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Veljavnost in zanesljivost meritev in testov telesne funkcije pri ljudeh s spinalno stenozo : diplomsko delo
ID Kavšek, Nika (Author), ID Kacin, Alan (Mentor) More about this mentor... This link opens in a new window

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Abstract
Uvod: Lumbalna spinalna stenoza pomeni zožitev ledvenega spinalnega kanala, kar lahko povzroči utesnitev hrbtenjače in/ali živčnih korenin. Je kronično stanje z več let trajajočimi nespecifičnimi bolečinami v spodnjem delu hrbta, ki se kasneje kaže kot progresivno slabšanje s prehodnimi epizodami hujših bolečin v spodnjem delu hrbta in vzdolž spodnjih okončin. Namen: Ugotoviti, kateri testi telesne zmogljivosti in funkcije so veljavni in zanesljivi za ocenjevanje zmožnosti ljudi z lumbalno stenozo spinalnega kanala. Metode dela: Uporabljena je bila deskriptivna metoda raziskovanja. Pregledana je bila strokovna in znanstvena literatura v podatkovnih zbirkah Medline, PubMed, ScienceDirect in The Spine Journal. Rezultati: Test hoje po tekoči podlagi ima visoko stopnjo kratkoročne zanesljivosti z nizko stopnjo neskladnosti. Dobra korelacija je med napovedano razdaljo sposobnosti hoje in testom Self-Paced Walking Test, pri katerem pacient hodi, dokler ga ne ustavijo simptomi. Najveljavnejša sta testa Oswestry Disability Index, in sicer kategorija hoje ter samoocena prehojene razdalje. Razprava in zaključek: Hoja je glavni kazalnik funkcijskega stanja pri pacientih z lumbalno spinalno stenozo in se jo najpogosteje ocenjuje z vprašalniki. Najpogosteje uporabljena vprašalnika sta Physical Function Scale in Oswestry Disability Index. Vprašalnik Physical Function Scale je namenjen oceni funkcijskega stanja pacientov z lumbalno spinalno stenozo, vprašalnik Oswestry Disability Index se uporablja za oceno bolečine v spodnjem delu hrbta. Najbolj veljavne in ponovljive meritve so kategorija hoje po Oswestry Disabilty Index, test hoje po tekoči podlagi ter kategorija hoje po Physical Function Scale.

Language:Slovenian
Keywords:bolečina v spodnjem delu hrbta, meritev funkcije, testi telesne zmogljivosti, zoženje hrbteničnega foramna, veljavnost, ponovljivost
Work type:Bachelor thesis/paper
Organization:ZF - Faculty of Health Sciences
Year:2018
PID:20.500.12556/RUL-105539 This link opens in a new window
COBISS.SI-ID:5544811 This link opens in a new window
Publication date in RUL:05.12.2018
Views:2196
Downloads:533
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Secondary language

Language:English
Title:Validity and reliability of measurements and tests of physical functions in people with spinal stenosis : diploma work
Abstract:
Introduction: Lumbar spinal stenosis is constriction of the lumbar spinal canal, which can cause the spinal cord and / or nerve roots to cramp. It is a chronic condition with several years of non-specific lower back pain and can later lead to a progressive deterioration with transient episodes of severe back pain and pain along the lower limbs. Purpose: The purpose is to determine which physical movement tests and functions are valid and reliable for assessing the capacities of people with stenosis of the spinal canal. Methods: A descriptive method of research was used. Professional and scientific literature was reviewed in Medline, PubMed, ScienceDirect and The Spine Journal. Results: The track belt test shows a high level of short-term reliability with a low degree of inconsistency. A good correlation is between the predicted walking distance and the Self-Paced Walking Test, where the patient is walking until the symptoms are stop him. We get the most valid correlation in the Oswestry Disability Index questionnaire - the walking category and self-assessment of the distance traveled with validity. Discussion and conclusion: Walking is the main indication of functional status of patients with lumbar spinal stenosis, so pre-prepared specific questionnaires that acess a certain feature are used. The most used questionnaires are Physical Function Scale and Oswestry Disability Index. The Physical Function Scale questionnaire is intended to assess the functional status of patients with lumbar spinal stenosis, while the Oswestry Disability Index questionnaire is used to assess the pain in the lower back or to assess the categories within the questionnaire. The most valid and reproducible measurements are the Oswestry Disability Index, a walk on a running carpet and a Physical Function Scale walking category.

Keywords:low back pain, functional test, function measurement, lumbar spinal canal constriction, reproducibility, validity

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