رسالة جامعية
Factors in secondary prevention subsequent to distal radius fracture : Focus on physical function, co-morbidity, bone mineral density and health-related quality of life
| العنوان: | Factors in secondary prevention subsequent to distal radius fracture : Focus on physical function, co-morbidity, bone mineral density and health-related quality of life |
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| المؤلفون: | Nordvall, Helena |
| بيانات النشر: | Sjukgymnastik Ortopedi Institutionen för samhällsmedicin och rehabilitering |
| سنة النشر: | 2009 |
| المجموعة: | Umeå University: Publications (DiVA) |
| مصطلحات موضوعية: | distal radius fracture, bone mineral density (BMD), functional tests, mortality, morbidity, the SF-36, fall diary, Physiotherapy, Sjukgymnastik |
| الوصف: | In Sweden approximately 25000 distal radius fractures occur annually, which is 37 % of all fractures related to osteoporosis. In this thesis, risk factors for osteoporosis, bone mineral density (BMD) and health-related quality of life (the SF-36) were compared in patients who suffered a distal radius fracture after low energy trauma with a control group matched on the basis of age, gender, and municipality of residence. The aim was also to analyse, among these patients, whether a risk factor questionnaire, tests on dynamic and static balance and a one-leg rise test could identify those, who have osteopenia or osteoporosis, and run a risk of new falls. Moreover, in a three-year follow-up, mortality, the need for in- and outpatient care, and health-related quality of life after radius fracture were investigated and compared between the patients and matched controls. Finally, the effect of a preventive intervention program including patient education and self-training was evaluated. Falls were reported in a risk factor questionnaire and in a fall diary. The patients aged 45-64 years showed lower, although not statistically significant, BMD, compared with the controls of the same age, but there was no difference concerning their history of falls. In contrast, the patients aged 64 years or older had a history of falling more often than the corresponding controls, but no difference in BMD was found. For all other risk factors, except falls, no differences were found between the patients and the controls. The results of the one-leg rise test were associated with those of dynamic and static balance, but none of the functional tests were associated with the number of falls. Decreased height and cigarette smoking were the only risk factors, which predicted osteopenia and osteoporosis. Five patients, although none of the controls, died during the study time. The patients needed statistically significantly more episodes as inpatients than the controls. The patients also had lower SF-36, Role Physical scores, than the ... |
| نوع الوثيقة: | doctoral or postdoctoral thesis |
| وصف الملف: | application/pdf |
| اللغة: | English |
| ردمك: | 978-91-7264-742-8 91-7264-742-6 |
| العلاقة: | Umeå University medical dissertations, 0346-6612; 1252; http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-22102Test; urn:isbn:978-91-7264-742-8 |
| الإتاحة: | http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-22102Test |
| حقوق: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.425C09B1 |
| قاعدة البيانات: | BASE |
| ردمك: | 9789172647428 9172647426 |
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