Ponovljivost in zanesljivost meritev torako-abdominalnega obsega gibljivosti : diplomsko delo

Dobnik, Maja (author), Jakovljević, Miroljub (mentor), Vauhnik, Renata (reviewer)

Uvod: Cirtometrija ali meritve torako-abdominalnih obsegov, se v fizioterapiji uporablja za merjenje obsegov gibljivosti prsnega koša in trebuha. Obseg gibljivosti se meri z merilnim trakom na različnih ravneh prsnega koša v mirovanju, pri največjem vdihu in največjem izdihu. Izvedba meritev je preprosta in cenovno ugodna. Namen: Namen diplomskega dela je bil ovrednotiti ponovljivost in zanesljivost meritev torako-abdominalnega obsega gibljivosti, izmerjene s samozateznim merilnim trakom. Metode dela: V raziskavo je bilo vključenih 30 preiskovancev. Meritve smo izvedli v dveh sejah, med katerima je bilo teden dni premora. Preiskovanci so med meritvami stali z rokami sproščeno ob telesu. Meritve smo opravili v višini tretjega rebra in petega prsnega vretenca (aksilarno), žličke in desetega prsnega vretenca (ksifoidalno) ter popka in četrtega ledvenega vretenca (umblikalno). Na označene kostno-anatomske točke smo položili merilni trak ter izmerili obseg v mirovanju, pri največjem vdihu in pri največjem izdihu. Ponovljivost in zanesljivost meritev smo ovrednotili z intraklasnim koeficientom korelacije. Rezultati: Pri meritvah aksilarno so bile v vseh sejah statistično pomembne razlike. Največja razlika je bila med prvo in tretjo meritvijo druge seje v mirovanju. Razlike meritev obsegov ksifoidalno in umblikalno so bile statistično nepomembne. Med prvo in drugo sejo je do največjih razlik prišlo pri ksifoidalnih meritvah v mirovanju in po največjem vdihu. Ponovljivost meritev je bila na vseh ravneh odlična. Najnižja vrednost intraklasnega koeficienta korelacije je bila opažena pri aksilarnih meritvah prve seje v mirovanju in druge seje po največjem izdihu (IKK= 0,991). Najvišja vrednost intraklasnega koeficienta korelacije (IKK = 0,999) je bila zaznana pri vseh umblikalnih meritvah. Zanesljivost je bila na vseh ravneh odlična, intraklasni koeficient korelacije vseh meritev je bil nad 0,981. Razprava in zaključek: Izvedba meritev torako-abdominalnih obsegov z merilnim trakom je bila ponovljiva in zanesljiva. Do največjih odstopanj je prišlo pri meritvah na aksilarni ravni, na kar je verjetno vplivalo potenje preiskovancev. Potrebno je nameniti večjo pozornost klimatizaciji preiskovancev pred izvedbo meritev.

• Language: Slovenian
• Keywords: diplomska dela, fizioterapija, torako-abdominalne meritve, ponovljivost, zanesljivost, obseg gibljivosti, cirtometrija
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [M. Dobnik]
• Year: 2022
• Number of pages: 28 str., [2] str. pril.
• PID: 20.500.12556/RUL-140813
• UDC: 615.8
• COBISS.SI-ID: 122248963
• Publication date in RUL: 18.09.2022

Secondary language

• Language: English
• Title: Repeatability and reliability of thoraco-abdominal measurement of range of motion : diploma work

Abstract

Introduction: Cirtometry or thoraco-abdominal measurements of perimetry is used to measure the range of motion of the chest and abdomen. The range of motion is measured with a measuring tape at different levels of chest at rest, maximal inspiration and maximal expiration. Measurements are simple and affordable. Purpose: The aim of the diploma work was to evaluate the repeatability and reliability of measurements of the thoraco-abdominal range of motion. Methods: 30 subject were included in the research. The measurements were performed in two sessions, between which there was a one-week break. During the measurements, subject stood with their arms relaxed by their sides. Measurements were made at the height of the third rib and fifth thoracic vertebra (axillary), the xiphoid and tenth thoracic vertebra (xiphoidal) and the belly button and the forth lumbar vertebra (umbilical). We placed a measuring tape on the marked anatomical points and measured circumference at rest, at maximum inhalation and at maximum exhalation. The repeatability and reliability of the measurements were evaluated with the intraclass correlation coefficient. Results: There were statistically significant differences in axillary measurements in all sessions. The biggest difference was between the first and third measurements of the second session at rest. Differences of range of motion on xiphoidal and umbilical level were not statisticaly significant. Between the first and second sessions, the largest differences occurred in the xiphoid measurements at rest and after the maximum inspiration. The repeatability of measurements was excelent at all levels. The lowest value of the intraclass correlation coefficient was observed in the axillary measurements of the first session at rest and the second session after maximal exhalation (ICC = 0.991). The highest value of the intraclass correlation coefficient (ICC = 0.999) was detected in all umbilical measurements. Reliability was excellent at all levels and intraclass corelation coefficient was always above 0,981. Discussion and conclusion: The measuring of thoraco-abdominal circumferences with a measuring tape was repeatable and reliable. The largest deviations occured in measurements at the axillary level, which was probably influenced by subjects perspiration. Before starting the measurement it is necessary to familiarize th subjects with the procedure of the measurement.

• Keywords: diploma theses, physiotherapy, thoraco-abdominal measurement, repeatability, reliability, range of motion, cirtometry