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dc.contributor.authorSalpakoski, Anu
dc.contributor.authorTörmäkangas, Timo
dc.contributor.authorEdgren, Johanna
dc.contributor.authorSihvonen, Sanna
dc.contributor.authorPekkonen, Mika
dc.contributor.authorHeinonen, Ari
dc.contributor.authorPesola, Maija
dc.contributor.authorKallinen, Mauri
dc.contributor.authorRantanen, Taina
dc.contributor.authorSipilä, Sarianna
dc.date.accessioned2014-09-01T07:43:31Z
dc.date.available2014-09-01T07:43:31Z
dc.date.issued2014fi
dc.identifier.citationSalpakoski, A., Törmäkangas, T., Edgren, J., Sihvonen, S., Pekkonen, M., Heinonen, A., . . . Sipilä, S. (2014). Walking recovery after a hip fracture: A prospective follow-up study among community-dwelling over 60-year old men and women. <em>BioMed Research International</em>, 2014, 289549. <a href="http://dx.doi.org/10.1155/2014/289549">doi:10.1155/2014/289549</a>fi
dc.identifier.otherTUTKAID_61886
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/44149
dc.description.abstractPurpose: Recovery of walking outdoors after hip fracture is important for equal participation in the community. The causes of poor recovery are not fully understood. This study investigates recovery of walking outdoors and associated determinants after hip fracture. Methods . A prospective follow-up study, among clinical sample of 81 community-dwelling hip fracture patients over 60 years. Perceived difficulty in walking outdoors and 500 meters was assessed before fracture, at discharge to home (3.2 ± 2.2 weeks after surgery), and on average 6.0 ± 3.3 weeks after discharge. Potential determinants for walking recovery were assessed. Linearlatenttrajectorymodelwasusedtoanalysechangesduringfo llow-up.Associationbetweenwalkingtrajectoriesandpotential determinants was analysed with a logistic regression model. Results . Two trajectories, No-to-minor-difficulty and Catastrophic, were found. Thirty-eight percent of the participants ended up in the Catastrophic trajectory for walking outdoors and 67% for 500 meters. Multivariate logistic regression analysis revealed that use of walking aid and indoor falls before fracture and prolonged pain were independently associated with catastrophic decline in both primary outcomes: difficulty in walking outdoors and 500 meters. Conclusions .Alargeproportionofcommunity-dwellingolderpeoplerecoveringfromhipfractureexperiencedcatastrophicdecline in outdoor walking. Acknowledging recovery prognoses at early stage enables individualized rehabilitation.fi
dc.language.isoeng
dc.publisherHindawi Publishing Corporation
dc.relation.ispartofseriesBioMed Research International
dc.relation.urihttp://www.hindawi.com/journals/bmri/2014/289549/
dc.subject.otheroutdoor walkingfi
dc.subject.otherwalking difficultyfi
dc.subject.othermobilityfi
dc.titleWalking recovery after a hip fracture: A prospective follow-up study among community-dwelling over 60-year old men and womenfi
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-201408282679
dc.contributor.laitosTerveystieteiden laitosfi
dc.contributor.laitosDepartment of Health Sciencesen
dc.contributor.oppiaineFysioterapia
dc.contributor.oppiaineGerontologia ja kansanterveys
dc.type.urihttp://purl.org/eprint/type/SubmittedJournalArticle
dc.date.updated2014-08-28T03:30:24Z
dc.type.coarjournal article
dc.description.reviewstatuspeerReviewed
dc.relation.issn2314-6133
dc.relation.numberinseries
dc.relation.volume2014
dc.type.versionpublishedVersion
dc.rights.copyright© 2014 Anu Salpakoski et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.rights.accesslevelopenAccessfi
dc.rights.urlhttp://creativecommons.org/licenses/by/3.0/
dc.relation.doi10.1155/2014/289549


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© 2014 Anu Salpakoski et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Except where otherwise noted, this item's license is described as © 2014 Anu Salpakoski et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.