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[{"key": "dc.contributor.advisor", "value": "Juutinen, Taija", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Hiekka, Toni", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2019-11-05T05:33:21Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2019-11-05T05:33:21Z", "language": "", "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/123456789/66147", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Akillesj\u00e4nnerepe\u00e4mien m\u00e4\u00e4r\u00e4 on kasvanut paljon viime vuosikymmenin\u00e4. Vuonna 1986 akillesj\u00e4nnerepe\u00e4mi\u00e4 oli kahdella ihmisell\u00e4 sadasta tuhannesta (2:100 000) ja vuonna 2011 m\u00e4\u00e4r\u00e4 oli kasvanut 21,5:100 000. Suurin syy vammojen m\u00e4\u00e4r\u00e4n kasvuun on v\u00e4est\u00f6n ik\u00e4\u00e4ntyminen ja kiinnostus liikunnallisiin aktiviteetteihin my\u00f6s vanhemmalla i\u00e4ll\u00e4. Akillesj\u00e4nne on ihmiskehon paksuin ja vahvin j\u00e4nne, joka on t\u00e4rke\u00e4 jokap\u00e4iv\u00e4isess\u00e4 liikkumisessa. Akillesj\u00e4nne v\u00e4litt\u00e4\u00e4 plantaarifleksoreiden voiman kantaluuhun ja se muodostuu tuhansista kollageenifiibereist\u00e4. Akillesj\u00e4nteen paksuuteen vaikuttavat ihmisen paino, maksimaalinen lihasvoima, ik\u00e4, hormonitasot ja fyysisen aktiivisuuden m\u00e4\u00e4r\u00e4. \r\n\r\nT\u00e4m\u00e4n pro gradu -tutkielman tarkoituksena oli selvitt\u00e4\u00e4 fyysisen aktiivisuuden yhteyksi\u00e4 konservatiivisesti hoidettujen akillesj\u00e4nnerepe\u00e4m\u00e4potilaiden terveen- ja vammajalan bilateraaliseen voimaeroon, anatomisiin muutoksiin ja kuntoutumiseen 8 viikon, 6 kk ja 12 kk kohdalla. Kyseess\u00e4 oli poikkileikkaustutkimus. Tutkimus oli osana suurempaa Jyv\u00e4skyl\u00e4n yliopiston ja Keski-Suomen sairaanhoitopiirin NoArk-tutkimushanketta. Tutkimukseen saatiin koehenkil\u00f6iksi 22 henkil\u00f6\u00e4 8 viikon, 6 kuukauden ja 12 kuukauden kohdalla vammasta. Koehenkil\u00f6t olivat i\u00e4lt\u00e4\u00e4n 27\u201359 vuotiaita, joiden akillesj\u00e4nnerepe\u00e4m\u00e4\u00e4 hoidettiin konservatiivisesti. Anatomiset erot mitattiin goniometrill\u00e4, mittanauhalla ja ultra\u00e4\u00e4nikuvantamisella. Fyysist\u00e4 aktiivisuutta mitattiin kiihtyvyysantureilla 7 p\u00e4iv\u00e4n ajan. Ultra\u00e4\u00e4nikuvat analysoitiin Image J -ohjelmistolla. Muuttujien v\u00e4lisi\u00e4 korrelaatioita tutkittiin SPSS -ohjelmistolla. \r\n\r\nTilastollisesti merkitsevi\u00e4 korrelaatioita havaittiin terveen- ja vammajalan v\u00e4lisen bilateraalisen voimaeron ja p\u00e4ivitt\u00e4isen fyysisen aktiivisuuden v\u00e4lill\u00e4 seuraavilla intensiteetti-tasoilla: kevyt k\u00e4vely (r = -0,665, p = 0,013), normaali k\u00e4vely (r = -0,588, p = 0,035), h\u00f6lkk\u00e4 (r = -0,725, p = 0,005), juoksu (r = -0,698, p = 0,008) ja askeleiden kokonaism\u00e4\u00e4r\u00e4 (r = -,621, p = 0,024). My\u00f6s p\u00e4ivitt\u00e4inen paikallaanoloaika korreloi jalkojen bilateraalisen voimaeron kanssa positiivisesti (r = 0,703, p = 0,007). Jalkojen bilateraalinen voimaero pieneni, kun p\u00e4ivitt\u00e4inen kevyt- (r = -0,637, p = 0,019), tai keskiraskas aktiivisuus (r = -0,632, p = 0,02) lis\u00e4\u00e4ntyi. Leve\u00e4n kantalihaksen osaj\u00e4nteen pituuden ja bilateraalisen voimaeron suhteen l\u00f6ytyi tilastollisesti merkitsev\u00e4 korrelaatio \r\n(r = ,691, p = 0,009). Muista anatomisista mittauksista ei l\u00f6ydetty tilastollisesti merkitsev\u00e4\u00e4 yhteytt\u00e4 fyysisen aktiivisuuteen, tai jalkojen v\u00e4liseen bilateraaliseen voimaeroon. Tulosten perusteella voidaan todeta fyysisen aktiivisuuden ja bilateraalisen voimaeron v\u00e4lill\u00e4 olevan positiivinen yhteys. Fyysisen aktiivisuuden m\u00e4\u00e4r\u00e4n lis\u00e4\u00e4minen pienent\u00e4\u00e4 jalkojen v\u00e4list\u00e4 bilateraalista voimaeroa. Tulokset tukevat my\u00f6s aikaisempia tutkimuksia, joiden perusteella fyysinen aktiivisuus auttaa kuntoutumisessa.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Miia Hakanen (mihakane@jyu.fi) on 2019-11-05T05:33:20Z\r\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2019-11-05T05:33:21Z (GMT). No. of bitstreams: 0\r\n Previous issue date: 2019", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "62", "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": "akillesj\u00e4nne", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "konservatiivinen hoito", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Fyysisen aktiivisuuden yhteys konservatiivisesti hoidettujen akillesj\u00e4nnerepe\u00e4mien kuntoutumisessa", "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-201911054716", "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": "Biomekaniikka", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Biomechanics", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": 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