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[{"key": "dc.contributor.advisor", "value": "H\u00e4kkinen, Arja", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Rinne, Marjo (UKK-instituutti)", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Lintukorpi, Sari", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2017-06-06T07:04:55Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2017-06-06T07:04:55Z", "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:1703051", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/54312", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Sari Lintukorpi (2017). Terapeuttisen harjoittelun vaikutus toimintakykyyn niskakipuisilla p\u00e4\u00e4ns\u00e4rky\u00e4 potevilla naisilla. Terveystieteiden laitos, Jyv\u00e4skyl\u00e4n yliopisto, (fysioterapia) pro gradu -tutkielma, 53 s., 4 liitett\u00e4.\r\n\r\nT\u00e4m\u00e4 tutkimus on osa UKK-instituutin laajempaa p\u00e4\u00e4ns\u00e4rkytutkimusta. T\u00e4m\u00e4n tutkimuksen tarkoituksena oli selvitt\u00e4\u00e4, onko puolen vuoden terapeuttisella harjoittelulla vaikutusta niskakipuisten p\u00e4\u00e4ns\u00e4rky\u00e4 potevien naisten itsearvioituun toimintakykyyn, kun sit\u00e4 verrataan placebo-hoitoon, ja tapahtuuko itsearvioidussa toimintakyvyss\u00e4 muutosta seurannan aikana. \r\n\r\nTutkimukseen osallistui niskakipua ja p\u00e4\u00e4ns\u00e4rky\u00e4 / migreeni\u00e4 potevia 21\u201360-vuotiaita naisia (n=116). Tutkittavat satunnaistettiin kahteen ryhm\u00e4\u00e4n: interventioryhm\u00e4\u00e4n (n=57), joka teki harjoitteita ja vertailuryhm\u00e4\u00e4n (n=59), joka sai TENS-hoitoa placebo annostuksella.\r\n\r\nTutkimuksen harjoitusinterventio eteni progressiivisesti matalakuormitteisista kaularangan lihaksia vahvistavista harjoitteista kohti spesifej\u00e4 korkealla kuormalla suoritettuja niskahartiaseudun lihaksia vahvistavia harjoitteita. Interventioryhm\u00e4l\u00e4iset saivat kuusi ohjauskertaa ja heit\u00e4 ohjattiin t\u00e4m\u00e4n lis\u00e4ksi harjoittelemaan omatoimisesti kerran p\u00e4iv\u00e4ss\u00e4, kuusi kertaa viikossa. Vertailuryhm\u00e4l\u00e4iset saivat placebo-TENS-hoitoa kuusi kertaa 45 minuutin ajan, mahdollisimman pienell\u00e4 virtam\u00e4\u00e4r\u00e4ll\u00e4, ja heille ohjattiin kolme eri venytysharjoitusta niska-hartiaseudun lihaksille. Niskakivun itsearvioitua toimintakyvyn haittaa kysyttiin niskakipuindeksi-kyselylomakkeella (Neck Disability Index-FI). Ryhmien v\u00e4lisi\u00e4 eroja testattiin heti intervention j\u00e4lkeen sek\u00e4 12 ja 24 kuukauden seuranta-aikana. Ryhmien v\u00e4lisi\u00e4 keskiarvoeroja testattiin kovarianssianalyysill\u00e4 (ANCOVA) sek\u00e4 Generalized Linear Mixed Model (GLMM) mallilla. \r\n\r\nTulokset osoittivat, ett\u00e4 intervention j\u00e4lkeen interventioryhm\u00e4n toimintakyky oli parantunut 8 prosentilla (p\u02c20.001) ja vertailuryhm\u00e4n toimintakyky oli parantunut 7 prosentilla (p\u02c20.001), eik\u00e4 ryhmien v\u00e4lill\u00e4 ollut eroa parantumisen suhteen (p=0.086). Toimintakyky heikentyi vuoden ja kahden vuoden seuranta-aikana tilastollisesti merkitsev\u00e4sti (p<0.004) ja muutokset toimintakyvyss\u00e4 oli molemmissa ryhmiss\u00e4 alkutilanteeseen n\u00e4hden huonompaan suuntaan. Seuranta-aikana ryhmien tulosten muutosten v\u00e4lill\u00e4 ei ollut tilastollisesti merkitsev\u00e4\u00e4 eroa (p=0.288).\r\n\r\nTutkimuksen perusteella sek\u00e4 terapeuttinen harjoittelu ett\u00e4 placebo-TENS-hoito ovat yht\u00e4 vaikuttavia niskakivun aiheuttaman toimintakyvyn parantumiseen. Jotta voitaisiin tehd\u00e4 suosituksia niskakipuisten, p\u00e4\u00e4ns\u00e4rky\u00e4 potevien terapeuttiseen harjoitteluun toimintakyvyn osalta, tarvitaan jatkotutkimuksia aiheeseen liittyen.\r\n\r\nAvainsanat: terapeuttinen harjoittelu, niskakipu, j\u00e4nnitysp\u00e4\u00e4ns\u00e4rky, kaularankaper\u00e4inen p\u00e4\u00e4ns\u00e4rky, migreeni, niskakipuindeksi (NDI-FI).", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Sari Lintukorpi (2017). The effects of therapeutic exercise on women with headache and neck pain. Department of Health Sciences, University of Jyv\u00e4skyl\u00e4, Master`s thesis, 53 pages, 4 appendices.\r\n\r\nThis study is a part of a larger study of headache at the UKK-institute. The purpose of the present study was to investigate how a progressive group-based therapeutic exercise program decreases disability of neck pain among working female. Voluntary women (n=116) with chronic cervicogenic headache and / or migraine with neck pain took part to the study. Women were divided into two groups: one doing therapeutic exercises (n=57) and the other receiving a sham dose transcutaneous electrical nerve stimulation and stretching (n=59). This study is a 6-month randomized controlled trial with 12 and 24 months` follow-ups. \r\n\r\nThe training program of the exercise group consisted of six progressive therapeutic exercise modules including proprioceptive, progressive cranio-cervical and cervical exercises, and exercises with high load for neck muscles during the 6-month intervention. The purpose was to improve postural and movement control of the cervical spine and shoulder region, and to strengthen the postural muscles. The control group (TENS) received six individually performed 45-minute sham TENS treatment sessions and stretching. The participants` disability caused by neck pain was measured by the Neck Disability Index Finnish version (NDI-FI). Between-group differences were analysed separately at six, 12 and 24 months from the baseline, with analysis of variances (ANOVA) and with generalized linear mixed models (GLMM) with the covariates. \r\n\r\nAt the six month follow-up assessments neck disability had significantly decreased in the both exercise group and the control group (p<0.001). The function of the exercise group and the control group had increased by 8 % and by 7 % respectively. No significant differences between groups were found (p=0.086). At the 12 and 24 months follow-up assessments the neck disability in the both exercise group and control group had significantly increased (p<0.004). No significant differences between groups were found (p=0.288).\r\n\r\nThe results of this study do not show clearly whether exercise therapy or TENS treatment and stretching will decrease disability of neck pain on women with chronic headache and neck pain. Future studies will be needed. \r\n\r\nKeywords: therapeutic exercise, neck pain, cervicogenic headache, migraine, Neck Disability Index-FI.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Sari Lintukorpi (sakrlint) on 2017-06-06 07:04:55.221164. 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 2017-06-06T07:04:55Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201706062688.docx: 355750 bytes, checksum: 53a31c4d2721ce878d3ce7c82729a1b6 (MD5)\r\nlicense.html: 1170 bytes, checksum: 2a71aede84b83f6b9996d8ca258a36a9 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2017-06-06T07:04:55Z (GMT). No. of bitstreams: 2\r\nURN:NBN:fi:jyu-201706062688.docx: 355750 bytes, checksum: 53a31c4d2721ce878d3ce7c82729a1b6 (MD5)\r\nlicense.html: 1170 bytes, checksum: 2a71aede84b83f6b9996d8ca258a36a9 (MD5)\r\n Previous issue date: 2017", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (64 sivua)", "language": null, "element": "format", "qualifier": "extent", "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": "terapeuttinen harjoittelu", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "niskakipu", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Terapeuttisen harjoittelun vaikutus toimintakykyyn niskakipuisilla p\u00e4\u00e4ns\u00e4rky\u00e4 potevilla 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-201706062688", "language": null, "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu", "language": "fi", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Master's 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": "Liikunta- ja terveystieteet", "language": "fi", "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": "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": "2017-06-06T07:04:55Z", "language": "", "element": "date", "qualifier": "updated", "schema": "dc"}, {"key": "yvv.contractresearch.funding", "value": "0", "language": "", "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": "dc"}, {"key": "dc.rights.accesslevel", "value": "restrictedAccess", "language": "fi", "element": "rights", "qualifier": "accesslevel", "schema": "dc"}, {"key": "dc.type.publication", "value": "masterThesis", "language": null, "element": "type", "qualifier": "publication", "schema": "dc"}, {"key": "dc.subject.oppiainekoodi", "value": "50422", "language": null, "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "p\u00e4\u00e4ns\u00e4rky", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "migreeni", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "toimintakyky", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "harjoittelu", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.rights.url", "value": "https://rightsstatements.org/page/InC/1.0/", "language": null, "element": "rights", "qualifier": "url", "schema": "dc"}, {"key": "dc.rights.accessrights", "value": "Aineistoon p\u00e4\u00e4sy\u00e4 on rajoitettu tekij\u00e4noikeussyist\u00e4. 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"}]
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