0000000000125448

AUTHOR

Jyrki A. Kettunen

showing 8 related works from this author

Knee arthroscopy and exercise versus exercise only for chronic patellofemoral pain syndrome: a randomized controlled trial.

2007

Abstract Background Arthroscopy is often used to treat patients with chronic patellofemoral pain syndrome (PFPS). As there is a lack of evidence, we conducted a randomized controlled trial to study the efficacy of arthroscopy in patients with chronic PFPS. Methods A total of 56 patients with chronic PFPS were randomized into two treatment groups: an arthroscopy group (N = 28), treated with knee arthroscopy and an 8-week home exercise program, and a control group (N = 28), treated with the 8-week home exercise program only. The arthroscopy included finding-specific surgical procedures according to current recommendations. The primary outcome was the Kujala score on patellofemoral pain and fu…

AdultMalemedicine.medical_specialtyRandomizationAdolescentKnee JointVisual analogue scalelcsh:Medicinelaw.inventionArthroscopyRandomized controlled triallawmedicineHumansPhysical Therapy ModalitiesMedicine(all)Knee arthroscopymedicine.diagnostic_testbusiness.industryArthroscopylcsh:RCase-control studyGeneral MedicineHealth Care Costsmedicine.diseaseConfidence intervalExercise TherapyTreatment OutcomePatellofemoral Pain SyndromeCase-Control StudiesPhysical therapyFemalebusinessDelivery of Health CarePatellofemoral pain syndromeFollow-Up StudiesResearch ArticleBMC medicine
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Mobility and muscle strength in male former elite endurance and power athletes aged 66−91 years

2017

The aim of this cross-sectional study was to compare mobility and muscle strength in male former elite endurance and power athletes aged 66-91 years (n = 150; 50 men in both former elite athlete groups and in their control group). Agility, dynamic balance, walking speed, chair stand, self-rated balance confidence (ABC-scale), jumping height, and handgrip strength were assessed. Former elite power athletes had better agility performance time than the controls (age- and body mass index, BMI-adjusted mean difference -3.6 s; 95% CI -6.3, -0.8). Adjustment for current leisure time physical activity (LTPA) and prevalence of diseases made this difference non-significant (P = 0.214). The subjects i…

MaleAgingmedicine.medical_specialtyPhysical Therapy Sports Therapy and Rehabilitationmedicine.disease_causeBody Mass IndexPower (social and political)03 medical and health sciences0302 clinical medicineJumpingPhysical medicine and rehabilitationvertical jumpagility performancephysical functioningHumansMedicineOrthopedics and Sports MedicineMuscle Strength030212 general & internal medicineMobility Limitationta315Dynamic balanceExercisePostural BalanceAgedBalance (ability)Aged 80 and over2. Zero hungerbiologybusiness.industryAthletesta3141030229 sport sciencesbiology.organism_classificationWalking SpeedPreferred walking speedCross-Sectional StudiesAthletesCase-Control StudiesElitePhysical therapyold elite athletesbusinesshuman activitiesBody mass indexScandinavian Journal of Medicine & Science in Sports
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Knee osteoarthritis in former runners, soccer players, weight lifters, and shooters.

1995

Objective. To determine the relationship between different physical loading conditions and findings of knee osteoarthritis (OA). Methods. We selected 117 male former top-level athletes (age range 45–68 years) who had participated in sports activities with distinctly different loading conditions: 28 had been long-distance runners, 31 soccer players, 29 weight lifters, and 29 shooters. Histories of lifetime occupational and athletic knee loading, knee injuries, and knee symptoms were obtained, and subjects were examined clinically and radiographically for knee findings of OA. Results. The prevalence of tibiofemoral or patellofemoral OA based on radiographic examination was 3% in shooters, 29%…

Malemedicine.medical_specialtyFirearmsSports medicineKnee JointWeight LiftingImmunologyOsteoarthritisKnee JointRunning03 medical and health sciences0302 clinical medicineRheumatologyOsteoarthritisSoccermedicinePrevalenceImmunology and AllergyHumansPharmacology (medical)Aged2. Zero hunger030203 arthritis & rheumatologybiologyAthletesbusiness.industryKneeling030229 sport sciencesOdds ratioMiddle Agedbiology.organism_classificationmedicine.diseaseRadiographyMultivariate AnalysisPhysical therapySquatting positionbusinesshuman activitiesBody mass indexSportsArthritis and rheumatism
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Knee arthroscopy and exercise versus exercise only for chronic patellofemoral pain syndrome: 5-year follow-up.

2011

Objective To study the long-term outcome of arthroscopy in patients with chronic patellofemoral pain syndrome (PFPS), the authors conducted a randomised controlled trial. The authors also investigated factors predicting the outcome in patients with PFPS. Methods Fifty-six patients with PFPS were randomised into two groups: an arthroscopy group (N=28), treated with knee arthroscopy and an 8-week home exercise programme, and a control group (N=28), treated with a similar 8-week home exercise programme only. The primary outcome was the Kujala score on pain and function at 5-year. Secondary outcomes were visual analogue scales (VASs) to assess activity-related symptoms. Results According to the…

AdultMalemedicine.medical_specialty5 year follow upPhysical Therapy Sports Therapy and Rehabilitationlaw.inventionArthroscopyYoung AdultRandomized controlled triallawmedicineHumansOrthopedics and Sports MedicineIn patientYoung adultta315Knee arthroscopyIntention-to-treat analysismedicine.diagnostic_testbusiness.industryArthroscopyGeneral Medicinemedicine.diseaseCombined Modality TherapyExercise TherapyIntention to Treat AnalysisTreatment OutcomePatellofemoral Pain SyndromeChronic DiseasePhysical therapyFemalebusinessPatellofemoral pain syndromeFollow-Up StudiesBritish journal of sports medicine
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Hip fractures and femoral bone mineral density in male former elite athletes

2009

We studied whether vigorous physical activity in young adulthood is associated with higher femoral bone density and lower risk of hip fracture at older age in men.A cohort of former male elite athletes (n=2147) and matched control subjects (n=1467) were studied for their leisure physical activity, and for fragility fractures at the hip (proximal femur) by Cox regression. Areal bone mineral densities (aBMD) at femoral neck and trochanter region were measured using dual-energy X-ray absorptiometry in a subgroup of the former athletes (n=87; median age 59 years) and in a population-based control group (n=194) and compared by general linear models.After their active sporting careers, the former…

Malemusculoskeletal diseasesmedicine.medical_specialtyHistologyPhysiologyEndocrinology Diabetes and MetabolismPopulationOsteoporosis030209 endocrinology & metabolismBody Mass Index03 medical and health sciences0302 clinical medicineBone DensityRisk FactorsSurveys and QuestionnairesHumansMedicineFemurFemur030212 general & internal medicine10. No inequalityeducationFemoral neckeducation.field_of_studyHip fractureTrochanterbiologyFemur NeckHip Fracturesbusiness.industryAthletesMiddle Agedbiology.organism_classificationmedicine.diseaseSurgerymedicine.anatomical_structureAthletesCase-Control StudiesHip bonePhysical therapybusinessBone
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Reproducibility of Regional DEXA Examinations of Abdominal Fat and Lean Tissue

2013

<b><i>Objective: </i></b>The aim of this study was to develop and test the validity of a new repeatable method to delimit abdominal areas for follow-up of fat mass (FM) and lean tissue mass (LM) in DEXA examinations<i>. </i><b><i>Methods: </i></b>37 male volunteers underwent two DEXA examinations. Total body FM and LM measurements and corresponding abdominal measurements in a carefully defined region were calculated from the first scan. After repositioning of the subjects and a second scan, the delimited region was copied and the abdominal tissues re-calculated. <b><i>Results: </i></b>The mean LM of the abdo…

AdultMalemedicine.medical_specialtyDEXAHealth (social science)lcsh:TX341-641Mean differenceFat massYoung AdultAbsorptiometry PhotonAbdominal musclesPhysiology (medical)AbdomenAbdominal fatHumansMedicineObesityta315lcsh:RC620-627Reproducibilitybusiness.industryAbdominal fatReproducibility of ResultsLean tissueta3141Total bodyBody Fluid CompartmentsMiddle AgedReproducibilityConfidence intervalSurgerylcsh:Nutritional diseases. Deficiency diseasesAbdominal musclesBody CompositionOriginal ArticlebusinessNuclear medicinelcsh:Nutrition. Foods and food supplyObesity Facts
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Exercise therapy for people with rheumatoid arthritis and osteoarthritis.

2004

Exercise therapy would appear to be effective at increasing aerobic capacity and muscle strength in patients with rheumatoid arthritis (RA), and no detrimental effects on disease activity or pain compared with controls has been observed. Exercise therapy--at least in the short-term, improves pain, muscular strength and function in elderly people with mild osteoarthritis (OA) of the hip or knee. For the treatment of both OA and RA the knowledge of the optimal type, frequency, duration and intensity of exercise is still limited, but the exercise should not include high-impact loads or high injury risk. Long-term compliance is important in achieving long-term benefits. Supervised classes appea…

medicine.medical_specialtyEvidence-Based Medicinebusiness.industryArthritisPhysical Therapy Sports Therapy and RehabilitationExercise therapyEvidence-based medicineDiseaseOsteoarthritismedicine.diseasePhysical strengthExercise TherapyArthritis RheumatoidPhysical medicine and rehabilitationRheumatoid arthritisOsteoarthritismedicinePhysical therapyHumansOrthopedics and Sports MedicinebusinessAerobic capacityFinlandScandinavian journal of medicinescience in sports
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Knee arthroplasty until age 60 : role of sports and other injuries

2019

BACKROUND: The primary aim of the study was to investigate how total knee arthroplasty (TKA) patients with underlying injuries differ in injury type and physical activity after the arthroplasty. METHODS: A questionnaire was sent to TKA patients, < 60 years at surgery, and knee injury as the cause of knee OA. The final study group consisted of 70 patients. RESULTS: Average age of patients at TKA was 51.8 years (Standard Deviation [SD] 5.2), and at follow-up 57.6 years (SD 6.5). Of the injuries, 26% were sports-related, 29% had occurred at work, 23% in traffic accidents, and 13% during leisure-time (no sports-related). Sports-related injuries had occurred at younger ages than others had (mean…

osteoarthritisnivelrikkoexercisepolvetkneearthroplastyliikuntareplacementhuman activitiesknee injurypolvivammat
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