diplomsko delo
Aja Slana (Author), Renata Vauhnik (Reviewer), Miroljub Jakovljević (Mentor)

Abstract

Uvod: Najpogostejsˇi nacˇin merjenja gibljivosti sklepov so goniometricˇne meritve. Nekatere obsege gibljivosti lahko merimo tudi ali pa samo s centimetrskim trakom. Iz linearnih meritev pa lahko izračunamo obseg gibljivosti s pomočjo trigonometričnih enačb. Namen: Namen diplomskega dela je ovrednotiti ponovljivost in zanesljivost trigonometričnih meritev aktivnega obsega gibljivosti v kolenskem sklepu. Metode dela: V raziskavo je bilo vkljucˇenih 40 zdravih preiskovanev. Merjenja so potekala v dveh sejah s 48 urnim vmesnim premorom. Za ugotovljene razlik med posameznimi meritvami je bila opravljena enosmerna analiza variance za ponovljene meritve (p?0,05). Ponovljivost in zanesljivost smo vrednotili z intraklasnim koeficientom korelacije (2,1). Izračunali smo tudi najmanjšo zaznano spremembo. Rezultati: Pri preverjanju ponovljivosti je bila najnizˇja vrednost intraklasnega koeficienta korelacije (0,895) opazˇena pri meritvah fleksije levega kolenskega sklepa v drugi seji. Najvišja vrednost intraklasnega koeficienta korelacije (0,936) je bila opažena pri meritvah ekstenzije levega kolenskega sklepa v prvi seji ter pri meritvah fleksije levega kolenskega sklepa v prvi seji. Vse meritve so imele vrednosti intraklasnega koeficienta korelacije visˇje od 0,900, kar pomeni odlično ponovljivost. Meritve ekstenzije so se izkazale za bolj ponovljive od meritev fleksije. Pri računanju zanesljivosti ekstenzije je bila najnizˇja vrednost intraklasnega koeficienta korelacije pri meritvah, kjer smo uposˇtevali le tretjo meritev ekstenzije levega kolenskega sklepa (0,728). Najvisˇja vrednost intraklasnega koeficienta korelacije je bila pri povprečju treh meritev ekstenzije v desnem kolenskem sklepu (0,953). Pri meritvah zanesljivosti fleksije je bila najnizˇja vrednost intraklasnega koeficienta korelacije pri povprečju treh meritev fleksije levega kolenskega sklepa (0,784). Najvisˇja vrednost intraklasnega koeficienta korelacije je bila pri povprečju treh meritev fleksije desnega kolenskega sklepa (0,958). Vse meritve (razen ene) so imele vrednosti intraklasnega koeficienta korelacije visˇje od 0,750, kar pomeni dobro zanesljivost. Razprava in zaključek: Trigoniometricˇne meritve kolenskega sklepa so ponovljive in zanesljive, nekoliko bolj pri meritvah ekstenzije kot pri merjenju aktivnega giba fleksije kolenskega sklepa. Zanesljivost je primerljiva z drugimi, zˇe izvedenimi raziskavami. Podatkov o ponovljivosti v literaturi nismo zasledili.

Keywords

diplomska dela;fizioterapija;goniometrija;trigonometrija;zanesljivost;ponovljivost;aktivna sklepna gibljivost;

Data

Language: Slovenian
Year of publishing:
Typology: 2.11 - Undergraduate Thesis
Organization: UL ZF - University College of Health Studies
Publisher: [A. Slana]
UDC: 615.8
COBISS: 54197507 Link will open in a new window
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Other data

Secondary language: English
Secondary title: Repeatability and reliability of the knee joint trigonometric measurements of active range of motion
Secondary abstract: Introduction: The most common way of measuring joint mobility is goniometric measurements. Measurements are performed with a universal goniometer. We carry them out in order to obtain objective measurements of the flexibility of a particular joint. Some ranges of motion can also be measured only with a centimetre tape. From linear measurements, the range of motion can be calculated using trigonometric equations. Because measurements are usually conducted by different therapists, the intratester reliability is very important. Purpose: The purpose of the thesis was to identify the repeatability and reliability of trigonometric measurements of the active range of motion in the knee joint. Methods: The study involved 40 healthy subjects.. Measurements were made in two sessions within a 48.. The differences between the measurements were assessed by the analysis of the variance for repeated measurements (p⡤0.05). Repeatability and reliability were evaluated by intraclass correlation coefficient (2,1). We also calculated the lowest real difference. Results: In the repeatability test, the lowest value of the intraclass correlation coefficient (0.895) was observed when measuring the flexion of the left knee joint in the second session. The highest value of the intraclass correlation coefficient (0.936) was observed in the measurements of the extension of the left knee joint in the first session and in the measurements of the flexion of the left knee joint in the first session. All measurements had values of intraclass correlation coefficient higher than 0.900, which means excellent repeatability. Extension measurements proved to be more reproducible than flexion measurements. When calculating the reliability of the extension, the lowest value of the intraclass correlation coefficient was in the measurements, where only the third measurement of the extension of the left knee joint was considered (0.728). The highest value of the intraclass correlation coefficient was in the average of three measurements of extension in the right knee joint (0.953). In flexibility reliability measurements, the lowest value of the intraclass correlation coefficient was the average of the three left knee flexion measurements (0.784). The highest value of the intraclass correlation coefficient was in the average of three measurements of right knee joint flexion (0.958). All measurements (except one) had values of intraclass correlation coefficient higher than 0.750, which means good reliability. Discussion and conclusion: Trigoniometric measurements of the knee joint are repeatable and reliable, slightly more in the measurements of extension than in the measurement of the active movement of the knee joint flexion. Reliability is comparable to the other research already conducted. No data on repeatability were found in the literature.
Secondary keywords: diploma theses;physiotherapy;goniometry;trigonometry;repeatability;reliability;active range of motion;
Type (COBISS): Bachelor thesis/paper
Study programme: 0
Embargo end date (OpenAIRE): 1970-01-01
Thesis comment: Univ. v Ljubljani, Zdravstvena fak., Oddelek za fizioterapijo
Pages: 20 str.
ID: 12618156