지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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PURPOSE: The purpose of this study was to investigate the inter-rater absolute reliability and the concurrent validity of the Tinetti-gait scale that was translated into Korean for chronic stroke patients. METHODS: Fifty-two patients with post-stroke participated in this study. Inter-rater reliability was analyzed by Intraclass Correlation Coefficient ($ICC_{3,1}$) and Kappa coefficient, and absolute reliability was analyzed by the Standard Error of Measurement (SEM), and the Minimal Detectable Change (MDC). Concurrent validity was analyzed by correlating between the Tinetti-gait scale and physical functions. The physical functions were measured by using the Dynamic Gait Index(DGI), 10m walking test(10WT), One Leg Standing Test of affected/non-affected side(OLST), Sit to Stand test(STS), (Fugl Meyer assessment of Lower Extremity(FM-LE). RESULTS: The inter-rater reliability of the Tinetti-gait scale was high; $ICC_{(3,1)}=.91$ (95% CI=.85~.95) (very reliable), the range of Kappa coefficient were .73~.92 (substantial~good). The inter-rater agreement of the each item in Tinetti-gait scale ranged from .74 to .92 (95 % CI=.59~.95) (reliable~very reliable). The SEM and MDC were .56 and 1.55, respectively. In the results of concurrent validity, there were moderate positive correlation between Tinetti-gait scale and DGI (r=.78), 10WT (r=.74), OLST (r=.65~.73), FM-LE (r=67). And there was moderate negative correlation between Tinetti-gait scale and STS (r=-79) (p<.01). CONCLUSION: The Tinetti-gait scale(Korean version) was a reliable and valid tool to measure gait ability in patients with chronic stroke. Thus, it could be a useful tool for examining a gait ability of post-stroke patients. Further study should be conducted to investigate the usability to predict fall risk of post-stroke patients of the Tinetti-gait scale.
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참고문헌 (35)
참고문헌 신청
안승헌 / 2011 / 뇌졸중 환자들을 위한 한국어판 Dynamic Gait Index의 신뢰도와 타당도 / 특수교육재활과학연구 50(2):289~306
Han TR / 1992 / The Correlation of the Mini-Mental State Examination(MMSE) and Functional outcome in the Stroke Patients / J of Korean Acad of Rehab Med 16(2):118~122
Atkinson G / 1998 / Statistical methods for assessing measurement error(reliability) in variables relevant to sports medicine / Sports Med 26(4):217~238
Beaton DE / 2000 / Guidelines for the process of cross-cultural adaptation of self-report measures / Spine (Phila Pa 1976) 25(24):3186~3191
Behrman AL / 2002 / Sensitivity of the Tinetti Gait Assessment for detecting change in individuals with Parkinson’s disease / Clin Rehabil 16(4):399~405
Han TR / 1992 / The Correlation of the Mini-Mental State Examination(MMSE) and Functional outcome in the Stroke Patients / J of Korean Acad of Rehab Med 16(2):118~122
Atkinson G / 1998 / Statistical methods for assessing measurement error(reliability) in variables relevant to sports medicine / Sports Med 26(4):217~238
Beaton DE / 2000 / Guidelines for the process of cross-cultural adaptation of self-report measures / Spine (Phila Pa 1976) 25(24):3186~3191
Behrman AL / 2002 / Sensitivity of the Tinetti Gait Assessment for detecting change in individuals with Parkinson’s disease / Clin Rehabil 16(4):399~405
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