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[{"key": "dc.contributor.advisor", "value": "Sipil\u00e4, Sarianna", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Valtoen, Anu", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Vuolahti, Jenni", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2014-11-13T18:02:40Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2014-11-13T18:02:40Z", "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:1451468", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/44661", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Jenni Vuolahti (2014). Vesivastusharjoittelun vaikutus vaikea-asteista polvennivelrikkoa sairastavien miesten ja naisten tasapainoon. Terveystieteiden laitos, Jyv\u00e4skyl\u00e4n yliopisto, Gerontologian ja kansanterveyden pro gradu \u2013 tutkielma, 37 s. \r\n\r\nPolven nivelrikko on ik\u00e4\u00e4ntyv\u00e4n v\u00e4est\u00f6n yleinen sairaus, joka aiheuttaa merkitt\u00e4vi\u00e4 kustannuksia yhteiskunnalle ja heikent\u00e4\u00e4 yksil\u00f6n toimintakyky\u00e4 ja el\u00e4m\u00e4nlaatua. Polven nivelrikon aiheuttamia toimintakyvyn ja el\u00e4m\u00e4nlaadun ongelmia ovat muun muassa kipu, alaraajojen lihasvoiman heikkeneminen, k\u00e4velyn vaikeutuminen sek\u00e4 tasapainon heikkeneminen. Heikentynyt tasapaino rajoittaa ja hankaloittaa ik\u00e4\u00e4ntyv\u00e4n arjesta suoriutumista ja aiheuttaa suurentuneen riskin kaatumistapaturmille ja niist\u00e4 aiheutuville vammoille. Fyysisell\u00e4 harjoittelulla pystyt\u00e4\u00e4n parantamaan tasapainoa. Vedess\u00e4 tapahtuva harjoittelua k\u00e4ytet\u00e4\u00e4n yleisesti nivelrikon kuntoutuksessa ja se tarjoaa monelle polven nivelrikkoa sairastavalle maalla tapahtuvaa harjoittelua tehokkaamman ja kivuttomamman harjoitteluymp\u00e4rist\u00f6n. \r\n\r\nT\u00e4m\u00e4n pro gradu -tutkimuksen tarkoituksena oli selvitt\u00e4\u00e4 onko vedess\u00e4 tapahtuvalla progressiivisella vastusharjoittelulla vaikutuksia vaikea-asteista polven nivelrikkoa sairastavien miesten ja naisten staattiseen ja dynaamiseen tasapainoon tai tasapainon kannalta haastavaan liikkumiskykyyn. Tutkimusasetelma oli satunnaistettu ja kontrolloitu interventiotutkimus. Tutkimusaineisto koostui 50\u201375 vuotiaista miehist\u00e4 ja naisista, jotka sairastivat vaikea-asteista unilateraalista polven nivelrikkoa ja olivat jonossa tekonivelleikkaukseen (n=43). Tutkittavat satunnaistettiin harjoitusryhm\u00e4\u00e4n (n=26) ja verrokkiryhm\u00e4\u00e4n (n=17). Harjoitusryhm\u00e4 harjoitteli vedess\u00e4 12 viikon ajan kaksi kertaa viikossa. Verrokkiryhm\u00e4l\u00e4iset noudattivat tavanomaista nivelrikon hoitok\u00e4yt\u00e4nt\u00f6\u00e4, eik\u00e4 heille j\u00e4rjestetty ryhm\u00e4toimintaa tai ohjausta tutkimuksen puitteissa. Molemmille ryhmille tehtiin alku- ja loppumittaukset. Staattista ja dynaamista tasapainoa mitattiin kehon huojuntana. Kehon huojuntaa mitattiin voimalevyn avulla seuraavissa olosuhteissa; seisominen kovalla alustalla silm\u00e4t auki ja kiinni, seisominen pehme\u00e4ll\u00e4 alustalla silm\u00e4t auki ja kiinni, yhdell\u00e4 jalalla seisominen, tuolilta yl\u00f6snousu sek\u00e4 portaalle nousu/laskeutuminen. Lis\u00e4ksi tutkittaville tehtiin tasapainon kannalta haastavan liikkumiskyvyn testej\u00e4, joita olivat TUG \u2013 testi ja 8- juoksu \u2013 testi. Intervention aikana tapahtunutta muutosta tarkasteltiin kovarianssianalyysilla (ANCOVA) alkumittauksen ollessa kovariaattina. 12 viikon harjoitusinterventio ei vaikuttanut keskivaikeaa tai vaikeaa polven nivelrikkoa sairastavien miesten ja naisten staattiseen tai dynaamiseen tasapainoon. Harjoittelu paransi ainoastaan portaalle nousu \u2013 testin voima-ominaisuuksia mittaavaa osa-aluetta. T\u00e4ss\u00e4 portaalle nousussa k\u00e4ytetty voima kehon painoon n\u00e4hden parani kontralateraalin alaraajan osalta 33 % (95 % CI: -54 % - -13 %) verrattuna kontrolliryhm\u00e4\u00e4n (p=.005). Tasapainon kannalta haastavaan liikkumiskykyyn harjoittelu sen sijaan vaikutti positiivisesti. Harjoitusryhm\u00e4n aika parani TUG \u2013 testiss\u00e4 12 % (1 % - 24 %) verrokkiryhm\u00e4\u00e4n verrattuna (ANCOVA p=.047). 8-juoksutestiss\u00e4 k\u00e4ytetty aika puolestaan v\u00e4heni harjoitusryhm\u00e4ll\u00e4 15 % (-28 - -3 %) verrokkiryhm\u00e4\u00e4n verrattuna (p=.045). \r\n\r\nTutkimustulosten mukaan progressiivisen vesivastusharjoittelun avulla ei voida parantaa vaikea-asteista polven nivelrikkoa sairastavien miesten ja naisten staattista tai dynaamista tasapainoa. Harjoittelulla pystyt\u00e4\u00e4n kuitenkin vaikuttamaan positiivisesti tasapainon kannalta haastavaan liikkumiskyyn.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Jenni Vuolahti (2014). The effect of aquatic resistance training on postural balance among men and women with end-stage knee osteoarthritis. Faculty of Sport and Health Sciences. Department of Health Sciences, University of Jyv\u00e4skyl\u00e4, Master\u00b4s thesis, 37 pp.\r\nKnee osteoarthritis is one of the most common joint disease of elderly. It is a major cause of disability in the elderly. It causes pain, decreased muscle strength, walking difficulties and postural control impairment with increased risk of falling. Exercise is very important in patient with knee osteoarthritis and it can increase balance control. Non-weight bearing aquatic exercise is often more appropriate for patients with knee osteoarthritis than land-based exercise. The purpose of this study was to investigate the effects of aquatic resistance training on postural balance among men and women with end-stage knee osteoarthritis. The study was randomized controlled trial. The study involved 43 50 to 75 \u2013year-old men and women with unilateral end-stage knee osteoarthritis. The subjects were randomized into two groups; training group (n=26) and control group (n=17). The training group trained twice a week for a period of 12 weeks. The control group did not participate in the training session. Physical abilities of the test subjects were measured before and after the training in both groups. The balance measurements were made on a force platform (feet side by side eyes open / closed on firm / foam platform, stand up, step up and down). Dynamic postural balance was also measured by a figure of 8 run test and TUG (Timed up and go) test. The analysis of covariance (ANCOVA) was used to assess the training effects between the training and control groups. The baseline measurement was used as covariate. After 12 weeks intervention the exercise group performed 12 % (95 % CI: 1 % - 24 %) better than the control group (ANCOVA p=.047) in TUG test, 15 % (-28 - -3 %) in figure of 8 run test (p=.045) and 33 % (-54 % - -13 %) in maximum lifting force exerted by health knee (p=.005). There was no significant difference between the groups in other balance measurements. \r\n\r\nProgressive aquatic resistance training did not have any favourable effects on postural balance of men and women with end-stage knee osteoarthritis. But the training did effect on locomotion that needs good postural balance.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Jenni Vuolahti (jeanbjon) on 2014-11-13 18:02:39.472697. Form: Pro gradu -lomake (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake). 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No. of bitstreams: 2\r\nURN:NBN:fi:jyu-201411133257.pdf: 626016 bytes, checksum: 7986e9000e577afda8fcea9cc9f8f507 (MD5)\r\nlicense.html: 4869 bytes, checksum: ca74f6a32e721aebf9c3904e30201a35 (MD5)\r\n Previous issue date: 2014", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (38 s.)", "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": "vesiharjoittelu", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", 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