Zanesljivost posameznega preiskovalca in zanesljivost med preiskovalci za test hoje po devetih stopnicah pri bolnikih z artrozo kolka : magistrska naloga

Harej, Tanja (author), Vauhnik, Renata (mentor)

Uvod: Hoja po stopnicah je pomembna in funkcijska dejavnost ljudi. Pomembno prispeva k samostojnosti v vsakodnevnem življenju. Artroza kolka ima za posledico slabšanje hoje po ravnem in stopnicah. Hoja po stopnicah je zahtevnejša. Potrebni sta večja mišična jakost in gibljivost v kolčnem sklepu. S pomočjo testa hoje po stopnicah se lahko spremlja napredovanje artroze kolka in oceni funkcijske zmožnosti posameznika. Namen: Oceniti zanesljivost posameznega preiskovalca in zanesljivost med preiskovalci za test hoje po devetih stopnicah pri bolnikih z artrozo kolka. Metode: Pri ocenjevanju zanesljivosti posameznega preiskovalca je sodelovalo 20 preiskovancev brez artroze kolka in 31 preiskovancev z artrozo kolka. Pri ocenjevanju zanesljivosti med preiskovalci pa je sodelovalo 26 preiskovancev z artrozo kolka. Vsi preiskovanci so opravili test hoje po devetih stopnicah dva krat, v razmiku 13 do 19 dni. Za oceno zanesljivosti so bili izračunani koeficinet intraklasne korelacije (angl. intraclass correlation coefficient - ICC), standardna napaka meritev (angl. standard error - SEM) in minimalna zaznavna sprememba (angl. minimal detectable change - MDC) pri 90% intervalu zaupanja. Rezultati: ICC za zanesljivost preiskovalca pri preiskovancih brez artroze kolka je bil 0,94, SEM 0,21 in MDC 0,50. ICC za zanesljivost preiskovalca pri bolnikih z artrozo kolka je bil 0,96, SEM 1,32 in MDC 3,09. ICC za zanesljivost med preiskovalci pri bolnikih z artrozo kolka je bil 0,99, SEM 1,46 in MDC 3,41. Zaključek: Zanesljivost posameznega preiskovalca in zanesljivost med preiskovalci za test hoje po devetih stopnicah pri zdravih odraslih in bolnikih z artrozo kolka sta odlični. Test je enostaven, hitro izvedljiv in ekonomsko sprejemljiv. Rezultati naše raziskave o zanesljivosti posameznega preiskovalca pri bolnikih z artrozo kolka se skladajo z ugotovitvami drugih raziskovalcev.

• Language: Slovenian
• Keywords: kolčni sklep, artroza, test hoje po stopicah, zanesljivost
• Work type: Master's thesis/paper
• Organization: ZF - Faculty of Health Sciences
• Year: 2017
• PID: 20.500.12556/RUL-98457
• COBISS.SI-ID: 5363307
• Publication date in RUL: 02.12.2017

Secondary language

• Language: English
• Title: Intra-rater and inter-rater reliability of the nine step stair test in patients with hip osteoarthritis : master thesis

Abstract

Introduction: Walking the stairs is an important functional activity of people. It preserves mobility and independence in everyday life. The hip arthrosis results in walking deterioration both on flat ground and stairs. Walking the stairs is more difficult. Greater muscular strength and mobility is necessary. The stair climb test enables monitoring the progression of hip arthrosis and assessing functional capabilities of an individual. The purpose of the study is to assess the intra-rater and the inter-rater reliability of the nine stair climb test for patients with the hip arthrosis. Methods: The assessment of the intra-rater reliability involved 20 subjects without hip arthrosis and 31 subjects with hip arthrosis. The assessment of the inter-rater reliability involved 26 subjects with hip arthrosis. All the subjects were took the nine stair climbing test twice within a 13 to 19-day interval. The intraclass correlation coefficient (ICC), the standard error measurement (SEM) and the minimal detectable change (MDC) at the 90% confidence interval were calculated in order to assess the reliability. Results: ICC of the intra-rater reliability in subjects without hip arthrosis was 0,94, SEM 0,21 and MDC 0,50. ICC of the intra-rater reliability in subject with hip arthrosis was 0,96, SEM 1,32 and MDC 3,09. ICC of the inter-rater reliability in subjects with hip arthrosis was 0,99, SEM 1,46 and MDC 3,41. Conclusion: The intra-rater reliability and the inter-rater reliability for the nine stair climb test in subjects without and with hip arthrosis proved excellent. The test is simple, reliable, quick and economically acceptable. Our findings of intra-rater reliability of the nine stair climb test for patients with the hip arthrosis are in concordance with other authors.

• Keywords: hip joint, arthrosis, stair climb test, reliability