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[{"key": "dc.contributor.author", "value": "Kumpulainen, Merja", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2014-09-08T10:38:04Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2014-09-08T10:38:04Z", "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:1445273", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/44212", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Merja Kumpulainen (2014). Vartalon etutaivutuksen ja kaularangan kuormituksen aiheuttamat muutokset atlantoaksiaalisessa subluksaatiossa nivelreumapotilailla. Terveystieteiden laitos, Jyv\u00e4skyl\u00e4n yliopisto, fysioterapian pro gradu \u2013tutkielma, 36 s.\n\nT\u00e4m\u00e4n tutkimuksen tarkoituksena oli selvitt\u00e4\u00e4 vartalon etutaivutuksen, tukikauluksen k\u00e4yt\u00f6n ja p\u00e4\u00e4n kautta tulevan kaularangan kuormituksen vaikutusta atlantoaksiaaliseen subluksaatioon nivelreumapotilailla. \n\nTutkimuksessa oli mukana kuusi nivelreumapotilasta, joilla oli radiologisesti todettu instabiili atlantoaksiaalinen subluksaatio. Tutkittavilta otettiin kaularangan r\u00f6ntgenkuvat neutraaliasennossa (referenssiarvo), kaularangan etutaivutuksessa, neutraaliasennossa tukikauluksen kanssa, vartalon etutaivutuksessa, vartalon etutaivutuksessa tukikaulus puettuna ja vartalon etutaivutuksessa tukikaulus puettuna kuormittaen samalla kaularankaa p\u00e4\u00e4n ymp\u00e4ri asetetulla yhden kilon painolla. R\u00f6ntgenkuvista mitattiin atlantoaksiaalinen et\u00e4isyys (AAD) ja posteriorinen atlanto-dentaalinen intervalli (PADI).\n\nAtlantoaksiaalinen et\u00e4isyys lis\u00e4\u00e4ntyi ja posteriorinen atlanto-dentaalinen intervalli pieneni kaularangan fleksioasennossa kaikilla kuudella tutkitulla ja vartalon etutaivutuksessa viidell\u00e4 kuudesta tutkitusta. Keskim\u00e4\u00e4r\u00e4inen muutos AAD:ssa oli 3,8 (1,9) mm (p=,005) ja PADI:ssa 3,3 (2,3) mm (p=,015) kaularangan fleksiossa verrattuna neutraaliasentoon. Keskim\u00e4\u00e4r\u00e4inen muutos AAD:ssa vaihteli v\u00e4lill\u00e4 2,5 (1,6) mm (p=,014) vartalon fleksiossa ja 3,3 (1,0) mm (p=,001) vartalon fleksiossa tukikaulus puettuna ja lis\u00e4paino p\u00e4\u00e4n p\u00e4\u00e4ll\u00e4. PADI:ssa muutos vaihteli 2,2 (0,8) mm (p=,001) vartalon fleksiossa ja 2,5 (1,0) mm (p=,002) vartalon fleksiossa tukikaulus puettuna. Kaikissa tutkituissa tilanteissa PADI oli yli 14 mm.\n\nT\u00e4m\u00e4n tutkimuksen mukaan tukikaulus ei pysty est\u00e4m\u00e4\u00e4n atlantoaksiaalista subluksaatiota, joka ilmenee vartalon etutaivutuksessa painovoiman vaikutuksesta. Lis\u00e4ksi, p\u00e4\u00e4n kuormittaminen esimerkiksi py\u00f6r\u00e4ilykyp\u00e4r\u00e4ll\u00e4 tai harjoitteluvastuksella saattaa lis\u00e4t\u00e4 subluksaatiota. Huolellinen potilasohjaus, jossa ohjataan toimimaan vartalo ja niska neutraaliasennossa p\u00e4ivitt\u00e4isiss\u00e4 askareissa on suositeltavaa nivelreumapotilaille, joilla on instabiili anteriorinen atlantoaksiaalinen subluksaatio.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Merja Kumpulainen (2014). Change in the atlantoaxial subluxation in forward trunk leaning and loading the head in rheumatoid arthritis patients with unstable anterior atlantoaxial subluxation; Short Report. Department of health sciences, University of Jyv\u00e4skyl\u00e4, Physiotherapy Master\u2019s Thesis, 36 p.\n\n\nObjective: To study the effect of trunk and neck position and loading the head with light weight on atlantoaxial stability with and without a collar rheumatoid arthritis (RA) patients with unstable anterior atlantoaxial subluxation (aAAS).\n\nMethods: Six patients with a mean (SD) age of 56 (6) years and duration of RA of 23 (8) years volunteered for the study. Lateral view radiographs of the cervical spine were taken in the neutral position, in flexion and in neutral upright position with collar. The radiographs were also taken during leaning the trunk 30\u00b0 forward, leaning trunk 30\u00b0 forward with collar and leaning trunk 30\u00b0 forward with collar and loading the head by 1 kilo weight neck in the neutral position. Anterior atlantoaxial subluxation (aAAS) and posterior atlantodental interval (PADI) were measured blinded from the radiographs.\n\nResults: The aAAS increased and the PADI decreased during the flexion of cervical spine in all six patients and during forwad leaning of the trunk in five of six patients. The mean (SD) change in the atlantoaxial distance (AAD) was 3,8 (1,9) mm (p=,005) and in the PADI 3,3 (2,3) mm (p=,015) in the cervical flexion compared with the neutral position of neck and trunk (reference value). The mean (SD) change of AAD varied from 2,5 (1,6) mm (p=,014) during forward leaning of trunk and neck neutral position to 3,3 (1,0) mm (p=,001) when having a collar and extra load around the head and in the PADI from 2,2 (0,8) mm (p=,001) during trunk flexion and neck in the neutral position to 2,5 (1,0) mm (p=,002) during forward leaning of trunk with collar in the different trunk leaning positions. During all examined position the PADI was more than 14 mm. \n\nConclusion: During tasks of daily living in the posture with trunk leaned forward the custom made collar may not prevent the atlantoaxial subluxation caused by forward leaning position of the trunk when the gravity pulls the skull downward. Furthermore, the use of certain equipments as a bike helmet or a load during neck exercises may even increase the shift. The careful patient education in which the patients are instructed to keep the whole trunk and neck in the upright position during activities of daily living is recommended in unstable AAS.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Merja Kumpulainen (meankump) on 2014-09-08 10:38:03.803840. Form: Pro gradu -lomake (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake). JyX data: [jyx_publishing-allowed (fi) =False]", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by jyx lomake-julkaisija (jyx-julkaisija@noreply.fi) on 2014-09-08T10:38:04Z\nNo. of bitstreams: 2\nURN:NBN:fi:jyu-201409082750.pdf: 797820 bytes, checksum: 77333fbbf58c9137dd806c9aaff55b84 (MD5)\nlicense.html: 1203 bytes, checksum: b50a8ce09c12779b179ddb1bf33eceba (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2014-09-08T10:38:04Z (GMT). No. of bitstreams: 2\nURN:NBN:fi:jyu-201409082750.pdf: 797820 bytes, checksum: 77333fbbf58c9137dd806c9aaff55b84 (MD5)\nlicense.html: 1203 bytes, checksum: b50a8ce09c12779b179ddb1bf33eceba (MD5)\n Previous issue date: 2014", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (40 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": "atlantoaksiaalinen subluksaatio", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "tukikaulus", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Vartalon etutaivutuksen ja kaularangan kuormituksen aiheuttamat muutokset atlantoaksiaalisessa subluksaatiossa nivelreumapotilailla", "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-201409082750", "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": "Fysioterapia", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Physiotherapy", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.date.updated", "value": "2014-09-08T10:38:05Z", "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": "restrictedAccess", "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": "50422", "language": null, "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "nivelreuma", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kaularanka", "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.rights.accessrights", "value": "Aineistoon p\u00e4\u00e4sy\u00e4 on rajoitettu tekij\u00e4noikeussyist\u00e4. 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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