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[{"key": "dc.contributor.advisor", "value": "H\u00e4kkinen, Arja", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Multanen, Juhani", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "K\u00e4lvi\u00e4inen, Terhi", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2019-06-26T05:57:46Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2019-06-26T05:57:46Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2019", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/64847", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Nivelrikko on maailman yleisin nivelsairaus ja sit\u00e4 esiintyy usein polvissa. Radiologisen nivelrikon vaikeustasoa kuvataan yleisesti r\u00f6ntgenkuvan l\u00f6yd\u00f6ksiin perustuvan Kellgrenin ja Lawrencen (K/L) luokituksen avulla, jossa suurempi K/L luokka merkitsee pidemm\u00e4lle edennytt\u00e4 nivelrikkoa. Polven nivelrikkoa sairastavilla fyysisen toimintakyky on usein terveit\u00e4 heikompi vaikuttaen yksil\u00f6n arjessa selviytymiseen. T\u00e4m\u00e4n poikittaistutkimuksen tarkoituksena oli selvitt\u00e4\u00e4 radiologisen nivelrikon vaikeusasteen ja objektiivisesti mitatun fyysisen toimintakyvyn yhteytt\u00e4 toisiinsa, sek\u00e4 selvitt\u00e4\u00e4 mitk\u00e4 tekij\u00e4t ovat yhteydess\u00e4 fyysiseen toimintakykyyn polven nivelrikkoa sairastavilla. Tutkimusaineistona on k\u00e4ytetty Keski-Suomen sairaanhoitopiirist\u00e4 vuonna 2017 \u2013 2018 ker\u00e4ttyj\u00e4 satunnaistetun kontrolloidun harjoitustutkimuksen alkumittaustuloksia.\nTutkimusjoukko koostui 139:st\u00e4 bilateraalista polven nivelrikkoa sairastavasta 45 \u2013 70 vuotiaasta henkil\u00f6st\u00e4, joiden polvikivun voimakkuus tutkimuksen sis\u00e4\u00e4nottovaiheessa oli VAS asteikolla (0 \u2013 100) mitattuna v\u00e4hint\u00e4\u00e4n 40. Polven radiologinen nivelrikko oli m\u00e4\u00e4ritelty luokkaan K/L1 (todenn\u00e4k\u00f6inen), K/L2 (liev\u00e4) tai K/L3 (keskivaikea). Fyysist\u00e4 toimintakyky\u00e4 mitattiin seuraavilla testeill\u00e4: 30 sekunnin istumasta seisomaannousutesti, 4 x 10metrin k\u00e4velytesti, porrask\u00e4velytesti, sek\u00e4 polven isometrisen ojennusvoiman ja polven aktiivisen liikeradan mittaus. Aineisto analysoitiin SPSS-ohjelmalla yksisuuntaisen varianssianalyysin, kovarianssianalyysin sek\u00e4 lineaarisen regression avulla.\nYleisin nivelrikkoluokka oli K/L2 (47.5%). Tutkimuksessa havaittiin, ett\u00e4 K/L luokan kasvaessa polven aktiivinen liikerata pieneni (p< 0.01). Lis\u00e4ksi K/L luokan kasvulla ja polven isometrisen ojennusvoiman heikentymisell\u00e4 oli yhteys (p< 0.01), mutta ik\u00e4 vakioituna ei yhteys en\u00e4\u00e4 ollut tilastollisesti merkitsev\u00e4 (p= 0.09). Istumasta seisomaannousutestin tuloksella, porrask\u00e4velytestin tuloksella, eik\u00e4 k\u00e4velyvauhdilla ollut tilastollisesti merkitsev\u00e4\u00e4 yhteytt\u00e4 K/L luokkaan. Polven laajempaa liikerataa ennustavia tekij\u00f6it\u00e4 olivat pienempi K/L luokka (\u03b2= -0.38), pienempi painoindeksi (\u03b2= -0.37), sek\u00e4 korkeampi ik\u00e4 (\u03b2= 0.19). Suurempaa polven ojennusvoimaa ennustavia tekij\u00f6it\u00e4 olivat matalampi ik\u00e4 (\u03b2= -0.29), pienempi K/L luokka (\u03b2= -0.14) ja miessukupuoli (\u03b2= 0.06).\nJohtop\u00e4\u00e4t\u00f6ksin\u00e4 voidaan todeta, ett\u00e4 fyysisen toimintakyvyn muuttujista ainoastaan polven liikerata oli yhteydess\u00e4 radiologisen polven nivelrikon vaikeusasteeseen. Lis\u00e4ksi valittujen sosiodemorgafisten ja kliinisten taustatekij\u00f6iden yhteys fyysisen toimintakyvyn oli enint\u00e4\u00e4n kohtalainen. Koska radiologinen polven nivelrikon vaikeusaste ei luotettavasti kerro fyysisest\u00e4 toimintakyvyst\u00e4, eik\u00e4 fyysist\u00e4 toimintakyky\u00e4 voida kattavasti ennustaa eri taustatekij\u00f6iden avulla, tulee se selvitt\u00e4\u00e4 objektiivisilla mittareilla itsearviointimittareiden lis\u00e4ksi arvioitaessa esimerkiksi polven nivelrikkoa sairastavien arjessa selviytymist\u00e4 tai kuntoutustarvetta.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Osteoarthritis (OA) is the most common joint disease predominantly affecting the knee. The Kellgren and Lawrence (K/L) classification based on findings on X-ray is often used to describe level of OA, where greater K/L grade means more severe OA. Knee OA patients have usually poorer physical function compared with the healthy controls, affecting negatively their physical ability on daily living. Aim of this cross-sectional study was to examine the association between radiographic OA level and objective physical function, and to assess the impact of difference variables on physical function in knee OA.\n The study sample used in this study is the baseline data of randomized controlled trial and it has been collected between 2017 and 2018 from Central Finland Health Care District area. The study group comprised of 139 bilateral knee OA patients at age 45 \u2013 70, with knee pain > 40, measured by VAS scale (0-100) at time of recruiting. Radiographic knee OA was defined grade K/L1 (doubtful), K/L2 (definite), K/L3 (moderately severe). Physical function was measured by 30 second chair stand test (30s CST), 40 x 10 m fast paced walk test (40m FPWT), stair climb test (SCT), isometric knee extension strength measurement and dynamic knee range of movement (ROM) measurement. Statistical analyses were examined using analysis of variance, covariance and linear regression performed with SPSS software.\nThe most prevalent OA subgroup was K/L2 (47.5%). Increasing K/L grade was associated with decreasing dynamic ROM (p<0.01). In addition, it was seen association between increasing K/L grade and decreasing isometric knee extension (p< 0.01) but after standardizing age association was not anymore statistically significant (p= 0.09). There was no significant difference in 30s CST, SCT and walking speed among K/L subgroups. Predictors of larger ROM was smaller K/L grade (\u03b2= -0.38), smaller body mass index (\u03b2= -0.37) and higher age (\u03b2= 0.19), whereas lower age (\u03b2= -0.29), smaller K/L grade (\u03b2= -0.14) and male gender (\u03b2= 0.06) predicted greater isometric knee extension strength.\nIn conclusion, of all outcomes from physical function, only knee ROM was associated with the severity of radiographic knee OA. In addition, the association between sociodemographic and clinical variables and physical function was moderate, at the most. Since the level of radiographic knee OA is not related to physical function, and predicting physical function with difference factors seems to be unclear, it is essential to measure it objectively in addition to subjective evaluation when assessing the ability to manage daily activities or the need for rehabilitation.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2019-06-26T05:57:45Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2019-06-26T05:57:46Z (GMT). No. of bitstreams: 0\n Previous issue date: 2019", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "53", "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": "radiologinen vaikeusaste", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Radiologisen nivelrikon vaikeusasteen ja fyysisen toimintakyvyn v\u00e4linen yhteys polven nivelrikkoa sairastavilla.", "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-201906263442", "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", "qualifier": "discipline", "schema": "dc"}, {"key": "yvv.contractresearch.collaborator", "value": "public", "language": "", "element": "contractresearch", "qualifier": "collaborator", "schema": "yvv"}, {"key": "yvv.contractresearch.funding", "value": "0", "language": "", "element": "contractresearch", "qualifier": "funding", "schema": "yvv"}, {"key": "yvv.contractresearch.initiative", "value": "university", "language": "", "element": "contractresearch", "qualifier": "initiative", "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": null, "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": "", "element": "subject", "qualifier": "oppiainekoodi", "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": "fyysinen toimintakyky", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.format.content", "value": "fulltext", "language": null, "element": "format", "qualifier": "content", "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": "The author has not given permission to make the work publicly available electronically. Therefore the material can be read only at the archival workstation at Jyv\u00e4skyl\u00e4 University Library (https://kirjasto.jyu.fi/en/workspaces/facilities).", "language": "en", "element": "rights", "qualifier": "accessrights", "schema": "dc"}, {"key": "dc.rights.accessrights", "value": "Tekij\u00e4 ei ole antanut lupaa avoimeen julkaisuun, joten aineisto on luettavissa vain Jyv\u00e4skyl\u00e4n yliopiston kirjaston arkistoty\u00f6semalta. Ks. https://kirjasto.jyu.fi/fi/tyoskentelytilat/laitteet-ja-tilat..", "language": "fi", "element": "rights", "qualifier": "accessrights", "schema": "dc"}, {"key": "dc.type.okm", "value": "G2", "language": null, "element": "type", "qualifier": "okm", "schema": "dc"}]
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