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[{"key": "dc.contributor.author", "value": "Heikkil\u00e4, Anneli", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Sevander-Kreus, Nina", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2014-05-22T06:56:49Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2014-05-22T06:56:49Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2014", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1435708", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/43483", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Tutkimuksen tarkoituksena oli selvitt\u00e4\u00e4 eroavaisuutta k\u00e4velynopeudessa ja askelsyklin eri parametreissa\nkertaluonteisen postoperatiivisen fysioterapiaohjauksen ja progressiivisen 12 kk kotiharjoitteluohjelman\nsuorittaneiden v\u00e4lill\u00e4. Lis\u00e4ksi tutkimuksen tarkoituksena oli selvitt\u00e4\u00e4 k\u00e4velynopeuden ja askeltiheyden muutosta\nvarhaisessa postoperatiivisessa vaiheessa. Tavoitteena oli my\u00f6s selvitt\u00e4\u00e4 polven lihasvoimien ja rasituksen\naikaisen kivun muutosten yhteytt\u00e4 askelsyklin parametrien muutoksiin.\nAineisto ker\u00e4ttiin Keski-Suomen keskussairaalassa vuosien 2008 \u2013 2010 aikana. Tutkimuksen kohdejoukkona\nolivat primaarin polven tekonivelleikkauksen l\u00e4pik\u00e4yv\u00e4t henkil\u00f6t. Tutkimusjoukko muodostui 84 naisesta ja 54\nmiehest\u00e4 (N=138), joiden keski-ik\u00e4 oli 69,3 vuotta. K\u00e4velyanalyysi suoritettiin Gaitrite k\u00e4velyanalyysilaitteella\nennen leikkausta ja 2 kk sek\u00e4 14 kuukautta leikkauksen j\u00e4lkeen. Mittaus suoritettiin itsem\u00e4\u00e4ritetyist\u00e4 normaalista\nja nopeasta k\u00e4velyvauhdista. Polven ojentaja- ja koukistajalihasten lihasvoima mitattiin dynamometrill\u00e4\nsamoissa ajankohdissa. Kaikki tutkimukseen osallistuvat saivat kertaluontoisen fysioterapeutin ohjauksen\nsairaalassa oloaikana heti leikkauksen j\u00e4lkeen. Kaksi kuukautta leikkauksen j\u00e4lkeen tutkimusjoukko\nsatunnaistettiin harjoittelu (N=53)- ja kontrolliryhmiin (N=55). Harjoitteluryhm\u00e4n kotiharjoitukset sis\u00e4lsiv\u00e4t\nalussa p\u00e4ivitt\u00e4isi\u00e4 isometrisi\u00e4 lihasvoimaharjoitteita ja toiminnallisia harjoitteita, joissa vastuksena toimi oman\nkehon paino, askelluslauta tai k\u00e4sipainot. Yhden ja nelj\u00e4n kuukauden kohdalla harjoitukset muuttuivat\nsuurempia nivelkulmia sis\u00e4lt\u00e4viksi ja harjoitukset sis\u00e4lsiv\u00e4t my\u00f6s venyttelyj\u00e4. Harjoittelufrekvenssi oli kolme\nkertaa viikossa.\nKoko tutkimusjoukkoa tarkasteltaessa k\u00e4velynopeus ja askeltiheys eiv\u00e4t muuttuneet tilastollisesti merkitsev\u00e4sti\nvarhaisessa postoperatiivisessa vaiheessa. Intervention aikana k\u00e4velynopeus (p= 0.006) ja askeltiheys (p= 0.003)\nlis\u00e4\u00e4ntyiv\u00e4t harjoitteluryhm\u00e4ll\u00e4 tilastollisesti merkitsev\u00e4sti kontrolliryhm\u00e4\u00e4 enemm\u00e4n nopeassa k\u00e4velyss\u00e4.\nIntervention aikana molempien ryhmien askelsyklin parametrit paranivat tuki-ja heilahdusvaiheen sek\u00e4 yhden\njalan tukivaiheen kestoissa. Askelsyklin tukivaihe nopeassa k\u00e4velyss\u00e4 oli koeryhm\u00e4ll\u00e4 tilastollisesti\nmerkitsev\u00e4sti lyhyempi kuin kontrolliryhm\u00e4ll\u00e4 (p= 0.039). Korrelaatiot k\u00e4velynopeuden ja polven ojennus- (r= -\n.31, p= 0.002) ja koukistusvoimien (r=.28, p= 0.004) sek\u00e4 k\u00e4velynopeuden ja rasituksen aikaisen kivun\nmuutosten v\u00e4lill\u00e4 (r= -.27, p= 0.005) olivat heikkoja nopeassa k\u00e4velyss\u00e4 intervention aikana.\nVarhaisessa postoperatiivisessa vaiheessa k\u00e4velynopeudessa ja askeltiheydess\u00e4 ei tutkittavilla tapahtunut\ntilastollisesti merkitsev\u00e4\u00e4 muutosta. Intervention aikana tilastollisesti merkitsev\u00e4 muutos ilmeni nopeassa\nk\u00e4velyss\u00e4 ja sen askeltiheydess\u00e4 sek\u00e4 tukivaiheen kestossa harjoitteluryhm\u00e4n hyv\u00e4ksi. Muihin askelsyklin\nvaiheisiin vuoden kest\u00e4nyt harjoitteluinterventio ei tuonut lis\u00e4hy\u00f6ty\u00e4 suhteessa tavanomaiseen ohjaukseen.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "The aim of this study was to examine the effect of a progressive home exercise program and single time\nphysiotherapist\u2019s guidance session to gait parameters among individuals operated with total knee replacement.\nAnother purpose was to examine the changes in gait velocity and cadence in early postoperative phase. In\naddition, we analysed whether the changes in knee extension and flexion strength and knee pain while loading\nduring the intervention have an influence to changes in maximal gait velocity.\nThe study was implemented from January 2008 to February 2010. The subjects were recruited from patients\nselected for total knee arthroplasty (TKA) in Central Finland Health Care District. The study group consisted of\nvolunteer patients of 84 women and 54 men, the mean age of study group was 69,3 years. Lower limb functional\nevaluation during gait was performed using the Gaitrite electronic walkway system before knee arthoplasty and\ntwo moths and 14 months after the operation. The data was collected from self-selected normal and maximal\nwalking velocities. Knee extension and flexion strength was measured by dynamometer at same points of time.\nAll participants got single time guidance of physiotherapist during the time spent in hospital. After two months\npostoperatively the whole group was devided into exercise (N=53) and control (N=55) groups. Exercises of\nintervention group included daily isometric muscle strength exercisen and functional training with resistance of\nown body, stepping bench or dumbbells. At the point of one and four months exercises were changed to be\nperformed at bigger range of motion and included also stretching.\nWalking velocity and cadence concerning normal and maximal gait speed did not change from preoperative to\nsix weeks postoperatively. During 12-months intervention, walking velocity (p= 0.006) and cadence (p= 0.003)\nincreased statistically significantly more among exercise group compared to control group during maximal\nwalking speed. Otherwise, all other gait parameters improved among both study groups. The only statistically\nsignificant difference between the groups was seen in stance time variable in favour to exercise group during\nmaximal walking speed (p= 0.039). Correlations between changes in walking velocity and knee extension (r= -\n.31, p= 0.002) and flexion strength (r= .28, p= 0.004) and pain during loading (r= -.27, p= 0.005) were weak\nduring maximal gait velocity.\nGait velocity and cadence didn\u2019t show statistically significant changes in early postoperative phase. Intervention\nrelieved statistically significant changes in maximal gait velocity, cadence and stance among exercise group. 12\nmonths exercise intervention didn\u2019t show other additional advantages of gait cycle in relation to usual care.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Miia Hakanen (mihakane) on 2014-05-22 06:56:49.123922. 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 2014-05-22T06:56:49Z\nNo. of bitstreams: 2\nURN:NBN:fi:jyu-201405221786.pdf: 1639372 bytes, checksum: d0837012f043ad7399618503e091f25c (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 2014-05-22T06:56:49Z (GMT). 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"dc.subject.other", "value": "k\u00e4velyparametrit", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "Gaitrite", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "kotiharjoitteluohjelma", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Progressiivisen kotiharjoitteluohjelman ja kertaluontoisen ohjauksen vaikuttavuus k\u00e4velyn parametreihin polven tekonivelleikatuilla : satunnaistettu tutkimus", "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-201405221786", "language": null, "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.dcmitype", "value": "Text", "language": "en", 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Aineisto on luettavissa Jyv\u00e4skyl\u00e4n yliopiston kirjaston arkistoty\u00f6asemalta. Ks. https://kirjasto.jyu.fi/fi/tyoskentelytilat/laitteet-ja-tilat.", "language": "fi", "element": "rights", "qualifier": "accessrights", "schema": "dc"}, {"key": "dc.rights.accessrights", "value": "This material has a restricted access due to copyright reasons. It can be read at the workstation at Jyv\u00e4skyl\u00e4 University Library reserved for the use of archival materials: https://kirjasto.jyu.fi/en/workspaces/facilities.", "language": "en", "element": "rights", "qualifier": "accessrights", "schema": "dc"}, {"key": "dc.type.okm", "value": "G2", "language": null, "element": "type", "qualifier": "okm", "schema": "dc"}]
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