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[{"key": "dc.contributor.author", "value": "Riikonen, Kirsi", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2013-03-08T12:26:33Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2013-03-08T12:26:33Z", "language": "", "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2013", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1255955", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/41035", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Tausta ja tarkoitus:\r\nOn yleisesti tunnettu tosiasia, ett\u00e4 nivelreumaa sairastavien tasapaino on heikentynyt. He n\u00e4ytt\u00e4isiv\u00e4t luottavan tasapainon hallinnassa normaalia enemm\u00e4n visuaaliseen informaatioon, kokevat enemm\u00e4n tasapainon ep\u00e4varmuutta ja kaatumisen pelkoa sek\u00e4 heill\u00e4 on kohonnut riski kaatumisiin verrattuna terveisiin verrokkeihin. T\u00e4m\u00e4n Pro-gradu tutkielman tarkoituksena oli selvitt\u00e4\u00e4 onko nivelreumaa sairastavien naisten tasapainossa eroa verrattuna terveisiin naisiin, tapahtuuko tasapainossa nivelreumaa sairastavilla ja terveill\u00e4 verrokeilla muutoksia kuuden kuukauden seurannan aikana sek\u00e4 onko nivelreumaa sairastavilla tasapainossa tapahtuvien muutosten ja itse arvioidussa toimintakyvyss\u00e4 tapahtuvien muutosten v\u00e4lill\u00e4 yhteytt\u00e4.\r\nMenetelm\u00e4t:\r\nTutkimuksessa oli mukana 95 tietopainotteiselle kuntoutuskurssille osallistuvaa nivelreumaa sairastavaa naista ja 110 tervett\u00e4 verrokkia. I\u00e4lt\u00e4\u00e4n he olivat 20\u201360 \u2013vuotiaita. Seurantamittauksissa heit\u00e4 oli mukana 72 nivelreumaatikkoa ja 98 tervett\u00e4 verrokkia. Kaikki tutkimukseen osallistuvat henkil\u00f6t t\u00e4yttiv\u00e4t tutkimuksen alussa ja seurantamittauksissa kyselylomakkeen joka sis\u00e4lsi itse arvioidun toimintakyvyn (HAQ) arvioinnin. Tasapainon mittausmenetelmin\u00e4 k\u00e4ytettiin staattista yhden jalan seisonta \u2013 testi\u00e4 (OLST), toiminnallista Timed up and go \u2013 testi\u00e4 (TUG) ja voimalevymittauksia. Seurantamittaukset suoritettiin puolen vuoden kuluttua alkumittauksista. Tilastollisissa menetelmiss\u00e4 k\u00e4ytettiin Windows\uf0e2 SPSS versio 10.0. Tulokset analysoitiin k\u00e4ytt\u00e4en varianssianalyysi\u00e4 (ANOVA), t testi\u00e4 ja kovarianssianalyysi\u00e4 (ANCOVA). Korrelaatioanalyysiss\u00e4 k\u00e4ytettiin Pearssonin menetelm\u00e4\u00e4. \r\nTulokset:\r\nNivelreumaa sairastavien naisten staattinen ja dynaaminen tasapaino oli heikentynyt terveisiin naisiin verrattuna (OLST p<.001, TUG p<.001, voimalevyll\u00e4 yhden jalan seisonta p<.001 ja aika dynaamisessa testiss\u00e4 p=.002). Puolen vuoden seurannan j\u00e4lkeen havaittiin, ett\u00e4 nivelreumaa sairastavien suoriutuminen parani toiminnallisessa TUG-testiss\u00e4 verrattuna alkumittauksiin. Terveill\u00e4 verrokeilla ei selke\u00e4\u00e4 muutosta tapahtunut. Ryhmien v\u00e4linen muutosten ero oli tilastollisesti merkitsev\u00e4 (TUG p=.011). Nivelreumaa sairastavilla naisilla muutokset toiminnallisessa tasapainossa olivat yhteydess\u00e4 polven koukistusvoimassa tapahtuneeseen muutokseen (r= -0.32, p=.006). Voimalevymittauksissa nivelreumaatikkojen huojunta lis\u00e4\u00e4ntyi kahden jalan seisonnassa silm\u00e4t avoinna verrattuna heid\u00e4n alkumittauksiinsa, terveill\u00e4 verrokeilla huojunnassa ei tapahtunut selke\u00e4\u00e4 muutosta. Terveet verrokit puolestaan huojuivat voimalevyll\u00e4 v\u00e4hemm\u00e4n yhden jalan seisonnassa sek\u00e4 he suoriutuivat dynaamisessa testiss\u00e4 nopeammin verrattuna heid\u00e4n alkumittauksiinsa. Nivelreumaatikoilla n\u00e4iss\u00e4 tasapainon mittauksissa ei tapahtunut selke\u00e4\u00e4 muutosta. Voimalevymittauksissa ryhmien muutosten v\u00e4liset erot tasapainossa olivat tilastollisesti merkitsevi\u00e4 (kahden jalan seisonta silm\u00e4 avoinna p=.017, yhden jalan seisonta p=.001 ja dynaaminen testi p=.008). Seurannan j\u00e4lkeen ainoastaan muutokset toiminnallisessa TUG -tasapainotestiss\u00e4 olivat tilastollisesti merkitsev\u00e4sti yhteydess\u00e4 HAQ-tuloksissa tapahtuneisiin muutoksiin (p=.021) nivelreumaa sairastavilla naisilla. \r\nJohtop\u00e4\u00e4t\u00f6kset:\r\nNivelreumaa sairastavien naisten tasapaino oli heikentynyt terveisiin naisiin verrattuna. Kuuden kuukauden seurannan j\u00e4lkeen nivelreumaa sairastavien ja terveiden verrokkien v\u00e4lilt\u00e4 l\u00f6ytyi selke\u00e4 yhteys toiminnallisessa tasapainossa tapahtuneiden muutosten ja itse arvioidussa toimintakyvyss\u00e4 tapahtuneiden muutosten v\u00e4lill\u00e4. Nopeampi suoriutuminen toiminnallisessa tasapainotestiss\u00e4 oli tilastollisesti merkitsev\u00e4sti yhteydess\u00e4 itsearvioidun toimintakyvyn parantumiseen. T\u00e4m\u00e4 tutkimuksen tulos yhdistettyn\u00e4 aikaisempaa tietoon kannustaa sis\u00e4llytt\u00e4m\u00e4\u00e4n monipuolisia tasapainoa ja fyysist\u00e4 kuntoa parantavia harjoitteita nivelreumaa sairastavien kuntoutukseen toimintakyvyn yll\u00e4pysymiseksi sek\u00e4 kaatumisten ennaltaehk\u00e4isemiseksi.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Background and purpose: \r\nIt is well known that Rheumatoid arthritis (RA) patients have decreased postural balance. They seem to feel more unstable, experience more fear of falling, rely more on visual information for maintaining balance and they have increased risk of falling compared to the healthy control group. The purpose of this master\u2019s thesis was to find out if there are balance differences between RA-women and healthy women are there changes in balance during six-month follow-up and to evaluate the connection between changes in performance in postural control tests and disability (HAQ) index in RA-patients during follow-up.\r\nMethods:\r\nThe study included 95 women with RA who were participating in an intensive rehabilitation course, and a control group of 110 healthy women. All participants were aged between 20 and 60 years. In the follow-up measurements there were 72 RA-patients and 98 healthy women of the control group. All participants in the study filled in a questionnaire including Health Assessment Questionnaire (HAQ). Postural control assessment tests were: one-leg stance test (OLST), Timed Up and Go test (TUG) and tests on force platform. Follow-up measurements were made after six months from the first measurements. In the analysis, the statistical package of SPSS 10.0 for Windows\uf0e2 was used. Results were evaluated using analysis of variance (ANOVA), t test and covariance (ANCOVA) with the baseline values as covariables. Correlation coefficients were calculated with the Pearson method. \r\nResults: \r\nStatic and dynamic balance was impaired with women with RA compared to the healthy women in the control group (OLST p<.001, TUG p<.001, one-leg standing on the force platform p<.001 and time of completing dynamic test p=.002). After a six-month follow-up it was observed that RA-patients performed better in functional TUG-test compared to their baseline measurements. There was not a significant change in the performance of the women in the control group. The difference between the two groups in the changes is statistically significant (p=.011). The change among RA-patients\u2019 performance time in functional TUG-test was connected with a change in knee flexion strength (r= -0.32, p=.006). At force platform measurements, RA-patients swayed more in normal standing position eyes open compared to their baseline measurements. There were no significant changes in the sway of the healthy control group. Instead, the healthy control group body swayed less in one leg standing test and they improved their performance in dynamic test compared to their first measurements. There was no significant change in RA-patients\u2019 performance in these measurements. These changes between the groups were statistically significant (normal standing eyes open p=.017, one leg standing p=.001, time of completing dynamic test p=.008). After the six-month follow-up among RA-patients only changes in performance in functional TUG-test correlated statistically significantly with changes in HAQ-score (p=.021). \r\nSummary: \r\nWomen with RA had impaired postural balance compared to the healthy control group. Between RA patients and healthy controls there was a clear association with changes in functional balance and changes in self-assessed functional capacity in six-month follow-up. Faster performance in functional balance test was statistically significantly associated with improvement in self-associated functional capacity. These present findings combined to previous knowledge encourage adding multifactorial balance and physical fitness training to RA patients\u2019 rehabilitation aiming to maintain general health and prevent falls.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Kirsi Riikonen (kimariik) on 2013-03-08 12:26:32.696413. Form: Pro gradu -lomake (1 tekij\u00e4) (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake-1-tekijae). JyX data:", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by jyx lomake-julkaisija (jyx-julkaisija@noreply.fi) on 2013-03-08T12:26:33Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201303081309.pdf: 764427 bytes, checksum: a53d094f6fa4807ad584cefd49e50d35 (MD5)\r\nlicense.html: 5032 bytes, checksum: cec904722d53cebe70a12d39b4a61bd3 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2013-03-08T12:26:33Z (GMT). No. of bitstreams: 2\r\nURN:NBN:fi:jyu-201303081309.pdf: 764427 bytes, checksum: a53d094f6fa4807ad584cefd49e50d35 (MD5)\r\nlicense.html: 5032 bytes, checksum: cec904722d53cebe70a12d39b4a61bd3 (MD5)\r\n Previous issue date: 2013", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "69 sivua", "language": null, "element": "format", "qualifier": "extent", "schema": "dc"}, {"key": "dc.format.mimetype", "value": "application/pdf", "language": null, "element": "format", "qualifier": "mimetype", "schema": "dc"}, {"key": "dc.language.iso", "value": "fin", "language": null, "element": "language", "qualifier": "iso", "schema": "dc"}, {"key": "dc.rights", "value": "In Copyright", "language": "en", "element": "rights", "qualifier": null, "schema": "dc"}, {"key": "dc.subject.other", "value": "Tasapaino", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "Asennonhallinta", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "Toimintakyky", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "Nivelreuma", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "HAQ", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "Timed up and go \u2013 testi (TUG)", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Tasapainon ja toimintakyvyn v\u00e4linen yhteys nivelreumaa sairastavilla naisilla : seurantatutkimus", "language": null, "element": "title", "qualifier": null, "schema": "dc"}, {"key": "dc.type", "value": "master thesis", "language": null, "element": "type", "qualifier": null, "schema": "dc"}, {"key": "dc.identifier.urn", "value": 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