Izid testa sesedanja sede in prvega testa mobilizacije živčevja za zgornji ud pri zdravih odraslih

Hlebš, Sonja (author), Salmič, Viktorija (author)

Uvod: Testi mobilizacije perifernega živčevja se uporabljajo za ocenjevanje mehanosenzitivnosti živčnega tkiva. Namen raziskave je bil ugotoviti izide testa sesedanja sede in prvega testa mobilizacije živčevja za zgornji ud ter določiti mejne vrednosti fleksije kolenskega oziroma komolčnega sklepa za določanje pozitivnih izidov pri zdravih odraslih. Metode: Sodelovalo je 84 preiskovancev obeh spolov, starih od 18 do 32 let. Najprej smo vsakemu izmerili gibljivost hrbtenice s centimetrskim trakom. Sledila je izvedba testov na levih zgornjih in spodnjih udih. Po vsakem izvedenem testu smo s plastičnim univerzalnim goniometrom izmerili fleksijo kolenskega ali komolčnega sklepa. Rezultati: Pri testu sesedanja sede je bilo 79 (94 %) lažno pozitivnih izidov, pri prvem dinamičnem testu živčevja za zgornji ud pa 84 (100 %). Povprečje kotov fleksije kolena pri pozitivnih izidih je bilo 20,25° ± 12,5° (95 % IZ: 17,45°–23,05°) in fleksije komolca 39,17° ± 9,75° (95 % IZ: 37,05°–41,28°). Mejna vrednost pozitivnega izida za test sesedanja je bila 30° fleksije kolena in za prvi test mobilizacije živca za zgornji ud 45° fleksije komolca. Zaključki: Ugotovili smo visoko stopnjo lažno pozitivnih testov pri obeh testih, ki je višja kot v predhodnih raziskavah. Veljavnost mejnih vrednosti za pozitivne izide obeh testov je treba preveriti pri pacientih.

• Language: Slovenian
• Keywords: dinamični testi živčevja, test sesedanja sede, prvi dinamični živčni test za zgornji ud, živčevje
• Typology: 1.01 - Original Scientific Article
• Organization: ZF - Faculty of Health Sciences
• Year: 2018
• Number of pages: Str. 1-8
• Numbering: Letn. 26, št. 1
• PID: 20.500.12556/RUL-114510
• UDC: 615.8
• ISSN on article: 1318-2102
• URN: URN:NBN:SI:doc-UBOL0IZX
• COBISS.SI-ID: 5465963
• 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: The outcome of seated slum test and upper limb neural tension test 1 among healthy young adults

Abstract

Introduction: Neurodynamic tests are used to assess the mechanosensitivity of the neural tissue. The purpose of this study was to determine the outcome of seated slump test and upper limb neural tension test 1 among healthy adults and to identify cut-off scores based on knee and elbow range of motion for test to be positive. Methods: Eighty-four subjects of both genders aged between 18 and 32 were included. Spine mobility was measured first with tape measure and then the neurodynamic tests were performed on the subject’s upper and lower extremities. Results: Of the 84 participants, 79 (94 %) were found to have false positive seated slump test and 84 (100 %) for upper limb neural tension test 1. For positive tests the mean knee flexion angle was 20.25° ± 12.5° (95 % CI: 17.45°-23.05°) and the mean elbow flexion angle was 39.17° ± 9.75° (95 % CI: 37.05°-41.28°). As a possible cut-off for positive tests, 30° knee flexion and 45°elbow flexion were recommended. Conclusion: There was a high degree of false positive tests in both tests which was found to be higher in comparison with previous studies. The validity investigation of the proposed cut-off angles on patients is recommended.

• Keywords: neurodynamic tests, slump test, upper limb neural tension test 1, nervous system