Indeks premičnosti de Morton : veljavnost za znane skupine ter učinka tal in stropa

Zupanc, Aleksander (author), Puh, Urška (author)

Uvod: Izid indeksa premičnosti de Morton (angl. de Morton mobility index –DEMMI) nima učinkov tal in stropa. Pri pacientih na rehabilitaciji je bila ugotovljena sposobnost razlikovanja ravni premičnosti glede na sposobnost hoje, glede na vzrok zmanjšane premičnosti pa razlik ni bilo. Namen raziskave je bil preveriti veljavnost za znane skupine glede na sposobnost hoje in vzrok zmanjšane premičnosti pri preiskovancih z mišično-skeletnimi okvarami ter ugotoviti prisotnost učinkov tal in stropa po posameznih nalogah. Metode: V raziskavi je sodelovalo 81 pacientov, starih od 22 do 85 let, ki so bili sprejeti na rehabilitacijo. Za izide DEMMI različnih skupin ob sprejemu smo naredili analizo kovariance in izračunali deleže preiskovancev, ki so izvedli posamezno nalogo. Rezultati: Med izidi DEMMI so bile glede na sposobnost hoje in vzrok zmanjšane premičnosti razlike statistično značilne. Učinkov tal in stropa za izid DEMMI ni bilo. Po posameznih nalogah je bil prisoten učinek tal pri vseh razen pri prvih štirih, učinek stropa pa pri treh nalogah. Zaključek: Z izidi DEMMI lahko razlikujemo raven premičnosti glede na sposobnost hoje in vzrok zmanjšane premičnosti pri odraslih. Prisotnost učinkov tal in stropa po posameznih nalogah potrjuje smiselnost sestave testa.

• Language: Slovenian
• Keywords: DEMMI, merske lastnosti, premičnost, merilno orodje, pripomoček za hojo
• Typology: 1.01 - Original Scientific Article
• Organization: ZF - Faculty of Health Sciences
• Year: 2019
• Number of pages: Str. 1-7
• Numbering: Letn. 27, št. 2
• PID: 20.500.12556/RUL-114488
• UDC: 615.82/.84
• ISSN on article: 1318-2102
• COBISS.SI-ID: 5764203
• Publication date in RUL: 03.03.2020

Record is a part of a journal

• Title: Fizioterapija
• Shortened title: Fizioterapija
• Publisher: Društvo fizioterapevtov Slovenije, Društvo fizioterapevtov Slovenije, Združenje fizioterapevtov Slovenije
• ISSN: 1318-2102
• COBISS.SI-ID: 30074880

Secondary language

• Language: English
• Title: De Morton mobility index : known-groups validity and floor and ceiling effects

Abstract

Background: De Morton mobility index (DEMMI) has no floor and ceiling effects. With patients on rehabilitation the ability to differentiate mobility level relating to walking ability was identified, but there was no difference relating to cause of mobility decline. The purpose of the study was to verify known-groups validity according to the walking ability and cause of mobility decline by participants with musculoskeletal impairments, and to evaluate floor and ceiling effects of the individual items. Methods: Eighty-one patients aged from 22 to 85 years, who were admitted to rehabilitation were included in the study. We used covariance analysis for different groups and calculated proportion of participants for an individual item of DEMMI at admission. Results: There were statistically significant differences of DEMMI according to walking ability and according to cause of mobility decline. There was no floor or ceiling effect for DEMMI. With DEMMI items the floor effect was present at all items except at the first four and the ceiling effect was present at three items. Conclusion: With DEMMI we can differentiate adult’s mobility level relating to walking ability and the cause of mobility decline. Presence of floor and ceiling effects of individual items confirms relationship of all items in this test.

• Keywords: DEMMI, measurement properties, mobility, measurement tool, walking aid