Zanesljivost funkcijskega merjenja gibljivosti dorzalne fleksije skočnega sklepa posameznega preiskovalca in med preiskovalci

Žunko, Helena (author), Vauhnik, Renata (mentor)

Uvod: Merjenje dorzalne fleksije v stoječem položaju je vedno bolj razširjeno, saj posnema funkcijski položaj spodnjega uda med vsakodnevnim gibanjem. Namen: Namen magistrske naloge je ugotoviti zanesljivost posameznega preiskovalca ter zanesljivost med preiskovalci pri funkcijskem merjenju obsega gibljivosti dorzalne fleksije skočnega sklepa v stoječem položaju pri pokrčenem kolenu s pomočjo mobilne aplikacije goniometra. Metode dela: V raziskavi je sodelovalo 32 preiskovancev. Med meritvami je pri posameznem preiskovancu minilo najmanj 24 ur, zanesljivost merjenja pa je bila ocenjena s koeficientom intraklasne korelacije (ICC) in dodatno ovrednotena z upoštevanjem standardne napake meritve (SEM) ter upoštevanjem najmanjše zaznavne spremembe (MDC) pri 95-% intervalu zaupanja. Rezultati: Statistična analiza podatkov je pokazala, da je zanesljivost posameznega preiskovalca sprejemljiva za desno nogo (ICC = 0,72) in odlična za levo nogo (ICC = 0,82). Zanesljivost med preiskovalcema je sprejemljiva tako za desno (ICC = 0,73) kot levo nogo (ICC = 0,65). Razprava in sklep: Metoda je zmerno zanesljiva in uporabna, kadar jo želimo uporabiti za oceno funkcijske zmožnosti posameznika in kadar obremenjevanje spodnjih udov ni kontraindicirano. Potrebna je standardizacija postopka funkcijskega merjenja dorzalne fleksije.

• Language: Slovenian
• Keywords: dorzalna fleksija skočnega sklepa, meritve gibljivosti, zanesljivost
• Work type: Master's thesis/paper
• Organization: ZF - Faculty of Health Sciences
• Year: 2018
• PID: 20.500.12556/RUL-101216
• COBISS.SI-ID: 5429099
• Publication date in RUL: 15.05.2018

Secondary language

• Language: English
• Title: Intra-rater and inter-rater reliability of the functional ankle dorsiflexion range of motion measurment

Abstract

Introduction: Functional ankle dorsiflexion range of motion measurement in the weight bearing position (weight bearing lunge test) is gaining in popularity because it mimics lower extremity function in daily physical activities. Purpose: The purpose of the study is to assess the intra-rater and the inter-rater reliability of functional ankle dorsiflexion range of motion measurement with a bent knee using a smartphone application. Methods: 32 subjects participated in the study. The measurements for the individual subject were not repeated sooner than in 24 hours. In order to assess the reliability, intraclass correlation coefficient (ICC), standard error measurement (SEM) and minimal detectable change (MDC) at the 95 % confidence interval were calculated. Results: Statistical data analysis revealed acceptable intra-rater reliability for the right ankle (ICC = 0,72) and excellent intra-rater reliability for the left ankle (ICC = 0,82). Inter-rater reliability is acceptable for the right (ICC = 0,73) and the left ankle (ICC = 0,65). Discussion and conclusion: The observed method is acceptably reliable and appropriate, when the main objective is to assess lower extremity function of an individual and when there are no contraindications. The procedure of functional ankle dorsiflexion range of motion measurement should be standardised.

• Keywords: ankle dorsiflexion, range of motion measurement, reliability