diplomsko delo
Povzetek
Uvod: Meritve obsega sklepne gibljivosti so ključen del fizioterapevtske obravnave.
Uporabljajo se za postavljanje ciljev obravnave, oceno izboljšanja/poslabšanja stanja,
spremembo obravnave, motivacijo pacienta ter raziskave učinkov posameznih
fizioterapevtskih metod in tehnik. Najpogosteje se uporablja tehnika goniometrije,
najpogosteje uporabljen pripomoček pa je univerzalni goniometer. Namen: Namen
diplomskega dela je ugotoviti ponovljivost in zanesljivost meritev aktivnega obsega
gibljivosti v kolenskem sklepu z univerzalnim goniometrom. Metode dela: Raziskavo je
odobrila Komisija za medicinsko etiko Republike Slovenije. V raziskavi je sodelovalo 40
zdravih preiskovancev (21 ţensk in 19 moških), ki so bili v povprečju stari 21,7 (1,1) let.
Meritve so bile izvedene v dveh sejah, med katerima je minilo 48 ur. Preiskovanec je v
vsaki seji izvedel tri zaporedne gibe fleksije in ekstenzije levega in desnega kolenskega
sklepa. Rezultati: Pri meritvah obsega aktivne gibljivosti v smeri fleksije in ekstenzije ni
bilo statistično pomembnih razlik med spoloma. Pri ugotavljanju ponovljivosti so bile vse
vrednosti intraklasnega koeficienta korelacije višje od 0,9, kar kaţe na odlično
ponovljivost, meritve fleksije so se izkazale za bolj ponovljive od meritev ekstenzije. Pri
ugotavljanju zanesljivosti so se vrednosti intraklasnega koeficienta korelacije za meritve
ekstenzije gibale med vrednostmi 0,6 in 0,8, kar nakazuje na zmerno do dobro zanesljivost
meritev, za meritve fleksije pa so se vrednosti intraklasnega koeficienta korelacije gibale
med vrednostmi 0,8 in 0,9, kar nakazuje na dobro do odlično zanesljivost. Prav tako so bile
meritve fleksije bolj zanesljive od meritev ekstenzije. Najniţja vrednost najmanjše zaznane
spremembe je bila 1,6° pri ekstenziji desnega kolenskega sklepa, najvišja vrednost pa je
bila 2,3° pri fleksiji desnega in levega kolenskega sklepa. Razprava in zaključek:
Univerzalni goniometer je naprava z odlično ponovljivostjo, ter dobro do odlično
zanesljivostjo. Je preprost za uporabo, lahko dostopen in cenovno ugoden.
Ključne besede
diplomska dela;fizioterapija;goniometrija;univerzalen goniometer;aktiven obseg giba;ponovljivost;zanesljivost;intraklasni koeficient korelacije;
Podatki
Jezik: |
Slovenski jezik |
Leto izida: |
2021 |
Tipologija: |
2.11 - Diplomsko delo |
Organizacija: |
UL ZF - Zdravstvena fakulteta |
Založnik: |
[N. Malešič] |
UDK: |
615.8 |
COBISS: |
85592067
|
Št. ogledov: |
205 |
Št. prenosov: |
36 |
Ocena: |
0 (0 glasov) |
Metapodatki: |
|
Ostali podatki
Sekundarni jezik: |
Angleški jezik |
Sekundarni naslov: |
Repeatability and reliability of the knee joint active range of motion measurements with universal goniometer |
Sekundarni povzetek: |
Introduction: Measuring the extent of joint mobility is an important part of physiotherapy
treatment. It is used to establish the goal of treatment, assess improvement, modify
treatment, motivate the patient, and study the effects of specific physiotherapy methods
and techniques. The most commonly used technique is the goniometric technique, with the
universal goniometer being the most commonly used instrument. Purpose: The purpose of
this thesis is to determine the repeatability and reliability of measuring active range of
motion in the knee joint using a universal goniometer. Methods: The study was approved
by the Republic Slovenia National Medical Ethics Committee. It included 40 healthy
participants (21 women and 19 men) whose mean age was 21.7 (1.1) years. Measurements
were performed in 2 sessions 48 hours apart. In each session, participants performed three
consecutive flexion and extension movements with the left and right knee joints. Results:
There were no statistically significant differences between the two sexes in the
measurements of active range of motion toward flexion or extension. Regarding
repeatability, all intraclass correlation coefficient values were above 0.9, indicating very
good repeatability; however, flexion measurements were found to be more repeatable than
extension measurements. In determining reliability, the intraclass correlation coefficient
values for the extension measurements ranged from 0.6 to 0.8, indicating good to moderate
reliability of the measurement, while the intraclass correlation coefficient values for the
flexion ranged from 0.8 to 0.9, indicating rather good to excellent reliability. Similarly, the
flexion measurements were more reliable than the extension measurements. The lowest
value of smallest detectable change was 1.6° in extension of the right knee joint and the
highest value was 2.3° in flexion of both the right and left knee joints. Discussion and
conclusion: The universal goniometer is a device with excellent repeatability and good to
very good reliability. It is easy to use, accessible and affordable. |
Sekundarne ključne besede: |
diploma theses;physiotherapy;goniometry;universal goniometer;active range of motion;repeatability;reliability;intraclass correlation coefficient; |
Vrsta dela (COBISS): |
Diplomsko delo/naloga |
Študijski program: |
0 |
Konec prepovedi (OpenAIRE): |
1970-01-01 |
Komentar na gradivo: |
Univ. v Ljubljani, Zdravstvena fak., Oddelek za fizioterapijo |
Strani: |
22 str., [2] str. pril. |
ID: |
13539682 |