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[{"key": "dc.contributor.author", "value": "K\u00e4\u00e4ri\u00e4inen, Raimo", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2014-06-04T17:12:22Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2014-06-04T17:12:22Z", "language": "", "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:1436573", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/43630", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Tausta: P\u00e4\u00e4ns\u00e4rky on yksi yleisimmist\u00e4 neurologisista oireista, sill\u00e4 l\u00e4hes kaikilla on jossain vaiheessa el\u00e4m\u00e4\u00e4ns\u00e4 p\u00e4\u00e4ns\u00e4rky\u00e4. T\u00e4m\u00e4n vuoksi on t\u00e4rke\u00e4\u00e4 selvitt\u00e4\u00e4 my\u00f6s ei-l\u00e4\u00e4kkeellisten hoitomuotojen k\u00e4ytt\u00f6\u00e4 p\u00e4\u00e4ns\u00e4ryn hoidossa. T\u00e4m\u00e4n systemaattisen katsauksen ja meta-analyysin tarkoituksena oli tutkia terapeuttisen harjoittelun vaikutusta p\u00e4\u00e4ns\u00e4rkyyn.\r\n\r\nTutkimusmenetelm\u00e4: T\u00e4h\u00e4n analyysin haettiin satunnaistettuja, kontrolloituja tutkimuksia seuraavista tietokannoista vuosilta 1980 - 2013 syyskuu; PubMed (Medline), The Cochrane Central Register of controlled Trials, SPORTDiscus, Cinahl ja The Physiotherapy evidence based database (PEDro). Katsaukseen hyv\u00e4ksyttiin tutkimukset, jotka k\u00e4sitteliv\u00e4t terapeuttisen harjoittelun interventioita p\u00e4\u00e4ns\u00e4ryn hoidossa. Terapeuttisen harjoittelun interventioita k\u00e4siteltiin p\u00e4\u00e4ns\u00e4ryn p\u00e4\u00e4luokituksien mukaisesti. Primaariset p\u00e4\u00e4ns\u00e4rky tutkimukset koskivat migreeni\u00e4 ja tensiop\u00e4\u00e4ns\u00e4rky\u00e4, sekund\u00e4\u00e4riset p\u00e4\u00e4ns\u00e4rkytutkimukset liittyiv\u00e4t kaularankaper\u00e4iseen p\u00e4\u00e4ns\u00e4rkyyn. Lis\u00e4ksi tutkimuksia jaettiin my\u00f6s luokittelemattomiin p\u00e4\u00e4ns\u00e4rkytutkimuksiin, joissa tutkittavia ei jaettu yll\u00e4mainittuihin p\u00e4\u00e4ns\u00e4ryn luokkiin.Tutkimusten laatu arvioitiin 12 laatuarviointi asteikolla. Meta-analyysit suoritettiin The Cochrane Collaboration Review Manager 5.2 \u2013 ohjelmalla.\r\n\r\nTulokset: Katsaukseen hyv\u00e4ksyttiin sis\u00e4\u00e4notto- ja poissulkukriteerien perusteella 15 tutkimusta. Tutkimusten perusteella, terapeuttisen harjoittelun interventioilla ei ilmeisesti ole vaikutusta kaularankaper\u00e4isess\u00e4 p\u00e4\u00e4ns\u00e4ryss\u00e4 (p=0.30) ja migreeniss\u00e4 (p=0.15) kun vertaillaan kontrollihoitoihin kivun intensiteetin osalta. Terapeuttisella harjoittelulla ei liene vaikutusta tensiop\u00e4\u00e4ns\u00e4ryn (p=0.95) ja luokittelemattoman p\u00e4\u00e4ns\u00e4ryn kivun intensiteettiin (p=0.35).\r\nJohtop\u00e4\u00e4t\u00f6kset: Tutkimusten mukaan kaularankaper\u00e4isen p\u00e4\u00e4ns\u00e4ryn ja migreeniin liityv\u00e4t interventiot eiv\u00e4t ilmeisesti v\u00e4henn\u00e4 p\u00e4\u00e4ns\u00e4ryn intensiteetti\u00e4 (N\u00e4yt\u00f6n aste B). Tension-eli j\u00e4nnitysp\u00e4\u00e4ns\u00e4rkyyn ja luokittelemattomaan p\u00e4\u00e4ns\u00e4rkyyn liittyvill\u00e4 terapeuttisen harjoittelun interventioilla ei liene vaikutusta p\u00e4\u00e4ns\u00e4ryn intensiteettiin (N\u00e4yt\u00f6n aste C). Tutkimustuloksiin on my\u00f6s suhtauduttava varauksella tutkimusten heterogeenisyyden takia.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Background: Majority of the population in worldwide suffers headache during their lifespan. Therefore, it is reasonable to find out a non-pharmacological therapies to treat headache. The purpose of this systematic review and meta-analysis was to investigate the effect of therapeutic exercise on headache in adults.\r\n\r\nMethodology: For this systematic review and meta-analysis a broad search was performed of 5 databases for the years 1980 - 2013 September as follows: PubMed ( Medline ) , The Cochrane Central Register of Controlled Trials , SPORTDiscus , Cinahl and The Physiotherapy evidence-based database (Pedro ). Randomized controlled studies (RCT) that examined therapeutic exercise intervention in the treatment of headaches were included in the analysis. Therapeutic exercise intervention studies related to primary headache classification migraine headaches and tension-type headache, and secondary headache classification included cervicogenic headache. In addition, studies were also included unclassified headache class in which the subjects was not divided into the above-mentioned categories of headaches. Analysis of studies conducted by the quality of the evaluation and the results independently. The meta-analyzes were carried out by the Cochrane Collaboration Review Manager 5.2 - software.\r\n\r\nResults: In total 15 RCTs fulfilled the inclusion criteria and were included in the synthesis and meta-analysis.Therapeutic exercise interventions do not appear to have effect on cervicogenic headache (p=0.30) and migraine (p=0.15) when compare treatments for control group in pain intensity. Also exercise therapy do not have effect on tensiontype headache (0.95) and unclassified headache (0.35).\r\n\r\nConclusions: Studies have shown that cervicogenic headaches and migraine interventions do not appear to reduce the intensity of the headache ( Level of evidence B). Also, tension-type headaches ja unclassified headaches related to therapeutic exercise interventions, may not reduce the intensity of the headache ( Level of evidence C).Study results must be treated with caution because of the heterogeneity of studies.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Raimo K\u00e4\u00e4ri\u00e4inen (rajukaar) on 2014-06-04 17:12:21.560332. 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 2014-06-04T17:12:22Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201406041932.pdf: 1434228 bytes, checksum: 1981c6273751a8787d862de6fdc8a726 (MD5)\r\nlicense.html: 4908 bytes, checksum: 9602d057c12ef7730562046fe48ef169 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2014-06-04T17:12:22Z (GMT). No. of bitstreams: 2\r\nURN:NBN:fi:jyu-201406041932.pdf: 1434228 bytes, checksum: 1981c6273751a8787d862de6fdc8a726 (MD5)\r\nlicense.html: 4908 bytes, checksum: 9602d057c12ef7730562046fe48ef169 (MD5)\r\n Previous issue date: 2014", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (75 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": ": p\u00e4\u00e4ns\u00e4rky", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "kaularankaper\u00e4inen p\u00e4\u00e4ns\u00e4rky", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "tensiotyyppinen p\u00e4\u00e4ns\u00e4rky", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "migreeni", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "terapeuttinen harjoittelu", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "satunnaistettu kontrolloitu tutkimus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Terapeuttisen harjoittelun vaikuttavuus p\u00e4\u00e4ns\u00e4ryn hoidossa : systemaattinen katsaus ja meta-analyysi satunnaistetuista, kontrolloiduista tutkimuksista", "language": null, "element": "title", "qualifier": null, 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