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[{"key": "dc.contributor.advisor", "value": "Multanen, Juhani", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Korkkinen, Sanna", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2021-06-07T05:02:18Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2021-06-07T05:02:18Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2021", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/76263", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Polven nivelrikko on yleinen kipua ja toimintakyvyn haittaa aiheuttava nivelsairaus. Sen perimm\u00e4ist\u00e4 syyt\u00e4 ei tiedet\u00e4, eik\u00e4 parantavaa hoitoa tunneta. Sairauden riski kasvaa i\u00e4n my\u00f6t\u00e4. Polven nivelrikon aiheuttama kipu ja j\u00e4ykkyys vaikuttavat k\u00e4velyyn. T\u00e4m\u00e4n pro gradu -tutkielman tarkoituksena oli tutkia polvituen ja biomekaanisen jalkineen k\u00e4yt\u00f6n sek\u00e4 kotiharjoittelun vaikutusta kipuun ja k\u00e4velyyn polven nivelrikkoa sairastavilla henkil\u00f6ill\u00e4. \nTutkimus on osa laajempaa Keski-Suomen keskussairaalan polven nivelrikko -tutkimusta, jossa aineisto ker\u00e4ttiin vuosina 2016\u20132019. Tutkittavat olivat keskim\u00e4\u00e4rin 61\u2013vuotiaita (N = 135) ja tutkittavista 59 % oli naisia. Tutkittavat satunnaistettiin kolmeen interventioryhm\u00e4\u00e4n ja kaikissa ryhmiss\u00e4 interventio kesti nelj\u00e4 kuukautta. Kotiharjoitteluryhm\u00e4 (n = 43) teki kolme kertaa viikossa kotiharjoittelua, polvitukiryhm\u00e4 (n = 42) k\u00e4ytti polvitukea ja teki samaa harjoitusohjelmaa kuin kotiharjoitteluryhm\u00e4, ja biomekaaninen jalkineryhm\u00e4 (n = 50), joka k\u00e4ytti biomekaanisia jalkineita, mutta ei osallistunut harjoitusohjelmaan. Kipua arvioitiin VAS-kipunalla ja WOMAC-kyselyll\u00e4 sek\u00e4 k\u00e4vely\u00e4 GAITRite-j\u00e4rjestelm\u00e4ll\u00e4. P\u00e4\u00e4analyysimenetelmin\u00e4 k\u00e4ytettiin Kruskal-Wallisin testi\u00e4 ja yksisuuntaista varianssianalyysi\u00e4 (ANOVA) sek\u00e4 bin\u00e4\u00e4rist\u00e4 logistista regressioanalyysi\u00e4. \nKipu v\u00e4heni kaikissa interventioryhmiss\u00e4. Polvitukiryhm\u00e4n kipu v\u00e4heni enemm\u00e4n verrattuna kotiharjoitteluryhm\u00e4\u00e4n VAS-kipujanalla arvioituna (p = 0,042), mutta WOMAC-kyselyn kivun osa-alueen perusteella ryhm\u00e4t eiv\u00e4t eronneet toisistaan. K\u00e4velyanalyysin perusteella k\u00e4velynopeus, askeltiheys, askel- ja askelsyklin pituus lis\u00e4\u00e4ntyi, heilahdus- ja yks\u00f6istukivaiheen osuus k\u00e4velysyklist\u00e4 lis\u00e4\u00e4ntyi sek\u00e4 kaksoistuki- ja tukivaiheen osuus k\u00e4velysyklist\u00e4 v\u00e4heni (p < 0,001 \u2013 p = 0,049). Ryhm\u00e4t eiv\u00e4t eronneet tilastollisesti toisistaan. Merkitt\u00e4vin k\u00e4velyyn yhteydess\u00e4 oleva tekij\u00e4 oli painoindeksi, my\u00f6s polven nivelrikon vaikeusaste, sukupuoli, ik\u00e4 ja polvikivun kesto olivat yhteydess\u00e4 k\u00e4velyyn. Heikoin k\u00e4velyyn yhteydess\u00e4 oleva tekij\u00e4 oli polvikivun voimakkuus. \nT\u00e4m\u00e4n pro gradu -tutkielman tulokset osoittavat, ett\u00e4 nelj\u00e4n kuukauden kestoinen polvituen k\u00e4ytt\u00f6 ja kolme kertaa viikossa toteutettu kotiharjoittelu oli vaikuttavampi kivun hoitomuoto verrattuna pelkk\u00e4\u00e4n kotiharjoitteluun. Biomekaanisen jalkineen k\u00e4yt\u00f6ll\u00e4 ei ollut vaikutusta kipuun enemm\u00e4n kotiharjoitteluun verrattuna. K\u00e4velyn osalta interventiot eiv\u00e4t eronneet toisistaan. Kaikissa ryhmiss\u00e4 kipu v\u00e4heni ja k\u00e4vely parani. Polvituki yhdistettyn\u00e4 kotiharjoitteluun tai biomekaanisen jalkineen k\u00e4ytt\u00f6 tai pelkk\u00e4 kotiharjoittelu ovat sopivia harjoittelumuotoja polven nivelrikkoa sairastaville.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Knee osteoarthritis is a common joint disease that causes pain and functional disability. The exact cause of osteoarthritis is unknown and there is no cure for the disease. The risk of the disease increases with age. The pain and stiffness caused by osteoarthritis of the knee affect walking. The purpose of this master\u2019s thesis was to investigate the effect of knee brace and the use of biomechanical footwear as well as home training on pain and walking in people with knee osteoarthritis.\nThe study is part of a larger Central Finland Central Hospital knee osteoarthritis study, in which the data were collected in 2016\u20132019. The subjects were on average 61 years old (N = 135) and 59% of the subjects were women. Subjects were randomized to three intervention groups and in all groups, the intervention lasted four months. The home training group (n = 43) did home training three times a week, the knee brace group (n = 42) used knee brace and did the same exercise program as the home training group, and the biomechanical footwear group (n = 50) used biomechanical walking balance footwear without training program. Pain was assessed with visual analog scale (VAS) and WOMAC questionnaire as well as walking with the GAITRite analysis system. Kruskal-Wallis test and one-way analysis of variance as well as logistic regression analysis were used as the main analysis methods. \nPain was reduced in all intervention groups. Pain in the knee brace group was reduced more compared to the home training group as assessed by the VAS (p = 0,042). However, the groups did not differ from each other according to the pain component of the WOMAC questionnaire. In gait analysis, speed of walking, cadence, step and stride length increased, the share of swing and single support phase in the gait cycle increased, and the share of double support and support phase in the gait cycle decreased (p < 0,001 \u2013 p = 0,049). The groups did not differ statistically. The strongest factor associated with walking was body mass index, and the severity of knee osteoarthritis, gender, age, and duration of knee pain were also associated with walking. The weakest factor associated with walking was the intensity of knee pain. \nThe results of this master\u2019s thesis show that the use of knee brace for four months and home exercise three times a week was more effective form of pain management compared to home exercise alone. The use of biomechanical footwear did not affect pain more than training alone. According to gait analysis, the interventions did not differ. In all groups, the pain decreased, and walking improved. Knee brace combined with home training, or the use of biomechanical footwear or home training alone are suitable forms of training for people with knee osteoarthritis.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Miia Hakanen (mihakane@jyu.fi) on 2021-06-07T05:02:18Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2021-06-07T05:02:18Z (GMT). No. of bitstreams: 0\n Previous issue date: 2021", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "102", "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": "polvituki", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "biomekaaninen jalkine", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "polven nivelrikko", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Polvituen ja biomekaanisen jalkineen vaikutus kipuun ja k\u00e4velyyn 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-202106073480", "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": "k\u00e4vely", "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": "kipu", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "fysioterapia", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "harjoittelu", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kuntoutus", "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": "Tekij\u00e4 ei ole antanut lupaa avoimeen julkaisuun, joten aineisto on luettavissa vain Jyv\u00e4skyl\u00e4n yliopiston kirjaston <a href=\"https://kirjasto.jyu.fi/kokoelmat/arkistotyoasema\">arkistoty\u00f6asemalta</a>.", "language": "fi", "element": "rights", "qualifier": "accessrights", "schema": "dc"}, {"key": "dc.rights.accessrights", "value": "<br><br>The author has not given permission to make the work publicly available electronically. Therefore the material can be read only at the archival <a href=\"https://kirjasto.jyu.fi/collections/archival-workstation\">workstation</a> at Jyv\u00e4skyl\u00e4 University Library reserved for the use of archival materials.", "language": "en", "element": "rights", "qualifier": "accessrights", "schema": "dc"}, {"key": "dc.type.okm", "value": "G2", "language": null, "element": "type", "qualifier": "okm", "schema": "dc"}]
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