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Ocenjevanje motoričnih funkcij bolnikov z multiplo sklerozo
Jakovljević, Miroljub (Author), Šćepanović, Darija (Author), Hlebš, Sonja (Author), Puh, Urška (Author)

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Abstract
Merilni inštrumenti za ocenjevanje posledic multiple skleroze so glede na raznoliko simptomatiko številni in se uporabljajo posamezno ali kot skupina merilnih orodij. V prispevku so predstavljeni najbolj pogosto uporabljeni izvedbeni testi, s katerimi ocenjujemo stopnjo motoričnih zmogljivosti bolnikov z multiplo sklerozo. Za oceno mišične zmogljivosti in vzdržljivosti se lahko uporabljajo izometrična, izokinetična in ročna dinamometrija. Funkcijska zmogljivost rok se ocenjuje s testom devetih zatičev, akcijskim raziskovalnim testom roke, Jebsenovim funkcijskim testom roke in testom za oceno izvedbe zgornjega uda. V dosedanjih raziskavah sta bila za oceno ravnotežja najpogosteje uporabljena Bergova lestvica in test funkcijskega dosega. Test hitrosti hoje na 10 metrov, indeks utrujenosti med hojo, opis video posnetka na podlagi opazovanja in pedometer so merilna orodja za klinično analizo hoje. Največji tlak pri kašlju, maksimalni ekspiratorni in inspiratorni tlak, trebušni tlak med kašljem in ekspiratorni volumni med kašljem so najpogostejša orodja, s katerimi se ocenjujejo stopnje okvar dihalnih funkcij bolnikov z multiplo sklerozo. Za merjenje pogostnosti in resnosti simptomov disfunkcije sečnega mehurja in črevesa se priporoča uporaba dnevnikov sečnega mehurja in črevesa. Izbiranje med različnimi merilnimi orodji za ocenjevanje motoričnih zmogljivosti temelji predvsem na njihovih psihometričnih lastnostih. Končna odločitev o tem, katera merilna orodja ali kombinacija orodij se bo uporabljala v raziskavi ali pri kliničnem delu, je odvisna predvsem od namena in potreb merjenja in ocenjevanja.

Language:Slovenian
Keywords:merilna orodja, izvedbeni testi, ocenjevalne lestvice, multipla skleroza
Tipology:1.02 - Review Article
Organization:ZF - University College of Health Studies
Year:2012
Number of pages:str. 5-12
Numbering:Letn. 20, št. 1
UDC:615.8:616.832-004
ISSN on article:1318-2102
URN:URN:NBN:SI:doc-ICYWO02G
COBISS.SI-ID:300972 Link is opened in a new window
Views:186
Downloads:84
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Record is a part of a journal

Title:Fizioterapija
Shortened title:Fizioterapija
Publisher:Društvo fizioterapevtov Slovenije
ISSN:1318-2102
COBISS.SI-ID:30074880 This link opens in a new window

Secondary language

Language:English
Title:Assessment of motor functions in multiple sclerosis patients
Abstract:
The assessment instruments for patients with multiple sclerosis are numerous due to variability in symptoms. They can be performed as single assessment tool or in combination. The article reviews the most common functional tests for measuring the level of motor disability in multiple sclerosis patients. Impairment of muscle function can be assessed using isometric, isokinetic and hand held dynamometry. For functional assessment of hand function Nine-Hole Peg Test, Action Research Arm Test, Jebsen’s Hand Functional Test and Upper Extremity Evaluation Performance Test are used. Berg balance scale and Functional Reach test were used in most clinical research for balance assessment. Walking ability was assessed by 10-m Walk Test, Fatigue Index during walking, observational video analysis and by using pedometer. The level of respiratory dysfunction in patients with multiple sclerosis is evaluated by measuring Maximal Voluntary Cough, Maximal Expiratory and Inspiratory Pressure. For measuring the frequency and severity of bladder and bowel symptoms the use of different diaries were recommended. The use of different measurement tools for assessment the level of motor dysfunction in multiple sclerosis patients is based on measurement tools’ characteristics. It depends on the purpose and appropriate addressed question what measurement tool or combination of measurement tools will be used.

Keywords:measurements tools, performance tests, assessment scales, multiple sclerosis

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