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dc.contributor.authorTurunen, Katri
dc.contributor.authorAaltonen, L.
dc.contributor.authorKumpumäki, J.
dc.contributor.authorPortegijs, Erja
dc.contributor.authorKeikkala, S.
dc.contributor.authorKinnunen, M.-L.
dc.contributor.authorFinni Juutinen, Taija
dc.contributor.authorSipilä, Sarianna
dc.contributor.authorNikander, Riku
dc.date.accessioned2017-11-29T10:54:22Z
dc.date.available2017-11-29T10:54:22Z
dc.date.issued2017
dc.identifier.citationTurunen, K., Aaltonen, L., Kumpumäki, J., Portegijs, E., Keikkala, S., Kinnunen, M.-L., Finni Juutinen, T., Sipilä, S., & Nikander, R. (2017). A tailored counseling and home-based rehabilitation program to increase physical activity and improve mobility among community-dwelling older people after hospitalization: protocol of a randomized controlled trial. <i>BMC Musculoskeletal Disorders</i>, <i>18</i>, Article 477. <a href="https://doi.org/10.1186/s12891-017-1825-5" target="_blank">https://doi.org/10.1186/s12891-017-1825-5</a>
dc.identifier.otherCONVID_27384251
dc.identifier.otherTUTKAID_75868
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/56041
dc.description.abstractBackground: Physical activity (PA) decreases during hospitalization. In particular, the amount of PA engaged in by older people who are hospitalized following musculoskeletal injury is likely to be limited for months after discharge home. Given the importance of an active lifestyle for their recovery and the prevention of future adverse outcomes, there is clearly a need for interventions to increase PA. This article describes the protocol of a randomized controlled trial set up to investigate the effects of a physical activity oriented home rehabilitation program (ProPA) on PA and the restoration of mobility in community-dwelling older people. Methods: Men and women aged 60 years or older hospitalized due to a musculoskeletal injury or disorder in the back or lower limbs are recruited. After discharge from hospital to home, participants are randomized into a six-month ProPA program or a standard care (control) group. The ProPA program consists of a motivational interview, goal attainment process, guidance for safe walking, a progressive home exercise program and physical activity counseling. In addition, frail participants who are not able to go outdoors alone receive support from volunteers. Primary outcomes are PA measured using a 3-dimentional accelerometer, and mobility assessed by the Short Physical Performance Battery and self-reports. Secondary outcomes are life space mobility, participation restriction, fear of falling, pain, mood, and grip strength. Information on barriers to and enablers of PA participation are also collected. Data on mortality and use of health services are collected from the national register. In this 6-month intervention, all participants are assessed in their homes at baseline and after three and six months, and at 12 months after randomization they will receive a follow-up questionnaire. Discussion: This study investigates the effects of a rehabilitation program on PA and mobility among older people at risk for increased sedentary time and mobility problems. If positive effects are observed, the program can be considered for incorporation into the health care system and thereby contribute to the rehabilitation of older people who have recently been discharged from hospital.
dc.language.isoeng
dc.publisherBioMed Central
dc.relation.ispartofseriesBMC Musculoskeletal Disorders
dc.subject.otherphysical activity
dc.subject.othersedentary behavior
dc.subject.otherclinical trial
dc.subject.otheraging
dc.subject.othermusculoskeletal
dc.subject.otherinjury
dc.titleA tailored counseling and home-based rehabilitation program to increase physical activity and improve mobility among community-dwelling older people after hospitalization: protocol of a randomized controlled trial
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-201711244373
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.contributor.oppiaineBiomekaniikkafi
dc.contributor.oppiaineGerontologia ja kansanterveysfi
dc.contributor.oppiaineGerontologian tutkimuskeskusfi
dc.contributor.oppiaineHyvinvoinnin tutkimuksen yhteisöfi
dc.contributor.oppiaineBiomechanicsen
dc.contributor.oppiaineGerontology and Public Healthen
dc.contributor.oppiaineGerontology Research Centeren
dc.contributor.oppiaineSchool of Wellbeingen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.date.updated2017-11-24T16:15:06Z
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1
dc.description.reviewstatuspeerReviewed
dc.relation.issn1471-2474
dc.relation.numberinseries0
dc.relation.volume18
dc.type.versionpublishedVersion
dc.rights.copyright© The Author(s), 2017. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License.
dc.rights.accesslevelopenAccessfi
dc.subject.ysokuntoutus
dc.subject.ysokotihoito
dc.subject.ysofyysinen aktiivisuus
dc.subject.ysoliikkuvuus
dc.subject.ysoikääntyneet
dc.subject.ysoliikuntarajoitteet
jyx.subject.urihttp://www.yso.fi/onto/yso/p3320
jyx.subject.urihttp://www.yso.fi/onto/yso/p5513
jyx.subject.urihttp://www.yso.fi/onto/yso/p23102
jyx.subject.urihttp://www.yso.fi/onto/yso/p252
jyx.subject.urihttp://www.yso.fi/onto/yso/p2433
jyx.subject.urihttp://www.yso.fi/onto/yso/p27708
dc.rights.urlhttps://creativecommons.org/licenses/by/4.0/
dc.relation.doi10.1186/s12891-017-1825-5
dc.type.okmA1


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© The Author(s), 2017. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License.
Except where otherwise noted, this item's license is described as © The Author(s), 2017. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License.