Ari Heinonen

Ari Heinonen
University of Jyväskylä | JYU · Faculty of Sport and Health Sciences

PhD

About

282
Publications
77,502
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14,892
Citations
Citations since 2017
64 Research Items
5131 Citations
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20172018201920202021202220230200400600800
20172018201920202021202220230200400600800
20172018201920202021202220230200400600800

Publications

Publications (282)
Article
Full-text available
Introduction There is limited understanding of how older adults can reach kinematic goals in rehabilitation while performing exergames and conventional exercises, and how similar or different the kinematics during exergaming are when compared with conventional therapeutic exercise with similar movement. The aim of this study was to describe the mov...
Preprint
BACKGROUND Exergames can provide encouraging exercise options. Currently, there is limited evidence regarding home-based exergaming in the post-operative phase of total knee replacement (TKR). OBJECTIVE This study aimed to investigate the effects of a 4-month post-operative home-based exergame intervention with an 8-month follow-up on physical fun...
Article
Background Exergames can provide encouraging exercise options. Currently, there is limited evidence regarding home-based exergaming in the postoperative phase of total knee replacement (TKR). Objective This study aimed to investigate the effects of a 4-month postoperative home-based exergame intervention with an 8-month follow-up on physical funct...
Article
Full-text available
The age-related decline in muscle function, particularly muscle power, is associated with increased risk of important clinical outcomes. Physical activity is an important determinant of muscle function, and different types of physical activity e.g. power-based versus endurance-based exercise appear to have differential effects on muscle power. Cros...
Article
Background The identification of risk factors for sports injuries is essential before injury prevention strategies can be planned. Hypothesis Previous acute knee injury and lower perceived knee function measured by Knee injury and Osteoarthritis Outcome Score (KOOS) will increase the risk of acute knee injury in youth team-sports athletes. Study...
Chapter
Osteoarthritis (OA) is the most common form of joint disease in the world. The diagnosis of OA is currently made by human experts and suffers from subjectivity, but recently new promising detection algorithms have been developed. We validated the current state-of-the-art KL-classifying neural network model for knee OA using knee X-rays taken from p...
Article
Tutkimuksen tarkoituksena oli selvittää alaselkäkipuisten asiakkaiden kokemuksia käynnistään terveyskeskuksessa fysioterapeutin suoravastaanotolla. Tutkimus on retrospektiivinen, kuvaileva kyselytutkimus, joka toteutettiin strukturoidulla kyselylomakkeella kolme kuukautta fysioterapeutin vastaanotolla käynnin jälkeen. Lomakkeella selvitettiin selkä...
Article
Full-text available
Objective. The objective of this review was to systematically evaluate the effectiveness of exergaming on walking in older adults. In addition, the aim was to investigate the relationship between the exergaming effect and age, baseline walking performance, exercise traits, technology used and the risk of bias. Methods. A literature search was carri...
Article
Full-text available
ABSTRACT Cross‐sectional and interventional studies suggest that high‐intensity strength and impact‐type training provide a powerful osteogenic stimulus even in old age. However, longitudinal evidence on the ability of high‐intensity training to attenuate age‐related bone deterioration is currently lacking. This follow‐up study assessed the role of...
Article
Full-text available
Purpose To examine the relationship between leisure-time physical activity (LTPA) and ability to meet different work requirements among adult working men with or without current depressive symptoms. Methods We measured LTPA with the long version of the International Physical Activity Questionnaire (IPAQ). The Work Ability Index (WAI) and Beck Depr...
Article
Background and objectives Depression can pose a major threat to an individual’s ability to cope with daily activities. The aim of this study was to explore the relationship between physical activity (PA) and predicted home presenteeism (PHP) among depressive participants. The relationship between PHP and the severity of depressive symptoms was also...
Article
Objectives To investigate lower extremity muscle strength as risk factor for an acute ankle injury in youth athletes. Design Cohort study. Setting Basketball and floorball clubs. Participants 188 youth (≤21) male and 174 female athletes. Main outcome measures 1RM leg press, maximal concentric isokinetic quadriceps and hamstrings as well as maxi...
Article
Full-text available
Objective We aim to predict the probability of a benefit from two contrasting exercise programs for a woman with a new diagnosis of mild knee osteoarthritis (OA). The short and long‐term effects of aquatic resistance training (ART) and high‐impact aerobic land training (HLT) compared with the control will be estimated. Methods Original data sets f...
Article
Full-text available
Objectives The aims of this study were to investigate whether baseline leisure-time physical activity (LTPA) is associated with future recovery from depression among patients with a depression diagnosis and whether baseline LTPA is associated with total physical activity after five years of follow-up. Methods A total of 258 patients aged ≥35 years...
Article
Full-text available
We investigated longitudinal changes in tibia bone strength in master power (jumping and sprinting) and endurance (distance) athletes of both sexes. Bone mass but not cross-sectional moment of inertia was better maintained in power than endurance athletes over time, particularly in men and independent of changes in performance.Objective Assessment...
Article
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The ageing‐related loss of muscle mass is thought to be partly attributable to motor neuron loss and motor unit remodelling that result in fibre type grouping. We examined fibre type grouping in 19‐ to 85‐year‐old athletes and non‐athletes and evaluated to which extent any observed grouping is explained by the fibre type composition of the muscle....
Article
Full-text available
Objectives The aim of this study is to estimate a minimal clinically important difference (MCID) and a minimal detectable change (MDC) of the 12-item WHODAS 2.0 amongst patients with chronic musculoskeletal pain. Design Cross-sectional cohort study. Setting Outpatient Physical and Rehabilitation Medicine clinic. Subjects A total of 1988 consecut...
Article
Full-text available
Background: Predictors of bone deterioration after hip fracture have not been well characterized. The aim of this study was to examine the associations of physical function and lean body mass (LBM) with loss of bone density and strength in older people recovering from a hip fracture. Methods: A total of 81 over 60-year-old, community-dwelling me...
Article
Full-text available
Background: Prospective studies investigating risk factors for low back pain (LBP) in youth athletes are limited. The aim of this prospective study was to investigate the association between hip-pelvic kinematics and vertical ground reaction force (vGRF) during landing tasks and LBP in youth floorball and basketball players. Methods: Three-hundr...
Article
Full-text available
Objective: To conduct a secondary analysis to study the effects that four months of aquatic resistance training has on self-assessed symptoms and quality of life in postmenopausal women with mild knee osteoarthritis (OA), after the intervention and after a 12-month follow-up period. Methods: 87 postmenopausal volunteer women, aged 60-68 years, w...
Preprint
BACKGROUND Physical activity is beneficial for cardiovascular rehabilitation. Digitalization has suggested the idea of using technology as an element in the promotion of physical activity and lifestyle changes. The effectiveness of distance technology interventions has previously been found to be similar to that of conventional treatment, but the a...
Article
Background Physical activity is beneficial for cardiovascular rehabilitation. Digitalization suggests using technology in the promotion of physical activity and lifestyle changes. The effectiveness of distance technology interventions has previously been found to be similar to that of conventional treatment, but the added value of the technology ha...
Article
Full-text available
Few prospective studies have investigated hip and pelvic control as a risk factor for lower extremity (LE) injuries. The purpose of this study was to investigate whether deficits in hip and lumbopelvic control during standing knee lift test are associated with increased risk of acute knee and LE injuries in youth team sports. At baseline, 258 baske...
Article
Full-text available
The purpose of this study was to investigate LE muscular strength variables as potential risk factors for all and non‐contact acute knee and ACL injuries in young athletes. A total of 188 young (≤21) male and 174 female basketball and floorball players participated in LE muscular strength tests and were followed up to three years. The strength test...
Article
Objective: Most research has focused on the bilateral drop jumps even though lower extremity injuries often occur in a single leg landing. We aimed to investigate the association between lower extremity alignment during unilateral and bilateral drop jump tests, and the risk of acute non-contact knee or ankle injuries in young team sport athletes....
Article
Full-text available
Age-related reduction in muscle force generation capacity is similarly evident across different lower limb muscle groups, yet decline in locomotor performance with age has been shown to depend primarily on reduced ankle extensor muscle function. To better understand why ageing has the largest detrimental effect on ankle joint function during locomo...
Conference Paper
Full-text available
According to cross-sectional and interventional studies, high-intensity strength and impact-type training provide a powerful osteogenic stimulus even in old age. Longitudinal evidence on the ability of high-intensity training to attenuate age-related bone deterioration is currently lacking, however. This follow-up study assessed the role of continu...
Article
Full-text available
Introduction The most promising way to promote active life years in old age is to promote regular participation in physical activity (PA). Maintaining lower extremity muscle function with good balance has been associated with fewer falls and the need of help from others. This article describes the design and intervention of a randomised controlled...
Article
Objective of this study was to investigate the gender-related differential item function of 12-item WHODAS 2.0 amongst patients with chronic musculoskeletal pain. This was a cross-sectional survey study among 1,988 patients at a university Physical and Rehabilitation Medicine outpatient clinic. To assess DIF, WHODAS 2.0 items were dichotomized as `...
Article
Purpose: The study aim was to examine association between leisure time physical activity (LTPA) and psychiatric comorbidities among people with depression. Methods: Total 447 patients aged 35 years and older suffering from depressive symptoms (DS) and who were confirmed depression positive participated this study. The study was conducted between...
Article
Full-text available
Aims: The aim of this study was to qualitatively analyse physiotherapists’ experiences and perspectives for delivering services directly, without prescription or referral, for clients with musculoskeletal pain or dysfunction. Methods: This was a qualitative study where data were collected from questionnaires given to 34 physiotherapists, 18 of them...
Article
Full-text available
Purpose Leisure-time physical activity (LTPA) is known to be associated with positive health benefits, but the role of occupational physical demands remains inconsistent. The purpose of the current study was to assess the relationship between LTPA and work ability in different occupational physical activity (OPA) levels between young adult men. Me...
Conference Paper
Introduction Prospective studies investigating risk factors for low back pain (LBP) in young athletes are limited. The aim of this prospective cohort study was to investigate the association between LBP and selected biomechanical factors and postural stability during dynamic movement tasks in young athletes. Materials and methods 396 young floorba...
Article
The aim of this study was to investigate the floor and ceiling effects of 12-item World Health Organization Disability Assessment Schedule 2.0 (WHODAS). This was a cross-sectional survey study at a university's physical and rehabilitation medicine outpatient clinic of 1988 patients with chronic musculoskeletal pain. Floor and ceiling effects were c...
Article
Full-text available
Weight‐bearing physical activity may decrease or prevent bone deterioration after hip fracture. This study investigated the effects of a home‐based physical rehabilitation program on tibial bone traits in older hip fracture patients. A population‐based clinical sample of men and women operated for hip fracture (mean age 80, 78% women) was randomly...
Article
Objective To study the effectiveness of technology-based distance physical rehabilitation interventions on physical functioning in stroke. Data sources A systematic literature search was conducted in six databases from January 2000 to May 2018. Study selection Inclusion criteria applied PICOS (Patient, Intervention, Comparison, Outcome, Study...
Conference Paper
Lack of physical activity is mostly addressed by implementing programs to promote physical activity but seeing as the major cause for physical inactivity is that of technology. Few studies used the approach to use the very barrier as s mean to try and educate and breed good habits. This paper outlines the design and development of a project that wi...
Article
The aim of this study was to investigate the incidence of back pain in young basketball and floorball players under 21 years of age. The secondary aim was to examine risk factors especially for low back pain (LBP). Nine basketball and nine floorball teams (n=396) participated in this prospective follow‐up study (2011–2014). Young athletes (mean age...
Article
Objectives The main aim of this study was to investigate the association between leisure time physical activity (LTPA) and health care utilization (HCU) and furthermore, socio-demographic and clinical factors according to LTPA level among depressed patients based on data drawn from the Finnish Depression and Metabolic Syndrome in Adults (FDMSA) -st...
Article
Purpose: To assess the relationship between physical activity (PA) in work, transport, domestic and leisure-time domains (with sitting time included) and health-related quality of life (HRQoL) among young adult men. Methods: The long version of IPAQ and SF-36 Health Survey were used to assess PA and HRQoL, respectively, in 1425 voluntary 20 to 4...
Article
Full-text available
Background/aim Poor frontal plane knee control can manifest as increased dynamic knee valgus during athletic tasks. The purpose of this study was to investigate the association between frontal plane knee control and the risk of acute lower extremity injuries. In addition, we wanted to study if the single-leg squat (SLS) test can be used as a screen...
Article
Low back pain is a considerable health problem which affects people around the world, causing major healthcare costs. The use of qualitative research methods enables us to describe and understand patients’ experience of, and attitudes to, healthcare. The aim of the present phenomenographic study was to identify and describe the contextual nature of...
Article
Prospective studies on overuse injuries and their impact on athletic training among youth team sports are scarce. The purpose of this study was to investigate the incidence, severity and player related risk factors of overuse injuries among young (12–20 years) basketball and floorball players. A total of 387 players participated in a 3-year prospec...
Article
Full-text available
Objective: Our aim was to investigate the relation between radiograph-based subchondral bone structure and cartilage composition assessed with delayed gadolinium enhanced magnetic resonance imaging of cartilage (dGEMRIC) and T2 relaxation time. Design: Ninety-three postmenopausal women (Kellgren-Lawrence grade 0: n=13, 1: n=26, 2: n=54) were inc...
Article
Objectives To investigate the incidence and characteristics of acute time-loss injuries in Finnish junior floorball league players. Design Prospective cohort study with 3-year follow-up. Methods One hundred and eighty-six female and male players (mean age 16.6 ± 1.4) took part in the follow-up study (2011–2014). The training hours and games were...
Article
Full-text available
Introduction: High-load, high-speed and impact-type exercise may be an efficient way of improving bone strength even in old age. We evaluated the effects of combined strength and sprint training on indices of bone health in competitive masters athletes, who serve as a group of older people who are likely to be able to participate in vigorous exerc...
Article
Objective: To summarise all meta-analyses of randomised controlled trials that have evaluated the effects of exercise therapy on functional capacity in patients with chronic diseases. Design: Umbrella review of meta-analyses of randomised controlled trials. Data sources: We systematically searched the CENTRAL, CINAHL, DARE, Medline, OTSeeker,...
Conference Paper
Full-text available
Introduction According to long-term follow-up studies, the natural history of untreated Scheuermann’s kyphosis is benign. Yet there is no data available on the radiographic development of the deformity. Our purpose was to investigate the rate of radiographic deformity progression and the relation between kyphosis progression and clinical outcome i...
Article
Introduction: Technology has been thought to have strong potential for promoting physical activity, but the evidence has remained unclear. The aim of this study was to examine whether a technology-based distance intervention promoting physical activity is more effective than a physical activity intervention without the use of technology. This syst...
Article
Background: There is no data available on the radiographic development of the Scheuermann's deformity. Our purpose was to investigate radiographic deformity progression and the relation between kyphosis progression and clinical outcome in patients with untreated Scheuermann's kyphosis. Methods: Thoracic kyphosis (Th4-Th12) was measured from stan...
Article
Objective: To investigate the effects of 4-months' intensive aquatic resistance training on body composition and walking speed in post-menopausal women with mild knee osteoarthritis, immediately after intervention and after 12-months follow-up. Additionally, influence of leisure time physical activity (LTPA) will be investigated. Design: This ra...
Article
Full-text available
Purpose: To study the relationship between 12-month leisure-time physical activity (LTPA) level and changes in estimated biochemical composition of tibiofemoral cartilage in postmenopausal women with mild knee osteoarthritis (OA). Methods: Originally 87 volunteer postmenopausal women, aged 60-68 years, with mild knee OA (Kellgren Lawrence I/II a...
Article
Objective: To determine the effectiveness of technology-based distance interventions for promoting physical activity, using systematic review and meta-analysis. Methods: A literature search of studies published between 2000 and 2015 was conducted in the following databases: CENTRAL, EMBASE, Ovid MEDLINE, CINAHL, PsycINFO, OTseeker, WOS and PEDro...
Article
Full-text available
Aging is associated with systemic inflammation and cellular apoptosis accelerating physiological dysfunctions. Whether physically active way of life affects these associations is unclear. This study measured the levels of serum inflammatory and apoptotic molecules, their change over 10 years, and their associations with physical performance in spri...
Data
Supplementary material provides more detailed information about the prediction equations derived from the GEE model parameters. The models were used as a tool for estimating the body lean-adjusted associations of serum molecules with physical performance measures over age.
Article
Full-text available
Introduction: No previous studies have examined whether high-impact exercise can improve bone strength and articular cartilage quality in subjects with mild knee osteoarthritis. In this 12-month RCT, we assessed the effects of progressive high-impact exercise on femoral neck structural strength and biochemical composition of knee cartilage in post...
Article
Objective: To determine the effectiveness of technology-based distance physical rehabilitation interventions in multiple sclerosis (MS) on physical activity and walking. Data sources: A systematic literature search was conducted in seven databases from January 2000 to September 2016. Randomized controlled trials of technology-based distance physic...
Article
This prospective study investigated the incidence and pattern of acute time-loss injuries in young female and male basketball players. Eight basketball teams (n=201; mean age 14.85±1.5) participated in the follow-up study (2011-2014). The coaches recorded player participation in practices and games on a team diary. A study physician contacted the t...
Article
Background Floorball is a popular team sport in Finland. Previous studies have revealed that injuries are a significant problem in adult floorball. However, epidemiological studies of injuries in youth floorball are lacking. The aim of this study was to investigate the incidence, type, and severity of injuries in young floorball players. Methods O...
Article
Background ageing and sedentary behaviour cause negative changes in the neuromuscular systems of healthy older adults resulting in a decrease in physical functioning. Exercising in water (aquatic exercise, AE) has been shown to be effective at improving physical functioning in this population; however, no systematic review with meta-analysis has be...
Article
Introduction: The knee and ankle extensors as human primary antigravity muscle groups are of utmost importance in a wide range of locomotor activities. Yet, we know surprisingly little about how these muscle groups work, and specifically, how close to their maximal capacities they function across different modes and intensity of locomotion. Theref...
Conference Paper
Objectives Technology has been thought to be promising method in promoting physical activity, but the evidence has remained unclear. In this study we examined with systematic review and meta-analysis whether remote technology-based physical activity promoting interventions are more effective than similar physical activity promoting interventions th...
Article
Full-text available
This study investigated the whole body frontal plane mechanics among young (26 ± 6 years), early old (61 ± 5 years), and old (78 ± 4 years) adults during walking, running, and sprinting. The age-groups had similar walking (1.6 m/s) and running (4.0 m/s) speeds, but different maximal sprinting speed (young 9.3 m/s, early old 7.9 m/s, and old 6.6 m/s...
Article
Full-text available
Objective: To study the efficacy of aquatic resistance training on biochemical composition of tibiofemoral cartilage in postmenopausal women with mild knee osteoarthritis (OA) DESIGN: 87 volunteer postmenopausal women, aged 60-68 years, with mild knee OA (Kellgren Lawrence grades I/II and knee pain) were recruited and randomly assigned to an inter...