Merske lastnosti testa nadzora trupa : pregled literature

Jelen, Saša (author), Puh, Urška (mentor)

Uvod: Test nadzora trupa je kratko, preprosto merilno orodje, ki ocenjuje nadzor trupa. Sposobnost nadzora trupa pa je treba oceniti pri pacientih z nižjo stopnjo premičnosti. Štiri naloge testa ocenjujejo obračanje iz položaja na hrbtu na obe strani, usedanje iz ležečega položaja ter ravnotežje v sedečem položaju. Končni izid je lahko od 0 do 100 točk, pri čemer višji izid pomeni boljšo sposobnost. Namen: Namen diplomskega dela je bil na podlagi pregleda literature ugotoviti merske lastnosti testa nadzora trupa pri različnih populacijah preiskovancev. Metode: Literatura je bila pridobljena za obdobje do decembra 2017. Pregledane so bile podatkovne zbirke PubMed, CINAHL in Cochrane Library. Vključene so bile raziskave, ki so bile v celoti objavljene v angleškem jeziku in so proučevale vsaj eno izmed merskih lastnosti testa nadzora trupa. Rezultati: V pregled je bilo vključenih 16 raziskav. V treh so proučevali zanesljivost, v šestnajstih veljavnost, sposobnost zaznati spremembe pa v sedmih raziskavah. Rezultati zanesljivosti so pokazali, da je test nadzora trupa srednje do zmerno notranje skladen (α = 0,749–0,83), ima odlično zanesljivost posameznega preiskovalca (ICC = 0,979) in zelo dobro zanesljivost med preiskovalci (rs = 0,76). Veljavnost je v večini primerov zmerna do zelo dobra (0,39–0,91). Z visoko občutljivostjo (61,5–100 %) in specifičnostjo (53–100 %) je z različnimi napovednimi modeli, ki vsebujejo test nadzora trupa, mogoče napovedati sposobnost hoje. Z njim je mogoče napovedati tudi ravnotežje, funkcijsko samostojnost, izid premičnosti, dolžino bivanja v rehabilitacijski ustanovi in mesto odpusta. Je dobro odziven (ROC = 0,92), z visokim učinkom stropa (do 100 %). Zaključek: Test nadzora trupa se je izkazal kot zanesljiv, veljaven in odziven pri ljudeh z živčno-mišičnimi boleznimi in pacientih po možganski kapi, pri starostnikih pa izidi niso bili skladni z znanimi lastnostmi testa. Rezultati glede občutljivosti so si nasprotujoči. Zaradi izrazitega učinka stropa je test nadzora trupa najprimernejši za uporabo pri pacientih z nizko stopnjo funkcijske samostojnosti ter pri pacientih, ki so vezani na posteljo. Potrebne bi bile nadaljnje raziskave merskih lastnosti testa nadzora trupa za različne populacije preiskovancev, pri katerih se ta test uporablja v kliničnem okolju.

• Language: Slovenian
• Keywords: test nadzora trupa, ocenjevanje trupa, zanesljivost, veljavnost, učinek stropa
• Work type: Bachelor thesis/paper
• Organization: ZF - Faculty of Health Sciences
• Year: 2018
• PID: 20.500.12556/RUL-100317
• COBISS.SI-ID: 5415019
• Publication date in RUL: 22.03.2018

Secondary language

• Language: English
• Title: Psychometric properties of the trunk control test : literature review

Abstract

Introduction: The trunk control test is a short, simple measuring tool that assesses trunk control. The ability to control the trunk should be evaluated in patients with a lower mobility rate. Four tasks of the test examine rolling from a supine position on both sides, sitting up from a lying-down position, and sitting in a balanced position. The total score ranges from 0 and up to 100 points, with the higher score indicating better ability. Purpose: The purpose of the graduation thesis was to establish, on the basis of a literature review, the psychometric properties of the trunk control test in different populations of subjects. Methods: The literature was collected until December 2017. The PubMed, CINAHL, and Cochrane Library databases were reviewed. The research articles that were fully published in English language and studied at least one of the psychometric properties of the trunk control test, were included. Results: There were 16 research articles included in the overview. Three of them researched the reliability of trunk control test, sixteen research articles examined validity, and seven its ability to detect changes. Reliability results showed that the trunk control test has fairly to moderate internal consistency (α = 0.749-0.83), excellent intra-rater reliability (ICC = 0.979), and very good inter-rater reliability (rs = 0.76). The validity is, in most cases, moderate to very good (rs = 0.39-0.91). It is possible to predict the ability of walking with different prediction models, containing the trunk control test with high sensitivity (61.5-100%) and specificity (53-100%). Trunk control test can also predict balance, functional independence, mobility outcome, the length of stay, and the discharge outcome. This test has good responsiveness (ROC = 0.92), with a high ceiling effect (up to 100%). Conclusion: The trunk control test has proved to be reliable, valid, and responsive in people with neuromuscular diseases and in stroke patients. In elderly patients, the outcome measures did not comply with the known test psychometric properties. Results of the sensitivity to change are contradictory. Due to the high ceiling effect, the trunk control test is the most appropriate for use in patients with lower functional levels and in bed-bound patients. Further studies to investigate psychometric properties of the trunk control test for different populations, in which this test is used in a clinical setting, are required.

• Keywords: trunk control test, trunk assessment, reliability, validity, ceiling effect