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[{"key": "dc.contributor.author", "value": "T\u00f6yli, Marjut", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2013-12-06T20:41:04Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2013-12-06T20:41:04Z", "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:1288677", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/42606", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "TIIVISTELM\u00c4\r\n\r\nEri potilasryhmien kuntoutuksessa k\u00e4ytet\u00e4\u00e4n laajalti vedess\u00e4 tapahtuvaa harjoittelua, jolla on tutkimuksien mukaan fyysist\u00e4 toimintakyky\u00e4 parantava vaikutus. Reumaa sairastavien ihmisten fyysisen toimintakyvyn tukeminen on t\u00e4rke\u00e4\u00e4 ja vesivoimistelu on yksi t\u00e4rkeimmist\u00e4 hoitokeinoista. T\u00e4m\u00e4n pro gradu -tutkielman tarkoitus oli selvitt\u00e4\u00e4 kaksi kuukautta kest\u00e4v\u00e4n ryhm\u00e4muotoisen vesivoimisteluharjoittelun aiheuttamia muutoksia reumaa sairastavien naisten fyysiseen toimintakykyyn ja tuki- ja liikuntaelimist\u00f6n kipuun. \r\nTutkimukseen osallistui 19 reumaa sairastavaa 64\u201384 -vuotiasta naista, jotka jaettiin vesivoimisteluryhm\u00e4\u00e4n (n=10) ja vertailuryhm\u00e4\u00e4n (n=9). Vesivoimisteluryhm\u00e4 osallistui ohjattuun vesivoimisteluun kerran viikossa kahdeksan viikon ajan puoli tuntia kerrallaan. Vesivoimistelu koostui 10 minuutin alkul\u00e4mmittelyosuudesta, joka aloitettiin rauhallisesti kehoa l\u00e4mmitt\u00e4vien perusliikkeiden avulla, ja 15 minuuttia kest\u00e4v\u00e4st\u00e4 koko kehon lihaskunto-osuudesta. Harjoittelun lopussa venyteltiin viisi minuuttia. Vertailuryhm\u00e4 jatkoi el\u00e4m\u00e4\u00e4ns\u00e4 ilman, ett\u00e4 liikunnallisia tottumuksia muutettiin tuona aikana. Tutkimus oli kontrolloitu seurantatutkimus ja ryhm\u00e4t muodostettiin vapaaehtoisuuden perusteella. \r\nKaikille tutkittaville tehtiin fyysisen toimintakyvyn ja tuki- ja liikuntaelimist\u00f6n kivun mittaukset ennen ja j\u00e4lkeen interventiojakson. Fyysist\u00e4 toimintakyky\u00e4 mitattiin tasapaino-, tuolilta yl\u00f6snousu-, puristusvoima- ja 10 metrin k\u00e4velytestill\u00e4. Subjektiivista kivun esiintyvyytt\u00e4 ja voimakkuutta arvioitiin VAS -kipujanalla ja kyselylomakkeella. Aineisto analysoitiin SPSS 20 - ohjelmalla ja tuloksia esiteltiin frekvensseill\u00e4, prosenteilla, keskiarvoilla ja keskihajonnoilla. Intervention aikana tapahtunutta muutosta tarkasteltiin Mann-Whitney U -testill\u00e4.\r\nTutkimusryhm\u00e4t olivat taustamuuttujiltaan samankaltaisia, eiv\u00e4tk\u00e4 alkumittauksissa eronneet toisistaan. Vesivoimisteluharjoittelun seurauksena tasapaino parani (p=.001) enemm\u00e4n kuin vertailuryhm\u00e4ll\u00e4. Muiden mitattujen muuttujien osalta vesivoimisteluryhm\u00e4n muutokset eiv\u00e4t eronneet vertailuryhm\u00e4n muutoksista. Ryhmien sis\u00e4isiss\u00e4 vertailuissa huomattiin, ett\u00e4 vesivoimisteluryhm\u00e4l\u00e4iset paransivat tasapainoaan (p=.01) ja alaraajojen lihasvoimaa (p=.02) harjoittelun aikana. Liikkuvuudessa, kipujen esiintyvyydess\u00e4 ja voimakkuudessa ei tapahtunut merkitsevi\u00e4 muutoksia. Vertailuryhm\u00e4n tuloksissa ei tapahtunut tilastollisesti merkitsevi\u00e4 muutoksia.\r\nFyysisest\u00e4 toimintakyvyst\u00e4 saadut tulokset tukevat oletusta, ett\u00e4 ryhm\u00e4ss\u00e4 tapahtuvalla vesivoimistelulla on positiivisia vaikutuksia reumaa sairastavien naisten fyysiseen toimintakykyyn ja erityisesti tasapainoon. Vaikka tulokset osoittavatkin intervention aikana tapahtuneen selv\u00e4\u00e4 edistymist\u00e4, liittyy t\u00e4h\u00e4n tutkimukseen useita tutkimusmenetelm\u00e4llisi\u00e4 ongelmia. Sen vuoksi ei tulosten perusteella voi tehd\u00e4 yleistett\u00e4vi\u00e4 johtop\u00e4\u00e4t\u00f6ksi\u00e4 vesivoimistelun vaikutuksista reumaa sairastavien fyysiseen toimintakykyyn ja tuki- ja liikuntaelimist\u00f6n oireisiin.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Water exercise is widely used in rehabilitation of different groups of patients. According to several researches water exercise has healing effects on physical condition and abilities. The support of rheumatism patients physical functions is important and one of the most important ways of treatment is water exercise. The purpose of this research was to examine the effects of a two-month long water exercise period on women suffering from rheumatoid. The research was follow-up study and was designed to clarify the effects caused by water exercise to the physical function and musculoskeletal symptoms of female rheumatoid patients. \r\nThe research involved 19 female rheumatoid patients aged between 64 and 68 years. The patients were divided into two research groups: water exercise group (n= 10) and control group (n= 9). The water exercise group carried out an instructed water exercise once a week for eight weeks, for half an hour at a time. Water exercise consisted of a 10-minute warm up contribution, which began with body warming calm basic movements and a 15 minute full-body strength training component. At the end of the training there was a five minutes muscle stretching. The control group did not make any changes to their physical exercise habits during the time of the study. The study was a controlled intervention study and the groups were formed on a voluntary basis. All patients involved had their physical function and musculoskeletal body pain measured before and after the intervention period. Physical function was measured in the balance-, chair rise up-, grip strength-, and a 10-meter walk tests. Subjective pain prevalence and intensity were assessed by VAS pain scale and a questionnaire. Test result data was analyzed by SPSS 20 software and presented as calculated frequencies, percentages, mean values and standard deviations. The changes observed during the intervention were examined using the Mann-Whitney U -test.\r\nThe members of each research group were of similar background variables and their initial test results did not significantly differ from each other. During the study the water exercise groups\u2019 results on the balance test improved statistically significantly (p=001) compared to the control group. In comparison within the two groups, it was discovered that the water exercise group members improved their balance during exercise, a statically significant (p=.01), and lower extremity muscle strength almost statistically significant (p=.02). The water exercise groups\u2019 other measured variables did not differ from the control group results: there were no significant changes in mobility, pain prevalence and intensity. The test results of the control group did not significantly change during the research period.\r\nPhysical functioning results support the hypothesis that group activities water exercise has positive effects on arthritis of the women\u2019s physical function and balance in particular. Even if the results shows a clear progress on results during intervention, the research contains a number of methodical problems. Therefore it is not clear that general conclusions can be made on effects of rheumatism patients physical condition and musculoskeletal system.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Marjut T\u00f6yli (maeltoyl) on 2013-12-06 20:41:03.444983. 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 2013-12-06T20:41:03Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201312062757.docx: 367979 bytes, checksum: f2355d5fe9e7c80c2020f67e9318af05 (MD5)\r\nlicense.html: 4914 bytes, checksum: eb6865c9c897e0a32cb0913e19c37f09 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2013-12-06T20:41:04Z (GMT). No. of bitstreams: 2\r\nURN:NBN:fi:jyu-201312062757.docx: 367979 bytes, checksum: f2355d5fe9e7c80c2020f67e9318af05 (MD5)\r\nlicense.html: 4914 bytes, checksum: eb6865c9c897e0a32cb0913e19c37f09 (MD5)\r\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.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": "reumasairaudet", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", 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