Merske lastnosti lestvice okvare trupa : diplomsko delo

Pahor, Katja (author), Puh, Urška (mentor), Rugelj, Darja (reviewer)

Uvod: Nadzor trupa ima pomembno vlogo ne samo za gibanje, temveč tudi za življenjsko pomembne funkcije, kot so na primer dihanje, govor, hoja, požiranje ter groba in fina motorika. V klinični praksi so potrebna specifična merilna orodja za ocenjevanje trupa. Lestvica okvare trupa je uporabna za specifično ocenjevanje statičnega in dinamičnega ravnotežja ter za koordinacijo pri pacientu po možganski kapi. Namen: Namen diplomskega dela je bil pregledati merske lastnosti lestvice okvare trupa in njenih različic ter ugotoviti, katera lestvica je najprimernejša za klinično uporabo. Metode dela: Pregledani sta bili podatkovni zbirki PubMed in CINAHL. Iskali smo v angleškem, slovenskem ali italijanskem jeziku. Rezultati: V pregled literature je bilo vključenih 11 raziskav. Pri osnovni lestvici okvare trupa je bila ugotovljena nizka zanesljivost druge naloge statičnega ravnotežja (k = 0,51) in koordinacije (k = 0,46). Poleg tega ni bilo možno izračunati k-vrednosti pri tretji in četrti nalogi tretjega dela lestvice. Pri različici lestvice okvare trupa je bila ugotovljena visoka ali odlična zanesljivost z izjemo četrte naloge drugega dela španskega prevoda lestvice okvare trupa 2.0 (k = 0,487). V vseh raziskavah, kjer so preverjali notranjo skladnost, so ugotovili zmerno ali odlično notranjo skladnost. V šestih raziskavah so proučevali kriterijsko veljavnost in ugotovili odlično ali zmerno stopnjo veljavnosti lestvic okvare trupa. Učinek stropa je bil ugotovljen pri italijanskem prevodu lestvice okvare trupa in pri izvorni lestvici, učinek tal pa pri norveški različici. Občutljivost je bila raziskovana pri italijanskem prevodu lestvice okvare trupa, izvorni lestvici okvare trupa (AUC = 0,936), lestvici okvare trupa Fujiwara (AUC = 0,883) in pri lestvici okvare trupa 2.0 (AUC = 0,73). Razprava in zaključek: Rezultati kažejo, da je lestvica okvare trupa 2.0 najprimernejša za ocenjevanje pacientov po možganski kapi v klinični praksi. Raziskovati bi bilo treba tiste merske lastnosti lestvic, ki še niso bile ugotovljene.

• Language: Slovenian
• Keywords: diplomska dela, fizioterapija, možganska kap, merske lastnosti, ocenjevanje trupa, okvare trupa
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [K. Pahor]
• Year: 2020
• Number of pages: 31 str.
• PID: 20.500.12556/RUL-114113
• UDC: 615.8
• COBISS.SI-ID: 5779051
• Publication date in RUL: 16.02.2020

Secondary language

• Language: English
• Title: Measurement properties of the trunk impairment scale : diploma work

Abstract

Introduction: Trunk control plays an important role not only for body movements, but also for vital functions, such as breathing, speaking, walking, swallowing and motor skills. In clinical practice, this has led to the need for specific trunk assessment. Trunk Impairment Scale is useful for specific evaluation of static and dynamic balance and coordination for stroke patients. Purpose: The purpose of the diploma work was to review the measurement properties of the Trunk Impairment Scale and to determine, which version is the most appropriate for clinical use. Methods: The following databases were examined: PubMed and CINAHL. Studies published in English, Slovenian or Italian were included. Results: A total of 11 studies were included in the review of the references. The second exercise of the static sitting balance (k = 0.51) and the third part (k = 0.46) of the original Trunk Impairment Scale was found to have low reliability. In addition, it was not possible to calculate the k value of the third and fourth tasks of the third part of the scale. Other versions of the Trunk Impairment Scale were found to have high or excellent reliability, with the exception of the fourth task of the second part of the Spanish Trunk Impairment Scale 2.0 (k = 0.487). An acceptable or excellent internal consistency was found in all scales. Six studies examined concurrent validity and found out good validity of the original Trunk Impairment Scale and its versions. The ceiling effect was found in the Italian version of the scale and in the original scale, while the floor effect was found only in the Norwegian version. Responsiveness was researched in the Italian version, in the original scale (AUC = 0,936), in the Fujiwara Trunk Impairment Scale (AUC = 0,883) and in the Trunk Impairment Scale 2.0 (AUC = 0,73). Conclusion: The results indicate that the Trunk Impairment Scale 2.0 is the most appropriate for evaluating stroke patients in clinical practice. It would be useful to investigate measurement properties of some of the mentioned scales, which have not been examined yet.

• Keywords: diploma theses, physiotherapy, stroke, measurement properties, trunk assessment, trunk impairments