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KMID : 0363619990200010060
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Journal of Korean Oriental Medicine
1999 Volume.20 No. 1 p.60 ~ p.65
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Interobserver Reliabilities of Modified Barthel Index, and Motor Assessment Scale in Stroke Patients
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Ko Seong-Gyu
Kim Chun-Bae
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Abstract
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We have conducted a study of the interobserver reliabilities of Modified Barthel Index and Motor Assessment Scale with 30 patients hospitalized with strokes in the department of circulatory internal medicine, Sang Ji University Oriental Hospital. The observations were performed by two staff and residents in the circulatory internal medicine department. Raters were assigned in random pairs to individual patients. Evaluations were performed independently by the two observers. In order to minimize the impact of fluctuations in the patients’’ clinical status, the second set of observations immediately followed the first. Each patient was used for only one pair of evaluations. The results were as follows. 1. Mean kappa value of 13 items in Modified Barthel Index(MBD was 0.742, which indicated excellent interobserver reliability. The kappa values indicated almost perfect({kappa}:;0.81-1.00) for 4, substantial for 9({kappa}:;0.61-0.80), and moderate for 2({kappa}:;0.41-0.60) of 13 items. All items. except Grooming item, showed statistically significant interobserver agreement(p<0.01) 2. Mean kappa value of 8 items. except General tonus, in Motor Assessment Scale(MAS) was 0.823, which indicated excellent interobserver reliability. and this value of Motor Assessment Scale was more high than MBI’’ s value. 0.81. The kappa values indicated almost perfect for 5, substantial for 3 of 8 items. All items showed statistically significant interobserver agreement(P<0.01).
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KEYWORD
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interobserver reliabilities, Stroke, Modified Barthel Index, Motor Assessment Scale, Kappa analysis
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