0000000000041254

AUTHOR

Marja Arkela

showing 7 related works from this author

Effects of a Rehabilitation Program on Perceived Environmental Barriers in Older Patients Recovering from Hip Fracture: A Randomized Controlled Trial

2013

Objectives. To study effects of a one-year multicomponent intervention on perceived environmental barriers in hip fracture patients.Design. Randomized controlled trial of a 12-month home-based rehabilitation aiming to improve mobility and function (ISRCTN53680197); secondary analyses.Subjects. Community-dwelling hip fracture patients on average 70 days after trauma (n=81).Methods. Assessments at baseline, 3, 6, and 12 months later included perceived entrance-related barriers (e.g., indoor/outdoor stairs, lighting, floor surfaces, and storage for mobility devices) and perceived barriers in the outdoor environment (poor street condition, hilly terrain, long-distances, and lack of resting plac…

medicine.medical_specialtyMultivariate analysisTime FactorsympäristöArticle Subjectmedicine.medical_treatmentPsychological interventionlcsh:MedicineEnvironmentGeneral Biochemistry Genetics and Molecular Biologylaw.inventionfemoral fracturePhysical medicine and rehabilitationStairsOlder patientsRandomized controlled triallawmedicineta319HumansAgedAged 80 and overHip fractureRehabilitationGeneral Immunology and Microbiologybusiness.industryHip Fractureskotikuntoutuslcsh:RagingCase-control studyGeneral Medicinemedicine.diseaseikääntyminensaavutettavuusCase-Control StudiesMultivariate AnalysisPhysical therapyClinical Studykuntoutuslonkkamurtumaesteettömyys ja saavutettavuusbusinessBioMed Research International
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Physical Activity After a Hip Fracture: Effect of a Multicomponent Home-Based Rehabilitation Program—A Secondary Analysis of a Randomized Controlled …

2017

Objectives To investigate the effect of a yearlong multicomponent rehabilitation program on the level of physical activity (PA) and the maintenance of the level of PA over 1-year follow-up among older people recovering from a recent hip fracture. Design Secondary analysis of a randomized, controlled, parallel-group trial. Setting Home-based rehabilitation; measurements in university laboratory. Participants Community-dwelling people (N=81) aged ≥60 years recovering from a hip fracture. Participants were randomly assigned to an intervention (n=40) or a control (n=41) group, on average, 42±23 days after discharge from the hospital. Intervention A yearlong intervention included evaluation and …

CounselingMalemedicine.medical_specialtymedicine.medical_treatmentphysical activityPhysical Therapy Sports Therapy and RehabilitationWalkingGeelaw.invention03 medical and health sciences0302 clinical medicinePhysical medicine and rehabilitationRandomized controlled triallawIntervention (counseling)Activities of Daily LivingmedicineHumans030212 general & internal medicineMobility LimitationExerciseGeneralized estimating equationta316AgedAged 80 and overHip fractureRehabilitationMini–Mental State Examinationmedicine.diagnostic_testHip Fracturesbusiness.industryRehabilitationta3141Odds ratiomedicine.diseaseHome Care ServiceslonkkamurtumatExercise Therapyhip fractureHip fracturesPhysical therapyPatient CompliancekuntoutusFemalebusinessfyysinen aktiivisuus030217 neurology & neurosurgeryArchives of Physical Medicine and Rehabilitation
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Effects of a Home-Based Physical Rehabilitation Program on Physical Disability After Hip Fracture: A Randomized Controlled Trial

2015

Abstract Objective Fewer than half of the patients with hip fracture will regain the prefracture level of physical functioning. This secondary analysis of a randomized controlled trial investigated the effects of a multicomponent home-based rehabilitation program (ProMo) on physical disability after hip fracture. Design Randomized, controlled, parallel-group trial. Setting Rehabilitation in participants' homes; measurements in university-based laboratory and local hospital. Participants Population-based clinical sample of community-dwelling people older than 60 years (n = 81) operated for hip fracture were randomized into intervention and control groups. Intervention The year-long intervent…

Malemedicine.medical_specialtyPhysical disabilityActivities of daily livingADLmedicine.medical_treatmentPopulationproximal femoral fractureWalkingRisk AssessmentGeelaw.inventionDisability EvaluationInjury Severity ScorePhysical medicine and rehabilitationRandomized controlled triallawActivities of Daily LivingmedicineHumansMobility LimitationeducationGeriatric AssessmentIADLPhysical Therapy ModalitiesGeneral NursingAgedAged 80 and overHip fractureeducation.field_of_studyRehabilitationHip Fracturesbusiness.industryHealth Policyta3141Recovery of FunctionGeneral MedicineMiddle Agedmedicine.diseaseHome Care ServicesPatient Outcome AssessmentTreatment OutcomeSample size determinationPhysical therapyFemaleGeriatrics and GerontologybusinessFollow-Up StudiesJournal of the American Medical Directors Association
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Effects of a multicomponent home-based physical rehabilitation program on mobility recovery after hip fracture: a randomized controlled trial.

2013

To investigate whether a home-based rehabilitation program for community-dwelling older people with recent hip fracture is more effective than standard care in improving mobility recovery and reducing disability.Randomized, controlled, parallel-group trial.Rehabilitation in participants' homes; measurements in university-based laboratory and local hospital.Clinical population of community-dwelling men and women (aged 60+) recovering from hip fracture. Participants were randomly assigned into control (n = 41) or intervention (n = 40) groups on average 42 ± 23 days after discharge home.A yearlong multicomponent home-based rehabilitation aimed at promoting mobility recovery and physical functi…

Malemedicine.medical_specialtymedicine.medical_treatmentPopulationlaw.inventionPhysical medicine and rehabilitationStairsRandomized controlled triallawIntervention (counseling)Outcome Assessment Health CaremedicineHumansMobility LimitationeducationGeneral NursingAgedAged 80 and overeducation.field_of_studyHip fractureRehabilitationbusiness.industryHip FracturesHealth PolicyRepeated measures designta3141General Medicinemedicine.diseaseHome Care ServicesBerg Balance ScalePhysical therapyFemaleGeriatrics and GerontologybusinessFollow-Up StudiesJournal of the American Medical Directors Association
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Recovery of Lower Extremity Performance After Hip Fracture Depends on Prefracture and Postdischarge Mobility : A Subgroup Analysis of a Randomized Re…

2016

Malemedicine.medical_specialtymedicine.medical_treatmentSubgroup analysisrehabilitation03 medical and health sciences0302 clinical medicinePhysical medicine and rehabilitationActivities of Daily LivingmedicineHumans030212 general & internal medicineAgedRandomized Controlled Trials as TopicAged 80 and overHip fractureRehabilitationHip Fracturesbusiness.industryta3141Recovery of FunctionMiddle Agedmedicine.diseasemobilityhip fracturePhysical therapylower extremityFemaleGeriatrics and Gerontologybusiness030217 neurology & neurosurgeryperformanceJournal of the American Geriatrics Society
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Effects of a Home‐Based Physical Rehabilitation Program on Tibial Bone Structure, Density, and Strength After Hip Fracture: A Secondary Analysis of a…

2019

Abstract Weight‐bearing physical activity may decrease or prevent bone deterioration after hip fracture. This study investigated the effects of a home‐based physical rehabilitation program on tibial bone traits in older hip fracture patients. A population‐based clinical sample of men and women operated for hip fracture (mean age 80 years, 78% women) was randomly assigned into an intervention (n = 40) and a standard care control group (n = 41) on average 10 weeks postfracture. The intervention group participated in a 12‐month home‐based rehabilitation intervention, including evaluation and modification of environmental hazards, guidance for safe walking, nonpharmacological pain management, m…

Orthopedic surgeryluustoINJURY/FRACTURE HEALINGexerciseagingluuEXERCISEDiseases of the musculoskeletal systemOriginal ArticlesliikuntaAGINGikääntyminenmurtumatRC925-935BONE QCT/μCTkliiniset kokeetOriginal ArticleRD701-811injury/fracture healingCLINICAL TRIALSJBMR Plus
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Physical activity after a hip fracture : effect of a multicomponent home-based rehabilitation program - a secondary analysis of a randomized controll…

2017

Objectives To investigate the effect of a yearlong multicomponent rehabilitation program on the level of physical activity (PA) and the maintenance of the level of PA over 1-year follow-up among older people recovering from a recent hip fracture. Design Secondary analysis of a randomized, controlled, parallel-group trial. Setting Home-based rehabilitation; measurements in university laboratory. Participants Community-dwelling people (N=81) aged ≥60 years recovering from a hip fracture. Participants were randomly assigned to an intervention (n=40) or a control (n=41) group, on average, 42±23 days after discharge from the hospital. Intervention A yearlong intervention included evaluation and …

hip fracturephysical activitykuntoutuslonkkamurtumatfyysinen aktiivisuus
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