Publications by authors named "Juhani Multanen"

Article Synopsis
  • The study aimed to track the progression of adult spinal deformity (ASD) over a decade, focusing on factors that affect spinal alignment.
  • It involved analyzing full spine radiographs of 204 participants, showing a significant overall deterioration in spinal condition, with only 13% of participants experiencing improvement.
  • Key predictors for changes in spinal alignment included low scores on self-assessment questionnaires related to function and severe pelvic tilt, emphasizing the need for personalized treatment approaches based on individual risk factors.
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Background Chronic low back pain (CLBP) is a common issue among the working-age population. Sleeping position may affect CLBP, with the prone position commonly suggested to be avoided. This study aims to examine the relationship between preferred and avoided sleeping positions and to explore the frequency of increased pain in various sleeping positions among patients with nonspecific CLBP and pain and disability levels.

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Background: Weakness and atrophy in trunk muscles have been associated with chronic low back pain (CLBP).

Objective: This study aimed to identify isometric exercises resulting the highest trunk muscle activity for individuals with and without CLBP.

Methods: Fourteen males with CLBP and 15 healthy age-matched healthy subjects were recruited for this study.

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Objective: To compare the effectiveness of a McKenzie Method intervention in patients with sciatica with guideline-based patient education.

Design: Multi-centre, assessor-blinded, parallel-group, randomised trial.

Setting: Two tertiary hospitals providing operative spinal care.

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Background: The Kerlan-Jobe Orthopaedic Clinic Shoulder and Elbow score (KJOC) is developed to evaluate the shoulder and elbow function in overhead athletes. To date, the score has not been adapted into Finnish language. The aim of this study was to perform a cross-cultural adaptation of the Kerlan-Jobe Orthopaedic Clinic Shoulder and Elbow score (KJOC) into Finnish language and evaluate its validity, reliability, and responsiveness in overhead athletes.

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Background: There are no explicit guidelines or tools available to support clinicians in selecting exercise therapy modalities according to the characteristics of individual patients despite the apparent need.

Objective: This study develops a methodology based on a novel multiobjective optimization model and examines its feasibility as a decision support tool to support healthcare professionals in comparing different modalities and identifying the most preferred one based on a patient's needs.

Methods: Thirty-one exercise therapy modalities were considered from 21 randomized controlled trials.

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Article Synopsis
  • Urinary incontinence (UI) is commonly experienced during pregnancy, particularly after vaginal delivery, due to impacts on the pelvic floor.
  • A study involving 547 women showed that 39.5% experienced UI during pregnancy, and 16.1% reported it three months after childbirth, with pre-existing UI being a key risk factor.
  • Factors such as having UI before or during pregnancy and being a first-time mother significantly increase the risk of experiencing UI postpartum, highlighting the need for counseling to mitigate these risks.
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Background: Neck pain has been associated with weaker neck muscle strength and decreased cervical spine range of motion. However, whether neck muscle strength or cervical spine mobility predict later neck disability has not been demonstrated. In this 16-year prospective study, we investigated whether neck muscle strength and cervical spine mobility are associated with future neck pain and related disability in women pain-free at baseline.

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Background: Conservative therapies are typically offered to individuals who experience mild or intermittent symptoms of carpal tunnel syndrome (CTS) or postoperatively to subjects who have undergone carpal tunnel release. Although long-term studies report mostly positive results for carpal tunnel release, knowledge on the need for conservative treatments following surgery is scarce. The aim of this retrospective cohort study was to examine the use of conservative therapies before and after carpal tunnel releasing surgery.

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Aim: To evaluate the activity of knee stabilizing muscles while using custom-made biomechanical footwear (BF) and to compare it when walking barefoot and with a knee brace (Unloader®).

Methods: Seventeen healthy working-aged (mean age: 29 years; standard deviation: 8 years) individuals participated. The knee brace was worn on the right knee and BF in both legs.

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Objective: To predict the probability of a benefit from 2 contrasting exercise programs for women with a new diagnosis of mild knee osteoarthritis, and to estimate the short- and long-term effects of aquatic resistance training (ART) and high-impact aerobic land training (HLT) compared with a control.

Methods: Original data sets from 2 previously conducted randomized controlled trials were combined and used in a Bayesian meta-analysis. Group differences in multiple response variables were estimated.

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Background: The Boston Carpal Tunnel Questionnaire (BCTQ) and its shorter version, the Six-Item Carpal Tunnel Symptoms Scale (CTS-6), are widely used for assessing function and/or symptoms in patients with carpal tunnel syndrome. This study examined the structural validity of the BCTQ and CTS-6 among patients who had undergone surgery for treatment of carpal tunnel syndrome.

Methods: The data for this cross-sectional analysis were obtained from 217 adult patients who had undergone carpal tunnel release surgery 1 year earlier.

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Objective: To compare the effects of a 12-month home-based exercise program to usual care in patients after arthroscopic capsulolabral repair of the shoulder.

Design: Randomized controlled trial.

Setting: Outpatient physical and rehabilitation medicine clinic.

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Background: The Knee Injury and Osteoarthritis Outcome Score (KOOS) is a commonly used knee assessment and outcome tool in both clinical work and research. However, it has not been formally translated and validated in Finnish. The purpose of this study was to translate and culturally adapt the KOOS questionnaire into Finnish and to determine its validity and reliability among Finnish middle-aged patients with knee injuries.

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Low-energy pulsed electromagnetic field (PEMF) therapy has been suggested as a promising therapy to increase microcirculation, which is of great concern in patients with fibromyalgia. This study evaluated the effectiveness of PEMF therapy on the treatment of fibromyalgia. A group of 108 women with fibromyalgia were allocated to a 12-week treatment period with an active Bio-Electro-Magnetic-Energy-Regulation (BEMER) device and a similar treatment period with an inactive device.

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Purpose: This study aims to investigate the effects of exercise on patellar cartilage using T2 relaxation time mapping of magnetic resonance imaging in postmenopausal women with mild patellofemoral joint osteoarthritis (OA).

Methods: Eighty postmenopausal women (mean age, 58 (SD, 4.2) yr) with mild knee OA were randomized to either a supervised progressive impact exercise program three times a week for 12 months (n = 40) or a nonintervention control group (n = 40).

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Osteoarthritis and osteoporosis often coexist in postmenopausal women. The simultaneous effect of bone-favorable high-impact training on these diseases is not well understood and is a topic of controversy. We evaluated the effects of high-impact exercise on bone mineral content (BMC) and the estimated biochemical composition of knee cartilage in postmenopausal women with mild knee osteoarthritis.

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Background: Symptoms associated with osteoarthritis of the knee result in decreased function, loss of working capacity and extensive social and medical costs. There is a need to investigate and develop effective interventions to minimise the impact of and even prevent the progression of osteoarthritis. Aquatic exercise has been shown to be effective at reducing the impact of osteoarthritis.

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The strong association between body mass and skeletal robusticity has been attributed to increasing skeletal loading with increasing mass. However, it is unclear whether body mass is merely a coarse substitute for bone loading rather than a true independent predictor of bone strength. As indices of neuromuscular performance, impulse and peak power were determined from vertical ground reaction force during a maximal counter movement jump test in 221 premenopausal and 82 postmenopausal women.

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