Avtor/Urednik		Zupanc, Aleksander; Vidmar, Gaj; Novak, Primož; Puh, Urška
Naslov		Primerjava Bergove lestvice za oceno ravnotežja in testov hoje z indeksom premičnosti de Morton pri bolnikih z mišično-skeletnimi okvarami
Prevedeni naslov		Comparison of Berg Balance Scale and walking tests with de Morton Mobility Index in patients with musculoskeletal impairments
Tip		članek
Vol. in št.		Letnik 19, št. 1
Leto izdaje		2020
Obseg		str. 27-34
ISSN		1580-9315 - Rehabilitacija
Jezik		slv
Abstrakt		Izhodišča: Orodja, ki ocenjujejo posamezne vidike premičnosti, ne zajamejo vseh ključnih gibalnih nalog za izvajanje dejavnosti vsakodnevnega življenja. Želeli smo primerjati rezultate ocene z Bergovo lestvico za oceno ravnotežja in rezultate testov hoje z indeksom premičnosti de Morton. Metode: V raziskavi je sodelovalo 30 bolnikov z mišično-skeletnimi okvarami, starih od 22 do 84 let (povprečje 54 let). Preiskovanci so bili ocenjeni ob sprejemu na rehabilitacijo in po štirih tednih z Bergovo lestvico za oceno ravnotežja, testom hoje na 10 metrov in 6-minutnim testom hoje ter indeksom premičnosti de Morton. Za vsa merilna orodja smo ocenili najmanjšo klinično pomembno spremembo, velikost učinka ter ovrednotili učinka tal in stropa. Rezultati: Najmanjša klinično pomembna sprememba je za Bergovo lestvico za oceno ravnotežja 7 točk, za test hoje na 10 metrov 0,1 m/s in za 6-minutni test hoje 40 metrov. Pri vseh treh orodjih smo ugotovili občutljivost za spremembe. Učinkov tal in stropa za Bergovo lestvico in indeks premičnosti de Morton nismo opazili niti ob sprejemu niti po štirih tednih. Za test hoje na 10 metrov in 6-minutni test hoje smo opazili učinek tal ob sprejemu, po štirih tednih ga ni bilo; učinka stropa ni bilo ne ob sprejemu ne po štirih tednih. Zaključek: Primerjava Bergove lestvice, testa hoje na 10 metrov in 6-minutnega testa hoje z indeksom premičnosti de Morton je pokazala, da je prišlo pri vseh bolnikih do izboljšanja premičnosti vsaj za najmanjšo klinično pomembno spremembo le glede na indeks premičnosti de Morton. Ta je bil tudi bolj odziven od ostalih orodij. Pri obeh testih hoje je bil prisoten učinek tal ob sprejemu. Z uporabo indeksa premičnosti de Morton v klinični praksi lahko bolje ocenimo raven premičnosti bolnikov z mišično-skeletnimi okvarami.Background: Measures that assess mobility do not include all key motor tasks for daily activities. Our aim was to compare the Berg Balance Scale (BBS) and walking tests with the de Morton Mobility Index (DEMMI). Methods: Thirty patients with musculoskeletal impairments, aged from 22 to 84 years (average 54 years) were included in the study. They were assessed at admission to rehabilitation and after four weeks with BBS, ten metre walk test (10MWT), six-minute walk test (6MWT) and DEMMI. We estimated minimal clinically important difference and effect size for all the outcome measures, and assessed floor and ceiling effects. Results: Minimal clinically important difference for BBS was 7 points, for 10MWT it was 0.1 m/s, and for 6MWT it was 40.2 metres. We observed sensitivity to change using all three measures. There were no floor or ceiling effects for BBS and DEMMI at admission and after four weeks. For 10MWT and 6MWT we observed a floor effect at admission, but not after four weeks; there was no ceiling effect at admission or after four weeks. Conclusion: Comparison of Berg balance scale, ten-metre walk test and six-minute walk test with de Morton mobility index showed that all participants improved mobility at least for the minimal clinically important difference only according to de Morton mobility index, which also had higher responsiveness than the other studied measures. We observed a floor effect at admission with both walking tests. Using de Morton mobility index in clinical practise can better assess the mobility level of patients with musculoskeletal impairments.
Deskriptorji		Weights and Measures Musculoskeletal Diseases therapeutic use rehabilitation
Proste vsebinske oznake		minimal clinically important difference MCID mobility assessment effect size floor and ceiling effects de Morton Mobility Index DEMMI Zaritov vprašalnik obremenjenosti skrbnikov najmanjša klinično pomembna sprememba ocena premičnosti velikost učinka učinek tal in stropa indeks premičnosti de Morton