التفاصيل البيبلوغرافية
| العنوان: |
KLINIČNO OCENJEVANJE RAVNOTEŽJA IN PREMIČNOSTI. (Slovenian) |
| العنوان البديل: |
CLINICAL ASSESSMENT OF BALANCE AND MOBILITY. (English) |
| المؤلفون: |
Franchignoni, Franco, Godi, Marco, Nardone, Antonio, Marcantonio, Lucia, Turcato, Anna Maria, Benevolo, Emilio |
| المصدر: |
Rehabilitation / Rehabilitacija; 2012 Supplement 1, Vol. 11, p41-50, 10p |
| مصطلحات موضوعية: |
RISK factors of falling down, POSTURE disorders, HUMAN mechanics, GAIT in humans, PSYCHOMETRICS, PARKINSON'S disease |
| الملخص (بالإنجليزية): |
Assessment of balance and mobility in clinical settings can help to determine both risk of falling and the most suitable measures to reduce postural instability. Laboratory studies have shown that postural control embraces different reactions to external disturbances, anticipatory postural adjustments to perturbations caused by self-initiated movements (e.g. lifting an object), and dynamic balance during gait. However, until recently clinical balance tests did not systematically evaluate all these subdomains. In this short review, the most widely used clinical assessments of posture and balance are discussed. Clinical evaluations are divided into four groups: (a) simple clinical tests for balance and mobility; (b) fear of falling and fall-efficacy scales; (c) clinical balance and mobility scales; (d) the new balance and mobility scales: BESTest and its short form, the mini-BESTest. The mini-BESTest is a new 14-item balance measurement tool recently created using both classical psychometric techniques and Rasch analysis. It meets a wide range of measurement requirements (regarding dimensionality, quality of the rating categories, construct validity and reliability indices), focuses on dynamic balance and can be conducted in 10-15 minutes. The scale contains items belonging evenly to: transitions and anticipatory postural adjustments, postural responses to perturbation, sensory orientation while standing on a compliant or inclined base of support, and dynamic stability in gait. In a recent study evaluating balance disorders in Parkinson's disease, the psychometric characteristics of the mini-BESTest compared favourably with those of the Berg Balance Scale. [ABSTRACT FROM AUTHOR] |
| Abstract (Slovenian): |
Ocenjevanje ravnotežja in premičnosti pri kliničnem delu nam pomaga pri ugotavljanju tveganja za padce in najprimernejših ukrepov za zmanjšanje nestabilnosti drže. Laboratorijske raziskave so pokazale, da nadzor drže vključuje različne reakcije na zunanje motnje, pričakovane prilagoditve drže na perturbacije, ki jih povzročijo lastni gibi (npr. dvigovanje predmeta), in dinamično ravnotežje med hojo. Toda do nedavnega klinični testi za ravnotežje niso sistematično ocenjevali vseh teh področij. V tem kratkem pregledu razpravljamo o najpogosteje uporabljanih kliničnih orodjih za ocenjevanje drže in ravnotežja. Delimo jih na štiri skupine: (a) preprosti klinični testi za ravnotežje in premičnost; (b) lestvice za ocenjevanje verjetnosti padca in učinkovitosti padca; (c) klinične lestvice za ocenjevanje ravnotežja in premičnosti; (d) nove lestvice za ravnotežje in premičnost: BESTest in njegova kratka oblika mini-BESTest. Mini-BESTest je novo orodje za ocenjevanje ravnotežja, s štirinajstimi nalogami, ki so ga ustvarili pred kratkim in pri tem uporabili klasične psihometrične tehnike in Raschevo analizo. Ustreza obsežnim merskim zahtevam (glede dimenzionalnosti, kakovosti ocenjevalnih kategorij, konstruktne veljavnosti in indeksov zanesljivosti), osredotočen pa je na dinamično ravnotežje. Izvedemo ga lahko v 10-15 minutah. Sestavljajo ga naloge, ki v enakem deležu obravnavajo prehode in pričakovane prilagoditve drže, posturalne odgovore na perturbacije, senzorično orientacijo med stojo na ravni ali nagnjeni podporni ploskvi in dinamično stabilnost med hojo. V nedavni raziskavi, kjer so ocenjevali motnje ravnotežja pri bolnikih s Parkinsonovo boleznijo, so se psihometrične lastnosti mini-BESTesta izkazale kot primerljive z Bergovo lestvico ravnotežja. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
