Zanesljivost ocenjevanja občutka za položaj ramenskega sklepa - pregled literature : diplomsko delo

Tekavec, Ela (author), Hlebš, Sonja (mentor), Vauhnik, Renata (reviewer)

Uvod: Zavedanje o položaju in gibanju zgornjega uda je ključno za koordinirano gibanje in preprečevanje poškodb med vsakodnevnimi dejavnostmi. Poškodbe ramenskega sklepa povzročajo zmanjšan občutek propriocepcije, zato je ocenjevanje propriocepcije pomemben element fizioterapevtske obravnave okvar in poškodb ramenskega sklepa. Ocenjevanje občutka za položaj ramenskega sklepa poteka z različnimi merilnimi orodji, v različnih testnih pogojih. Število enostavnih in zanesljivih metod za ocenjevanje občutka za položaj ramenskega sklepa je omejeno, kar predstavlja izziv pri iskanju močnih kliničnih orodij. Namen: Namen diplomskega dela je bil, na podlagi pregleda literature analizirati zanesljivost ocenjevanja občutka za položaj ramenskega sklepa. Metode dela: Iskanje literature je potekalo preko spletnega vira v podatkovnih zbirkah PubMed in Google Scholar ter s posamičnim iskanjem v referencah objavljenih virov. Rezultati: V pregled literature je bilo vključenih osem raziskav, v katerih so avtorji proučevali zanesljivost ocenjevanja občutka za položaj ramenskega sklepa z izokinetičnim dinamometrom, laserskim kazalnikom, mobilno aplikacijo, SPReT merilnim orodjem, inklinometrom in goniometrom. V raziskavah so ocenjevali zanesljivost posameznega preiskovalca in zanesljivost med preiskovalci. Vsi protokoli so ocenjevali aktiven občutek za položaj ramenskega sklepa. Odlično zanesljivost ocenjevanja očutka za položaj ramenskega sklepa posameznega preiskovalca je pokazalo ocenjevanje z laserskim kazalnikom, SPReT merilnim orodjem in mobilno aplikacijo. Zanesljivost med preiskovalci je bila odlična pri ocenjevanju z izokinetičnim dinamometrom, laserskim kazalnikom in SPReT merilnim orodjem. Razprava in zaključek: Med analiziranimi raziskavami je najvišjo zanesljivost pokazalo ocenjevanje z laserskim kazalnikom in SPReT merilnim orodjem. Za ocenjevanje z laserskim kazalnikom, goniometrom, inklinometrom in mobilno aplikacijo velja, da se zanesljivost z večanjem obsega giba v ramenskem sklepu manjša. Ocenjavanje s SPReT merilnim orodjem je odlično zanesljivo pri gibih zgornjega uda nad nivojem ramenskega sklepa. Ocenjevanje aktivnega občutka za položaj ramenskega sklepa z izokinetičnim dinamometrom je najzanesljivejše v srednjih obsegih gibljivosti.

• Language: Slovenian
• Keywords: diplomska dela, fizioterapija, ramenski sklep, občutek za položaj sklepa, zanesljivost
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [E. Tekavec]
• Year: 2023
• Number of pages: 32 str.
• PID: 20.500.12556/RUL-149095
• UDC: 615.8
• COBISS.SI-ID: 163193603
• Publication date in RUL: 03.09.2023

Secondary language

• Language: English
• Title: Reliability of shoulder joint position sense assessment - literature review : diploma work

Abstract

Introduction: Awareness of the position and movement of the upper limb is crucial for coordinated movement and injury prevention during daily activities. Shoulder joint injuries lead to decreased proprioceptive sensation, making the assessment of proprioception an important element of physiotherapeutic management of shoulder impairments and injuries. The assessment of shoulder joint position sense is performed using various measurement tools and under different testing conditions. The number of simple and reliable methods for evaluating shoulder joint position sense is limited, posing a challenge in finding strong clinical tools. Purpose: The aim of this thesis was to analyze the reliability of assessing shoulder joint position sense based on a literature review. Methods: Literature search was conducted using online databases PubMed and Google Scholar, as well as individual searches within the references of published sources. Results: Eight studies were included in the literature review, in which authors examined the reliability of assessing shoulder joint position sense using isokinetic dynamometer, laser pointer, mobile application, SPReT measurement tool, inclinometer, and goniometer. The reliability was assessed using intra- rater and inter-rater measurements. All protocols assessed active shoulder joint position sense. Excellent intra-rater reliability of shoulder joint position sense was demonstrated with the use of laser pointer, SPReT measurement tool, and mobile application. The inter-rater reliability was excellent for assessments using isokinetic dynamometer, laser pointer, and SPReT measurement tool. Discussion and conclusion: Among the analyzed studies, the assessment with laser pointer and SPReT measurement tool showed the highest reliability. For assessments using laser pointer, goniometer, inclinometer, and mobile application, the reliability decreases with increasing range of motion in the shoulder joint. Assessment with SPReT measurement tool is highly reliable for upper limb movements above the shoulder joint level. Assessment of active shoulder joint position sense with isokinetic dynamometer is most reliable in mid-range movements.

• Keywords: diploma theses, physiotherapy, shoulder joint, joint position sense, reliability