Merske lastnosti Rombergovega testa : pregled literature

Škafar, Vesna (author), Puh, Urška (mentor)

Uvod: Eden izmed prvih testov ravnotežja je Rombergov test. Je enostaven, hiter in ne zahteva veliko pripomočkov. Iz Rombergovega testa se je razvil poostreni Rombergov test, ki se od prvotnega testa razlikuje v postavitvi stopal. Obstaja veliko različnih načinov izvedb, merske lastnosti pa so raziskane le za nekatere različice testa. Namen: Namen diplomskega dela je bil na podlagi pregleda literature ugotoviti najpogostejše načine izvedbe Rombergovega testa in poostrenega Rombergovega testa ter ugotoviti katera izvedba testa ima ugotovljeno največjo zanesljivost, veljavnost in sposobnost zaznati spremembe. Metode: Literatura je bila pridobljena v obdobju do junija 2016, s pomočjo podatkovne zbirke PubMED in spletne strani Cobiss. Iskanje literature je bilo omejeno na slovenski in angleški jezik, neodvisno od leta objave. Rezultati: V pregled je bilo vključenih 15 raziskovalnih člankov od leta 1989 do leta 2015. Zanesljivost Rombergovega testa je raziskovalo šest člankov, veljavnost trije članki, sposobnost zaznati spremembe pa enajst člankov. Rezultati zanesljivosti so pokazali, da so najpogostejši načini izvedbe Rombergovega testa (ICC = 0,81-0,96) in poostrenega Rombergovega testa (ICC = 0,63-0,97) srednje do odlično zanesljivi. Rombergov test je zadostno odziven (ROC = 0,77), poostreni Rombergov test pa zmerno do dobro veljaven (r = 0,27 – 0,65). Razprava in zaključek: Raziskave navajajo veliko načinov izvedb Rombergovega testa. Najpogostejša sta Rombergov test, ki se izvaja s stopali skupaj in poostreni Rombergov test, ki se izvaja v položaju stopalo pred stopalom. Glede na pregledane raziskave ima najboljše merske lastnosti postopek testa opisan v treh raziskavah. Nekateri avtorji pod imenom Rombergov test ne ocenjujejo le vidnega priliva, ampak ga izvajajo tudi na mehki podlagi, kar se prekriva z modificiranim testom senzorične interakcije. Zato je treba biti pozoren v katerih testnih pogojih so avtorji dejansko ocenjevali Rombergov test ali poostreni Rombergov test.

• Language: Slovenian
• Keywords: ravnotežje, pokončna drža, zanesljivost, veljavnost, sposobnost zaznati spremembe
• Work type: Bachelor thesis/paper
• Organization: ZF - Faculty of Health Sciences
• Year: 2017
• PID: 20.500.12556/RUL-91834
• COBISS.SI-ID: 5252203
• Publication date in RUL: 23.04.2017

Secondary language

• Language: English
• Title: Measurement properties of Romberg's test : literature review

Abstract

Introduction: One of the first balance tests is Romberg`s test. It`s simple, fast and demands few accessories. Sharpened Romberg`s test, which developed from Romberg`s test, differs from the first balance test in the placement of feet. There are many different ways of conducting this test, though measurement properties have been researched for only a few of the versions. Purpose: The purpose of this bachelor`s work was to find the most used versions of Romberg`s and sharpened Romberg`s test based on the literature review and to determine which version of the test has the greatest reliability, validity and ability to detect change. Methods: The literature was collected until June 2016 with help of the PubMED database and the Cobiss website. The search for literature was limited to the Slovene and English language, regardless of the publishing year. Results: There were 15 research articles between the years of 1989 and 2015 included in the overview. Six of those researched the reliability of Romberg`s test, three focused on its validity, and eleven on its ability to detect change. Reliability results showed that the most commonly used versions of Romberg`s (ICC = 0,81-0,96) and sharpened Romberg`s test (ICC = 0,63-0,97) are fairly to excellently reliable. Romberg’s test is adequately responsive (ROC = 0,77), while sharpened Romberg’s test has moderate to good validity (r = 0,27 – 0,65). Discussion and conclusion: Many different versions of Romberg`s test were performed in the studies. The most common is Romberg`s test performed with feet together and sharpened Romberg`s test in tandem position. The best measurement properties have procedures of the test described in three studies. Some authors under the name Romberg`s test assess not only the role of vision, but perform it on a soft surface, which overlaps with the modified sensory interaction test. Therefore one needs to be cautious in which test conditions did the authors actually evaluate Romberg`s test or sharpened Romberg`s test.

• Keywords: balance, posture control, reliability, validity, ability to detect change