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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. 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.

Visual disturbances are commonly reported in patients with neck pain. Smooth pursuit neck torsion (SPNT) test performed in neutral position and with trunk rotated under the stationary head has been used to discriminate between those with cervical component and those without. However, no studies investigated the reliability of the SPNT-test in patients with chronic neck pain and healthy controls. The aim of this study was to assess inter-visit reliability of the SPNT-test while applying different amplitudes and velocities of target movement. Thirty-two controls and thirty-one patients were enrolled in the study. The SPNT-test was performed in neutral position and through 45° torsion positions. The test was performed at 20°/s, 30°/s and 40°/s velocities and at 30°, 40° and 50° amplitudes of cyclic sinusoidal target movements. Interclass correlation coefficient and smallest detectable change were calculated for parameters of gain and SPNT-differences. In patients, moderate to good reliability was observed for gain at 40° and 50° amplitudes and for 20°/s and 30°/s velocities, while moderate to excellent reliability for gain was observed in controls. Both groups presented with moderate to good reliability for SPNT-difference. Our findings imply that amplitudes of 40° and 50° and velocities of 20°/s and 30°/s are the most reliable and should be applied in future studies assessing oculomotor functions during the SPNT test.

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. 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.

Uvod: Najpogostejsˇi nacˇin merjenja gibljivosti sklepov so goniometricˇne meritve. Nekatere obsege gibljivosti lahko merimo tudi ali pa samo s centimetrskim trakom. Iz linearnih meritev pa lahko izračunamo obseg gibljivosti s pomočjo trigonometričnih enačb. Namen: Namen diplomskega dela je ovrednotiti ponovljivost in zanesljivost trigonometričnih meritev aktivnega obsega gibljivosti v kolenskem sklepu. Metode dela: V raziskavo je bilo vkljucˇenih 40 zdravih preiskovanev. Merjenja so potekala v dveh sejah s 48 urnim vmesnim premorom. Za ugotovljene razlik med posameznimi meritvami je bila opravljena enosmerna analiza variance za ponovljene meritve (p?0,05). Ponovljivost in zanesljivost smo vrednotili z intraklasnim koeficientom korelacije (2,1). Izračunali smo tudi najmanjšo zaznano spremembo. Rezultati: Pri preverjanju ponovljivosti je bila najnizˇja vrednost intraklasnega koeficienta korelacije (0,895) opazˇena pri meritvah fleksije levega kolenskega sklepa v drugi seji. Najvišja vrednost intraklasnega koeficienta korelacije (0,936) je bila opažena pri meritvah ekstenzije levega kolenskega sklepa v prvi seji ter pri meritvah fleksije levega kolenskega sklepa v prvi seji. Vse meritve so imele vrednosti intraklasnega koeficienta korelacije visˇje od 0,900, kar pomeni odlično ponovljivost. Meritve ekstenzije so se izkazale za bolj ponovljive od meritev fleksije. Pri računanju zanesljivosti ekstenzije je bila najnizˇja vrednost intraklasnega koeficienta korelacije pri meritvah, kjer smo uposˇtevali le tretjo meritev ekstenzije levega kolenskega sklepa (0,728). Najvisˇja vrednost intraklasnega koeficienta korelacije je bila pri povprečju treh meritev ekstenzije v desnem kolenskem sklepu (0,953). Pri meritvah zanesljivosti fleksije je bila najnizˇja vrednost intraklasnega koeficienta korelacije pri povprečju treh meritev fleksije levega kolenskega sklepa (0,784). Najvisˇja vrednost intraklasnega koeficienta korelacije je bila pri povprečju treh meritev fleksije desnega kolenskega sklepa (0,958). Vse meritve (razen ene) so imele vrednosti intraklasnega koeficienta korelacije visˇje od 0,750, kar pomeni dobro zanesljivost. Razprava in zaključek: Trigoniometricˇne meritve kolenskega sklepa so ponovljive in zanesljive, nekoliko bolj pri meritvah ekstenzije kot pri merjenju aktivnega giba fleksije kolenskega sklepa. Zanesljivost je primerljiva z drugimi, zˇe izvedenimi raziskavami. Podatkov o ponovljivosti v literaturi nismo zasledili. Introduction: The most common way of measuring joint mobility is goniometric measurements. Measurements are performed with a universal goniometer. We carry them out in order to obtain objective measurements of the flexibility of a particular joint. Some ranges of motion can also be measured only with a centimetre tape. From linear measurements, the range of motion can be calculated using trigonometric equations. Because measurements are usually conducted by different therapists, the intratester reliability is very important. Purpose: The purpose of the thesis was to identify the repeatability and reliability of trigonometric measurements of the active range of motion in the knee joint. Methods: The study involved 40 healthy subjects.. Measurements were made in two sessions within a 48.. The differences between the measurements were assessed by the analysis of the variance for repeated measurements (p⡤0.05). Repeatability and reliability were evaluated by intraclass correlation coefficient (2,1). We also calculated the lowest real difference. Results: In the repeatability test, the lowest value of the intraclass correlation coefficient (0.895) was observed when measuring the flexion of the left knee joint in the second session. The highest value of the intraclass correlation coefficient (0.936) was observed in the measurements of the extension of the left knee joint in the first session and in the measurements of the flexion of the left knee joint in the first session. All measurements had values of intraclass correlation coefficient higher than 0.900, which means excellent repeatability. Extension measurements proved to be more reproducible than flexion measurements. When calculating the reliability of the extension, the lowest value of the intraclass correlation coefficient was in the measurements, where only the third measurement of the extension of the left knee joint was considered (0.728). The highest value of the intraclass correlation coefficient was in the average of three measurements of extension in the right knee joint (0.953). In flexibility reliability measurements, the lowest value of the intraclass correlation coefficient was the average of the three left knee flexion measurements (0.784). The highest value of the intraclass correlation coefficient was in the average of three measurements of right knee joint flexion (0.958). All measurements (except one) had values of intraclass correlation coefficient higher than 0.750, which means good reliability. Discussion and conclusion: Trigoniometric measurements of the knee joint are repeatable and reliable, slightly more in the measurements of extension than in the measurement of the active movement of the knee joint flexion. Reliability is comparable to the other research already conducted. No data on repeatability were found in the literature.

Uvod: Merjenje je bistven del vseh empiričnih družboslovnih in naravoslovnih znanosti. Vsaka stvar, ki obstaja je v določeni količini. Goniometrija je najbolj pogosto uporabljena tehnika za merjenje sklepne gibljivosti. Obseg gibljivosti sklepa se meri za odkrivanje omejitev v sklepni gibljivosti in za oceno pacientovega napredka v rehabilitaciji. Ker se meritve opravijo večkrat in pogosto pri različnih fizioterapevtih, je zato pomembna zanesljivost preiskovalca in inštrumenta. Namen: Namen diplomskega dela je ugotoviti ponovljivost in zanesljivost meritev aktivnega obsega gibljivosti v kolenskem sklepu z digitalnim goniometrom z enim krakom. Metode dela: V raziskavi je sodelovalo 40 preiskovancev (21 žensk in 19 moških), povprečno starih 21,7 (1,1) let. Moški so bili v povprečju pomembno višji, težji z višjim indeksom telesne mase. Meritve so bile opravljene v dveh sejah z razmikom 48 ur. V vsaki seji so bile opravljene tri zaporedne meritve obsega gibljivosti ekstenzije in fleksije. Rezultati: Med spoloma ni bilo pomembnih razlik v aktivnem obsegu gibljivosti kolena v smeri ekstenzije, so pa ženske imele pomembno večji obseg aktivne gibljivosti pri gibu fleksije v obeh kolenih. Obstajala je pomembna razlika v aktivnem obsegu gibljivosti med levim in desnim kolenom v smeri ekstenzije samo pri moških, v smeri fleksije pa tako pri moških kot ženskah. Pri preverjanju ponovljivosti je bila najnižja vrednost intraklasnega koeficienta korelacije (0,784) bila pri meritvah ekstenzije levega kolenskega sklepa v prvi seji, najvišja (0,952) pa pri meritvah fleksije desnega kolenskega sklepa v drugi seji. Meritve fleksije so bile bolj ponovljive od meritev ekstenzije. Pri preverjanju zanesljivosti smo najboljše rezultate dobili, če smo izračunali povprečje treh zaporednih meritev. Najnižjo vrednost intraklasnega koeficienta korelacije (0,649) smo izračunali pri meritvah ekstenzije levega kolena, najvišjo (0,893) pa pri meritvah fleksije desnega kolena. Meritve fleksije so bile bolj zanesljive od meritev ekstenzije. Razprava in zaključek: Digitalni goniometer je enostavna uporabna naprava, za merjenje obsegov gibljivosti sklepov, ki je primerna tudi za začetnike. Poleg tega omogoča tudi shranjevanje podatkov. Goniometrija kolenskega sklepa z digitalnim goniometrom je postopek z dobro do odlično ponovljivostjo in zadovoljivo do dobro zanesljivostjo, če meritve opravi začetnik. Introduction: Measurement is an essential part of all empirical social sciences and natural sciences. Everything that exists is in a certain amount. Goniometry is the most commonly used technique for measuring joint mobility. The extent of joint mobility is measured to detect limitations in joint mobility and to assess the patient's progress in rehabilitation. Because measurements are made multiple times and often by different physiotherapists, the reliability of the investigator and the instrument is therefore important. Purpose: The purpose of this diploma work is to determine the repeatability and reliability of measurements of the active range of motion in the knee joint using digital goniometer. Methods: 40 subjects (21 women and 19 men) participated in the study, with an average age of 21.7 (1.1) years. Men were, on average, significantly taller, heavier with a higher body mass index. Measurements were performed in two sessions with an interval of 48 hours. Three consecutive measurements of the extent of extension and flexion mobility were performed in each session. Results: There were no significant differences between the sexes in the active range of motion of the knee in the direction of extension, but women had a significantly higher range of active mobility in the flexion movement in both knees. There was a significant difference in the active range of motion between the left and right knee in the direction of extension only in men, and in the direction of flexion in both men and women. In the repeatability test, the lowest value of the intraclass correlation coefficient (0.784) was in the measurements of the extension of the left knee joint in the first session, and the highest (0.952) in the measurements of the flexion of the right knee joint in the second session. Flexion measurements were more reproducible than extension measurements. When checking reliability, we obtained the best results if we calculated the average of three consecutive measurements. The lowest value of the intraclass correlation coefficient (0.649) was calculated in the measurements of the left knee extension, and the highest (0.893) in the measurements of the right knee flexion. Flexion measurements were more reliable than extension measurements. Discussion and conclusion: The digital goniometer is a simple and useful device for measuring the range of motion of joints, which is also suitable for beginners. In addition, it also allows data storage. Knee joint goniometry with a digital goniometer is a procedure with good to excellent repeatability and satisfactory to good reliability if beginner makes the measurements.

Uvod: Meritve gibljivosti sklepov so pomemben del celostne fizioterapevtske preiskave ter omogočajo fizioterapevtom natančnejšo oceno disfunkcije in napredka v procesu rehabilitacije. Pri opravljanju goniometričnih meritev z univerzalnim goniometrom lahko zaradi nenatančnosti preiskovalca dobimo napačne vrednosti obsega gibljivosti. Digitalni goniometrični sistem nima te težave, saj digitalni inklinometer pravilno izmeri obseg gibljivosti, ko je nameščen v skladu z navodili. Namen: Namen diplomskega dela je ugotoviti ponovljivost in zanesljivost goniometričnih meritev obsega gibljivosti kolena z digitalnim goniometričnim sistemom. Metode dela: V raziskavi je sodelovalo 40 študentov (21 žensk in 19 moških), povprečno starih 21,7 leta. Meritve so bile opravljene v dveh sejah z razmikom 48 ur. V vsaki seji so bile opravljene tri zaporedne meritve obsega gibljivosti ekstenzije in fleksije. Rezultati: Pri preverjanju ponovljivosti je bila najnižja vrednost intraklasnega koeficienta korelacije (0,754) opažena pri meritvah ekstenzije desnega kolenskega sklepa v prvi seji. Najvišja vrednost intraklasnega koeficienta korelacije (0,887) je bila pri meritvah ekstenzije levega kolenskega sklepa v seji 2. Vse meritve so imele vrednosti intraklasnega koeficienta korelacije višje od 0,75, kar pomeni dobro ponovljivost. Meritve fleksije so se izkazale za bolj ponovljive od meritev ekstenzije. Pri računanju zanesljivosti ekstenzije je bila najvišja vrednost intraklasnega koeficienta korelacije (0,898) izračunana glede na povprečje treh meritev. Pri meritvah zanesljivosti fleksije je bila najvišja vrednost intraklasnega koeficienta korelacije (0,897) izračunana glede na mediano treh meritev. Vse meritve so imele vrednosti intraklasnega koeficienta korelacije višje od 0,75, kar pomeni dobro zanesljivost. Razprava in zaključek: Digitalni goniometrični sistem je ponovljiva in zanesljiva metoda za merjenje obsega gibljivosti. Z digitalnim goniometričnim sistemom ni mogoče izmeriti prstnih sklepov in samo nameščanje digitalnega inklinometra na ude je lahko zamudno. Uvod: Meritve gibljivosti sklepov so pomemben del celostne fizioterapevtske preiskave ter omogočajo fizioterapevtom natančnejšo oceno disfunkcije in napredka v procesu rehabilitacije. Pri opravljanju goniometričnih meritev z univerzalnim goniometrom lahko zaradi nenatančnosti preiskovalca dobimo napačne vrednosti obsega gibljivosti. Digitalni goniometrični sistem nima te težave, saj digitalni inklinometer pravilno izmeri obseg gibljivosti, ko je nameščen v skladu z navodili. Namen: Namen diplomskega dela je ugotoviti ponovljivost in zanesljivost goniometričnih meritev obsega gibljivosti kolena z digitalnim goniometričnim sistemom. Metode dela: V raziskavi je sodelovalo 40 študentov (21 žensk in 19 moških), povprečno starih 21,7 leta. Meritve so bile opravljene v dveh sejah z razmikom 48 ur. V vsaki seji so bile opravljene tri zaporedne meritve obsega gibljivosti ekstenzije in fleksije. Rezultati: Pri preverjanju ponovljivosti je bila najnižja vrednost intraklasnega koeficienta korelacije (0,754) opažena pri meritvah ekstenzije desnega kolenskega sklepa v prvi seji. Najvišja vrednost intraklasnega koeficienta korelacije (0,887) je bila pri meritvah ekstenzije levega kolenskega sklepa v seji 2. Vse meritve so imele vrednosti intraklasnega koeficienta korelacije višje od 0,75, kar pomeni dobro ponovljivost. Meritve fleksije so se izkazale za bolj ponovljive od meritev ekstenzije. Pri računanju zanesljivosti ekstenzije je bila najvišja vrednost intraklasnega koeficienta korelacije (0,898) izračunana glede na povprečje treh meritev. Pri meritvah zanesljivosti fleksije je bila najvišja vrednost intraklasnega koeficienta korelacije (0,897) izračunana glede na mediano treh meritev. Vse meritve so imele vrednosti intraklasnega koeficienta korelacije višje od 0,75, kar pomeni dobro zanesljivost. Razprava in zaključek: Digitalni goniometrični sistem je ponovljiva in zanesljiva metoda za merjenje obsega gibljivosti. Z digitalnim goniometričnim sistemom ni mogoče izmeriti prstnih sklepov in samo nameščanje digitalnega inklinometra na ude je lahko zamudno.

Uvod: Časovno merjeni »ulezi se in vstani« test je bil zasnovan z namenom ugotavljanja funkcijske zmogljivosti zdravih odraslih. Namen: Namen diplomskega dela je bil ugotoviti ponovljivost in zanesljivost »ulezi se in vstani« testa pri zdravih odraslih preiskovancih ter ugotoviti povezanost izvedbe testa z antropometričnimi spremenljivkami. Metode: V raziskavo je bilo vključenih 30 prebivalcev Občine Bohinj, starih med 18 in 65 leti, med njimi 15 žensk in 15 moških. Test smo izvedli dvakrat z vmesnim 48-urnim premorom. Ponovljivost in zanesljivost testa smo izračunali s pomočjo intraklasnega korelacijskega koeficienta, standardne napake meritev ter najmanjše zaznane spremembe. Povezanost izvedbe testa z antropometričnimi spremenljivkami smo preverjali s Pearsonovim korelacijskim koeficientom. Rezultati: Povprečni čas treh ponovitev za izvedbo testa je znašal 4,7 sekunde v prvi seji in 4,9 sekunde v drugi seji. Ponovljivost je bila odlična, saj je intraklasni koeficient korelacije znašal 0,986 (IZ95% =0,975-0,993) v prvi seji in 0,990 (IZ95%=0,982-0,995) v drugi seji. Prav tako je bila odlična zanesljivost. Intaklasni koeficient korelacije je bil 0,989 (IZ95% =0,977-0,995). Standardna napaka merjenja je znašala 0,45 sekunde, najmanjša zaznana sprememba pa 1,24 sekunde. Ugotovili smo dobro povezanost izvedbe testa s starostjo preiskovancev in zmerno povezanost izvedbe testa z indeksom telesne mase in obsegom pasu preiskovancev. Sklep: »Ulezi se in vstani« test ima odlično ponovljivost in zanesljivost, zato ga priporočamo za ocenjevanje funkcijske zmogljivosti zdravih odraslih. Najprimernejši izračun izida je povprečje treh ponovitev. Potrebno bi bilo raziskati še veljavnost testa. Introduction: Timed “Lay down and get up” test was designed to evaluate functional capacity of healthy adults. Purpose: The purpose of the study was to determine repeatability and reliability of the timed »Lay down and get up« test in healthy adult subjects and to determine correlation between performance of the test with anthropometric variables. Methods: Thirty adults aged between 18 and 65 years (15 woman and 15 men) living in Bohinj municipality comprised the study sample. The test was performed twice with 48-hour break. Repeatability and reliability of the »Lay down and get up« test were calculated using intraclass correlation coefficient, standard error of measurement and the minimum detectable change. The correlation of the performance of the test with anthropometric variables was verified by Pearson's correlation coefficient. Results: The average time of three repetitions to perform the test was 4.7 seconds in the first session and 4.9 seconds in the second session. Repeatability was excellent, as the intraclass correlation coefficient was 0.986 (CI95%= 0,975-0,993) in the first session and 0.990 (CI95% = 0,982-0,995) in the second session. Reliability was excellent as well, as the intraclass correlation coefficient was 0.989 (CI95%= 0,977-0,995). Standard error of measurement was 0.45s and minimum detectable change was 1.24s. Good correlation was found between the performance of the test and the age of subjects and moderate correlation was found between the performance of the test and body mass index and the belt circumference of the subjects. Discussion and conclusion: »Lay down – get up« test is a clinical test with excellent repeatability and reliability. Therefore we recommend the test to evaluate functional capacity of healthy adults. The most appropriate calculation of the outcome is taking the average time of three repetitions into account. Validity still needs to be researched.

Uvod: Občutenje na stopalu nas varuje pred poškodbami in sodeluje pri uravnavanju gibanja tako, da zagotavlja informacije za ohranjanje ravnotežja med hojo in stojo. Kvantitativno ocenimo zaznavni prag za dotik z monofilamenti. Pražne vrednosti zaznav lahko variirajo od lahnega dotika do grobega pritiska. Namen: Pregled izsledkov raziskav o ponovljivosti in zanesljivosti ocenjevanja zaznavnega praga za dotik z monofilamenti na spodnjih udih. Metode: Raziskovalni članki so bili pridobljeni v podatkovni zbirki PubMed do konca oktobra 2017. Rezultati: V pregled je bilo vključenih 12 člankov. V eni raziskavi so ugotavljali ponovljivost ocenjevanja in v 10 zanesljivost posameznega preiskovalca in med preiskovalci s Semmes-Weinsteinovimi monofilamenti ter v eni zanesljivost med preiskovalci z Weinsteinovim izboljšanim testom občutenja (Weinstein enhanced sensory test, WEST). Ocenjevanje je ponovljivo le v primeru, da so monofilamenti pravilno umerjeni (CV: 6–9 %). Zanesljivost za posameznega preiskovalca je bila pri zdravih odraslih v štirih raziskavah nizka do odlična (ICC = 0,36–0,92), pri pacientih s sladkorno boleznijo v dveh raziskavah nizka do odlična (ICC = 0,49–0,92) in pri pacientih z gobavostjo v dveh raziskavah dobra do odlična (ICC = 0,83–0,92). Zanesljivost med preiskovalci s Semmes-Weinsteinovimi monofilamenti je bila pri zdravih odraslih v dveh raziskavah nizka do odlična (ICC = 0,07–0,92), pri zdravih šolskih otrocih v eni raziskavi dobra do odlična (ICC = 0,88–0,96), pri pacientih s sladkorno boleznijo v dveh raziskavah nizka do dobra (ICC = 0,46–0,88) in pri pacientih z gobavostjo v treh raziskavah dobra do odlična (ICC = 0,76–0,95). Zanesljivost je bila dobra do odlična (ICC = 0,76–0,96) v šestih raziskavah, ko so ocenjevali izkušeni preiskovalci. Najbolj zanesljivo ocenjevanje je bilo na 1. prstu in 1. stopalnici na plantarni strani stopala (ICC = 0,52¬–0,94) in pri določitvi zaznavnega praga 2/3 (vsaj dve zaznavi od treh prejetih dražljajev) (ICC = 0,88–0,95), 2/2 (ICC = 0,92–0,94) in 3/3 (ICC = 0,61–0,92). Zanesljivost med preiskovalci z WEST pri pacientkah s hallux valgus je bila dobra (ICC = 0,84). Zaključek: Ocenjevanje zaznavnega praga z monofilamenti je najbolj zanesljivo ko ocenjuje isti izkušen preiskovalec, in sicer na področju 1. prsta in glavici 1. stopalnice plantarno in določi zaznavni prag z 2/3 (vsaj dve zaznavi od treh prejetih dražljajev) ali z 2/2. Ponovljivost sil monofilamentov je optimalna, vendar bi bilo potrebno ponovljivost raziskati še na ljudeh. O zanesljivosti ocenjevanja so potrebne nadaljnje raziskave pri pacienti z nevrološkimi okvarami, starejših odraslih, otrocih in tudi pri sladkornih bolnikih. Introduction: Foot sensitivity protects us from injuries and participates in posture control by providing information during standing and walking. Touch detection threshold can be quantitatively assessed with monofilaments. Detection threshold values can vary from light touch to deep pressure. Purpose: To review studies of repeatability and reliability of touch threshold assessment with monofilaments on lower limbs. Methods: Research articles were conducted using database PubMed until the end of October 2017. Results: 12 articles were included in the review. One study established repeatability, and 10 studies intra-rater and inter-rater reliability of Semmes-Weinstein monofilaments, and in one study interrater reliability of assessment with Weinstein enhanced sensory test (WEST) was established. Use of monofilaments is repeatable if filaments are well calibrated (CV: 6–9 %). Intra-rater reliability was poor to excellent (ICC = 0.36–0.92) in four studies with healthy adults, poor to excellent (ICC = 0.49–0.92) in two studies with diabetic patients and good to excellent (ICC = 0.83–0.92) in two studies with leprosy patients. Inter-rater reliability was poor to excellent (ICC = 0,07–0,92) in two studies with healthy adults, good to excellent (ICC = 0.88–0.96) in one study with healthy school children, poor to good (ICC = 0.46–0.88) in two studies with diabetic patients and good to excellent (ICC = 0.76–0.95) in three studies with leprosy patients. In six studies reliability was good to excellent (ICC = 0.76–0.96) when assessment was done by experienced researchers. Most reliable assessment was performed on plantar surface of the 1. digit and the 1. metatarsal head (ICC = 0.52¬–0.94) and when detection threshold was determinated with 2/3 (at least two detections out of three applications) (ICC = 0.88–0.95) or 2/2 answers (ICC = 0.92–0.94). Interrater reliability with WEST was good (ICC = 0.84) in patients with hallux valgus. Conclusions: Assessment of touch threshold with monofilaments is most reliable if performed by experienced researchers on plantar surface of the 1. digit and the 1. metatarsal head and if touch threshold is determinate with 2/3 (at least two detections out of three applications) or with 2/2 answers. Monofilaments are repeatable tool, but repeatability of their use should be established on humans. Further studies of reliability are needed in patients with neurological disorders, older adults, children and diabetic patients.

Uvod: Časovno merjeni Test petih vstajanj s stola se uporablja kot orodje za ugotavljanje gibalnih sposobnosti starejših ljudi. Prvotno se je test uporabljal za ugotavljanje moči spodnjih udov. Sedaj pa se poleg tega uporablja tudi za posredno ocenjevanje drže in ravnotežja. Tako lažje poiščemo posameznike, ki so ogroženi za padce. Problem predstavlja veliko različnih izvedb testiranja. Namen Ugotoviti ponovljivost in zanesljivost Testa petih vstajanj s stola, izmerjenega z mobilno aplikacijo »Test to go«. Metode dela: V raziskavi je sodelovalo 32 študentov, trije moški in 29 žensk, v povprečju (standardni odklon) starih 21,2 (0,8) let. S pomočjo mobilne aplikacije smo s študenti dvakrat, v razmiku 48 ur izvedli meritve. Pri vsaki meritvi so imeli preiskovanci na voljo 3 poskuse. Iz danih rezultatov smo izračunali intraklasni korelacijski koeficient (IKK) in 95% interval zaupanja. Rezultati: Skupni IKK je znašal le 0,44. Višje vrednosti IKK so bile pri drugi meritvi tj. po 48 urah. Izračunani IKK za 2. in 3. poskus pri obeh meritvah je 0,60 - 0,66. 95% interval zaupanja pa je bil širok, saj znaša od 0,11 do 0, 68. Merjene vrednosti so bile zelo različne. Razprava in sklep: Na osnovi dobljenih rezultatov skupnega IKK lahko sklepamo, da je Petkratni test vstajanja, merjen z mobilno aplikacijo, komaj sprejemljivo zanesljivo merilno orodje. Če pa upoštevamo samo IKK drugega in tretjega poskusa, pa je test zmerno zanesljiv, saj je izračunani IKK precej višji. Zato bi bilo smiselno testiranju dodati poskusno izvedbo testa. Preiskovanci bi že pri prvem poskusu imeli izkušnjo, ki bi jo le utrdili. Introduction: Five times sit to stand test is used as s measuring tool for determining motor abilities of elderly people. Originally, the test was used to determine the strength of lower limbs. Now is also used for indirect assessment of posture and balance. So it is easier to find risk individuals. The problem arises from different test implementations. Purpose: The purpose of the study is to determining the repeatability and reliability of the Five times sit to stand test, measured with mobile application »Test to go«. Methods: The study involved 32 students, 3 male and 29 female, both on average (standard deviation) 21.2 (0.8) years old. We made two measurements, which were 48 hours apart. At each measurement subjects had three attempts. From the given results, we calculated interclass correlation coefficient (ICC) with the 95% confidence interval. Results: Interclass correlation coefficient was only 0.44. Total ICC from the second and the third measurement was higher than the overall measurements, in which the values are between 0.60 and 0.66. 95% confidence interval is very wide, ranging from 0.11 to 0.68. All the measured values are very different. Discussion and conclusion: The adjustment results show that the Five times sit to stand test, which was implemented using a mobile application, is an unreliable measurement tool. It is necessary to add a pilot test. Thus, the patient experience after the first attempt could be strengthened in the following ones.