Search results for "lonkkamurtuma."
showing 10 items of 21 documents
Impact loading history modulates hip fracture load and location : A finite element simulation study of the proximal femur in female athletes
2018
Sideways falls impose high stress on the thin superolateral cortical bone of the femoral neck, the region regarded as a fracture-prone region of the hip. Exercise training is a natural mode of mechanical loading to make bone more robust. Exercise-induced adaptation of cortical bone along the femoral neck has been previously demonstrated. However, it is unknown whether this adaption modulates hip fracture behavior. The purpose of this study was to investigate the influence of specific exercise loading history on fall-induced hip fracture behavior by estimating fracture load and location with proximal femur finite element (FE) models created from magnetic resonance images (MRI) of 111 women w…
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 …
Effects of progressive resistance training on physical disability among older community-dwelling people with history of hip fracture
2012
Background and aims: Hip fracture is a common trauma in older people, and often leads to decreased muscle strength and increased physical disability. This randomized controlled trial examined whether three months of progressive resistance training (PRT) can reduce physical disability among older people with a history of hip fracture. Methods: A population-based sample of 60-85-year-old community-dwelling persons, with hip fractures sustained on average three years earlier, were enrolled in the study. Of 78 people participating in laboratory assessments, those without contraindications for participation in resistance training were randomly assigned to a training group (TG, n=22) or a control…
Promoting mobility after hip fracture (ProMo): study protocol and selected baseline results of a year-long randomized controlled trial among communit…
2011
Abstract Background To cope at their homes, community-dwelling older people surviving a hip fracture need a sufficient amount of functional ability and mobility. There is a lack of evidence on the best practices supporting recovery after hip fracture. The purpose of this article is to describe the design, intervention and demographic baseline results of a study investigating the effects of a rehabilitation program aiming to restore mobility and functional capacity among community-dwelling participants after hip fracture. Methods/Design Population-based sample of over 60-year-old community-dwelling men and women operated for hip fracture (n = 81, mean age 79 years, 78% were women) participat…
Lower-Limb Pain, Disease, and Injury Burden as Determinants of Muscle Strength Deficit After Hip Fracture
2009
Background: Hip fracture may result in an asymmetrical lower-limb strength deficit. The deficit may be related to the trauma, surgical treatment, pain, or disuse of the fractured limb. However, disease and injury burden or musculoskeletal pain in the other limb may reduce muscle strength on that side, reducing the asymmetrical deficit. The aim of our study was to explore the asymmetrical strength deficit and to determine the potential underlying factors in patients from six months to seven years after a hip fracture. Methods: The asymmetrical deficit was calculated ([fractured limb/sum of both lower limbs] x 100%) for isometric knee extension torque, rate of force development during isometr…
Voimaharjoittelun vaikutus lonkkamurtumasta toipuneiden iäkkäiden naisten tasapainoon
2006
Ikääntyvien lonkkamurtumapotilaiden toimijuus ja elämäntilanteet
2011
Pro gradu -tutkimuksessani tutkin yli 60-vuotiaiden lonkkamurtumapotilaiden elämäntilannetta ja kuntoutuskokemuksia toimijuusnäkökulmasta. Tutkimukseni teoreettisen viitekehyksen muodostavat Anthony Giddensin strukturaatioteorian tarkastelu yhdessä Jyrki Jyrkämän toimijuusviitekehyksen eri ulottuvuuksien, kuten elämänkulku, pakot, välttämättömyydet, esteet ja mahdollisuudet ja tulevaisuuden odotukset – kanssa. Tutkimuksessani haastattelin Keski-Suomen eri kunnissa asuneita seitsemää (7) ikääntyvää naista, joilla jokaisella oli ollut lonkkamurtuma. Tavoitteena oli selvittää haastattelujen avulla, millaista toimintakykyä ja toimijuutta sekä tulevaisuuden odotuksia lonkkamurtumapotilaalla eläm…
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 …
Tehostetun ja yksilöllisen avokuntoutusohjelman vaikutus lonkkamurtumasta toipuvien iäkkäiden kaatumisen pelkoon
2013
Kaatumiset ovat ikääntyneiden yleisin tapaturmatyyppi. Kaatumisten määrä lisääntyy iän kasvaessa ja toimintakyvyn heikentyessä. Kaatumisten yksi vakavimpia seurauksia on lonkkamurtuma, joka vaikuttaa ikääntyneen elämään heikentäen toimintakykyä ja elämänlaatua. Lonkkamurtuman hoito aiheuttaa myös yhteiskunnalle vuosittain merkittäviä kustannuksia. Lonkkamurtumapotilaat kärsivät tapaturmaisen kaatumisen vuoksi kaatumisen pelosta. Kaatumisen pelosta seuraa usein aktiivisuuden rajoittamista, mikä puolestaan heikentää liikkumiskykyä ja lisää riskiä uusiin kaatumisiin. Tämän pro gradu-tutkimuksen tarkoituksena oli selvittää yksilöllisen ja tehostetun avokuntoutusohjelman vaikutusta kaatumisen pe…