606 KB41 KB200820252016Puh, UrškaZupanc, Aleksanderletnik:15številka:3str. 53-62ISSN:1580-9315COBISSID:2282601URN:URN:NBN:SI:doc-4N1JFB5IslUniverzitetni rehabilitacijski inštitut Slovenije - SočaRehabilitacija (Ljubljana)AgedDEMMImeasurement toolsmerilna orodjamobilityolder adultsPhysical Therapy ModalitiespremičnostreliabilitystarostnikivalidityveljavnostzanesljivostPsihometrične značilnosti De Morton indeksa premičnosti za ocenjevanje premičnosti starostnikov| a literature review| pregled literature| Psychometric properties of De Morton mobility index for assessing mobility in older adults|Background: De Morton mobility index (DEMMI) is a new measurement tool for evaluating mobility, assessing individual performance of fifteen movement items. The purpose of the literature review was to summarise psychometric properties of DEMMI for assessing mobility in older adults. Method: Based on inclusion criteria a literature review was conducted using the PubMed and CINAHL databases. Searching was limited to English language and included all published articles by April 2016. Results: Twelve research articles were included in the review. They included general samples of older adults in acute hospital treatment, in transitional care settings and rehabilitation, older adults with total knee or hip replacement, after hip fracture, with Parkinson's disease and functional independent elderly. In five studies excellent intra- and inter-rater reliability were reported. In 11 studies, construct validity, known-groups validity and high correlation between DEMMI scores and performance-based measurement tools assessing more movement tasks were confirmed. In nine studies, no ceiling or floor effect was reported for DEMMI. Conclusion: DEMMI is a reliable and valid measurement tool, which is able to detect responsiveness of change in older adults in different period of health care and with different causes for mobility inabilities. Due to its included assessing area and according to the confirmed good psychometric properties it would be reasonable to include DEMMI in physiotherapy assessment of mobility in older adults with musculoskeletal impairments and Parkinson's diseaseUvod: De Morton indeks premičnosti (angl. De Morton mobility index - DEMMI) je merilno orodje za ocenjevanje premičnosti, ki ocenjuje posameznikovo izvedbo petnajstih gibalnih nalog. Namen pregleda literature je bil povzeti psihometrične značilnosti DEMMI pri ocenjevanju starostnikov. Metode: Iskanje raziskovalnih člankov je potekalo po podatkovnih zbirkah PubMed in CINAHL na podlagi meril za vključitev. Iskanje je bilo omejeno na angleščino in je zajelo vse objave do aprila leta 2016. Rezultati: V pregled je bilo zajetih 12 raziskav. Vanje so bili vključeni splošni vzorci starostnikov na akutnem bolnišničnem zdravljenju, v prehodnem negovalnem obdobju in na rehabilitaciji ter starostnikov po vstavitvi endoproteze kolena ali kolka, po zlomu kolka, s Parkinsonovo boleznijo in funkcijsko samostojni starostniki. V petih raziskavah so preverjali zanesljivost in poročali o odlični zanesljivosti posameznega preiskovalca in med preiskovalci. V enajstih raziskavah je bila potrjena veljavnost konstrukta in veljavnost za znane skupine ter visoka povezanost med ocenami DEMMI in izidi merilnih orodij izvedbene narave, ki ocenjujejo več gibalnih nalog. V devetih raziskavah so ugotovili, da pri uporabi DEMMI ne pride do učinka tal ali stropa. Zaključek: DEMMI je zanesljivo in veljavno merilno orodje, sposobno zaznati spremembe pri starostnikih v različnih obdobjih zdravljenja in z različnimi vzroki za zmanjšano sposobnost premikanja. Zaradi področja ocenjevanja, ki ga zajema, in glede na potrjene merske značilnosti bi ga bilo smiselno vključiti v fizioterapevtsko ocenjevanje premičnosti starostnikov z okvarami mišično-kostnega sistema in s Parkinsonovo boleznijoTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaUniverzitetni rehabilitacijski inštitut RS – Soča