20.500.12556/RUL-114718 Zanesljivost merjenja obsega gibljivosti skočnega sklepa v stoječem položaju - pregled literature Reliability of the weight-bearing ankle joint dorsiflexion range of motion measurement - literature review Uvod: Povečanje obsega gibljivosti skočnih sklepov je pogost fizioterapevtski cilj. Dorzalno fleksijo skočnega sklepa je za oceno funkcioniranja primerneje meriti v stoječem kot v razbremenjenem položaju. Namen pregleda literature je bil ugotoviti, kateri postopki merjenja dorzalne fleksije skočnega sklepa v stoječem položaju imajo najboljšo zanesljivost in bi jih lahko priporočili za klinično uporabo. Metode: Raziskave so bile iskane v podatkovni zbirki PubMed. Rezultati: V pregled je bilo vključenih 14 raziskav, v katerih so preučevali različne postopke merjenja obsega dorzalne fleksije skočnega sklepa v stoječem položaju z univerzalnim ali gravitacijskim goniometrom, mobilno aplikacijo goniometra ter centimetrskim merilnim trakom ali kotnikom pri zdravih preiskovancih in po poškodbah skočnih sklepov. Poročali so o zmerni do zelo dobri zanesljivosti posameznega preiskovalca (ICC = 0,65−0,99) in dobri do zelo dobri zanesljivosti med preiskovalci (ICC = 0,80−0,99). Zaključki: Merjenje dorzalne fleksije skočnega sklepa stoje je zanesljivo in preprosto. Kadar je dovoljeno obremenjevanje spodnjega uda, lahko nadomesti standardno metodo merjenja v ležečem položaju. Za fizioterapevtsko ocenjevanje pri pokrčenem in/ali iztegnjenem kolenu priporočamo uporabo gravitacijskega goniometra ali mobilne aplikacije goniometra, nameščenega na Ahilovo tetivo, za motivacijo pacienta pa merjenje s centimetrskim merilnim trakom. Background: Increase of the ankle joint range of motion is a common physiotherapy goal. Measurement of the ankle joint dorsiflexion in weight bearing is more appropriate to assess functioning than measurement in non-weight-bearing positions. The purpose of the literature review was to establish which ankle joint dorsiflexion measurement procedures are the most reliable and might be recommended for clinical use. Methods: a literature review was conducted using database PubMed. Results: 14 studies investigating different measurement procedures of the ankle joint dorsiflexion motion, using a standard goniometer, bubble/digital inclinometer, smartphone application, and tape measure in healthy or injured subjects, were included. Moderate to very good intratester (ICC = 0.65−0.99) and good to very good intertester (ICC = 0.80−0.99) reliability was reported. Conclusions: Measurement of the ankle joint dorsiflexion in weight-bearing position is reliable and might replace the standard method in non-weight-bearing position, if there is no restriction for weight-bearing on the limb. For physiotherapy assessment with the knee flexed and/or extended, we recommend the use of bubble goniometer or smartphone application, applied on Achills’ tendon, and tape measurement for patient’s motivation. dorzalna fleksija skočni sklep meritve gibljivosti zanesljivost talocrural joint dorsiflexion range of motion measurements reliability true false false Slovenski jezik Angleški jezik Neznano 2020-03-05 15:28:24 2020-03-05 15:28:25 2022-08-26 03:52:03 0000-00-00 00:00:00 2016 0 0 Str. 25-34 št. 1 Letn. 24 jun. 2016 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 615.8:796.012.23 1318-2102 URN:NBN:SI:doc-4K6BRHB6 5063275 30074880 RAZ_Zunko_Helena_2016.pdf RAZ_Zunko_Helena_2016.pdf 1 280B72C13475ACB8276015F7D2CAC3DC cdf944308cb342544571a5aef7219f858bf7d7dbc7ead5a48a96580563955412 3fa8f620-a1b8-11eb-a523-00155dcfd717 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=126969 http://www.dlib.si/details/URN:NBN:SI:doc-4K6BRHB6 1 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=126970 Zdravstvena fakulteta 0 0 0