Jari Ylinen

Jari Ylinen
Medirehabook Inc.

MD.PhD.MLCOM

About

152
Publications
104,503
Reads
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4,982
Citations
Citations since 2017
36 Research Items
1981 Citations
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20172018201920202021202220230100200300
20172018201920202021202220230100200300
20172018201920202021202220230100200300
Additional affiliations
February 1998 - September 2022
Central Hospital Central Finland
Position
  • Research Associate

Publications

Publications (152)
Article
Full-text available
Objective: Adults with degenerative spinal deformity (ASD) have lower health-related quality of life (HRQL) compared to the general population. Applying Rasch Measurement Theory (RMT), this study tested the revised Scoliosis Research Society-22 (SRS-22r) HRQL instrument among symptomatic adult patients with degenerative spinal disorders and varyin...
Article
Full-text available
Objectives: To evaluate the association of thoracic spine (TS) posture and mobility with TS pain. Methods: Participants with TS pain reported maximum, average, and night pain in TS area, and pain summary score was calculated. Upright and sitting TS postures were evaluated by inspection. TS posture and mobility (flexion and extension) were record...
Article
Full-text available
Background: Chronic non-specific neck pain is common in modern industrialized countries causing suffering, disability and considerable economical losses for individuals and society. Treatment is commonly advice for stretching and strength exercises in primary health care. However, if improvements are not satisfactory, patients may seek specialist c...
Article
Background: Chronic non-specific neck pain is common in modern industrialized countries causing suffering, disability and considerable economical losses for individuals and society. Treatment is commonly advice for stretching and strength exercises in primary health care. However, if improvements are not satisfactory, patients may seek specialist c...
Article
Full-text available
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...
Article
Full-text available
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 tre...
Article
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: 28 years; standard deviation: 8 years) individuals participated. The knee brace was worn on the right knee and BF i...
Article
Full-text available
Background Rotator cuff disease (RCD) causes prolonged shoulder pain and disability in adults. RCD is a continuum ranging from tendinopathy to full-thickness tendon tear. Recent studies have shown that subacromial decompression and non-surgical treatments provide equivalent results in RCD without a full-thickness tendon lesion. However, the importa...
Article
Full-text available
Background: The Depression Scale (DEPS) is a commonly used screening tool for major depression in studies investigating low back pain, yet it has not been validated for patients with back-specific problems. Objective: To assess the psychometric properties of the DEPS in patients with degenerative spinal disease. Methods: Six hundred and thirty...
Article
Full-text available
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 treatmen...
Article
Full-text available
Background: The thoracic spine (TS) has been neglected in the study of the spine despite its essential role in the stability and posture of the entire spinal complex. Therefore, there is an inevitable need to investigate the reproducibility of different thoracic spinal posture measures used in subjects with TS pain. Methods: Thirty-two subjects...
Preprint
Full-text available
Background: The Boston Carpal Tunnel Questionnaire (BCTQ) and its shorter version Six-Item Carpal Tunnel Symptoms Scale (CTS-6) are widely used for assessing function and/or symptoms in patients with carpal tunnel syndrome. The present study examined the structural validity of the BCTQ and CTS-6 among patients who had undergone surgery for treatmen...
Preprint
Full-text available
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...
Article
Full-text available
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. Subjects Forty-five patients (mean age: 35 years; standard deviation (SD): 10 years) who...
Article
Full-text available
Study Design: Observational cohort study. Objectives: To measure and compare the structural validity of the Oswestry Disability Index (ODI) and the Scoliosis Research Society 30 (SRS-30) questionnaire in an adult population with prolonged degenerative thoracolumbar disease. Summary of Background Data: The ODI and the SRS-30 are commonly used pati...
Poster
Full-text available
Degeneration affects spinal alignment before clear deformity. A deformity-specific Scoliosis Research Society (SRS-30) questionnaire can provide pre- and postoperative HRQL data. Psychometric testing for the structure of the SRS-30 among adults is scarce. Purpose of the present study is to investigate the structural validity of the SRS-30 using Ras...
Article
Full-text available
Background and aims: The Boston Carpal Tunnel Questionnaire is the most commonly used outcome measure in the assessment of carpal tunnel syndrome. The purpose of this study was to translate the original Boston Carpal Tunnel Questionnaire into Finnish and validate its psychometric properties. Materials and methods: We translated and culturally ad...
Article
Purpose: The Scoliosis Research Society (SRS-30) questionnaire proved valid in measuring health-related quality of life (HRQoL) in adult patients with spinal deformity or degenerative disease. This study further assesses the validity of the SRS-30 by comparing its results with other HRQoL instruments, such as Oswestry disability index (ODI) and the...
Article
BACKGROUND. Updated national, evidence-based clinical practice guidelines have been published by the Finnish Medical Society Duodecim for the treatment of low back pain. According to them, lumbar radiographic examination should be avoided in women at fertile age, and magnetic resonance imaging should be used instead. The aim of this study was to ev...
Article
Introduction There has been a lack of psychometrically sound instruments in Finnish for assessment of mobility after major lower-limb amputation. This study aimed to translate the Locomotor Capabilities Index-5 (LCI-5) into Finnish and assess its psychometric properties. Materials and Methods The LCI-5 was translated and cross-culturally adapted in...
Article
Full-text available
Abstract Purpose: The aim of this study was to investigate the changes in trunk muscle strength 12 months after LSF compared to preoperative strength. Materials and methods: A total of 194 patients (mean age 61 [SD 21] years) who underwent LSF participated in this prospective longitudinal study. The participants had physical measurements before...
Article
Study design: This was a cross-sectional, observational study. Objective: The main objectives of this study were to observe the prevalence of a true L6 among patients with symptomatic adult spinal degeneration, and to evaluate similarities of their radiographic spinopelvic parameters to L5 patients. Summary of background data: Spinopelvic para...
Book
Full-text available
This textbook contains valuable information for physiotherapists, masseurs, physical education instructors and teachers, trainers, coaches, medical doctors, osteopaths, sportsmen and all those who use stretching in their work. Stretching has an important part to play in the care of soft tissues after strain at work or in sport. It is used to promot...
Article
Full-text available
Objectives To investigate how multiple pain sites contribute to the construct of general pain in fibromyalgia. Methods Cross-sectional single tertiary medical center survey study of 266 women with fibromyalgia. Results Altogether 266 women with fibromyalgia aged 18 to 60 years were included in the analysis. Confirmatory factor analysis of pai...
Conference Paper
Full-text available
Scoliosis Research Society questionnaire version 30 (SRS-30) has originally been developed to measure disability and health-related quality of life in patients with adolescent idiopathic scoliosis but it has proven valid also in adults with degenerative spinal disease. Degenerative spine disease has many phases and manifestations including disc deg...
Conference Paper
Full-text available
The Depression Scale (DEPS) is a patient-reported outcome instrument developed to recognize depressive symptoms. This study measured the psychometric properties of the DEPS among patients with degenerative spinal disease. Altogether 637 patients were included in the analysis. Main research question was whether the DEPS would meet pertinent psychome...
Conference Paper
Full-text available
Aim: The Oswestry disability index (ODI) is a 10-item scale designed to measure the disability related to lower back pain. We aimed to study the psychometric properties of the Finnish version of the ODI using Rasch Measurement analytic techniques with the RUMM2030 software. Methods: ODI data was derived from 637 adult patients who suffered from spi...
Article
Full-text available
Objective: To study the effectiveness of a 12-month exercise therapy on kinesiophobia and physical activity in patients with spondylolisthesis after lumbar spine fusion. Design: Randomized controlled trial. Subjects: Patients (n = 98) with spondylolisthesis who had undergone lumbar spine fusion. Methods: All patients (mean age 59 years) had...
Article
Full-text available
Study design: Cross-sectional, observational study. Objective: To study the occurrence of sagittal malalignment, the adaptability of a simplified sagittal modifiers grading of the Scoliosis Research Society (SRS)-Schwab adult spinal deformity classification (ASD), and the deformity-specific SRS questionnaire version 30 (SRS-30) in an unselected...
Article
Full-text available
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...
Article
Objective To obtain reference values for the isometric endurance test (IET) of the cervical flexor muscles, investigate its reproducibility, and compare the results with the maximal isometric strength test (MIST) of the cervical flexor muscles. Design Cross-sectional non-comparative study with single group repeated measurements. Methods Altogethe...
Article
Full-text available
Study design: A prospective clinical study to test and adapt a Finnish version of the Scoliosis Research Society 30 (SRS-30) questionnaire. Objective: To perform cross-cultural adaptation and evaluate the validity of the adapted Finnish version of the SRS-30 questionnaire. Summary of background data: The SRS-30 questionnaire has proved to be a...
Conference Paper
Full-text available
Adult spinal deformity (ASD) has multiple etiologies and it develops over the years. Our aim was to evaluate the occurrence of sagittal disorders in an unselected consecutive cohort of 637 adult patients with a prolonged degenerative symptomatic spine disorder. For comparison of the disability and the HRQoL (Health Related Quality of Life) outcomes...
Conference Paper
Full-text available
The Scoliosis Research Society Questionnaire (SRS-30) has proved to be a valid instrument in evaluation health-related quality of lire (HRQoL) in adolescent and adult population with spine deformities in the USA. Multinational availability required cross-cultural and linguistic adaptation and validation of the instrument into Finnish. 274 adult pat...
Article
Full-text available
OBJECTIVES: To perform cross-cultural adaptation and evaluate the validity of the adapted Finnish version of the SRS-30 questionnaire. METHODS: The SRS-30 was translated into Finnish using accepted methods for translation of quality-of-life questionnaires. A total of 274 adult patients with degenerative radiographic sagittal spinal disorder answe...
Article
OBJECTIVES: The aim of this study was to assess the psychometric properties of the Finnish version of the Locomotor Capabilities Index-5 (LCI-5) among Finnish lower-limb prosthesis users. METHODS: The LCI-5 was translated and cross-culturally adapted into Finnish. The LCI-5, 15D HRQoL instrument and patient-perceived general health and pain measu...
Poster
Full-text available
Objectives: To evaluate the validity of the adapted Finnish version of the Scoliosis Research Society 30 (SRS-30) questionnaire. Methods: The SRS-30 was translated into Finnish using accepted methods for translation of quality-of-life questionnaires. A total of 274 adult patients with degenerative radiographic sagittal spinal disorder answered the...
Poster
Full-text available
Introduction: One of the main goals of rehabilitation after lower limb amputation is the restoration of the locomotive abilities of the amputee. Psychometrically sound assessment tools are needed in evaluating locomotor function of the lower limb prosthesis users for both clinical and research purposes. Nonetheless, valid and reliable measures have...
Poster
Full-text available
Adult spindle deformity (ASD) has multiple etiologies and it develops over the years. Typical radiological findings are loss of lumbar lordosis (LL) in relation to pelvic incidence (PI), PI-related amount of compensatory pelvic retroversion, pelvic tilt (PT) and reduction of thoracic kyphosis and hyperlordosis of cervical spine. Most previous studi...
Article
Full-text available
Background: Cervicogenic headache and migraine are common causes of visits to physicians and physical therapists. Few randomized trials utilizing active physical therapy and progressive therapeutic exercise have been previously published. The existing evidence on active treatment methods supports a moderate effect on cervicogenic headache. Objectiv...
Article
Full-text available
Objective: To evaluate changes in the strength and mechanical properties of neck muscles and disability in patients with cervical dystonia (CD) during a 12-week period following botulinum neurotoxin (BoNT) injections. Methods: Eight patients with CD volunteered for this prospective clinical cohort study. Patients had received BoNT injections reg...
Article
Full-text available
Rotator cuff repair incidence rates have reportedly increased in the United States and England. Here we analyzed nationwide data relating to rotator cuff repairs recorded in the Finnish National Hospital Discharge Register (NHDR). The NHDR was reviewed to identify adult patients who underwent rotator cuff repair between 1998 and 2011. Incidence rat...
Article
Full-text available
The aim was to assess the level of lower body pain among people with previous femoral neck fracture, and whether the type of surgery was associated with pain and physical function a mean of 2 years after surgery. The study included 115 community-dwelling older adults aged 60 years and older with previous femoral neck fracture, and 31 reference subj...
Article
Full-text available
Background: Cervicogenic headache and migraine are common causes of visits to physicians and physiotherapists. Few randomized trials utilizing active physical therapy and progressive therapeutic exercise have been previously published. The existing evidence on active treatment methods supports a moderate effect on cervicogenic headache. Objective...
Article
Full-text available
Background and purpose — An increased incidence rate of acromioplasty has been reported; we analyzed data from the Finnish National Hospital Discharge Register. Patients and methods — During the 14-year study period (1998–2011), 68,877 acromioplasties without rotator cuff repair were performed on subjects aged 18 years or older. Results — The incid...
Article
Full-text available
Objective: To compare a 12-month home-based exercise programme with usual care for disability and health-related quality of life after rotator cuff repair. Design: Randomized controlled trial. Setting: Outpatient physical and rehabilitation medicine clinic. Subjects: Consecutive patients (n=67, mean age 54 years) who underwent rotator cuff r...
Article
Full-text available
The American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES) is one of the most widely used shoulder outcome tools in clinical work and in scientific studies. However, it has not been validated in the Finnish language. The aims of this study were to cross-culturally adapt the ASES to the Finnish language and to study the ps...
Article
Full-text available
Background: Neck pain constitutes a common disorder in modern societies. Numerous complications and episodes of recurrence have been observed with neck pain while few statistically evidence-based exercise protocols have been designed. The objective of this study was to detect and compare the applicability of two proprioceptive and endurance measure...
Article
Full-text available
Background: The optimal type of exercise protocol in the physical rehabilitation of non-specific neck pain has not yet been established. Furthermore, the role of fear-avoidance belief in the maintenance of pain and disability has been highlighted. Research indicates that exercise may be a means to reduce fear-avoidance belief, but evidence is scar...
Article
Lumbar spine fusion (LSF) has been reported to change the biomechanics of the spine and therefore the rehabilitation after LSF is important. In the present study the effect of selected neutral spine control (NSC) exercises on activation of trunk muscles after LSF were evaluated. Muscle activity was measured by surface electromyography of the rectus...
Article
Full-text available
Objective: To evaluate the efficacy of a delayed home exercise programme compared with normal care after primary total knee arthroplasty. Design: Single-blind, prospective, randomized, controlled trial. Participants: A total of 108 participants (61% females, mean age 69 years [standard deviation 8.7]), were randomized to a home-based exercise group...
Article
Full-text available
Background: Subacromial impingement syndrome is the most common indication for shoulder operation. However, exercise therapy for the conservative treatment is recommended in the first instance. Aim: To evaluate the implementation of exercise therapy in impingement syndrome. Design: Retrospective study using structured postal questionnaire and...
Article
To examine the effects of local cooling on mechanical properties of the quadriceps muscle in healthy subjects. Thirty-nine healthy subjects (27 women, 12 men, mean age 39, range 20-62) volunteered. A cold gel pack was applied to the quadriceps muscle for 20 min. Properties were quantified by analyzing the frequency (tension), decrement (elasticity)...
Article
Full-text available
Referral to a specialist has a significant influence on management of the patient and costs associated with the treatments. However, development and research of the process by which patients are referred has been almost neglected. Expectations considering the purpose, contents, and timing of the referral of the consulting physician and the consulta...
Article
Due to large volume of knee osteoarthritis referrals and increasing waiting times, the contents of referrals and patient's pathways were analyzed in the Jyväskylä Central Hospital. The referral contents of 171 knee osteoarthritis patients referred to the orthopedic outpatient clinic were screened, and the post-referral treatment decisions were pull...
Article
Purpose: To analyze trunk muscle function pre- and postoperatively in patients undergoing lumbar spine fusion. Associations between changes in trunk muscle strength and disability were also studied. Method: A total of 114 patients undergoing lumbar spine fusion participated in the study. The flexion and extension strength of the trunk was measur...
Article
Full-text available
Purpose: To determine the relationship between functional disability and health-related quality of life (HRQoL) in rotator cuff tear (RCT) patients. Method: In 67 RCT patients (mean age, 54 years; 57% males), functional disability was self-reported with the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES), HRQoL...
Article
Full-text available
Purpose: To evaluate whether long-term neck and upper body exercises conducted in economical community-based outpatient clinic and home-based settings could improve health-related quality of life (HRQoL)for individuals affected by chronic neck pain. The effect of baseline HRQoL and neck pain values on training adherence was also studied. Methods:...
Article
Full-text available
It is possible to measure muscle tone reliably, quickly and objectively using tonometers although they are not yet widely used. In clinical practice it may be helpful if clinicians could assess the degree of contraction in different parts of a muscle without having to perform time-consuming EMG measurements. The purpose of this study was to evaluat...
Article
Although several everyday functions and sporting activities demand controlled use of the abdominal and back muscles while working with the upper limbs, the activity of core muscles during dynamic upper limb exercises in the standing position has not been studied extensively. The purpose of this cross-sectional study was to examine abdominal and bac...
Article
Follow-up study. To study whether neck muscle strength or cervical spine mobility values could serve as predictors for future neck pain among originally pain-free working-age subjects during a long period. Neck pain has been associated with weaker neck muscle strength and lower cervical spine mobility in several studies. However, causality between...
Article
Full-text available
Prospective clinical validation study. The aims of this study were to translate into Finnish and culturally adapt and study the psycho-metric properties of the Oswestry Disability Index (ODI) version 2.0. The ODI is one of the most commonly reported back-specific disability questionnaires. It is widely used both in clinical work and in medical stud...
Article
Full-text available
Subacromial impingement syndrome is a common orthopedic condition. Patients operated due to shoulder impingement (n=104) were sent a questionnaire inquiring rehabilitation procedures before and after surgery, pain and shoulder function. Response rate was 68%, mean age of the patients was 53 years. Before surgery, 50% of the patients had received ph...
Conference Paper
Full-text available