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[{"key": "dc.contributor.advisor", "value": "Hautala, Arto", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Karjalainen, Teemu", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Jaatinen, Kati", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2024-01-23T11:15:19Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2024-01-23T11:15:19Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2024", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/92978", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Peukalon tyvinivelen nivelrikko on yleisin k\u00e4den alueen rappeumaper\u00e4inen sairaus. Esiintyvyys lis\u00e4\u00e4ntyy i\u00e4n my\u00f6t\u00e4 ja peukalon tyvinivelen nivelrikko vaikuttaa laajalti k\u00e4den k\u00e4ytt\u00f6\u00f6n p\u00e4ivitt\u00e4isiss\u00e4 toimissa. T\u00e4m\u00e4n tutkielman tarkoituksena on tehd\u00e4 systemaattinen kirjallisuushaku peukalo-ortoosin vaikutuksesta k\u00e4den toimintaan ja kipuun sek\u00e4 pilottitutkimuksen avulla verrata peukalo-ortoosin ja ison monikulmaluun poiston v\u00e4list\u00e4 vaikutusta k\u00e4den toimintaan ja kipuun ihmisill\u00e4, joilla on peukalon tyvinivelen nivelrikko.\n\nKansainv\u00e4lisen toimintakyvyn, toimintarajoitteiden ja terveyden luokituksen (ICF) viitekehyksess\u00e4 tarkasteltuna nivelrikkomuutokset peukalon tyviniveless\u00e4 vaikuttavat peukalon liikkuvuuteen, k\u00e4den voimantuottoon ja aiheuttavat kipua. Muutokset vaikeuttavat p\u00e4ivitt\u00e4isi\u00e4 toimia, joissa tartutaan, puristetaan tai k\u00e4\u00e4nnet\u00e4\u00e4n esineit\u00e4. Yksil\u00f6n osallistuminen ty\u00f6el\u00e4m\u00e4\u00e4n ja harrastuksiin, sek\u00e4 selvi\u00e4minen kotona voivat hankaloitua. Ymp\u00e4rist\u00f6ll\u00e4 ja yksil\u00f6llisill\u00e4 tekij\u00f6ill\u00e4 on merkityst\u00e4 siin\u00e4, kuinka haittaavaksi k\u00e4den toiminnan rajoitteet ja kipu koetaan. Kansainv\u00e4listen hoitosuositusten mukaisesti alkuvaiheen hoito on konservatiivinen. Jos l\u00e4\u00e4kehoito, ohjaus ja neuvonta, kuntouttavat harjoitteet, tuet ja apuv\u00e4lineet eiv\u00e4t tuo riitt\u00e4v\u00e4\u00e4 helpotusta oireisiin, on kirurgisella hoidolla mahdollista lievitt\u00e4\u00e4 oireita. Tieteellinen n\u00e4ytt\u00f6 sek\u00e4 konservatiivisen ett\u00e4 kirurgisen hoidon vaikuttavuudesta on kuitenkin puutteellista.\n\nSystemaattinen kirjallisuushaku toteutettiin kolmeen tietokantaan. Haussa l\u00f6ytyi seitsem\u00e4n satunnaistettua ja kontrolloitua tutkimusta, joissa verrattiin peukalo-ortoosin vaikutusta kontrolliryhm\u00e4\u00e4n, joka ei saanut hoitoa tai sai muuta, normaalin hoitok\u00e4yt\u00e4nn\u00f6n mukaista v\u00e4h\u00e4ist\u00e4 hoitoa. Tutkimusten metodologinen laatu arvioitiin Cochrane risk-of-bias 1 (RoB 1) ty\u00f6kalulla. Metodologinen laatu oli heikko ja tulokset olivat osin ristiriitaisia. Kirjallisuuden perusteella n\u00e4ytt\u00e4\u00e4 silt\u00e4, ett\u00e4 peukalo-ortoosilla saattaa olla vaikutusta k\u00e4den toimintaan ja kipuun alle kolmen kuukauden ja alle vuoden seurannassa. Vaikutus ei kuitenkaan ole kliinisesti merkitt\u00e4v\u00e4.\n\nPilottitutkimuksessa osallistujat k\u00e4yttiv\u00e4t peukalo-ortoosia kuusi viikkoa ennen kirurgista hoitoa, jonka j\u00e4lkeen k\u00e4den toimintakyky\u00e4 ja kipuoireita seurattiin vuoden ajan. Pilottitutkimuksen tulos oli peukalo-ortoosin osalta samankaltainen kuin aiemmissa tutkimuksissa. Kuuden viikon seurannassa kolmasosa osallistujista koki toimintakykyns\u00e4 tai peukalon kivun parantuneen. Vuoden seurannassa kirurgisen hoidon vaikutus oli moninkertainen, mutta paraneminen vei osallistujilta 3-6 kuukautta. N\u00e4ytt\u00f6 sek\u00e4 konservatiivisen ett\u00e4 kirurgisen hoidon vaikuttavuudesta on puutteellista ja kirjallisuuden perusteella n\u00e4ytt\u00e4\u00e4 silt\u00e4, ett\u00e4 osa ihmisist\u00e4 p\u00e4rj\u00e4\u00e4 peukalon tyvinivelen nivelrikon oireiden kanssa ilman leikkaushoitoa. T\u00e4m\u00e4n vuoksi tarvitaan lis\u00e4\u00e4 hyv\u00e4laatuisia satunnaistettuja tutkimuksia, joissa verrataan sek\u00e4 konservatiivista ett\u00e4 kirurgista hoitoa ryhm\u00e4\u00e4n, joka ei saa hoitoa.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "The thumb carpometacarpal joint osteoarthritis is the most prevalent degenerative disease affecting the hand region. Its prevalence increases with age, and the thumb carpometacarpal joint osteoarthritis significantly affects hand usage in daily activities. The purpose of this master\u2019s thesis is to perform a systematic literature review of the effect of the thumb orthosis and compare the effect of thumb orthosis and trapeziectomy on hand function and pain in individuals with thumb carpometacarpal joint osteoarthritis in a pilot study.\n\nIn the context of the International Classification of Functioning, Disability, and Health (ICF) framework, osteoarthritic changes in the basal joint of the thumb impact thumb mobility, hand strength, and induce pain. Daily activities involving grasping, gripping, and rotating objects may become challenging. An individual\u2019s participation in hobbies or work, as well as managing tasks at home, may be compromised. The perceived impact of hand function limitations and pain is influenced by environmental and individual factors. In accordance with international treatment guidelines, initial management is conservative. If pharmacotherapy, patient education, rehabilitative exercises, orthosis, and assistive devices fail to provide sufficient relief from symptoms, surgical intervention may alleviate symptoms. However, there is a lack of scientific evidence regarding the efficacy of both conservative and surgical treatments.\n\nA systematic literature review was conducted in three databases. Seven randomized controlled trials comparing the effect of thumb orthosis to a control group with no intervention or usual care were identified. The methodological quality of the studies was evaluated with Cochrane risk-of-bias 1 (RoB 1) tool. The methodological quality was low, and the results were partially contradictory. Based on the literature, it appears that a thumb orthosis may have an effect on hand function and pain within a follow-up period of under three months to under one year. However, this effect is not clinically significant.\n\nIn the pilot study, participants used a thumb orthosis for six weeks prior to undergoing surgical treatment. Hand's functional capacity and pain symptoms were monitored for one year after the surgical treatment. The result of the pilot study regarding the thumb orthosis is similar to previous literature. At a six-week follow-up, one third of participants reported improved function or reduced thumb pain. At the one-year follow-up, the effect of surgical intervention was manifold, but recovery took 3 to 6 months. Evidence regarding the effect of both conservative and surgical treatments is insufficient. Based on the literature, it seems that some individuals can manage symptoms of thumb carpometacarpal joint osteoarthritis without surgical intervention. Therefore, additional high-quality randomized trials comparing both conservative and surgical treatment to a no-treatment are needed.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Miia Hakanen (mihakane@jyu.fi) on 2024-01-23T11:15:19Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2024-01-23T11:15:19Z (GMT). No. of bitstreams: 0\n Previous issue date: 2024", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "82", "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": "thumb", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "basal joint", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "carpometacarpal joint", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "orthosis", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "conservative treatment", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "surgical treatment", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "effectiveness", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Thumb carpometacarpal joint osteoarthritis : current treatment practice and a cross-over pilot study", "language": null, "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-202401231469", "language": null, "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": "Faculty of Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Liikuntatieteellinen tiedekunta", "language": "fi", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Liikunta- ja terveystieteet", "language": "fi", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "University of Jyv\u00e4skyl\u00e4", "language": "en", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "Jyv\u00e4skyl\u00e4n yliopisto", "language": "fi", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Physiotherapy", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Fysioterapia", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "yvv.contractresearch.funding", "value": "0", "language": "", "element": "contractresearch", "qualifier": "funding", "schema": "yvv"}, {"key": "yvv.contractresearch.initiative", "value": "student", "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.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": null, "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "nivelrikko", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "leikkaushoito", "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": "kipu", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "interventiohoito", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "vaikutukset", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "arthrosis", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "surgical treatment", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "physiotherapy", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "pain", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "intervention (treatment methods)", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "effects (results)", "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/en/workspaces/facilities/facilities#autotoc-item-autotoc-2).", "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/fi/tyoskentelytilat/laitteet-ja-tilat#autotoc-item-autotoc-2.", "language": "fi", "element": "rights", "qualifier": "accessrights", "schema": "dc"}]
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