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STUDY DESIGN A randomized controlled trial. OBJECTIVES To assess the effectiveness of decompressive surgery as compared with nonoperative measures in the treatment of patients with lumbar spinal stenosis. SUMMARY OF BACKGROUND DATA No previous randomized trial has assessed the effectiveness of surgery in comparison with conservative treatment for spinal(More)
BACKGROUND Reliable normative data for force platform measurements of postural balance have not been available. METHODS Data on postural balance were collected from a representative nationwide sample of a Finnish population aged >or=30 years (n = 7,979). As part of a comprehensive health survey (Health 2000), postural balance was measured with the help of(More)
OBJECTIVES To examine long-term changes in handgrip strength and the factors predicting handgrip strength decline. DESIGN Longitudinal cohort study with 22 years of follow-up. SETTING Population-based Mini-Finland Health Examination Survey in Finland. PARTICIPANTS Nine hundred sixty-three men and women aged 30 to 73 at baseline. MEASUREMENTS(More)
BACKGROUND Long-term predictors of geriatric syndrome of frailty are unclear. Several obesity-related conditions are associated with frailty. This study examines the predictive role of midlife overweight and obesity on development of frailty more than 22 years of follow-up. METHODS Data are from 1,119 men and women aged 30 or older without frailty at(More)
A prospective study was designed to evaluate the possible changes in abdominal wall strength following free transverse rectus abdominis musculocutaneous (TRAM) flap surgery for breast reconstruction. Twenty-two patients were examined 1 day before surgery, and at 3, 6, and 12 months postoperatively. Trunk muscle strength was measured by the same(More)
Twenty-seven free transverse rectus abdominis musculocutaneous (TRAM) and 16 pedicled TRAM flap breast reconstruction patients were studied for 7 to 41 months (mean, 23 months) postoperatively to compare abdominal sequelae after these two operations. The patient groups were demographically similar; mean age was 47 years in both groups. Subjective grading of(More)
BACKGROUND This study examined 10 year trends in functional capacity by gender, age, and education among elderly Finns aged 65-84 years, focusing on difficulties in basic activities of daily living (BADL). Educational disparities and their trends in the prevalence of these difficulties were also assessed. METHODS Data were derived from nationally(More)
PURPOSE To determine the independent effect of visual acuity on individual activities of daily living (ADL), instrumental activities of daily living (IADL) and mobility. METHODS Cross-sectional survey on a sample representing the Finnish population aged 55 years and above. Of the 3392 eligible people, 3185 (93.9%) were interviewed, 2870 (84.6%) attended a(More)
OBJECTIVES To determine optimal hand-grip strength cut points for likelihood of mobility limitation in older people and to study whether these cut points differ according to body mass index (BMI). DESIGN Cross-sectional analysis of data. SETTING Data collected in the Finnish population-based Health 2000 Survey. PARTICIPANTS One thousand eighty-four(More)
BACKGROUND To examine the association between obesity history and hand grip strength, and whether the association is partly explained by subclinical inflammation and insulin resistance. METHODS Data are from 2,021 men and women aged 55 years and older participating in the representative population-based Health 2000 Survey in Finland. Body mass and body(More)