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[{"key": "dc.contributor.advisor", "value": "H\u00e4kkinen, Arja", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Hellste\u0301n, Kati", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2017-02-02T08:17:54Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2017-02-02T08:17:54Z", "language": "", "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2017", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1671827", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/52947", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "TIIVISTELM\u00c4\r\nHellst\u00e9n, K. 2017. Fyysinen ja psyykkinen kuormitus sek\u00e4 selviytymisvoimavarat kroonisilla whiplash potilailla. Liikuntatieteellinen tiedekunta, Jyv\u00e4skyl\u00e4n yliopisto, fysioterapian pro gradu \u2013tutkielma, 61 sivua, 7 liitett\u00e4.\r\n\r\nWhiplash vamma eli niskan retkahdusvamma syntyy tyypillisimmin autokolareissa t\u00f6rm\u00e4yksen aiheuttaessa niskan nopean edestakaisen liikkeen. Oirekuva vamman j\u00e4lkeen on usein laaja ja jopa 50%:lla whiplash vammautuneista se kroonistuu. T\u00e4m\u00e4n pro gradu tutkielman tavoitteena oli tarkastella kroonisten whiplash potilaiden oirekuvaa sek\u00e4 vamman aiheuttamaa fyysist\u00e4 ja psyykkist\u00e4 kuormitusta sek\u00e4 heid\u00e4n selviytymisvoimavarojaan.\r\nPoikkileikkaustutkimukseen osallistui vuonna 2006 25 kroonista whiplash potilasta, jotka kuuluvat WAD III luokkaan sek\u00e4 heid\u00e4n 30 tervett\u00e4 ik\u00e4- ja sukupuolikaltaistettua verrokkia. Tilastomenetelmin\u00e4 pieness\u00e4 aineistossa k\u00e4ytettiin nonparametrist\u00e4 Mann-Whitneyn testi\u00e4 keskiarvojen erojen tarkastelussa sek\u00e4 eri tekij\u00f6iden yhteisvaihtelun selvitt\u00e4misess\u00e4 k\u00e4ytettiin Spearmanin j\u00e4rjestyskorrelaatiokerrointa.\r\nWhiplash potilailla oli keskim\u00e4\u00e4rin 7,8 oiretta tutkituista 14:sta oireesta. Yleisimm\u00e4t oireet olivat niska- ja hartiakivut (92%), p\u00e4\u00e4ns\u00e4rky (91%) sek\u00e4 niskan kivuliaat ja/tai rajoittuneet liikkeet (88%). N\u00e4iden j\u00e4lkeen seuraavaksi yleisimpi\u00e4 oireita olivat kognitiiviset ongelmat, muistin heikentyminen (68%) ja keskittymisvaikeudet (65%). Oireiden keskim\u00e4\u00e4rinen voimakkuus oli p\u00e4\u00e4asiallisesti kohtalainen tai voimakas. Oirekuvan tarkempi tarkastelu osoitti, ett\u00e4 niill\u00e4, joilla oli enemm\u00e4n kuin 4 oireita yleinen kivun voimakkuus oli tilastollisesti merkitt\u00e4v\u00e4sti suurempi. Whiplash potilaiden kokema keskim\u00e4\u00e4r\u00e4inen niskakivun aiheuttama toimintakyvyn haitta oli vaikea (NDI 57%), psyykkisen kuormittuvuuden kokonaispisteet (GHQ-12, 6,1) kertoivat huonosta psyykkisest\u00e4 hyvinvoinnista sek\u00e4 ty\u00f6kyky oli koettu heikoksi (NRS 3,4). Whiplash potilaat kokivat tilastollisesti merkitt\u00e4v\u00e4sti suurempaa niskakivun aiheuttamaa toimintakyvyn haittaa (p<.001) sek\u00e4 psyykkist\u00e4 kuormitusta (p<.001) kuin terveet verrokit. Puolestaan terveet verrokit suhtautuvat tilastollisesti merkitt\u00e4v\u00e4sti optimistisemmin vaikeuksiin (p<.001) ja omasivat korkeamman koetun kompetenssin tason (p<.001) ja n\u00e4in odotusarvoltaan olettavat kykenev\u00e4ns\u00e4 tehokkaampaan ja tuloksellisempaan vuorovaikutukseen ymp\u00e4rist\u00f6ns\u00e4 kanssa tavoitteidensa saavuttamiseksi ja ongelmiensa ratkaisemiseksi kuin whiplash potilaat. Lis\u00e4ksi n\u00e4ill\u00e4 tekij\u00f6ill\u00e4 on useita vastavuoroisia suhteita toisiinsa.\r\nT\u00e4m\u00e4n pro gradu tutkimuksen tulokset osoittivat, ett\u00e4 whiplash vamma on aiheuttanut tutkimukseen osallistuneille WAD III luokkaan kuuluville whiplash potilaille eritt\u00e4in monitahoisen ja vaikean ongelmatiikan, jossa n\u00e4kyy sek\u00e4 fyysisen ett\u00e4 psyykkisen toimintakyvyn alentuminen sek\u00e4 selviytymisvoimavarojen heikentyminen. Tulokset viittaavat kroonisen whiplash vamman biopsykososiaaliseen luonteeseen.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Hellst\u00e9n, K. 2017. Physical and psychological strain and coping resourses among chronic whiplash patients. Faculty of Sport and Health Sciences, University of Jyv\u00e4skyl\u00e4, Physiotherapy Master\u00b4s thesis, 61 pp, 7 appendices.\r\n\r\nWhiplash injury occurs usually as a consequence of a motor vehicle collision when an acceleration-deceleration energy transfers to the neck. Symptoms following whiplash injury can be diverse and up to 50 % of injured experience chronic symptoms. The aims of this master\u00b4s thesis were to examine symptoms, experienced physical and psychological strain and coping resourses among chronic whiplash patients. \r\nYear 2006 25 chronic whiplash patients classified as WAD III and their 30 healthy age and gender matched controls participated to this cross sectional study. The statistical analysis methods were nonparametric Mann-Whitney test and Spearman's rank correlation coefficient. \r\nWhiplash patients had on average 7,8 symptoms over 14 investigated symptoms. The most frequent symptoms were neck and shoulder pain (92%), headache (91%) and painful and/or restricted neck movements (88%), which were followed by cognitive problems such as memory loss (68%) and concentration difficulties (65%). The average magnitude of symptoms was moderate or severe and more detailed symptom analysis showed that those who had more than 4 symptoms experienced significantly stronger general pain. On average experienced pain and disability among whiplash patients was severe (NDI 57%), psychological distress was high (GHQ-12, 6,1) and work ability was low (NRS 3,4). Whiplash patients experienced statistically greater pain and disability (p<.001) and psychological distress (p<.001) than healthy controls and in turn healthy controls were more optimistic (p<.001) and had higher perceived competence (p<.001) and therefore are expected to be more capable of achieving their goals and solving their problems than whiplash patients. In an addition there was many correlative relationships between these factors. \r\nThis master\u00b4s thesis shows that whiplash injury has caused to these WAD III patients very diverse and difficult symptom picture. There is decline in physical and psychological wellbeing and coping resources. It indicates that chronic whiplash injury should be seen from a biopsychosocial perspective.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Kati Hellst\u00e9n (kasuraja) on 2017-02-02 08:17:53.786318. 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 2017-02-02T08:17:54Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201702021346.pdf: 1340610 bytes, checksum: 98738c378cb5a8c77cf7547848dcb9aa (MD5)\r\nlicense.html: 4849 bytes, checksum: 11c115f261136dacc71e50ccba06a37d (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2017-02-02T08:17:54Z (GMT). No. of bitstreams: 2\r\nURN:NBN:fi:jyu-201702021346.pdf: 1340610 bytes, checksum: 98738c378cb5a8c77cf7547848dcb9aa (MD5)\r\nlicense.html: 4849 bytes, checksum: 11c115f261136dacc71e50ccba06a37d (MD5)\r\n Previous issue date: 2017", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (79 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": "whiplash-vamma", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", 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