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[{"key": "dc.contributor.author", "value": "Ker\u00e4nen, Katja", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2014-10-08T19:14:46Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2014-10-08T19:14:46Z", "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:1446868", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/44391", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "TIIVISTELM\u00c4\r\nOhjauksen ja neuvonnan vaikuttavuus fyysiseen toiminnallisuuteen aivoverenkiertoh\u00e4iri\u00f6n sairastaneilla, J\u00e4rjestelm\u00e4llinen kirjallisuuskatsaus, Katja Ker\u00e4nen, FTES011, Pro gradu-tutkielma, Jyv\u00e4skyl\u00e4n yliopisto, Liikunta- ja terveystieteiden tiedekunta, Terveystieteiden laitos, Kev\u00e4t 2014, 35 sivua, 6 liitett\u00e4. Ohjaajat: Ari Heinonen ja Tuulikki Sj\u00f6gren\r\nTutkimuksen tausta: Suomessa sairastuu 25 000 ihmist\u00e4 aivoverenkiertoh\u00e4iri\u00f6\u00f6n joka vuosi. Noin puolelle sairastuneista j\u00e4\u00e4 neurologisia vaurioita p\u00e4ivitt\u00e4iseen toimintakykyyn ja 40%:a tarvitsee pitk\u00e4aikaista kuntoutusta. Ohjaus ja neuvonta ovat yleisimmin k\u00e4ytetyt ohjausmenetelm\u00e4t aivoverenkiertoh\u00e4iri\u00f6n j\u00e4lkeisess\u00e4 kuntoutuksessa. Ohjauksen ja neuvonnan tutkimusn\u00e4ytt\u00f6 on ep\u00e4selv\u00e4\u00e4.\r\nTutkimuksen tarkoitus: Tutkia aivoverenkiertoh\u00e4iri\u00f6-kuntoutujien ohjauksen ja neuvonnan vaikuttavuutta fyysiseen toiminnallisuuteen RCT-tutkimusten perusteella.\r\nMenetelm\u00e4t: Systemaattinen kirjallisuushaku tehtiin 1/ 2007-3/2007 s\u00e4hk\u00f6isiin tietokantoihin: CINAHL (1982-3/2007), MEDLINE (1950-1/2007) ja EMBASE (-2/2007). T\u00e4t\u00e4 tutkimusta varten tehtiin kaksi lis\u00e4hakua Ovid-tietokannassa MEDLINE (7/2008-9/2011) sek\u00e4 MEDLINE ja CINAHL (11/2011-12/2012). Hakutermit (MeSH) olivat: strength training, resistance training, aerobic training, motor control, motor learning, counselling, guidance, randomized controlled trial, random allocation, systematic review, stroke, hemiplegia, cerebrovascular disorders, brain ischemia, cerebrovascular accident, brain infarction ja adult. Lis\u00e4haussa termit tarkensivat hakua: stroke, counselling and physical activity. Ohjausta annettiin potilaalle tai potilaalle ja h\u00e4nen omaiselleen/avustajalleen terveydenhuollon henkil\u00f6kunnan tai potilaan omaisen/avustajan toimesta. Suurin osa tutkittavista oli akuutteja potilaita (0-3 kk sairastumisesta). Kaikki sis\u00e4\u00e4nottokriteerit t\u00e4ytt\u00e4neet tutkimukset otettiin mukaan. Tutkimusten laadun arviointi perustui Van Tulderin modifioituun luokitteluun. Meta-analyysi tehtiin tutkimuksessa kahdelle alaryhm\u00e4lle:1) Ohjaus ja 2) Neuvonta ja ohjaus.\r\nTulokset: Tutkimuksen kriteerit t\u00e4yttiv\u00e4t yhdeks\u00e4n satunnaistettua kontrolloitua tutkimusta. Tulosten mukaan ei \u201dOhjaus\u201d-interventiolla (p = 0.45) eik\u00e4 \u201cNeuvonta ja ohjaus\u201d-interventiolla (p = 0.19) ollut vaikutusta fyysiseen toiminnallisuuteen aivoverenkiertoh\u00e4iri\u00f6n sairastaneilla.\r\nYhteenveto: \u201dOhjaus\u201d- ja \u201dNeuvonta ja ohjaus\u201d-interventioilla ei ole vaikutusta fyysiseen toiminnallisuuteen aivoverenkiertoh\u00e4iri\u00f6n sairastaneilla. Lis\u00e4tutkimuksia tarvitaan ohjauksen ja neuvonnan termien m\u00e4\u00e4ritt\u00e4miseksi sek\u00e4 pelk\u00e4n ohjauksen ja neuvonnan vaikuttavuuden arvioimiseksi aivoverenkiertoh\u00e4iri\u00f6n sairastaneiden kuntoutuksen kehitt\u00e4miseksi.\r\nAsiasanat: AVH-kuntoutus, ohjaaminen, neuvonta, fyysinen toiminnallisuus", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "ABSTRACT\r\nEffectiveness of counselling and guidance on physical functioning after stroke. A systematic review and meta-analysis of randomized controlled trials, Katja Ker\u00e4nen, FTES011, Master`s Thesis on Physiotherapy, University of Jyv\u00e4skyl\u00e4, Faculty of Sport and Health Sciences/Department of Health Sciences, Spring 2014, 35 pages, 6 appendices. Tutors: Ari Heinonen and Tuulikki Sj\u00f6gren\r\nBackground: In Finland there are total of 25 000 stroke incidents per year. About half of the incident people have neurological injuries in activities of daily living and 40% will need long term rehabilitation. Counselling and guidance are the most used treatment methods in stroke rehabilitation. Evidence of the effects of counselling and guidance is unclear.\r\nObjective: To determine the evidence of effectiveness of counselling and guidance for physical functioning after stroke by reviewing the results of randomized controlled trials (RCTs).\r\nMethods: A systematic literature search was performed in 1/ 2007-3/2007 in CINAHL (1982-3/2007), MEDLINE (1950-1/2007) and EMBASE (-2/2007).Two additional searches were completed in Ovid for this systematic review-study, both MEDLINE (7/2008-9/2011) and; also MEDLINE and CINAHL (11/2011-12/2012). The search terms (MeSH) were: strength training, resistance training, aerobic training, motor control, motor learning, counselling, guidance, randomized controlled trial, random allocation, systematic review, stroke, hemiplegia, cerebrovascular disorders, brain ischemia, cerebrovascular accident, brain infarction and adult. In an additional search the more specific terms were stroke, counselling and physical activity. All the randomized controlled studies which met the inclusion criterion were included in the review. The counselling and guidance on patient or on patient and his/her relative or carer was provided by any health professional person or patient`s relative or carer. Most of the RCTs included acute stroke patients (0-3 months from the stroke). Meta-analysis was performed for two subgroups of studies: 1) Counselling and 2) Guidance and counselling. The quality assessment of these studies was based on the criteria adapted by Van Tulder.\r\nResults: Nine RCTs met inclusion and exclusion criteria in the review. According to the Counselling outcomes, there was found high evidence that \u201cCounselling\u201d outcomes did not improve physical functioning after stroke (p = 0.45). There was moderate evidence which indicates that \u201cGuidance and counselling\u201d did not improve physical functioning after stroke (p = 0.19).\r\nConclusion: \u201cCounselling\u201d or \u201cGuidance and counselling\u201d did not improve physical functioning after stroke. Further studies are needed to determine the definition of counselling and guidance; and to investigate the effect of counselling and guidance without any other treatment simultaneously to develop stroke rehabilitation.\r\nKeywords: stroke rehabilitation, counselling, guidance, physical functioning", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Katja Ker\u00e4nen (katykera) on 2014-10-08 19:14:45.992467. 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 2014-10-08T19:14:46Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201410082955.pdf: 1081237 bytes, checksum: 18f79e1e7d65328a03efd82708421fcf (MD5)\r\nlicense.html: 4907 bytes, checksum: 1b08db79ce43283ad6d931b9d9dd3129 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2014-10-08T19:14:46Z (GMT). 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