Zanesljivost in veljavnost testa devetih zatičev pri pacientih s cervikobrahialnim sindromom : magistrsko delo

Arhar, Silvestra (author), Puh, Urška (mentor), Vauhnik, Renata (reviewer)

Uvod: Cervikobrahialni sindrom je opredeljen kot bolečina ter senzorično motorični primanjkljaj zaradi kompresije vratne živčne korenine. Zaradi simptomov, ki jih imajo pacienti prihaja do težav tudi pri izvajanju dejavnosti vsakodnevnega življenja, del katerih je rokovanje s predmeti in spretnost roke. Najpogosteje uporabljen test za oceno spretnosti je test devetih zatičev, vendar merske lastnosti pri cervikobrahialnem sindromu še niso raziskane. Namen: Namen magistrskega dela je bil preveriti merske lastnosti testa devetih zatičev pri pacientih s cervikobrahialnim sindromom. Ugotavljali smo zanesljivost posameznega preiskovanca, sočasno veljavnost z meritvami mišične jakosti prijema roke in pincetnega prijema in njegovo povezanost z občutkom z regulacijo sile ter intenzivnostjo bolečine. Metode dela: V raziskavi je sodelovalo 35 pacientov s cervikobrahialnim sindromom starih od 25 do 70 let, večinoma ženskega spola (n = 29). Ob prvem ocenjevanju smo izvedli test devetih zatičev, oceno bolečine s številsko lestvico za oceno intenzivnosti bolečine, izmerili jakost prijema roke in pincetnega prijema z dinamometrom Jamar ter občutek za silo pri prijemu roke in pincetnemu prijemu. Drugo ocenjevanje s testom devetih zatičev je bilo opravljeno tri dni po prvem. Izračunali smo intraklasni korelacijski koeficient in Pearsonov ali Spearmanov koeficient korelacije ter parni t-test med udoma. Rezultati: Vsi preiskovanci so imeli simptome cervikobrahialnega sindroma unilateralno. Mišična jakost in občutek za silo okvarjenega zgornjega uda sta bila statistično značilno nižja od vrednosti neokvarjenega zgornjega uda (vsi p<0,05). Ugotovljena je bila odlična (ICC = 0,94) zanesljivost posameznega preiskovalca na neokvarjeni strani in zelo dobra (ICC = 0,89) na okvarjeni strani. Povezanosti testa devetih zatičev z meritvami mišične jakosti in z bolečino v vratu nismo ugotovili. Povezanost testa devetih zatičev z občutkom za silo na okvarjeni stani med pincetnim prijemom je bila nizka (r = 0,37), prav tako z bolečino po okvarjenem zgornjem udu (r = 0,47) (obe p < 0,05). Zaključek: Test devetih zatičev ima dobro do odlično zanesljivost posameznega preiskovalca pri pacientih s cervikobrahialnim sindromom. Statistično značilno povezanost smo ugotovili zgolj za bolečino po okvarjenem zgornjem udu in občutkom za silo med pincetnim prijemom na okvarjeni strani. Na področju veljavnosti testa devetih zatičev so potrebne dodatne raziskave.

• Language: Slovenian
• Keywords: magistrska dela, fizioterapija, cervikobrahialni sindrom, test devetih zatičev, veljavnost, zanesljivost
• Work type: Master's thesis/paper
• Typology: 2.09 - Master's Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [S. Arhar]
• Year: 2022
• Number of pages: 42 str., [1] str. pril.
• PID: 20.500.12556/RUL-142096
• UDC: 615.8
• COBISS.SI-ID: 126531843
• Publication date in RUL: 20.10.2022

Secondary language

• Language: English
• Title: Reliability and validity of nine hole peg test for patients with cervicobrachial syndrome : master thesis

Abstract

Introduction: Cervicobrachial syndrome is defined as pain and sensory-motor deficit due to compression of the cervical nerve root. Because of symptoms that present in patients problems arise when performing certain activities of daily life, part of which are in hand manipulation and dexterity. The most used test for assessing dexterity is the nine-hole peg test, but psychometric properties in patients with cervicobrahial syndrome have not yet been researched. Purpose: The purpose of this thesis was to examine psychometric properties of nine-hole peg test in patients with cervicobrachial syndrome. We assessed intrarater reliability and validity. For validity we assessed correlation of nine-hole peg test with grip and pinch muscle strength, force control and pain intensity. Methods: The study included 35 patients with cervicobrahial syndrome, aged from 25 to 70 years, mostly females (n = 29). At first evaluation we did the nine-hole peg test, evaluated the pain using numeric pain rating scale, tested grip and pinch muscle strength using Jamar dynamometer and assessed force controle for hand grip and pinch grip. The second evaluation was performed three days after the first and included only the nine-hole peg test. We calculated intraclass correlation coefficient, Pearson or Spearman's correlation coefficient and paired t-test for difference between extremities. Results: All patients had unilateral symptoms. Muscle strength and force control of the affected upper limb were statistically significant lower compared to healthy upper limb (all p<0,05). We observed excellent (ICC = 0,94) intrarater reliability for non-affected upper limb and very good (ICC = 0,89) reliability for affected upper limb. There was no correlation between the nine-hole peg test and muscle strength or neck pain. Correlation between the nine-hole peg test and force control on the affected side for pinch grip was low (r = 0,37), same goes for pain on the affected upper limb (r = 0,46) (both p < 0,05). Conclusion: Nine-hole peg test has good to excellent reliability in patients with cervicobrahial syndrome. Statisticly significant correlation was observed for pain in the affected upper limb and force controle for pinch grip on the affected side. Further research is needed to verify the validity of nine-hole peg test.

• Keywords: master's theses, physiotherapy, cervicobrachial syndrome, nine-hole peg test, validity, reliability