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[{"key": "dc.contributor.advisor", "value": "Heinonen, Ari", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Sivonen, Emilia", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2016-06-08T08:41:14Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2016-06-08T08:41:14Z", "language": "", "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2016", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1542867", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/50169", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Emilia Sivonen (2016). Progressiivisen vastusvesiharjoittelun vaikutus itse raportoituun\r\ninstabiliteettiin liev\u00e4ss\u00e4 polven nivelrikossa. Terveystieteiden laitos, Jyv\u00e4skyl\u00e4n yliopisto, fysioterapian pro gradu -tutkielma, 50s., 6 liitett\u00e4.\r\n\r\nPolven nivelrikko on yleinen ja merkitt\u00e4v\u00e4 toimintakyky\u00e4 rajoittava sairaus, johon ei ole\r\nolemassa parantavaa hoitoa. Polven nivelrikon tyypillisimpi\u00e4 oireita ovat kipu ja j\u00e4ykkyys, mutta osalla polvinivelrikkoisista esiintyy my\u00f6s polven instabiliteettituntemuksia, kuten ep\u00e4vakautta ja alta pett\u00e4misen tunnetta. Itse raportoidun instabiliteetin on todettu olevan itsen\u00e4inen toimintakyky\u00e4 alentava tekij\u00e4 polvinivelrikkoisilla. Lukuisat tutkimukset osoittavat fyysisell\u00e4 harjoittelulla olevan positiivinen vaikutus kipuun ja toimintakykyyn polven nivelrikossa. Harjoittelun vaikutuksista instabiliteettiin, erityisesti itse raportoituun instabiliteettiin, on kuitenkin viel\u00e4 varsin niukasti laadukasta tutkimustietoa.\r\n\r\nT\u00e4m\u00e4n RCT-tutkimuksen tarkoituksena oli selvitt\u00e4\u00e4, onko progressiivisella\r\nvastusvesiharjoittelulla vaikutusta itse raportoituun instabiliteettiin liev\u00e4ss\u00e4 (KL 1-2) polven nivelrikossa postmenopausaalisilla naisilla. Lis\u00e4ksi tarkoituksena oli selvitt\u00e4\u00e4, onko itse raportoidulla instabiliteetilla yhteytt\u00e4 lihasvoimaan, ketteryyteen sek\u00e4 koettuun kipuun ja toimintakykyyn. Tutkimukseen osallistui 87 naista, joista 43 satunnaistettiin koe- ja 44 kontrolliryhm\u00e4\u00e4n. Mittausmenetelmin\u00e4 k\u00e4ytettiin instabiliteetti ja KOOS -kyselyit\u00e4 sek\u00e4 fyysisen toimintakyvyn testej\u00e4. Mittaukset suoritettiin koe- ja kontrolliryhm\u00e4lle ennen ja j\u00e4lkeen 4kk kest\u00e4v\u00e4n harjoitusintervention. Koeryhm\u00e4l\u00e4iset harjoittelivat altaassa kolme\r\nkertaa viikossa tunnin kerrallaan. Harjoittelu eteni progressiivisesti vedess\u00e4 k\u00e4ytett\u00e4v\u00e4n\r\nvastuksen lis\u00e4\u00e4ntyess\u00e4. Kontrolliryhm\u00e4l\u00e4iset jatkoivat normaaleja aktiviteettejaan.\r\n\r\nAlkumittauksen tulosten perusteella itse raportoitu instabiliteetti n\u00e4ytt\u00e4isi olevan yhteydess\u00e4 lis\u00e4\u00e4ntyneeseen kipuun ja muihin oireisiin sek\u00e4 p\u00e4ivitt\u00e4isist\u00e4 toiminnoista suoriutumisen ja el\u00e4m\u00e4nlaadun heikkenemiseen liev\u00e4ss\u00e4 polven nivelrikossa. Progressiivisella vastusvesiharjoittelulla ei n\u00e4ytt\u00e4isi t\u00e4m\u00e4n tutkimuksen perusteella olevan merkitsev\u00e4\u00e4 vaikutusta instabiliteettituntemusten esiintyvyyteen eik\u00e4 useuteen. Harjoittelun vaikutukset eiv\u00e4t n\u00e4ytt\u00e4isi eroavan merkitsev\u00e4sti niiden henkil\u00f6iden v\u00e4lill\u00e4, joilla on ja ei ole instabiliteettia.\r\n\r\nRyhmien sis\u00e4isi\u00e4 eroja tarkastellessa harjoitusryhm\u00e4ss\u00e4 tapahtui kuitenkin enemm\u00e4n\r\npositiivisia muutoksia alku- ja loppumittauksen v\u00e4lill\u00e4 kuin kontrolliryhm\u00e4ss\u00e4. Lis\u00e4\u00e4\r\ntutkimusta isommalla tutkimusjoukolla tarvitaan selvitt\u00e4m\u00e4\u00e4n harjoittelun vaikutuksia\r\nkoettuun instabiliteettiin polven nivelrikossa sek\u00e4 harjoittelun vaikutusten v\u00e4lisi\u00e4 eroja niill\u00e4, joilla on ja joilla ei ole instabiliteettia.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Emilia Sivonen (2016). Effects of a progressive aquatic resistance training on self-reported instability in mild knee osteoarthritis. Department of Health Sciences, University of Jyv\u00e4skyl\u00e4, Master\u2019s thesis in Physiotherapy, 50pp., 6 appendices.\r\n\r\nKnee osteoarthritis (OA) is a common disease considerably limiting physical function. There is no cure for knee OA. The most common symptoms of knee OA are pain and stiffness, but some people with knee OA complain also feelings of instability, for example buckling or giving away of the knee. Self-reported instability has been shown to be an independent factor that has a weakening effect on physical function in knee OA. Several studies have shown that exercise has a positive effect on pain and function in knee OA. However, there is lack of qualified studies concerning effects of exercise on instability, especially self-reported instability, in knee OA. \r\n\r\nThe aim of this RCT-study was to assess if progressive aquatic resistance training has an effect on self-reported instability in mild (KL 1-2) knee OA on postmenopausal women. Additionally the aim was to find out if self-reported instability associates with muscle strength, agility, self-reported pain or function. 87 women with mild knee OA participated to the study. 43 women were randomized to an exercise group and 44 women to a control group. Instability and KOOS questionnaires as well as tests of physical function were used as outcome measurements. The measurements took place before and after the 4-month exercise intervention. The exercise group trained in a pool three times a week, for an hour per session. Training proceeded progressively while the resistance used in the water increased. The control group was advised to continue their normal activities.\r\n\r\nAccording to results of baseline measurements self-reported instability appears to have an\r\nassociation with increased pain and other symptoms as well as decreased function in activities of daily living and quality of life in mild knee OA. According to the results of this study, progressive aquatic resistance training does not seem to have a significant effect on incidence or frequency concerning feelings of instability. There were no significant differences in the effects of training between those with and those without instability. \r\n\r\nWhen examining the differences inside the groups, there were more positive changes in the exercise group than in the control group between the baseline and the final measurements.\r\nMore research is required to assess the effects of exercise to self-reported instability in knee OA as well as the possible differences in exercise effects between those with and those without instability.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Emilia Sivonen (emjosivo) on 2016-06-08 08:41:13.459931. 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 2016-06-08T08:41:14Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201606082966.pdf: 261107 bytes, checksum: 5c9ff11ad59c1c4b3d5275ff0a1de9d0 (MD5)\r\nlicense.html: 4852 bytes, checksum: 897ea652593180022717b5184abb3b70 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2016-06-08T08:41:14Z (GMT). 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