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[{"key": "dc.contributor.advisor", "value": "Sj\u00f6gren, Tuulikki", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Routavaara, Heikki", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2017-12-05T14:25:52Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2017-12-05T14:25:52Z", "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:1804027", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/56147", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Hengitys- ja verenkiertoelimist\u00f6n kunnon on todettu olevan yhteydess\u00e4 useisiin sairauksiin ja elini\u00e4nodotteeseen. Et\u00e4teknologiaa sis\u00e4lt\u00e4vill\u00e4 interventioilla on todettu olevan yhteys fyysiseen aktiivisuuteen ja hengitys- ja verenkiertoelimist\u00f6n kuntoon, mutta tutkittua vaikuttavuustietoa on v\u00e4h\u00e4n.\r\nMaksimaalinen hapenottokyky on yleisesti k\u00e4ytetty hengitys- ja verenkiertoelimist\u00f6n kunnon mittari, ja se kuvaa hengitys- ja verenkiertoelimist\u00f6n kyky\u00e4 kuljettaa happea lihaksille.\r\nT\u00e4m\u00e4n j\u00e4rjestelm\u00e4llisen kirjallisuuskatsauksen tavoitteena oli selvitt\u00e4\u00e4 et\u00e4teknologiaa sis\u00e4lt\u00e4vien liikunnallisten kuntoutusinterventioiden vaikuttavuutta maksimaaliseen hapenottokykyyn.\r\nKirjallisuushaku tehtiin (2000\u20132016) CENTRAL, EMBASE, Ovid MEDLINE, CINAHL, PsycINFO -tietokantoihin. Lis\u00e4ksi tehtiin t\u00e4ydent\u00e4v\u00e4 haku (1996-2016) Ovid MEDLINE -tietokantaan sek\u00e4 k\u00e4sihaku. Sis\u00e4\u00e4nottokriteerit (PICO: patient, intervention, comparison, outcome) olivat: P) 18-64-vuotiaat; I) RCT-tutkimukset sis\u00e4lt\u00e4en et\u00e4teknologiaa hy\u00f6dynt\u00e4v\u00e4\u00e4 liikunnallista kuntoutusta; C) liikunnallinen kuntoutus ilman et\u00e4teknologiaa tai tavanomainen hoito; O) muuttuja, joka ilmaisee mitattua maksimaalista hapenottokyky\u00e4. Laadunarviointi tehtiin Furlanin ym. (2015) menetelm\u00e4\u00e4 k\u00e4ytt\u00e4en. Analyysimenetelm\u00e4n\u00e4 k\u00e4ytettiin meta-analyysia Review Manager 5.3 -ohjelmalla. N\u00e4yt\u00f6n aste (A-D) m\u00e4\u00e4riteltiin K\u00e4yp\u00e4 hoito -suositusten mukaan.\r\nKatsaukseen valikoitui 8 tutkimusta, joissa oli 848 tutkittavaa. Tutkittavien keski-ik\u00e4 oli 59,2 (13,4) vuotta. Tutkittavista miehi\u00e4 oli 68 %. Kuudessa tutkimuksessa tutkittavat olivat syd\u00e4npotilaita, yhdess\u00e4 dialyysipotilaita ja yhdess\u00e4 perusterveit\u00e4 nuoria miehi\u00e4, joiden fyysinen aktiivisuus oli matala. Koeryhmien interventiot olivat terveydenhuollon ammattilaisten valvomia et\u00e4teknologiaa sis\u00e4lt\u00e4mi\u00e4 liikuntainterventioita. Kontrolliryhmiss\u00e4 k\u00e4ytettiin ilman et\u00e4teknologiaa suoritettavia liikunta interventioita tai annettiin pelkk\u00e4 tavanomainen hoito. Tutkimuksissa k\u00e4ytetyt et\u00e4teknologiat olivat internet, puhelin, askelmittari, sykemittari, puhelinyhteytt\u00e4 hy\u00f6dynt\u00e4v\u00e4 et\u00e4valvontalaite ja vuorovaikutteinen videopeli. Lopputulosmuuttujina olivat maksimaalinen hapenottokyky tai maksimaalinen aerobinen ty\u00f6teho maksimaalisella tai submaksimaalisella testiprotokollalla mitattuna.\r\nEt\u00e4teknologiaa sis\u00e4lt\u00e4neet koeryhmien kuntoutusinterventiot paransivat maksimaalista hapenottokyky\u00e4 yht\u00e4 paljon kuin ilman et\u00e4teknologiaa suoritetut liikunnalliset kuntoutusinterventiot (p = 0,57; SMD -0,05; 95 % luottamusv\u00e4li -0,24; 0,13) tai tavanomainen hoito (p = 0,11; SMD 0,34; 95 % luottamusv\u00e4li -0,08; 0,76). Tutkimukset saivat Furlanin ym. (2015) menetelm\u00e4ll\u00e4 keskim\u00e4\u00e4rin 6/13 laatupistett\u00e4. N\u00e4yt\u00f6naste oli C.\r\nEt\u00e4teknologiaa sis\u00e4lt\u00e4v\u00e4 liikunnallinen kuntoutus ilmeisesti lis\u00e4\u00e4 maksimaalista hapenottokyky\u00e4 yht\u00e4 paljon kuin kuntoutusinterventio ilman et\u00e4teknologiaa tai tavanomainen hoito, uudet tutkimukset saattavat muuttaa t\u00e4t\u00e4 arviota. Lis\u00e4\u00e4 tutkimustietoa et\u00e4teknologian k\u00e4yt\u00f6st\u00e4 kuntoutuksessa tulisi saada etenkin kustannusvaikuttavuuden n\u00e4k\u00f6kulmasta.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Cardiorespitatory fitness is related to many diseases and life expectancy. Interventions using distance technology have proven to correlate to physical activity and cardiorespitatory fitness but the scientific evidence of the efficacy of these interventions is insufficient. \r\nMaximal oxygen intake or VO2max is commonly used indicator of cardiorespitatory fitness. Maximal oxygen consumption represents the capacity of cardiorespitatory system to transport oxygen to the muscles.\r\nThe purpose of this systematic review was to examine the effectiveness of exercise based rehabilitation interventions using distance technology to the maximal oxygen consumption in adults. \r\nThe literature search was made to the following databases in October 2015, December 2015, January 2016 and September 2016 (studies from 2000 to 2015): Cochrane Controlled Trials Register (CENTRAL), Comprehensive Biomedical Literature Database (EMBASE), National Library of Medicine (Ovid MEDLINE), Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Behavioral and Social Science Research (PsycINFO). Supplementary search was made in February 2017 to National Library of Medicine (Ovid MEDLINE) database (studies from 1996 to 2016). PICO technique (Population, Intervention, Comparison, Outcome) was used to set the inclusion criteria. P) adults (\u226518 years to 64 years); I) Randomized Controlled Trial (RCT) studies, that included distance technology in exercise based rehabilitation; C) exercise based traditional or minimal rehabilitation without distance technology; O) variables that represent measured maximal oxygen consumption. The quality of the studies was reviewed using Furlan-approach (2015). The data was analysed using in meta-analysis method using Review Manager 5.3 program. The degree of evidence was evaluated using K\u00e4yp\u00e4 hoito recommendations.\r\n8 RCT-studies were included in the review. There were 848 (n=848) study subjects in total of which 68 % were male. Age average of the study subjects was 59,2 (13,4) years. In six of the studies the participants were heart patients, in one dialysis patients and in one healthy young males with low level of physical activity. The interventions of the study groups were exercise interventions using distance technology supervised by health care professionals. The distance technologies used in the studies were internet, telephone, pedometer, heart rate monitor, remote monitoring device and interactive video game. Control groups received exercise interventions without distance technology or traditional care alone. The outcome variables were maximal oxygen consumption or maximal aerobic power using maximal or sub-maximal testing protocol.\r\nThe interventions in the study groups using distance technology were as effective in improving the maximal oxygen consumption as the interventions executed without distance technology (p = 0,57; SMD -0,05; 95 % confidence interval -0,24; 0,13) or traditional care alone (p = 0,11; SMD 0,34; 95 % confidence interval -0,08; 0,76). The quality of the studies was 6/13 using Furlan (2015) method. The degree of evidence was C. \r\nThe rehabilitation using distance technology seems to be as effective as rehabilitation without distance technology or traditional care alone in improving maximal oxygen consumption, but novel studies might change this estimation. Further studies are needed to evaluate the usability of distance technologies in rehabilitation in terms of efficiency.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Heikki Routavaara (hereilro) on 2017-12-05 14:25:52.094550. 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 2017-12-05T14:25:52Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201712054500.pdf: 995085 bytes, checksum: f95f1d9b32e711107bea8dcba1e865db (MD5)\r\nlicense.html: 4936 bytes, checksum: a7312ffa2db6bf852d2a714d0fb003bf (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2017-12-05T14:25:52Z (GMT). No. of bitstreams: 2\r\nURN:NBN:fi:jyu-201712054500.pdf: 995085 bytes, checksum: f95f1d9b32e711107bea8dcba1e865db (MD5)\r\nlicense.html: 4936 bytes, checksum: a7312ffa2db6bf852d2a714d0fb003bf (MD5)\r\n Previous issue date: 2017", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (99 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": "liikunnallinen kuntoutus", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "oxygen consumption", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "maximal oxygen consumption", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "vo2max", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "exercise rehabilitation", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Et\u00e4teknologiaa sis\u00e4lt\u00e4vien liikunnallisten kuntoutusinterventioiden vaikuttavuus maksimaaliseen hapenottokykyyn : j\u00e4rjestelm\u00e4llinen kirjallisuuskatsaus ja meta-analyysi", "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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"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.subject.method", "value": "Meta-analyysi", "language": null, "element": "subject", "qualifier": "method", "schema": "dc"}, {"key": "dc.subject.method", "value": "Kirjallisuuskatsaus", "language": null, "element": "subject", "qualifier": "method", "schema": "dc"}, {"key": "dc.date.updated", "value": "2017-12-05T14:25:52Z", "language": "", "element": "date", "qualifier": "updated", "schema": "dc"}, {"key": "yvv.contractresearch.funding", "value": "0", "language": "", 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