Normativne vrednosti testa dvigovanja pete v stoje pri osebah s kronično nespecifično bolečino v spodnjem delu hrbta in povezanost z vprašalnikom za ocenjevanje zmanjšane zmožnosti Roland-Morris : magistrsko delo

Zupančič, Urša (author), Vauhnik, Renata (mentor), Kovačič, Tine (reviewer)

Uvod: Kronična nespecifična bolečina v spodnjem delu hrbta je pomemben javnozdravstveni problem z 18 % stopnjo prevalence. Ima heterogeno klinično sliko s pogostimi primanjkljaji na področju mišične zmogljivosti in zmanjšane zmožnosti. V kliničnem okolju se pogosto uporablja test dvigovanja pete v stoje za oceno mišične zmogljivosti plantarnih fleksorjev. Kot merilo za normalno zmogljivost pri zdravih odraslih osebah med 20. in 59. letom starosti se je uveljavilo število 25 ponovitev. Namen: Namen magistrskega dela je bil pridobiti normativne vrednosti testa dvigovanja pete v stoje pri osebah s kronično nespecifično bolečino v spodnjem delu hrbta, preveriti povezanost med testom dvigovanja pete v stoje in vprašalnikom za ocenjevanje zmanjšane zmožnosti Roland-Morris ter povezanost testa dvigovanja pete v stoje s telesno dejavnostjo. Metode dela: V raziskavo je bilo vključenih 100 odraslih s kronično nespecifično bolečino v spodnjem delu hrbta s povprečno starostjo 55 let. V priložnostni vzorec so bile vključene osebe, ki so bile v času zbiranja podatkov na tritedenski rehabilitaciji. Za oceno zmogljivosti plantarnih fleksorjev smo uporabili test dvigovanja pete v stoje, za oceno zmanjšane zmožnosti so preiskovanci izpolnili vprašalnik za ocenjevanje zmanjšane zmožnosti Roland-Morris. Rezultati: Povprečno število ponovitev testa dvigovanja pete v stoje je bilo 27,4 (SO = 12,3) brez statistično pomembne razlike v primerjavi z zdravimi posamezniki. Ugotovili smo statistično pomembno povezanost testa dvigovanja pete v stoje z redno telesno dejavnostjo (r = 0,28–0,33; p < 0,01) ter statistično pomembno negativno povezanost testa dvigovanja pete v stoje z vprašalnikom za ocenjevanje zmanjšane zmožnosti Roland-Morris (r = -0,38; p < 0,01). Razprava in zaključek: Naša raziskava prinaša nove izsledke o funkcionalnem stanju oseb s kronično nespecifično bolečino v spodnjem delu hrbta, saj smo preučevali distalno mišično skupino, torej plantarne fleksorje stopala. Rezultati kažejo, da osebe s kronično nespecifično bolečino v spodnjem delu hrbta nimajo zmanjšane zmogljivosti plantarnih fleksorjev, so pa slednji pomembno povezani s stopnjo telesne dejavnosti in zmanjšane zmožnosti. Za boljšo klinično uporabnost testa je v prihodnje pomembno standardizirati postopek izvedbe in zajeti dodatne parametre za natančnejše rezultate. Prav tako je smiselna uporaba mobilnih aplikacij, ki so v literaturi pokazale odlično zanesljivost, in upoštevanje dodatnih dejavnikov, kot so starost, spol in komorbiditete, ki lahko vplivajo na rezultat testa.

• Language: Slovenian
• Keywords: magistrska dela, fizioterapija, kronična nespecifična bolečina v spodnjem delu hrbta, test dvigovanja pete v stoje, vprašalnik za ocenjevanje zmanjšane zmožnosti Roland-Morris, normativne vrednosti
• Work type: Master's thesis/paper
• Typology: 2.09 - Master's Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [U. Zupančič]
• Year: 2025
• Number of pages: 25 str., [6] str. pril.
• PID: 20.500.12556/RUL-173907
• UDC: 615.8
• COBISS.SI-ID: 250345475
• Publication date in RUL: 25.09.2025

Secondary language

• Language: English
• Title: Normative values of the heel-rise test in persons with chronic non-specific low back pain and correlation with Roland-Morris disability questionnaire : master thesis

Abstract

Introduction: Chronic non-specific low back pain is a significant public health issue with a prevalence rate of 18%. It presents with a heterogeneous clinical presentation, often including deficits in muscle performance and reduced functional capacity. In clinical practice, the heel-rise test is commonly used to assess the muscle performance of the plantar flexors. A normative value of 25 repetitions has been established for healthy adults in the age range of 20 to 59 years. Purpose: The purpose of this master's thesis was to obtain normative values for the heel-rise test in individuals with chronic non-specific low back pain, to examine the relationship between the heel-rise test and the Roland-Morris Disability Questionnaire, and to investigate the association between the heel-rise test and physical activity levels. Methods: The study included 100 adults with chronic non-specific low back pain, with an average age of 55 years. A convenience sample was used, consisting of individuals undergoing a three-week rehabilitation program at the time of data collection. The heel-rise test was used to assess plantar flexor performance, while functional disability was evaluated using the Roland-Morris Disability Questionnaire. Results: The mean number of heel-rise repetitions was 27.4 (SD = 12.3), with no statistically significant difference compared to healthy individuals. A statistically significant positive correlation was found between the heel-rise test and regular physical activity (r = 0.28–0.33; p < 0.01), as well as a statistically significant negative correlation was found between the heel-rise test and the Roland-Morris Disability Questionnaire (r = -0.38; p < 0.01). Discussion and conclusion: Our research provides new insights into the functional status of individuals with chronic non-specific low back pain, since it examines a distal muscle group, namely the plantar flexors. The results show that individuals with chronic non-specific low back pain do not have reduced plantar flexor performance, although it significantly correlates with both physical activity levels and functional disability. To improve the clinical utility of the test, it is important to standardize the testing protocol and incorporate additional parameters to achieve more accurate assessment. It is reasonable to use reliable mobile applications and to consider additional factors such as age, sex, and comorbidities that may affect test performance.

• Keywords: master's theses, physiotherapy, chronic non-specific low back pain, heel-rise test, Roland-Morris disability questionnaire, normative values