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[{"key": "dc.contributor.advisor", "value": "Heinonen, Ari", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Munukka, Matti", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Kirvesniemi, Elisa", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2018-08-31T10:43:06Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2018-08-31T10:43:06Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2018", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/59404", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Nivelrikko on nivelen rustopinnan asteittaisesta vaurioitumisesta johtuva sairaus, jota esiintyy yleisimmin polviniveless\u00e4. Liikunnan on todettu olevan hyv\u00e4 hoitokeino polvinivelrikossa ja erityisesti vesiharjoittelua on veden painoa kevent\u00e4v\u00e4n ominaisuuden vuoksi usein suositeltu polven nivelrikkopotilaille. T\u00e4m\u00e4n satunnaistetun kontrolloidun tutkimuksen tarkoituksena oli selvitt\u00e4\u00e4 progressiivisen vesivastusharjoittelun vaikuttavuutta fyysiseen toimintakykyyn ja oireisiin postmenopausaalisilla naisilla liev\u00e4ss\u00e4 polven nivelrikossa. Nelj\u00e4n kuukauden mittaisen intervention vaikuttavuutta ja vaikutusten pysyvyytt\u00e4 12 kuukauden seurannassa verrattiin harjoitus- ja kontrolliryhm\u00e4n v\u00e4lill\u00e4. \n\nTutkimukseen osallistui 87 vapaaehtoista 60-68-vuotiasta naista, jotka satunnaistettiin harjoitus- (n=43) ja kontrolliryhm\u00e4\u00e4n (n=44). Harjoitusryhm\u00e4\u00e4n kuuluneet harjoittelivat vedess\u00e4 ohjatusti kolmesti viikossa nelj\u00e4n kuukauden ajan kontrolliryhm\u00e4\u00e4n kuuluneiden jatkaessa normaalia fyysist\u00e4 aktiivisuuttaan. Tutkimuksen ensisijaisia tulosmuuttujia olivat GAITRite\u00ae-k\u00e4velyanalysaattorilla mitattu maksimaalinen k\u00e4velynopeus (m/s) sek\u00e4 UKK-instituutin 2 km:n k\u00e4velytestin k\u00e4velyaika (s) ja arvioitu maksimaalinen hapenottokyky (VO2max, ml/kg/min). Toissijaisia tulosmuuttujia olivat KOOS-oirekyselyll\u00e4 (Knee injury and Osteoarthritis Outcome Score) mitatut polven nivelrikon itsearvioidut vaikutukset oireisiin ja toimintakykyyn.\n\nTutkimuksen tilastolliseen analyysiin otettiin mukaan vain tutkittavat, jotka olivat suorittaneet alku-, loppu- sek\u00e4 seurantamittaukset kaikkien tulosmuuttujien osalta. N\u00e4in ollen tilastolliseen analyysiin otettiin mukaan yhteens\u00e4 68 tutkittavaa (harjoitusryhm\u00e4 n=36, kontrolliryhm\u00e4 n=32). Ryhmien v\u00e4lisess\u00e4 vertailussa alku-, loppu- ja seurantamittausten v\u00e4lill\u00e4 k\u00e4ytettiin toistomittausten varianssianalyysia. Tuloksissa havaittiin, ett\u00e4 harjoitusryhm\u00e4\u00e4n kuuluneiden arvioitu maksimaalinen hapenottokyky parani (muutoksen ero: 1.1 ml/kg/min, 95% luottamusv\u00e4li: 0.1 ; 2.0, p=0.028) ja KOOS-oirekyselyn avulla mitatut oireet v\u00e4heniv\u00e4t (muutoksen ero: 5.7 pistett\u00e4, 95% luottamusv\u00e4li: 0.1 ; 11.4, p=0.045) vesivastusharjoittelun my\u00f6t\u00e4 kontrolliryhm\u00e4\u00e4n verrattuna. Muissa muuttujissa alku- ja loppumittausten v\u00e4lill\u00e4 ei havaittu eroja. Harjoittelun hy\u00f6dyt h\u00e4visiv\u00e4t vuoden seurannan aikana. \n\nTutkimuksen mukaan progressiivisesta vesivastusharjoittelusta n\u00e4ytt\u00e4isi parantavan maksimaalista hapenottokyky\u00e4 ja v\u00e4hent\u00e4v\u00e4n polven nivelrikosta johtuvia itsearvioituja oireita. Intensiivisell\u00e4 harjoitusjaksolla ei kuitenkaan saada aikaan pitk\u00e4kestoisia hy\u00f6tyj\u00e4, mik\u00e4li harjoittelu lopetetaan. Omatoiminen harjoittelu ohjatun harjoitusjakson j\u00e4lkeen saattaisi yll\u00e4pit\u00e4\u00e4 harjoittelun aikaansaamia positiivisia vaikutuksia.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Osteoarthritis is caused by a gradual damage of the articular cartilage and knee joint is most commonly affected. Exercise has been shown to be effective in knee osteoarthritis and especially aquatic exercise is recommended for patients with knee osteoarthritis due to the benefits of buoyancy of water. The purpose of this randomized controlled trial was to study the effectiveness and the maintenance of the benefits of progressive aquatic resistance training on physical condition and symptoms among postmenopausal women with mild knee osteoarthritis. The effectiveness of a 4-month intervention and the maintenance of the benefits during 12-month follow up was compared between intervention and control group.\n\nEighty seven volunteer women, aged 60-68 years, were recruited and randomly assigned to an intervention (n=43) and control (n=44) group. The intervention group participated in supervised aquatic resistance training sessions over four months three times a week while the control group maintained usual level of physical activity. Primary outcomes of the study were maximum walking speed (m/s) measured using the GAITRite\u00ae walkway and walking time (s) and maximum aerobic capacity (VO2max, ml/kg/min) measured using UKK 2 km walking test. Secondary outcomes were self-reported symptoms and function measured using the Finnish version on KOOS (Knee injury and Osteoarthritis Outcome Score).\n\nOnly those participants who had performed all the measurements of major outcomes at baseline, after intervention and after 12-months follow up were included to statistical analyses. Consequently 68 participants (intervention group n=36, control group n=32) were taken along. Repeated analysis of variance was used to compare the differences between intervention and control group at three measurement points. Results show that there was a significant increase in maximum aerobic capacity (mean change: 1.1 ml/kg/min, 95% confidence interval: 0.1 to 2.0, p=0.028) and symptoms measured with KOOS (mean change: 5.7 points, 95% confidence interval: 0.1 to 11.4, p=0.045) in favour of the intervention group. No change was seen in other outcomes after the 4-month intervention. Improvements disappeared during 12-months follow up.\n\nIn conclusion, progressive aquatic resistance training improves maximum aerobic capacity and decreases the self-reported symptoms due to knee osteoarthritis. However, benefits are not maintained in the long term if the training is finished. Independent training after the supervised intervention could maintain the positive effects of exercise.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2018-08-31T10:43:06Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2018-08-31T10:43:06Z (GMT). No. of bitstreams: 0\n Previous issue date: 2018", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "67", "language": "", "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": "vesivastusharjoittelu", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "maksimaalinen k\u00e4velynopeus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Vesivastusharjoittelu ja fyysinen toimintakyky liev\u00e4ss\u00e4 polven nivelrikossa : harjoittelun vaikuttavuus ja pysyvyys postmenopausaalisilla naisilla.", "language": "", "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-201808313991", "language": "", "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu -tutkielma", "language": "fi", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Master\u2019s 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.department", "value": "Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "Jyv\u00e4skyl\u00e4n yliopisto", "language": "fi", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "University of Jyv\u00e4skyl\u00e4", "language": "en", "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", 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"dc"}, {"key": "dc.subject.yso", "value": "oireet", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kipu", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "maksimaalinen hapenotto", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "fyysinen toimintakyky", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "nivelrikko", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "polvet", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "vesiliikunta", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.format.content", "value": "fulltext", "language": null, "element": "format", 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