| fullrecord |
[{"key": "dc.contributor.author", "value": "Janhunen, Marjo", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2013-06-05T07:05:44Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2013-06-05T07:05:44Z", "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:1269095", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/41690", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Tutkimuksen tausta ja tarkoitus\nT\u00e4m\u00e4n opinn\u00e4ytety\u00f6n tarkoituksena oli verrata leikkaushoidon pitk\u00e4aikaistulosta niill\u00e4 potilailla, joilla oli ollut yksitt\u00e4inen polven takaristisidevamma niihin potilaisiin, joilla oli ollut takaristisidevamman lis\u00e4ksi muun nivelsiteen vamma tai leikkaushoitoa edellytt\u00e4nyt kudosvamma polvessaan. Lis\u00e4ksi selvitettiin, pystyv\u00e4tk\u00f6 potilaat palaamaan vammaa edelt\u00e4neelle fyysisen aktiivisuuden tasolle leikkauksen j\u00e4lkeen sek\u00e4 alaraajojen lihasvoimien palautumista viiden vuoden seuranta-aikana.\nTutkimusaineisto- ja menetelm\u00e4t\nNe 88 potilasta, jotka olivat hakeutuneet Sairaala ORTONiin polven takaristisiteen korjausleikkaukseen, jaettiin leikkausdiagnoosin mukaan kahteen ryhm\u00e4\u00e4n: yksitt\u00e4inen takaristiside vamma (PCL \u2013 ryhm\u00e4, n=37) ja takaristisiteen ja muun nivelsiteen tai kudoksen vamma (PCL + muu \u2013 ryhm\u00e4, n=38). Potilaille tehtiin fysioterapeutin tutkimus ennen leikkausta sek\u00e4 seurantamittaukset 1, 2, ja 5 vuotta leikkauksen j\u00e4lkeen. Arviointimenetelmin\u00e4 k\u00e4ytettiin - the International Knee Dokumentation Committe (IKDC), Lysholm ja Kujala -pisteytyksi\u00e4 sek\u00e4 isokineettisi\u00e4 lihasvoimamittauksia: maksimaaliset huippuarvot (Newton metri\u00e4) ja leikatun alaraajan suhteellinen voima verrattuna vastakkaiseen alaraajaan (%) polven nivelkulmanopeuksilla 60\u00ba/sek ja 180\u00ba/sek.\nKeskeiset tulokset\nViiden vuoden seurannassa molemmissa ryhmiss\u00e4 tapahtui tilastollisesti merkitsev\u00e4\u00e4 parannusta. Viiden vuoden seurannassa IKDC:n perusteella leikatun polven toiminta arvioitiin normaaliksi tai melkein normaaliksi 75 %:lla PCL ryhm\u00e4ss\u00e4 ja 66 %:lla PCL + muu ryhm\u00e4ss\u00e4 (p<0.001). PCL \u2013 ryhm\u00e4ss\u00e4 67,5 % ja PCL+ muu ryhm\u00e4ss\u00e4 67 % arvioi pystyv\u00e4ns\u00e4 kuormittavaan tai kohtalaisen kuormittavaan fyysiseen aktiivisuuteen (p<0.001). Molemmissa ryhmiss\u00e4 sek\u00e4 polven ojennus- ett\u00e4 koukistusvoimat paranivat (p<0.05). Ainoa ryhmien v\u00e4linen ero keskim\u00e4\u00e4r\u00e4isess\u00e4 alaraajojen suhteellisen voiman muutoksessa (muutos leikattu vs. muutos terve) havaittiin polven ojennusvoimassa 60\u00ba/sek nivelkulmanopeudella (PCL \u2013 ryhm\u00e4 13 % ja PCL + muu \u2013 ryhm\u00e4 20 %, (p=0.005).\nJohtop\u00e4\u00e4t\u00f6kset\nTutkittujen ryhmien v\u00e4lill\u00e4 leikkauksen j\u00e4lkeisess\u00e4 toipumisessa ei ole merkitt\u00e4v\u00e4\u00e4 eroa toiminnallisuudessa eik\u00e4 lihasvoimissa viiden vuoden seurannassa. Molemmissa ryhmiss\u00e4 tapahtuu leikkausta edelt\u00e4neeseen tilanteeseen verrattuna kuitenkin tilastollisesti merkitsev\u00e4\u00e4 paranemista toiminnallisuudessa sek\u00e4 lihasvoimissa. Tutkimusten tulosten perusteella voidaan todeta, ett\u00e4 potilaille j\u00e4\u00e4 toiminnallista haittaa jokap\u00e4iv\u00e4isiss\u00e4 toiminnoissa sek\u00e4 polven ojennusvoimien alentumista verrattuna vastakkaiseen puoleen.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Miia Hakanen (mihakane) on 2013-06-05 07:05:43.756026. Form: Admin-lomake Pro gradu -t\u00f6ille (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/admin-lomake-pro-gradu-toille). 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 2013-06-05T07:05:44Z\nNo. of bitstreams: 2\nURN:NBN:fi:jyu-201306051893.pdf: 1323815 bytes, checksum: e0b5fe032e3ecd90c28d1d200dba4edc (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 2013-06-05T07:05:44Z (GMT). No. of bitstreams: 2\nURN:NBN:fi:jyu-201306051893.pdf: 1323815 bytes, checksum: e0b5fe032e3ecd90c28d1d200dba4edc (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": "1 verkkoaineisto", "language": null, "element": "format", "qualifier": "extent", "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": "ristiside", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Polven takaristisiteen korjausleikkauksen j\u00e4lkeinen toipuminen", "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-201306051893", "language": null, "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.dcmitype", "value": "Text", "language": "en", "element": "type", "qualifier": "dcmitype", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu", "language": "fi", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Master's thesis", "language": "en", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Liikuntatieteellinen tiedekunta", "language": "fi", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Faculty of Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Terveystieteiden laitos", "language": "fi", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Department of Health Sciences", "language": "en", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "University of 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": "Liikuntal\u00e4\u00e4ketiede", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Sport Medicine", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.date.updated", "value": "2013-06-05T07:05:46Z", "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": "accesslevel", "schema": "dc"}, {"key": "dc.type.publication", "value": "masterThesis", "language": null, "element": "type", "qualifier": "publication", "schema": "dc"}, {"key": "dc.subject.oppiainekoodi", "value": "5042", "language": null, "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "toipuminen", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "leikkaushoito", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "polvet", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "jalat", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kuntoutuminen", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.rights.url", "value": "https://rightsstatements.org/page/InC/1.0/", "language": null, "element": "rights", "qualifier": "url", "schema": "dc"}]
|