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KMID : 1036120160080010061
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Korean Society of Medicine & Therapy Science
2016 Volume.8 No. 1 p.61 ~ p.71
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Reliability study of Functional status Measurement for Adult Hemiplegic Patients
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Jung Jee-Woon
Kim Hee-Soo
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Abstract
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Objective: The aim of this study was to examine inter-rater reliability of the TIS(Trunk Impairment Scale), K-BBS (K-Berg Balance Scale) and RMI (Rivermead Mobility Index) based on video clips. In additions, the test-retest reliability of the K-BBS, TIS and RMI was evaluated according to the 1st test and 2nd test.
Method: We evaluated the 33 hemiplegic patients video (male 22, female 11, range of age 53.45±2.45) with stroke for intra-rater reliability. Six experienced physical therapists and one medical doctor attended education sessions about the scoring system. They scored simultaneously by watching the video clips that recorded another therapist’s examination with patients. To examine the test-retest reliability, it was measured twice on 14 separate days. Intraclass correlation coefficients (ICC)s were analyzed to determine the intra-rater and test-retest reliability.
Results: Test-retest reliability values of TIS was .908 were also high, intraclass correlation coefficient (ICC3,1) varying from .979-.993. Intra-rater reliability values of the TIS, K-BBS and RMI were mostly high, varying from .931-.993, .976-.996, 1.000-1.000.
Conclusion: The TIS, BBS and RMI were shown to be reliable tools to measure quantity and quality of functional status for hemiplegic patients. Video scoring was time-consuming, but was found to offer many advantages; the possibility to review performance, to use special trained raters for scoring and less demanding assessment for the patients. In addition, research on the reliability and validity of the assessment tool for objective assessment and treatment of patients should be continued in the future.
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KEYWORD
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K-Berg Balance Scale, Trunk Impairment Scale, Rivermead Mobility Index, Reliability
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