İZOKİNETİK DİNAMOMETRE İLE YAPILAN GLENOHUMERAL EKLEM POZİSYON VE HAREKET HİSSİ TESTLERİNİN DEĞERLENDİRİCİLER ARASI VE DEĞERLENDİRİCİLER İÇİ GÜVENİRLİKLERİ

Öz

Amaç: Bu çalışmanın amacı; sağlıklı bireylerde izokinetik dinamometrenin glenohumeral eklem (GHE) pozisyon ve hareket hissi testlerindeki değerlendiriciler içi ve değerlendiriciler arası test güvenilirliğini araştırmaktır. Yöntem: Çalışmaya toplamda 17 sağlıklı katılımcı (8 Kadın) dahil edildi. Katılımcıların dominant ekstremitesine izokinetik dinamometre ile glenohumeral eklem pozisyon ve hareket hissi testi iki farklı değerlendirici tarafından yapıldı. Her iki test de glenohumeral eklem 900 abdüksiyonda ve dirsek eklemi 90° fleksiyonda yapıldı. Pozisyon hissi için referans açıları 300–600 internal ve eksternal rotasyondu, hareket hissi testi ise 0.1°/s hızda internal and eksternal yönlerinde yapıldı. Hata skoru, hedef açı ile gözlemlenen açı arasındaki mutlak fark üç denemenin ortalaması alınarak kaydedildi. Sonuçlar: Pozisyon hissi için hesaplanan farklı hata türü ortalamaları; 0.02±1.62 ile 5.42±1.74 arasındaydı. Farklı hata türleri için; değerlendiriciler içi testlerin ICC değeri 0.038 ile 0.657 arasında, değerlendiriciler arası testlerin ICC değerleri 0.095 ile 0.779 arasında değişmekteydi. Farklı yön ve açılara ait hareket hissi test sonuçları 9.61±2.61 ile 11.18±2.89 arasındaydı. Hareket hissi için değerlendiriciler içi testlerin ICC değerleri 0.687 ile 0.912 arasında, değerlendiriciler arası testlerin ICC değerleri 0.844ile 0.925 arasında bulundu. Tartışma: İzokinetik dinamometre GHE internal rotasyon hareket hissini ölçmede orta-iyi düzey değerlendiriciler içi ve değerlendiriciler arası test güvenilirliği göstermiştir. Eksternal rotasyon değerlendiriciler içi test güvenilirliği zayıftır fakat değerlendiriciler arası test güvenilirliği orta-iyi düzeydedir. Diğer taraftan izokinetik dinamometre hareket hissi ölçümünde mükemmel seviyede değerlendiriciler içi ve değerlendiriciler arası test güvenilirliği göstermiştir. Hem pozisyon hem de hareket hissi testlerinin uyumu ve dolayısıyla tekrarlanabilirliği oldukça iyidir. Ayrıca her iki test için de izokinetik dinamometre küçük farkları ortaya çıkarmada başarılıdır.

Anahtar Kelimeler

• Kinestezi
• Propriosepsiyon
• Omuz
• Güvenirlik
• Reliability

THE INTER-RATER AND INTRA-RATER RELIABILITY OF GLENOHUMERAL JOINT POSITION AND MOVEMENT SENSE TESTS APPLIED USING AN ISOKINETIC DYNAMOMETER

Abstract

Purpose: This study aimed to test the inter-rater and intra-rater reliability of glenohumeral joint (GHJ) position and movement sense tests of an isokinetic dynamometer in healthy individuals. Methods: The study included 17 healthy subjects (8 female). GHJ position and movement sense tests were applied by two raters with an isokinetic dynamometer to the dominant extremity. Both tests were performed while GHJ positioned 90° abduction and elbow flexion, reference angles for position sense were 30°-60° internal and external rotation and movement sense tests were conducted at 0.1°/s to the both internal and external rotation directions. The error score, by averaging the three trials, was measured as the absolute difference between the target angle and the observed angle. Results: The different error types calculated for position sense were in the range of mean 0.02±1.62- 5.42±1.74. The ICC value for the different error types was determined in the range of 0.038 - 0.657 for the intra-rater tests, and 0.095-0.779 for the inter-rater tests. The movement sense test results for different directions and angles ranged from 9.61±2.61 to 11.18±2.89. The ICC values for movemeent sense were in the range of 0.687-0.912 for the intra-rater tests, and 0.844-0.925 for the inter-rater tests. Conclusion: The isokinetic dynamometer showed moderate-good intra-rater and inter-rater test reliability in the measurement of the GHJ internal rotation movement sense. The intra-rater test reliability was poor in external rotation but the inter-rater test reliability was moderate-good. However in the measurement of movement sense, the isokinetic dynamometer showed intra-rater and inter-rater test reliability at an excellent level. The conformity of both the position and the movement sense tests, and therefore, the repeatability, was extremely good.

Keywords

• Kinesthesia
• Proprioception
• Shoulder
• Reliability

Kaynakça

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