20.500.12556/RUL-183271 Ocenjevanje obsega dorzalne fleksije gležnja pri bolnikih z Ahilovo tendinopatijo ali plantarno fasciopatijo Assessment of ankle dorsiflexion range of motion in patients with Achilles tendinopathy or plantar fasciopathy Namen te raziskave je bil ugotoviti, kakšna je zanesljivost ocenjevanja obsega gibljivosti dorzalne fleksije gležnja (OGDFG) v stoječem položaju pri bolnikih s simptomatsko neinsercijsko Ahilovo tedninopatijo (AT) in plantarno fasciopatijo (PF) v primerjavi s kontrolno skupino zdravih preiskovancev, kakšna je povezanost podlaganja stopalnega loka in ocenjevanja OGDFG in ali je pri določanju fizioloških normativnih vrednosti potrebno upoštevati starost. Meritve so bile izvedene po protokolu Baumacha in sodelavcev (2016) z univerzalnim goniometrom pri pokrčenem in iztegnjenem kolenu, z in brez podlaganja, pri 31 bolnikih z AT, 30 bolnikih s PF in 36 zdravih preiskovancih. Zanesljivost preiskovalke je bila večinoma sprejemljiva do odlična, razen pri iztegnjenem kolenu prizadetega stopala v skupini PF, kjer je bila slaba (ICC 0,45, spodnja meja IZ 0,11). Podlaganje v skupini zdravih preiskovancev pa je bilo statistično značilno povezano z izmerjenim OGDFG pri pokrčenem kolenu, kjer so bile meritve v povprečju nižje za slabi 2°, vendar pa je klinična pomembnost te razlike zanemarljiva. Pri pokrčenem kolenu je bila zaznana robno značilna negativna povezava med starostjo in OGDFG (regresijski koeficient – 0,1), kar nakazuje na trend zmanjševanja obsega s staranjem. Podobna, a manj izrazita tendenca se kaže tudi pri iztegnjenem kolenu. Slednje bi bilo potrebno upoštevati pri določanju normativnih vrednosti v protokolih za določanje omejitev OGDFG, pred tem pa so za ugotavljanje povezanosti starosti z OGDFG potrebne nadaljnje raziskave na večjem vzorcu. Vrednosti 95 % MDC za vse meritve brez podlaganja stopalnega loka v skupinah bolnikov so bile relativno visoke. Merjenja ne priporočamo za uporabo v kliničnem okolju, priporočamo pa preverjanje psihometričnih lastnosti digitalnega goniometra. The aim of this study was to determine the reliability of assessing ankle dorsiflexion range of motion (ADFROM) in the standing position in patients with symptomatic non-insertional Achilles tendinopathy (AT) and plantar fasciopathy (PF), compared to a control group of healthy participants, to examine the association between medial arch support and ADFROM assessment, and to investigate whether age should be considered when establishing physiological normative values. Measurements were performed according to the protocol of Baumach et al. (2016) using a universal goniometer, with the knee flexed and extended, with and without arch support, in 31 patients with AT, 30 with PF, and 36 healthy participants. Intra-rater reliability was mostly acceptable to excellent, except for the extended knee of the affected foot in the PF group, where reliability was poor (ICC 0.45, lower CI bound 0.11). Arch support in the healthy group was statistically significantly associated with measured ADFROM at the flexed knee, where measurements were on average nearly 2° lower, although the clinical significance of this difference is negligible. A marginally significant negative association between age and ADFROM was observed at the flexed knee (regression coefficient – 0.1), indicating a trend of decreasing range with aging. A similar but less pronounced trend was observed at the extended knee. This should be considered when establishing normative values in protocols defining ADFROM limits, although further research on a larger sample is needed to clarify the relationship between age and ADFROM. The 95% minimal detectable change (MDC) values for all measurements without arch support in the patient groups were relatively high. We do not recommend these measurements for clinical use but suggest further evaluation of the psychometric properties of digital goniometers. dorzalna fleksija gležnja ocenjevanje obsega zanesljivost preiskovalca klasični stadnardni goniometer podlaganje medialnega stopalnega loka ankle dorsiflexion range of motion assessment intra-rater reliability classical standard goniometer medial arch support true false false Slovenski jezik Angleški jezik Doktorsko delo/naloga 2026-06-10 07:15:28 2026-06-10 07:15:41 2026-06-16 07:35:44 0000-00-00 00:00:00 2026 0 0 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 280067 281709827 57677.pdf 57677.pdf 1 D0E5C515897AE912FFB36022BCF7D632 29969cd99ed4f9f82b38b380631679182f8c81280e6459e5384ffa320b5599b9 69c9319f-648b-11f1-9b0d-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=235235 Biotehniška fakulteta 0 0 0