| fullrecord |
[{"key": "dc.contributor.advisor", "value": "Multanen, Juhani", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Nikander, Riku", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Per\u00e4m\u00e4ki, Varpu", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2023-01-23T06:41:31Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2023-01-23T06:41:31Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2023", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/85119", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Lihaksen rakenteen sek\u00e4 lihaskomplianssin eli my\u00f6t\u00e4\u00e4vyyden muutoksia on ehdotettu selitt\u00e4viksi tekij\u00f6iksi erilaisiin tuki- ja liikuntaelimist\u00f6n oireisiin. Faskia- eli lihaskalvok\u00e4sittely on manuaalinen terapiamuoto, jonka on havaittu helpottavan kipua sek\u00e4 lis\u00e4\u00e4v\u00e4n nivelten liikelaajuutta. K\u00e4sittelyn mekaanisia vaikutuksia lihakseen on tutkittu v\u00e4h\u00e4n. T\u00e4m\u00e4n pro gradu -tutkielman tarkoituksena oli koostaa faskiak\u00e4sittelyn mekaanisia vaikutuksia tarkasteleva kirjallisuuskatsaus sek\u00e4 toteuttaa interventiotutkimus, jossa mitattiin instrumenttiavusteisen faskiak\u00e4sittelyn lyhytaikaisia vaikutuksia yl\u00e4raajan m. triceps brachiin mediaalip\u00e4\u00e4n (MTB) sek\u00e4 alaraajan m. vastus lateraliksen (VL) lihassyykimppujen pennaatiokulmaan ja pituuteen sek\u00e4 lihaksen ja sit\u00e4 peitt\u00e4v\u00e4n kalvorakenteen tonukseen levossa.\n\nTutkimukseen osallistui 15 vapaaehtoista, tervett\u00e4 miest\u00e4 (29.1 \u00b1 2.4 vuotta; BMI 25.3 \u00b1 2.7 kg/m2). Instrumenttiavusteinen faskiak\u00e4sittely toteutettiin satunnaistetusti joko vasempaan tai oikeaan yl\u00e4- ja alaraajaan toisen puolen toimiessa kontrollipuolena. K\u00e4sittely tehtiin kolmessa per\u00e4kk\u00e4isess\u00e4, 30 sekuntia kest\u00e4v\u00e4ss\u00e4 vaiheessa. Ensimm\u00e4isess\u00e4 vaiheessa lihas pidettiin rentona, seuraavassa venytyksess\u00e4 ja viimeisess\u00e4 maksimaalisessa isometrisess\u00e4 j\u00e4nnityksess\u00e4. Vastemuuttujat mitattiin ultra\u00e4\u00e4nell\u00e4 kummaltakin puolelta l\u00e4ht\u00f6tilanteessa, heti k\u00e4sittelyn j\u00e4lkeen sek\u00e4 24 tunnin p\u00e4\u00e4st\u00e4 sokkoutettuna k\u00e4sittelypuolen suhteen. Puolten v\u00e4lisi\u00e4 eroja ja puolten sis\u00e4isi\u00e4 tapahtumia tarkasteltiin nonparametrisin menetelmin sek\u00e4 kasvuk\u00e4yr\u00e4malleilla.\n\nInterventiopuolella ei tapahtunut tilastollisesti merkitsevi\u00e4 muutoksia miss\u00e4\u00e4n tulosmuuttujassa kontrollipuoleen verratessa. Tarkastellessa puolten sis\u00e4isi\u00e4 tapahtumia havaittiin, ett\u00e4 interventiopuolen VL:n lihassyykimput lyheniv\u00e4t (-0.99 mm, p = 0.011) ja MTB:n lihassyykimppujen pennaatiokulma kasvoi (0.35\u2070, p = 0.031) tilastollisesti merkitsev\u00e4sti heti k\u00e4sittelyn j\u00e4lkeen. Muutokset olivat yh\u00e4 mitattavissa 24 tunnin kuluttua (pennaatiokulmassa p = 0.005, pituudessa p = 0.023). Interventiopuolen MTB:n lihassyykimput lyheniv\u00e4t toisen ja kolmannen mittauksen v\u00e4lill\u00e4 (-1.08 mm, p = 0.015). Kontrollipuolen VL:n lihaskudoksen tonus oli suurempi 24 tunnin kuluttua l\u00e4ht\u00f6tilanteeseen verrattuna (0.73 kPa, p = 0.023). \n\nT\u00e4m\u00e4n tutkimuksen instrumenttiavusteisella faskiak\u00e4sittelyll\u00e4 ei ollut vaikutusta tulosmuuttujiin kontrollipuoleen verrattuna. Puolten sis\u00e4isi\u00e4 tapahtumia tarkastellessa saatiin kuitenkin viitteit\u00e4 siit\u00e4, ett\u00e4 k\u00e4sittely saattaa aiheuttaa l\u00e4ht\u00f6tilanteesta eroavia muutoksia lihassyykimppujen pituudessa ja pennaatiokulmassa. Tuloksissa oli kuitenkin eroja niin lihasten kuin yksil\u00f6idenkin v\u00e4lill\u00e4, ja aikaviive k\u00e4sittelyn ja toisen mittauksen v\u00e4lill\u00e4 (8.0 \u00b1 2.8 min) saattoi peitt\u00e4\u00e4 osan lyhytaikaisista vaikutuksista. Aiempaa tutkimustietoa faskiak\u00e4sittelyn mekaanisista vaikutuksista on niukasti. Aihetta tulisikin tutkia lis\u00e4\u00e4 suuremmalla otoskoolla, vaihtelevilla k\u00e4sittelytekniikoilla sek\u00e4 pitkitt\u00e4isasetelmilla. Jatkotutkimus mahdollistaa kattavamman ymm\u00e4rryksen hoidon vaikutuksista, hy\u00f6dyist\u00e4 ja rajoituksista sek\u00e4 k\u00e4sittelyn perustellun kohdentamisen siit\u00e4 parhaiten hy\u00f6tyville kohderyhmille, kun esimerkiksi venytys tai harjoittelu eiv\u00e4t tuo toivottua ratkaisua oireisiin.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Changes in muscle structure and compliance have been suggested to cause musculoskeletal discomfort. Myofascial release therapy is a manual therapy technique proposed to reduce pain and increase joint mobility. However, few studies have been conducted to investigate its mechanical effects. The purpose of this thesis was to write a literature review on current research on the effects of myofascial release on muscle stiffness and fascicle properties, and thereafter conduct an interventional study to investigate short-term effects of instrument-assisted soft tissue mobilisation (IASTM) on muscle fascicle pennation angle (PA) and length (FL), and the stiffness of the aponeurotic (AS) and muscular tissue (MS) in medial head of m. triceps brachii (MTB) in upper limb, and m. vastus lateralis (VL) in lower limb.\n\nIn the study, 15 healthy male volunteers (29.1 \u00b1 2.4 years; BMI 25.3 \u00b1 2.7 kg/m2) received a 1.5 min IASTM randomly allocated on either the left or right upper and lower limb with three consecutive phases in a relaxed, stretched, and isometrically maximally contracted muscle. Each phase had a duration of 30 seconds. The other limb served as control side. B-mode and shear-wave elastography ultrasound measurements were performed in both sides at baseline, immediately after the IASTM, and after 24 hours. The outcome assessor was blinded to the intervention side. Comparisons between the intervention and the control side and outcome behaviour within each side were analysed with nonparametric tests. Possible confounding effects of the time delay between the IASTM and the 2nd measurement due to the blinding procedure were inspected with growth curve models.\n\nThere were no statistically significant differences in any of the outcome variables when comparing the intervention side to the control side. However, when inspecting changes within each side, different trends were noticed. On the intervention side, the VL FL decreased (-0.99 mm, p = 0.011) and MTB PA increased (0.35\u2070, p = 0.031) acutely after the IASTM. Both remained altered after 24 hours (p = 0.005 and 0.023, respectively). The MTB FL decreased between the 2nd and the 3rd measurements (-1.08 mm, p = 0.015). The control side VL MS was larger in the 3rd measurement than at baseline (0.73 kPa, p = 0.023).\n\nIASTM as performed in this study did not have statistically significant effects when comparing the intervention side to the control side. However, within-side analyses indicated that IASTM may cause some short-term changes in muscle fascicle pennation angle and length compared with the baseline situation. Yet, the results varied widely between the muscles and individuals, and time delays (average 8.0 min, range 4.0 to 14.0 min) between the IASTM and the 2nd measurement may have diminished some of the short-term effects. Research on the mechanical effects of myofascial release is scarce. More research with larger sample sizes, varied IASTM interventions, and longitudinal settings is needed to elucidate the effects, benefits, and limits of IASTM as a treatment modality. Better understanding of the method allows targeting the treatment to the patient groups to whom it is most beneficial when e.g. stretching or therapeutic exercises do not result in optimal symptom relief.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2023-01-23T06:41:31Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2023-01-23T06:41:31Z (GMT). No. of bitstreams: 0\n Previous issue date: 2023", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "83", "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": null, "element": "rights", "qualifier": null, "schema": "dc"}, {"key": "dc.subject.other", "value": "instrumenttiavusteinen faskiak\u00e4sittely", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "lihassyykimput", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "tonus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "elastografia", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Instrumenttiavusteisen faskiak\u00e4sittelyn lyhytaikaiset vaikutukset lihassyykimppujen pennaatiokulmaan ja pituuteen sek\u00e4 lihaksen tonukseen levossa", "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-202301231417", "language": "", "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Master\u2019s thesis", "language": "en", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu -tutkielma", "language": "fi", "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.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.copyright", "value": "\u00a9 The Author(s)", "language": null, "element": "rights", "qualifier": "copyright", "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": "ultra\u00e4\u00e4ni", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "lihakset", "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/collections/archival-workstation).", "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/kokoelmat/arkistotyoasema..", "language": "fi", "element": "rights", "qualifier": "accessrights", "schema": "dc"}, {"key": "dc.type.okm", "value": "G2", "language": null, "element": "type", "qualifier": "okm", "schema": "dc"}]
|