Ponovljivost in zanesljivost meritev aktivnega obsega gibljivosti v kolenskem sklepu z univerzalnim goniometrom : diplomsko delo

Malešič, Nina (author), Jakovljević, Miroljub (mentor), Hlebš, Sonja (reviewer)

Uvod: Meritve obsega sklepne gibljivosti so ključen del fizioterapevtske obravnave. Uporabljajo se za postavljanje ciljev obravnave, oceno izboljšanja/poslabšanja stanja, spremembo obravnave, motivacijo pacienta ter raziskave učinkov posameznih fizioterapevtskih metod in tehnik. Najpogosteje se uporablja tehnika goniometrije, najpogosteje uporabljen pripomoček pa je univerzalni goniometer. Namen: Namen diplomskega dela je ugotoviti ponovljivost in zanesljivost meritev aktivnega obsega gibljivosti v kolenskem sklepu z univerzalnim goniometrom. Metode dela: Raziskavo je odobrila Komisija za medicinsko etiko Republike Slovenije. V raziskavi je sodelovalo 40 zdravih preiskovancev (21 ţensk in 19 moških), ki so bili v povprečju stari 21,7 (1,1) let. Meritve so bile izvedene v dveh sejah, med katerima je minilo 48 ur. Preiskovanec je v vsaki seji izvedel tri zaporedne gibe fleksije in ekstenzije levega in desnega kolenskega sklepa. Rezultati: Pri meritvah obsega aktivne gibljivosti v smeri fleksije in ekstenzije ni bilo statistično pomembnih razlik med spoloma. Pri ugotavljanju ponovljivosti so bile vse vrednosti intraklasnega koeficienta korelacije višje od 0,9, kar kaţe na odlično ponovljivost, meritve fleksije so se izkazale za bolj ponovljive od meritev ekstenzije. Pri ugotavljanju zanesljivosti so se vrednosti intraklasnega koeficienta korelacije za meritve ekstenzije gibale med vrednostmi 0,6 in 0,8, kar nakazuje na zmerno do dobro zanesljivost meritev, za meritve fleksije pa so se vrednosti intraklasnega koeficienta korelacije gibale med vrednostmi 0,8 in 0,9, kar nakazuje na dobro do odlično zanesljivost. Prav tako so bile meritve fleksije bolj zanesljive od meritev ekstenzije. Najniţja vrednost najmanjše zaznane spremembe je bila 1,6° pri ekstenziji desnega kolenskega sklepa, najvišja vrednost pa je bila 2,3° pri fleksiji desnega in levega kolenskega sklepa. Razprava in zaključek: Univerzalni goniometer je naprava z odlično ponovljivostjo, ter dobro do odlično zanesljivostjo. Je preprost za uporabo, lahko dostopen in cenovno ugoden.

• Language: Slovenian
• Keywords: diplomska dela, fizioterapija, goniometrija, univerzalen goniometer, aktiven obseg giba, ponovljivost, zanesljivost, intraklasni koeficient korelacije
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [N. Malešič]
• Year: 2021
• Number of pages: 22 str., [2] str. pril.
• PID: 20.500.12556/RUL-131247
• UDC: 615.8
• COBISS.SI-ID: 85592067
• Publication date in RUL: 24.09.2021

Secondary language

• Language: English
• Title: Repeatability and reliability of the knee joint active range of motion measurements with universal goniometer : diploma work

Abstract

Introduction: Measuring the extent of joint mobility is an important part of physiotherapy treatment. It is used to establish the goal of treatment, assess improvement, modify treatment, motivate the patient, and study the effects of specific physiotherapy methods and techniques. The most commonly used technique is the goniometric technique, with the universal goniometer being the most commonly used instrument. Purpose: The purpose of this thesis is to determine the repeatability and reliability of measuring active range of motion in the knee joint using a universal goniometer. Methods: The study was approved by the Republic Slovenia National Medical Ethics Committee. It included 40 healthy participants (21 women and 19 men) whose mean age was 21.7 (1.1) years. Measurements were performed in 2 sessions 48 hours apart. In each session, participants performed three consecutive flexion and extension movements with the left and right knee joints. Results: There were no statistically significant differences between the two sexes in the measurements of active range of motion toward flexion or extension. Regarding repeatability, all intraclass correlation coefficient values were above 0.9, indicating very good repeatability; however, flexion measurements were found to be more repeatable than extension measurements. In determining reliability, the intraclass correlation coefficient values for the extension measurements ranged from 0.6 to 0.8, indicating good to moderate reliability of the measurement, while the intraclass correlation coefficient values for the flexion ranged from 0.8 to 0.9, indicating rather good to excellent reliability. Similarly, the flexion measurements were more reliable than the extension measurements. The lowest value of smallest detectable change was 1.6° in extension of the right knee joint and the highest value was 2.3° in flexion of both the right and left knee joints. Discussion and conclusion: The universal goniometer is a device with excellent repeatability and good to very good reliability. It is easy to use, accessible and affordable.

• Keywords: diploma theses, physiotherapy, goniometry, universal goniometer, active range of motion, repeatability, reliability, intraclass correlation coefficient