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[{"key": "dc.contributor.advisor", "value": "Ina Tarkka, Jyv\u00e4skyl\u00e4n yliopisto", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Eva Skillgate, Karolinska Universitet", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Tabell, Vesa", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2015-11-24T15:09:01Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2015-11-24T15:09:01Z", "language": "", "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:1504594", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/47805", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Vesa Tabell (2015). The role of adverse events after Naprapathic Manual Therapy as prognostic factor. Terveystieteiden laitos, Jyv\u00e4skyl\u00e4n yliopisto, Liikuntal\u00e4\u00e4ketieteen pro gradu, 38 sivua.\r\n\r\nTAUSTA\r\nT\u00e4m\u00e4n tutkimuksen tarkoituksena oli selvitt\u00e4\u00e4 sivuvaikutusten yhteytt\u00e4 paranemiseen alaselk\u00e4kipu- ja/tai niskakipupotilailla naprapaattisen hoidon j\u00e4lkeen sukupuolia yhdess\u00e4 ja erikseen tarkastellessa. Manuaalinen terapia on maailmanlaajuisesti k\u00e4ytetty tehokas ja kustannustehokas hoitotekniikka alaselk\u00e4- ja niskakipuoireissa. Tutkimustulokset ovat osoittaneet manuaalisten hoitojen sivuvaikutusten olevan v\u00e4liaikaisia ja voimakkuudeltaan p\u00e4\u00e4s\u00e4\u00e4nt\u00f6isesti mietoja. Aikaisemmat tutkimukset ovat osoittaneet niskakipujen osalta, etteiv\u00e4t sivuvaikutukset ole yhteydess\u00e4 paranemiseen.\r\n\r\nMETODIT\r\nTutkimusaineisto on saatu kontrolloidusta satunnaistetusta kolme hoitolinjaa sis\u00e4lt\u00e4neest\u00e4 Stockholm MINT -tutkimuksesta (N=1057). T\u00e4h\u00e4n prospektiiviseen kohorttitutkimukseen valikoitui 771 potilasta. Kolmen ensimm\u00e4isen hoitok\u00e4ynnin j\u00e4lkeen 24 tunnin sis\u00e4ll\u00e4 ilmenneit\u00e4 sivuvaikutuksia mitattiin kyselyll\u00e4 luokitellen sivuvaikutuksen haittaavuuttaa ja kategorisoiden kolmeen ryhm\u00e4\u00e4n: ei, lievi\u00e4 tai kohtalaisia oireita kokeneisiin. Sivuvaikutuksien yhteytt\u00e4 verrattiin koettuun paranemiseen seitsem\u00e4n viikon ja kolmen kuukauden kohdalla. Tilastolliset laskennat suoritettiin logistisella regressiomallilla k\u00e4ytt\u00e4en IBM SPSS Statistics 22 -ohjelmistoa. \r\n\r\nTULOKSET\r\nSukupuolia yhdess\u00e4 tarkasteltaessa ristitulosuhteet (OR) eiv\u00e4t osoittaneet tilastollista yhteytt\u00e4 sivuvaikutusten ja paranemisen v\u00e4lill\u00e4 seitsem\u00e4n viikon eik\u00e4 kolmen kuukauden kohdalla. Seitsem\u00e4n viikon seurannan sukupuolen mukaan mukautetut OR:t viittasivat miehill\u00e4 olevan suuremman todenn\u00e4k\u00f6isyyden parantua, jos heill\u00e4 oli ollut lievi\u00e4 sivuvaikutuksia (OR 1,46, 95 % CI 0,78 - 2,69). Naisilla todenn\u00e4k\u00f6isyys parantua n\u00e4ytti heikentyv\u00e4n, jos heill\u00e4 oli ollut kohtalaisia sivuvaikutuksia (OR 0,68, 95 % CI 0,41-1,14) verrattuna ei sivuvaikutuksia kokeneisiin, vaikkakin l\u00f6yd\u00f6kset eiv\u00e4t olleet tilastollisesti merkitsevi\u00e4. Kolmen kuukauden seurannassa sivuvaikutuksilla oli yhteys paranemiseen miehill\u00e4. Lievi\u00e4 sivuvaikutuksia kokeneilla miehill\u00e4 oli suurempi todenn\u00e4k\u00f6isyys (OR 2.44, 95 % CI 1.24-4.80) parantua kuin miehill\u00e4, joilla ei ollut ollut sivuvaikutuksia. Vastaavasti kohtalaisia sivuvaikutuksia kokeneiden miesten todenn\u00e4k\u00f6isyys parantua vaikutti heikommalta (OR 0.58, 95% CI 0.22-1.52). Liev\u00e4 tai kohtalainen sivuvaikutusten kokeminen viittasi naisilla huonompaan paranemisen todenn\u00e4k\u00f6isyyteen (OR 0.84, CI 0.55-1-40 ja OR 0.68, 95% CI 0.40-1.13) ilman tilastollista merkitsevyytt\u00e4.\r\n\r\nPOHDINTA\r\nTutkimus sis\u00e4lt\u00e4\u00e4 sek\u00e4 miehi\u00e4 ja naisia ja aikaisempiin tutkimuksiin verraten niskakipu potilaiden lis\u00e4ksi alaselk\u00e4kipupotilaita. Lyhyell\u00e4 aikav\u00e4lill\u00e4 tarkasteltuna sivuvaikutukset naprapaattisen hoidon j\u00e4lkeen eiv\u00e4t ole yhteydess\u00e4 paranemiseen. Pitk\u00e4ll\u00e4 aikav\u00e4lill\u00e4 , kolme kuukautta, sivuvaikutukset voivat olla edullisia miehille, mutta eiv\u00e4t naisille.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Vesa Tabell (2015). The role of adverse events after Naprapathic Manual Therapy as a prognostic factor. Department of Health Sciences, University of Jyv\u00e4skyl\u00e4, Master\u2019s thesis in Sport and Exercise Medicine, 38 pages. \r\nBACKGROUND\r\nThe primary aim of this study was to broaden the knowledge on the relationships between adverse events (AE) and recovery after Naprapathic Manual Therapy in short term and long term in low back pain and/or neck pain. Additional emphasis was on gender effect on such potential association. Manual therapy is a globally utilized, both effective and cost-effective, technique to treat low back and neck pain. AEs after manual therapy have been reported to be mainly mild and self-limiting. Previous studies have shown that AEs in patients with neck pain are not associated with worse recovery. \r\n\r\nMETHODS\r\nThe material for this study is obtained from a three-arm RCT study called Stockholm MINT trial (n=1057). There were 771 eligible patients for this prospective cohort study. AEs within 24 hours after the three first visits were measured with questionnaires and classified by inconvenience and categorised as no, mild or moderate. Outcome measure was the perceived recovery at 7 weeks and at 3 months follow-up. ORs were calculated by logistic regression by IBM SPSS Statistics 22 software. Treatment arm was included in all analyses as a covariate.\r\n\r\nRESULTS\r\nGenders combined ORs showed no statistically significant associations between adverse events and recovery either at 7 weeks or at 3 months follow-up. Although at seven weeks follow-up gender stratified adjusted ORs showed that men tended to have higher chance for recovery if they had had mild AEs (OR 1.46, 95% CI 0.78-2.69) while women tended to have lower chance for recovery if they had had moderate AEs (OR 0.68, 95% CI 0.41-1.14) in comparison to not having had AEs. The associations were not statistically significant though. At 3 months follow-up AEs had an effect on the chance to recovery among men. Men with mild AEs had higher chance to recover than men with no AEs (OR 2.44, 95% CI 1.24-4.80) and men with moderate AEs tended to have lower chance to recovery (OR 0.58, 95%CI 0.22-1.52). Women with mild and moderate AEs tended to have lower chance for recovery (OR 0.84, CI 0.55-140 and OR 0.68, 95% CI 0.40-1.13 respectively), but associations were not statistically significant.\r\n\r\nCONCLUSION\r\nThis study includes both male and female neck pain and/or low back pain patients. In short term AEs after Naprapathic Manual Therapy are not prognostic factor for recovery. At long term (three months after treatment) AEs may predict better recovery for men but not for women.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Vesa Tabell (vetabell) on 2015-11-24 15:09:00.776976. 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.group@korppi.jyu.fi) on 2015-11-24T15:09:01Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201511243799.pdf: 550771 bytes, checksum: dd08b73f393e5143433c85106e855b4d (MD5)\r\nlicense.html: 1148 bytes, checksum: dfec114679854f19f5cf8e6e569aeed7 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2015-11-24T15:09:01Z (GMT). No. of bitstreams: 2\r\nURN:NBN:fi:jyu-201511243799.pdf: 550771 bytes, checksum: dd08b73f393e5143433c85106e855b4d (MD5)\r\nlicense.html: 1148 bytes, checksum: dfec114679854f19f5cf8e6e569aeed7 (MD5)\r\n Previous issue date: 2015", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (44 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": "eng", "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": "adverse event", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "naprapathy", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "manual therapy", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "recovery", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "low back pain", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "neck pain", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "The role of adverse events after naprapathic manual therapy as a prognostic factor", "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": 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