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[{"key": "dc.contributor.advisor", "value": "Munukka, Matti", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Aartolahti, Eeva", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Holopainen, Riikka", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Korjus, Lauri", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2023-10-04T05:44:23Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2023-10-04T05:44:23Z", "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/123456789/89369", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Alaselk\u00e4kipu on ollut kansainv\u00e4lisesti merkitt\u00e4v\u00e4 kansanterveytt\u00e4 ja -taloutta heikent\u00e4v\u00e4 tekij\u00e4 edelt\u00e4neen kolmen vuosikymmenen aikana ja sen vallitsevuuden ennustetaan kasvavan edelleen. Alaselk\u00e4kivun ennuste on usein hyv\u00e4 ja yksil\u00f6lliset psykososiaaliset tarpeet huomioivaa terapeuttista harjoittelua suositellaan ensisijaiseksi hoitokeinoksi. Yksi mahdollisista harjoittelun muodoista alaselk\u00e4kivun kuntoutuksessa voi olla virtuaalitodellisuutta (VR) hy\u00f6dynt\u00e4v\u00e4 harjoittelu. T\u00e4m\u00e4n j\u00e4rjestelm\u00e4llisen katsauksen ja meta-analyysin tarkoituksena oli selvitt\u00e4\u00e4, onko virtuaalitodellisuutta hy\u00f6dynt\u00e4v\u00e4 harjoittelu vaikuttavampaa koettuun kivun intensiteettiin alaselk\u00e4kipuisilla aikuisilla, verrattuna muuhun harjoitteluun, tavanomaiseen hoitoon ja ohjaukseen tai hoidotta j\u00e4tt\u00e4miseen. Lis\u00e4ksi tarkasteltiin, liittyyk\u00f6 harjoitteluun haittavaikutuksia ja mik\u00e4 on VR-harjoittelun n\u00e4yt\u00f6naste. \n\nTutkielman aineistona hy\u00f6dynnettiin Robottien, virtuaalitodellisuuden ja lis\u00e4tyn todellisuuden vaikuttavuus ja merkityksellisyys l\u00e4\u00e4kinn\u00e4llisess\u00e4 kuntoutuksessa (ROVA) -tutkimushankkeen aineistoa. Mukaan otettavien tutkimusten PICOS-strategia t\u00e4ss\u00e4 pro gradu-tutkielmassa oli: (P) v\u00e4hint\u00e4\u00e4n 18-vuotiaat henkil\u00f6t, joilla on atraumaattinen alaselk\u00e4kipu, (I) virtuaalitodellisuutta hy\u00f6dynt\u00e4v\u00e4 harjoittelu, (C) muu harjoittelu, tavanomainen hoito ja ohjaus tai hoidotta j\u00e4tt\u00e4minen, (O) alaselk\u00e4kipu ja (S) tutkimusasetelmana satunnaistettu kontrolloitu tutkimus. Alkuper\u00e4istutkimusten harhan riski\u00e4 arviotiin Risk of Bias (RoB2) -harhan arvioinnin ty\u00f6kalulla, meta-analyysi toteutettiin Review Manager -ohjelmalla (versio 5.4.1.) ja n\u00e4yt\u00f6nastetta arvioitiin GRADE-ty\u00f6ryhm\u00e4n ohjeistuksen ja luokituksen mukaan sek\u00e4 hoitosuositusryhmien k\u00e4sikirjan avulla. \n\nTutkielmaan sis\u00e4llytettiin yksitoista RCT-tutkimusta joissa tutkittavat olivat 18\u201369 -vuotiaita. Tutkimusten kokonaisharhan riski oli korkea (n = 2) tai ep\u00e4selv\u00e4 (n = 9). Alaselk\u00e4kivun intensiteetti oli l\u00e4ht\u00f6tilanteessa keskim\u00e4\u00e4rin 6,1 (95 % LV 5,4 \u2013 6,7), asteikolla 0-10. Virtuaalitodellisuutta hy\u00f6dynt\u00e4v\u00e4 harjoittelu v\u00e4hensi alaselk\u00e4kipua tehokkaammin, verrattuna vertailuryhm\u00e4n saamaan interventioon (\u20131,33, 95 % LV [-2,02; -0,64], p = 0,0002, I\u00b2 = 95 %, 10 RCT, 411 tutkittavaa henkil\u00f6\u00e4). \n\nVirtuaalitodellisuutta hy\u00f6dynt\u00e4v\u00e4 harjoittelu saattaa v\u00e4hent\u00e4\u00e4 alaselk\u00e4kipua aikuisilla verrattuna tavanomaiseen harjoitteluun, hoitoon tai ohjaukseen ja hoidotta j\u00e4tt\u00e4miseen. VR-harjoittelun yhteydess\u00e4 ei esiintynyt tilap\u00e4ist\u00e4 lihasarkuutta vakavampia haittavaikutuksia, mutta haittavaikutuksia oli raportoitu alkuper\u00e4istutkimuksissa heikosti. Lis\u00e4\u00e4 tutkimusn\u00e4ytt\u00f6\u00e4 tarvitaan VR-harjoittelun vaikuttavuuden ja mahdollisten haittavaikutusten selvitt\u00e4miseksi. Uudet tutkimukset todenn\u00e4k\u00f6isesti vaikuttavat arvioon vaikutuksen suuruudesta ja mahdollisesti sen suunnasta (n\u00e4yt\u00f6naste C).", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Low back pain has been a leading cause of disability internationally and a significant factor undermining public health and the economy during the previous three decades, and its prevalence is predicted to continue to grow. The prognosis for low back pain is often good and therapeutic exercise that takes individual psychosocial needs into account is recommended as the primary treatment. One of the possible forms of exercise in the rehabilitation of lower back pain can be training using virtual reality. The purpose of this systematic review and meta-analysis was to determine whether exercise using virtual reality (VR) has an effect on per-ceived pain intensity in adults with low back pain, compared to other exercise, conventional treatment and guidance, or no treatment. In addition, possible adverse effects associated with VR-exercise was observed and examined, and the grade of evidence evaluated. \n\nThe material utilized in this thesis is based on the material of the ROVA research project (\"The effectiveness and meanings of the use of robots, virtual reality and augmented reality in rehabilitation\"). The PICOS-strategy for this thesis for included studies was: (P) subjects aged 18 years or older with atraumatic low back pain, (I) exercise using virtual reality, (C) other exercise, usual care and guidance or no treatment, (O) low back pain and (S) a randomized controlled trial as a research design. The Cochrane network's manual for systematic reviews and the PRISMA reporting guidelines for systematic reviews were used in the planning and writing of this thesis. The risk of bias in the original studies was assessed using the Risk of Bias (RoB2) assessment tool, the meta-analysis was conducted using the Review Manager program (version 5.4.1.) and the level of evidence was assessed according to the guidelines and classification of the GRADE working group and the Finnish manual of treatment recommendation groups.\n\nEleven original studies were included in the thesis. The subjects were 18-69 years old. Overall risk of bias in the original studies was high (n = 2) or unclear (n = 9). Pain intensity at baseline was 6.1 (95 % CI 5.4 \u2013 6.7) on average, on a scale of 0-10. Virtual reality-based exercise was more effective in reducing low back pain compared to control group (\u20131.33, 95% CI [-2.02; -0.64], p = 0.0002, I\u00b2 = 95%, 10 RCT, 411 subjects).\n\nVirtual reality-based exercise may reduce low back pain in adults compared to conventional training, treatment or guidance and no treatment. During VR-exercise, no adverse effects more than temporary muscle soreness was reported, although adverse effects weren\u2019t reported regularly in RCTs. More robust studies are needed to determine the effectiveness of VR-training and the essence of adverse events. New studies are likely to have an effect on the magnitude of the treatment effectivity and possibly its direction (level of evidence = low).", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2023-10-04T05:44:23Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2023-10-04T05:44:23Z (GMT). No. of bitstreams: 0\n Previous issue date: 2023", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "99", "language": "", "element": "format", "qualifier": "extent", "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": "alaselk\u00e4kipu", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Virtuaalitodellisuutta hy\u00f6dynt\u00e4v\u00e4n harjoittelun vaikuttavuus alaselk\u00e4kipuun aikuisilla : j\u00e4rjestelm\u00e4llinen kirjallisuuskatsaus ja meta-analyysi", "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-202310045389", "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": "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": "50422", "language": "", "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "virtuaalitodellisuus", "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": "harjoittelu", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "vaikuttavuus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "selk\u00e4sairaudet", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "fysioterapia", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.rights.url", "value": "https://rightsstatements.org/page/InC/1.0/", "language": null, "element": "rights", "qualifier": "url", "schema": "dc"}]
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