Zanesljivost tenziomiografskih meritev kontraktilnosti skeletnih mišic človeka – pregled literature ; Reliability of tensiomyographic measurements of skeletal muscles contractility in human – literature review

Uvod: Tenziomiografija je sodobna, neinvazivna, razmeroma preprosta in dostopna tehnika, namenjena merjenju specifičnih parametrov posameznih mišic. Meritev se izvede s senzorjem za pritisk, nameščenim na trebuhu mišice, ki zaznava oscilacije, vibracije in odebelitve trebuha mišice ob skrčku, izzvanem z električnim dražljajem. Namen: Osnovni namen je bil ugotoviti, ali je TMG zanesljiva metoda merjenja kontraktilnih lastnosti skeletnih mišic. Metode dela: Pregled literature, v katero so bili vključeni članki, ki so ustrezali izbranim kriterijem. Rezultati: V diplomsko delo smo vključili šest raziskav, ki so preverjale zanesljivost TMG. Da je TMG zanesljivo merilno orodje, se je izkazalo v vseh šestih raziskavah, vključenih v diplomsko delo Razprava: Rezultati izbranih šestih raziskav so pokazali, da je TMG zanesljiv način merjenja tako pri meritvah z daljšim, kot tudi krajšim časovnim zamikom, zanesljiv pa je tudi, če meritve izvajajo različni usposobljeni merilci. Uporabnost TMG ima širok razpon, vse od ugotavljanja mišičnih neravnovesij in s tem povečane nevarnosti za nastanek poškodb mišično-skeletnega sistema, do pomoči pri oblikovanju rehabilitacijskih programov. Zaključek: Zaradi dobre zanesljivosti in enostavne uporabe, ki omogoča natančen vpogled v lastnosti posameznih skeletnih mišic, menimo, da bi s pogostejšo uporabo TMG na področju fizioterapije lahko izboljšali kakovost fizioterapevtskih obravnav. ; Introduction: Tensiomyography (TMG) is a novel, non-invasive, relatively simple and affordable technique for measuring specific parameters of a single muscle. Measurements are acquired with a sensor placed on the muscle belly, which collects information about radial displacement of the muscle, created by single electrical impulse. Purpose: To investigate if TMG is a reliable technique for measuring specific characteristics of skeletal muscles. Methods: The method, used in this diploma work, was a literature review. Articles included in our diploma work were selected according to a set of criteria. Results: Six articles about TMG reliability were included in our diploma work. All six articles showed good to excellent reliability of TMG. Discussion: Results of all six articles showed that TMG has a good short-term repeatability as well as long-term repeatability and it also has good inter-rater reliability. The usability of TMG is wide. TMG can be used to detect muscle imbalance which could lead to increase of hazard for skeletomuscular injuries, as well as in planning rehabilitation programs for individuals. Conclusion: Because TMG has a good reliability, wide filed of usability and provides accurate information on contractility of skeletal muscle, we think that physiotherapists should use TMG more often and by doing so improve the quality of their work.