Normativne vrednosti in razločevalna veljavnost Biering-Sorensen testa pri gradbenih delavcih ter povezanost z Oswestryjevim indeksom nezmožnosti : magistrsko delo

Gazibarić, Tamara (author), Vauhnik, Renata (mentor)

Uvod: Gradbeni delavci opravljajo težko fizično delo, ki sestoji iz ponavljajočega dvigovanja, nošenja, vlečenja, potiskanja, obračanja, pripogibanja ter drugih prisilnih drž. Letna prevalenca bolečine v spodnjem delu hrbta pri gradbenih delavcih je 51 %. Nizka vzdržljivost mišic ekstenzorjev trupa velja za pomemben dejavnik tveganja za pojav bolečine v spodnjem delu hrbta. Za oceno izometrične vzdržljivosti mišic ekstenzorjev trupa se uporablja Biering-Sorensen test. Namen: Namen magistrskega dela je bil pridobiti normativne vrednosti za Biering-Sorensen test pri gradbenih delavcih, ugotoviti razločevalno veljavnost Biering-Sorensen testa ter preveriti povezanost med rezultati Biering-Sorensen testa in Oswestryjevega indeksa nezmožnosti. Metode dela: V raziskavo smo vključili 81 gradbenih delavcev. Za oceno izometrične vzdržljivosti mišic ekstenzorjev trupa smo uporabili Biering-Sorensen test. Za oceno funkcionalne nezmožnosti zaradi bolečin v spodnjem delu hrbta so preiskovanci izpolnili Oswestryjev indeks nezmožnosti. Rezultati: Povprečni čas zadržka položaja na Biering-Sorensen testu vseh preiskovancev je bil 146,0 ± 59,3 s. Preiskovanci brez pretekle izkušnje z bolečino v spodnjem delu hrbta so v povprečju položaj zadržali 172,8 ± 48,7 s, preiskovanci s preteklo izkušnjo bolečine v spodnjem delu hrbta pa 95,3 ± 42,3 s. Razlika v povprečnem času zadržka položaja med enimi in drugimi je bila statistično pomembna (p < 0,05). Čas zadržka položaja na Biering-Sorensen testu in rezultat na Oswestryjevem indeksu nezmožnosti sta bila statistično pomembno močno negativno povezana (r = - 0,79; p < 0,05). Razprava in zaključek: Gradbeni delavci so položaj na Biering-Sorensen testu v povprečju zadržali 146 s. Biering-Sorensen test je pokazal dobro sposobnost razločevanja med gradbenimi delavci z in brez pretekle bolečine v spodnjem delu hrbta. Vzdržljivost mišic ekstenzorjev trupa je imela pomemben vpliv na stopnjo nezmožnosti zaradi bolečin v spodnjem delu hrbta.

• Language: Slovenian
• Keywords: gradbeni delavci, bolečina v spodnjem delu hrbta, Biering-Sorensen test, Oswestryjev indeks nezmožnosti
• Work type: Master's thesis/paper
• Organization: ZF - Faculty of Health Sciences
• Year: 2020
• PID: 20.500.12556/RUL-113681
• COBISS.SI-ID: 5769067
• Publication date in RUL: 24.01.2020

Secondary language

• Language: English
• Title: Normative data and discriminative validity of the Biering-Sorensen test in construction workers and correlation with Oswestry disability index : master thesis

Abstract

Introduction: Construction workers have physically demanding job, which consists of repetetive lifting, carrying, pulling, pushing, twisting, bending and other non-neutral trunk positions. An annual prevalence of low back pain among construction workers is 51 %. Low endurance of trunk extensor muscles is an important risk factor for developing low back pain. Biering-Sorensen test is used for evaluating the isometric endurance of trunk extensor muscles. Purpose: The aims of the master thesis were to gather normative data on Biering-Sorensen times in construction workers, to evaluate the discriminative validity of the Biering-Sorensen test and to examine the correlation between results of Biering-Sorensen test and Oswestry disability index. Methods: We included 81 construction workers in this study. Trunk extensor muscle endurance was measured by using Biering-Sorensen test. To assess the functional disability level of low back pain, subjects fulfilled Oswestry disability index. Results: The mean position holding time of the Biering-Sorensen test for the total sample was 146,0 ± 59,3 s. The mean position holding time of the subjects without prior low back pain was 172,8 ± 48,7 s and of the subjects with prior low back pain was 95,3 ± 42,3 s. The difference between the subjects with and without prior low back pain was statistically significant (p < 0,05). A statistically significant strong negative correlation between results of Biering-Sorensen test and Oswestry disability index was found (r = - 0,79; p < 0,05). Discussion and conclusion: The mean position holding time of the Biering-Sorensen test in construction workers was 146 s. Biering-Sorensen test showed a good ability to differentiate between construction workers with and without prior low back pain. Trunk extensor muscle endurance had an important impact on the disability level of low back pain.

• Keywords: construction workers, low back pain, Biering-Sorensen test, Oswestry disability index