Jyrki A Kettunen

Jyrki A Kettunen
  • PhD PT (Docent in health sciences)
  • Senior Researcher (part-time) at Arcada University of Applied Sciences

Retired

About

123
Publications
29,331
Reads
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3,079
Citations
Current institution
Arcada University of Applied Sciences
Current position
  • Senior Researcher (part-time)
Additional affiliations
October 2000 - July 2010
ORTON Foundation, Helsinki, Finland
Position
  • Research chief
August 2010 - present
Arcada University of Applied Sciences
Position
  • Senior Researcher
Position
  • Research Chief

Publications

Publications (123)
Article
Full-text available
Telerehabilitation requires accurate joint range of motion (ROM) measurement methods. The aim of this study was to evaluate the reliability and validity of a computer vision (CV)‐based markerless human pose estimation (HPE) application measuring active hip and knee ROMs. For this study, the joint ROM of 30 healthy young adults (10 females, 20 males...
Article
Full-text available
Background Osteoarthritis in the lower extremities becomes more common as people age. In addition to conservative treatments, hip or knee arthroplasty is often needed. The aim of this study was to evaluate total knee arthroplasty (later TKA) in patients, comparing those who had previously undergone THA (later THA/TKA), with those who had not underg...
Article
Full-text available
Background Total hip arthroplasty (THA) decreases pain and improves function in patients with osteoarthritis. In some cases, both hips have been operated simultaneously. Our aim was to report patients’ pain and physical function after one- and five-years post-operatively among patients who underwent unilateral THA and those who underwent bilateral...
Article
Background: Understanding the concept of pain and its underlying biological mechanisms is an essential part of physiotherapists’ professional knowledge. Objectives: The first aim of the study was to translate and cross-culturally adapt the revised Neurophysiology of Pain Questionnaire into Finnish (RNPQ-FI) and to evaluate its reliability (internal...
Conference Paper
Full-text available
In this paper we present a computer vision (CV) based prototype application for knee range of motion analysis. The prototype is built on top of an existing CV pose estimation technique, requiring only one web camera. The aim was to investigate whether it can provide adequate measurement accuracy for rehabilitation purposes. Pilot testing were used...
Article
Full-text available
Maintenance of vigorous exercise habits from young to old age is considered protective against hip fractures, but data on fracture risk in lifelong vigorous exercisers are lacking. This longitudinal cohort study examined the hazard of hip fractures in 1844 male former athletes and 1216 population controls and in relation to exercise volume and inte...
Technical Report
Tutkimuksessamme kartoitettiin johdon käsityksiä ammattikorkeakoulujensa monialaisista oppimisympäristöistä. Kyselymme perusteella monialainen opetus koetaan organisaation strategiatasolla merkitykselliseksi, mutta käytännön toteutuksessa koettiin vielä tarvittavan kehittämistyötä.
Technical Report
Tutkimuksemme perusteella potilaat, joiden polven eturistisidevamma leikattiin spinaalipuudutuksessa, tarvitsivat leikkauksen jälkeen merkittävästi vähemmän kipulääkettä kuin yleisanestesiassa leikatut potilaat. Taustatekijöistä sukupuoli, paino, ikä tai leikkauksen kesto (yli 120 minuutin leikkaukset poissuljettu) eivät olleet yhteydessä kipulääki...
Article
Full-text available
Background The ongoing COVID-19 pandemic has required social, health, and rehabilitation organizations to implement remote physiotherapy (RP) as a part of physiotherapists’ daily practice. RP may improve access to physiotherapy as it delivers physiotherapy services to rehabilitees through information and communications technology. Even if RP has al...
Preprint
BACKGROUND The ongoing COVID-19 pandemic has required social, health, and rehabilitation organizations to implement remote physiotherapy (RP) as a part of physiotherapists’ daily practice. RP may improve access to physiotherapy as it delivers physiotherapy services to rehabilitees through information and communications technology. Even if RP has al...
Article
Full-text available
Background: Health care providers’ beliefs influence the outcomes of low back pain patients care. Objectives: The aim of this study was to translate and cross-culturally adapt the Health Care Providers’ Pain and Impairment Relationship Scale into Finnish (HC-PAIRS-FI) and to evaluate its psychometric properties and factor structure in a sample of...
Article
Vapaasti luettavissa https://www.kaypahoito.fi/hoi24065#s1
Preprint
Full-text available
Walking is important for maintaining physical function. Gait-speed test is a reliable measure of functional capacity and it is easily implemented in clinical settings. The aim of our study was to investigate gait speed in one-year follow-up study among older physically active adults living at home independently. Subjects (N=27) were people aged 65+...
Article
Vapaasti luettavissa osoitteessa https://blogit.metropolia.fi/tikissa/2020/04/16/tutkittavan-suostumus-ja-opinnaytetyo/
Article
Background There are only a few studies on untreated Scheuermann's disease and magnetic resonance imaging (MRI) findings in the lumbar spine. The primary aim of this study was to clarify lumbar MRI findings in patients with Scheuermann's disease and to compare with subjects without diagnosed spine disease. Methods Twenty-two male adult Scheuermann...
Research
Link to the full-text guideline: https://www.terveysportti.fi/dtk/sfs/avaa?p_artikkeli=sfs00001
Article
Vapaasti ladattavissa suomeksi, ruotsiksi ja englanniksi osoitteessa http://www.arene.fi/julkaisut/raportit/opinnaytetoiden-eettiset-suositukset/
Article
Blogikirjoitus vapaasti luettavissa osoitteessa https://inside.arcada.fi/hvbloggen/urheiluvammat-suomalaisessa-kilpacheerleadingissa/ ja Heidi Telkamon opinnäytetyö osoitteessa https://www.theseus.fi/handle/10024/171416
Conference Paper
Introduction: There are only a few studies on untreated Scheuermann’s and magnetic resonance imaging findings in the lumbar spine. Purpose: The primary aim of this study was to clarify lumbar magnetic resonance imaging (MRI) findings in patients with Scheuermann´s disease and to compare with population based control group. Secondly, we wanted to...
Article
Study Design: Cross-sectional study. Objective: To evaluate the relationship between agility and personal factors, muscle strength and power, mobility, self-reported balance and physical activity among older men. Methods: Agility was measured by using the Agility Test for Adults (ATA). We studied 100 Finnish male former elite athletes (endurance n...
Conference Paper
Background: Knowledge of magnetic resonance imaging (MRI) findings in lumbar spine on untreated (no brace or surgical treatment) Scheuermann’s is limited. Our aim was to clarify lumbar MRI findings, symptoms and function in Scheuermann patients and compare with population based control group. Method: Twenty-two male adult Scheuermann´s (mean age 6...
Preprint
Full-text available
Abstract The fear of falling is common among elderly, even among those who haven ́t had a fall. The fear of falling can result in increased feelings of vulnerability that, over time, might lead to restricted mobility, and impaired performance. Through early identification, subjects who are concerned about falling, may be able to avoid fall related...
Article
Full-text available
Tutkimuksessame selvitettiin kivunopetuksen määrää ja sisältöä ammattikorkeakoulujemme fysioterapian koulutusohjelmissa. Määrän lisäksi on huomioitva kivunopetuksen näyttöön perustuva ajantasainen sisältö.
Article
BACKROUND: The primary aim of the study was to investigate how total knee arthroplasty (TKA) patients with underlying injuries differ in injury type and physical activity after the arthroplasty. METHODS: Aquestionnaire was sent to TKApatients, < 60 years at surgery, and knee injury as the cause of knee OA. The final study group consisted of 70 pati...
Article
Full-text available
Background and aims: Despite the recognition of pain as a global health problem and advancements achieved in what is known about effective pain management, pain education for undergraduate health care professionals remains insufficient. This study investigated the content of pain curricula and the time allocated to pain education on physiotherapy p...
Article
Full-text available
Background: Some of the temporal variations and clock-like rhythms that govern several different health-related behaviors can be traced in near real-time with the help of search engine data. This is especially useful when studying phenomena where little or no traditional data exist. One specific area where traditional data are incomplete is the st...
Article
Vapaasti luettavissa https://vastuullinentiede.fi/fi/tutkimuksen-suunnittelu/selvita-tarvitsetko-tutkimuksellesi-luvan
Article
Full-text available
Introduction: Paramedics’ work includes periods of physically light activity, but also involves short periods of relatively intense physical activity. Even during their studies paramedic students’ days involve a lot of sitting, i.e. physically sedentary behaviour. We initiated a programme to motivate paramedic students to be physically active durin...
Poster
Full-text available
SAMMANFATTNING Studien visar på reliabilitet vid mätning av lårmuskelaktivitet med SmartShorts. Högsta reliabilitetsvärden fanns för upprepat huksittande. Testsituationen var standardiserad, dock kan resultaten ha påverkats av kontakten mellan elektroderna och huden och kontakten mellan shortsen och mätenheten. Resultaten indikerar att SmartShorts...
Article
Link to the full-text guideline: https://www.terveysportti.fi/dtk/sfs/avaa?p_artikkeli=sfs00003
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
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
Full-text available
Using technical clothes with electrodes embedded in the clothing makes it possible to record the electrical activity produced by the activity of the skeletal muscles in activities of daily living. Objective: The aim of the study was to investigate the reliability of measuring lower-limb left-right electromyography (EMG) activity ratio with smart sh...
Article
Full-text available
Neural networks can be applied to many predictive data mining applications due to their power, flexibility and relatively easy operations. Predictive neural networks are very useful for applications where the underlying process is complex, such as in classification using a mix of nominal and ratio level variables and for predictive validity based o...
Article
The aim of this cross-sectional study was to compare mobility and muscle strength in male former elite endurance and power athletes aged 66−91 years (n = 150; 50 men in both former elite athlete groups and in their control group). Agility, dynamic balance, walking speed, chair stand, self-rated balance confidence (ABC-scale), jumping height, and ha...
Research
Link to the full-text guideline: https://www.terveysportti.fi/dtk/sfs/avaa?p_artikkeli=sfs00002
Conference Paper
Background: Physiotherapy (PT) education as well as practice should be based on scientific knowledge and needs in PT practice. National and international physiotherapy guidelines help clinicians to choose effectivity treatment methods, but especially national guidelines cover only a small part of the physiotherapy field. Research results are transf...
Article
Full-text available
Background and Purpose. The possible effect of pediatric femoral fractures on the bone mineral density (BMD) is largely unknown. We conducted a study to investigate BMD in adults who had sustained a femoral shaft fracture in childhood treated with skeletal traction. Materials and Methods. Forty-four adults, who had had a femoral fracture before ske...
Article
Full-text available
The World Masters Games, held quadrennially, is the largest international sporting competition in terms of participant numbers. Yet this cohort remains proportionately under investigated. An online survey using an open-source specialized survey application software program was utilized to investigate the 2009 Sydney World Masters Games (SWMG) footb...
Article
Aim To investigate life expectancy and mortality among former elite athletes and controls. Methods HR analysis of cause-specific deaths sourced from the national death registry for former Finnish male endurance, team and power sports athletes (N=2363) and controls (N=1657). The median follow-up time was 50 years. Results Median life expectancy was...
Article
Aim: The purpose of this study was to clarify training-related risk factors for overuse injuries. Methods: This was twelve-month retrospective study which was done by self-reported postal questionnaire. The study group consisted of 446 men and women top-level Finnish athletes representing three different endurance sports (cross-country skiing, s...
Article
WMG (World Masters Games) athletes have either pursued a physically active lifestyle for an extended period of time or have initiated exercise/sport in later life. This unique cohort of middle-aged to older-aged adults remains relatively uninvestigated with regards to various measures of health. With a need for multifaceted solutions to the obesity...
Article
Aim: Whilst there is growing evidence that physical activity across the lifespan is beneficial for improved health, there are many physiological changes involved with the aging process and subsequently the potential for reduced indices of health. The experimental aim was to gain improved understanding of the nexus between health, physical activity...
Article
Full-text available
Objective: The aim of this study was to develop and test the validity of a new repeatable method to delimit abdominal areas for follow-up of fat mass (FM) and lean tissue mass (LM) in DEXA examinations. Methods: 37 male volunteers underwent two DEXA examinations. Total body FM and LM measurements and corresponding abdominal measurements in a car...
Article
Full-text available
Background: The natural course of isolated serratus palsy is obscure. Residual winging, muscle weakness, and fatigability reportedly occur in half of the patients. Because we believed isolated serratus palsy might have a better natural course than earlier thought, we evaluated our long-term records. Questions/purposes: We determined duration of...
Article
Full-text available
Abstract Injuries are common among athletes, and are sometimes so severe that they affect an athlete’s career in sport. As studies on sport career termination are few, we conducted a study to investigate the role of injuries as a reason for ending a sport career. The study group consisted of 574 male and female top-level cross-country skiers, swimm...
Article
Full-text available
Background: Thousands of masters athletes participate quadrennially in the World Masters Games (WMG). However, this unique cohort remains under-investigated. With a need for multifaceted solutions to the global obesity epidemic, investigating special populations such as those competing in sport at older ages may further understanding of the nexus b...
Article
Full-text available
There are only a few follow-up studies of untreated Scheuermann's disease. The aim of this study was to investigate the relationship between vertebral changes, back pain, and disability in patients with untreated Scheuermann's disease after a 37-year follow-up. Eighty patients responded to a postal questionnaire concerning back pain and disability...
Article
Full-text available
The natural history of spontaneous idiopathic frozen shoulder is controversial. Many studies claim that complete resolution is not inevitable. Based on the 40-year clinical experience of the senior author, we believed most patients with idiopathic frozen shoulder might have a higher rate of resolution than earlier thought. We determined the length...
Conference Paper
There are only a few follow-up studies of untreated Scheuermann’s. The aim of this study was to investigate the relationship between vertebral changes, back pain, and disability in patients with untreated Scheuermann’s after a 37-year follow-up. Forty-nine of 84 patients responded to a postal questionnaire concerning back pain and disability. Degre...
Article
Full-text available
Thousands of masters athletes participate quadrennially in the World Masters Games (WMG), yet this cohort of athletes remains proportionately under-investigated. Due to a growing global obesity pandemic in context of benefits of physical activity across the lifespan, the BMI trends for this unique population was of particular interest. The nexus be...
Article
Full-text available
Thousands of masters athletes participate quadrennially in the World Masters Games (WMG), yet this cohort of athletes remains proportionately under-investigated. Due to a growing global obesity pandemic in context of benefits of physical activity across the lifespan, the prevalence of obesity in this unique population was of particular interest. Da...
Article
Recently, the health of retired National Football League players, particularly lineman has been investigated. A number of studies have reported increased cardiometabolic risk, premature cardiovascular disease and incidence of type 2 diabetes. Rugby union players have somatotypes very similar to National Football League players which suggests that r...
Article
The objectives of the present study were to find out the results and the factors affecting survival after primary knee arthroplasty with a cruciate-retaining prosthesis in severe valgus deformity. Forty-eight patients (52 knees) participated in the current follow-up study. All patients were followed at least 5 years or to first revision. Mean follo...
Article
Recently, the health of retired National Football League players, particularly lineman has been investigated. A number of studies have reported increased cardiometabolic risk, premature cardiovascular disease and incidence of type 2 diabetes. Rugby union players have somatotypes very similar to National Football league players which suggest that ru...
Article
Whilst there is growing evidence that activity across the lifespan is beneficial for improved health, there are also many changes involved with the aging process and subsequently the potential for reduced indices of health. The nexus between health, physical activity and aging is complex and has raised much interest in recent times due to the reali...
Article
Whilst there is growing evidence that activity across the lifespan is beneficial for improved health, there are also many changes involved with the aging process and subsequently the potential for reduced indices of health. Data gathered on a subsample of 535 football code athletes, aged 31-72 yrs (X̄=47.4, s =±7.1), competing at the Sydney World M...
Article
Full-text available
Medical imaging has changed from analog films to digital media. We examined and compared the accuracy of orthopedic measurements using different media. Before knee arthroplasty, full-length standing radiographs of 52 legs were obtained. The mechanical axis (MA), tibio-femoral angle (TFA), and femur angle (FA) were measured and analyzed twice, by 2...
Article
Some types of sports are thought to include a high risk for shoulder region tendon injuries but little data exist on long-term cumulative incidence of these injuries. The aim of our study was to investigate shoulder region tendon injuries diagnosed by physicians in former elite male athletes participating in sports including maximal overhead manoeu...
Article
To study the long-term outcome of arthroscopy in patients with chronic patellofemoral pain syndrome (PFPS), the authors conducted a randomised controlled trial. The authors also investigated factors predicting the outcome in patients with PFPS. Fifty-six patients with PFPS were randomised into two groups: an arthroscopy group (N=28), treated with k...
Article
Aim and Scope: Thousands of masters athletes participate quadrennially in the World Masters Games (WMG). However, this unique cohort remains under investigated. With a need for multifaceted solutions to the global obesity epidemic, investigating special populations such as those competing in sport at mature-older ages may further the understanding...
Article
The education of orthopaedic patients is an essential component of nursing, because it has been shown to have a positive impact on outcomes of care and treatment. To describe total joint arthroplasty patients' perceptions of received knowledge on discharge. Patients (n = 123, mean age 68 years) undergoing total hip or knee arthroplasty self-adminis...
Article
Commentary on: van LinschotenRvan MiddelkoopMBergerMY. Supervised exercise therapy versus usual care for patellofemoral pain syndrome: an open label randomised controlled trial. BMJ2009;339:b4074.
Article
Full-text available
The multitude of symptoms following a whiplash injury has given rise to much discussion because of the lack of objective radiological findings. The ligaments that stabilize the upper cervical spine can be injured. Dynamic kine magnetic resonance imaging (dMRI) may reveal the pathological motion patterns caused by injury to these ligaments. To compa...

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