Zanesljivost modificiranega kliničnega testa senzorične interakcije in ravnotežja na pritiskovni plošči v treh položajih in razlike v izidih med odraslimi različnih starosti : magistrsko delo

Pišotek, Mojca (avtor), Puh, Urška (mentor), Rugelj, Darja (recenzent)

Uvod: Modificiran klinični test senzorične interakcije in ravnotežja (ang. modified clinical test of sensory interaction and balance – mCTSIB) je bil razvit za sistematično ocenjevanje sistemov pri uravnavanju ravnotežja. Izvaja se lahko v treh stoječih položajih, v vsakem v štirih pogojih z določenim vrstnim redom. Stabilometrija je veljaven postopek objektivnega merjenja statičnega ravnotežja. Spremenljivke opišejo premike središča pritiska med stojo na pritiskovni plošči. Namen: Ugotoviti zanesljivost posameznega preiskovalca pri izvedbi mCTSIB na pritiskovni plošči v treh položajih stoje, primerjati izvedljivost testiranja v vseh položajih in testnih pogojih ter izide med starostnimi skupinami. Metode dela: V raziskavo je bilo vključenih 60 zdravih preiskovancev v štirih starostnih skupinah (po 15 preiskovancev). Preiskovanci prvih dveh starostnih skupin so se udeležili dveh testiranj v razmiku enega tedna, preiskovanci tretje in četrte starostne skupine pa enkrat. Protokol mCTSIB je bil prilagojen stabilometriji. Izračunani so bili intraklasni korelacijski koeficienti (ICC3, k) ter ANOVA in naknadni t-testi za neodvisne vzorce z Bonferronijevim popravkom. Rezultati: Zanesljivost posameznega preiskovalca za mCTSIB v položaju stoje s stopali skupaj je bila visoka do odlična (ICC = 0,79-0,95) pri vseh testnih pogojih. V položaju tandemske stoje je bila zanesljivost pri TPOO visoka (ICC = 0,82-0,87), pri TPZO zmerna do visoka (ICC = 0,68-0,79) ter pri MPOO in MPZO nizka do zmerna (ICC = 0,50-0,73). V položaju stoje na eni nogi je bila zanesljivost pri pogoju TPOO visoka do odlična (ICC = 0,78-0,97), pri pogojih TPZO in MPOO zmerna do visoka (ICC = 0,55-0,83) in pri MPZO nizka do visoka (ICC = 0,39-0,82). Z višjo starostjo in oteževanjem pogojev se je krajšal čas stoje v določenem položaju. Pri spremenljivkah hitrost CoP ter mediolateralni in anteroposteriorni premik CoP so se s staranjem pokazale največje razlike. Zaključek: Stabilometrija po postopku mCTSIB je zanesljiva pri zdravih preiskovancih, starih od 20 do 49 let. Z oteževanjem pogojev in položajev se zanesljivost niža. MCTSIB je v položaju stoje s stopali skupaj nezahteven za mlade. Položaj tandemske stoje je primeren za vse starostne skupine (20–79 let). Položaj stoje na eni nogi, je pri starih 50–79 let smiseln le v pogoju TPOO . Potrebne so dodatne raziskave z izvedbo celotnega protokola mCTSIB na večjem vzorcu preiskovancev. Smiselno bi bilo preveriti ali za zanesljivost zadostuje krajši čas testiranja ter katera dolžina najkrajšega časa še zadostuje za zanesljive izide.

• Jezik: Slovenski jezik
• Ključne besede: magistrska dela, fizioterapija, mCTSIB, zanesljivost, stabilometrija, stopala skupaj, tandemska stoja, stoja na eni nogi, staranje
• Vrsta gradiva: Magistrsko delo/naloga
• Tipologija: 2.09 - Magistrsko delo
• Organizacija: ZF - Zdravstvena fakulteta
• Kraj izida: Ljubljana
• Založnik: [M. Pišotek]
• Leto izida: 2021
• Št. strani: 61 str., [12] str. pril
• PID: 20.500.12556/RUL-128269
• UDK: 615.8
• COBISS.SI-ID: 69700355
• Datum objave v RUL: 08.07.2021

Sekundarni jezik

• Jezik: Angleški jezik
• Naslov: Reliability of the modified clinical test of sensory interaction and balance on force plate in three positions and differences in outcomes between adults of different age : master thesis

Izvleček

Background: Modified clinical test of sensory interaction and balance (mCTSIB) was developed for systematic evaluation of balance systems. It may be performed in three standing positions, in each in the four conditions with a specific order. Stabilometry is a valid objective measure of static balance. Its parameters describe movements of the centre of pressure (CoP) while standing on a force plate. Purpose: To determine intratester reliability of the mCTSIB performed on a force plate in three standing positions, to compare feasibility of all the positions and test conditions and the outcomes between the age groups. Methods: 60 healthy participants of four adult age groups (15 subjects in each) were included in the study. Participants of the first two age groups were assessed twice with a one-week interval, and participants of the third and fourth age groups were assessed once. The mCTSIB protocol was adapted for stabilometry. Intraclass correlation coefficient (ICC3, k), ANOVA and post hoc independent t-tests with Bonferroni correction were calculated. Results: Intratester reliability for the mCTSIB in 2-leg stance under all conditions was good to excellent (ICC 0.79-0.95). For tandem stance, the reliability was good in firm surface with eyes open (FSEO) condition (ICC 0.82-0.87), moderate to good when eyes were closed (FSEC) (ICC 0.68-0.79), and poor to moderate in both compliant surface conditions (CSEO, CSEC) (ICC 0.50-0.73). For 1-leg stance, the reliability was good to excellent in FSEO (ICC 0.78-0.97), moderate to good in FCEC and CSEO (ICC 0.55-0.83) and poor to good in CSEC condition (ICC 0.39-0.82). In each test position, the stance time decreased with increased age and aggravation of test conditions. CoP velocity, and ML and AP CoP movement changed the most with aging. Conclusion: Stabilometry according to the mCTSIB protocol is reliable in healthy participants, aged from 20 to 49 years. Reliability decreases with aggravation of the test conditions and positions. MCTSIB in 2-leg stance is undemanding for young people. Tandem stance position is feasible for all age groups (20-79 years), but in 1-leg stance only FCEO condition is feasible for 50–79 years old. Additional studies with entire mCTSIB protocol with larger sample size are needed. It would be reasonable to establish whether a shorter test time influence reliability and which is the shortest data collection time sufficient for reliable results.

• Ključne besede: master's theses, physiotherapy, mCTSIB, reliability, stabilometry, double-leg stance, tandem stance, one-leg stance, aging