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[{"key": "dc.contributor.advisor", "value": "H\u00e4kkinen, Arja", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Rinne, Marjo", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "k", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "k", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "i", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "n", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "e", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "n", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": ",", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "A", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "r", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "j", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "a", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "R", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "i", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "n", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "n", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "e", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": ",", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "M", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "a", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "r", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "j", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "o", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Kiviluoma-Ylitalo, Marika", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2016-01-12T08:36:37Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2016-01-12T08:36:37Z", "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:1507352", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/48314", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "P\u00e4\u00e4ns\u00e4rky on yksi yleisimmist\u00e4 kokemistamme oireista, sill\u00e4 l\u00e4hes jokainen kokee p\u00e4\u00e4ns\u00e4rky\u00e4 el\u00e4m\u00e4ns\u00e4 aikana. P\u00e4\u00e4ns\u00e4ryn muodoista etenkin krooninen p\u00e4\u00e4ns\u00e4rky heikent\u00e4\u00e4 el\u00e4m\u00e4nlaadun kokemusta laaja-alaisesti ja aiheuttaa merkitt\u00e4v\u00e4\u00e4 vajaakuntoisuutta. P\u00e4\u00e4ns\u00e4rky\u00e4 sairastaa etenkin ty\u00f6ik\u00e4inen v\u00e4est\u00f6 ja heist\u00e4 naiset. T\u00e4m\u00e4n Pro-Gradu-tutkielman tarkoituksena oli selvitt\u00e4\u00e4 terveyteen liittyv\u00e4n el\u00e4m\u00e4nlaadun muutoksia ja el\u00e4m\u00e4nlaatua selitt\u00e4vi\u00e4 tekij\u00f6it\u00e4 p\u00e4\u00e4ns\u00e4rky\u00e4 sairastavilla ty\u00f6ss\u00e4k\u00e4yvill\u00e4 naisilla terapeuttisen harjoitteluintervention aikana. \n\nSatunnaistetussa kontrolloidussa tutkimuksessa 116 sis\u00e4\u00e4nottokriteerit t\u00e4ytt\u00e4nytt\u00e4 21\u201360-vuotiasta ty\u00f6ss\u00e4k\u00e4yv\u00e4\u00e4 naista satunnaistettiin interventio- ja vertailuryhmiin. Intervention sis\u00e4lt\u00f6 oli progressiivista terapeuttista harjoittelua niska-hartiaseudun lihaksille ja vertailuryhm\u00e4ll\u00e4 oli lume-interventio sis\u00e4lt\u00f6n\u00e4\u00e4n transkutaanista neurostimulaatiota (TNS). Intervention pituus oli kuusi kuukautta. Tutkittavat arvioivat terveyteen liittyv\u00e4\u00e4 el\u00e4m\u00e4nlaatuaan alku-tilanteessa ja heti intervention p\u00e4\u00e4tytty\u00e4 standardoitua RAND-36 kyselylomaketta k\u00e4ytt\u00e4en. Tilastomenetelmist\u00e4 k\u00e4ytettiin terveyteen liittyv\u00e4n el\u00e4m\u00e4nlaadun muutosta analysoitaessa Wilcoxonin ja Mann-Whitneyn u-testi\u00e4. El\u00e4m\u00e4nlaatua selitt\u00e4vi\u00e4 tekij\u00f6it\u00e4 analysoitiin lineaari-sella regressioanalyysilla ja ristiintaulukoinnilla.\n \nProgressiivisen terapeuttisen harjoittelun ja lume-TNS-ryhmien v\u00e4lille ei l\u00f6ytynyt tilastollisesti merkitsev\u00e4\u00e4 eroa terveyteen liittyv\u00e4n el\u00e4m\u00e4nlaadun osa-alueiden eik\u00e4 ulottuvuuksien muutoksissa, lukuun ottamatta fyysisen toimintakyvyn osa-aluetta, jossa lume-TNS-ryhm\u00e4ll\u00e4 muutos oli tilastollisesti merkitsev\u00e4sti parempi harjoitteluryhm\u00e4\u00e4n n\u00e4hden (p=0.028). Molemmat ryhm\u00e4t, sek\u00e4 interventio- ett\u00e4 vertailuryhm\u00e4, paransivat terveyteen liittyv\u00e4\u00e4 el\u00e4m\u00e4nlaatuaan tilastollisesti merkitsev\u00e4sti useissa osa-alueissa ja ulottuvuuksissa. P\u00e4\u00e4ns\u00e4ryn esiintymistiheys osoittautui selitt\u00e4v\u00e4ksi tekij\u00e4ksi el\u00e4m\u00e4nlaadulle (Beta=-0.295, p=0.002), mit\u00e4 enemm\u00e4n on p\u00e4\u00e4ns\u00e4rkyp\u00e4ivi\u00e4 sit\u00e4 huonompi on el\u00e4m\u00e4nlaatu. \n\nTerapeuttinen harjoittelu ei tuonut lis\u00e4hy\u00f6ty\u00e4 terveyteen liittyv\u00e4\u00e4n el\u00e4m\u00e4nlaatuun verrattuna vertailuryhm\u00e4n lume-TNS-hoitoon. P\u00e4\u00e4ns\u00e4ryn esiintymistiheys ennustaa terveyteen liittyv\u00e4\u00e4 el\u00e4m\u00e4nlaatua. Jo yhden p\u00e4\u00e4ns\u00e4rkyp\u00e4iv\u00e4n v\u00e4heneminen viikossa voi parantaa terveyteen liittyv\u00e4\u00e4 el\u00e4m\u00e4nlaatua merkitsev\u00e4sti.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Headache is one of the most common disorders worldwide, and almost everyone will experience a headache during their life. Chronic headache in particular is associated with a decrease in health-related quality of life (HRQoL) and further causes significant disability. The aim of this study was to assess the changes in HRQoL among working women with chronic headache during a therapeutic exercise intervention. \n \nThe present study was a randomized, controlled trial where 116 working women aged 21 to 60 years who met the inclusion criteria were randomized to an exercise and a control group. The exercise group participants followed a progressive therapeutic exercise programme, and the control group underwent a sham-intervention by means of TNS treatment. The duration of the intervention was six months. The HRQoL was assessed using the generic RAND-36 questionnaire at baseline and after six months. The statistical analysis methods were the Wilcoxon test, Mann-Whitney U-test and regression analysis.\n\nThere found no statistically significant difference between the groups in the changes of the HRQoL dimensions or summary scores, except the physical functioning dimension (p=0.028), the control group having a statistically better change of the scores compare to the intervention group. In many dimensions and summary scores, both groups experienced a statistically significant improvement in their HRQoL. Pain frequency proved to be the variable predicting the HRQoL (Beta=-0.295, p=0.002) \u2013 the higher the pain frequency the lower the HRQoL.\n\nTherapeutic exercise did not enhance the health-related quality of life compared to the control group among working women suffering from chronic headache. The pain frequency predicts their reported HRQol. If the pain frequency is reduced even one day per week it will promote the HRQoL significantly.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Marika Kiviluoma-Ylitalo (marhanki) on 2016-01-12 08:36:37.387477. 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 2016-01-12T08:36:37Z\nNo. of bitstreams: 2\nURN:NBN:fi:jyu-201601121090.pdf: 833833 bytes, checksum: 1b9513ab53632214a030ad75103ad92f (MD5)\nlicense.html: 1233 bytes, checksum: c8c2407e1601cf952c7c33f825cee9bf (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2016-01-12T08:36:37Z (GMT). No. of bitstreams: 2\nURN:NBN:fi:jyu-201601121090.pdf: 833833 bytes, checksum: 1b9513ab53632214a030ad75103ad92f (MD5)\nlicense.html: 1233 bytes, checksum: c8c2407e1601cf952c7c33f825cee9bf (MD5)\n Previous issue date: 2015", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (58 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": "p\u00e4\u00e4ns\u00e4rky", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "el\u00e4m\u00e4nlaatu", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "terapeuttinen harjoittelu", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "fysioterapia", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Terapeuttisen harjoitteluintervention vaikutus terveyteen liittyv\u00e4\u00e4n el\u00e4m\u00e4nlaatuun kroonista p\u00e4\u00e4ns\u00e4rky\u00e4 sairastavilla ty\u00f6ss\u00e4 k\u00e4yvill\u00e4 naisilla", "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-201601121090", "language": null, "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": 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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": "2016-01-12T08:36:38Z", "language": null, "element": "date", "qualifier": "updated", "schema": "dc"}, {"key": "yvv.contractresearch.funding", "value": "0", "language": null, "element": "contractresearch", "qualifier": "funding", "schema": "yvv"}, {"key": "dc.type.coar", "value": "http://purl.org/coar/resource_type/c_bdcc", "language": null, "element": "type", "qualifier": "coar", "schema": 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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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