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[{"key": "dc.contributor.advisor", "value": "Kyr\u00f6l\u00e4inen, Heikki", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Juutinen, Taija", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Hosio, Sanna", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2020-10-26T06:54:18Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2020-10-26T06:54:18Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2020", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/72322", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "CP-vammaisilla lapsilla ja nuorilla on useita oireita. Liikkumisen kannalta yksi haittaavin ja invalidisoivin on spastisuus. Spastisuuden m\u00e4\u00e4ritelm\u00e4 on ep\u00e4selv\u00e4 ja sen vuoksi mittaamisen ja hoitojen valinnassa ei ole yht\u00e4 selv\u00e4\u00e4 standardia. Voimaharjoittelu on tehokkain harjoitusmenetelm\u00e4 voiman ja lihasmassan lis\u00e4\u00e4miseksi. Nyky\u00e4\u00e4n tiedet\u00e4\u00e4n my\u00f6s sen useista tavoista vaikuttaa hermostoon ja sen seurauksena suoritusten paranemiseen. Venytysrefleksin herkkyyden mittaaminen on yleisin tapa mitata spastisuutta kun k\u00e4ytet\u00e4\u00e4n Lancen (1980) m\u00e4\u00e4ritelm\u00e4\u00e4 spastisuudesta. \nT\u00e4m\u00e4n tutkimuksen tarkoituksena oli selvitt\u00e4\u00e4, onko voimaharjoitteluinterventiolla vaikutusta spastisuuteen CP-vammaisilla lapsilla ja nuorilla, kun mittarina k\u00e4ytet\u00e4\u00e4n toonisen venytysrefleksin kynnyst\u00e4 (TSRT) soleuksesta ja mediaalisesta gastrocnemiuksesta. Yhteens\u00e4 10 koehenkil\u00f6\u00e4 osallistui mittauksiin ja kaikkien heid\u00e4n tulokset analysoitiin. Mittaukset tehtiin ennen ja kolmen kuukauden voimaharjoitteluintervention j\u00e4lkeen. Spastisuutta testattiin nilkan dynamometrilla, jossa venytykset tehtiin nelj\u00e4ll\u00e4 eri nopeudella. EMG-vasteet mitattiin soleuksesta ja mediaalisesta gastrocnemiuksesta. \nTilastollisessa analyysiss\u00e4 k\u00e4ytettiin Wilcoxon signed-rank testi\u00e4 tutkimaan, oliko tuloksissa eroja ennen interventiota ja sen j\u00e4lkeen, ja lis\u00e4ksi oliko muutokset lihasten v\u00e4lill\u00e4 yht\u00e4l\u00e4isi\u00e4. Friedmanin testi\u00e4 k\u00e4ytettiin tarkastelemaan, oliko tuloksissa vaihtelua eri-ik\u00e4isill\u00e4 tai eri nopeuksilla.\nTulokset tukevat hypoteesia, ettei voimaharjoittelulla ole negatiivisia vaikutuksia spastisuuteen CP-vammaisilla lapsilla ja nuorilla. Kolmessa tapauksista oli pieni muutos TSRT-mittausten v\u00e4lill\u00e4, mutta kulman muutos oli vain \u00b1 1 astetta. TSRT mittaus n\u00e4ytt\u00e4\u00e4 tuottavan luotettavampia tuloksia, kun venytysrefleksi\u00e4 mitataan MG:sta. I\u00e4ll\u00e4 ei ole merkitt\u00e4v\u00e4\u00e4 vaikutusta TSRT -mittauksen tuloksiin ja siksi sen voidaan katsoa olevan sopiva menetelm\u00e4 lapsille ja nuorille.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Children and adolescents with cerebral palsy have various symptoms. One of the most disturbing and disabling for locomotion is spasticity. The measurements and treatments have no clear cause-effect standard due to the fact that the definition of spasticity is ambiguous. Strength training is the most effective training method to increase strength and muscle mass. It is also known to affect the nervous system in various ways most often leading to improvements in performance. Stretch reflex excitability is the most commonly used way to measure spasticity.\nThe purpose of this study was to find out whether the spasticity measured with tonic stretch reflex threshold (TSRT) from the soleus (SOL) and medial gastrocnemius (MG) muscles is affected by strength training intervention in children and adolescents with cerebral palsy (CP). A total of 10 subjects were measured and all of them were included for further analysis. Measurements were done before and after three months strength training intervention. Spasticity was tested with an ankle dynamometer, which induced stretches at four different velocities. Surface EMG was recorded from the SOL and MG muscles.\nIn statistical analysis Wilcoxon signed-rank test was used to study differences between pre- and post- measurements and to determine whether there were similarities between SOL and MG muscles. Friedman\u2019s test was used to study if there were variance with the age and different velocities. \nResults support the hypothesis that strength training does not have a negative impact on spasticity in the CP population. In three cases the results showed small changes in TSRT values, but the changes were only \u00b1 1 degrees in the angle. The TSRT measurement produces more reliable outcomes when measuring the stretch reflex from MG. There is no significant difference when using TSRT in different ages, and therefore it can be considered as an appropriate measurement for children and adolescents.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2020-10-26T06:54:18Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2020-10-26T06:54:18Z (GMT). No. of bitstreams: 0\n Previous issue date: 2020", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "55", "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": "eng", "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": "tooninen venytys refleksi", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Stretch reflex threshold as a measure of spasticity of plantar flexor muscles before and after tailored strength training intervention in children and adolescents with cerebral palsy", "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-202010266373", "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": "Liikuntafysiologia", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Exercise Physiology", "language": "en", "element": "subject", "qualifier": "discipline", "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": "openAccess", "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": "5011", "language": "", "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "voimaharjoittelu", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "CP-vammaiset", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "CP-oireyhtym\u00e4", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "spastisuus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "strength training", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "cerebral palsied", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "cerebral palsy", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "spasticity", "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.type.okm", "value": "G2", "language": null, "element": "type", "qualifier": "okm", "schema": "dc"}]
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