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[{"key": "dc.contributor.author", "value": "Pukkila, Emma", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2014-06-27T14:14:19Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2014-06-27T14:14:19Z", "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:1438215", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/43858", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Nivelrikko on maailman yleisin nivelsairaus ja se heikent\u00e4\u00e4 etenkin yli 55-vuotiaiden toimintakyky\u00e4. My\u00f6s i\u00e4n my\u00f6t\u00e4 heikkenev\u00e4 tasapaino on yhteydess\u00e4 toimintakykyyn. Nivelrikon yhteytt\u00e4 tasapainoon on aikaisemmin tutkittu v\u00e4h\u00e4n ja havaitut tulokset ovat olleet ristiriitaisia. Liev\u00e4n nivelrikon tutkiminen sek\u00e4 siten sairauden varhainen toteaminen ja siihen puuttuminen voivat lyk\u00e4t\u00e4 oireiden ja toimintakyvyn rajoitusten esiintymist\u00e4 my\u00f6hemm\u00e4ksi. T\u00e4m\u00e4n tutkimuksen tarkoituksena oli selvitt\u00e4\u00e4, onko polvinivelen rustomuutoksilla yhteytt\u00e4 54\u201362-vuotiaiden vaihdevuodet ohittaneiden naisten staattiseen ja dynaamiseen tasapainoon. Lis\u00e4ksi tutkittiin, mitk\u00e4 tekij\u00e4t selitt\u00e4v\u00e4t tasapainon vaihtelua.\nT\u00e4m\u00e4 poikkileikkaustutkimus on toteutettu 12 kuukautta kest\u00e4neen satunnaistetun kontrolloidun harjoitusinterventiotutkimuksen alkumittausaineistosta. Tutkittavat kolme ryhm\u00e4\u00e4 on muodostettu nivelrikon vaikeusastetta kuvaavan Kellgren & Lawrence -luokituksen mukaan. Tutkimusryhmin\u00e4 ovat liev\u00e4\u00e4 polven nivelrikkoa sairastavat naiset (K/L 1; n=25 ja K/L 2; n=53). Verrokkiryhm\u00e4ll\u00e4 (K/L 0; n=12) ei ole havaittu radiologisia nivelrikkomuutoksia. Staattista tasapainoa mitattiin GoodBalance\u2122-tasapainomittausj\u00e4rjestelm\u00e4ll\u00e4. Dynaamisen tasapainon mittaamiseen k\u00e4ytettiin kahdeksikkojuoksutesti\u00e4. Polven nivelrustomuutosten ja tasapainon v\u00e4list\u00e4 yhteytt\u00e4 analysoitiin SPSS-ohjelman avulla Spearmanin j\u00e4rjestyskorrelaatiokertoimella ja tasapainon vaihtelua selitt\u00e4vi\u00e4 tekij\u00f6it\u00e4 lineaarisella regressioanalyysill\u00e4.\nPolven nivelrustomuutosten todettiin korrelaatioanalyysiss\u00e4 olevan yhteydess\u00e4 staattiseen tasapainoon henkil\u00f6n seistess\u00e4 silm\u00e4t kiinni sivuttaissuuntaisen (r=.217, p<.05) ja eteen-taakse \u2013suuntaisen (r=.255, p<.05) huojunnan nopeuden ja vauhtimomentin (r=.309, p<.01) kasvaessa. Dynaamiseen tasapainoon polven nivelrustomuutoksilla ei sen sijaan todettu olevan tilastollisesti merkitsev\u00e4\u00e4 yhteytt\u00e4 (r=.023, p=.828). Henkil\u00f6n korkeampi ik\u00e4 ja kehon painoindeksi sek\u00e4 heikentynyt maksimaalinen k\u00e4velynopeus selittiv\u00e4t yhdess\u00e4 31 % dynaamisen tasapainon vaihtelusta. Ik\u00e4 ja kehon painoindeksi selittiv\u00e4t 7,5 % staattisen tasapainon vaihtelusta. Sen sijaan nivelrikon radiologinen vaikeusaste ei selitt\u00e4nyt dynaamisen tai staattisen tasapainon vaihtelua, kun ik\u00e4 ja kehonkoostumus oli huomioitu.\nT\u00e4m\u00e4n poikkileikkaustutkimuksen tulokset osoittavat, ett\u00e4 i\u00e4n lis\u00e4\u00e4ntyminen ja kehon painoindeksin kasvaminen ovat yhteydess\u00e4 staattisen ja dynaamisen tasapainon heikentymiseen vaihdevuodet ohittaneilla naisilla. Sen sijaan polvinivelen rustomuutokset eiv\u00e4t n\u00e4ytt\u00e4isi selitt\u00e4v\u00e4n tasapainon vaihtelua.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Osteoarthritis is the most common articular disease in the world, and above all it causes functional ability decline especially in population aged over 55 years. Age-dependent decline in balance is also associated with functional ability. There are not many former researches about association between early stage knee osteoarthritis and balance, and the results have been contradictory. Research and early detection of the disease may postpone occurrence of symptoms and functional limitations. The purpose of this study was to investigate (1) the association between cartilage changes of knee joint and static and dynamic balance and (2) which factors explain changes in balance in postmenopausal 54- to 62-year-old women.\nIn this cross-sectional study, the baseline data was executed from a randomized controlled trial. Three research groups are formed according to Kellgren & Lawrence \u2013classification, which represents the severity of radiographic knee OA. Research groups are comprised of postmenopausal women with early stage knee osteoarthritis (K/L 1; n=25, K/L 2; n=53). Control group (K/L 0; n=12) is comprised of asymptomatic postmenopausal women with no radiographic changes. Static balance was measured with GoodBalance\u2122 -balance evaluation system. Dynamic balance was evaluated with figure-of-eight running test. Association between cartilage changes and balance was analyzed using SPSS software with Spearman\u00b4s rank correlation coefficient. Factors explaining the changes in balance were analyzed with linear regression analysis.\nIn correlation analysis, cartilage changes of knee joint were associated with static balance in bipedal stance with eyes closed displaying greater body sway in lateral (r=.217, p<.05) and anteroposterior (r=.255, p<.05) directions as well as increased total sway (r=.309, p<.01). There was no statistical significance between cartilage changes and dynamic balance (r=.023, p=.828). Higher age and body mass index and decreased maximal walking speed together explained 31% of changes in dynamic balance. Age and body mass index explained 7,5% of changes in static balance. The severity of radiographic knee OA didn\u00b4t explain the changes in static and dynamic balance, when age and body mass index were taken into account. \nThe results of this cross-sectional study showed that increase in age and body mass index are associated with decrease in static and dynamic balance in postmenopausal women. However, cartilage changes of knee joint didn\u00b4t explain changes in balance.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Emma Pukkila (emhepukk) on 2014-06-27 14:14:18.685445. Form: Pro gradu -lomake (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake). JyX data: [jyx_publishing-allowed (fi) =True]", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by jyx lomake-julkaisija (jyx-julkaisija@noreply.fi) on 2014-06-27T14:14:19Z\nNo. of bitstreams: 2\nURN:NBN:fi:jyu-201406272172.pdf: 543156 bytes, checksum: a45f83859947b9b3cead3f2e60232798 (MD5)\nlicense.html: 4834 bytes, checksum: d88cfac0771d21d55744eb30310aa8af (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2014-06-27T14:14:19Z (GMT). No. of bitstreams: 2\nURN:NBN:fi:jyu-201406272172.pdf: 543156 bytes, checksum: a45f83859947b9b3cead3f2e60232798 (MD5)\nlicense.html: 4834 bytes, checksum: d88cfac0771d21d55744eb30310aa8af (MD5)\n Previous issue date: 2014", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (48 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": "Nivelrikko", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "staattinen tasapaino", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "dynaaminen tasapaino", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "GoodBalance", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "kahdeksikkojuoksu", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Polven nivelrustomuutosten yhteys tasapainoon vaihdevuodet ohittaneilla naisilla", "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-201406272172", "language": null, "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu -tutkielma", "language": "fi", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Master\u2019s 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": "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": "2014-06-27T14:14:19Z", "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": "50423", "language": null, "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "nivelrikko", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "nivelsairaudet", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "naiset", "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": "tasapaino", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "toimintakyky", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.format.content", "value": "fulltext", "language": null, "element": "format", "qualifier": "content", "schema": "dc"}, {"key": "dc.rights.url", "value": "https://rightsstatements.org/page/InC/1.0/", "language": null, "element": "rights", "qualifier": "url", "schema": "dc"}, {"key": "dc.type.okm", "value": "G2", "language": null, "element": "type", "qualifier": "okm", "schema": "dc"}]
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