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[{"key": "dc.contributor.advisor", "value": "Nikander, Riku", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Purhonen, Kaarina", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2015-06-12T20:36:00Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2015-06-12T20:36:00Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2015", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1475991", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/46305", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Aivoverenkiertoh\u00e4iri\u00f6t ovat merkitt\u00e4v\u00e4 sairausryhmist\u00e4 niin Suomessa kuin koko maailmassa\nja ik\u00e4\u00e4ntyneiden m\u00e4\u00e4r\u00e4n lis\u00e4\u00e4ntyess\u00e4 my\u00f6s aivoverenkiertoh\u00e4iri\u00f6t tulevat yleistym\u00e4\u00e4n. Aivoverenkiertoh\u00e4iri\u00f6\naiheuttaa sairastuneelle usein pysyvi\u00e4 toiminnanvajauksia. Akuuttihoidon\nkehitt\u00e4misen ohella olisi t\u00e4rke\u00e4\u00e4 kehitt\u00e4\u00e4 my\u00f6s kuntoutuspalveluja sairastuneen mahdollisimman\nhyv\u00e4n toimintakyvyn ja el\u00e4m\u00e4nlaadun turvaamiseksi. T\u00e4m\u00e4n tutkielman tarkoituksena oli\nselvitt\u00e4\u00e4 tekij\u00f6it\u00e4, jotka voivat vaikuttaa toimintakyvyn muutokseen vuoden kuntoutusjakson\naikana.\nT\u00e4m\u00e4 tutkielma on toteutettu hy\u00f6dynt\u00e4en Kansanel\u00e4kelaitoksen Teh-Kev tutkimushanke 2008\n\u2013 2013:n tutkimusaineistoa painokevennetyn k\u00e4velykuntoutuksen osalta. Tutkimuksen kohdejoukko\nkoostui avokuntoutukseen osallistuneista (n=37) ja laitoskuntoutukseen osallistuneista\n(n=113) 65 \u2013 85 \u2013vuotiaista k\u00e4velykuntoutujista, jotka olivat sairastaneet aivoverenkiertoh\u00e4iri\u00f6n\n3 \u2013 36 kuukautta ennen kuntoutuksen aloittamista. Toimintakyvyn arviointimenetelmin\u00e4\nk\u00e4ytettiin 10 metrin k\u00e4velytesti\u00e4, FSQ (Functional Status Questionnaire) \u2013kysely\u00e4 ja BBC Berg\nBalance Scale)-testi\u00e4. Toimintakyvyn muutosta vuoden aikana ennustavina tekij\u00f6in\u00e4 arvioitiin\nsukupuolen merkityst\u00e4, AVH:n sairastamisik\u00e4\u00e4, sairastumisesta kulunutta aikaa, sairauksien lukum\u00e4\u00e4r\u00e4\u00e4\nja FAC-k\u00e4velyluokitusta. Aineiston analysointiin k\u00e4ytettiin SPSS-ohjelman GEE\n(Generalized Estimation Equation)-analyysimenetelm\u00e4\u00e4.\nKuntoutuksen alussa todettu hyv\u00e4 k\u00e4velykyky FAC-luokituksen mukaan s\u00e4ilyi vuoden kuntoutusintervention\naikana sek\u00e4 avo- ett\u00e4 laitoskuntoutusryhmiss\u00e4. Avokuntoutusryhm\u00e4ss\u00e4 naiset\nparansivat k\u00e4velynopeuttaan selv\u00e4sti miehi\u00e4 enemm\u00e4n (p<0.05) Alkutilanteen korkea ik\u00e4 vaikutti\nmiesten k\u00e4velynopeuden muutokseen siten, ett\u00e4 mit\u00e4 korkeampi ik\u00e4 oli, sit\u00e4 pienempi oli\nk\u00e4velynopeuden parantuminen vuoden seurannan aikana (p<0.05). Lis\u00e4ksi havaittiin, ett\u00e4 mit\u00e4\nv\u00e4hemm\u00e4n sairastumisesta oli kulunut aikaa ennen intervention aloitusta, sit\u00e4 suurempi oli sek\u00e4\nFSQ:n ett\u00e4 BBC:n pistem\u00e4\u00e4r\u00e4n muutos miehill\u00e4 ja naisilla. Runsas sairauksien lukum\u00e4\u00e4r\u00e4 alkutilanteessa\nvaikutti heikent\u00e4v\u00e4sti naisten k\u00e4velynopeuden muutokseen vuoden aikana\n(p<0.05).\nT\u00e4m\u00e4n tutkielman tulosten mukaan aika aivoverenkiertoh\u00e4iri\u00f6\u00f6n sairastumisesta vaikuttaa toimintakyvyn\nmuutokseen, joten kuntoutuksen nopea aloitus on toimintakyvyn palautumisen\nkannalta AVH-potilaalle keskeist\u00e4.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Stroke is one of the most remarkable diseasegroups in Finland and in the whole world. When\nthe amount of aging population is increasing the number of strokes will also become frequent.\nStroke causes permanent functional disabilities. In addition to developing acute care it would\nbe important to develop also rehabilitation to guarantee the possible functional ability and quality\nof life. The purpose of this study was to figure out factors which could impact the change\nof functional ability during a one-year lasting rehabilitation intervention.\nIn this study data from Social Insurance Institution\u2019s TehKev \u2013research project 2008 \u2013 2013\nwas used for the part of weight-reliefed walking rehabilitation. Participants of this study consisted\nof outpatients (n=37) and inpatients (n=113). Participants were 68 \u2013 85 years old and\nthey had had a stroke 3 to 36 months before the start of the rehabilitation. The assessment\nmethods of functional ability were 10 meters walking test, Functional Status Questionnaire\n(FSQ) and Berg Balance Scale (BBC). Predictive factors of functional ability\u2019s change was to\nestimate the meaning of gender, age when of the stroke, time which had past from the stroke,\nthe amount of comorbidities and Functional Ambulation Classification (FAC). Data was analyzed\nwith SPSS-programs Generalized Estimation Equations \u2013analyzing system.\nIf walking ability was good in measured by FAC in the baseline it stayed like that during the\none year intervention in both out- and inpatient groups. Women in the outpatient group improved\ntheir walking speed clearly more than men in the outpatient group (p<0.05). High age in\nthe baseline impacted the walking speed of men hence the higher the age, the lower the improvement\nof walking speed during the one year follow-up. Moreover it was noticed that less time\nfrom the stroke before the intervention had an improving effect on the score of FSQ and BBC\nfor both women and men. A substantial amount of comorbidities in the baseline had a decreasing\neffect to women\u2019s change of walking speed during the one year follow-up (p<0.05).\nOutcomes of this study demonstrate that time from a stroke impacts the change of functional\nability, and thus it is essential for recovery after a stroke that rehabilitation is started rapidly.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Kaarina Purhonen (sakapurh) on 2015-06-12 20:35:58.315343. 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.group@korppi.jyu.fi) on 2015-06-12T20:35:59Z\nNo. of bitstreams: 2\nURN:NBN:fi:jyu-201506122313.pdf: 634849 bytes, checksum: ced8bac56855e473dc53d8c863ec7145 (MD5)\nlicense.html: 4893 bytes, checksum: 5bfc8e202c0b850543f8f37ce2c4f272 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2015-06-12T20:36:00Z (GMT). No. of bitstreams: 2\nURN:NBN:fi:jyu-201506122313.pdf: 634849 bytes, checksum: ced8bac56855e473dc53d8c863ec7145 (MD5)\nlicense.html: 4893 bytes, checksum: 5bfc8e202c0b850543f8f37ce2c4f272 (MD5)\n Previous issue date: 2015", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (50 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": "aivoverenkiertoh\u00e4iri\u00f6", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "toimintakyky", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "kuntoutus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Toimintakyvyn muutosta ennustavat tekij\u00e4t painokevennettyyn k\u00e4velykuntoutukseen osallistuneilla aivoverenkiertoh\u00e4iri\u00f6potilailla", "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-201506122313", "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": 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