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[{"key": "dc.contributor.author", "value": "Salonen, Elina", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2013-04-11T18:56:51Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2013-04-11T18:56:51Z", "language": null, "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:1258436", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/41188", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Liikkumiskyky on i\u00e4kk\u00e4ille ihmisille itsen\u00e4isen selviytymisen edellytys, joka mahdollistaa tasa-arvoisen osallistumisen. I\u00e4n my\u00f6t\u00e4 erilaiset fysiologiset muutokset heikent\u00e4v\u00e4t liikkumiskyky\u00e4. Yksi merkitt\u00e4vimmist\u00e4 muutoksista on lihasvoiman heikkeneminen. Virheravitsemus, etenkin v\u00e4h\u00e4inen proteiinin ja D-vitamiinin saanti ravinnosta, on yleist\u00e4 ik\u00e4\u00e4ntyneill\u00e4. Hyv\u00e4 ravitsemustila mahdollistaa liikkumisen ja suojaa vanhuuden haurastumista vastaan. Kuntosaliharjoittelulla tiedet\u00e4\u00e4n olevan suotuisia vaikutuksia i\u00e4kk\u00e4iden ihmisten fyysiseen suorituskykyyn ja se on harjoitusmuotona i\u00e4kk\u00e4ille turvallinen. T\u00e4ss\u00e4 pro gradu \u2013tutkielmassa selvitettiin, voidaanko kuntosaliharjoittelulla ja siihen yhdistetyll\u00e4 tehostetulla ravitsemuskuntoutuksella ja kuntosaliharjoittelulla ilman ravitsemuskuntoutusta vaikuttaa i\u00e4kk\u00e4iden kotihoidon asiakkaiden liikkumiskykyyn. Samoin selvitettiin intervention vaikutuksia tutkittavien lihasvoimaan, tasapainoon ja kest\u00e4vyyteen.\nTutkimuksen kohdejoukkona olivat h\u00e4meenkyr\u00f6l\u00e4iset 65-95 -vuotiaat kotihoidon asiakkaat (n= 72). Tutkimus oli kontrolloitu interventiotutkimus. Alkumittausten j\u00e4lkeen tutkittavat satunnaistettiin tutkimusryhmiin: kuntosaliharjoittelu + tehostettu ravitsemuskuntoutus (KS+RAV), kuntosaliharjoittelu (KS), keskustelu (KES) ja lis\u00e4ksi vertailuryhm\u00e4 (VER). Tutkittaville tehtiin liikkumiskyky\u00e4 ja lihasvoimaa mittaavat testit ennen ja j\u00e4lkeen kuuden kuukauden mittaisen interventiojakson. Testit olivat tuolilta nousu, tuolilta nousu ja k\u00e4vely (TUG), kahden minuutin paikalla k\u00e4vely, maksimaalinen puristusvoima, Bergin viisiosainen tasapainotesti sek\u00e4 itsearvioitu liikkumiskyky. Aineisto analysoitiin SPSS 18 \u2013 ohjelmalla ja sit\u00e4 kuvailtiin prosenttiosuuksina, keskiarvoina ja keskihajontoina. Intervention aikana tapahtunutta muutosta tarkasteltiin toistomittausten varianssianalyysilla.\nTutkimusryhm\u00e4t eiv\u00e4t alkumittauksissa eronneet toisistaan tutkittavien muuttujien suhteen. Liikkumiskyvyn itsearviossa (p=0,620) ja TUG-testiss\u00e4 (p=0,926) ryhm\u00e4-aika \u2013yhdysvaikutus ei ollut tilastollisesti merkitsev\u00e4. Sen sijaan lihasvoima ja lihasten voimantuottoteho paranivat harjoittelun ja ravitsemuskuntoutuksen seurauksena. Tuolilta nousu \u2013testiss\u00e4 KS+RAV \u2013ryhm\u00e4 paransi tulostaan KES \u2013ryhm\u00e4\u00e4n (p=0,004) ja VER \u2013ryhm\u00e4\u00e4n (p=0,018) verrattuna. Puristusvoimatestiss\u00e4 KS+RAV \u2013ryhm\u00e4n tulos parani kaikkiin muihin tutkimusryhmiin verrattuna. Bergin tasapainotestiss\u00e4 ryhm\u00e4-aika \u2013yhdysvaikutus oli l\u00e4hell\u00e4 tilastollisen merkitsevyyden rajaa (p=0,054). Siin\u00e4 KS+RAV \u2013ryhm\u00e4 paransi suoriutumistaan VER \u2013ryhm\u00e4\u00e4n (p=0,005) verrattuna. Paikalla k\u00e4velytestin tuloksiin interventioilla ei ollut vaikutusta (p=0,328).\nKuntosaliharjoittelu ja siihen yhdistetty ravitsemuskuntoutus on tehokas kuntoutusmuoto liikkumiskyvyn parantamiseksi i\u00e4kk\u00e4ill\u00e4. Heikkokuntoisilla kotihoidon asiakkailla se vaatii onnistuakseen toimivaa yhteisty\u00f6t\u00e4 eri tahojen v\u00e4lill\u00e4, hyv\u00e4\u00e4 suunnittelua, ammattitaitoista ohjausta ja resurssien kohdentamista.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Mobility is a prerequisite for independent living for the elderly and it enables equal participation. Aging causes physical changes that affect the ability to function. One of the most significant changes is the loss of skeletal muscle strength. Malnutrition, especially the low intake of protein and vitamin D, is common among the aged. Optimal nutrition gives protection against frailty and enables mobility. Strength training is known to have positive effects on the physical performance of the elderly. It is also a safe way to practice. The purpose of this study was to examine whether resistance strength training with or without nutritional rehabilitation improves the mobility of older home care clients. The effects of intervention on muscle strength, balance and endurance were also examined.\nThe target group consisted of 65- to 95-yr-old home care clients in town H\u00e4meenkyr\u00f6. The study was a controlled intervention trial. After the baseline measurements participants were randomly assigned into four test groups: strength training + nutritional rehabilitation (KS+RAV), strength training (KS), conversation (KES), and a control group (VER). Tests measuring mobility were done to the total of 72 participants before and 62 after the six-month intervention period. The data was analysed with SPSS 18 software and described as percentages, averages and standard deviations. The effects of the intervention programs were assessed using ANOVA for repeated measures.\nIn the baseline measurements, the study groups did not differ in any of the characteristics under investigation. No significant interaction of group by time was observed for self-reported mobility (p=0,620) or Timed up and go (TUG) (p=0,926). Muscle strength, however, improved due to training and nutritional rehabilitation. In chair rise test KS+RAV group improved their result when comparing to KES (p=0,004) and VER (p=0,018) groups. KS+RAV group also increased their pressing power when compared with the changes in all the other groups. In balance test (Berg) the interaction of group by time was close to significant (p=0,054). KS+RAV group improved their performance when comparing with the VER group (p=0,005). No interaction of group by time was found in the 2 minute walk test (p=0,328).\nResistance strength training with nutritional rehabilitation is an effective way to improve the mobility of the elderly. With frail or unfit home care clients it requires active cooperation between different operators, good planning, skilled guidance and allocation of resources to succeed.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Elina Salonen (emsalone) on 2013-04-11 18:56:50.702981. 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 2013-04-11T18:56:51Z\nNo. of bitstreams: 2\nURN:NBN:fi:jyu-201304111435.pdf: 801915 bytes, checksum: 67839318ce146492e5cb943da4a25956 (MD5)\nlicense.html: 107 bytes, checksum: a7d86e598caa500b1b433bbb9dc8ef1c (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2013-04-11T18:56:51Z (GMT). No. of bitstreams: 2\nURN:NBN:fi:jyu-201304111435.pdf: 801915 bytes, checksum: 67839318ce146492e5cb943da4a25956 (MD5)\nlicense.html: 107 bytes, checksum: a7d86e598caa500b1b433bbb9dc8ef1c (MD5)\n Previous issue date: 2013", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "59 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": "liikkumiskyky", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "ik\u00e4\u00e4ntyneet", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "kuntosaliharjoittelu", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "ravitsemus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Kuntosaliharjoittelun ja ravitsemuskuntoutuksen vaikutukset i\u00e4kk\u00e4iden kotihoidon asiakkaiden liikkumiskykyyn", "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": "URN:NBN:fi:jyu-201304111435", "language": null, "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.dcmitype", "value": "Text", "language": "en", "element": "type", "qualifier": "dcmitype", "schema": "dc"}, {"key": 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Jyv\u00e4skyl\u00e4", "language": "en", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "Jyv\u00e4skyl\u00e4n yliopisto", "language": "fi", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Gerontologia ja kansanterveys", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Gerontology and Public Health", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.date.updated", "value": "2013-04-11T18:56:51Z", "language": null, "element": "date", "qualifier": "updated", "schema": "dc"}, {"key": "dc.type.coar", "value": "http://purl.org/coar/resource_type/c_bdcc", "language": null, "element": "type", "qualifier": "coar", "schema": "dc"}, {"key": "dc.rights.accesslevel", "value": "openAccess", "language": "fi", "element": "rights", "qualifier": 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