoituksiin (ATRS-kysely: OR=2.751, 95 % CL=1.418\u20135.337, Leppilahti-kysely: OR=2.076, 95 % CL=1.111\u20133.880) sek\u00e4 fyysiseen aktiivisuuteen, selvimmin i\u00e4kk\u00e4\u00e4mpien ryhm\u00e4ss\u00e4 lihasvoimaharjoittelun suositusten mukaisessa toteutumatta j\u00e4\u00e4misess\u00e4 (OR=2.160, 95 % CL= 1.111\u20134.197). Toimintakyvyn rajoitusten riski kohosi kolminkertaiseksi konservatiivisen hoidon ja riitt\u00e4m\u00e4tt\u00f6m\u00e4n fysioterapiaohjauksen saaneilla (ATRS-kysely: OR= 3,092, 95 % CL= 1.381\u20136,925, Leppilahti-kysely: OR=3.355, 95 % CL=1.509\u20137.461) operatiivisen hoidon ja riitt\u00e4v\u00e4sti fysioterapiaohjausta saaneiden ryhm\u00e4\u00e4n verrattuna. \nAkillesj\u00e4nteen repe\u00e4m\u00e4st\u00e4 kuntoutuvat ik\u00e4\u00e4ntyv\u00e4t henkil\u00f6t n\u00e4ytt\u00e4isiv\u00e4t hy\u00f6tyv\u00e4n s\u00e4\u00e4nn\u00f6llisest\u00e4 fysioterapiaohjauksesta, jolla ehk\u00e4ist\u00e4\u00e4n toimintakyvyn rajoituksia ja liikkumattomuutta.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "When an Achilles tendon ruptures suddenly, mobility immediately ceases. Rupture, known as a mobility impairment in middle-aged people, is increased in people aged 60-80 years who lead an active daily life, and the incidence is three times higher in men than in women. Older people are referred to conservative treatment, but there is no systematic and evidence-based rehabilitation approach, which has been proven by studies. In this thesis, I investigated the relationship between age, physiotherapy treatment and treatment modalities on functional capacity and physical activity after rupture of the Achilles tendon.\n \nI collected my data through a postal survey in 2019 from people treated for an Achilles tendon rupture in the Central Finland Hospital District between 2009 and 2016. The survey data (n=184) consisted of 73% men and 27% women. The average age of the subjects was 57 years (14-89 years). The response variables were disability and physical activity. I classified the two groups according to the expected value of the lower limb half difference (85%) in the ATRS questionnaire and the median in the Leppilahti questionnaire. The higher score category reflected fewer functional limitations (reference). From the questionnaire mapping endurance exercise and muscular strength training according to the UKK-Institute's health physical activity recommendation, I classified whether (reference) the recommendations for brisk exercise (2 hours 30 minutes per week) and muscular strength training (2 hours per week) were met or not. Explanatory categorical variables were conservative or operative treatment modality (reference), adequate (reference) or inadequate physiotherapy guidance, and categories of under 57 years (reference) and older. Statistical tests used were cross tabulation, Chi-square test and logistic binary regression analysis.\n\nResults showed that treatments, physiotherapy supervision and age were associated with functional limitations (ATRS questionnaire: OR=2.751, 95% CL=1.418-5.337, Leppilahti questionnaire: OR=2.076, 95% CL=1.111-3.880) and physical activity, most clearly in the older group in terms of failure to comply with recommended muscle strength training (OR=2.160, 95 % CL= 1.111\u20134.197). The risk of functional limitation increased threefold in the group receiving conservative treatment and inadequate physiotherapy (ATRS: OR= 3.092, 95% CL= 1.381-6.925, Leppilahti: OR=3.355, 95% CL=1.509-7.461) compared to the group receiving operative treatment and adequate physiotherapy. \nOlder people recovering from Achilles tendon rupture appear to benefit from regular physiotherapy to prevent functional limitations and immobility.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2022-08-11T07:15:18Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2022-08-11T07:15:18Z (GMT). No. of bitstreams: 0\n Previous issue date: 2022", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "53", "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": "akillesj\u00e4nteen repe\u00e4m\u00e4", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "toimintakyvyn rajoitus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "fysioterapiaohjaus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "I\u00e4n, fysioterapiaohjauksen ja hoitomuotojen yhteys akillesj\u00e4nteen repe\u00e4m\u00e4n j\u00e4lkeiseen toimintakykyyn ja fyysiseen aktiivisuuteen : kliininen seurantatutkimus", "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-202208114011", "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": 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"dc.subject.yso", "value": "kantaj\u00e4nne", "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.subject.yso", "value": "urheiluvammat", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "vammat", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "konservatiivinen hoito", "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, 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